新式剖宫产术100例分析

新式剖宫产采用Ｊｏｅｌ-Ｃｏｈｅｎ氏开腹方法,子宫肌层一层缝合及不缝合腹膜、膀胱腹膜反折,关腹为连续缝合筋膜,皮肤及皮下脂肪全层缝合。我院自1998年10月起开展此术式,取得了良好效果,现报道如下。1　临床资料及方法11　资料来源　新式剖宫产术(新式组)100例,年龄21～37岁,初产妇96例,经产妇4例;Ｐｆａｎｎｅｎｓｔｉｅｌ切口剖腹产术(对照组)50例,年龄23～38岁,初产妇45例,经产妇5例。两组孕产妇年龄无明显差异。两组均符合头盆不称、胎儿窘迫、臀足位、骨盆狭窄畸形、妊高征等剖腹产指征,均采用连续硬膜外麻醉。12　手术方法　ｐｆａ…     

新式剖宫产术的临床应用效果观察

Stark从 80年代开始研究新式剖宫产的手术方式 ,1996年传入我国 ,我院自 1998年 9月开始应用此种剖宫产术。 Stark的新式剖宫产[1] 采用子宫肌层一层缝合及不缝合腹膜、膀胱腹膜返折的方法。关腹方法的特点是连续缝合筋膜、皮肤及皮下脂肪组织。我院自应用此项新技术以来取得了良好的效果 ,现报道如下 :1　临床资料及方法1.1　一般资料　Stark新式剖宫产术 150例 ,年龄 2 3～ 36岁 ,平均 2 7.4岁 ,初产妇 112例 ,经产妇 38例 ,孕周 35～ 4 2 3周 ,150例均为首次剖宫产 ,剖宫产指征与传统剖宫产指征相同。1.2　手术方法　 1切口的选择 :手…     

新式剖宫产术对二次剖宫产的不良影响研究

目的:探讨新式剖宫产对二次剖宫产术中粘连、手术时间、术中出血的影响。方法:将2002～2011年我院二次剖宫产术158例随机分成A、B两组。A组(新式剖宫产)82例(第一次剖宫产时采用腹壁横切口且不缝合壁层腹膜及膀胱腹膜反折而腹直肌行2～3个"8"字缝合),B组(传统剖宫产)76例(第一次剖宫产时采用腹壁纵行切口且连续缝合腹膜及间断缝合腹直肌)。对两种剖宫产的二次剖宫产术中所见粘连程度、手术时间、术中出血情况进行比较。结果:新式剖宫产组术中粘连程度、术中出血量、手术时间、胎儿娩出时间均高于传统剖宫产组(P<0.05,或P<0.01)。结论:新式剖宫产术对二次剖宫产术有一定的不良影响,选择手术方式时需要权衡利弊。     

新式剖宫产58例临床分析

新式剖宫产是采用Ｊｏｅｌ－Ｃｏｈｅｎ的开腹方法,子宫肌层一层缝合,腹膜、膀胱返折腹膜不缝合的子宫下段剖宫产术。我院于１９９８年３～９月共做新式剖宫产５８例,本文将新式剖宫产与同期传统的下腹部横切口子宫下段剖宫产进行了临床分析,现报告如下。１　临床资料１．１　一般资料　对有手术指征,下腹部无手术史的９８例年龄在２１～３６岁,进行随机分组,其中５８例行新式剖宫产,４０例行传统的下腹部横切口子宫下段剖宫产,两组患者在年龄、手术指征、胎儿大小等方面相差无显著性（Ｐ＞０．０５）１．２　手术方法　取双侧髂前…     

三种剖宫产术近期效果比较

我院 1998年 7月至 1999年 9月对 12 6例剖宫产分别采用传统剖宫产术 ,新式剖宫产术及皮内缝合剖宫产术 ,比较三种剖宫产术的近期效果。1　临床资料1.1　一般资料 :随机抽取 1998年 7月至 1999年 9月有剖宫产指征的孕妇 ,传统剖宫产 5 0例 (称传统组 ) ,新式剖宫产 45例 (称新式组 ) ,皮内缝合剖宫产 31例 (称皮内组 )。各组手术原因构成比无明显差异。各组均采用连续硬膜外麻醉。1.2　方法1.2 .1　新式剖宫产术基本方法 :1取下腹部横切口 ;2皮下层、腹膜、返折腹膜、子宫肌层均为钝性撕开 ;3子宫肌层全层连续锁扣缝合 ,不缝返折腹膜和腹膜 …     

新式剖宫产200例临床分析

我院自今年６月起开展了新式剖宫产术,即采用腹部横直切口,钝性分离,不缝合腹膜术式,取得良好效果。现报道如下。１资料与方法１．１一般资料：新式剖宫产术（新式组）２００例,年龄２２～３５岁,初产妇１９７例,经产妇３例：子宫下段剖宫产术（简称对照组）２００例,年龄２２～３８岁,初产妇１９６例,经产妇４例。两组孕产妇年龄无明显差异。两组均以头盆不称,胎儿窘迫,臀足位,骨盆狭窄畸形,妊高征为剖宫产指征,两组手术原因构成无明显差异,具有可比性。两组病例均采用连续硬膜外麻醉,术后镇痛。１.２手术方法：子宫下段…     

新式剖宫产术128例报告

本院自 1998年 12月至 2 0 0 0年 10月开展了耻骨联合上腹部横行半月状切口 (ｐｆａｎｎｅｎｓｔｉｅｌ切口 )纯性分离、不缝合腹膜的新式剖宫产术 ,并与同期随机抽样腹部纵切口剖宫产术进行对比分析 ,现报告如下 :1　临床资料1)　一般资料 :新式剖宫产术 (新式组 )和腹部纵切口术(对照组 )各 12 8例。新式组 :年龄 2 2～ 35岁 ,平均 2 4岁 ;对照组 :年龄 2 1～ 36岁 ,平均 2 3岁。两组均选择初产妇。剖宫产手术指征及手术前宫口扩张情况 (见表 1)。表 1　剖宫产指征及手术前宫口扩张情况 (ｎ)组别例数胎儿窘迫头盆不称臀足位 高龄初产珍贵…     

180例新式剖宫产术临床分析

新式剖宫产采用腹部横直切口,钝性分离脂肪、腹直肌及腹膜,不缝合腹膜.现将我院开展的新式剖宫产术180例报告如下. 1资料与方法 1.1 一般资料 我院2006年1月至2008年12月共施行剖宫产手术360例,年龄21～37岁,孕36～42周.分为观察组180例,采用新式剖宫产术式;对照组180例,采用子官下段剖官产术式.     

改良式筋膜内腹膜外剖宫产术379例分析

一般资料：2001年1月至2002年7月我院分娩总数2141人，其中剖宫产术542例，随机分组，A组为改良式筋膜内腹膜外剖宫产组379例，孕周34～42周，年龄20～39岁，初产妇367例，经产妇9例(不包括二次剖宫产)。B组为新式刮宫产组163例，孕周31～42周，年龄21～38岁，初产妇159例，经产妇4例(不包括二次刮宫产)。两组孕周、年龄、手术指征及产前临产情况无显著差异；两组术前准备和术后处理相同，术后留置尿管24h，均采用硬膜外麻醉。     

新式剖宫产术120例分析

新式剖宫产是改良的下腹部横切口子宫下段剖宫产 ,即采用腹部横直切口。撕拉法分离皮下脂肪、腹膜、膀胱腹膜反折及子宫肌层 ,不缝合腹膜及膀胱腹膜反折术式。我院自1999年 8月开始应用新式剖宫产 12 0例 ,临床效果满意 ,现报道如下。1　材料和方法1.1　一般资料　新式剖宫产 (研究组 ) 12 0例 ,年龄 2 2～ 37岁 ,平均 2 6 .8岁 ,孕 36～ 42周 ,初产妇 114例 ,经产妇 6例 ,手术指征 :头盆不称 (包括骨盆畸形 ,巨大儿 ) 4 6例 ,胎儿宫内窘迫 31例 ,胎位不正 12例 ,过期妊娠 8例 ,妇高征 7例 ,羊水过少 5例 ,双胎 2例 ,妊娠合并症 3例 ,其他 6…     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.     

Possible Spread of adenovirus type 3 from poultry to humans ：indirect evidence from an outbreak in China

Objective:To explore the epidemiology and etiology for an outbreak of acute respiratory tract infection that occurred in one county of Jiangsu Province, China 2004. Methods: Only cases meeting the case definition were included in the study. We reviewed the medical records of the cases who were admitted to the local hospitals, interviewed cases by a standard questionnaire, and then described the epidemiotogic features and analyzed risk factors by means of a case-control study. We collected pharyngeal swab specimens and sent them to different laboratories for isolation and culture. The laboratory used different detection methods such as DIP, PCR, electron microscope examination and microneutralization assay, to identify and then type the positive specimens. Results:A total of 871 cases were reported during the period from April 18 to July 4,2004. The distribution of onset times presented two peaks, one in late May and another in middle June. The epidemic occurred mainly in the elementary and junior high schools in ten townships of one county, and the mean age of the cases was 12 years (range 7 months to 18 years). The course of the disease was acute, and was characterized by fever accompanied with sore throat and tonsillitis. The WBC count of cases was normal or elevated. The mean duration of illness was 5 days (range 2 to 12 days). No fatalities from illness were reported. A case-control study indicated that the possible risk factors were close contact with a case and/or poultry before onset and sharing of towels among members of the family. The typical CPE was observed through inoculating pharyngeal swab specimens into the HEP-2 cell cultures in different laboratories. An infection of adenovirus type 3 was verified by detecting positive specimens in different methods. Conclusion:This investigation demonstrated that the acute respiratory infection in cases was caused by adenovirus type 3. Cases occurred in over 70 schools in ten townships in 2004, and the route of transmission was possibly close contact with cases or droplet transmission.