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肝脏外伤的特点及其诊治方法(附67例报告) 总被引:2,自引:0,他引:2
目的:分析肝脏外伤的特点及其诊治方法。方法:总结分析1999~2004年本院收治创伤性肝破裂67例的救治方法及其与致伤因素的关系。其中Ⅲ级以上的严重肝破裂49例。1例术前死亡,手术治疗55例,手术方式包括单纯修补、清创性肝切除、肝周填塞止血;非手术治疗11例。结果:手术组:治愈53例,术后并发症13例除4例近期手术均经保守治疗治愈,术中死亡2例;非手术组11例均治愈。结论:本组肝外伤以右叶破裂多见;Ⅰ~Ⅱ级单纯性外伤性肝破裂部分可保守治疗;手术是治疗创伤性肝破裂的主要措施。 相似文献
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目的:回顾性分析近20年我院救治的232例肝破裂,探讨其救治措施。方法:总结232例肝破裂的救治方法和病死率,并进行随诊,了解其预后和生活质量。结果:本组病例治愈212例,死亡20例,死亡率8.6%。结论:Ⅰ-Ⅱ级肝破裂可在监测下保守治疗;Ⅲ级以上肝破裂应积极手术治疗,选择正确的术式,积极处理合并伤,重视综合治疗可降低病死率。 相似文献
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52例外伤性肝破裂诊治体会 总被引:2,自引:0,他引:2
目的 分析肝脏外伤的特点及其诊治方法.方法 对于1996年1月-2006年12月,本院收治创伤性肝裂52例进行回顾性分析.其中Ⅲ级上的严重肝破裂37例.手术方式包括单纯修补、清创性肝切除、肝周填塞止血:非手术组1例.结果 手术组:治愈49例.术后死亡2例:非手术组1例治愈.结论:Ⅰ级单纯性外伤性肝破裂可保守治疗;手术是治疗创伤性肝破裂的主要措施.确切止血,仔细结扎胆管,充分通畅的引流及术后抗生素和支持治疗是防止并发症的关键. 相似文献
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目的总结肝破裂的诊断及外科的各种治疗方法,以提高对肝破裂诊治的进一步认识。方法回顾性分析2000年1月至2007年2月我院收治的116例肝破裂的临床资料及诊治情况。其中手术治疗91例,手术方式包括单纯修补、清创性肝切除、部分肝叶切除、肝周填塞止血或加选择性肝动脉结扎;非手术治疗25例。结果手术组治愈83例(其中2例为非手术治疗中转手术),死亡8例,其中手术死亡4例;非手术组治愈25例,均无死亡。全组治愈108例,死亡8例,死亡率7.4%。结论Ⅰ-Ⅱ级单纯性肝破裂可保守治疗;准确评估患者的病情,选择正确的手术方式,积极处理合并伤,可降低病死率。 相似文献
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肝破裂的诊断及治疗 总被引:2,自引:0,他引:2
目的 总结肝破裂的诊断及外科的各种治疗方法,以提高对肝破裂诊治的进一步认识.方法 回顾性分析2000年1月至2007年2月我院收治的116例肝破裂的临床资料及诊治情况.其中手术治疗91例,手术方式包括单纯修补、清创性肝切除、部分肝叶切除、肝周填塞止血或加选择性肝动脉结扎;非手术治疗25例.结果 手术组 治愈83例(其中2例为非手术治疗中转手术),死亡8例,其中手术死亡4例;非手术组 治愈25例,均无死亡.全组治愈108例,死亡8例,死亡率7.4%.结论 Ⅰ~Ⅱ级单纯性肝破裂可保守治疗;准确评估患者的病情,选择正确的手术方式,积极处理合并伤,可降低病死率. 相似文献
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目的:探讨创伤性肝破裂的临床特点及救治方法,总结有效复苏及提高生存率的临床经验.方法:对经我院救治的创伤性肝破裂患者78例临床资料进行了系统的回顾性研究.结果:非手术治疗17例(21.8%),全部治愈;手术治疗59例(78.2%),其中治愈53例(89.8%);术前死亡2例.结论:保守治疗应严格掌握适应证,对于Ⅰ~Ⅱ级血液动力学稳定的单纯性轻型肝破裂仅适用于保守质量;手术是创伤性肝破裂治疗的主要方法,快速有效复苏、缩短术前准备时间、正确选择手术方式是提高治疗成功率的关键;伤情严重以及治疗延误是导致创伤性肝破裂患者死亡的重要原因. 相似文献
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目的:总结治疗各级创伤性性肝破裂手术方式与关键。方法:回顾分析了117例创伤性肝破裂损伤程度,采用的手术方式及治疗效果。结果:Ⅰ、Ⅱ级肝创伤和80例采用单纯缝合或明胶海绵、大网膜填塞再缝合法;Ⅲ、Ⅳ级严重肝创伤36例采用缝合加纱布压迫、缝合加固有动脉结扎,贯通肝外伤开贯通外缘止血,部分肝切除法;Ⅴ级大范围肝损伤行肝脉或腔静修补法;死亡5例,均为重症肝损伤合并多脏器损伤,其它均痊愈。结论:按不同创伤 相似文献
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APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES 总被引:13,自引:0,他引:13
Hong Zhao Tie-hu Ye* Zhi-yi Gong Yang Xue Zhang-gang Xue and Wen-qi HuangDepartment of Anesthesiology Peking Union Medical College Hospital Chinese Academy of Medical Sciences & Peking Union Medical College Beijing Department of Anesthesiology Zhongshan Hospital Fudan University Shanghai Department of Anesthesiology the First Affiliated Hospital Zhongshan University Guangzhou 《中国医学科学杂志(英文版)》2005,20(1):59-62
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… 相似文献
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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. 相似文献
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Jiageng Zhu Jun Li Ruipeng Ji Jianghao Su Mingshun Shen Zhigang Cao 《南京医科大学学报(自然科学版)》2007,21(2):125-128
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. 相似文献
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Xi-zhao Sun Zhi-wei Zhang 《中国医学科学杂志(英文版)》2005,20(3):221-221
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. 相似文献
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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. 相似文献
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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 相似文献
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Tao Ye * Zhi-quan Liu Jian-jun Mu Xi-han Fu Jun Yang Bao-lin Gao and Xiao-hong Zhang Department of Cardiology First Hospital of Xi'an Jiaotong University Xi'an Hanzhong Cardiovascular Institute Hanzhong 《中国医学科学杂志(英文版)》2004,19(4):248-251
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. 相似文献
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People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia its metabolic origin in Tibetan population.…… 《中国医学科学杂志(英文版)》2007,22(2):F0003-F0003
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. 相似文献
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Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea. 相似文献
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In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects. 相似文献