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71.
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上尿路梗阻性急性肾功能不全内、外引流的选择 总被引:1,自引:1,他引:0
目的探讨内、外引流在上尿路梗阻急性肾功能不全时的选择和效果。方法25例各种原因引起的上尿路梗阻(15例肿瘤性梗阻,10例非肿瘤性梗阻)合并急性肾功能不全,分别或先后对12例行输尿管内置双J管(doub le J,D J)内引流15次,对19例行经皮肾穿刺造瘘(percutaneous nephrectomy,PCN)外引流23次。结果引流成功23例,PCN外引流成功率86.9%(20/23),双J管内引流成功率60.0%(9/15),PCN术后继发出血1例。结论对于盆腹腔进展期或广泛转移肿瘤导致的梗阻,PCN解除梗阻优于输尿管支架内引流;非肿瘤性梗阻宜先尝试D J内引流。 相似文献
73.
腹腔镜胆囊切除术中腹腔引流管的应用体会 总被引:6,自引:0,他引:6
目的:总结腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)中腹腔引流管的临床应用经验。方法:回顾分析2001年1月至2006年6月1650例LC患者的临床资料。结果:1650例中1487例(90.1%)术中未放置腹腔引流管,恢复顺利,放置腹腔引流管的163例中159例(97.5%)引流管无明显液体引出,或仅有少量腹腔冲洗液,术后24~48h拔除,康复好,4例患者术后发生胆漏。结论:应严格掌握放置腹腔引流管的指征,多数LC术中不放置腹腔引流管是合理可行的,更有利于患者的康复。 相似文献
74.
M. M. nal M. Hanhan B. Planci & . Tinar 《International journal of gynecological cancer》2004,14(4):595-599
The aim of the study was to determine the clinical characteristics and management of fallopian tube malignancies together with the results there unto that had been diagnosed and treated in our oncology department retrospectively. Twelve cases of fallopian tube malignancies, of a total of 2155 gynecologic malignancies (0.55%), that had been diagnosed in or referred to our hospital between January 1986 and December 2001 were evaluated retrospectively. Eight of 12 cases were diagnosed after surgical intervention in our department. Staging laparotomies were applied to all of the eight cases. Complementary surgeries of other four cases who were referred to our department were done according to the same principles of cytoreductive surgery. Staging of the cases was done according to Federation of International Gynecologists and Obstetricians (FIGO). Adjuvant chemotherapy was applied to all of the cases except two (10 cases, 83.3%). Second-look laparotomy (SLL) was applied to two of the cases. Mean age of the cases was 54.2 (range 35-72) years. Histopathology of the cases was as follows: serous adenocarcinoma in 10 cases (83.3%), endometrioid adenocarcinoma in one case (8.3%), and undifferentiated carcinoma in one case (8.3%). Adjuvant chemotherapy (PAC regimen to eight of the cases and PP regimen to two cases) was applied to 10 of the cases (83.3%). SLL was applied to two cases. Another case had died because of local recurrence at the 27th month of the follow-up. Mean follow-up period of the cases was 37.8 months (range 1-144 months). Fallopian tube malignancies are very rare malignancies. Diagnosis can be made generally peri- or postoperatively. More extensive clinical research must be performed in order to have definite etiologic, diagnostic, management modalities, and prognostic markers. 相似文献
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以羧甲基纤维素钠(CMC)水溶液模拟非牛顿型发酵介质,在内径为0.15m,高为0.975m的环隙气升式反应器内,考察了液体流变性质和导流筒结构对气液传质的影响,提出了体积氧传递系数(KLa)的经验关联式。实验表明:对于较高粘度的假塑性流体,反应器内部采用整体式导流筒结构,将有利于传质和混合,其性能优于采用开窗式导流筒或无导流筒的反应器。 相似文献
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79.
Kazuro Sugi Kouichi Nawata Kazuhiro Ueda Yoshikazu Kaneda Sumihiko Nawata Atsunori Oga Kensuke Esato 《Surgery today》1997,27(7):666-668
We report herein the case of a 70-year-old man in whom a chest wall implantation of adenocarcinoma of the lung at the drainage
tube site was found 4 months after a right lower lobectomy with mediastinal lymph node dissection had been performed for adenocarcinoma
of the right lower lobe. The lesion was successfully treated by tumor extirpation. We believe that tumor seeding to the chest
wall occurred at the time of thoracotomy. To prevent such tumor seeding, the pleural cavity should be washed out routinely
with a massive volume of physiological saline solution prior to closure of the chest wall. 相似文献
80.
空管药物疗法治疗牙髓病和根尖周病疗效观察 总被引:1,自引:0,他引:1
用SMTD复合药物对牙髓病和根尖周病实施空管药物疗法。78例103颗获得完整随访资料患牙经两年观察,92.2%治愈率。文章介绍了治疗方法,讨论了空管药物疗法的愈合机理、优点、失败原因及其预防措施。 相似文献