手术后膈疝(附5例报告)

手术后膈疝是经膈肌手术后并发的内疝,多发生于食管贲门癌手术后,常因形成急性肠便阻而再手术。1974～1988年我们经治手术后膈疝引起急性肠梗阻5例,现报告如下。临床资料—、发病情况:(见表1)     

1期修补术治疗新生儿脐膨出13例

新生儿脐膨出为先天腹壁发育畸形中最常见疾病,而且治疗效果差,死亡率高,本院自1987年1月~1998年12月共收治新生儿脐膨出15例,除2例巨大脐膨出家属放弃治疗外,余13例均行1期修补术治疗。现报告如下。1临床资料男12例,女1例。入院时间为3~72 h。11例出生体重2·1~4·0 kg,2·5 k     

小儿细菌性肝脏肿48例临床分析

细菌性肝脓肿是小儿较常见的化脓性感染,有较高的病死率。我院1970～1985年外科收治小儿细菌性肝脓肿48例,现就临床资料进行分析,讨论治疗有关问题。临床资料一、一般资料男30例,女18例。<2岁5例,3～6岁17例,～10岁9例。～14岁17例。入院前病程最短4天,最长3个月。发病前有局部感染灶25例,原因不明23例。二、临床表现(1)症状、体征:有发热者46例,腹痛38例,食欲减退22例,呕吐3例,腹泻19例。肝肿大伴触痛29例,右上腹压痛11例,肋间压痛     

TREATMENT OF 23 PATIENTS WITH ADVANCED GASTRIC CANCER BY INTRAVENOUSLY TRANSFER OF AUTOLOGOUS TUMOR-INFILTRATING LYMPHOCYTES COMBINED WITH rIL-2

Tumot-infiltratiug lymphocytes (TIL) isolated from metastatic lymph nodes in patients with nonoperable advanced gastric cancer were induced to become LAK-like cytotoxic activity of TIL after in vitro culture with rlL-2.Twenty-three patients with advanced gastric cancer were tratd by intravenously transfer of autologous TIL combined with rlL-2.The tumor focus disappeared (complete remission,CR) in 3 patients (13.0%) and significantly decreased (partial remission,PR) in 5 patients (21.7%).Fifteen patients did not respond to the treatment.The amount of soluable IL-2 receptor in serum was significantly decreased after treatment,the cytotoxicity of NK cells and OT test were significantly increased.No significant difference in CD4/CD8 was found between before and after treatment.No serious side effect was obseved in the treatment.     

胰腺炎合并十二指肠梗阻2例

例1:男,8岁,上腹部被板车撞伤42小时,因上腹痛、频繁呕吐入院。检查:体温38.5℃,上腹胀,有肌卫及压痛,肠鸣音弱,白细胞32600,中性90％,淋巴10％,尿淀粉酶512温氏单位,诊断:外伤性急性胰腺炎,入院13天后,反复呕吐,上腹胀,经保守治疗无效,第20天钡餐检查报告十二指肠第二部梗阻。入院后1个月行剖腹术,见胰腺肿胀,胃、十二指肠球部扩张,十二指肠第二、三部广泛粘连,肠壁水肿肥厚,降部下端环状狭窄,胰头后方有3×3cm     

胆囊腺肌增生症7例报告

我院1979年7月～1982年6月共收治7例胆囊腺肌增生症,报告如下: 7例中男4例,女3例;年龄34～64岁。均有无规律性右上腹饱胀、隐痛史,2年、5年者各1例,10年以上5例。入院前诊断为胆囊炎、胆石症3例,胆管炎(梗阻性)1例,因胃、十二指肠溃疡行胃大部切除术中发现3例。作胆囊切除术6例,其中急诊胆囊造瘘、二期作胆囊切除1例,作胆囊底部病变局部切除1例。均痊愈出院。随访6个月～3年均良好。手术标本所见:胆囊底部瘤样改变1例,     

TREATMENT OF 23 PATIENTS WITH ADVANCED GASTRIC CANCER BY INTRAVENOUSLY TRANSFER OF AUTOLOGOUS TUMOR－INFILTRATING LYMPHOCYTES

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