Use of an aortic connector system for vein grafting

OBJECTIVE: The aortic connector system was used to minimize cerebrovascular complications when performing the proximal anastomosis of vein grafts during coronary artery bypass grafting (CABG). The goal of this study was to investigate the intermediate outcomes of patients undergoing CABG with the aortic connector system. METHODS: The aortic connector was used on nine patients undergoing CABG between November 2002 and July 2003. Intermediate outcomes of the patients were examined, and the results of coronary angiography, which were performed before patient discharge and at least 6 months after discharge, were evaluated. RESULTS: There were no operative deaths or cerebrovascular accidents. One patient died 9 months after discharge, one patient had angina, and the remaining seven patients were asymptomatic. When evaluating the results of angiography performed before patient discharge, two of the 21 distal vein graft anastomoses were occluded (patency rate, 90.5%), but there was no stenosis or occlusion at the proximal anastomoses sites that were performed using the aortic connector. When evaluating the results of the second angiography performed after patient discharge, four of the eight proximal anastomoses were patent, one was completely occluded, two had 90% stenosis and one had 75% stenosis. Further, four of the 18 distal anastomoses were occluded (patency rate, 77.8%). There was no significant difference in graft flow or device size when comparing patients with patent vein grafts and those with stenotic or occluded vein grafts. CONCLUSION: Intermediate outcomes of vein grafting using the aortic connector were suboptimal. Long-term outcome data are forthcoming.     

Spontaneous regression of gastric varices after iatrogenic injury to a gastrorenal shunt

We present a patient with gastric varices complicating portal hypertension caused by liver cirrhosis related to hepatitis C virus. The patient underwent balloon‐occluded retrograde transvenous obliteration. The gastric varices almost completely disappeared, without any sclerotic agent being used, after iatrogenic injury of the gastrorenal shunt at the time of the interventional procedure.     

青光眼术后早期眼内出血的原因分析

目的分析青光眼术后早期眼内出血的原因，以预防眼内出血的发生。方法对261例（共493只眼）手术治疗的青光眼病人进行回顾性分析。结果术后早期发生眼内出血者17例，共17眼（前房出血6例，眼底出血11例），年龄均在68岁以上。其中闭角型青光眼术前持续性高眼压14眼，新生血管性青光眼3眼；伴糖尿病者6例，伴高血压者5例。结论青光眼术后早期发生眼内出血的主要原因是术前顽固性高眼压。其次与高龄和是否伴有糖尿病、高血压有一定关系。     

肝移植术后胆道并发症的介入治疗

目的 探讨原位肝移植术后胆道并发症的介入治疗疗效。方法 回顾性分析我院2002年6月至2005年9月诊治的173例原位肝移植患者的临床资料。结果 术后出现胆道并发症14例（8．1％），其中胆管狭窄6例．胆管狭窄合并胆漏1例，胆泥淤积或结石3例，肝断面胆漏2例（劈离式肝移植患者），T管拔除后胆漏1例，Oddi括约肌功能失常1例。除1例胆道狭窄再次行肝移植，因发生严重感染导致肝功能衰竭死亡外．其余患者经介入治疗均获得满意的效果。结论 介入治疗是诊断和治疗肝移植术后胆道并发症的首选方法。     

聚丙烯酰胺水凝胶取出同期假体隆乳术分析

目的:介绍一种聚丙烯酰胺水凝胶注射隆乳后取出同时置入假体隆乳的新方法。方法:18例聚丙烯酰胺水凝胶注射隆乳术患者在取出注射物后同期于胸大肌下置入硅凝胶假体。结果:18例患者均取得了良好的效果,外观形态好,无1例出现血肿和感染。结论:聚丙烯酰胺水凝胶注射隆乳后取出注射物同期胸大肌下置入硅凝胶假体是一种可行且效果良好的隆乳矫治方法。     

白血病肺部并发症的影像学分析

目的　分析白血病肺部并发症影像学特点 ,提高诊断白血病肺部并发症的水平。方法　分析 2 0 0例白血病肺部并发症的影像学特点。结果　并发症的致病因素 :单一细菌感染占 3 3 .5% (67例 ) ,细菌混合感染占 3 5% (70例 ) ,真菌感染占 3 .5% (7例 ) ,真菌细菌混合感染占 5% (10例 ) ,致病菌不明占 2 3 % (46例 )。影像学表现 :肺纹理改变 84例 (42 % ) ,肺实质病变 116例 (58% ) ,胸膜改变 2 9例 (14 .5% ) ,胸腔积液 19例 (9.5% ) ,肺门或纵隔改变 40例 (2 0 % )。结论　白血病肺部并发症以感染为多见 ,诊断应结合临床和实验室检查。此外治疗后复查对照亦有助于鉴别     

腹部术后胃瘫综合征的诊治体会

目的探讨腹部术后胃瘫的诊断及治疗.方法总结16例腹部术后胃瘫患者的临床资料进行回顾性分析.结果该组病例中男11例,女5例;年龄36～85岁,平均(60.50±15.76)岁.术前长期流出道梗阻、恶性肿瘤、胆道疾病、胰十二指肠切除术后,胃大部切除术后的病人发病率高.胃镜、X线口服造影及核素胃排空试验对术后胃瘫的诊断有价值,经保守治疗后胃肠动力一般在术后4周内恢复.结论该病是一种功能性疾病,一旦诊断成立,采取促动力药物在内的保守治疗是治疗的有效方法,不宜盲目手术.     

纤维支气管镜检查对肺癌诊断价值分析

本文报告我院从１９８３年１２月以来曾行３８００例次纤维支气管镜（简称纤支镜）检查，其中经病理证实和临床随访，最后证实肺癌者９８０例。鳞癌４５０例（４５．９１％），小细胞未分化癌２００例（２０．４％），腺癌１８０例（１８．４％），大细胞未分化癌１０例（１．０２％），肺泡细胞癌８例（０．８２％），粘液表皮样癌５例（０．５１％），病理报告癌但未分类５７例（５．８％），病理未证实，但纤支镜窥见病变，后经化疗或放疗有效，最后死于非其它疾病者７０例（７．１％）。纤支镜检阳性率为７９．５４％，同时讨论纤支镜检对本病的诊断价值。     

脑出血患者血清胃泌素水平测定及意义

目的探讨血清胃泌素水平与脑出血并发应激性溃疡之间的关系.方法用放免法测定脑出血病人发病后24小时内及恢复期血清胃泌素水平,并与正常人作对照.所获数据用t检验.结果脑出血病人发病后24小时血清胃泌素水平较正常对照组明显增高,合并应激性溃疡出血者升高更显著,恢复期病人血清胃泌素水平与正常对照组相比无显著性差异.结论胃泌素在脑出血并发应激性溃疡的发生中起重要作用.