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目的 探讨闭合性腹部伤后肠损伤的诊断。方法 回顾性分析66例闭合性腹部伤后肠损伤的临床资料,并按伤后8h内手术和8h后手术分为两组,进行比较。结果所选的66例在腹膜炎、腹腔积液、失血、手术发现及发病率和病死率上两组没有差别。白细胞升高和腹腔积液(B超)最常见。结论 闭合性腹部伤后肠损伤在没有明确指征作腹腔穿刺、腹腔灌洗、剖腹探查时,白细胞升高和不能解释的腹腔积液有明显的诊断价值。 相似文献
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目的比较硝苯地平缓释片联合卡托普利、硝苯地平缓释片、卡托普利治疗原发性高血压的临床疗效。方法选择2008年1月-2011年8月我院门诊和住院的原发性高血压患者共270例,随机分为3组,分别给予硝苯地平缓释片与卡托普利联合治疗、硝苯地平缓释片单药治疗和卡托普利单药治疗,疗程4W后对比观察降压疗效、不良反应。结果联合用药组总有效率93.33%,与各单药治疗组比较差异均有统计学意义(P〈0.05),且不良反应少,耐受性好。结论硝苯地平缓释片与卡托普利联合治疗原发性高血压疗效显著,不良反应较少,在基层及社区卫生服务机构有应用前景。 相似文献
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颅外颈内动脉损伤诊治方法的探讨 总被引:2,自引:0,他引:2
目的 探讨颅外颈内动脉损伤的早期诊断和治疗方法。方法 1982~ 2 0 0 2年共收治颅外颈内动脉损伤 8例 ,其中颈内动脉破裂并休克 3例 ,并发栓塞 4例 ,假性动脉瘤 2例。行颈内动脉修补 2例 ,颈内动脉 -颈外动脉端端吻合 1例 ,颅内 -外动脉搭桥 2例 ,手术取栓 1例 ,瘤体切除加动脉修补 2例。结果无死亡 ,4例出现偏瘫失语等神经系统并发症 ,1例经颅内 -外动脉搭桥后完全康复 ,1例经取栓术后改善 ,2例经保守治疗症状轻度改善。余 4例除 1例遗有颈内动脉假性动脉瘤外 ,均痊愈。结论 早期诊断及颈内动脉修复重建是降低死亡率 ,减少神经系统并发症的关键 相似文献
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我院自1991年4月以来共收治危重多发伤258例,其中合并肝损伤60例,均经手术治疗。治愈57例(占95%),死亡3例(占5%)。多发性损伤伴肝损伤,应尽早合理选择手术方式控制出血与胆瘘,预防腹腔内脓肿形成。同时要重视加强术后处理,监测保护重要脏器,合理应用抗生素,增强营养,防止感染和并发症以及MOF的发生。介绍不同程度肝损伤的处理方法。 相似文献
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目的探讨凝血酶敏感蛋-1(TSP-1)、血管肉皮细胞生长因子(VEGF)、微血管密度(MVD)在判断骨肉瘤患者复发转移中的价值。方法采用免疫组织化学法检测65例骨肉瘤手术切除标本的VEGF、TSP-1蛋白的表达情况并计数MVD,对上述指标与术后复发转移率之间的关系进行回顾性分析。结果全组病例TSP-1、VEGF蛋白表达阳性率分别为30.77%(20/65)和61.54%(40/65);MVD平均值为(23.68±9.42)/200倍视野;VEGF阳性组的术后复发转移率高于VEGF阴性组(P〈0.05);TSP-1阳性组的术后复发转移率低于TSP-1阴性组(P〈0.05);多因素分析表明,MVD和淋巴结状况为判断骨肉瘤术后复发转移的独立因素(P〈0.05)。结论MVD是判断骨肉瘤术后复发转移的独立因素,具有判断术后复发转移的风险及预后的价值。 相似文献
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Objective To analyze the efficacy of early management of eomplications in patients with multi-ple traumas by applying the damage control theory. Method All total of 116 patients admitted to Wuhan Tongji Hospital between Jan 2006 and Jan 2008 were included in this retrospective study and were classified according to treatment method. Overall, 55 cases underwent damage control operations and 61 cases underwent conventional management. The groups of patients were compared in terms of parameters such as length of operation time, time to resuscitate from shock, lethal triad of death (LTD), complications and treatment outcomes after operation. Results The length of operation time was (67.43±19.52) min, resuscitation time from shock was (6.77±3.16) h and LTD was (11.54±4.10) h in the damage control group, and (163.95±55.41) min, (22.51±11.65) h and (34.55±5.63) h, respectively, in the conventional group, with significant differences between the two groups (P< 0.01). The per capita complication and mortality rates were 227.27 % and 3.64 %, respectively, in the dam-age control group and 363.93 % and 9.84%, respectively, in the conventional group (P <0.05). Couclusions Here, we demonstrated that early management of patients with multiple traumas undergoing operations by apply-ing the damage control theory significantly decreased the operation time, and decreased time to resuscitation from shock and LTD. Furthermore, this approach significantly reduced the incidence of comphcations and the mortality rate of patients with severe multiple traumas. 相似文献