排序方式: 共有62条查询结果,搜索用时 0 毫秒
1.
Objective: To evaluate the clinical value of laparoscopic inguinal hernia repair in hernioplasty and simultaneous cholecystectomy. Methods: Twenty-eight patients with symptomatic chronic calculous cholecystitis and synchronous unilateral primary inguinal hernia were performed combined surgery between October 2001 and March 2005. Of them, 10 cases underwent laparoscopic totally extraperiloneal mesh hernia repair (TEP) and laparoscopic cholecystectomy (LC), 3 cases underwent laparoscopic transabdominal preperitoneal mesh hernia repair (TAPP) and LC, and 15 cases underwent LC and open tension free hernia repair. Results: All the procedures were performed successfully, 2 patients occurred urinary retention in LC + open group and 1 patient occurred scrotum seroma in LC + TEP procedures. During the 6 to 24 months' follow-up, no hernia recurrences occurred in all patients. There were 6 patients (40%) in LC + open group had discomfort pain in the inguinal region and lasted 1 to 3 months. The operating time was longer in the totally laparoscopic group (TEP + LC and TAPP + LC) (104±31 min) than in the LC+open group (80±28 min) (P<0. 05). The intensity of postoperative pain at rest was greater in the LC + open group at 24 h (P<0. 05) and 48 h (P<0. 05). No differences between the 2 groups were found in the mean operating costs and oral intake of the postoperative period. But the time resume to walking (2. 9 vs 1. 8 d) (P<0. 01) and the mean hospital stay (8. 2 vs 4. 6 d) (P<0. 001) was longer in the LC + open group than in the totally laparoscopic group. Conclusion: In the same operating costs, the totally laparoscopic precedure has more advantages of low postoperative pain, quicker resume to walking and less hospital stay than open tension-free hernia repair in hernioplasty and simultaneous LC. Thus, the totally laparoscopic approach is considered to be advantage of the hernioplasty and simultaneous LC. 相似文献
2.
3.
4.
呫吨化合物对大肠埃希菌和金葡菌的光敏抗菌活性研究 总被引:1,自引:0,他引:1
目的测定六种呫吨(xanthene)化合物的光敏抗菌活性以及它们的物理化学性质,评价两者之间的联系.方法通过测量最低致死浓度(MLC)和Daniel抑菌圈法测定六种呫吨化合物的光敏抗菌活性;采用对-亚硝基二甲基苯胺(RNO)脱色反应检测单线态氧产率.结果有光无光条件下,除Na2Fl外的其余五种化合物均表现出不同水平的抗菌性能.无光条件下,五种呫吨化合物对测试菌固有毒性基本相同;光照条件下,五种化合物则显示出较强的光敏毒性,化合物对大肠埃希菌的MLC值为250~125μmol/L,对金葡菌的MLC为31.3~lμmol/L;对同种菌的光敏毒性强度与化合物的单线态氧的产率基本一致.结论呫吨化合物对大肠埃希菌及金葡菌均表现出较强的光敏毒性,呫吨化合物的固有毒性主要取决于化合物分子的母核结构,取代基团对其影响较小.随着卤代原子的增加,单线态氧的产率增加,光敏活性加强;金葡菌对呫吨化合物较大肠埃希菌更为敏感. 相似文献
5.
目的 对45例不可切除胰腺癌患进行区域动脉灌注化疗,探讨其护理要点。方法 1998年2月~2003年2月对45例患采用经胃网膜右动脉置管至胃十二指肠动脉DDS泵植入术,经泵注入5-FU500mg、丝裂霉素8mg、卡铂100mg,每2周1次。制定并执行该疗法治疗、护理及康复方案。结果 该方法既减少了不可切除胰腺癌患反复静脉穿刺的痛苦,又使他们能在化疗期间自由活动,改善其生活质量,提高了患生存率。结论 区域动脉灌注化疗的要点是充分的手术前准备、人员培训、严格无菌操作和健康教育。 相似文献
6.
目的 有效控制骨科外来手术器械的清洗消毒质量,保证手术患者的医疗安全.方法 将外院送人医院的已清洗灭菌但未使用的器械64件设为对照组,随机抽取已使用的外来器械186件,分成手工清洗组(观察1组)、机械清洗组(观察2组)和预处理十机械清洗十人工检查干预组(观察3组),清洗后用10倍放大镜目测加隐血试验检查清洗质量.结果 4组器械的放大镜目测不合格率分别为18.46%、25.81%、20.97%、1.61%,差异有统计学意义(P<0.01);隐血试验阳性率分别为13.85%、16.13%、11.29%、0,差异有统计学意义(P<0.05).结论 骨科外来手术器械的清洗质量不容乐观,必须加强外来器械的管理,通过规范清洗消毒流程及加强质量控制以保证外来器械的清洗质量,从而保障手术患者的医疗安全. 相似文献
7.
医院作为公共服务与社会保障体系的一个支点,能否做到医疗关系和谐、能否做到医院和谐发展,直接关系到和谐社会的构建.护理工作是医院工作的重要组成部分,人们常说三分治疗七分护理.…… 相似文献
8.
目的探讨模块化膳食营养干预对急性心肌梗死(AMI)行急诊PCI术患者便秘和血脂水平的影响。方法将在CCU住院接受急诊PCI术的166例AMI患者按时间段分为对照组和观察组各83例。对照组行常规低盐低脂饮食指导;观察组针对急诊PCI术患者设计模块化膳食清单管理患者日常饮食。结果观察组住院期间日摄入能量及便秘发生率显著少于和低于对照组(均P0.01),术后第7天、出院1个月时TG、LDL-C及HDL-C值显著优于对照组(P0.05,P0.01)。结论对AMI行急诊PCI术患者设计和应用模块化膳食营养干预可以有效改善其血脂水平,减少便秘发生。 相似文献
9.
10.