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我院2000年10月至2005年10月对急性呼吸窘迫综合征(ARDS)患者采用连续性高容量血液滤过(CHVHF),治疗效果优于传统连续性血液滤过(CVVH),现报道如下。 相似文献
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胆道手术中十二指肠损伤是一种严重的医源性损伤,是胆道手术的严重并发症[1].如不及时妥善处理,术后可发生十二指肠瘘、严重感染、出血,甚至死亡[2].现就胆道手术中十二指肠损伤的诊治及防范进行探讨.…… 相似文献
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胆道手术中十二指肠损伤的诊治及防范 总被引:1,自引:0,他引:1
胆道手术中十二指肠损伤是一种严重的医源性损伤,是胆道手术的严重并发症。如不及时妥善处理,术后可发生十二指肠瘘、严重感染、出血,甚至死亡。现就胆道手术中十二指肠损伤的诊治及防范进行探讨。 相似文献
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改良Sigma直肠膀胱术中输尿管单腔、并腔肠吻合的疗效分析 总被引:1,自引:0,他引:1
目的 评价改良Sigma直肠膀胱术中输尿管单并腔肠吻合的疗效.方法 对14例膀胱多发移行细胞癌、1例膀胱腺癌根治性膀胱全切术后患者行改良Sigma直肠膀胱术.折叠25 cm直肠乙状结肠缝合成U形储尿囊,其中输尿管分别单腔与储尿囊吻合5例、双输尿管末端1.5~2.0cm并腔缝合后与储尿囊吻合10例.结果 15例患者控尿良好,无明显水电解质酸碱紊乱,术后15~22 d痊愈出院.13例随访8~24个月,其中输尿管单腔肠吻合4例出现吻合口狭窄、轻~重度肾积水,并腔肠吻合9例未出现肾积水.结论 改良Sigma直肠膀胱术创伤小、并发症少,患者可通过肛门括约肌自控排尿,无需配带尿袋或间断导尿,符合生理要求,提高了患者的生活质量;输尿管并腔后吻合口径大,不易发生狭窄等严重并发症.Abstract: Objective To make a comparison of curative effect of 1 and 2 ureters anastomosis in modified sigma operation. Methods Modified sigma operation was used after radical cystectomy in 14 cases of bladder transitional cell carcinoma and 1 case of adenocarcinoma of the bladder.We used a folded suture of 25 cm from the sigmoid colon to make the U-shaped urinary reservoirs to anastomose with the ureters in study group.Among study group,1 ureter was anastomosed with urinary reservoir in 5 cases.In the other 10 cases,1.5-2 cm of the terminal parts of 2 ureters were sutured tI am not sure what the authors mean by "big diamogether and then anastomosed with the urinary reservoir.Results 15 cases obtained good voiding control and no obvious water-electrolyte disturbance occurred.All the patients were cured and discharged within 15 to 22 days.Thirteen cases were followed-up in 8 to 24 month time period.Anastonmtic stenosis and moderate-severe hydronephrosis occurred in 4 cases with 1 ureter anastomosis.No hydronephrosis occurred in the 9 cases with 2 ureters anastomosis.Conclusions Modified sigma operation has the advantages of less injury and fewer complications.The patients can obtain self-control urination by anal sphincter without urine bags or intermittent catheterization,so the life quality of the patients is improved.Modified sigma operation with 2 ureters anastomosis has big diameter and there was a lower incidence of serious complications such as anastomotic stenosis. 相似文献
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T管拔除后胆汁性腹膜炎的防治江苏省金坛市人民医院(213200)虞立平司马衡史文华戴国芳胆总管切开探查后置入T形管是最常用的胆道引流方法,广泛应用于各级医院。虽操作简单,但如果放置或拔除不当,少数病人可发生胆汁漏和胆汁性腹膜炎。我院自1985年2月至... 相似文献
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戴国芳 《中国实用医学研究杂志》2003,2(5):560-561
为降低胆道术后残余结石和避免探查性胆总管切开、胆道损伤,术中胆道造影在胆道手术中的应用日趋广泛,在减少病人痛苦和降低费用等方面有重要价值。 相似文献