透明质酸钠预防粘连性肠梗阻术后再粘连临床观察

Objective To investigate the prevention of intestines adhesion about sodium hyaluronic acid in postoperative intestines adhesion.Methods Eighteen cases of adhesive intestine obstruction were done intestinal release or bowel resection.2～4mL sodium hyaluronic acid was put to the wound,anastigmatic and rough surface of peritoneal.Gastrointestinal decompression,anti-infective and infusion were taken after oper-ations.Followed up 8～24 months.Results Obstructive symptoms haven't happened,the effective rate is 100%.Only 2 cases have intermittent abdominal pain without obstruction,the incidence was 11%.Conclu-sion Sodium hylauronic acid is effective to prevent the adhesion of postoperative intestines adhesion,simp-ler use,fewer side-effects and great value to appliance.     

透明质酸钠预防粘连性肠梗阻术后再粘连临床观察

Objective To investigate the prevention of intestines adhesion about sodium hyaluronic acid in postoperative intestines adhesion.Methods Eighteen cases of adhesive intestine obstruction were done intestinal release or bowel resection.2～4mL sodium hyaluronic acid was put to the wound,anastigmatic and rough surface of peritoneal.Gastrointestinal decompression,anti-infective and infusion were taken after oper-ations.Followed up 8～24 months.Results Obstructive symptoms haven't happened,the effective rate is 100%.Only 2 cases have intermittent abdominal pain without obstruction,the incidence was 11%.Conclu-sion Sodium hylauronic acid is effective to prevent the adhesion of postoperative intestines adhesion,simp-ler use,fewer side-effects and great value to appliance.     

改良阑尾切口的临床应用

由原来麦氏切口改为右侧腹直肌外缘切口,称为“改良阑尾切口”。本文总结了我们1989年10月～2000年10月对856例阑尾炎患者应用“改良阑尾切口”和麦氏切口施行手术,并进行对比观察,现报道如下。     

植入性胎盘13例临床分析

目的 探讨植入性胎盘的临床特点、诊断及治疗.方法 回顾性分析1989～2006收治的13例植入性胎盘病例.结果 13例患者中,有前次剖宫产史组患者保守治疗成功率为0%(0/5),低于非前次剖宫产组的100%(8/8),P＜0.05:MTX加用加味生化汤治疗部分性置入性胎盘成功率达100%.结论 剖宫产是植入性胎盘发病的高危因素且预后较差,加味生化汤辅助治疗植入性胎盘疗效满意.     

透明质酸钠预防粘连性肠梗阻术后再粘连临床观察

Objective To investigate the prevention of intestines adhesion about sodium hyaluronic acid in postoperative intestines adhesion.Methods Eighteen cases of adhesive intestine obstruction were done intestinal release or bowel resection.2～4mL sodium hyaluronic acid was put to the wound,anastigmatic and rough surface of peritoneal.Gastrointestinal decompression,anti-infective and infusion were taken after oper-ations.Followed up 8～24 months.Results Obstructive symptoms haven't happened,the effective rate is 100%.Only 2 cases have intermittent abdominal pain without obstruction,the incidence was 11%.Conclu-sion Sodium hylauronic acid is effective to prevent the adhesion of postoperative intestines adhesion,simp-ler use,fewer side-effects and great value to appliance.     

透明质酸钠预防粘连性肠梗阻术后再粘连临床观察

Objective To investigate the prevention of intestines adhesion about sodium hyaluronic acid in postoperative intestines adhesion.Methods Eighteen cases of adhesive intestine obstruction were done intestinal release or bowel resection.2～4mL sodium hyaluronic acid was put to the wound,anastigmatic and rough surface of peritoneal.Gastrointestinal decompression,anti-infective and infusion were taken after oper-ations.Followed up 8～24 months.Results Obstructive symptoms haven't happened,the effective rate is 100%.Only 2 cases have intermittent abdominal pain without obstruction,the incidence was 11%.Conclu-sion Sodium hylauronic acid is effective to prevent the adhesion of postoperative intestines adhesion,simp-ler use,fewer side-effects and great value to appliance.     

透明质酸钠预防粘连性肠梗阻术后再粘连临床观察

Objective To investigate the prevention of intestines adhesion about sodium hyaluronic acid in postoperative intestines adhesion.Methods Eighteen cases of adhesive intestine obstruction were done intestinal release or bowel resection.2～4mL sodium hyaluronic acid was put to the wound,anastigmatic and rough surface of peritoneal.Gastrointestinal decompression,anti-infective and infusion were taken after oper-ations.Followed up 8～24 months.Results Obstructive symptoms haven't happened,the effective rate is 100%.Only 2 cases have intermittent abdominal pain without obstruction,the incidence was 11%.Conclu-sion Sodium hylauronic acid is effective to prevent the adhesion of postoperative intestines adhesion,simp-ler use,fewer side-effects and great value to appliance.     

矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症62例临床观察

目的：观察矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症的临床疗效。方法：将105例患者随机分为2组。治疗组62例,采用矩阵针法结合推拿理筋整复法治疗;对照组43例,采用常规针刺治疗。2组均以7次为1疗程,共治疗2个疗程。结果：治疗组治愈22例,显效24例,好转13例,无效3例,总有效率为95．2％;对照组治愈10例,显效4例,好转21例,无效8例,总有效率为81．4％。2组总有效率比较,差异有统计学意义（P〈0．05）。结论：矩阵针法结合推拿理筋整复法治疗腰椎间盘突出症疗效显著。     

原发性十二指肠腺瘤1例

原发性十二指肠腺瘤１例曹仁凯１杨轶杰２郭建荣患者女性，５０岁。因发作性上腹部疼痛、伴呕吐２０年，加重伴黑便８个月入院。体检：营养中等，全身皮肤粘膜未见黄染，心肺肝脾正常。上腹部深压痛，未触及包块。血红蛋白１２０ｇ·Ｌ－１，大便隐血（＋）。Ｘ线钡透：食...     

康复疗法在脑卒中偏瘫中的运用

脑血管病以其极高致残率严重危及人们的身体健康 ,自1987年美国建立康复疗法数据库以来 ,康复疗法以其明显改善病人生存质量而风靡全球。我院自 1999年 12月引进脑卒中康复疗法以来 ,共收住脑卒中偏瘫病人 48人次 ,除 1例入院后 2h死亡 ,1例于入院后第 2天自动出院外 ,其余 46例均予以康复治疗 ,疗效明显优于单纯药物治疗。1　资料与方法1.1　临床资料　本治疗组 46例 ,其中脑出血 2 6例 ,脑梗死 2 0例 ,男 18例 ,女 2 8例 ,年龄最小 42岁 ,最大 81岁 ,平均年龄 61岁 ;住院时间最长 3 8d ,最短 6d ,平均 2 0 .5d。为我科 1997年12月— 1999…