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Objective To investigate the effects of early postoperative rehabilitation exercise on anal exsufflation in patients following cholecystectomy. Methods 120 cases of patients undergoing cholecystectomy were randomly divided into three groups according to the time of postoperative exercise. The time of anal exhaust after cholecystectomy in the 120 patients was noted and analyzed.

胆囊切除手术患者因麻醉、手术创伤、牵拉等刺激,加之手术时腹腔开放,热量的散发,常导致胃肠功能紊乱,主要表现为肠蠕动消失,术后排便功能障碍,胃肠道运动从抑制到完全恢复需要一定时间,术后腹胀是临床常见且比较棘手的护理问题,如处理不好,对腹壁切口的愈合有不良的影响。

Abstract] objective to discuss the influencing factors of healing up of anastomosis between traditional and morden ideas and question the more reasonable method of intestinal tract preparation in stage one operation.methods twenty-six patients with colon cancer were divided into 3 groups:colostomy group(8 cases),washing group (9 cases) and suction group (9 cases).all the patients underwent colectomy plus stage one anastomosis and exteriorization with different interoperative preparation with which we compared the healing up of anastomosis within the three groups.results there were 3 cases having fistula in the colostomy group (8 cases);one case in the washing group,but all the patients in the suction groups gained stage one healing up.conclusion as a method of emergency interoperative peparation,stool suction has a better healing up of anastomosis than colostomy and washing;it is advantageous to observe the healing up of anastomosis through colectomy plus stage one anastomosis and colon-outlying.

目的 探讨影响吻合口愈合因素的传统与现代观念并进一步探讨一期手术中更为合理的肠道准备方式。方法 26例降结肠癌分为造瘘组(8例)、冲洗组(9例)和粪便吸引组(9例)三组,术中分别采用3种不同方式行紧急肠道准备,所有病人均采用结肠切除一期吻合加外置的方法,对比观察三组病人的吻合口愈合情况。结果造瘘组(8例)有3例发生瘘,冲洗组有1例发生瘘,粪便吸引组全部一期愈合。结论粪便吸引作为一种术中紧急肠道准备方法,其吻合口愈合情况优于前两组;结肠一期吻合加外置的方法有利于观察吻合口的情况。

Methods Xray plain films were performed in all 16 patients with long bone ossifying fibroma which was confirmed by pathology and surgery,of all 16 patients ,CT was performed in 8 patients.

16例经手术病理证实的长骨骨化性纤维瘤全部行X平片检查,其中8例病人行CT检查。

Methods X-ray plain films were performed in all 16 patients with long bone ossifying fibroma which was confirmed by pathology and surgery, of all 16 patients, CT was performed in 8 patients.

16例经手术病理证实的长骨骨化性纤维瘤全部行X平片检查,其中8例病人行CT检查。

Patients were assessed for response; two patients, both with Ewing's sarcoma, had objective responses (one complete response and one partial response) and eight patients had disease stabilisation (six with Ewing's sarcoma, one with synovial sarcoma, and one with fibrosarcoma) lasting 4 months or longer.

28例患者进行评估反应; 2例尤文氏肉瘤患者,有客观的反应(一个完全反应,一个部分反应),8例(6例尤文氏肉瘤,1例滑膜肉瘤,1例纤维肉瘤)病情稳定生存4个月或更长时间。

Methods 36 patients with non-invasive fungous sinusitis were studied: 11 patients were treated with RMA and 25 patients were treated with FESS.

对36例非侵袭型真菌性鼻窦炎采用RMA(11例)和FESS(25例)治疗,分析其手术效果。

After a few patients accept an operation forever quiet; After art of a few patients although did not tell others world, but become the plant person that cannot awake; After still having method of a few patients, resemble ghostliness and same loaf about everywhere, want to dominate this kind of secondary action with medicaments ability.

一些病人接受手术之后永远地安静了;一些病人术后虽然没有告别人世,但成为无法醒来的植物人;还有一些病人术后像幽灵一样四处游荡,要用药物才能控制这种副作用。

Methods The thriiodothyronine(T 3 ),thyroxine(T 4 ),thyroid stimulating horˉmonein102elderly patients with chronic heart failure and30normal people were determined by particle glimˉmer.The classes of heart function were assessed and the left ventricular ejection fractionwas observed by eˉchocardiography among the62low thiiodothyronine state cases in elderly patients with chronicheart failure and the40normal level thiiodothyronine state cases in elderly patients with chronic heart failure.

应用微粒子发光法检测102例老年慢性充血性心力衰竭住院病人及30例健康对照者的血清三碘甲状腺原氨酸(T3 )、四碘甲状腺原氨酸(T 4 )、促甲状腺素;检测62例低T 3 综合征老年慢性充血性心力衰竭患者和40例非低T 3 综合征老年充血性心力衰竭患者的左室射血分数,比较两组间心衰的程度。

Results Among the patients with hemicrania, the negative living events were found in 52.5% of patients. Abnormity of cerebral artery was found in 72.9% of the patients.

结果 偏头痛组存在负性生活事件的占52.5%,TCD检查发现脑功脉异常变化的占72.8%,与对照组比较均有显著性差异。

objective to investigate the reasons of misdiagnosis on the young patients with non-typical lung cancer,to enhancing the cognition of the disease.methods the data of incidence,clinical manifestation,imageology,bronchoscope,surgical pathologic examination of 32 cases with non-typical lung cancer were analyzed.results 8 cases of 32 patients were misdiagnosed as tuberculosis,7 cases were misdiagnosed as pneumonia,6 cases were misdiagnosed as tuberculosis pleurisy,3 cases were misdiagnosed as omarthritis,2 cases were misdiagnosed as arthritis,2 cases were misdiagnosed as transient ischemic attack,2 cases were misdiagnosed as hemicrania,2 cases were misdiagnosed as intervertebral disk hernia.conclusion the clinical symptom of young patients with non-typical lung cancer was non-typical,and the misdiagnosis rate was high.

目的 探讨不典型青年肺癌误诊的原因,以期提高对本病的认识。方法对32例误诊的青年肺癌(5岁)患者的发病情况、临床表现、影像学检查、支气管镜及手术病理检查进行分析。结果 32例患者中,误诊为肺结核8例,肺炎7例,结核性胸膜炎6例,肩周炎3例,关节炎2例,短暂性脑缺血发作2例,偏头痛2例,椎间盘突出2例。结论青年肺癌临床症状不典型,误诊率较高。

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