上腹部

There is no anesthesia accident and complication if the diabetes patients operated on epigastrium operation with g...

糖尿病患者在行上腹部手术时选择静吸复合麻醉，对糖代谢影响小，氧供充分，循环平稳，麻醉意外和并发症较少

Objective To explore the diagnosis and treatment of functional deleyed gastric emptying after operated epigastrium clinical manifestations,inducing factors,treatment and result .

作者：李继军，黄俊军，王利民作者单位：解放军第12中心医院外一科，新疆疏勒 844200 目的探讨上腹部术后功能性胃排空障碍的临床原因及治疗方法。

Aged high-risk patients ; epigastrium operation ; continuous epidural block ; combination anesthesia

高龄高危患者；上腹部手术；连续硬膜外阻滞；复合麻醉

Sonographic examinations of the pancreas were performed by sagittal scanning at the epigastrium; the long axis and short axis of the oval cross-sections of both the pancreatic head and body were measured.

检查测量的方式是在上腹部作纵向扫描，可以分别得到胰脏头部与体部之圆形纵切面造影，进而分别测量胰脏头部与体的长轴与短轴，一共为4个胰脏因数。

Methods A restropective analysis was made of the data of 11 instances undrgoing epigastrium operation review quality analysisResults FDGE usually occured druing 4~10 days postoperatively.11 instances can be cured by nonsurgical;The diagnosis means is main depenies on the gastroscope and gastrointestinal radiography;The rear 9 instances (82%) who received nonoperative therapy restored in fifth weeks postoperatively.2 cases (18%) who recovered afterwards starts the a sick person in half a year.

对1996—2002年临床诊治11例施行上腹部手术后发生术后胃瘫病人进行回顾性分析。结果功能性胃排空障碍发生在术后4~10 d.11例均经非手术治疗痊愈；经非手术治疗后9例（82%）胃肠动力在术后4周内恢复，2例（18%）在手术半年后恢复。

During this group patient is changing cure, 1.2 harmful response all differ of degree have the whole body difference of lack of power, accept, epigastrium bilges frowzily feeling, have among them constipation and / or defecate secret person 97, occupy 38.8%, gastric bowel path reacts person 79, occupy 31.7%, the person that marrow is restrained 31, occupy 12.4%, oral cavity ulcer person 18, occupy 0.7%. 2 before changing cure, nurse 2.1 elaborate psychology nurse, eliminate patient of mental obstacle old age to have in all many sided such as nerve, physiology, thinking not at patient of other age group, together with is mixed to the fear of cancer distressed mood, cause very easily angst and / or depressed mental state.

其中食管癌173例(术后138例)，贲门癌42例(术后27例)，乳腺癌16例，肺癌11例(非小细胞型肺癌3例)，非柯杰金氏淋巴瘤7例。1.2不良反应本组患者在化疗期间均不同程度的有周身乏力、纳差、上腹部闷胀感，其中有便秘和/或大便秘者97例，占38.8%，胃肠道反应者79例，占31.7%，骨髓抑制者31例，占12.4%，口腔溃疡者18例，占0.7%。2化疗前护理2.1精心心理护理，消除精神障碍老年患者在神经、生理、思维等诸多方面有别于其它年龄组患者，加之对癌症的惧怕和忧伤情绪，很易引发焦虑和/或抑郁的心境。

Result:This example main clinical manifestation for the abdominal pain, the platoon is black then, epigastrium CT, the magnetic resonance and the gastroscopy prompt the duodenum tumor, the good duodenum tumor excision method, after the technique the pathology inspection shows the duodenum fusiform shape cell lump, the immunity group result shows tumor cell CD117, CD34, the union protein, the S-100 protein, the muscle moves the protein, finally diagnoses for the duodenum benignity the nature lump.

结果：该例主要临床表现为腹痛、排黑便，上腹部CT、磁共振和胃镜检查均提示十二指肠肿瘤，行十二指肠肿瘤切除术，术后病理检查示十二指肠梭形细胞瘤，免疫组化结果示肿瘤细胞CD117，CD34，结合蛋白，S-100蛋白，肌动蛋白，最后确诊为十二指肠良性间质瘤。

To remedy this, place a tape measure around your midsection just above your hipbone.

为了解决这个问题，在略高于你的髋骨即上腹部处放置一根皮尺测量你的腰围。

Methods Special MR hydrography sequence was added to the MR imaging protocols of 112 patients undergoing MR examination of the thorax and upper abdomen. MR imaging sequences included;① Respiratory-gated HASTE T2W sequence;② Breath-hold FLASH TJW sequence;③ Respiratory-gated TSE 3D F2W sequence (3D MR hydrography sequence) in coronal plane.

对112例接受胸部和上腹部MR检查的病例加作MR水成像序列即呼吸门控快速自旋回波 3D T2W序列以显示乳糜池和胸导管，扫描序列包括：①呼吸门控半傅立叶单次激发快速自旋回波T2W序列：②屏气快速小角度激发T1W序列；③呼吸门控TSE 3D T2W冠状位扫描。

Methods Special MR hydrography sequence was added to the MR imaging protocols of 112 patients undergoing MR examination of the thorax and upper abdomen. MR imaging sequences included:①Respiratory-gated HASTE T2W sequence;②Breath-hold FLASH T1W sequence;③Respiratory-gated TSE 3D T2W sequence (3D MR hydrography sequence) in coronal plane.

对112例接受胸部和上腹部MR检查的病例加作MR水成像序列即呼吸门控快速自旋回波3D T2W序列以显示乳糜池和胸导管，扫描序列包括：①呼吸门控半傅立叶单次激发快速自旋回波T2W序列；②屏气快速小角度激发T1W序列；③呼吸门控TSE 3D T2W冠状位扫描。

They weren't aggressive, but I yelled and threw a rock in their direction to get them off the trail and away from me, just in case.

他们没有侵略性，但我大喊，并在他们的方向扔石头让他们过的线索，远离我，以防万一。

In slot 2 in your bag put wrapping paper, quantity does not matter in this case.

在你的书包里槽2把包装纸、数量无关紧要。