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Results All cases underwent repair of aortoenteric fistulas and partial enterectomy after aortic occlusion under general anesthesia.

结果 6例均在全身麻醉下剖腹探查,术中见均为腹主动脉-小肠瘘所致肠出血。

Case Report: In this report, we present a case of uterine rupture in a 32-year-old multiparous woman after the trial of labor during which 100μg misoprostol was placed in the posterior vagina fornix.

病例报告:一位32岁,妊娠39周(G3P1A1)的妇女因落红而至本院引产,产程一切正常,住院时的Bishop score为0分,因而使用100μg misoprostol 阴道塞剂来引产,在引产过程中,胎儿情况良好,在引产5小时后,就进入产房准备生产,后因fetal distress安排紧急剖腹生产,产下一男婴,3710g,3→4但在术中发现子宫的右侧壁有破裂的情形,而紧急以Vicryl 1°缝合子宫,很幸运地在缝合后很快的控制住子宫的出血。

An interview guide entitled,"Maternal Perception of the Onset of Lactation" was also used to obtain milk secretion data. The analytical results revealed a mean onset of lactation of 75.7±16.8 hours (range=40 to 117). The prevalence of delayed lactation onset was 50.5%(n=58); 64.3%(n=42) were primiparous, and 41.9%(n=74) were multiparous. Parity, hours of withholding oral intake post-operation, and use of formula were significant predictors of perceived lactation onset. These factors explained 22.5% of perceived lactation onset in postpartum women who planned cesarean section.

研究结果发现:(1)泌乳起始时间的平均值为757±168小时(范围40至117小时);(2)产妇自觉延迟泌乳的发生机率为500%(n=58),其中延迟泌乳的初产妇有27位,占所有初产妇(n=42)的64.3%,延迟泌乳的经产妇有31位,占所有经产妇(n=74)的41.9%,经产妇发生延迟泌乳的机率较低;(3)产次、术后禁食时间以及配方乳使用,是泌乳起始时间的重要预测因子,共可解释计画剖腹产妇泌乳起始时间总变异数的22.5%。

The daily vaginal smears were checked.The day that vaginal plug was found was considered day 0 of gestation.and then the male and female mice were separated into different cages.The fetal mice were obtained by caesarean on day 18 of gestation.The pregnant rate,embryonic nidation of each group and the length and weight of fetus were recorded.

C∶?C1合笼;次日起每日阴道涂片,以查到阴栓为孕0 d(合笼7 d未见阴栓者,以合笼第4天为孕0 d),并分笼饲养,分别在孕18 d剖腹取胎,记录各组孕鼠受孕及子宫仔鼠着床情况,同时测定胎鼠身长及体质量。

Caesarian delivery: A caesarian is usually performed to make delivery safer for you or your baby.

剖腹生产交付:剖腹生产,通常的表现作出交付安全为您或您的宝宝。

Results 155 patients had surgical site infections in total 1 589 patients undergoing general surgery and the infection rate was 9.75%. The infection rates were hightest in those undergoing celiotomy or colon surgery. 56 patients appeared with postdischarge surgical site infection, accounting for 36.13% in the whole infection public. Most postdischarge surgical site infection happened in class Ⅰ and class Ⅱ surgery. Albumin and hemoglobin abnormity, emergency surgery, bleeding, incision type and eduction were risk factors of surgical site infection by multivariate Logistic regression analysis.

结果 1 589例次手术患者中,155例次手术部位发生感染,感染率为9.75%;不同手术类别相同危险指数的手术以剖腹探查手术和结肠手术感染发生最高;有56例患者在出院后发生手术部位感染,随访感染占总感染例数的36.13%,随访感染以Ⅰ、Ⅱ类手术为主;经单因素及多因素Logistic回归分析得出,白蛋白及血红蛋白值异常、急诊手术、失血、切口类型、引流为手术部位感染的危险因素。

Results Preoperative diagnostic rate was53.6%,and operative resection rate was71.4%,simple cholecystectomy in6cases,cholecystectomy and exploration of the biliary passage in4cases,gallbladder and regional lymphadonectomy in2cases,gallbladder and liver wedge resection and regional lymphadonectomy in6cases,gallblad-der and liver wedge resection and regional lymphadonectomy and right hemicolectomy in1case,and gallbladder and liver wedge resection and regional lymphadonectomy and subtotal gastrectomy and right hemicolectomy in1case.Unre-sectable rate were28.6%,gastro-jejunostomy in2cases,cholecystostomy in1case.Laparotomy exploration only in5cases.

结果 术前确诊率仅为53.6%(15/28),手术切除率为71.4%(20/28),单纯胆囊切除术6例(占21.4%),胆囊切除+总胆管探查4例(占14.3%),胆囊切除+区域淋巴结清扫2例(占7.1%),胆囊+肝楔状切除+区域淋巴结清扫6例(占21.4%),胆囊+肝楔状切除+区域淋巴结清扫+右半结肠切除1例(占3.6%),胆囊+肝楔状切除+区域淋巴结清扫+胃大部切除+右半结肠切除1例(占3.6%),未切除率为28.6%,胃-空肠吻合术2例(占7.1%),胆囊造瘘1例(占3.6%),仅做剖腹探查术5例(占17.9%)。

Results: In 49 cases, HALNx was completed successfully; no patient required conversion to laparotomy.

结果:我们采用HALNx成功施行了49例手术,其中无一例患者需要改变为剖腹手术。

LIT was most commonly confused with malignant tumor, Crohn's disease, lymphoma and periappendicular abscess. There were 2 of 4 patients, who were performed operation. Most of our cases were not definitively diagnosed until the histopathologic examination after surgery and polymerase chain reaction.

大肠结核较易误诊为大肠肿瘤、克罗恩病、淋巴瘤和阑尾周围脓肿。4例剖腹手术者术中仍有2例(50%)被误诊为肿瘤和克罗恩病,即使活检或术后在病理学报告前仍有多数不能确诊。

To Dec. 1999 was analysed retrospectively. Results: There were only 58 patients(41.7%) were diagnosed as strangulating intestinal obstruction before operation, the other 81 patients(58.3%) were diagnosed at laparotomy.

结果:术前确诊为绞窄性肠梗阻者仅有58例(41.7%),且大多数为肠坏死;其余81例(58.3%)则分别以单纯性肠梗阻或其他急腹症行剖腹探查而确诊。

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