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objective to investigate the paregoric effects of butorphanol when the errhysis occurs inside the epidural catheter during continuous epidural anesthesia.methods 60 cases of kidney stones received elective surgery.during this surgery they underwent continuous epidural anesthesia and eight cases of them showed the errhysis in the epidural catheter.then epidural injection of butorphanol was given for analgesia and hr,map,spo2 as well as muscle relaxation conditions were monitored before and 5,10,20 min after injection.the conscious and breathing of patients were also monitored.results before and 5,10,20 min after injection of butorphanol,hr and map difference were not statistically significant.the analgesic results were satisfactory.conclusion butorphanol has a definite analgesic effect when the errhysis occurs in epidural catheter during continuous epidural anesthesia.

目的 探讨在连续硬膜外麻醉中,硬膜外导管内渗血时,应用布托啡诺镇痛的效果。方法择期行肾结石手术患者60例,行连续硬膜外麻醉,其中8例硬膜外导管内渗血,均经硬膜外腔注入布托啡诺镇痛,分别监测注入前及注入后5 、10 、20 min,hr、map、spo2及肌肉松驰情况,同时监测患者神志及呼吸情况。结果注射布托啡诺前及注射后5、10、20 min,hr、map差异无统计学意义,镇痛效果满意。结论在连续硬膜外麻醉中硬膜外导管渗血时,注入布托啡诺维持麻醉镇痛效果明确。

Results The anesthesia range was narrowed and anesthesia duration was shortened with the prolongation of epidural catheter placement,Epidural roentgenography showed that the medium diffused normally within epidural space,biopsy of epidural tissues showed that there were inflammative cells infiltration and fiber proliferation with longer epidural catheter placement(more than 4 weeks),without significant differences between both groups.

结果 随着硬膜外腔置管时间延长,麻醉阻滞范围变窄,麻醉阻滞时间也明显缩短,两组之间没有明显区别;硬膜外腔造影显示:造影剂在硬膜外腔扩散良好,无明显受阻;组织学检查显示:置管时间长(4周以上)的动物,硬膜外组织炎细胞浸润、纤维组织增生、硬膜增厚,而且随置管时间延长,变化加显著,但两组之间没有明显区别。

Results The anesthesia range was narrowed and anesthesia duration was shortened with the prolongation of epidural catheter placement,Epidural roentgenography showed that the medium diffused normally within epidural space,biopsy of epidural tissues showed that there were inflammative cells infiltration and fiber proliferation with longer epidural catheter placement(more than 4 weeks),without significant differences between both groups.Conclusion Epidural corticosteroids can not prevent epidural adhesion from occurrance induced with long-term epidural catheter placement.

结果 随着硬膜外腔置管时间延长,麻醉阻滞范围变窄,麻醉阻滞时间也明显缩短,两组之间没有明显区别;硬膜外腔造影显示:造影剂在硬膜外腔扩散良好,无明显受阻;组织学检查显示:置管时间长(4周以上)的动物,硬膜外组织炎细胞浸润、纤维组织增生、硬膜增厚,而且随置管时间延长,这"种变化更"加显著,但两组之间没有明显区别。

Full-term pregnancy of primipara 120 cases of illness; Stochastic double divides into three groups: research of group-A group and B group. control group of C group, A group (n=40), 0.75% levobupivacaine 10mg for CSEA, B group (n=40), 3% chloroprocaine the hard membrane pericoel hinders, C group: 0.75% bupivacaine for under the arachnoidea the cavity hinders the anaesthesia, In surgery process, to A and B groups, 2% lidocaine were intermittently injected respective-ly by epidural cathete, effec not enough of anesthesia.

足月初产妇120例随机双盲分成三组:研究组为A组和B组,对照组为c组。A组(n=40)蛛网膜下腔阻滞麻醉用药为0.75%左旋布比卡因10mg,使用腰麻硬膜外联合阻滞行剖宫产术,B组(n=40)以3%氯普鲁卡因为硬膜外麻醉的局麻药,使用硬膜外麻醉阻滞行剖宫产术,c组(n=40)腰麻用药为0.75%布比卡因10mg,使用腰麻硬膜外联合阻滞行剖宫产术。

In this prospective study involving 125 patients, we analyzed epidural analgesia failure after major abdominal surgery using computed tomography epidurographies to compare the incidence of dislodgement of epidural catheters and leakage of solution from the epidural space between two groups of patients: patients with successful or failed epidural analgesia.

此项前瞻性研究共包括125例患者,我们通过硬膜外造影计算机体层摄影术对大型腹部外科手术术后硬膜外镇痛失败进行分析,比较两组患者即硬膜外镇痛成组和失败组的硬膜外导管移出和液体漏出硬膜外腔的发生率。

The biological adhesive a-gent from human plasma was composed of fibrino-gen coagulase and medullary sheath of the nervetaken at the anasomosis region were studied histol-gically.

从组织学观察发现,粘合法修复的神经,其神经外膜较完整,肉芽肿形成轻,髓鞘退变较少。与缝合法修复之间有显著性差异。

The Arabidopsis fad2 mutant, deficient in an endoplasmic reticulum localized x-6 desaturase, had significantly decreased polyunsaturates in the extrachloroplast membrane lipids.

拟南芥fad2突变体则缺乏一个内质网定位的X-6去饱和酶,它的多不饱和脂肪酸在叶绿体外膜脂中含量显著减少。

The IR fibers were characterized in beaded, thread or network appearance and mainly distr...

IR纤维呈线状、点线状或交织成网络状,主要分布在心肌层及外膜下肌层,多伴血管走行,或攀附血管走行。

Objective: To explore the relationship among large protein, deoxyribonucleic acid and E antigen of hepatitis B virus and evaluate their clinical application.

目的:探讨乙肝病毒外膜大蛋白与HBV-DNA、HBeAg之间的关系及在判断病毒复制中的临床应用价值。

Results: From the second days of the operation, the brain swellen overtly. RBC and phagocyte can be seen in the cerebral interstitial space. The adventitia of the brain arteries and the perivascular Virchow ̄Robin space dilated irregularly. The neuronal number of hippocampal CAI sector decreased evidently. In some neuron both the nucleus and cytoplasm condensed, chromatin gathered near the nuclear membrane.

结果: 自术后第二天可见脑组织水肿,红细胞溢出及吞噬细胞浸润,小血管壁外膜及Virchow ̄Robin间隙增宽,内含大量水肿液,海马CAI区正常神经元数量明显下降,且排列及不整齐,细胞皱缩,核固缩、深染,核染色质聚集,核周囊膨大,胶质细胞增生。

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