引流管

Temporarily catheterization pulls out inside 24 H ureter, if undertake uric education or acute retention of urine wait,adopt temporarily catheterization; leaves buy catheterization to be in clinical on common, ureter needs to leave above of buy 24 H, urethral mouth is daily want clean disinfection 2 times, daily change 1 times; keeps bag of collect make water or drainage bottle the person that buy catheter exceeds 7d, change every week ureter 1, with 0 · normally according to the circumstance of fluid of eduction make water 9% physiological saline undertake bladder is rinsed. 2 common problems patient of a few males is opposite circumstance of the psychogenic disorder when 1 catheterization of 2 · nurse catheterization produces psychogenic disorder, often be flushed, next abdomen and perineal ministry muscle are nervous, shadow fugleman make water goes on wheels, impact of urgenter to the illness patient psychogenic disorder is not big, ache and bladder are bouffant the mood that held them, catheterization process is more successful. 2 · 2 see the phenomenon is cracked below road junction of female patient make water occasionally 20 old clinical nurse in the job, the female cracks a circumstance to see 4 below urethral mouth.

临时导尿在24 h内拔除尿管，如进行尿培养或急性尿潴留等采取临时导尿；留置导尿在临床上常见，尿管需留置24 h以上，尿道口每日要清洁消毒2次，每日更换集尿袋或引流瓶1次；留置导尿管超过7d者，每周更换尿管1次，根据排出尿液的情况通常以0·9%生理盐水进行膀胱冲洗。2常见新问题2·1导尿时心理障碍情况一些男性患者对护士导尿产生心理障碍，往往面红耳赤，下腹部及会阴部肌肉紧张，影响导尿顺利进行，对于病情较急的患者心理障碍影响不大，疼痛和膀胱鼓胀占据了他们的情绪，导尿过程较顺利。2·2偶见女性患者尿道口下裂现象20多年的临床护理工作中，女性尿道口下裂情况见4例。

Cases were undergone choledocholithotomy with T-tube drainage , 39 cases cholangiojejunostomy with T-tube drainage , 28 cases lobectomy of liver, 16 cases plastic repair of hepatic portle duct with cholangiojejunostomy.

其中肝胆管切开取石T管引流术47例，肝胆管切开取石+胆肠吻合术39例，肝部分切除术28例，肝门部胆管切开成形+胆肠吻合术16例。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访，随访6 月～10年，术后优良率及残石率分别：肝胆管切开取石T管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

Results 114 cases were follow-up surveyed from 6 months to 10 years, After operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with T-tube drainage ,78.38%、32.43% in cholangiojejunostomy with T-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy. The total superior rate was 79.82% and total residual stone rate was 31.58%.

结果 114例得到随访，随访6个月～10年，术后优良率及残石率分别为：肝胆管切开取石T管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

Results 114 cases were follow-up surveyed from 6 months to 10 years, after operation,the superior rate and residual stone rate were respectively: it was 67.57%、54.05% in the group of choledocholithotomy with t-tube drainage ,78.38%、32.43% in cholangiojejunostomy with t-tube drainage , 96.15%、7.69% in lobectomy of liver, 85.71%、14.29% in plastic repair of hepatic portle duct with cholangiojejunostomy.

结果 114例得到随访，随访6个月～10年，术后优良率及残石率分别为：肝胆管切开取石t管引流术67.57%、54.05%，肝胆管切开取石+胆肠吻合术78.38%、32.43%，肝部分切除术96.15%、7.69%，肝门部胆管成形+胆肠吻合术85.71%、14.29%，总优良率79.82%、残石率31.58%。

Objective: To prevent ascending cholangitis after the Roux-en-Y type of hepaticoenterostomy or hepaticojejunostomy, which is often used to treat biliary obstruction resulting from malignant biliary diseases.

文摘：目的：探讨应用抗返流管行姑息性胆肠内引流，对胆道恶性肿瘤术后返流性胆管炎的防治效果。

But being different from the others, drainage of the peripancreatic infection after the occurrence of SPI is very difficult, which needs many times of operation. Especially, the infection can be a vicious cycle, in which the systemic septicemia can be caused by localized infection or vice versa.

实际上，许多疾病的发生、发展和预后均与肠源性感染密切相关，但是SPI的特殊性在于发生感染后难以进行有效的手术引流、常常需要多次手术和多次置管引流，而且全身性败血症和局部感染交替出现，成为恶性循环。

Personally,i believe i am just the person who can best fill this position.to begin with,my major , my degree exactly meet the basic requirements of the advertised position.second,i have 6 years of experience rotating in surgical departments.as having pererrorerrorerrorformed 2000 or so procedures,i am able to deal with most basic clinical problems in most surgical departments,and i am good at all kinds of basic surgical skills and procedures,including tracheotomy,endotracheal intubation,thyrocricocentesis,central vein catheterization,external lateral ventricular drainage,closed drainage of thoracic cavity,peritoneocentesis,suprapubis vesicopun c ture,gastrointestinal decompression,urethral catheterization,cranial traction,bone marrow pun c ture,plaster immobilization, routine fracture fixation and traction, phlebotomy , excellent debridement and suturing, and so on.conclusively,i am competent in most basic surgical work and good at organising residents on first aid work.

我自信我正是贵公司所需要的雇员。首先，我的学历，学位和工作经验正符合贵公司在网站中告知的该职位的应聘条件。其次，我有 6 年的外科各科室轮转的工作经历。毕业至今我已经参与完成大小手术 2000 台次，鉴于此，我能处理各外科科室的基本临床问题，熟练进行外科各科室的基本临床操作和手术，比如气管切开术，气管内插管术，环甲膜穿刺术，中心静脉置管术，侧脑室外引流术，胸腔闭式引流术，腹腔穿刺术，胃肠减压术，耻骨上膀胱穿刺术，导尿术，颅骨牵引术，骨髓穿刺术，各种骨折固定和牵引术，静脉切开术，娴熟的清创缝合术等。总的说来，我能胜任外科各科室临床常规工作并组织住院医师进行急救工作。

Irrigation and drainage through presacral double-cavity tube and operation were used in patients respectively.

对吻合口漏的患者采用手术及保守治疗（骶前双腔管冲洗引流加肛管引流）。

Thirty-five patients with carcinoma of the lower rectum were completed the cutting operation passing the belly in Dixon operation, clamping the sigmoid at the 5 cm of location for anastomosis passing anus to insert one piece of 22# foley urea pipe, using 15-20 mL of water filling into urea pipe ball bag, then pulling urea pipe to stop with clear blockage, and passing urea pope forward recta cavity to fill 100-150 mL of methylene blue dilution to observe the opening of anastomosis.

探讨直肠癌行低位Dixon手术，术中采用肠腔封闭式加压灌注检测及术后放置支架管引流对吻合口瘘的预防作用。1本组低位直肠癌患者经腹腔完成直肠癌直肠前切除吻合后，用肠钳在吻合口上端5cm处钳夹肠管，再经肛门插入1条22#Foley尿管，尿管球囊注入15~20mL水后向外拖动尿管至有明显阻力时停止。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。