术后治疗

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。

And There was no serious complication;②In the course ofinterventional therapy, Direct portal vein angiography demonstrated vena coronaria ventriculi(100%)andgastricveins(65.26%)andvenagastricaposterior38.43%, Angiography demonstrated venacoronariaventriculi communicate esophagus varicose veins, gastric veins and vena gastrica posterior communicategastric varicose veins. vena coronaria ventriculi had only a small percentage of double vein, about30.57%. The sites of vena coronaria ventriculi arising from the portal vein, splenic vein, portosplenic junction, were found in 52.06%、27.39%、20.55% respectively.③12 extrahepaticprotosystemic shunts were found in these patients. Include gastro-nephrosshuntof 3 cases, 7 caseswere splenetic- nephros shunt and 2 cases shown recanalization of umbilical vein .④The averageportal pressure before and after the procedure were 3.87±1.82kPa and 3.64±1.14kPa in 73patients, but to the time of rebleeding, it was 3.96±0.23kPa in the 11 cases.⑤There werethree kinds of variceal outcome: disappearance (54,low degree (19).⑥Spearman logisticanalyse and ANOVAtest shown liver function class, variceal degree of the splenic necrosis area,the blood direction in portal vein before operation and remain small collateral routes were thesignificant factors concerning outcome of varices.⑦The bleeding volume and portalhypertensive gastropathy are main risk factors of rebleeding.⑧The course of livercirrhosis is the risk factor of survival and extrahepatic portosystemic shunt , fine varices are thebeneficial factors to survival.⑨During all cases'followed-up data, the 1, 2, 3, 4, 5 yearcumulative survival rates and rebleeding rates were 17.81%, 28.77%, 38.36%, 43.84%, 47.95%and93.15%,91.78%,86.30%,83.56%,80.82%respectively. Conclusion The interventional disconnection treatment for liver cirrhosis and portalhypertension was designed suitability. It rapidlycontrol bleeding,butpressure of portal vein was notobvious high, perfusion was not low .it was compared with surgery therapeutic that interventionaldisconnection treatment was safe and had a significant clinical effect to hemorrhage and preventfrom rebleeding.

结果：①术后一过性发热62例(84.9%)，腹痛腹胀48例(65.8%)是介入断流术常见的并发症，未发生严重并发症；②门静脉造影显示胃冠状静脉、胃短静脉和胃后静脉的曲张分流的出现率是100%、65.26%和38.34%；显示食管静脉曲张主要由胃冠状静脉供血，胃静脉曲张主要由胃短静脉和胃后静脉供血；胃冠状静脉大多数为单支，少数为双支，其双支的出现率分别为30.57%；胃冠状静脉开口于门静脉主干的为52.06%，开口于脾静脉主干的为27.39%和开口于门脾静脉交汇处的为20.55%；③发现胃肾分流3例，脾肾分流7例、腹膜后门腔静脉分流2例，以及CTA检查发现脐静脉开放者2例；④73例患者介入断流术前和术后平均自由门静脉压力分别为3.87±1.82kpa和3.64±1.14kpa，前后比较存在显著性差异；11例再次介入手术患者的术前、术后和复发后的自由门静脉压力分别为4.02±0.24kpa、3.82±0.25kpa和3.93±0.23kpa ，前后比较发现首次术前与术后存在显著性差异，首次术前和复发出血术前门静脉压力比较无显著性差异；⑤介入术后复查曲张静脉转归基本消失54例，轻度19例；⑥Spearman相关分析和Logistic多因素回归分析，肝功能分级、静脉曲张程度、门脉血流方向和残存小侧支四个因素对曲张静脉转归有影响；Spearman相关分析和Logistic多因素回归分析门脉高压性胃病和出血量等因素对复发出血时间有影响；⑦COX回归分析，门体分流和曲张静脉转归两个因素对术后生存有影响；⑧术后随访6-70月，1、2、3、4、5年的累计复发出血率和累计生存率分别为17.81%、28.77%、38.36%、43.84%、47.95%和93.15%、91.78%、86.30%、83.56%、80.82%；结论：介入断流术治疗门脉高压食管胃底静脉曲张有独特的优点，可以快速直接控制曲张静脉出血而门静脉压力无显著增高，保证了肝脏灌注；与外科分流术相比适应证广、损伤轻、术后恢复快，不易遗漏曲张静脉；肝功能分级、曲张静脉程度、门脉血流方向和残存侧支血管对食管胃曲张静脉转归有影响；门脉高压性胃病对复发出血时间有影响；门体分流和曲张静脉转归对生存时间有影响。

Infections of 3 cases were controled after treatment with the wound dressing and compression bandaging after local inflammation organic resection, oral Xinhuang Tablets of proprietary Chinese medicines and antibiotics; 9 cases were treated with arthroscopic joint clean-up washing , 2 case of them were treated with incision debridement combined by synovectomy arthroscopic due to inability to complete debridement ; 3 case of them were treated with temporary prosthesis replacement surgery on the infection after total knee debridement due to recurring knee swelling and rupture , filling bone cement containing sensitive antibiotics, convection to wash on the articular cavity, and second phase renovation in stable condition, finally they recoveried postoperatively and discharged.

结果：对22例出现炎症性反应的TKA术后患者，经抗感染、关节腔对流冲洗、清创和Ⅱ期再置换并配合口服中成药新癀片等处理。10例轻微肿痛病人经单纯药物治疗，症状改善。12例患者应用外科干预， 3例行局部炎症组织切除后伤口换药并加压包扎，口服中成药新癀片及抗生素治疗后控制感染；9例在关节镜下行关节清理冲洗，其中2例在行关节镜下手术时因无法彻底清创行切开清创合并滑膜切除； 3例因反复出现膝关节红肿、疼痛、甚至破溃予全膝置换术后感染清创临时假体置换术，用含敏感抗生素骨水泥填充，对关节腔进行对流冲洗，待关节情况稳定后行Ⅱ期翻修，术后痊愈出院。

Abstract］ objective to assess the efficacy and safety of holmium laser urethrotomy under ureteroscope to treat the urethral stricture.methods 16 cases were treated by holmium laser resection under ureteroscope.the length of the stricture was 0.1～1.0 cm.the blood loss and the complications as well as curative effect after operation were observed.results all of the cases were treated successfully with less bleeding and no severe complications.the maximal urinary flow rate improved obviously after operation.conclusion the holmium laser under ureteroscope demonstrates good effect to treat urethral stricture.

目的 探讨输尿管镜下钬激光切开术治疗尿道狭窄的疗效。方法 16例患者采用经尿道输尿管镜下钬激光切开术治疗，狭窄长度0.1～1.0 cm，观察其术中出血、术后并发症及疗效。结果 16例患者均顺利完成手术，疗效满意，术中出血少，术后最大尿流率较术前有明显改善，无严重并发症发生。结论输尿管镜下钬激光切开术治疗对尿道狭窄是一种安全、微创且行之有效的治疗方法。

Methods:48 patients with liver cirrhosis and portal hypertension who received portal azygous disconnection and splenectomy were randomly assigned 2 groups,group control (n=24) and group therapy (n=24),except normal therapy,the patients of 2 group were separately cured by hypodermic injection of rhGH(8u,group therapy) and normal saline (2ml,control group) at second day for 7 days after operation.

48例肝硬化门脉高压已行门奇静脉断流和脾切除术患者术后随机分为治疗组（n=24）及对照组（n=24），两组术后除常规治疗外，于术后第2天每天分别皮下注射rhGH和生理盐水2ml，连续注射7d。

Methods:48 patients with liver cirrhosis and portal hypertension who received portal azygous disconnection and splenectomy were randomly assigned 2 groups,group control (n=24) and group therapy (n=24),except normal therapy,the patients of 2 group were separately cured by hypodermic injection of rhGH(8u,group therapy) and normal saline (2ml,control group) at second day for 7 days after operation.

公文大全免费帮您找文章，进入目的：探讨人重组生长激素对肝硬化门脉高压患者术后早期免疫功能的影响。方法：48例肝硬化门脉高压已行门奇静脉断流和脾切除术患者术后随机分为治疗组（n=24）及对照组（n=24），两组术后除常规治疗外，于术后第2天每天分别皮下注射rhGH和生理盐水2ml，连续注射7d。

Results 15 eyes of peripheral retinal dry hole and peripheral retinal degeneration were treated only by laser treatment and successful rate was 100%;10 eyes with local rhegmatogenous retinal detachment,were initially treated with herbal dehydrant,followed by laser treatment and successful rate was 80%;2 eyes failed due to the traction of vitrous were successfully treated with the aids of local pad;141 eyes with retinal detachment were treated by scleral buckling combined with krypton laser and success rate was 96.5%,5 eyes failed due to the traction of vitrous were successfully treated with the aids of vetroretional operation;27 eyes with complicated retinal detachment were treated by vetroretional operation,followed by intro????and post????

结果 视网膜周边干性裂孔和视网膜周边变性单纯用氪多波长激光治疗15眼，成功100%；局限性孔源性视网膜浅脱离10眼，先使用脱水剂、卧床休息、单眼加压包扎等措施，而后行激光治疗，成功率80%，2眼因玻璃体有牵引结合局部垫压术后成功；巩膜外扣带术后激光封孔141眼，成功率96.5%。5眼因玻璃体有牵引行玻璃体手术后眼内激光封闭裂孔成功；复杂性视网膜脱离经玻璃体切割手术，术中及术后激光封闭裂孔27眼，成功100%。

The known factors that can influence the recurrence and metastasis of operable breast cancer can be divided into two groups. One group of the factors are the clinical and pathological factors, which include age, pathological type, histological and nuclear degree, size of tumor, lymph node status, hormone receptor status, operation mode, adjuvant chemotherapy, endocrinotherapy, radiotherapy and newcome biotherapy, neo-adjuvant chemotherapy and endocrinotherapy.

目前已知的影响可手术乳腺癌术后复发转移的因素可分为两类，一类是临床病理因素，包括患者年龄、肿瘤病理类型、组织学分级和核级、肿瘤分期(包括肿瘤局部情况和区域淋巴结状态)、激素受体状态、手术方式、术后辅助化疗、内分泌治疗、放射治疗以及近年来新出现的生物治疗、新辅助化疗、新辅助内分泌治疗等。

objective to investigate the clinical characteristics and the surgical treatment for perforation of gastric cancer.methods we summarized 22 cases suffering from perforation of gastric cancer in our hospital,6 were treated with repair of perforatlon and gastrojejunostomy at the same time,8 with partial gastrectomy,8 wth radical gastrectomy for gastric cancer（d2,d3）,and positive treatment such.as intraperitoneal chemothrapy to the patients above.results the life expectancy of patients treated with repair of perforation,partial gastrectomy or radical gastrectomy for gastric cancer was 6,29.2 and 37.3months.conclusion reasonably select surgery methoty and positive treatment are keys to prolong the survival time.

目的 探讨胃癌穿孔的临床特点及外科治疗方法。方法对22例胃癌穿孔病人实施不同手术方式治疗。其中行穿孔修补加胃肠吻合术6例，姑息性胃癌切除术8例，胃癌根治术（d2，d3）8例，后两者术后均行腹腔化疗等综合治疗。结果穿孔修补加胃肠吻合术、姑息性胃癌切除术、胃癌根治术术后平均生存期分别为6个月、29.2个月、37.3个月。结论合理选择术式，综合治疗，是延长病人生存期的关键。

objective to discuss the nursing methods of acute postrenal renal calculus obstruction through ureteroscope.methods the preoperative and postorerative aborative nursing in 22 cases of patients with ureter calculus who were treated by emergency ureteroscope were analyzed retrospectively.results all patients became well and renal function was improved quickly after operation,after the timely treatment and nursing,none patients occured the serious complication.conclusion timely and right preoperative preparation,mental nursing and postoperative nursing were essential for the success of operation.

目的 讨论经尿道输尿管镜治疗急性肾后结石梗阻的护理方法。方法对22名患者进行急诊经尿道输尿管镜，治疗上尿路结石的术前、术后精心护理的回顾分析。结果所有患者顺利接受手术，术后患者全身状况、肾功能快速恢复，并发症得到及时治疗和护理，无一例发生严重并发症。结论及时准确的术前准备、心理护理、术后护理、是保证手术成功的重要保障。

The absorption and distribution of chromium were studied in ryeusing nutrient culture technique and pot experiment.

采用不同浓度K2CrO4(0，0.4，0.8和1.2 mmol/L)的Hoagland营养液处理黑麦幼苗，测定铬在黑麦体内的亚细胞分布、铬化学形态及不同部位的积累。

By analyzing theory foundation of mathematical morphology in the digital image processing, researching morphology arithmetic of the binary Image, discussing two basic forms for the least structure element: dilation and erosion.

通过分析数学形态学在图像中的理论基础，研究二值图像的形态分析算法，探讨最小结构元素的两种基本形态：膨胀和腐蚀；分析了数学形态学复杂算法的基本原理，把数学形态学的部分并行处理理念引入到家实际应用中。