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术后治疗

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If the first line of pigments for composite color or chemical pigments, due to pigments contain iron, lead ions, blue, black pigment may have light after removing traces of India, one and a half months after treatment again.2.1064nm laser treatment of black and blue pigments, the operator to the treatment of patients with a brief description of the principles and after conditions avoid patients do not understand the surgery, postoperative reflect and recovery processes, unnecessary disputes.

假如患者当初纹的色料为复合色料或化工色料,由于色料中含有铁离子、铅离子、蓝、黑色素祛除后可能有浅色痕印,一个半月后可再次进行治疗。2、用1064nm激光治疗黑色及蓝色色素时,操作者向患者简要说明治疗原理及术中术后可能出现的情况避免由于患者不了解手术情况、术后反映及恢复过程,而产生不必要的纠纷。

The Ca level was also significantly decreased after the operations but it only had statistic significances in group Ⅰ. Conclusion Both subtotal parathyroidectomy and total parathyroidectomy with parathyroid tissue transplantation in the forearm have therapeutic effects for renal secondary hyperparathyroidism and the effects had no significant differences in the short term.

对内科治疗无效的肾性继发性甲状旁腺功能亢进患者,甲状旁腺次全切除术及甲状旁腺全切+前臂移植术都是有效的治疗方法,且两种手术方式在术后短期内(术后1天及6个月)的治疗效果无统计学差异。

Selective arteriography of arterial pudendum interna and superselective cavernous arterial embolization with spongia gelatinosa was carried out in 1 case with excellent return of normal erectile function.

结果 本组2例患者中,行超选择性海绵体动脉栓塞术治疗的病例术后阴茎变软,术后随访阴茎勃起功能恢复正常;另1例仅行海绵体穿刺放血后向海绵体内注入阿拉明治疗,阴茎暂时变软,很快又恢复至原来状态,治疗效果不佳。

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-operation,and success rate 100%.

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%。

Results In group A, 5 cases underwent elective colectomy. Half year after operation, 3 cases with normal defecation, 2 with constipations relapse. In group B, 8 cases underwent subtotal colectomy and partial rectectomy with cecorectal anastomosis. One with constipations relapse, other patients had 37 times of defecation per day after half year of operation.

结果 A组:采用选择性结肠肠段切除术治疗5例,术后半年内随访,3例大便正常,但有2例便秘复发。B组:采用结肠次全切除和部分直肠切除,行盲直肠吻合术治疗8例,有1例术后半年内便秘复发,其他患者术后半年内排便次数为3~7次/d。

Background: Percutaneous coronary intervention is another revolutional breakthrough to treat coronary atherosclerotic heart disease after coronary artery bypass graft.

研究背景和目的:经皮冠状动脉介入治疗是继冠状动脉旁路手术后治疗冠心病又一革命性突破,但PCI术后冠状动脉再狭窄严重影响其远期疗效,常规经皮腔内冠状动脉成形术后RS率高达40~60%,支架植入术后为20~40%。

156 cases of pediatric outpatients with ostium praeputiale stenostomia, smegma praeputii residual and acrobystia-balanus accretion collected from January of 2005 to October of 2007 were randomly divided into two groups, i.e. MEBO group and erythromyein ointment group. Both groups were treated with surgeries of ostium praeputiale distention, smegma praeputii clearance, and acrobystia-balanus syneehiolysis, and then post-surgery pain was compared by visual analongue cale in the three time periods after surgeries. The observation of recovery and aerobystia re-accretion was taken over the three months following visits post surgery.

2005年1月~2007年10月门诊156例包皮口狭窄、包皮垢残留及包皮龟头粘连症的儿童,随机分为湿润烧伤膏治疗组及红霉素软膏对照组,均采用包皮口扩张、包皮垢清除及包皮龟头粘连分离术治疗,术后疼痛采用视觉类比量表(Visual analongue cale, VAS)对两组术后3个时间段疼痛程度进行对比,对比痊愈情况,同时术后观察三个月,包皮是否再粘连。

Results One patient was complicated with prilnary non-function of the transplanted liver after liver transplantation;Five patients completed regained consciousness within 48 hours after operation; One patient complicated with acute renal failure;One patient complicated with acute liver cell rejection postoperatively and reversed after treatment;One male patient complicated with serious stomatocace;Two patients complicated with acute respiratory distress syndrome,underwent tracheotomy.

结果行急诊肝脏移植治疗6例,术后1例并发原发性移植肝无功能,5例患者于48h内苏腥。1例男性患者术后并发急性肾功能衰竭,1例患者术后发生排斥反应,经治疗后逆转。1例男性患者并发口腔严重溃疡。2例并发急性呼吸窘迫综合征,行气管切开。

We have not draw the statistically significant factors that related to successful and failure, but the factors such as acute infection, surfacing replacement, immediate debrided after onset of symptoms, and the bacteria sensitive to antibiotic were relate to success.

结论保留假体清创在人工膝关节置换术后感染的治疗中有一定的应用价值,对于术后急性感染病人和术后晚期急性血源性感染病人应尝试进行保留假体清创治疗,但必须严格掌握手术时机及适应证才能获得成功。

Radical cure operation and reservation of laryngeal function as far as possible is a principle that we must obey when we select the operative method; Mastering indicants strictly, correct operation choices, excellent surgical skills, perfect repairing technique, reasonable antibiotic usage and enhanced postoperative nursing service are bases of improving life qualities and curative effect, at the same time, they can prevent postoperative complications efficiently; Regular re-examination after operation and systemic follow-up study play an important role in the early detection and early treatment for tumor's recurrence and metastasis.

喉癌切除术式的选择上,遵循在根治肿瘤的基础上,尽量保留喉功能这一治疗原则;严格掌握手术适应证、正确选择术式、熟练的手术技巧、完善的修复技术、合理使用抗生素及加强术后护理工作是提高生存质量及疗效的根本,亦能有效地预防术后并发症;术后定期复查及系统的临床随访对复发和转移癌的早期发现、早期治疗至关重要

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