术后治疗

Resultsthe iop of 19 eyes (20.7%) were higher than 2.8 kpa (21 mmhg), of which, 14 eyes returned to normal seven days after 0.5% timolol administration, two eyes returned to normal after two months. three eyes showed high iop two months after injection. after combination therapy, the iop of one eye was still at 3.47-4.67 kpa (26-35 mmhg), eight eyes showed aqueous flare one day after ta injection, but the symptom disappeared the next day. two eyes showed hypopyon and vitreous opacity. with systemic and local antibiotic, the inflammation disappeared after one week. three eyes showed retinal hemorrhage.

结果 92只眼中，术后眼压高者19只眼，给予5 g/l噻吗洛尔眼液点眼，7 d后14只眼眼压恢复正常；2只眼控制在4 kpa以下，持续用药2个月后降至正常；3只眼眼压在注药后2个月才出现高眼压，联合用药后1只眼眼压仍在3.47～4.67 kpa.8只眼术后第1天出现前房闪辉，第2天消失。2只眼术后第1天出现前房积脓，玻璃体腔混浊，经局部及全身抗炎治疗，局部应用复方托吡卡安散瞳，1周后炎症消退。3只眼术后第1天发现视网膜局部小片状出血。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

Make records and statistics of both groups' anal aches, anal swelling, anal surface seep and prolapsus bleeding in the second, fourth, and sixth day after operation.

分别记录术后第2、4、6天两组病例疼痛、水肿、渗液、出血的积分情况并进行统计；术后第6天观察统计两组治疗的综合总体疗效；记录术后第14、21、28天创面愈合情况；观察术后创面愈合时间。

objective the purpose of this study was to summarize our experience of the application of internal rigid fixation with miniplate to treatment of mandibular fractures.methods a retrospective analyisis of clinical data of 67 cases,who had experienced the anatomic reduction and rigid fixation by using miniplate.with the help of maxillomandibular distraction pre operation and post operation and temporary maxillomandibular fixation during operation,the fracture bones were smoothly reduced and fixed.results clinical and radiographic examination showed that all cases gained good clinical results and precise anatomic alignment of fracture postoperatively without infection,malocclusion,bone malunion or other complications.conclusion mocortical miniplate fixation of the mandible is a reliable and effective techinique providing rigid fixation and an ideal modality for the treatment of mandibular fractures.combined with maxillomandibular fixation.

对67例下颌骨骨折患者的临床资料进行回顾总结，所有患者应用小型接骨板行坚固内固定治疗。其中7例颏部骨折，12例颏旁骨折，16例颏孔区骨折，9例体部多发性骨折，5例体部粉碎性骨折；18例合并其他部位骨折。所有患者术前经临床检查和影像学检查明确骨折的位置和骨折线的数目后，分段牙弓夹板结扎、颌间弹性牵引，使移位的骨折段逐渐复位；术中经口内切开复位、细钢丝颌间结扎、小型接骨板坚固内固定；术后行临床检查和影像学复查，必要时颌间弹性牵引7～10 d。结果所有患者手术切口ⅰ期愈合，治疗效果满意；临床检查所有患者牙合关系良好、面部对称；影像学复查证实骨折线对位良好。结论经口内切开小型接骨板坚固内固定辅以颌间固定治疗下颌骨骨折效果可靠，术后并发症少，是一种理想的手术方法。

For example: as a Chinese herb, Sunrecome exhibits biological function in killing the remaining cancer cell adjunctively, Sunrcome has the functions of prevent and decrease metastasis of the cancer, improving the immunity function of patients, raise their response, decrease possibility of complications after operation.

例如，双灵固本散在肿瘤手术治疗中能达到辅助杀灭残散癌细胞的作用，预防和降低癌转移；提高患者免疫功能，提高患者手术应激能力，减少术后并发症，实施术后早期抗癌治疗的连续性作用，明显降低综合治疗的损伤，显著提高疗效，可靠的改善预后的目的，发挥中药的生物功能作用。

At the same time, adopting traction and manipulation way which is based on tutor's theory of cataplasis on spinal column to treat 32 patients who have this syndrome, discuss the mechanism and treatment by observing and analyzing all clinical datas.

同时，根据导师传授的脊柱退变所致腰腿痛治疗观念，采用牵引配合手法治疗32例腰椎间盘突出症术后后期腰腿痛，通过对临床资料的观察及分析，探讨了腰椎间突出症术后后期腰腿痛的发生机制及治疗方法。

The morbidity and mortality in aged patients with SAP are very high.Early non-operative treatment is necessary for patients with grade I of SAP in elderly.If the operation must be performed,rational measure of treatments during and after operation will be benefical to decreation of the postoperative complication and operative mortality.

老年人SAP并发症发生率及死亡率高，对SAP I级患者应尽量采取早期非手术治疗为主，如确需手术治疗，术中和术后因采用合理的治疗措施，以减少术后并发症，降低手术死亡率。

Method］from january 2003 to may 2006,32 patients were corrected with qin si-he's orthotics devices on the ilizarov principle of tension-stress,which involved 15 males and 17 females,the age ranged from 10 to 25 years.among these patients,2 were caused by peroneal nerve injury,l by tumor in the vertebral canal,5 by meningocele,11 were caused by poliomyelitis,13 by congenital talipes equino-varus.in accordance with deformities,external fixator and limitied operative methods were dertermined.the limited release of soft tissue were performed in 7 patients,limited osteotomy in 25 patients.the dynamic muscle balance operation were performed in 9 patients with imbalance of muscle strength.according to the ilizarov technique,the fixative rods were installed.the telescopic rods on the apparatus were rotated one week after the operation,the divices had corrective function in three-dimensional directions.the deformity of talipes equinovarus,internal rotation and drooping of the forefoot were gradually corrected,and the patients could bear weight and walked on the deformed foot.the mean duration of traction were 42 days,then removed the external fixator maintained with plaster for a site time.

方法］2003年1月～2006年5月，根据ilizarov张力应力法则，应用秦泗河改良的外固定矫形器，遵循ilizarov穿针固定的基本原则，共手术治疗马蹄内翻足32例，男15例，女17例；年龄10～25岁，平均17岁。病因：腓总神经损伤2例，腰椎管内肿瘤1例，硬脊膜膨出5例，小儿麻痹后遗症11例，先天性马蹄内翻足13例。术前用足掌的前外缘负重行走者11例，用足的外缘或足背外侧负重者21例。根据马蹄内翻足畸形程度、性质和患者年龄，确定实施有限矫形手术的方法和外固定矫形器治疗。本组7例同期实施有限的软组织松解术，25例同期实施了有限的截骨术和跗骨间关节融合术，9例合并踝关节内外翻肌力明显失衡者，同期行足部肌腱转移的肌力平衡术。然后安装外固定矫形器。术后按作者制定的管理程序，7 d开始旋转相应的螺纹牵拉杆，对器械进行三维空间的缓慢调整，先矫正前足内收和后足内翻，后矫正足下垂畸形，直至达到矫形要求的标准。在矫形的过程中定期进行x线检测，以防止发生踝关节前后移位，治疗期间允许患足负重行走。术后平均牵伸42 d，拆外固定器后患足再上石膏固定适当时间。

Methods 58 cases of treatment group applied the procedure of emergency operation and primary suturing wound were compared with 56 cases of controlled group used the procedure of traditional dissection and unclosing wound on healing time,pain,anal swelling and bleeding,infection,etc after operation.

治疗组对血栓外痔实施切除后一期缝合，对照组对血栓外痔切除后切口不缝合，观察比较术后愈合时间、疼痛、水肿、出血、感染等情况。结果治疗组术后愈合时间、疼痛、作者：吴汉泉，杨德群，刘明奎，张洁目的研究急诊手术一期缝合治疗血栓外痔的可行性。

Limbs, in 243 patients were treated by EVLT or EVLT combined with external banding valvuloplasty of superficial femoral vein or EVLT combined with ligation of great saphenous vein and denudation of superficial varicosities.

分别采用单纯激光治疗、大隐静脉激光治疗联合高位结扎和股静脉瓣膜成形术等不同方式治疗，术后对患者进行随访，分析术后中长期临床效果及并发症。

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。