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术后治疗

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Result:there are 22 cases in this group ,ratio of occurring is 4.5%. pdge occurred in 19 patients with 6 to 12 days and 1 patients with 5 、14 、15 days after surgery. 20 patients recovered with medical therapy and were discharged by 20 days. an erroneous diagnosis occurred in 2 patients (operated on 1 patient and join together was not narrow.anther 1 was mistaken as part intestines conglutination and block of anastomose gob after gastrectomy.)and also recovered with medical therapy by the extension stay in the hospitals time.

结果:本组共发生功能性排空障碍22例,发生率为4.5%,发生于术后第6--12天共19例,第5天、14天、15天各1例。20例病人经保守治疗20天内痊愈出院,2例因误诊(其中1例再手术,术中未见吻合口梗阻;另1例误诊为胃术后部分肠粘连,吻合口梗阻)延长住院时间亦经保守治疗痊愈出院,胃功能恢复时间平均17.1天。

As a result the time great majority of occurrence chyle bosom is 10d of the 2 ~ after art, 26 classics guard cure to cure, 5 open a chest again, among them 4 are cured, after an art still reappearance, continue to guard cure to cure.

结果出现乳糜胸的时间大多数为术后2~10d,26例经保守治疗治愈,5例再次开胸,其中4例治愈,1例术后仍再发,继续保守治疗治愈。

Abstract] Objective To investigate the clinical effect of Esculin and Digitalisglycosides Eye Drops for asthenopia after LASIK.Methods 100 eyes of 50 cases were given Esculin and Digitalisglycosides Eye Drops to treat asthenopia,compared with matched control subjects(100 eyes) of asthenopia and amplitude of accommodation.

目的 观察七叶洋地黄双苷滴眼液治疗LASIK术后视疲劳的疗效方法运用七叶洋地黄双苷滴眼液治疗LASIK术后病人50例100眼,以视疲劳的自觉症状及眼调节幅度观察指标,与对照组进行对比。

Methods: 60 mixed hemorrhoid patients were divided into 2 groups at random :30 receiving sitz bath with continence Chinese herbal fumigant into experimental group and 30 receiving sitz bath with PP solution(1: 5000) into control group.

将60例混合痔术后患者随机分为2组,治疗组30例以术后薰洗方坐浴治疗,对照组30例以1:5000PP液薰洗坐浴。

Results:Before surgery, 39 patients with paroxysmal pain, after surgery, 84 patients with pain immediately disappeared, reaching 94.4%, 12 patients with mild throat discomfort, 2 patients with cough of short-term drinking water, 1 patient with hoarseness, the follow-up in the 3 months to restore Conclusion:Preoperative care focus on patients with Glossopharyngeal neuralgia are primarily on the preparation and pre-operative pain attack, as much as possible to avoid the attack of the pain, postoperative complications, mainly care, treatment and care through to complications as soon as possible.

结果:39例术前出现发作性疼痛,术后89例患者立即止痛者达94.4%,12例出现轻度咽部不适,2例出现短暂的饮水呛咳,1例出现声音嘶哑,经随访在3个月内恢复。结论:舌咽神经痛术前的护理重点主要是术前准备和疼痛发作,尽量通过治疗和护理的避免疼痛的发作,术后主要是并发症的护理,通过治疗和护理促使并发症的尽快恢复。

AbstractObjectiveTo evaluate posterior sagittal anorectal pullthrough(Pna's operation) and levator ani imbrication in the management of postoperat ive fecal incontinence in children with imperforate anus.

摘要目的了解Pna手术及盆底肌折叠术治疗无肛术后大便失禁的效果。方法采用再次Pna手术和盆底肌折叠术治疗高中位无肛畸形术后大便失禁患儿9例(平均年龄6.3岁)。

Post-operative complications occurred in three cases, including one case of bile fistule, one case of early post-operative inflammatory ileus, and one case of right underbelly inflammatory mass. The patients healed entirely with conservative therapy.

结果 237例腹腔镜多脏器联合手术2例中转,其余235例均获成功;3例术后出现并发症,1例术后胆漏,1例术后早期炎性肠梗阻,1例术后右下腹炎性包块,均保守治疗痊愈出院。

Result: all the 82 cases,15 were treated with right hemihepatectomy,26 with left hemihepatectomy,10 with quadrate lobectomy,7 with right posterior lobectomy,24 with localization lobectomy.postoperative pathdogic:75 were liver cell carcinoma,7 were carcinoma of bileduct.one case with postoperative hemorrhea,hemostated by reoperation.3 patients with biliary fistula,2 cases were cured by drainage,1 case was cured by ercp.no one died in operation.10(12.2%) died in half year,27(32.9%) died in one year.conclusion: control the indication and amount of heratectomy,contral hemorrhea,treat incised wound of liver correctly and prevent postoperative complications ,that can guarantee the effect of hepatectomy.

结果:右半肝切除15例、左半肝切除26例、肝中叶切除10例、肝右后叶切除7例、肝局部切除24例。术后病理诊断为肝细胞癌75例、胆管细胞癌7例。本组术后近期出血1例,再次手术止血;胆瘘3例,2例行腹腔引流治愈,1例行ercp置管引流治愈;无手术死亡。术后半年内死亡10例(12.2%),1年内死亡27例(32.9%),余45例现均存活。结论:掌握肝切除手术指征及肝切除量、严格控制术中肝出血、正确处理肝创面及术后并发症,才能保证手术治疗的效果。

objective to explore the related factors of recurrence of chronic subdural hematoma after neurosurgery.methods the related aspects that affected the recurrence in 113 cases with chronic subdural hematomas after neurosurgery were reviewed,and the factors were evaluated by the medical literature.results 5 patients recured after neurosurgery,and 1 patient died.rate of recurrence and death were 4.4% and 0.9% respectively.conclusion age,abnornmal blood coagulation mechanism,density,pneumatosis and drainage volume would affect the prognosis.

目的 探讨影响慢性硬膜下血肿(chronic subdural hematoma,csdh)术后复发的因素。方法回顾2003~2004年本院手术治疗的113例csdh患者,并结合有关文献进行相关分析。结果术后复发5例,死亡1例,复发率和死亡率分别为4.4%和0.9%。复发的5例患者平均年龄69.6岁。其中因服用抗凝剂复发1例,因术后大量颅内积气复发1例,高密度复发1例,等密度到混杂密度复发2例。结论患者的年龄、凝血机制异常、血肿的密度、术后积气和引流量的多少影响csdh患者的预后。

It was found that the peak urine flow rate increased from 7.6 ml/s to 20.1 ml/s, the residual urine volume decreased from 126.5 ml to 16.3 ml, and the ipss decreased from 24.1 to 5.6 points in 6 months.conclusion tups as a good treatment for bph is effective, highly safe and causing few complications.

最大尿流率由术前7.6 ml/s升到术后20.1 ml/s(术后6个月),剩余尿量由术前126.5 ml减至术后16.3 ml,国际前列腺症状评分由术前24.1分降至术后5.6分。结论经尿道前列腺裂开术治疗前列腺增生,具有安全性高、并发症少、疗效好的优点。

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