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术后治疗

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Now my courtyard in January 2006, the cataract of gimmick small cut that undertook in January 2008 excises combination artificial crystalline lens appears to low eyesight patient has case study and be adopted after embedded operation nurse accordingly, obtain favorable result, report as follows now. 1 clinical data 1.1 average data in January 2006, the operation treated a patient in January 2008 562 (594), male 304, female 290; age 6 years old of ~89 year old, senile sex cataract 482 (504), traumatic sex cataract 26 (26), complication cataract 50 (60), congenital cataract 4 (4), light of the eyesight before art feels - 0.3, there is the person that force of backsight of art of apparent diagnostic effect restores 26 times before art, among them diabetic retinal pathological changes 10, pathological changes of senile sex yellow spot 8, glaucoma optic nerve is damaged 7 times, corneal blaze 1. Standard of 1.2 low eyesight diagnoses watch of eyesight of standard of standard application international to undertake checking according to our country low eyesight, optimal and correctional eyesight is in 3 months after art 0.05 above, but in 0.3 it is low eyesight standard below. 1.3 results 594 art hind are inchoate...

现将我院2006年1月—2008年1月进行的手法小切口白内障摘除联合人工晶状体植入手术后出现低视力病人进行原因分析并采取相应护理,取得良好效果,现报告如下。1临床资料1.1一般资料2006年1月—2008年1月手术治疗病人562例(594眼),男304眼,女290眼;年龄6岁~89岁,老年性白内障482例(504眼),外伤性白内障26例(26眼),并发症白内障50例(60眼),先天性白内障4例(4眼),术前视力光感-0.3,术前有明显诊断影响术后视力恢复者26眼,其中糖尿病视网膜病变10眼,老年性黄斑病变8眼,青光眼视神经损害7眼,角膜白斑1眼。1.2低视力标准根据我国低视力诊断标准应用国际标准视力表进行检查,术后3个月最佳矫正视力在0.05以上,但在0.3以下为低视力标准。1.3结果594眼术后早期。。。

Side cuts frontal Dou Genzhi and bazoo to use vaseline yarn on add iodoform gauze ram, 48h takes out vaseline gauze, art hind begins the 5th day to take out iodoform gauze. The haemorrhage after 1.3 art and haemorrhage of the nasal cavity after treating art or ooze blood 56, bleed among them more serious, hind nostril has blood to pour out of 7, seasonable application puts pillow on the ice below close observation, fight infection, hemostatic reach tranquillizer.

上额窦根治和鼻侧切则采用凡士林纱条加碘仿纱条填塞,48h抽出凡士林纱条,术后第5天开始抽出碘仿纱条。1.3术后出血及治疗术后鼻腔出血或渗血56例,其中出血较严重、后鼻孔有鲜血流出7例,严密观察下及时应用冰枕、抗感染、止血及镇静剂。

Objective: This research aims at adopting and studying to the retrospect of gastric carcinoma impatient"s case history of the past five years of department of general surgery of institute of traditional Chinese medicine of Guangdong Province, counting analytical method in pluralism to adopt, clustering quantitative analysis, summarizing the syndrome or symptom complex and the distributive and evolutive law of the patients after the operation. It can be expected better instructing clinical application to treat, thus reduce by various kinds of complications after the skill further, improve survival rate , skill of future trouble person and survive quality , can offer for the fact that this clinical diagnosis and treatment on the basis of an overall analysis of the illness and the patient" s condition is cured certain typing diagnose basis.

研究目的:本研究旨在通过对广东省中医院普外科近五年来胃癌住院病人病历的回颐性研究,采用多元化统计分析方法,聚类量化分析,总结胃癌根治术后的证候分布及其演变规律,以期更好的指导临床用药治疗,从而进一步减少术后的各种并发症,提高术后患者的生存率和生存质量,并可为本病临床辨证论治提供一定的分型诊断依据。

objective:to investigate the present situation and features of infection of incisional wound after sesarean section,so as to find the best method in the diagnosis and prevention of incisional infection.methods:the patients undergoing cesarean section were investigated retrospectively for studying the basic features of incisional infection after operation.results:of 13798 investigated parturients after cesarean section,96 were found with the infection of incisional wound accounting for 0.7%.the main symptom was distending pain or jumping pain on the site of incision,the emergence time of symptom in major cases(78.13%) was 4 to 7 days after operation.the local therapy including drainage,ultraviolet rays or infrared rays irradiation and ultrashort wave therapy was the main method in concert with antibiotic treatment and support therapy.the antibiotic therapy was changeable,and albumin intromission was the main method in the general support therapy.

目的:了解剖宫产手术切口感染的现状特点,分析其感染原因,便于临床上更好的诊断和预防切口感染。方法:采用回顾性调查方法,研究剖宫产切口感染的基本特征。结果:调查产妇13 798例,其中切口感染96例,感染率0.7%,症状主要表现为切口胀痛、跳痛,78.13%出现在术后4~7天,57例产妇伴有发热,占59.38%;感染后治疗主要是局部治疗配合抗生素治疗、支持治疗,局部治疗以引流、紫外线或红外线照射、超短波疗法为主,抗生素的使用比较混乱,全身支持治疗以输入白蛋白为主。

RESULTS: Of the 44 patients, 25 received adjuvant chemotherapy after operation; 1 received operation alone; 18 received induction chemotherapy. Of the 18 patients, 7 received tumor resection after chemotherapy; 2 patients with primary mediastinal chorioepithelioma with multiple metastases received radiotherapy on residual disease after chemotherapy; 1 patient with postoperative abdominal metastasis and 1 with postoperative lung metastasis achieved complete remission after chemotherapy; 1 patient with mediastinal sinus tumor achieved partial remission after chemotherapy; 6 had poor response to chemotherapy and died of disease progression.

结果:44例患者中,25例行术后辅助化疗;1例单纯手术;18例行诱导化疗,其中7例患者化疗后肿瘤缩小行手术切除,2例原发纵隔绒癌伴多发转移患者化疗后行残留病灶放疗,1例术后腹腔转移和1例术后肺转移患者化疗后获得完全缓解,1例原发纵隔内胚窦瘤化疗后部分缓解,未做进一步治疗,6例患者化疗无效进展死亡。

After the technique reexamines the average to plant the bone fusion time for 3 months.1 example chordoma technique latter 1 year recrudescence,1 example great cytoma technique latter 9 month recrudescence,gives up the treatment.

术后复查平均植骨融合时间3个月。1例脊索瘤术后1年复发,1例巨细胞瘤术后9个月复发,均放弃治疗。

Blood loss and xenogenic blood transfusion in control group were also higher than that in treatment group.

结果 对照组术后Hb、HCT略低于术前,治疗组术后高于术前,术中失血量及异体输血量均多于治疗组。

Results The survival area and quality of avulsed flap in the experimental group were superior to that of control group after 15 days of operation, and the hemorheological items were markedly changed at 5 days after operation.

结果 术后15天治疗组撕脱瓣的成活面积、成活质量均明显优于对照组(P<0.05),治疗组血液流变学参数变化在术后5天内最明显。

Abstract] objective to study the chronic subdural haematoma pathological mechanism characteristic,curing method and factor failing.methods the method carries on a clinical research to 217 sufferers and the whole set goes skull ct to scan.for the very first time surgical operation method all for drill a hole to lead to drainage.results cured 193 cases (88.94%),haematoma residual 9 cases (4.15%),haematoma recrudesces 15 cases (6.91%).conclusion procedure selection should be based on condition of the patients with hematoma,drainage completely and anti-pneumo encephalos may important.

摘要] 目的探讨分析慢性硬膜下血肿的病理特点、治疗方法和失败因素。方法对217例患者进行临床研究,全组均行头颅ct扫描。首次手术方式均为钻孔引流术。结果恢复良好者193例(88.94%),血肿残留9例(4.15%),血肿复发15例(6.91%)。结论对慢性硬膜下血肿的治疗应根据病情选择手术方式,术中血肿冲洗要彻底及术中术后要预防气颅的发生,可降低术后血肿复发率。

She was initially treated with unilateral salpingo-oophorectomy and a contralateral wedge resection for tumor invasion, followed by 6-course of the PVB (cisplatin+ vinblastine+ bleomycin) regimen, second operation, and an additional 6-course EP with complete remission.

她在十三岁时接受单侧卵巢输卵管切除术及对侧卵巢扇形切除术,接著接受六次的多种药物结合的化学治疗。然后在第二次手术后,发现残余肿瘤仍然存在,又接受保留生育能力的保守手术后,再追加额外六次的不同配方的化学治疗至疾病完全消除为止。

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