肠出血

Results All cases underwent repair of aortoenteric fistulas and partial enterectomy after aortic occlusion under general anesthesia.

结果 6例均在全身麻醉下剖腹探查，术中见均为腹主动脉－小肠瘘所致肠出血。

Results: The bleeding site: in 136 cases, 66 cases of upper gastrointestinal bleeding (48.5%), 42 cases of lower gastrointestinal bleeding (31%), all 28 cases of gastrointestinal bleeding (20.5%); bleeding: 34 cases of bleeding ( 25%), amount of bleeding in 70 cases (51%),32 cases of heavy bleeding (24%); the cause of bleeding: 87 cases of stress ulcer (64%), neonatal necrotizing enterocolitis 25 cases (18%), 16 cases of neonatal hemorrhagic disease (12%), intestinal malrotation volvulus merge two cases (1.5%) and stomach wall muscle dysplasia and 2 cases (1.5%), 4 cases of unknown causes (3%); Treatment Results: 129 cases of cure (95%), the death of 4 (3%), three cases of auto-discharge (2%).

结果：出血部位：136例中，上消化道出血66例（48.5％），下消化道出血42例（31％），全消化道出血28例（20.5％）；出血量：少量出血34例（25％），中量出血70例（51％），大量出血32例（24％）；出血的病因：应激性溃疡87例（64％）、新生儿坏死性小肠结肠炎25例（18％）、新生儿出血症16例（12％）、肠旋转不良合并肠扭转2例（1.5％）和胃壁肌层发育不良2例（1.5％），原因不明4例（3％）；治疗结果：治愈129例（95％），死亡4例（3％），自动出院3例（2％）。

Objective To investigate the method of diagnosis and treatment of patients with intestinal bleeding after aortic reconstruction.

目的 探讨腹主动脉重建后肠出血的诊断和治疗方法。

In the absence of an obstructive lesion of the urinary tract, this illness is self-limited

若无尿路梗阻，则本病具有自限性。尸检的主要发现是肠出血。

Grass carp reovirus was isolated from outbreak grass carp fingerling in South China freshwater region, and Threadfin reovirus is a Singapore isolate from acute diseased marine threadfin fingerling.

草鱼呼肠孤病毒(Grass carp reovirus，GCRV)是引起中国南方淡水养殖草鱼暴发性出血病病原，鲅鱼呼肠孤病毒(Threadfin reovirus，TFV)是引起海水养殖鲅鱼病毒病病原。

The sites where the bacilli multiplied become inflamed and may ulcerate, leading to intestinal bleed ing or peritonitis.

芽胞杆菌聚集繁殖的地方发炎，可能发生溃疡，导致肠出血或腹膜炎。

The second is easy to use skin to absorb the mixture of Chinese medicine or Western medicine, to make ointment, medicine cloth, affixed to long umbilical or sacrococcygeal strong point for treatment, but also have a good effect.

口服中药：运用益气固脱、收敛止血、涩肠化痔的内服中药，以减少出血或使出血停止、痔核缩小、减少脱出、减或消除症状，该法适用于任何患者。

Methods: Between November 2003 and December 2005, 67 patients with renal cell carcinoma underwent retroperitoneal laparoscopic radical nephrectomy (34 patients, group A) and open radical nephrectomy (33 patients, group B). Operating time, blond loss, amount of postoperative drainage, time to ambulation, recovery of intestinal function after operation, the postoperative hospital stay, use of antalgesic and transfusion blood and plasma were compared between group A and group B, retrospectively. Results: In group A, the operations of 31 patients were successful and 3 cases failed, then conversed to open surgery. Firstly, one case were not decented the prerenal fascia and the other two cases occurred complications, one case was due to injurying genital gland vein, with blood loss of 500m1, another fatty renal capsula was too thick to explose the renal pedicle. The operations of group B were all successful, only one case was died of intracerebral hemorrhage after two monthes.

回顾性分析和比较后腹腔镜肾癌根治性切除术(Retroperitoneal laparoscopic radical nephrectomy， RLRN)34例与开放性肾癌根治性切除术(Open radical nephrectomy， ORN)33例，比较两种方法的手术时间、术中出血、术后引流、术后最早下床活动时间、肠功能恢复情况、术后住院时间、术后镇痛剂使用量、术中术后输血、血浆量、术后随访时间及手术效果结果：A组中1例因最初对解剖结构难于辨认，无法分离肾前筋膜至肾门而改行开放手术，1例因损伤精索静脉出血难以控制而改行开放手术，1例因肾周脂肪过多，无法将肾脏掀起显露肾蒂而行开放手术，31例手术成功。B组手术均获成功，1例术后2个月因大面积脑出血死亡，余均无瘤生存。

Abstract］ objective to explore the experience in the diagnosis and treatment of small bowel diverticular surgical complication.methods 24 cases of small bowel diverticular were retrospectively analysed.results the diagnosis was made preoperatively in 4 duodenal diverticula and only 1 jejunal diverticula.clinical complications included obstruction in 11 cases,bleeding in 4 cases,perforation in 4 cases.23 cases were cured.1 case was died of mof.all the diverticular with complications had histopathological signs of inflammation and 3 had signs of ulcer and 4 had the resected.conclusion the small bowel diverticular is rare.it may diagnose except common reason underwent gastrointestinal bleeding or obstruction.the gi is an effective way of examinations.operation is effective for small bowel diverticular disease.

回顾性分析24例小肠憩室病外科并发症的临床资料。结果术前6例十二指肠憩室中4例确诊，18例空回肠憩室仅1例确诊。小肠憩室伴小肠梗阻11例，憩室出血4例，憩室穿孔4例。23例治愈，1例死于多脏器功能衰竭。有并发症的憩室病理都有炎症表现，5例有溃疡，4例有异位黏膜组织。结论小肠憩室病比较少见。在胃肠出血或梗阻的情况下，可采取对常见原因排除的方法进行诊断。在不需要急诊手术的情况下，钡餐造影是最有效的检查。手术是可靠有效的治疗方法。

Methods 63 cases were treated by selective arterial angiography in internal iliac artery and superior rectal artery in order to find the main artery of cancer, which was injected with 40%iodinated oil mixed with chemotherapy drugs. The signs such as major colonic bleeding, hematochezia mixed with pus, intestinal obstruction were observed after treatment.

选择63例经活检证实的中晚期直肠癌患者，经直肠上动脉或双侧髂内动脉造影确定肿瘤的主要供血动脉，向内注入40％碘化油及化疗药物混合的乳剂，其它靶血管内注入化疗药物(5-Fu+MMC+DDP)，治疗后观察患者肠出血、脓血便、肛门下坠、肠梗阻等症状的缓解情况及术中肿瘤的游离难易度、创面出血情况。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。