腹水

Objective To observe the clinical efficacy of combined therapy of Shehuang Paste with colonic dialysis in treating patients with refractory cirrhotic ascites complicated with azotemia.

目的观察麝黄膏敷脐配合中药结肠透析治疗难治性肝硬化腹水合并氮质血症临床疗效。

The results showed that early feed restriction treatments significantly reduced the total incidence and total mortality of broiler.

结果发现，限饲不仅能够降低腹水综合征的发病率，而且还能够显著降低其他疾病的发病率和肉鸡的总死亡率。

Objective: To study on the influence of colon dialysis time and depth of cannula in the treatment of hepatic cirrhosis patients with intractable ascites.

研究结肠透析时间和插管深度对肝硬化难治性腹水治疗效果的影响。

The uncovered tracts and the liver wound surface were managed by some of the methods combined such as high frequency electrocoagulation, titanium clamp, suture, hemostatic gauze oppression, argon-beam coagulation, protein glue adherence, and Endo-GIA switcher. The total operative outcome, operating time, blood loss, postoperative complications and postoperative hospital stay were summarized in order to assess feasibility and safety of the clinical laparoscopic liver resection.Results: 1. Laparoscopic liver resection with clamp dissection method needs only the ordinary laparoscopic equipment. It has a low cost but causes a little more bleeding. 2. Laparoscopic liver resection operated by microwave tissue coagulation method had very little bleeding when dissecting hepatic parenchyma. The operative field is clear and the cost is low. It is a safe, convenient and effective method. 3. Ultrasound dissector is a relatively ideal appliance for laparoscopic liver resection at present because ofless bleeding during operation. But the speed is slow thus prolongs the operation time. Its separating intensity is not strong enough, and it can only be applied to patients without hepatic cirrhosis. 4. Ligsure has clamp dissection and electrocoagulation functions. It can carbonize hepatic tissue including the tracts whose diameters are less than 7mm. It has some advantage in dissecting. However, it has the shortcomings of the clamp dissector during coagulating. 5. Hand-assisted laparoscopic liver resection can make use of the flexibility and feeling of the operators left hand.

结果：1、钳夹分离切肝法不需特殊仪器设备，只要具备常规的腹腔镜器械即可实施，成本低，肝断面较易渗血；2、微波固化切肝法肝实质出血很少，视野清晰，成本低，操作简单，是一种安全、简便、有效的方法；3、超声刀是目前较为理想的切肝器械，术中出血少，但是，切割速度慢，手术时间长，而且，切割强度有限，适用于无肝硬化的肝切除；4、Ligsure具有挤压粉碎及高频电凝止血两大功能，可使包括7~以下管道的肝组织碳化、形成焦痴，具有一定的优势，但是，也存在分离钳电凝止血的缺点；5、手辅助腹腔镜肝切除可以利用术者左手的灵活性及手感，便于术中显露、分离、控制出血等，可随意协助右手及助手的主要操作，缩短了手术时间，大大提高了腹腔镜肝切除的安全性，李朝龙等的改良方法，同样达到了手辅助目的，又节省了费用；6、小切口腹腔镜辅助切肝法可以使用剖腹肝切除常规器械及剖腹肝切除技术，操作简单、可靠，适用于肝左外叶切除及右肝第V段切除；7、Endo一GIA切肝法在离断肝组织的同时闭合管道结构，多用于肝左静脉、门静脉分支、管径较大胆管的切割，缺点是不能用于较厚肝组织的切割，而且价格昂贵；8、临床巧例腹腔镜肝切除均获得成功，手术时间最短1.5h，最长sh，平均125 min，多数在100 min左右，手术出血量最少50 ml，最多500 ml，平均1 78 ml，除2例合并严重肝硬化的原发性肝癌患者术后出现少量腹水，1例术后发生胆漏外，其余无并发症，发生胆漏的1例患者术后住院40d，多数在术后一周左右出院，术后住院时间5一40d，平均gd。

Objective To investigate the application and attendance in treatment of refractory ascities with central venous catheter.

目的 探讨中心静脉导管在治疗顽固性腹水中的应用和护理方法。

Objective To study the value of celiac cytology examination on staging for endometrial carcinoma.

目的探讨腹水细胞学检查在对子宫内膜癌分期中的临床价值。

Objective To investigate the value of BD angiocath for ultrasound guided biopsies in treatment of celiac effusion.

目的 探讨静脉导管针在腹水治疗中的应用价值。

Using ultrasonic to measure the thickness of the cholecyst cliff in these patients. At the same time, we measure their breadth of the portal vein and the level of the ascites, and examine the level of ALB、TBil、AST、ALT in blood serum.

采用超声观察178例肝硬化患者的胆囊壁厚度和腹水检查、门静脉宽度、血清白蛋白水平、总胆红素水平以及门冬氨酸氨基转移酶、丙氨酸氨基转移酶水平。

The volume of drainage, changes of concentration of triglyceride and result of the chyle test were analyzed.

监测腹水引流量及其三酰甘油浓度和乳糜试验的变化。

Objective Purpose:In the study western medicine consociation treatment hepatocirrhosis ascites clinical curative effect.

目的：探讨中西药联合治疗肝硬化腹水的临床疗效。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。