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腹腔积血

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Methods Fiftythree patients with SAP admitted from 1995 to 1999 was categorized as group 1, and 57 patients admitted from 2000 to 2005 as group 2, were analyzed retrospectively. Ranson′s score, acute physiological and chronic health evaluationⅡ score, Balthazar CT grade, presence or absence of biliary tract obstruction, hypoxia, lung infection, shock, abdomen compartment syndrome, hyperlipemia, pleural effusion were analysed logistically. Mortality following different treatments and incidence rate of complications were also evaluated.

回顾性分析安徽省立医院1995—1999年收治的53例SAP患者(第1组)和2000—2005年收治的57例SAP患者(第2组)临床资料,对患者Ranson评分、急性生理学与慢性健康状况评分Ⅱ、Balthazar CT分级以及是否伴有胆道梗阻、休克、高脂血症、腹腔间隙综合征、低氧血症、肺部感染、胸腔积液等因素进行多因素Logistic回归分析,分析不同治疗方法对并发症发生率和病死率的影响。

The results show that: This tablet can decrease the rat"s footpad swell induced by Freud"s, inhibit the permeability of the blood capillary in inflammatory joint and decrease the 11-2 level in serum while increasing the rat"s body weight,(2) It can lower the rat"s temperature and the permeability of the blood capillary in inflammatory joint induced by collagen and inhibit the delayed type hypersensitivity,It can lower the stickiness of full blood and the accumulation of erythrocyte obviously inblood stasis model rats,lt can inhibit the formation of hemolysin and decrease the index of carbon granule clearance in mice, It can lower the permeability of celiac blood capillary and inhibit the granulomatous hyperplasia by sc cotton ,It can inhibit the pain induced by acetic acid and raise the pain threshold value of heat stimulation.

结果表明:关络通片能明显降低佐剂性关节炎大鼠左右足趾肿胀度,降低大鼠炎症关节的通透性,抑制其IL-2含量,对大鼠体重增长缓慢有一定的改善作用;能改善Ⅱ型胶原诱导性关节炎大鼠的表征指标及炎症关节的通透性,对其迟发型超敏反应有一定的抑制作用;对血瘀模型大鼠,能显著性降低其全血粘度、血浆粘度、红细胞压积;能抑制小鼠的溶血素抗体生成,抑制小鼠网状内皮系统的吞噬能力,具有一定的抑制机体免疫功能的作用,能抑制小鼠腹腔毛细血管通透性增高,抑制大鼠棉球肉芽组织增生,具有一定的抗炎作用;能抑制小鼠醋酸扭体反应、提高小鼠热板痛阈值,具有一定的镇痛作用。

RESULTS:The SP and VIP content was evidently reduced in the treatment group compared to the model group; whole blood viscosity of blood rheology index, fibrinogen viscosity and packed cell volume were reduced in the treatment group as compared to the model group, which could evidently inhibit auricular swelling in mice and arthroncus in rats, raise the percentage of pain threshold, phagocytic index and rate of celiac macrophage and effect the spleen, the peripheral immune organ in mice.

结果:治疗组SP、VIP较模型组明显降低;血液流变学指标全血粘度、纤维蛋白粘度、红细胞压积测定,治疗组较模型组降低;能明显抑制小鼠耳廓肿胀和大鼠关节肿胀;提高小鼠痛阈百分率;提高小鼠腹腔巨噬细胞的吞噬指数和吞噬率;对外周免疫器官脾脏有明显影响。

Bowel perforation and bleeding were excluded and abdominal CT revealed splenic rupture and hemoperitoneum.

在肠穿孔和出血并发症排除后,腹部电脑断层显示脾脏破裂合并腹腔内积血。

Abdominal paracentesis yielded uncoagulated blood and hemoperitoneum was suspected.

腹部穿刺放液时发现没有凝固的血液,故考虑腹腔内积血。

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