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Lymphatics of the lower extremities, pelvis, and abdomen flow cephalad through the lumbar lymphatic trunks and intestinal trunk to the cisterna chyli and thoracic duct.

下肢、骨盆和腹部的淋巴管通过腰椎淋巴干和肠道淋巴干向头侧流动,最后进入乳糜池和胸导管。

The indications for the initial CT were the staging of small-bowel tumor and colon cancer, nonspecific abdominal discomfort, lier abscess, confirmation of the residual stone after open cholecystectomy and choledocholithotomy, and common bile duct stone and lier abscess.

所有病人均发现胰腺有异常,初始CT检查有小肠肿瘤和结肠癌、非特异性腹部不适、肝脓肿、胆囊切除术和胆总管石切除术后的残余结石、总胆管结石伴肝脓肿。

Results: Among 80 cases of ACST, 76 cases were successfully implemented LC, gallbladder puncture and decompression choledocholithotomy T-tube drainage were performed in 11 cases, choledocholithotomy T-tube drainage in 15 cases, common bile duct gall bladder fistula Toishi T-tube drainage in 14 cases, gallbladder removal choledocholithotomy T-tube drainage in 36 cases, operative time 15-120 min, bleeding 10-80 ml; 4 cases transitted laparotomy, 1 case of gallbladder and surrounding tissue adhesion serious, ampulla signs disappear, and the hepatoduodenal ligament ill-defined, 2 cases of gallbladder contraction deep within the liver, gallbladder triangle scar adhesions, and 1 case of duct stone impaction and severe adhesions; postoperative hospital stay was 8-11 d, all were well recovered; pathological diagnosis, acute cholecystitis in 41 cases (51.2%), acute suppurative cholecystitis in 24 cases (30.0%), acute gangrenous cholecystitis in 15 cases (18.8%).

结果:重症急性胆囊炎80例,76例成功实施LC,其中,胆囊穿刺减压胆总管切开取石T管引流11例,胆总管切开取石T管引流15例,胆囊造瘘胆总管切开取石T管引流14例,胆囊切除胆总管切开取石T管引流36例,手术时间15~120 min,术中出血10~85 ml;4例中转开腹,其中,1例胆囊与周围组织粘连严重,壶腹部标志消失,与肝十二指肠韧带界限不清,2例胆囊萎缩深陷肝脏内,胆囊三角区瘢痕粘连,1例胆囊管结石嵌顿且严重粘连,术后住院时间8~11 d,术后恢复均良好,治愈出院;80例术后病理诊断,急性单纯性胆囊炎41例(51.2%),急性化脓性胆囊炎24例(30.0%),急性坏疽性胆囊炎15例(18.8%)。

When B-ultrasound and X-ray were used combinedly,diagnosis rate and accuracy were elevated.Surgical treatment should be applied to cases diagnosed determinedly.Cholecystectomy is an effective method to treat cholecystolethiasis and choledochotomy should be controlled strictly in use.

小儿胆石症缺乏典型症状,对有腹痛和黄疸者首选B超检查,结合腹部X线平片可提高诊断率;诊断确定应行手术治疗,胆囊切除是治疗胆囊结石较好术式,胆总管切开应严格掌握指征。

Objectives:To observe the role of parenteral nutrition in the chylous ascites after abdominal surgery.

目的:观察肠外营养支持在治疗腹部手术后乳糜腹水中的作用。

In this case, lymphoma involving the lymphatics of the chest and abdomen led to the collection of chylous fluid.

在此病例中,淋巴结及胸、腹部的淋巴腺收集乳糜液。

Methods:Occurrence of chylous ascites was confirmed in four patients about 10 days after abdominal operation.

4例病人在腹部手术后10d左右腹腔引流液变成乳白色,乳糜试验阳性,诊断为乳糜腹水。

Methods: 158 cases of transvaginal hysterectomy were collected from Jan 2004 to Mar 2007. The patients(78 cases) with the cicatricial nonprolapsed uteruswere compared with the controlled group(80 cases)who had no previous operations.

收集武汉大学人民医院2004年1月至2007年3月间,78例非脱垂瘢痕子宫阴式切除术患者和80例无腹部手术史非脱垂子宫阴式切除术患者的临床资料,并进行对比分析。

Divide 50 belly EPII patients randomly into two groups. The first 25, control group, would be treated with common Western Medicine therapies. The second 25, control group, the addde Tiaowei Chengqi Decoction clysis would be added to.

将50例腹部术后早期炎性肠梗阻患者随机分成两组,对照组25例,单纯采用西医常规治疗方法;治疗组25例在对照组治疗基础上加用增液承气汤加味保留灌肠治疗。

According to the consentaneous diagnostic criteria, divided the disease into Zheng patterns of TCM. Results 1 Female was predominated in IBS, compared with male. With the increase of age , the prevalence rate of IBS did not rise. The higher educational degree community had a higher morbidity of IBS than the community of the lower educational degree. Abdominal pain and discomfort are the symptoms, which more happened. Male and female did not show the distinction on the common symptoms.

结果 1IBS 女性患病率高于男性;患病率无明显年龄差异趋势;较高文化程度群体患病率高于较低文化程度的群体;腹痛及腹部不适是患者发生频率较高的症状;男性与女性在常见症状的发生频率上差异无显著性,但精神心理症状的发生频率上,女性应激事件发生率及抑郁状态发生率高于男性;肠道感染史、受凉、生冷饮食、辛辣饮食均为可能导致IBS发病的较危险因素;肠外症状中较常出现的为头痛、腰背痛、疲乏及功能性消化不良。

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