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Temporarily catheterization pulls out inside 24 H ureter, if undertake uric education or acute retention of urine wait,adopt temporarily catheterization; leaves buy catheterization to be in clinical on common, ureter needs to leave above of buy 24 H, urethral mouth is daily want clean disinfection 2 times, daily change 1 times; keeps bag of collect make water or drainage bottle the person that buy catheter exceeds 7d, change every week ureter 1, with 0 · normally according to the circumstance of fluid of eduction make water 9% physiological saline undertake bladder is rinsed. 2 common problems patient of a few males is opposite circumstance of the psychogenic disorder when 1 catheterization of 2 · nurse catheterization produces psychogenic disorder, often be flushed, next abdomen and perineal ministry muscle are nervous, shadow fugleman make water goes on wheels, impact of urgenter to the illness patient psychogenic disorder is not big, ache and bladder are bouffant the mood that held them, catheterization process is more successful. 2 · 2 see the phenomenon is cracked below road junction of female patient make water occasionally 20 old clinical nurse in the job, the female cracks a circumstance to see 4 below urethral mouth.

临时导尿在24 h内拔除尿管,如进行尿培养或急性尿潴留等采取临时导尿;留置导尿在临床上常见,尿管需留置24 h以上,尿道口每日要清洁消毒2次,每日更换集尿袋或引流瓶1次;留置导尿管超过7d者,每周更换尿管1次,根据排出尿液的情况通常以0·9%生理盐水进行膀胱冲洗。2常见新问题2·1导尿时心理障碍情况一些男性患者对护士导尿产生心理障碍,往往面红耳赤,下腹部及会阴部肌肉紧张,影响导尿顺利进行,对于病情较急的患者心理障碍影响不大,疼痛和膀胱鼓胀占据了他们的情绪,导尿过程较顺利。2·2偶见女性患者尿道口下裂现象20多年的临床护理工作中,女性尿道口下裂情况见4例。

Objective To evaluate the therapeutic effect of internal iliac arterial chemotherapyduring cystectomy in patients with invasive bladder cancer.

目的 评价膀胱部分切除术中经髂内动脉灌注化疗浸润性膀胱癌的疗效。

Objective To explore the new methods of putting in and withdrowing double J stent without cystoscopy.

目的 探讨不用膀胱镜便可取出输尿管内支架管的方法。

In the whole rats, the following tissues or organs were extracted and fixed in the most appropriated fixator (Bouin liquid or Formalin at 10%) then included in paraffin blocks : all the organs showing significant macroscopic lesions, encephalon (brain hemisphere, cerebellum and annular protuberance), spinal cord, sciatic nerve, salivary glands, esophagus, stomach, duodenum, jejunum, ileon, caecum and colon, rectum, liver, spleen, bone marrow, lymph node close to and at distance, thymus, heart, aorta, trachea, lungs, thyroid/parathyroid, surrenals, pancreas, hypophysis, kidney, bladder, gonad, uterus, mammary glands, epididymis, prostate, eyes, lachrymal glands, bones, skin, thigh muscle and implantation sites (2 per animal).

从整体大鼠内,下列组织或器官提取后用最适宜的固化剂( Bouin 液或10%的甲醛溶液)进行固定,然后包入石蜡块内:所有显示有明显肉眼可见损害的器官、脑髓、脊髓、坐骨神经、唾液腺、食道、胃、十二指肠、空肠、回肠、盲肠、大肠、直肠、肝脏、脾、骨髓、近端和远端淋巴结、胸腺、心脏、主动脉、气管、肺、甲状腺/甲状旁腺、肾上腺、胰腺、垂体、肾、膀胱、性腺、子宫、乳腺、附睾、前列腺、眼睛、泪腺、骨骼、皮肤、股肌以及假体植入部位(每只动物2处)。

Methods:Clinical data of 42 cases of female bladder neck obstruction were retrospectively analyzed.

对42例女性膀胱颈梗阻患者的临床资料和腔内治疗情况进行回顾性分析。

The findings were compared with those in cystogram and at operation. The results showed that B ultrasornd could evaluate the tension of intra urethral sphincter accurately and there by divided the degree of intraurethral relaxation, into mild, moderate and severe, as it was possible to diagnose unequivocally whether the neurogenic bladder of the patients were assocated with ralaxation ofo intra...

结果显示:实时B超能准确的反应尿道内括约肌张力情况,并能根据其肌松弛情况将其分为轻、中、重三度,从而使神经原性膀胱是否合并尿道内括约肌松弛于手术前即可确定诊断,进而术前确定手术方式,可避免部分病人不必要尿道损伤。

Methods: Ureteral suspension, partial vaginal reconstruction and suprapubic cystostomy were performed in the end of radical Wertheim hysterectomy in 110 patients with early cervical cancer.

结果:术后无1例发生尿瘘,术后泌尿道感染发生率为16.36%(18/110),术后膀胱功能在14天内恢复正常者占45.45%(50/110),14天以上者占54.54%(60/110)。阴道重建术后病例的平均阴道长度为8.54cm。

The pelvic nerve of inferior hypogastric plexus originated from the most caudal root of the pelvic splanchnic nerve, running along the surface of the levator ani and passing laterally around the vagina and rectum to enter the sphincter musculature at the 5-o'clock and 7-o'clock positions. 7l.4% of specimens were found intrapelvic branches which were given by pudendal nerve. Before leaving the pudendal canal, pudendal nerve gave an intrapelvic branch that passed the levator ani and accompanied with pelvic nerve to innervate the sphincter when it approached the sphincter. The distance between these intrapelvic branches and the level of the bladder neck was about (12.6±1.6)mm.

结果:控尿神经是由下腹下丛和阴部神经盆内盆外分支组成,其中盆神经是下腹下丛远端盆内脏神经分支,沿肛提肌表面到达尿道5点和7点位。71.4%的标本中发现阴部神经存在盆内分支,此分支自阴部管内的阴部神经主干穿肛提肌进入盆内,大约在接近尿道括约肌时汇入盆神经共同进入尿道括约肌,其进入尿道的位置距离膀胱颈平面(12.6±1.6)mm。

Result: Porosis and inflammatory cell infiltration in the spinal cord, rupture of muscle bundles, hypertrophia and over growth of muscle cells and collagens, and inflammatory cell infiltration in the bladder wall could been seen under HE dyeing. Nissal dyeing showed the decrease of neurons at the injured segment, upper and lower segments of the spinal cord. Result of immunohistochemistry showed there were caspase-3 positive expression in all the segments. The injured spinal cord and bladder expressed significantly more caspase-3 positive results (P.0l), upper and lower segments were lower than the injured segments (P.01), but higher than the control team (P.0l).

结果:HE染色发现脊髓损伤后脊髓内空洞形成、炎性细胞浸润等病理学变化,膀胱壁中可见到肌束断裂、肌细胞肥大增生、胶原增生、炎性细胞浸润等病理学改变;Nissal染色显示脊髓损伤后损伤节段及其上、下节段均出现神经元数量的减少;免疫组化结果表明3组均有不同程度的caspase-3表达,损伤组脊髓和膀胱内膜caspase-3表达较正常组显著增加(P.01),损伤上段及下段caspase-3表达较损伤节段为少(P.01),但均高于正常对照组(P.01)。

The presence of intraperitoneal fluid with a CT density less than that of pure blood strongly suggests extravasated urine in the trauma. Intraperitoneal and extraperitoneal rupture can be distinguished based on location of extravasated urine seen on CT scans.

在创伤情况下,腹膜腔内出现CT值比血液小的低密度液体积聚,强烈提示尿外渗,根据尿外渗的分布范围,CT还可以区别腹膜内和腹膜外型膀胱破裂。

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然而,正如其名字所指出的那样,CD盘不能写,也不能用任何方式改变其内容。

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