食管下的

Objective To analyze the causation of short-term re-hemorrhage after the sclerotic therapy to esophagus varicose rupture hemorrhage in order to increase the curability of sclerotic therapy with endoscopes.Methˉods From January1995to June2004,this hospital has made sclerotic medicine to esophagus varicosis patients with the help of endoscopes for573person-times.

目的 分析食管静脉曲张破裂出血治疗后近期内再出血的主要原因，以提高内镜下硬化治疗的成功率方法我院消化内科从1995年1月～2004年6月，使用硬化剂对573例次食管静脉曲张患者行内镜下静脉注射。

Results:A big duck rib was taken out through the esophagoscope with local anesthesia.

结果：在局麻下，于食管镜下作食管异物取出术，完整取出一枚巨大的鸭肋骨。

Objective To assess the effects of self-expandable metallic stents (covered-SEMS) and percutaneous endoscopic gastrostomy in the treatment of tracheoesophageal fistulas.

目的 评估内镜下食管覆膜自膨式金属支架植入术与经皮内镜下胃造瘘术在气管食管瘘治疗中的应用价值。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

To observe the effect of HIF-lα on hypoxia-activatad angiogenesis regulation pathway in esophageal squamous cellcarci- noma.

目的观察体外乏氧培养条件下食管鳞癌细胞系EC9706中HIF-1α和VEGF的表达，探讨HIF-1α在低氧条件下对食管鳞癌血管生成的调控作用。

Methods Thirty-six patients with caustic esophageal stricture were treated with colon interposition,the colon were brought up to the neck by retrosternal route and the esophagus were performed exclusion,four patients with atresic hypopharynx were treated with two staged operations.

采用结肠代食管治疗36例食管腐蚀性瘢痕狭窄的患者，均经胸骨后径路上提结肠、腐蚀性食管狭窄段旷置，4例合并下咽闭锁的病人分两期手术。

colon interposition is an ideal method for treating caustic stricture of esophagus,the strictured esophagus can be excluded,two staged operations treat atresic hypopharynx is worthy to be popularized.

结肠代食管术治疗食管腐蚀性瘢痕狭窄较为理想，食管狭窄段可旷置，分两期手术治疗合并下咽闭锁的术式，值得临床推广。转载于论文联盟 http：//www.lwlm.cn

Objective To discuss the methods and effects of the treatment under endoscope and the courses of massive hemorrhage of upper digestive tract after gastrectomy and esophagectomy.Methods Emergency endoscope ex-amination were carried out in20massive hemorrhage clients after gastrectomy and esophagectomy,after exposed and washed the bleeding part by cold0.9%NS,1∶10000adrenaline and hypertonic saline were injected in perifocal sub-mucosa.After stop bleeding and before move back the endoscope,spray some YunNanBaiYao and thrombase in the bleeding part to prevent secondary hemoorahge.

目的 探讨食管、胃切除术后上消化道出血的原因及内镜下治疗的方法、效果方法对食管、胃切除术后引起大出血的患者行急症内镜检查，用冰冻生理盐水100ml+去甲肾上腺素8mg反复冲洗，暴露出血部位后在病灶周围黏膜下注射1∶10000肾上腺素及高渗盐水，无出血后，退镜于出血部位喷洒云南白药及凝血酶，防止再次出血。

Methods insert the stomach tube nasal cavity, with the help of intubating ferceps, take the stomach tube out of mouth cavity from the posterior wall of dysphagia, insert trachea catheter (cid 7.0~7.5) to esophagus, under the help of trachea catheter, insert the stomach tube to esophagus then take the trachea catheter out of the esophagus and vertical, cutting off, in the course of into esophagus.

经鼻腔插入胃管，用插管钳将胃管从咽后壁前取出口腔外，用id 7.0～7.5的气管导管插入食管，在气管导管诱导下将胃管经气管导管插入食管，然后将胃管向食管内送进，同时将气管导管退出，将胃管置入相当合适的深度后，固定胃管。

Objective:To explore the anesthesia countermeasure of asthma attack among the stretta radiofrequency treatment under endoscope and laparoscopic nissen fundoplication for patients with gastroesophageal reflux disease.

目的：总结胃食管反流病并发&哮喘&的患者在静脉麻醉下经食管射频治疗术和在全麻下腹腔镜胃底折叠手术中&哮喘&发作的应对措施。

This one mode pays close attention to network credence foundation of the businessman very much.

这一模式非常关注商人的网络信用基础。

Cell morphology of bacterial ghost of Pasteurella multocida was observed by scanning electron microscopy and inactivation ratio was estimated by CFU analysi.

扫描电镜观察多杀性巴氏杆菌细菌幽灵和菌落形成单位评价遗传灭活率。