220 cases of upper gastrointestinal bleeding treat

yxfbbiedtj · Wysłany: Pią 18:11, 25 Mar 2011

220 patients on the treatment of gastrointestinal bleeding

It is the acute gastrointestinal bleeding, the diagnostic accuracy within 24 hours was 95, for the treatment of emergency surgery for a summary of the basis can be toxic. Emergency surgery was 4l. Short-term bleeding, continuous blood transfusion 700 ~ 800mI more, those who can not maintain loop stability, previous history of upper gastrointestinal bleeding, the recent measure fork repeatedly vomiting, blood in the stool, with the approval conservative treatment fails, as well as difficult to determine the causes of bleeding continue bleeding the elderly can not readme who required emergency surgery to consider. Such as exploratory surgery found no lesions, and gastric or duodenal blood in there, you can in the stomach greater curvature stomach lesser curvature and between the lower parts of blood vessels, longitudinal incision of the anterior wall of gastric antrum, the stomach the exploration, discovery rl up to 10am or longer more; particularly acute upper gastrointestinal bleeding, should first take active non-surgical treatment, rapid recovery of blood volume, improve microcirculation, anti-shock, improve the body's stress on pay special attention to elderly patients to maintain vital functions, control of bleeding after elective surgery as much as possible to reduce mortality. Need emergency surgery on the machine should be set up here so as not to lose the favorable timing of surgical rescue. (Edit CUI spot) f16. . I type in base directors ±} j mushroom mixture of plastic wire for fL stars observed by the excursion, 6 good, production _--------'. __ --- __ A l'r, Song Rong knee hanging accounted for Jilin City in Hei C, - Hospital -. -. _ A'____ a 1994 to 1095, the author adopts a solid and a procaine-nan Li Duoka (referred to as Leap Taiwan agent) for the thyroid tumor surgery and neck surgery, anesthesia, have achieved good results , the rate set down a total of 8o, M u down, 69 females, the oldest 58 and the youngest 22 years old. Resection of thyroid tumors in which 78 down, 2 down the neck tumor. The longest 125 minutes operation, the shortest time of 30 minutes. 80 cases, the best results in 78 fall, plow down poor in 2. Pour in 2 patients given adjuvant. Used in all c. 80 back The depth of nerve block method. Luminal preoperative intramuscular injection of 0. Moment or the stability of 10mg. After surgery the patient who, supine position, shoulder Xiadian a small pillow, the first light after the arbitration, the head slightly rotated to the left down, it shows that muscle, taking the midpoint of the clavicle in connection with the milk embarrassed point that is c. Cervical transverse process. After routine disinfection with a 10ml syringe and?-Gauge needle, puncture point before the injection of local anesthetic, and then slowly into the skin and the vertical needle, the needle touched C. Gazette Cervical transverse process, stop into the needle, no blood and cerebral spinal Withdrawing forgiveness, slightly lift the needle, with 1 Li Duoka project (10m]) and l procaine solid (10m1) 20ml,[link widoczny dla zalogowanych], containing adrenal claim 4, 1:20 million 5 drops, slow injection 5m]. And needle injection to the neck muscles and subcutaneous words between the back side of the needle, while administration, and then injected 5ml, after operation, with gauze and gently massage for 1 minute to allow the liquid to fully spread. For the left back block 'Jilin Medical Information) l996 No. 9 with the right side of the lag time method. Operation to be started after 5 minutes, etc., given routine intraoperative oxygen. Results: 80 patients with inverted, smooth operation, there is not a case of adverse reaction ', Yu Ping surgery patients, mild traction, little change in blood pressure, heart rate a little faster to catch in the 90 ~ 100 / min, between (possibly increases adrenal Cable reasons). 80 down, 2 down in the secondary too Ecuador Finland 0. Img, down the other 78 were not using any drugs. Experience, by Philip Taiwan agent for the thyroid and neck cancer surgery, anesthesia, anesthetic effects are well received earnings, before a local anesthetic drugs used alone, and sometimes not very satisfactory results. I believe that this can be'·_·_ anesthesia is a '. . . One recent years, the author applied to hibernation One (M), or piperazine different mixture (DP), supplemented by a sodium oxybate, stability, thiopental, and ketamine intravenous anesthesia in intracranial tumors laminate 164 exploratory surgery down. These are as follows: 1 General Information 'rate group 164 down, down male and 88 female aged 14 years 76 cases of 1 to 67 years. Surgical diseases in Table I, A surgery in Table 2. Back surgery lame wrap ll64 Lou seed number of articles spider z-hour anesthesia 2I 195574ll52 heir according to the patient does not age, body mass and blood pressure, etc. were selected based hibernation No. 4 ~ 6mI (89 patients) or piperazine different station agent 4ml (75 down) with a sodium oxybate 80 ~ 100rag · kg or diazepam 0.4mg · kg slow intravenous injection, respectively, pharyngeal surface anesthesia after endotracheal intubation. 2.2 The one-time intraoperative sodium oxybate, sodium thiopental, stability and cross-graded ketamine intravenous general anesthesia was maintained to keep quiet and not move I rate the patient group had u down low concentration of enflurane combined with intermittent inhalation. Wine container fungus anonymous i Pi e, if. l of a cricket II __-l. ● ●