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asbryobvrz · Wysłany: Śro 14:05, 16 Mar 2011

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Superselective uterine arterial chemoembolization in the clinical application of advanced cervical cancer

851-853. [2] He can tree, Wu Enhui. Journal of Interventional Radiology Medical Imaging Analysis [M]: Beijing: People's Medical Publishing House ,2005.512-514. [3] Zhang Jinshan. Modern abdominal interventional radiology [M]. Beijing: Science Press ,2000.137-142. [4] Guo Wenbo, YANG Jian-yong, Chen Wei and so on. Uterine artery embolization for uterine fibroids, adenomyosis treatment of a number of issues [J]. Radiology practice, 2001,16 (4): 243 ~ 245. (Received 13: 2007 a o4-05) of acute alcoholism experience of first aid Tu East, Yang Sun L, Du Fang (Central Hospital of PLA, 59 emergency department, Yunnan 661600, China) Key words Alcoholism; emergency 【 ],[drugs can reduce the incidence of sudden death and some complications, patients can also shorten the time in the hospital. Of clinical experience with a few remarks. l performance of acute poisoning poisoning in three phases: (1) exciting period: mainly as facial flushing or pale, conjunctival congestion, dizziness, overexert emotional, moody, etc.; (2) ataxia of: clumsy gait mite Shan, incoherent; (3) sleeping period: clammy skin, rapid heart rate, shallow breathing, rhythm, not the entire, dilated pupils, severe coma, convulsions, incontinence, circulatory failure may be death due to respiratory paralysis, some patients may have low blood acidosis, hypothermia and other manifestations of intracranial hypertension. 2 2.1 General first aid treatment: (1) inhalation toxicity to immediately withdraw from the scene, oral poisoning should protect the airway and prevent aspiration if necessary, tracheal intubation, artificial ventilation; (2) to oral poisoning in 30min no vomiting within 1h, can induce vomiting, drink less may give their juice, green bean soup, eating watermelon,[link widoczny dla zalogowanych], oranges fruit; (3) severe poisoning, coma, should pay attention to whether taking other drugs, first aid focus on life-sustaining organ function, including: protection of the airway is necessary, pay attention to clear respiratory secretions, vomiting, will head to the side, may be given oxygen to maintain circulatory function, attention to blood pressure and pulse. 2.2 Drug Application: open venous channels, may be given intravenous injection of 50% GS; protect brain function: application of naloxone 0.4mg-o. 8mg slow intravenous injection, if necessary, repeat application of 0.5-1h, help to reduce coma; also can add 10% GS500ml 0.8mg1.2mg naloxone infusion of irritability or excessive excitement, could give * 68 * to the short duration of action of the sedative drug stability and avoid the use of morphine, chlorpromazine, phenobarbital class sedatives, so as not to affect the observation of the disease. 2.3 prone to gastrointestinal bleeding in patients with alcoholism, brain injury, to observe, given the appropriate treatment in time, previous heart disease, should be closely observed heart rate, heart rate,[link widoczny dla zalogowanych], blood pressure, protect the myocardial cells and other treatment. 3, also known as ethanol, alcohol experience, is a colorless flammable volatile liquid, with aromatic air,[link widoczny dla zalogowanych], easy and most organic solvents and water immiscible, is a major beverage, is commonly used in medicine and chemistry, thinner, alcohol principal gastrointestinal and respiratory absorption, toxic amount of 75-80ml / times, lethal dose of 250 ~ 500ml / times, the child may 25rnl death fasting healthy adults within 30-60rain after oral absorption of 80% to 90% body ingestion, or inhalation of excessive lead poisoning, caused by central nervous system (CNS) became inhibited by the excited state, a small dose of ethanol for selective CNS inhibitor, and a large dose for the universality of the inhibitors. Ethanol inhibition of brain with the first integration of the region so that the control of cortisol from the integration result of active behavior, as the blood alcohol concentration, neuronal activity inhibited the emergence of the damage occurred. Ethanol can also make pyruvate into lactic acid,[link widoczny dla zalogowanych], reduced gluconeogenesis, blood glucose decreased; the accumulation of lactic acid acidosis and severe patients, deep coma for a long time lying on hard ground or other hard surface tip, skeletal muscle due to prolonged pressure and vascular ischemia, the occurrence of dissolution of skeletal muscle necrosis, skeletal muscle disorders dissolved, and therefore blood myoglobin caused a significant increase in renal tubular blockage can cause acute renal failure. Therefore, the diagnosis and treatment of these patients should be conducted sooner the better, requiring disposal should be given pre-hospital, emergency treatment must not blindly without any handling, it will greatly increase some of the accidents and complications. (Received 13 :2007-02-13)