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asbryobvrz · Wysłany: Wto 20:29, 15 Mar 2011

ECG of 60 cases of chronic uremia

Pei-Xiang Zhou Lulin Hospital mussels if Baichen Chun Wei Kang Mingjiang Department 1O our hospital in January 1992 to August 1994, using a 90 SK esophageal dilator (Shanghai Restraints sink three excellent electrical and mechanical technology of the product), on esophageal reconstruction anastomotic stenosis in 28 cases (12 cases in other hospital surgery), esophageal stricture in 4 cases the corrosion injury scar treatment, results were satisfactory. Following a report of clinical data (a) reconstruction of postoperative anastomotic esophageal stenosis group H: 26 males and 2 females, down; age 36 to 76 years old, average 52.9 years old. 9 cases of cardiac surgery, including proximal gastrectomy 8 down, 1 down total gastrectomy (2 stapling down); esophageal cancer, esophageal reconstruction of cervical anastomosis 12 down, the aortic arch anastomosis in 4 cases, aortic arch anastomosis 2 sides,[link widoczny dla zalogowanych], Results Shai on behalf of the esophagus cervical anastomosis 1 down, 4 down after one stapling anastomotic stricture of time: 1 to 2 months after surgery, 18 cases after 3 to 4 months in 8 cases, after 1 2 to 4 years down the size of match H: ≤ 0.3cm7 down, O ~ 0.5cm16 cases, 0.6 ~ O. 7cm3 cases, ≥ 0.8em2 cases. Stricture length: 0.4cm2 down, 0 +5 cm2l cases. O. 6cm3 down, l0cm2 down eating status: liquid feeding difficulties in 7 cases, potential energy consumption of liquid 13 down, semi-liquid have difficulty eating 6 down, semi-liquid food down the esophagus and sometimes poor 2, the number and extent of the expansion: expansion of l ~ 3 tablets 2O spider, expansion of 4 to 5 times in 5 cases, expansion of 6 l cases, no expansion of a successful 2 down; can be expanded into 15ram diameter of the dilator 13 cases, the diameter can be expanded into l2.8mm,[link widoczny dla zalogowanych], 11 down. Expansion of 11ram diameter and 2 cases. (B) of the esophageal corrosive injury scar stenosis group: 4 males; age of l2 ~ 53 years, mean 30 years old upper thoracic esophageal stenosis 2 down, lower thoracic esophageal stenosis 1 down the esophagus into the H stenosis l spider sulfuric acid burns in 3 cases. Wash the toilet fine (acidic) to burn a back injury treatment time was 24 days l cases, March 2 cases. Esophageal stricture 14 months down the length of O. l 3cml down, 7cm2 cases,[link widoczny dla zalogowanych], 9.5cml cases. Narrow width of the esophagus are the O2 ~ 0.3cm, were only slowly consumed liquid. Weight loss, malnutrition Second, methods and results (-) method: half an hour before surgery intramuscular 654-210rag, stability and 10m. Surgery x-ray machine with a TV on. 1 tetracaine anesthetic throat spray, oral liquid paraffin 20ml; set eight dental pad dental pad opening in the catheter or tube placed in F (cut end of the blind pipe) to esophageal stenosis, and then by the catheter or gastric tube into the guide wire, so that by relying on a narrow place, and then exit the catheter or gastric tube; television surveillance in the X-Bow 『guide wire through the boot, the order placement of esophageal dilators, diameters 5ram, 7ram ,[link widoczny dla zalogowanych], 9ram, 1Lmm, l28ram, 15ram. Esophageal dilators ≮ time into uniform force is required to promote sustained, when the expander through the narrow sense of the Department removal when Xi, X ray television shows dilator Department through the narrow end of the metal tags, each to be retained into the expander 5 to 10 minutes of surgery of esophageal standing position that the line imaging, contrast agents should be hospitalized for observation spillover. Feasible interval of two weeks, a second dilatation (b) Results: Esophageal reconstruction in 28 cases of anastomotic stenosis and 2 did not reverse the expansion success, l cases of cervical esophageal junction ogle on behalf of the anastomosis, anastomotic stenosis 0.3cm angular ; the other one down esophagus and stomach aortic arch anastomosis, anastomotic stricture O. H 4cra. Residual esophageal expansion of flexion angle,[link widoczny dla zalogowanych], the guide wire through the anastomosis were not; success rate of 92.8. Esophageal dilatation 1 to 3 times 2O cases, expansion of I ~ 6 times 6 down, the symptoms were relieved 24 back (85. Cool

, the symptoms did not ease the two back, consistent with H by gastroscopy as recurrent cancer. The 24 cases were followed up for 3 to 20 months, can smooth consumption of semi-liquid, which fell to eating normal diet 5. 1 down there supraclavicular lymph node metastases, bone metastases died, and the other died of lung shake down l, coronary heart disease. Esophageal corrosive injury scar stenosis in 4 cases. 3 esophageal dilation 2 fall, expanding 2 2; expansion l2.8 ~ 15ram in diameter in 3 cases, 1 case l2-year-old children extended to 1lmm; after 7 to 13 months follow-up. Able to eat semi-liquid two had no complications of esophageal dilatation of the discussions esophageal anastomotic stenosis Koo 0.5 59 ..., after once again caught in these patients caused by malnutrition, eating difficulties. Because of the economic and physical conditions, many patients can not afford another surgery, and esophageal dilatation performer is simple, less pain, fewer complications, lower cost, good effect. Anastomosis after esophageal reconstruction is to solve H easy and effective way to narrow. The group used a 9o SK