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1.
本文观察46具尸体的胃后动脉、静脉,其结果:①胃后动脉出现率为71.7±6.6％,②胃后动脉起始处外径成人平均为1.81±0.52mm,儿童平均为0.98±0.25mm;终末部外径成人平均为1.45±0.48mm,儿童平均为0.75±0.23mm;胃后动脉长度成人平均为32.89±7.37mm,儿童平均为14.8±5.6mm,③胃后静脉出现率为56.5±7.3％,④胃后动脉距腹腔干平均为29.27±15.19mm,胃后动脉距贲门平均为14.59±7.23mm,胃后静脉汇入脾静脉或脾静脉上极支处距门静脉平均为22.49±12.6mm,胃后动脉多有胃后静脉伴行,静脉以1支为多见。 相似文献
2.
Zuo-bing CHEN Zhong-yan LIANG Yun ZHANG Shao-yang ZHANG Shu-sen ZHENG 《Journal of Zhejiang University. Science. B》2010,11(1)
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure widely used to diagnose and treat conditions of biliary or pancreatic ductal system. The post-ERCP severe acute pancreatitis (SAP) accompanied with duodenum perforation is rare but serious, remaining a challenge in clinic. In this study we report two such cases. Two Chinese women were treated for clinical suspicion of bile duct obstruction and underwent ERCP after admission. Both developed duodenum perforation and SAP after ERCP, and were ... 相似文献
3.
Zuo-bing Chen Zhong-yan Liang Yun Zhang Shao-yang Zhang Shu-sen Zheng 《Journal of Zhejiang University. Science. B》2010,11(1):17-21
Endoscopic retrograde cholangiopancreatography (ERCP) is a procedure widely used to diagnose and treat conditions of biliary
or pancreatic ductal system. The post-ERCP severe acute pancreatitis (SAP) accompanied with duodenum perforation is rare but
serious, remaining a challenge in clinic. In this study we report two such cases. Two Chinese women were treated for clinical
suspicion of bile duct obstruction and underwent ERCP after admission. Both developed duodenum perforation and SAP after ERCP,
and were managed in the intensive care unit (ICU) and required an organ-failure support. The surgical intervention of the
peri-pancreatic debridement with lumber-abdominal compound incisions and postoperative washing and drainage was performed,
and the two patients recovered well. The therapeutic effect of the peri-pancreatic debridement with lumber-abdominal compound
incisions combined with postoperative washing and drainage in the patients of severe post-ERCP-pancreatitis (PEP) and duodenum
perforation is satisfactory. 相似文献
4.
Study progress on mechanism of severe acute pancreatitis complicated with hepatic injury 总被引：4，自引：0，他引：4
Study on the action mechanism of inflammatory mediators generated by the severe acute pancreatitis(SAP) in mul-tiple organ injury is a hotspot in the surgical field.In clinical practice,the main complicated organ dysfunctions are shock,res-piratory failure,renal failure,encephalopathy,with the rate of hepatic diseases being closely next to them.The hepatic injury caused by SAP cannot only aggravate the state of pancreatitis,but also develop into hepatic failure and cause patient death.Its complicated pathogenic mechanism is an obstacle in clinical treatment.Among many pathogenic factors,the changes of vasoac-tive substances,participation of inflammatory mediators as well as OFR(oxygen free radical),endotoxin,etc.may play important roles in its progression. 相似文献
5.
Study on the action mechanism of inflammatory mediators generated by the severe acute pancreatitis (SAP) in multiple organ injury is a hotspot in the surgical field. In clinical practice, the main complicated organ dysfunctions are shock, respiratory failure, renal failure, encephalopathy, with the rate of hepatic diseases being closely next to them. The hepatic injury caused by SAP cannot only aggravate the state of pancreatitis, but also develop into hepatic failure and cause patient death. Its complicated pathogenic mechanism is an obstacle in clinical treatment. Among many pathogenic factors, the changes ofvasoactive substances, participation of inflammatory mediators as well as OFR (oxygen free radical), endotoxin, etc. may play important roles in its progression. 相似文献
6.
目的分析上消化道出血胃B超图象特征,探讨B超对上消化道出血及其病因诊断的意义.方法;选择上消化道出血活动期的位院患者49例,分别于空腹及饮水后依次探查贲门、胃体、胃窦、十二指肠及其邻近器官,记录图像,并结合内镜病理及X线结果进行分析.结果49例中.B超检出相关疾病41例,命中37例;检出率及准确率分别为83.7%和75.5%,X线报告32例,命中29例,检出率及准确率分别为65.3%和59.2%,统计分析结果显示该两种检查方法有显著差异(P＜0.05).结论B型超声可作为上消化道出血病因诊断较可靠的方法. 相似文献
7.
目的：探讨急性酒精中毒患者的护理效果。方法：回顾性分析该院急诊科2013年6月至12月收治的35例急性酒精中毒患者的救治和护理效果。结果：35例急性酒精中毒患者,有31例均在急诊科1~2天内治愈;2例并发胃出血、1例并发吸入性肺炎、1例并发右上肢桡骨骨折,经抢救病情稳定后转科。另外,针对不同的患者,采取了不同的护理措施,均获得了满意的效果。结论：急性酒精中毒患者除了应紧急抢救,防治并发症之外,还应加强对患者的护理,这不仅能提高治疗效果,而且能增强患者的生活信心,提高生活质量,有助于控制和预防复发。 相似文献
8.
《Learning and Instruction》2007,17(1):42-54
Effects of guided (GI) and direct instruction (DI) in solving subtraction problems for mathematically low performers in regular schools were compared. In the GI condition, self-development of solution procedures was encouraged whereas in the DI condition one prescribed strategy was to be used. Forty children (Mage = 9.3 years) were trained during 34 lessons. Only girls performed better and showed higher comfort in the GI than in the DI condition. Results are explained in terms of girls' increased motivation in the GI condition, which could be explained by assuming that a more constructivist setting is more conducive to girls' learning. 相似文献
9.
Jin-ming Chen Jin Lv Kai Ma Jing Yan 《Journal of Zhejiang University. Science. B》2014,15(10):864-869
The occurrence, bleeding, and treatment of internal mammary artery (IMA) injury after blunt chest trauma have not been well described in the literature. We reviewed articles published from July 1977 to February 2014 describing IMA injury after blunt chest trauma in 49 patients. There was a predominant incidence in males and on the left side. Blunt trauma to the IMA can cause anterior mediastinal hematoma, hemothorax, pseudoaneurysm, arteriovenous fistula, and extra-pleural hematoma. Of the 49 patients studied, 20 underwent embolization, 22 underwent surgical operation, 4 were managed by clinical observation, and 3 had undescribed treatment. Different parts and extents of IMA injury, adjacent vein injury, as well as the integrity of the pleura determined differences in bleeding modality. Prompt diagnosis, complete hemostasis, aggressive resuscitation, and multidisciplinary teams are recommended for patients with IMA injury. 相似文献
10.
Xi-ping Zhang Han-qing Chen Fang Liu Jie Zhang 《Journal of Zhejiang University. Science. B》2009,10(7):493-498
During the development and progression of severe acute pancreatitis (SAP), conspicuous immune dysregulation develops, which is mainly manifested as excessive immune response in the early stage and immunosuppression in the late stage.This process involves complex changes in a variety of immune molecules and cells, such as cytokines, complements, lymphocytes,and leukocytes. With the gradual deepening of studies on the development and progression of SAP, the role of immune dysregulation in the pathogenesis of SAP has attracted more and more attention. In this article, we review the advances in research on the immune dysregulation in SAP and the immunotherapy of this disease through exploring the formation of excessive immune response and immune suppression as well as their mutual transformation. 相似文献
11.
Mechanism of acute pancreatitis complicated with injury of intestinal mucosa barrier 总被引：4，自引：0，他引：4
Acute pancreatitis （AP） is a common acute abdomen in clinic with a rapid onset and dangerous pathogenetic condition AP can cause an injury of intestinal mucosa barrier, leading to translocation of bacteria or endotoxin through multiple routes, bacterial translocation （BT）, gutorigin endotoxaemia, and secondary infection of pancreatic tissue, and then cause systemic inflammatory response syndrome （SIRS） or multiple organ dysfunction syndrome （MODS）, which are important factors influencing AP＇s severity and mortality. Meanwhile, the injury of intestinal mucosa barrier plays a key role in AP＇s process. Therefore, it is clinically important to study the relationship between the injury of intestinal mucosa barrier and AP. In addition, many factors such as microcirculation disturbance, ischemical reperfusion injury, excessive release of inflammatory mediators and apoptosis may also play important roles in the damage of intestinal mucosa barrier. In this review, we summarize studies on mechanisms of AP. 相似文献
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In this paper, an improved gradient iterative （GI） algorithm for solving the Lyapunov matrix equations is studied. Convergence of the improved method for any initial value is proved with some conditions. Compared with the GI algorithm, the improved algorithm reduces computational cost and storage. Finally, the algorithm is tested with GI several numerical examples. 相似文献
14.
Severe acute pancreatitis (SAP) is a common acute abdomen clinical problem characterized by high mortality, multiple complications, complicated pathogenesis and difficult treatment. Recent studies found traditional Chinese medicine (TCM)monomers have markedly good effect for treating SAP. Many TCM monomers can inhibit pancreatin, resist inflammation, improve microcirculation and immunoloregulation, etc. to block the pathological progress of SAP in multiple ways, reduce complications and lower mortality with rapid effects. It is significant for enhancing SAP treatment to deeply understand the current situation in TCM monomers for treating SAP and take precious references therein. This article summarizes the treating effects and mechanisms of TCM monomers for SAP in recent years. 相似文献
15.
Study progress in therapeutic effects of traditional Chinese medicine monomer in severe acute pancreatitis 总被引：8，自引：0，他引：8
INTRODUCTION Severe acute pancreatitis (SAP) is one of the three main acute abdominal problems always ac-companied by multiple-system and multiple-organ impaired function or failure. Its onset and develop-ment are characterized by rapid changes, complicated illness state and difficult treatment. With the con-tinuous development of the traditional Chinese medicine industry in recent years, it is proved that traditional Chinese medicine (TCM) monomers monomers have a marked effect for … 相似文献
16.
He H Huang JQ Ping FY Chen GF Zhang SZ 《Journal of Zhejiang University. Science. B》2007,8(10):704-708
Objective: Microcapsule chemoembolism is a promising treatment of tumors. We describe a deep lingual arterial embolization of tongue carcinoma with microcapsuled carboplatinum. Methods: Lingual artery cast specimens from cadavers were microscopically examined, and 78 patients with tongue cancer were recruited and treated with the deep lingual arterial embolization therapy. Results: Microcapsule embolism occurred approximately at the fifth or sixth level of the deep lingual artery branches. The five-year survival rate was 88.5% (69 out of 78), and the ten-year survival rate 52.6% (41 out of 78). Conclusion: The deep lingual arterial embolization of tongue carcinoma with microcapsuled carboplatinum is an effective therapy to treat carcinoma in mid-margin or mid-body of the tongue. 相似文献
17.
秦俊玲 《襄樊职业技术学院学报》2014,(5):35-36
目的观察子宫动脉栓塞术治疗子宫肌瘤的疗效。方法采用seldinger’s方法作选择性子宫动脉栓塞。结果双侧子宫动脉栓塞可完全阻断子宫肌瘤血供。治疗后随访结果表明,肌瘤均比治疗前缩小,月经周期恢复正常,经量增多、贫血症状均明显改善,总有效率达100%。结论子宫动脉栓塞术治疗子宫肌瘤创伤小,并发症少,治疗效果好,是值得推广应用的好方法。 相似文献
18.
本文是对急性胰腺炎血浆内毒素含量测定的前瞻性研究,共观察患者24例,入院时病情按 Ranson 指标分为轻、重二组并随机分为常规治疗组与加用中药清下方的中西医结合治疗组。对各自血浆中的内毒素含量进行组间及治疗前后对比,并以50名正常人作为对照组。结果显示:急性胰腺炎病例血浆内毒素含量为:0.174±0.123Eu/mL;正常对照为:0.0785±0.027Eu/mL,二者差异显著(P<0.05)。按病情分型,轻型组内毒素含量为:0.160±0.099Eu/mL,而重型组则达:0.261±0.169Eu/mL,两组间也有显著差异(P<0.05)。经中西医结合治疗可使血浆内毒素含量明显减少(P<0.05).但常规治疗前后的差异不明显(P>0.05)。研究表明:急性胰腺炎时可使血浆内毒素水平明显升高,其含量与病情的轻重程度关系密切。在常规治疗中加用中药清下方则有使血浆内毒素水平降低的作用。 相似文献
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燕桂芹 《泰州职业技术学院学报》2011,11(4):50-52
目的探讨对急性重症胰腺炎患者应用鼻肠管进行肠内营养的作用。方法收治确诊为急性重症胰腺炎的20例患者,入院3-5天均经鼻置入鼻肠管实施肠内营养,并进行针对性个性化护理,严密观察病情变化。结果肠内营养18例,2例并发ARDS后死亡,营养时间10—14天,出现恶心、呕吐、腹胀、腹痛15例,经对症处理均能忍受,1例因不能耐受将肠内营养改为胃肠外营养,2例伴假性囊肿带管出院。结论急性重症胰腺炎患者应用鼻肠管进行肠内营养不仅有助于保持患者肠粘膜的结构和功能的完整性,还有助于胰腺自身的修护。故给予患者实施肠内营养时,合适时机的把握、营养制剂的选择、输注方式及适时护理等皆对SAP患者治疗的效果及并发症的出现有很大影响。 相似文献