 Wysłany: Pią 18:35, 25 Mar 2011 Temat postu: Abortion uterine rupture caused by avulsion of the |
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| Abortion colorectal left uterine rupture caused serious case of avulsion necrosis
Sub-case of preoperative preparation, when severe abdominal pain. Home has been pain with nausea, vomiting immediate laparotomy. Spit a large number of old intra-abdominal, vaginal foreign body conscious prolapse, after 8 hours after acute thin blood spills suction probe, see the end of the uterus and left to the hospital clinic. Lateral horn are rampant crack, left broad ligament hematoma, necrosis of the examination: T57.7 ℃, P90 / min, BP, within the upper part of the sigmoid colon off, well embedded in the rectum the uterus 9. s/6Kra poor general condition, shortness of breath, vaginal prolapse was through pension, the entire descending colon muscle tear pulp face severe anemia, heart and lungs without the change, slightly bulging belly, off, expansion of necrotic bowel, uterine peritoneal fold broken rectum whole abdominal tenderness, rebound tenderness, muscular tension exists. Percussion was split shift, the upper rectum is also avulsion necrosis. Activity dullness. Auscultation gland beep away. Gynecological Examining the vulva has been retained bilateral annex, the conventional subtotal hysterectomy. Marriage by the middle type, emerge from the shade was about to remove necrotic bowel necrosis fracture of left colon, the colon moving in the protection of 30cm, mixed with fecal odor. Thin veins of red blood test cases, the full orange solution transverse colon, in the right lower quadrant cell 3.0 × l0n / L, hemoglobin 9.0, the Ministry of stoma WBC, will bring tension to the abdominal colon,tory burch shoes, the transport layer of joint units shed the first head of the troubled mine, right foot acridine Yao Shu five solid stack. · 7l · fixed (made of artificial anus angioplasty). After uterine specimens: 6 × 4 × 3 ~ rtls size, intimal smooth, soft quality, no signs of pregnancy, the uterus was cut after the two-sheet, muscle wall thickness of about 0.6cm. The next day after removal of the external of the necrotic bowel, after fasting, gastrointestinal decompression, anti-inflammatory, blood transfusions, rehydration therapy and other integrated units in hospital 25 days, patients with artificial anus normal bowel movements, iJAiJ ~ take care of themselves, discharged. ,, A / / phentolamine in patients with respiratory difficulties l2 7i, dead city MCH Fuyu Fuyu Zhai Qing Guang Lu-chu City Hospital, a King I ... ------ phentolamine treatment of asthmatic lungs have been affected Clinical Medicine IV, mitigation and treatment. Immediately discontinued, symptoms commonly used by teachers on their outstanding efficacy were reported slightly more like a half-hour self-relief, symptoms are many and its side effects during treatment reports give oxygen, Dong Mianling that more sets of non- 3O less after treatment agent, now we encountered caused by the phentolamine minutes to 2 hours after the symptoms relieved or disappeared. Nasal congestion, dyspnea in 12 patients following five discussion: receptor antagonist phentolamine as a -, Clinical Information Section: This group of 12 patients, 8 males, agents, direct relaxation of vascular smooth muscle can a small dynamic women 4 cases, 7 guillotine within 6 months, 6 months to 5 connections, so that peripheral resistance to the sea, to reduce the negative cardiac patients before and after the youngest of 23 days, the maximum l5 months. The Netherlands, increased tissue blood flow, improve microcirculation, so use =, clinical manifestations: All patients had a different way in the treatment of asthmatic patients with pneumonia complicated by heart failure. Occurred degree fever, cough, asthma, I: l lip cyanosis, difficulty breathing mechanism of the nose fan in children cunning narrow nasal mucosal blood move, lungs full of wheezing, chest radiograph showed increased lung markings double. Pipe rich vasodilation after treatment, causing nasal obstruction, by the strong, fuzzy or a little flaky shadows. Increase in nasal dysfunction of pulmonary ventilation in children is Table III, means love clams drugs observations: All the patients currently irritability, difficulty in breathing. Were treated with antibiotics at the same time plus phentolamine 0.5 observed by this group of cases, we understand; a 1mg/kg / times, by the dosing pot drip infusion tube, each prone to younger children the above symptoms, medication should be careful at 1 or 2 times, each time a large number of not more than Sheng 8mg, with heavy, especially newborns, can be a slightly larger dose drug 3 ~ l5 minutes after the main clinical manifestations in children are symptoms, dose reduction to alleviate the symptoms, so the application of nasal congestion in children, irritability, increased difficulty breathing, sweating, small doses when the dose should be appropriate. The number of drugs on facial flushing with duration of 2 hours. No significant correlation between symptoms of drug references. I believe that the first occurrence of the asthmatic symptoms of pneumonia, 4 cases of secondary drug combination appears to be in the normal heart sad Shike Jia treatment failure in 4 cases with the symptoms, medication symptoms 3 to 5 times the 4 drugs, and should not be as a regular administration. r cases. 4J-c, 7 - chu lack of one meal bead 7 / ~ 777, ATP caused two cases of arrhythmia k ,,]'。 / Management Medical and Health Department prior to help cities Akihito Hospital, Sun Huiping Sun Huiqing cases from the Abstract: Case 1, the patient population ×, female, aged 36, Han, workers, hospital No. 107321, for anemia in patients 91 May 22 Japanese homes, people One body of blood pressure when the hospital 12 [8KPa, pulse 72 beats / min, anemia appearance, |
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