 Wysłany: Sob 4:38, 26 Mar 2011 Temat postu: Diagnosis and treatment of renal trauma (43 cases) |
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| Diagnosis and treatment of renal trauma (43 cases)
Ultrasonic diagnosis. Liberation Medicine. 1987; 123,333 Zhao requirements. Yan Peirong. Yang Yue-Wei. And so on. Pedicled omentum color too rupture of renal clinical treatment of kidney patients. Urology. 1999; two eighty-three (income Po Date :1999 -06-11) and Analysis of sonographic features of intussusception Sheyang County People's Hospital, Room 13 super (224300) WANG Lian one of intussusception is a common acute abdomen. Occur in children under two years of age, the shoulder is a common intestinal obstruction due to a child. Abdominal pain, bloody stool, abdominal mass is typical of the three symptoms. Adults have chronic recurrent intussusception. The causes are often associated with intestinal polyps and other shoulder swollen bundle access to the information related to the change, the use of B-diagnosis of intussusception reports are rare. Now in our hospital over the past few years by the B, surgical pathology and X-ray barium examination of 33 patients diagnosed with intussusception collated. Reported as follows: 1 Data and methods 18 males and 15 females, are our hospital emergency room patients. 5 sides including adults,asics australia, children 28 cases. The oldest 69 and the youngest of 7 October. The average age of 17 years. Course of 1 week to 1 years. Instrument RT a 2800, EuB a 27 type. The use of convex Zhenshi or line Zhenshi ultrasound scanner, the probe frequency 3.5MHz. Required 8 hours of fasting, and check multi-directional scanning. Necessary to change position. Probe pressure. Grams of surplus water and bladder are often the first amidine employed outside the abdominal cavity and whether the abnormal presence of gas or liquid of 33 parts of 2 results fall schedule in patients with intussusception. Exploration and size were not homogeneous, ranging from the mass, the largest up to 5.5 × 42X62cm, the smallest for the 3.4 × 2.0X2.3eraB diagnosed as 30 cases of intussusception. 1 case of chronic intussusception mistaken for abdominal inflammatory mass. 2 cases mistaken for intestinal placeholder, ultrasound diagnostic accuracy rate was 90.9. Misdiagnosis rate was 9.1. The reason for adult intussusception. 3 cases the tumor is causing. 1 case of recurrent intussusception due to intestinal polyps. 1 case of non-pathological factors. 7 cases of intussusception in patients with varying degrees of ascites, the pathology of malignant ascites in 2 cases. 5 cases of inflammatory exudate. Overlaying part of Annex. Precise ultrasound in 5 cases. Side of the base rate of exactly 19. Inaccurate in 9 cases. And the basic right the right side of 24. Accounted for 73.3 to discuss their place of intussusception can be divided into many types of parts. The more common is the ileum. Colon, a colon-type ileum cecum. Followed by small intestine, intestinal and colon of a colon type. This is consistent with the results reported in this paper. Therefore, overlaying the formation of lumps (abnormal echo area) are often biased towards the right side of the abdomen. Its typical sonographic changes can be summarized as follows: ① When cross-section. Abnormal echo interleaved echo strength regions can be formed holding out the intestinal lesions. All the patients in this group are typical or not typical The well did not stop the secretion of intestinal transit - hence the phenomenon of intestinal fluid retention section imaging, the proximal bowel obstruction expansion. Longitudinal anechoic tube display multiple pieces of dark areas. Gardens in cross-sectional shape when no echo was dark areas. In the backdrop of intestinal fluid, semi-ring can be seen intestinal folds. In the ③ severe obstruction. gastric lumen fluid retention can be seen. crossing the enhanced gastric motility. ① ultrasound to see the intestinal fluid, but no bowel movement and abdominal echo within the liquid should be considered when there is intestinal strangulation or the possibility of mesenteric thrombosis The 7 patients with ascites. In addition to 2 cases of malignant ascites, patients with more than s have different degrees of intestinal necrosis. intussusception solid sound image with a certain specific changes. that is the target-shaped mass with echo Commerce center and periphery under the ultrasonographic hypoechoic change. detailed and accurate analysis of history, the ultrasound diagnosis is not difficult to make. According to bowel dilatation. intestine, abdominal wall thickness t is fluid. peristalsis status can determine the severity of . to provide an objective basis for treatment. However, the adverse Ultrasound is mainly due to tangled or intestinal gas and more distal intestinal intussusception effusion - a typical negative image display. easily missed. At this point, it is very important to clinical. Clinical that the diagnosis of intussusception should remain the preferred method of X-ray examination - it can clearly show the lesion, the overall shape and dynamic changes, and the gray-scale ultrasound has the advantage of rapid, easy, no pain. indicate that the disease generally Results} hook, in particular, rates of disease suspected mass unclear meaning touch. B-ultrasound should be the preferred method. the order will be ultrasound and x-ray barium examination with chao. can improve the diagnosis of intussusception in Sri Lanka surgery level. |
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