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Wysłany: Czw 4:01, 10 Mar 2011 Temat postu: mulberry bags nmg kts ujg ybm |
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Endoscopic biliary drainage catheter of the prevention of severe acute pancreatitis A prospective study
dt ,[link widoczny dla zalogowanych], also demonstrate the severity of AP and bile into the pancreatic duct pressure and time are closely related. Sontoh States 12,309 cases of Statistics AP base in Japan found that only l2.9% eventually develop into SAP, but about half of cases have occurred only after 48h in the pathogenesis of more than 1 critical indicators, such as shock,[link widoczny dla zalogowanych], difficulty breathing, little or yellow Gangrene ,[link widoczny dla zalogowanych], etc. , indicating the development of the SAP AP there is a time process. I believe that : AP into SAP at least to appear the following conditions exist : ① common in patients with anatomical channels ; ② common channel because of impacted stones or sphincter spasm and blocked ; @ common channel is blocked at the confluence of the Department to maintain mutual pancreaticobiliary Communication, bile , pancreatic juice may interact with upstream ; ④ pressure higher than the pancreatic duct pressure, and maintained long enough or because of vomiting when the cause of cyberspace have high volatility , the bile duct upstream of people , the lack of any of these factors can reduce the AP Critical of the opportunities. Yi may be the vast majority of clinical development for the SAP AP will not be the reason . The study found , ENBD the treatment group had significantly lower proportion of patients with SAP control group,[link widoczny dla zalogowanych], that can effectively block the AP ENBD Hepatobiliary and Pancreatic Surgery owl spleen . 1995 12 4 Volume 1, the severe process . ENBD on the AP does not translate into patients with SAP treatment also significantly better than the control group ENBD invasion of humanity is f minor treatment , pain does not affect the other treatments , patients tend to D : acceptable and inexpensive. ENBD the process of blocking the mechanism of severe AP : nasal biliary drainage catheter can be part of bile , thus reducing the amount of bile reflux eight pancreas ; round nose can be incarcerated in the bile duct of small stones pushed the common channel , and its anti- i Bu Again into eight of the ENBD , as a small invasive treatment. Can effectively block the process of severe AP , but AP 's treatment of light is obviously superior to the traditional treatment of the prevention of severe AP ,[link widoczny dla zalogowanych], AP to improve the prognosis of an effective means of reducing the mortality rate .
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