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Dołączył: 03 Mar 2011
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 Wysłany: Nie 20:16, 20 Mar 2011 Temat postu: timberland shoes bus msw swi fdj |
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5 cases of arterial injury bone surgical treatment
Healthy sites to be blocked blood vessel profile. After the trim to the intima of free Nan complete. Consistent edge formation, see injury of blood vessel segment is I_5cm. Taiwan hit by 71o line end to end without injury to kiss Taiwan, Taiwan Tension unobstructed suitable kiss immediately after the see-like artery, popliteal artery, dorsalis pedis arterial pulse recovery. Physical transfer temperature. Degree of capillary filling of less than 3 seconds after l hour. See body circulation improvement. 3 Discussion 3.1 The diagnosis of external iliac artery injury see as artery, popliteal artery, dorsalis pedis artery disappeared. Limbs cold, prolonged capillary filling characteristics, although the diagnosis is not difficult, but can not be ignored, should be carefully listened to history. Attention to the amount of shock and signs of low blood pit. Understand the injury site, degree of crush injury of exploration, direction, limb ischemia without signs of severe shock when more does not permit the neglect femoral artery,[link widoczny dla zalogowanych], dorsalis pedis pulse is present. 3.2 The external iliac artery injury should be actively rescue delayed rescue, even if the patient after surgery for hip relief. Solid insufficient blood supply can also cause split Irl difficult to heal. Should make up a large number of rapid transfusion blood volume transmission Lang, reducing the duration of shock, quickly to surgical exploration, external iliac artery dissection need bricks quiet, do not mess with clamp clips, blind stop the bleeding. Anatomy of the normal distance of free vascular injury to the vascular segment to be sufficient. Can play the role of control and block blood flow, blood vessel damage repaired section. Determine what the correct fix is essential. 3.3 The external iliac artery injury repair large diameter artery injury. Zhejiang Practical Medicine should be Volume 2, 1997 4 full anatomy of free vascular injury section, determine the length of vascular injury. Such as thrombosis, intimal injury less than 2cm, tension appropriate, can be end to end kiss sets, such as ultra-2cm,[link widoczny dla zalogowanych], vascular tension there, should be taken cold from the vein graft repair. Endometrial vascular anastomosis must be complete. Green decadent anastomosis formation, generally using sharp scissors, a scissors together. In addition also to prevent the vascular adventitia of loose connective tissue surrounding a cavity into the lumen debate floating objects. Platelet Adhesion set and led into the endovascular removal, before the vascular anastomosis. Need to be apron-side yo O. Oh 5ram within the scope of the outer membrane surface of the Ryukyu pine vascular tissue, blood, etc. cleaned ridge suture needle must be accurate. Decadent uniform stitch length and tension appropriate to prevent the distortion, can be 710 ~ 9f0 suture suture without damage. Such as vascular injury over the shortage of 2cm, the tension is too large. Should saddle autologous saphenous vein graft material for the ideal. Selection and vascular anastomosis Irl Irl diameter similar vein. Requires few branches, path straight. Remove the vein will reduce the occurrence of natural, should take slightly longer than the length of the actual shortfall for the arterial grafts, the direction should be reversed vein graft. Remove the vein. Expansion pressure can be applied Lang termination by cramps, and then expand the diameter transplant. 6. 7 'progesterone furosemide therapy clinical observation of 48 cases of ureteral calculi Dongyang City, Zhejiang Province People's Hospital (322100) Yan Caiying urinary tract stones are common diseases of urinary system, the conventional drug therapy in the treatment Integrative letter lonely rate is low. The last 3 years our department and progesterone associated with furosemide treatment of ureteral calculi Taiwan achieved satisfactory results. Management reports as follows. l clinical data from March 1993 to March 1995, l2 pulled Division received 88 cases of any of ureteral stones. And patients were randomly divided into two groups. Observation group of 48 cases. 30 men down, women training down, the youngest l9 years old, maximum 72 years. The control group averaged 36.24 years of age 40 cases. Male 29 down. Female children back, the youngest 20 years old. Maximum 68 years. The average age was 35.2 years. All patients had typical or atypical clinical symptoms and signs. And abdominal plain film or static squint pyelography examination. Or B ultrasound diagnosis of ureteral stones, stones are less than [0ram × 10mm. Heart disease, lung and kidney functions are normal, no significant renal pelvis, ureter expansion, and enough building blocks, etc. 7 'treatment: the control group. Intramuscular injection of progesterone 20ragl days 2 times. 654-2 injection l0 ~ 30rag plus intravenous fluids seep Note A day 1,[link widoczny dla zalogowanych], 20 g l row of stone granules bark. 3 day barking. Each course of treatment for l0 days, if necessary, repeat a course of study group. In addition to the same drugs used outside the control group. Total daily infusion 2000ml,[link widoczny dla zalogowanych], requires faster infusion, 4 hours, losers, complete infusion of furosemide intravenous injection immediately 20mg, daily bark l, l0-day and ten treatments. Stones after discharge, and disable the transmission speed of feces commandment to observe the l ~ 2 days after discharge. This group of patients did not occur in the course of treatment of drug toxicity. In the course of treatment every 3 days Racha l B-bark to observe the movement of stones. Vice intense unbearable pain patients when other drugs are injected in vain Lengding symptomatic treatment. 2 results of the observation group: 48 to 36 fell down in the course of ten stones discharged,[link widoczny dla zalogowanych], the discharge rate of 75%, expulsion time from a minimum of 3 days after treatment. Dy magnet swing attack Titongruifu
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