1、方法回顾性分析中国广州中山大学第一和第三附属医院从1996年5月至2005年4月收治的454例肝移植患者的临床资料,病例组入选标准:(1)行尸肝供体原位肝移植病人;(2)术后出现脑出血;(3)所有病例均经头颅ct或mri检查明确诊断;(4)术前有过脑出血病史者不能入选。Method the clinical data of 454 patients who underwent liver transplantation in the first and third affiliated hospital of sun-yat sen university of guangzhou, china
2、, from May 1996 to April 2005, were retrospectively analyzed. The criteria for the selection of patients were as follow: ( 1) the patients after orthotropic liver transplantation of dead donor; ( 2) intracerebral hemorrhage after liver transplantation; ( 3) all patients diagnosed by head CT or MRI;
3、( 4) patients with intracerebral hemorrhage before liver transplantation were excluded.本文阐述了在泌尿外科学教学中应用标准化病人的优势,并总结了培训泌尿外科学标准化病人的经验,从招募、入选标准及训练目标、具体培训方案等方面,较为详细地描述了泌尿外科学标准化病人的培训方法。In this article, the advantages of urology sp were summarized. And the training experience of urology sp was reviewed, i
4、ncluding the recruitment way, adoption standard, training objective and the program details, etc.结果36例患者经右侧进胸,3例经左侧进胸;胸腔镜下完成手术者38例,1例术中发生食管黏膜破裂,予以开胸行食管黏膜修补术。Results video-assisted thoracoscopic leiomyoma enucleations were performed in 38 patients, and one patient was converted to thoracotomy to repa
5、ir the esophageal mucosa because of mucosa rupture during the operation. Thirty-six patients were treated through the right chest and the other 3 cases through the left.2.我们提出一位66岁男性病人,因为接受亚全胃和迷走神经切断切除手术后,引起左侧乳糜胸,先给予保守性治疗无效后,经由右侧胸腔镜辅助下,予以手术金属夹夹住胸管后,病人乳糜胸未见改善。We described a 66-year-old man who develo
6、ped left chylothorax resulting from subtotal gastrectomy and vagotomy. Conservative treatment was tried first. Then, surgical intervention through right-sided videoassisted thoracoscopic surgery with clipping of the right thoracic duct was performed, but failed.3.目的探讨电视胸腔镜手术(vats)右侧进胸,经后纵隔顶部入左胸腔,同期治
7、疗双侧肺大疱的可行性及疗效。Objective to evaluate the feasibility, efficacy of the right-sided video-assisted thoracic surgery ( vats) apico-posterior transmediastinal approach for large blebs at the apes of both lungs in single-stage.纳入标准:具备正常的认知能力,无慢性精神疾病史。排除标准:胸腔镜辅助下搭桥、小切口微创搭桥及伴随其他手术如换瓣的患者。Those with normal co
8、gnitive ability without history of mental disorder were included, and those subjected to video-assisted coronary artery bypass, minimally invasive direct coronary artery bypass or other surgery such as heart valve replacement were eliminated.1.记录术前血氧饱和度、血红蛋白水平和心率。Preoperative oxygen saturation, hemo
9、globin levels and heart rate were recorded.整个手术过程动脉血氧饱和度维持在100%。The arterial o2 saturation was well maintained at 100% throughout the whole course of surgery.结果牵引中5、10、20min与牵引前血氧饱和度分别经t检验,p均Results there were significant differences between the oxygen saturation of blood at the 5th, 1.4.bas后动脉血氧饱和度
10、(sao2)由0.530.14上升至0.740.11。It was found that bas resulted in a significant increase in arterial oxygen saturation ( sao 2) from 0 53 0 14 to 0 74 0 11 ( p5.观察两组术后肠鸣音出现及肛门排气时间、末梢动脉血氧饱和度及胃泌素测定。Then observe the time when the patients emerging bowel sounds regular and passage of gas by anus, assay the s
11、aturation of peripheral arterial blood and the concentration of gastrin.6.气管切开后94.6%呼吸改善,78.4%动脉血氧饱和度(sao2)完全纠正,18.9%sao2改善。After tracheotomy, the respirations were improved in 35 cases ( 94.6%) and sao2 turned normal in 29 cases ( 78.4%).7.观察2组患者脉搏、呼吸、动脉血氧饱和度的变化,比较2组患者穿刺时舒适度和满意度。Pulses, breath, the
12、 artery blood oxygen saturation degree were compared between two groups, at the same time, patient comfort levels and degree of satisfaction were also compared.8.受试者正常对照组动脉血氧饱和度为86.50%,经体外通氧后,上升到99.87%。Result: the arterial bos of normal subjects was 86.9.用动脉血氧饱和度下降指数(3%odi)来评价sdb的程度,血氧饱和度的评价采用简易sdb测
13、定仪。Oxygen desaturation index ( 3% odi) was used to evaluate sdb extent. Blood oxygen saturation was evaluated by a simple sdb determinator. Results sdb positively associated with diastolic blood pressure.10.hg(p0.05),血氧饱和度、动脉血气及其它血流动力学指标无明显变化。Hg. Arterial oxygen saturation, blood gas analyses and ot
14、her hemodynamic parameters remained unchanged.11.结论血氧饱和度仪对动脉血管损伤诊断、术后监测有较好效果。 Conclusion blood oxygen degree of saturation instrument has good effect on diagnosis and post-operation supervision for artery vessel injury.12.目的探讨血氧饱和度仪在动脉血管损伤治疗中的效果监测。 Objective make effective supervision of blood oxyge
15、n degree of saturation instrument in treating injury of artery vessel.13.穿刺取股动脉血液测定动脉血氧饱和度(sao2)。Femoral artery blood was sampled for blood oxygen saturation ( sao2).14.介绍了动脉血氧和肌氧饱和度的概念。The concept of arterial blood oxygen and muscle oxygen saturation is introduced.15.整个试验过程中监测并记录受试者的心率、平均动脉压和脉搏血氧饱和
16、度。Pictures were shown to them at the same time. Heart rate, mean blood pressure, and spo2 were monitored throughout the infusion.16.监测各组患者血压、平均动脉压、最低血氧饱和度、睡眠呼吸紊乱指数。We determined blood pressure, mean blood pressure, the lowest oxygen saturation and apnea-hypopnea index.17.全程监测血氧饱和度及吸痰前后动脉血气分析。Saq2 an
17、d the results of blood gas were observed before and after sputum suction.18.主动脉气囊反搏植入术后,患者平均动脉压,心率血氧饱和度,中心静脉压,心脏指数均有明显改善(pResults: the sbp, dbp and heart rate, morbidity of organ dysfunction in those pa.19.比较术前、术后动脉血氧分压(pao2)、二氧化碳分压(paco2)均有统计学意义。Paco2 and acidosis preoperatively, and some even had
18、hypoxemia and hypercapnia.20.静脉麻醉后气管插管,持续监测平均动脉压、心率、脉搏血氧饱和度及直肠温度。The rabbits were endotracheally intubated and ventilated after intravenous anesthesia. The arterial pressure, electrocardiogram, percutaneous oxygen saturation, and rectal temperature were continuously monitored.The detailed installati
19、on method of chronic portal, hepatic, mesenteric vein and femoral artery multi-catheters was introduced in this paper.本文详细介绍了门、肝、肠系膜静脉和股动脉慢性多血管瘘管的手术安装方法。Reexamination of vascular ultrasound showed that there were no thrombus appeared in the kidney artery and vein, or the iliac vein and femoral vein.
20、复查血管超声,未出现肾动、静脉血栓或髂、股静脉血栓等并发症。Methods extracorporeal circulation is established through right subclavian artery or femoral artery and right atrium.方法经右锁骨下动脉或升主动脉插灌注管,右心房插引流管建立体外循环。The cardiopulmonary bypass ( cpb) was, set up through the right femoral artery and femoral vein with bipolar femoral ven
21、ous cannulae. The asd was repaired through the thoracoscope.腋中线第四、六肋间作胸壁小切口,以全胸腔镜经股动脉。股静脉双极插管建立体外循环,完全在胸腔镜下行房间隔修补。Method forty sprague-dawley rats were canulated with catheters into the left ventricle, femoral artery and femoral vein, respectively.方法sd大鼠40只,左股动、静脉及左心室插管。Main outcome measures: the an
22、atomical relationship between the branches of external iliac artery and vein, femoral artery and vein and acetabulum.主要观察指标:髂外动、静脉及股动、静脉分支与髋臼的解剖关系。Method intravenous anesthesia with 3% pentobarbital sodium was performed to dissociate the femoral vein and femoral artery so as to insert the vein and a
23、rtery cannulae to measure blood pressure.方法用3%戊巴比妥纳静脉麻醉分离股静脉插入静脉插管、分离股功脉插入动脉插管,以测量动脉血压。There was no difference in cold ischemic time. With hepatic artery thrombosis and/ or stenosis> 50%, five patien ts were re-transplanted; without hepatic artery thrombosis and/ or stenosis冷缺血时间无显著性差异.5例有肝动脉血栓和/
24、或狭窄&50%行再移植,另3例无肝动脉血栓和/或狭窄By arteriography, the actual anatomic distributions of occlusive disease included infrarenal aorta-bicommon iliac arteries, abdominal aorta-bicommon iliac arteries, iliac artery, and femoral artery or femoropopliteal artery.动脉闭塞分别位于近肾腹主动脉-双髂动脉,腹主动脉-双髂动脉,髂动脉,股动脉或股-月国动脉。Metho
25、d: three patients diagnosed atrial septal defect were set up micro-invasive cardiopulmonary bypass by right femoral vein, femoral artery and superior vena cava with thoracoscopy for closing the atrial septal defect.3例先天性心脏病房间隔缺损患者采用股动脉、股静脉插管和经第四肋间插入上腔静脉插管建立的微创体外循环,借助电视胸腔镜修补房间隔缺损。Conclusion: setting
26、up micro-invasive cardiopulmo nary bypass by femoral vein, femoral artery and superior vena cava was feasibilit y and safety for thoracoscopy used in closing the atrial septal defect.结论:经股动脉、股静脉和上腔静脉插管建立微创体外循环可以满足电视胸腔镜心脏手术操作过程中的灌注要求,其方法安全可行。Objective to investigate the value of contrast-enhanced ultrasonography in the disease of portal vein, cervical artery and thrombosis in
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