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yxfbbiedtj · Wysłany: Nie 11:00, 13 Mar 2011

Ischemic Cerebrovascular Disease Surgical Treatment

33:80417 A-anll-JINieoIoflDMChouSN. Postcriorlossarcvascu [ar-izationAnastomosisofvertebralarterytoPICAwithinterpositioaadia [arterygraft. SurgNeura1.1978t9: 28118AusmanJI. DiazFGdel0sReyesRAela1. Anastomosisof. ccipita [arterytoanteriorinferiorcerehellararteeyforvne-brobasilarjunctionstenosisSurgNeural, 1981,16; 6910A ... anJl, DiazFG, VaccaDFela1. Superficia] tempora] arteryattdoccipitalarterybypasspediclestosuperior, anterior】 nletiorandposteriorinferiotcerebe children ararteriesforveTtebrobasilarinsufficiencyJNeurosurg, I990, 72; 55d20Yasargi] MG, Krayenbuh] HA, JacohsonJHMicroneurointernalcarotidarterystenosisSep29, 1994surgicalarterial11CarterLP, SpetzlerRFeds. Neuravastu] arsurgneryMcGrawHm, Inc: NewYark ,1994325-45SSurgeryI970, 67; 221 (1998-09-09 Received, 1998, I8 repair a l1 a) (Continued from page 53) 1.2 Se {dinger method modified by intubation American-ARROW products. Including: ① a special needle: 18, thin needle with a short slant 5ml syringe (syringe needle hole in the middle of Guangxi, through guide wire) length 635cm; ② J-type guide wire; diameter of 0.032 inches (O.83ram) length 60cm {⑤ 6F expansion of pipe and 16 central venous catheters, long 20cm; ④ blade. 1.3 in all cases the puncture site and the steps are optional xiphoid pericardial puncture by the way t the same routine. Under negative pressure with a special needle into the needle, see the liquid outflow to stop into the needle, the J-shaped guide wire into the center hole from the end of the syringe through the needle to reach, U cavity with 20 ~ 25cm, exit needle with the tip pierce the skin, 1 ~ 2mm, the first along with a 6F guide wire dilating expansion of subcutaneous tunnel to exit the expansion tube, and then guided by the guide wire into the camp to the pericardial cavity. Determined according to the disease and whether retention pumping volume. The first car put patients about 500ml liquid are, after jumping at any pumping fluid or the condition of patients within the local cardiac drug. 2 results of 18 patients with 22 pericardiocentesis down safely puncture and catheter drainage. Catheter down a long time except for 1 election 40d, the remaining cases 1 ~ 7d. Were not all sick pericardial infection occurs locally and 3 discuss the use of Seidinger intubation for tL To avoid the needle pierced the heart. ② indwelling catheter can avoid repeated pericardiocentesis. Drainage at any time to ease the pericardial tamponade, intrapericardial local administration can be. Group 1 car back up to 40d of the patients retained that benefit ③ therefore can replace L 』made under the costal margin incision pericardial drainage surgery. Little pain, financial burden light, less chances of infection. It should be noted: ① on the catheter indwelling time, t in order to avoid infection should be removed 2 ~ 3d general guide camp. For a long time retention after 1 week should be replaced with new pipe. Lien pour over the 40d group 1 patients (intermediate 1 more pull catheter) no pericardial infection. ③ on the needle path, in order to improve security, to Xiphoid appropriate. Pericardiocentesis complications of domestic wells, multi-path under the non-xiphoid. 18 down 22 trains were xiphoid pericardiocentesis down well under the path no one complication. {1998-07-04 Received, 1998, an O8-16 Revised)