tory burch outlet CHD autologous pericardium open

43nike9485qt · Wysłany: Wto 19:16, 22 Mar 2011

CHD autologous pericardium open heart surgery

the'venawith Ⅻ bemql ~ eeae &. 1986.41:4983 KiddinJM. Rarratt-BBG. CardiacSurge ~,. 2nded. Yod ~: ChurchillLivin ~ tinek. 1993.863 low surgical treatment of duodenal ulcer bleeding combined Lvyong Tim Huangjian Hao Ye Hua Sun Yat-sen Memorial Hospital, Zhongshan Medical University,[link widoczny dla zalogowanych], a good Division (5l 【】 l20) low duodenal ulcer is less, including lower level of the Department of the Ministry of ulcers. Location due to lesions in these patients is low, the difficulties found hemorrhage, and the large amount of bleeding, rapid progression and often require urgent surgical treatment. Higher incidence of complications. This paper summarizes our hospital between 1992 and 1997 22 cases required surgical treatment side, are reported below. l ll General The clinical data of 22 cases, the male l6 cases, female 6; age of 24 years for a gown, with an average 53.3 years old; bleeding to operation was about l50O l ~ 3d hemorrhage 2 cases in which a non-3000n shrimp ulcer history, and the remaining 2o patients had a history of ulcers. Course of 2 ~ 30a. Average 83a. The results of treatment and Ha ho 1.2 22 sides underwent completion gastrectomy kiss sets type Ⅱ gastrojejunostomy technique. Average length of stay were discharged,[link widoczny dla zalogowanych], asked to 2ld follow 1-6a, and again found no recurrence of ulcer bleeding. 2 discussion of intraoperative fiber reactor 2.1 gastroscopy clear position and role of the surgical site of bleeding problems are most concerned about the large amount of bleeding because of such disease, the surgery group had 3 down hemorrhagic shock has occurred. Preoperative endoscopic examination pot has some difficulty and danger. And the ulcer is low. Open surgery is very difficult to find stomach lesions, therefore, intraoperative endoscopy to become an important means to understand the lesions fiber endoscopy is widely recognized that the most effective way the bleeding area. Found that the accuracy rate of bleeding points election 80% to 100%. Endoscopic surgery can be cut from the stomach into the duodenum remote stretch of people. The group of 22 patients, 6 side by intraoperative endoscopy is to find the bleeding site. Therefore, we believe, on the low duodenal ulcer patients. If the bleeding site can not be determined before surgery, patients should be carried out gastroscopy to clear bleeding site, should not blind the purposes of most stomach ulcers surgery 22 on the treatment of ulcers if properly handled, is the key to the success of surgery. As these lesions were located in the posterior wall of ulcer patients, and penetrating ulcers with more common base of basic investment ulcer duodenal wall in a normal, just outside the vascular wall, pancreas capsule, pancreatic tissue and connective tissue, therefore, more difficult removal of ulcer lesions, if forcibly removed, may have around the bile duct injury, the risk of pancreatic duct. In addition to ligation on vascular surgery, but also the exclusion to the intestinal ulcers,[link widoczny dla zalogowanych], the only real solution to the posterior wall of gastrointestinal bleeding caused by ulcers. Any exclusion to the intestine ulcers in the surgical treatment of duodenal ulcer hemorrhage in the posterior wall of the West are not reliable, common postoperative bleeding again. The group 2 patients had ulcers outside the hospital from ore placed in the intestine Bancroft law, the results of postoperative bleeding and switch to our hospital. Only by re-surgery to stop bleeding ulcer mine placed in the intestine, but in order to have taught the intestine to prevent postoperative bleeding posterior duodenal ulcer outside the exclusion of surgery are common Graham Law, Ni ~ -. sen law, and the removal of the bile duct intubation method: This method or the Graham group were Niasen treatment of these patients, bleeding the exact effect, the follow-up, no case of postoperative rebleeding. Loss of 23 books on the prevention of bile duct injury and bile duct obstruction is a serious surgical units and disease. If not handled properly. Will cause serious consequences. Therefore, surgery is one of the important steps in how to prevent common bile duct injury and obstruction. Of these patients, bile duct can be cut during surgery, people from the common bile duct exploration is set under direct vision to assure clear after gall bladder, stomach and duodenum to do further surgery. This prevents the damage caused by common bile duct and obstruction. Although the increase in bile duct exploration surgery this step. But after T tube placement, can be removed after 2 weeks, and the prevention of bile duct injury and obstruction are effective. 3 patients in this group because of ulcer lesions closer to the opening of common bile duct, common bile duct by the Bank under the guidance of surgical arch l, M and avoid the common bile duct injury and obstruction, and achieved good results,[link widoczny dla zalogowanych], patients were discharged : 2.4 on the surgical indications of the following circumstances shall be treated by emergency surgery: ① those with acute ulcer bleeding associated with shock. ② lost more than 4 units of whole blood after ten, the situation is not improved by: ③ 24-48h recurrent ulcer bleeding in those. ④ during treatment in a medical hospital ho bleeding after conservative treatment failure. ⑤ ulcer bleeding and other surgical complications Taiwan
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