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asbryobvrz · Wysłany: Śro 13:21, 09 Mar 2011

Polytopic oxazoline sodium atherectomy to prevent infection of lumbar intervertebral disc of Clinical Pharmacy

Journal, 2002,36 (4) :309-312. [5] Shi Zhanjun, Zhang Xili, Jǐng Zōng Sen, et al. Standardization and long-term use of antibiotics to prevent postoperative wound infections compared the effect of [J]. Journal of Hospital Infection, 2003,13 (1) :57-59. * (Received :2006-09-27 Revised: 2006.12 -01) L4, disc herniation with a right ureteral stone in 1 case report of Lin Shide, Hao Junwen, Zhangyun Chang, Feng, ZHAO Yan Bao (Jinan Military General Hospital, Department of spinal cord repair , Normal Road 25, Jinan 250031) Key words: 1t681.53 literature flag code: C Article ID :1005 -8478 (2007) 03-0234-021 case summaries of patients, female, 48 years old. Because of Patients 10 years ago due to no incentive to lower back pain, for the continuing pain, and left lower extremity radiation, accompanied by swollen left lower limb muscles, stiffness, inflexibility,[link widoczny dla zalogowanych], after resting a little reduced, in Tengzhou City Hospital showed no abnormal CT lumbar spine, giving him for the medical, acupuncture, massage, traction and other treatment, the effect is good, the symptoms disappeared. Intermittently after the annual low back pain, radiating pain unparalleled leg, rest after mitigation, no line of examination and treatment. Six months ago, is once these symptoms appear, accompanied by left lower extremity numbness, and progressive increase, on June 16, 2006 hospital workers in the lumbar Tengzhou CT said: L4 disc to the left rear prominent (Figure 1), the proposed line surgery, then the people living in Tengzhou city hospitals, is lateral lumbar films were found the right ureteral calculi (Figure 2), June 21, 2006 the line B-ultrasonic examination showed: right kidney water the next day, abdominal cavity CT said: right upper ureteral calculi and right kidney water,[link widoczny dla zalogowanych], June 23, 2006 lumbar MRI showed: L4, L5S disc and L4, 5 spinal stenosis (Figure 3), people living undergraduate. Since the disease has been the spirit, diet and sleep can be, and large, normal urine, body weight had no significant relief. Physical examination: body temperature: 36.3 ℃, pulse: 84 beats / min, blood Author: Lin Shide (1981.), Male, people in Anxi, Fujian, medical degree, research direction: spine surgery, spinal cord injury and repair, (phone) 82166804, (e-mail) linshide @ ya. h00. coin. ell} Corresponding Author, Zhao Ting Bao, (Tel) 0531-82165202. 234 pressure: 130/90mmHg. Walk limp, liver and kidney area without percussion pain,[link widoczny dla zalogowanych], lumbar lordosis straight, activity decreases. L4 interspinous tenderness, percussion tenderness (+), left paravertebral deep tenderness, and left lower extremity radiation to the toes, the left sciatic nerve Traveling tenderness, left lower limb hypoesthesia, left toe back extensor muscle strength of grade Ⅲ, the remaining Ⅳ grade muscle strength, increased muscle tone. Right lower limb sensation, muscle strength were normal. Left straight leg raising test and strengthen the tests were (+), right (a). Reflected the normal knees there, two Achilles tendon reflex was not elicited, bilateral Babinski's sign (a). Admission check blood cell analysis: WBC6.11 × 10 / L, N, 44.7%, L, 39.5%. RBC3.96 × 10 / L, HGB126g / L, PLT425 × 10 / L. Urine Analysis: Urine WBC: I +, RBC: 2 / l, WBC: 26 /. IVP showed: right ureteral stone with non-functional right kidney (Figure 4). Diagnosis: (1) lumbar disc herniation (L4); (2) the right ureteral stone; (3) right kidney water. General admission, preoperative laboratory examination revealed no surgical contraindications, please urology consultation that same line to the right ureterolithotomy and lumbar discectomy patients, and intraoperative findings in the kidney under the circumstances to decide whether removal of the right kidney. Surgery on June 30, 2006 under general anesthesia, first left lateral position,[link widoczny dla zalogowanych], right kidney incision, remove the upper right ureter about the size of 4.5cm × 1.5cm × 0.8cm yellow stone one (Figure 5), weight 4.6g. See the bright red color of the right kidney surface exploration, real thick, when cut out of ureteral urine clear, and no signs of infection, it reserves the kidneys. Change the prone position,[link widoczny dla zalogowanych], the L4 intervertebral center, after the incision to expose the left L4 space, remove the disc tissue about the size of 2.5cm × 2.5cm × 2.5Cltltl. Surgery Chengshun Li, stable condition after surgery, complained of lumbar and leg pain disappeared, re-