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Improved Badenoch dragged into the treatment of traumatic hand experience of urethral stenosis

A membranous scar will have a longer channel, call the department soon after the formation of gland ducts narrow, this group of patients by the realignment and expansion of several causes of the failure of urine to be here to talk about at the trial in the suture repair methods, technical fields is difficult,[link widoczny dla zalogowanych], even if we manage suture thread as foreign body reaction to kiss the Taiwan population, will once again after the formation of scar stenosis. 2. Fully free of tension-free distal urethra to make her fit into the prostatic urethra is the key to successful operation l4 No. 6 clinical analysis of pediatric appendicitis in 47 down Taiwan Fertilizer General Surgery, First Municipal People's Hospital, two .. three blue R}] 987 years on January l2 ~ J1989 month we treated 941 cases of acute appendicitis,[link widoczny dla zalogowanych], including appendicitis in children under 5 years old 47 down,[link widoczny dla zalogowanych], the number of cases the ancient cycle of 4.9. is now on its clinical features and treatment is as follows. clinical data -., General Information 1. Gender and r Rate of war fan group 28 males and 19 females. <l 2 years down, 1 to 2 years old cases, 21 cases of 3 years, 4 years and 9 cases, 5 years old in 6 cases. minimum 10 months, pass through is 5 years old. 2. Visits. most patients within 12 hours after the onset of the treatment . because l do not typically have initial symptoms have been misdiagnosed with flu, intestinal worm disease, colitis, intestinal cramps, mesenteric lymph nodes go far. a clear diagnosis of acute appendicitis in 27 down hospital. Internal transferred from the children l2 cases, including 4 sets down the intestine, obstruction hospital. The preoperative diagnosis in 38 (80.9), misdiagnosis, 9 (19.1). onset to the minimum width of 23 hours during surgery, up to 5 days, 28 of 26 down to 72 hours 55 .3%. '3 main clinical manifestations. (1) fever in 43 cases (91.5%), in which the body temperature at 38 ~ 3 ℃ 24 digs, sexual function without damage, but to maintain the membranous urethra and the tip of the former to the gland posterolateral nerve, with surgical operation and the surgeon's experience was that there is a certain relationship. Gibsoa report 26 cases of posterior urethral injury in cases of Yang Ying u, l9 patients recovered after 6 months, l down growth, the group fell l, patients 2, recovery of sexual function after six months. 3. distal urethra must be firmly set into the proximal urethra within the right to avoid inside the mouth caused by urethral obstruction and stenosis, the ideal depth of distal urethral dragged Miss tight ends accounted for in the prostatic apex, fingers inside the mouth can not be touched in the urethra is appropriate (about 0.3-0.5cm), we use the modified drag curtain hanging Badeaoch method to make ends remain in effect. blood circulation, and can be healed earlier and with the general thread of prostate suspension, reducing the drag tension, not too early to be separated. 4. Some scholars (Water) that this procedure does not 39.5X] above 7 (2) abdominal pain in children and more l refers due Cullen but check cooperation, it can not be determined more tender points. children with more crying disturbed, do not want to ambulation, refused to press and touch palpable abdominal, abdominal sense of protection was: (3) vomiting; poor feeding and vomiting, 27 down, vomiting, stomach contents, and more not serious. (4) diarrhea; water loose stools 16 sides, dehydration is not more serious. (5) the onset of abdominal distention occurred more than 48 hours were still not clear diagnosis, a total of 14 cases. the younger the more obvious abdominal distension. 14 2 cases have been formed around the appendix, abscess, perforated appendicitis in 9 cases, 3 patients had exudative peritonitis. (6) increased significantly more blood from the cells, between 10 ~ 25 × l0/L45 down, neutrophils accounted for 67 ~ 92.2 cases since the cell is less than 10 × 9 / L. = surgery and prognosis of 21 cases of perforated appendicitis in this group (44.7), million pus I9 cases (4o.4), appendix abscess 3 down, simple Kan Last inflammation in 4 cases. 47 down total removal of the appendix in 4 cases and some enterolysis line, l line of cases and intestinal decompression. down 44 healed (93.7), 3 patients died, mortality rate 6.3. death l cases because children with postoperative wound dehiscence, died of heat failure and death after sepsis l guillotine Jl cases of repeated failure and intestinal obstruction after surgery died 3 times. should be used for longer than 1.5cm narrow, but narrow in this group about the length of about 3cm, but no occurrence of l down painful erections. We think that drag the appropriate depth, so that the narrow urethra close to the distal tip of the prostate, prostatic urethra does not cover the central ejaculatory duct, it will not result in ejaculation obstacles. ● Participation by the literature 1. Zhangsi Xiao, et al. Journal of Urology from 1986 to 7:22. Shaohong Xun. Urology I985 ~ 6: l3.JilakGH, eta1.BritJVorlI976jj8 (1) t834.Warer Ⅱ 0ueK.e0aI.JVrolt980; 123:500 (1992-09-18 Received a l2 a l5 l992 Revised)
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