Chronic renal failure complicated by acute pancrea

e707004304 · Wysłany: Sob 12:53, 12 Mar 2011

Chronic renal failure complicated by acute pancreatitis in one case

However, in inflammatory adhesions, endometriosis, cancer invasion, the pelvic tissue levels is unclear, the official separation of the bladder and adjacent tissues should not be used when conventional blunt dissection method, but should be combined with sharp and blunt separation method, because blindly with his hand to push, often due to improper separation force too shallow or too deep, the result of bladder muscle tear or perforation. (2) isolation and lysis of adhesions carefully to avoid excessive tissue forceps or suture: the adhesion or tumor compression and invasion often shift to the ureter, or even close to the uterus, if not careful separation of adhesions, the ureter swim away, especially in dealing with pelvic ligaments and uterine vessels funnel,[link widoczny dla zalogowanych], the funnel easily in the clamp pelvic ligaments and uterine vessels clamped together when the ureter, cut off, so the funnel in dealing with pelvic ligaments and uterine vessels, we must first carefully with scissors to ligaments or blood vessels or connective tissue adhesions around the sharp separation to minimize clamp tissue around the site, fully reveal the ovarian or uterine blood vessels, also recognize the ureter, the only close to the uterus or cervix and clipped the treatment of pelvic ligament or uterine vascular funnel, must not blind, or roughly pushed away from the large blunt clamp, cut, suture adhesion organization. 3 patients in this group were extensive adhesions due to pelvic tissues, tumor cell invasion organizations gap disappears, and poorly isolated ureter and bladder injury. (3), bleeding under direct vision, accurate clamp suture: separates from organizations such as bleeding, bleeding sites should be oppressed,[link widoczny dla zalogowanych], under direct vision to see the bleeding point after the clamp and suture of bleeding, clamp should be as far as possible: steady, accurate and less. And not to blindly clamp bleeding and large organizations,[link widoczny dla zalogowanych], the result of accidental injury bladder or ureter. Also note that the operation of the suture, deep, light to moderate, due to too deep a suture, may also hurt the bladder or ureter. Or lead to distortion of the ureter, obstruction or even ligation. 2.3.2 cervical fibroids, broad ligament fibroids or intramural fibroids greater when dealing with such situations, should be removed within the broad ligament fibroids, intramural fibroids or cervical fibroids, so that the whole uterus reduce the volume or lower, and then try to lift the uterus, the bladder pushed down to fully outside the mouth of the following cervical and carefully understand the ureter location, close to the treatment of uterine or cervical uterine vascular clamp and the main ligament. 2.3.3 This radical surgery of uterine range, covers a wider, so the surgery must pay special attention to free the ureter, especially in the treatment of uterine blood vessels, because of uterine vein and uterine artery is generally not parallel to the rear more than walk in the ureter In the bottom of the deeper into the uterine artery internal iliac vein was an acute angle near the womb, so when dealing with uterine vein, to pay special attention to the full free here ureter, or a tourniquet with rubber sheet separated from the ureter from within the tunnel Gently pull out the ureter, and then deal with the bottom of the uterine vein, so it will not hurt the ureter. May also be necessary before surgery for prophylactic ureteral catheterization in order to more accurately identify patients in the ureter, to prevent ureteral injury. 2.4 Improved surgical hysterectomy has been carried out nearly 160 years of history, surgical procedures vary, but no matter which type of procedure, and urinary tract injury is likely to exist. In this paper six cases of urinary tract injuries were caused by TAH, 2001, adopted in our hospital from abdominal fascial hysterectomy, surgical procedures and simplify operations, urinary tract injury rate was significantly reduced. The procedure of the biggest advantages are: (1) without the full separation of the bladder,[link widoczny dla zalogowanych], it is not easy intraoperative bladder injuries; (2) reduce the principal, sacral ligament and uterine tissue handling, which shortens the operation time but also effectively avoid ureter injury, especially for chronic inflammation, caused by endometriosis or pelvic adhesions surrounding tissue cervical patients. Improved surgical methods therefore, to find the best surgical approach to avoid urinary tract injury is one of effective measures. In short, TAH is currently the most widely used clinical procedure, and generally familiar with if the pelvic anatomy,[link widoczny dla zalogowanych], surgical operating normally, urinary tract injury is avoidable. (Date received potato: 20o2-12-19) (on the next page 6 Cool

to reduce the pancreatic encephalopathy, DIC, multiple organ failure and other complications occurred. Acute infection, sepsis, bleeding, major surgery, hypovolemia / dehydration, hypercoagulable / high viscosity state, hypokalemia, hypercalcemia, renal toxic drugs or chemicals poisoning, stones, urinary tract obstruction, etc. 70 * The following, can lead to acute exacerbation of chronic renal failure. Renal failure caused by these incentives increase, often with different degrees of reversibility, timely detection and proper treatment, can often get a better recovery of renal function, acute damage or even completely restored to the level before the [¨. (Close potato Date: 2 [} 02-12-19) _ having only one plant of a resistance ■ _ which Margaret ah ¨