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Results:Before surgery, 39 patients with paroxysmal pain, after surgery, 84 patients with pain immediately disappeared, reaching 94.4%, 12 patients with mild throat discomfort, 2 patients with cough of short-term drinking water, 1 patient with hoarseness, the follow-up in the 3 months to restore Conclusion:Preoperative care focus on patients with Glossopharyngeal neuralgia are primarily on the preparation and pre-operative pain attack, as much as possible to avoid the attack of the pain, postoperative complications, mainly care, treatment and care through to complications as soon as possible.

结果:39例术前出现发作性疼痛,术后89例患者立即止痛者达94.4%,12例出现轻度咽部不适,2例出现短暂的饮水呛咳,1例出现声音嘶哑,经随访在3个月内恢复。结论:舌咽神经痛术前的护理重点主要是术前准备和疼痛发作,尽量通过治疗和护理的避免疼痛的发作,术后主要是并发症的护理,通过治疗和护理促使并发症的尽快恢复。

Results Of 52 AL patients, 28 were patients with diploid, 22 were patients with heteroploid and 2 were patients with suspected heteroploid. The prevalence of heteroploid in AL patients was 42.3%.

恶性肿瘤的重要特征之一就是细胞无限制地增生,在形态学上表现为细胞核增大,核内染色质增多,这是核内DNA不断复制的结果。

GVHD typically involves ocular complications, most commonly keratoconjunctivitis sicca (KCS, or dry-eye syndrome), which in this study occurred in 29 of 34 patients. Dry-eye syndrome without evidence of systemic GVHD developed in 30 patients, corneal ulcers in 15 patients, steroid-induced cataracts in 8 patients, and glaucoma in 6 patients.

GVHD通常都涉及眼部并发症,最常见的是干燥性角膜结膜炎,在该研究中34名患者中的29名都出现了这一并发症。30名患者出现了干眼综合征但不伴全身性GVHD证据,15名出现了角膜溃疡,8名出现了激素性白内障,6名出现了青光眼。

Methods:32 patients of TCPC were reviewed: the average age was 10 years,ranged from 5 to 24 years and the average weight was 28 kilogramme,ranged from 13 to 55 kilogramme.18 patients underwent lateral tunnel and 1 patient underwent extracardiac conduit TCPC with hypothermic cardiopulmonary bypass and heart arrest,and 10 patients were treated by extracardiac conduit technique with normothermic CPB and without heart arrest and 2 patients without CPB,and 1 patients underwent two-step operation.

回顾性分析32例全腔静脉肺动脉连接术患者的临床资料:年龄5~24岁,平均(10±5)岁,体重13~55 kg,平均(28±11) kg,病种包括单心室16例,右心室双出口并完全性心内膜垫缺损6例,完全性大动脉转位并完全性心内膜垫缺损3例,三尖瓣闭锁6例,二尖瓣闭锁1例。其中,在低温体外循环心脏停跳下18例行右房内侧隧道法,1例行心外管道法,常温体外循环心脏跳动下10例行心外管道法,非体外循环下2例行心外管道法,1例行分次全腔静脉肺动脉连接术。

Results In all patients,36 patients had single lump,15 with nodular,and 10 with thyriod daenoma.Fourty one patients lumps were low heterogeneous echo,30 patients had calcification,10 patients had liquescence.

结果 本组病例中单发36例合并结节性甲状腺肿15例,合并腺瘤10例,肿瘤呈不均匀低回声41例,内显示微小钙化点30例,出现液化10例,显示血流丰富19例,难以显示血流信号5例。

The median weight loss was 18 lb (range, 0–47 lb). Eight patients (16%) deeloped aspiration pneumonia during and after treatment. Fie patients (10%) died of aspiration (2 during and 3 post treatment). Four patients (8%) deeloped esophageal strictures requiring repeated dilatations post treatment. Two patients had radionecrosis (1 soft tissue and 1 bone) requiring hyperbaric oxygen. Eighteen patients (37%) had prolonged tube feedings (N3 months) after treatments because of seere dysphagia or aspiration.

体重减轻中值为18磅(范围,0-47磅)。8例患者(16%)在治疗期间和治疗后发生吸入性肺炎。5例患者(10%)死于误吸(2例在治疗期间,3例在治疗后)。4例患者(8%)治疗后发生食道狭窄需要反复食道扩张。2例患者有放射性坏死(1例为软组织,1例为骨)需要高压养治疗。8例患者(37%)治疗后因为严重的吞咽困难和误吸而持续管饲。

Methods: During the April 2003 to December 2004, from the patients with different position colorectal cancer beyond Dukes C stage who were performed laparoscopic radical operation random draw 20 patients as experiment group, and from patients with different position colorectal cancer beyond Dukes C patients who were performed open radical operation 20 patients took randomly as contrast group. We draw thepatients blood about 5 ml from antecubital vein at the time before and after the operation about 30 minutes respectively, preserved the blood in deep hypothermia circumstance,cytrokeratin-20(CK-20) as the micrometastasis maker, using the RT-PCR technique,G3PDH as the intra-contrast gene, quantitatively detect the amounts of CK-20 in the blood with the gelatum imagery system and the computer analyzing software on the gelatum imagery system ,in order to compare the influence of the laparoscopic and the open operation on the micrometastasis.

在我院2003年4月—2004年12月间不同部位的临床分期在Dukes C期之内的接受了腹腔镜结直肠癌根治术结直肠癌患者中随机抽取20例作为试验组,另外在同期的接受开腹手术患者中随机抽取20例作为对照组,分别抽取术前30min和术后30min的肘前静脉血5ml,集中低温保存,以细胞角蛋白(cytekeratin-20)CK-20为微转移的标志物,应用RT-PCR技术,以G3PDH为内对照基因,应用凝胶成像系统及其计算机凝胶成像系统分析软件来定量检测手术前、后患者外周静脉血中CK-20含量,比较腹腔镜和开腹的手术方式对肿瘤微转移的影响。

Results After acute paraquat poisoned thirteen patients appearanced oralis indisposition, nausea, vomit, then appearanced multiple organ functional defect, such as dyspnea, oliguria. Treated with gastric lavage, hemoperfusion, glucocorticoid and so on. Amongst Twelve patients, three patients were cure, seven patients death in hospital, three patients gave up treating then death out of hospital.

结果 13例患者中毒后早期表现为口咽部不适,恶心呕吐,腹痛等,逐渐出现呼吸困难,少尿等各器官受损的表现,予早期催吐,洗胃,血液灌流及糖皮质激素等治疗,13例患者住院1~28d,3例好转,7例院内死亡,3例自动出院后死亡。

Gore-Tex artificial vessel was used for SVC replacement or bypass in all patients except one. Partial resection was done by stapler in 5 patients. Sleeve or partial resection of the pulmonary artery (sleeve resection of the pulmonary artery together with sleeve bronchoplasty in 4 patients) was performed in 41 patients and partial left atrium resection in 13 patients.

SVC置换或搭桥除1例应用涤纶血管者外,其余均是Gore-Tex人工血管。5例部分切除者使用了缝合器。41例肺动脉部分或袖状切除(肺动脉袖状并支气管袖状成形4例)、左心房部分切除13例。

Results (1)Of 104 patients with trigeminal neuralgia,75 patients had neurovascular compression or contact of the cisternal portion of the trigeminal nerve at MR imaging and 69 patients were verified by operation;14 patients had C-P angle tumors,13 cases were diagnosed by MRI and the remaining one was verified by the operation and pathology;5 patients had vascular lesions at MR imaging which were verified by microvascular decompression.

结果 (1)104例三叉神经痛患者中MRI诊断为血管压迫或接触的为75例,术中证实有血管压迫或接触的为69例;桥小脑角肿瘤共14例,MRI确诊13例,另1例由手术确诊;血管性病变的为5例,均由微血管减压术或手术病理证实;(2)三叉神经痛病因中血管压迫或接触、肿瘤性病变及血管性病变所占比例分别为66.3%(69/104)、13.5%(14/104)和4.8%(5/104);(3)根据手术结果,MRI对三叉神经痛患者诊断的敏感性为89.4%,特异性为96.6%。

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