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上腹部

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Results:Of 22 cases,Epigastric or pancreatic masses were found in 15 cases(68.2%). Accurate localization rates of ultrasound and CT examinations were 80% and 87.5%, respectively.

结果:22例患者,68.2%的病人发现上腹部肿块或查体发现胰腺肿块,B超和CT检查肿块定位准确率分别为80%和87.5%。

All patients suffered epigastric pain and this was the first symptom.

病程1个月~10余年,患者均以反复上腹部疼痛为首发症状。

The questions they asked the professor are very common among those not medical, including the epigastric discomfort, some material claimed to be effective on drunk, and so on.

给这位教授的问题对于不是医学专业的人来说是很普遍的,比如上腹部不适和某些宣称能够解酒的药物等等。

He omited during the preceding night and complained of a light epigastric pain.

就诊前一晚,患者出现呕吐并诉上腹部轻度疼痛。

At admission, the vital signs, laboratory values, and results of physical examination were normal with the exception of mild epigastric pain.

图11 一78岁男性患者的网膜疝,表现为持续24小时的急性上腹部疼痛,住院时的生命体征、实验室检查结果和体格检查均正常,仅表现为中上腹疼痛。

Results The main clinical manifestations were acute abdom inal pain, hemoperitoneum and hypovolemic shock.

结果 HCC自发性破裂出血临床主要表现为急性上腹部疼痛、腹腔内出血、失血性休克。

Hemoperitoneum sign.CT is one of the chief methods in diagnosing the blunt trauma of upper abdominal parenchymatousorgan.

上腹部实质性脏器钝性伤CT征象阳性主要有:(1)实质内片状或条带状低密度灶;(2)&哨兵血块征&;(3)包膜下新月形血肿;(4)腹腔积血征。

A Contrast-enhanced CT scan of the upper abdomen shows a saclike mass of dilated jejunal loops between the pancreatic head and stomach. The descending mesocolon and stomach are displaced laterally. The dilated inferior mesenteric vein is located at the anterior border of the encapsulated loops.

a 上腹部增强CT扫描显示胰头和胃之间见囊状成簇扩张的空肠,降结肠系膜和胃被推移到侧方,扩张的肠系膜下静脉是疝囊内肠襻的前界。

Other steps were similar to traditional loop ostomy.modification Ⅱ:Epigastic vertical incision was chosen,a piece of about 2×5cm of skin strip with pedicle was pulled through transverse mesocolon to function as the supporting stick of traditional loop ostomy,other operation steps ere similar to traditional loop ostomy.

二、选择上腹部垂直切口,于皮肤切口处切一条约2×5cm大小带蒂皮条穿过横结肠系膜并缝合固定以替代支撑棒,余手术操作基本同传统袢式造瘘术。

Methods Modification I:Transverse incision was chosen on epigastirc,a piece of about 3×5 cm fascil strip with pedical as well as bilateral anterior and posterior sheath of recus and peritoneum was pulled through transverse mesocolon functioning as the supporting stick of traditional loop ostomy.The colon of ostomy was buried subcutaneously,stoma was opened instantly or secondarily depending on the patients′s condition.

一、选择上腹部正中线横向切口,将腹白线两旁的腹直肌前、后鞘连同腹膜切成3×5cm的带蒂筋膜条穿过横结肠系膜并缝合固定,替代传统袢式造瘘的支撑棒,造瘘肠段埋于皮下,根据病情需要直接或二期开放造瘘口,余手术操作基本同传统袢式造瘘术。

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