上腹部

ABSTRACT Objective To evaluate the therapeutic effect of neurolytic celiac plexus block with intractable upper abdominal pain caused by cancer.

目的 评价腹腔神经丛阻滞术治疗上腹部顽固性癌性疼痛的止痛效果。

Objective To evaluate neurolytic celiac plexus block under CT guidance in controlling upper abdominal cancer pain, and to discuss the technical points of NCPB.

目的 评价CT导引下腹腔神经丛阻滞治疗上腹部癌性疼痛的应用价值，并对其技术方法等进行探讨。

Therefore, thorough surgical staging including omentectomy, total hysterectomy, bilateral salpingo-oophor ectomy, pelvic and para-aortic lymphadenectomy, multiple biopsies of the upper abdomen, and saline washings of the pelvic and para-colic spaces should be performed in patients with this disease.

所以，彻底的分期手术应包括大网膜切除、全子宫切除、两侧卵巢输卵管切除、骨盆腔和主动脉林巴结切除、上腹部切片和生理食盐水冲洗骨盆腔和两侧大肠部位。

Results:There were no abdominal pain and fever,jaundice faded away gradually postoperation.Biliary drainage was 300ml-1000ml/d more or less.Colour of bile changed into normal by degrees.Intra peritoneal drainage was open and the colour was light bloody.Amount of drainage dropped off day after day.Whole blood cell test, serum glutamic pyruvic transaminase,serum glutamic oxalacetic transarninase,total serum protein,serum albumin and serum globulin returned to normal in first week postoperation.Serum bilirubin,serum glutamyltranspetidase and serum alkaline phosphatase declined gradually in first week postoperation.T-tube was clipped at twelfth day postoperation.T-tube Cholangiography was clear at 24~ day postoperation.

结果：术后无上腹部绞痛、高热，黄疸逐渐减退，每日引流胆汁300ml-1000ml不等，由淡黄色混浊、内有胆泥过渡到金黄色清亮的正常胆汁，腹腔引流通畅，引流液为淡红色，量从最初的200ml迅速过渡到10ml，血常规、血清谷丙转氨酶、谷草转氨酶、总蛋白、白蛋白、球蛋白等1周内均恢复正常，血清总胆红素、直接胆红素、间接胆红素、谷氨酰转肽酶、碱性磷酸酶逐渐下降，术后12d夹闭T管，术后24d T管造影提示左、右肝管及胆总管下端通畅，无狭窄。

Purpose: Discuss the characteristic that the peritoneoscope gallbladder resection middle applies to have had the abdomen operation history patient.

目的：探讨腹腔镜胆囊切除术在有上腹部手术史患者中应用的特点。

Dining. The pain was at retrosternal and upper abdominal which did not refer to other

实习医生：这是个49 岁男性患者，2 周前无明显诱因突然出现反复上腹部疼痛伴有呕吐。

Retrosternal and upper abdomen.

点左右，他觉得胸骨后和上腹部疼痛。

A Contrast-enhanced CT scan of the upper abdomen shows a saclike mass of fluid-filled bowel loops, most of which were jejunal and proximal ileal loops.

a上腹部增强CT扫描显示囊性包块，内见充满液体的肠襻，主要是空肠和近段回肠肠襻。

Patients were followed up by senior nuclear medicine physicians and the results were analyzed and compared. The results showed that the late symptom of sialadenitis and severe dry mouth were intensively related with cumulative therapy dosage.

住院期间发生的近期非随机性副反应，如放射性甲状腺炎、恶心、呕吐、上腹部疼痛和涎腺炎是很常见的；严重的急性并发症很少见。

The scores of six present symptoms (abdominal distension, epigastria discomfort, early full, burning sensation, poor appetite and belching) were recorded before and four weeks after treatment, and index of therapeutic effect was calculated.

疗程均为4周，治疗前及4周后对患者腹胀、上腹部不适、早饱、烧灼感、食欲不振、嗳气等6种主要症状进行评分，计算疗效指数。

He and Nina moved to California and lived at 2005 Ivar Street, Apt.

他和Nina搬到加州，并在2005年伊瓦尔街，公寓生活。

Droperidol （ potently inhibits transfected HERGchannels and this is the probable mechanism for QT prolongation.

氟哌利多有效地抑制了转染的 HERG 钾通道，可能是 QT 间期延长的机制。