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Methods Emergency treatment should be quickly, 0.1%adrenalin hydrochloride gauze was used to oppress the lacerative position, aseptic gauze was used to tamp in order to further compression hemostasis, or used catgut to suture the lacerated vagina. For the blood loss was more, we established the venous transfusion quickly, observed vital signs and vaginal bleeding situation, kept perineum cleanly and dry, prevented infection, strengthened psychological nursing and health guidance.

应急处理应及时迅速,采用将浸有0.1%盐酸肾上腺素纱布压迫裂伤部位,填塞无菌纱条进一步压迫止血,或采用肠线缝合裂伤的阴道,出血量较多者,迅速建立静脉通道,监测生命体征及阴道流血情况,保持会阴清洁、干燥,防止感染,加强心理护理和健康指导。

Later, under the untypical parasternal four-chamber view which can thoroughly display the ostium of coronary sinus, the catheter was promoted further to the ostium of coronary venous sinus. Then the echocardiography technician adjusted the transducer of TTE in order to thoroughly confirm the position of the catheter tip. After confirming the position of catheter tip in the coronary venous sinus, the operator inserted the catheter into the coronary venous sinus for 3~4 mm farther. It was noted that if resistance was encountered by operator, the operation must be stopped, which was the same as x-ray fluroscopy as image guiding. TTE guiding His bundle elactric cahteter、high right atrium electric cahteter and right ventricular electric catheter in site: It is difficult using TTE singly since there are too many crossroads in inferior venous.

本研究结果显示,(1)单独应用TTE作为影像学引导进行冠状窦电极导管置放的成功率为93.8%~96.7%,并且应用TTE作为影像学引导放置专用冠状窦电极导管和普通电极导管的成功率和放置时间在统计学上无显著差异;(2)TTE作为影像学引导,除过度肥胖患者外,可完全替代X线引导进行冠状窦电极导管置放,包括鞘管和扩张管的放置、指引导丝在静脉而非动脉内的证实均可由TTE完成引导,且较X线C型臂有一定优越性;(3)TTE结合普通X线胃肠透视机作为影像学导引,可顺利完成心内电生理检查时导管的安全到位,而不需昂贵的X线C型臂,可将心内电生理检查扩大到广大的基层医院;(4)TTE较X线更易和更早期发现介入治疗的并发症如急性心包填塞等,对并发症的防治甚至挽救病人的生命至为重要;(5)动物实验研究表明,TEE可引导射频导管消融术时大头电极导管成功到位。

Of the 8 patients, 7 recovered smoothly without severe complication , and pectoralis major muscle flap was adopted to cure the failed one.

结果7例患者经此保守治疗痊愈,未出现其他严重并发症; 1例无效,采用胸大肌肌瓣填塞

Pericardiocentesis is a simple, safe and effective therapy for acute cardiac tamponade.

心包穿刺引流是解除心包填塞简单、安全、有效的方法。

Objective Pericardiocentesis and drainage are the common measures for the treatment of cardiac temponade and massive pericardial effusion.

目的 持续性心包穿刺引流是治疗大量心包积液和心包填塞的常用方法,本文旨在探讨心包穿刺引流的合并症。

pericardiocentesis is the method of first choice once characterastic acute cardiac tamponade during cardiac intervention was diagnosed.

心脏介入治疗时的急性心包填塞临床表现具有特征性。

A central venous catheter was inserted for hemodynamic monitoring and blood transfusion. Cardiac tamponade occurred secondary to perforation of the superior vena cava by the central venous catheter. The patient's hemodynamic status became stable after pericardiocentesis. One week later she was discharged with no sequelae during the three month follow-up.

患者术后装置中央静脉导管以利於血行动力的评估及输血,病患进行中央静脉导管术时因上腔静脉穿刺破裂导致心包膜填塞及休克,经紧急照会心脏科医师后立即给予心包膜穿刺术,术后患者血压渐趋稳定情况好转於一星期后出院,经过三个月的追踪亦无后遗症。

Objective To study the statement of immunoreaction of c Jun and functional recovery of spinal cord injury in rats after fetal spinal cord transplantation.Methods Experimental rats were divided into two groups:spinal cord hemisection injury combination with transplants of FSC to injured site group,and spinal cord injury that received gelfoam pledgets group.On the lst,3th,7th,14th and 28th day after operation,6 animals in each group at each time phase,were observed for their function recovery with the methods of praxiology and electro physiological examination,the animals were then sacrificed for the observation of the statement of c Jun reaction by immnochemistry method and computer image analysis system was used for quantitative analysis.

目的:研究大鼠胚胎脊髓移植后能否影响,c-Hun免疫反应的表达和脊髓损伤后大鼠功能的恢复,方法;将动物分为脊髓半切洞损伤加胚胎脊髓移植组和单纯脊髓板切洞损伤加明胶海绵填塞组,每个时相点每组6只动物,术只1,3,7,14和28天,应用行为学和电生理检查观察大鼠功能恢复情况,应用免疫细胞化学方法,c-Jun免疫反应的表达,采用计算机图像分析技术,进行定量分析。

Methods 16 cases with nasopharyngeal cancer complicated by intractable epistaxis after radiotherapy were analysed. cared (filling up pre-and post-nasoforamin, prenasal field irradiation, surgery to stop bleeding and digital substraction angiography) were smmnarized.

对16例鼻咽癌行放疗后出现大出血的相关因素进行分析及抢救方法(前后鼻孔填塞、手术止血、数字减影血管造影检查)进行总结。

The introperative blood loss was 9008000 ml. Conclusion The main reasons for presacral venous hemorrhage is improper handling. Dissecting the pelvic structure carefully is the key point of preventing presacral venous hemorrhage during the operation of rectal carcinoma.

手术操作不当是导致骶前大出血的主要原因,按盆腔解剖结构正确操作是预防出血的关键,术中压迫法和术后纱布填塞法是处理骶前大出血最有效的方法。

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