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插上插管

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Methods Based on comprehensive trentment, the consciousness ,respiration and blood oxygen saturation of the patients are monitored closely, When the patients show the symptoms of heavy tetrodontoxism Such as coma, quadriplegia, respiratory muscle paralysis and blood oxygen saturation beginning to go down, they receive effective mechanical ventilation with artificial airway by endotracheal intubating in time.

综合治疗的基础上,密切监测河豚鱼中毒患者的神志、呼吸及经皮血氧饱和度,当患者出现重度中毒症状,如昏迷、四肢瘫痪、呼吸麻痹,监测经皮血氧饱和度下降时,及时气管插管、机械通气抢救。

On the desk, next to a jar that held several old sea dog's pipes, was the chessboard with an unfinished game.

桌子上,一个罐子里插着几根老水手的烟管,旁边是一盘没下完的棋。

Successful tracheal intubation wasverified using the following criteria: 1 identification ofthe trachea and tracheal rings, 2 visualization of vocal cords,3 widening of glottis as the tracheal tube passes through,and 4 tracheal tube position above carina and demonstrationof movement of the chest wall visceroparietal pleural interface(i.e., sliding sign) after manual ventilation of the lungs.

成功的气管插管通过如下的标准证实:1)辨别气管和气管环,2)可见到声带,3)当气管导管置入时声门变宽,4)隆突上气管导管的位置以及手控通气时胸壁内脏壁胸膜界面的运动。

Surgical strategies included: 23 cases with meso-caval shunt, 8 cases with splenectomy and spleno-renal vein shunt, 1 case with porta-caval shunt, 2 cases with paraumbilical vein-jugular vein shunt, 3 cases with portal azygous disconnection, 1 cases with splenectomy and portal azygous disconnection, 1 case with sigmoidostomy and closed the fistula of sigmoid six months later, 1 case with resection of part of small intestine due to acute extensive thrombosis of portal vein system, 4 cases with selective superior mesenteric artery and splenic artery thrombolytic infusion therapy, 2 cases remained no-surgical option and underwent conservative treatment.

行肠系膜上静脉-下腔静脉分流术23例;脾切除、脾静脉-肾静脉分流术8例;门静脉-下腔静脉分流术1例;附脐静脉-颈内静脉分流术2例;门奇静脉断流术3例;脾切除、门奇静脉断流术1例;乙状结肠暂时性造瘘,6个月后闭瘘1例;大部分小肠切除术1例;经股动脉插管溶栓4例;未行手术2例,仅给予护肝及对症治疗。

The first special techniques was the method of tightening slip knot predisposed on atrial septal via veins. The suture with loop was placed on the atrial septum incision which will be closed during the decannulation. The loop was hitched up by the drawn-string via vein and tied with two or three slip knot after inserting left atrial cannulas.

第一种特殊技术是一种经静脉应用心导管将右房内预置的滑结拉紧的方法,其要点是术中在要闭合的房间隔切口处做缝合并留好线套,穿上牵引线经左锁骨下静脉引出,插左房管后打2或3个滑结,拔管后应用这种特殊技术将滑结拉紧,并拆除牵引线。

On the foundation of conventional medicine cure, double-level nasal mask/mask ventilation mode is used for the treatment of respiratory failure caused by severe asthma,and it can effectively reduce tracheal intubation rate and cure expenses, and decurtate hospitalization time.

在常规药物治疗的基础上,采用双水平鼻/面罩NIPPV用于危重症哮喘合并呼吸衰竭的治疗,安全有效,可减少气管插管率,降低住院时间和费用,但应严格掌握适应证,密切监测各项指标,必要时转为有创通气,避免贻误治疗时机。

Methods: From February 2002 to June 2006, 27 patients with upper urinary obstruction due to retroperitoneal fibrosis post-treatment of tumor, under went procedures including retrograde ureteral catheterization, intraluminal ureterotomy and/or balloon dilation, and percutaneous nephrostomy. The efficacy and major complications were summarized.

收集本院2002年l月至2006年6月的27例恶性肿瘤经治疗后发现腹膜后纤维化导致上尿路梗阻的患者,分别接受了经尿道逆行输尿管插管、输尿管狭窄内切开和/或扩张及经皮肾造瘘治疗,总结其疗效和主要并发症。

Peroral push-gastrostomies are preferable for palliative care and for patients with neurogenic dysphagia, but percutaneously inserted tubes should be used in patients with upper gastrointestinal cancers in order to avoid tumor seeding.

经口胃造瘘术更适用于姑息治疗和神经源性吞咽困难患者,而经皮插管则适用于上消化道肿瘤患者以避免肿瘤播散。

Peroral push-gastrostomies are preferable for palliatie care and for patients with neurogenic dysphagia, but percutaneously inserted tubes should be used in patients with upper gastrointestinal cancers in order to aoid tumor seeding.

经口胃造瘘术更适用于姑息治疗和神经源性吞咽困难患者,而经皮插管则适用于上消化道肿瘤患者以避免肿瘤播散。

Despite a high success rate, intubation with theGlideScope is likely to be more challenging in patients withhigh Cormack and Lehane grade during direct laryngoscopy, highupper lip bite test score, or short sternothyroid distance.

尽管成功率高,在直接喉镜 Cormack 和 Lehane 等级高、上唇咬诊评分高或甲颏距离短的病人中使用 GlideScope 插管可能更具挑战性。

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