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Gestational hypertension is a common disease. Continue epidural anaesth during caesarean section is effective and safe for puerperant and infant.

妊娠高血压疾病是孕产妇常见病之一,行剖宫产麻醉应首先选用持续硬膜外麻醉,麻醉中无麻醉并发症发生,术后可在硬膜外腔内持续用镇痛药物,解决术后患者疼痛,其方法为安全适宜,麻醉平面易控制,对母婴影响小,并发症少等优点。

Objective To compare the effects and complications of epidural anesthesia and combined sinal and epidural anesthesia for transurethral ureteroscope lithotripsy, and to discuss anesthesia methods for URL.

目的:观察比较硬膜外麻醉和腰麻硬膜外联合麻醉两种麻醉方法,用于输尿管镜及气压弹道碎石器行经尿道输尿管镜下碎石术的麻醉效果及并发症,探讨尿道输尿管镜下碎石手术的麻醉方法。

Results Of 60 cases,55 cases were unilateral,5 cases was bilateral.25 cases of cerebral flax subdural hematomas presented as strip-shaped,10cases presented as little-belt shaped,4 bilateral cases through MRI presented as U-shaped,7 cases of cerebellar tentorium hematomas presented as flakes,5 cases presented as fan-shaped.

结果 60例中发生于单侧55例,双侧5例;大脑镰硬膜下血肿25例表现为条索状,10例呈小带状,发生于两侧4例,MRI表现为双轨征,小脑幕下血肿7例呈片状,5例呈扇形,MRI表现为片带状高信号影,小脑幕并大脑镰硬膜下血肿6例呈&Y&形,3例呈镰刀状。

Results Of 60 cases,55 cases were unilateral,5 cases was bilateral.25 cases of cerebral flax subdural hematomas presented as strip-shaped,10cases presented as little-belt shaped,4 bilateral cases through MRI presented as U-shaped,7 cases of cerebellar tentorium hematomas presented as flakes,5 cases presented as fan-shaped.

结果 60例中发生于单侧55例,双侧5例;大脑镰硬膜下血肿25例表现条索状,10例呈小带状,发生于两侧4例,MRI表现为双轨征,小脑幕下血肿7例呈片状,5例呈扇形,MRI表现为片带状高信号影,小脑幕并大脑镰硬膜下血肿6例呈&Y&形,3例呈镰刀状。

Results. After decompression, 58% of patients developed epidural hematoma of sufficient magnitude to compress the thecal sac beyond its preoperative state at one or more levels.

结果:减压后,58%的患者发生了硬膜外血肿,血肿体积大,较术前在一个或多个节段压迫硬膜范围更大。

Objective To investigate and compare the clinical efficacy and safety of the two anesthesiological approaches applied in TURP.

目的 探讨腰麻-硬膜外联合麻醉、单纯硬膜外麻醉在经尿道前列腺电切术中的临床效果和安全性。

Theepidural stimulation test was performed after catheter placement,after local anesthetic boluses, and during epidural analgesia,up to six times in each patient.

分别在导管置入后、局部麻醉药推注后、硬膜外镇痛过程中,对每位病人进行最多6次的硬膜外刺激试验。

Abstract] objective to study the chronic subdural haematoma pathological mechanism characteristic,curing method and factor failing.methods the method carries on a clinical research to 217 sufferers and the whole set goes skull ct to scan.for the very first time surgical operation method all for drill a hole to lead to drainage.results cured 193 cases (88.94%),haematoma residual 9 cases (4.15%),haematoma recrudesces 15 cases (6.91%).conclusion procedure selection should be based on condition of the patients with hematoma,drainage completely and anti-pneumo encephalos may important.

摘要] 目的探讨分析慢性硬膜下血肿的病理特点、治疗方法和失败因素。方法对217例患者进行临床研究,全组均行头颅ct扫描。首次手术方式均为钻孔引流术。结果恢复良好者193例(88.94%),血肿残留9例(4.15%),血肿复发15例(6.91%)。结论对慢性硬膜下血肿的治疗应根据病情选择手术方式,术中血肿冲洗要彻底及术中术后要预防气颅的发生,可降低术后血肿复发率。

METHODS The dura adhesion model was set up by vertebral plate resection in rabbits.These rabbits were randomly divided into three groups.Group A was treated with SH powder,group B was treated with 1% SH solution and group C as control.

方法建立兔椎板术后硬膜粘连模型后,随机分为3组,A组和B组分别给予SH粉雾剂和SH溶液,C组不用药,考察局部应用SH粉雾剂对预防术后硬膜粘连的作用。

Methods 100 examples,randoms choosing scheduled time line underbelly operation (operation,the womb cut completely or satisfy time eager operation,ovary tumour operation including cutting the palace product open) divide into two set,a forms:give hard film outside rentaini 0.4 mg + 0.75% bupivacaine 20 ml formulating cheng 100 ml analgesias,b group behind the skill:100 ml compounding cheng ease pain,comparatively,the life body collects,optesthesia simulates grade and bad reaction in giving hard film outside rentaini 0.4 mg + interest rate of 0.75% bupivacaine 20 ml + fluorines pai many 2 ml after the skill.results two set of patient skill queens circulation stabilizes equally,skill queen vas difference has no statistics significance,two set of analgesic effects have no notable difference,b many by-reaction of fluorine pai benefit appears on group but.

择期行下腹部手术(包括剖宫产手术、子宫全切或次全切手术、卵巢肿瘤手术)100例,随机分成两组,a组:在术后予硬膜外芬太尼0.4mg+0.75%布比卡因20 ml配制成100 ml镇痛。b组:在术后予硬膜外芬太尼0.4mg+0.75%布比卡因20ml+氟哌利多5mg配制成100ml镇痛,比较生命体征、视觉模拟评分和不良反应。结果两组患者术后循环均稳定,术后vas差异无统计学意义,两组镇痛效果无显著差异,但b组出现氟哌利多不良反应。

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