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find Author "刘贵鹏" 2 results
  • 宫腔镜电切术后水中毒的临床策略

    【摘要】 目的 总结宫腔镜下电切术后水中毒的临床防治策略。 方法 采用回顾性调查方法,对2003年1月-2011年3月7例宫腔镜下电切术后水中毒患者的临床治疗经过进行分析。 结果 7例患者于术后2~74 h出现腹胀、腹痛、恶心、少尿、神志不清等症状,给予补充生理盐水或高渗盐水及利尿脱水等治疗,术后5~7 d患者全部出院。 结论 宫腔镜电切术后水中毒的治疗宜采取温和策略,重点在于预防,包括缩短手术时间和预防子宫穿孔,而治疗侧重补充生理盐水和利尿,维持患者的电解质平衡及心肺功能。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • Clinical Analysis on Necessity of Subcutaneous Suture for Gynecologic Abdominal Incision

    ObjectiveTo investigate the necessity of subcutaneous suture for gynecologic abdominal incision, and to prove the clinical value of suture without subcutaneous ligature. MethodsWe retrospectively studied the clinical data of 210 cases of gynecologic abdominal incision treated between May 2010 and May 2013. A total of 111 cases had the suture without subcutaneous ligature and 99 received the traditional suture. ResultsOne patient (0.90%) had fat liquefaction in the group of suture without subcutaneous ligature, while 7 (7.07%) of fat liquefaction were found in the traditional suture group, and the difference was statistically significant (χ2=3.883, P=0.049). No hospital infection occurred. The healing period averaged (15.1±4.7) days, and the patients were followed up for 2 months without any complication of abdominal incision in all the patients. ConclusionSuture without subcutaneous ligature is simple and easy to practice, with precise effect, which deserves clinical application.

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