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find Author "向波" 18 results
  • 回盲部和右半结肠切除后对人体代谢的影响

    Release date:2016-08-29 09:20 Export PDF Favorites Scan
  • SURGICAL TREATMENT AND PROGNOSIS OF CONGENITAL INTESTINAL ATRESIA(REPORT OF 40 CASES)

    【Abstract】Objective To investigate the operative methods and the factors affecting the prognosis of congenital intestinal atresia. Methods The clinic data of 40 cases of congenital intestinal atresia was reviewed, including duodenal atresia (6), jejunal atresia (12), ileum atresia (20) and colonic atresia (2). The types of atrasia were septal type (10),blindend type (26), and multisegmental type (4). All had been diagnosed before operation, 4 patients refused the treatment and 26 cases accepted the operation. Results Twenty-six cases of the 36 which accepted operation were cured and survived,the rate of postoperative survival were 72%,postoperative follow-up of 20 patients for 1-21 years had well-pleasing curative effect.Ten cases died postoperatively. Conclusion Operation is the only treatment of this disease,the mode of operation should be selected depending on the site and the type of atresia. The curative effect and the prognosis of this disease are affected by multiple factors.

    Release date:2016-08-28 05:30 Export PDF Favorites Scan
  • 非手术治疗心瓣膜置换术后左心房血栓二例

    Release date:2016-08-30 06:09 Export PDF Favorites Scan
  • 外科治疗二尖瓣、三尖瓣置换术后三尖瓣血栓形成一例

    Release date:2016-08-30 06:10 Export PDF Favorites Scan
  • 腹腔镜辅助治疗先天性巨结肠的围手术期护理

    【摘要】 目的 总结腹腔镜辅助治疗先天性巨结肠患儿的围手术期护理特点与经验。 方法 对2006年9月-2008年12月收治的34例行腹腔镜辅助下经肛改良Soave’s术式先天性巨结肠患儿的护理资料进行回顾分析。 结果 本组患儿术前肠道准备7~14 d,术后6~10 d出院,无围手术期并发症发生。 结论 腹腔镜治疗先天性巨结肠患儿的围手术期护理,其术前充分的肠道准备,术后早期密切的监护,以及积极对症的并发症防治措施是该疾病围手术期护理及患儿获得治愈的的关键。

    Release date:2016-09-08 09:25 Export PDF Favorites Scan
  • Treatment of Acute and Critical Choledochal Cyst Report of 41 Cases)

    【摘要】目的探讨急危重胆总管囊肿的治疗。方法对我院1984~2001年收治的41例急危重胆总管囊肿患者的临床资料进行回顾性分析。结果41例患者均行囊肿切除、胆道重建术,其中3例患者分两期完成,全部病例均获治愈,随访9例近、远期效果均较好。结论囊肿切除、胆道重建术已成为根治胆总管囊肿的首选术式,但必须做好高危因素的处理,以提高手术安全性及疗效,只要度过围手术期,其预后较好。

    Release date:2016-09-08 11:53 Export PDF Favorites Scan
  • 双侧腹股沟胚胎残件囊肿伴右侧斜疝1例报告

    Release date:2016-09-08 01:59 Export PDF Favorites Scan
  • Effectiveness of Preoperative Recombinant Human Brain Natriuretic Peptide on Rheu-matic Valves Diseases with Cardiorenal Syndrome: A Randomized Controlled Trial

    ObjectiveTo investigate the efficacy of intravenous infusion of recombinant human brain natriuretic peptide in rheumatic heart valves patients with cardiorenal syndrome preoperatively, the function and operational results before and after treatment were compared. MethodsA randomized, single-blind, and controlled study was conducted in 60 patients characterized of rheumatic heart valves patients in our hospital from March 2012 through March 2015. There were 24 males and 36 females at average age of 52.1±8.9 years (ranged from 35-73 years). Their left ventricular ejection fraction was less than 40% and plasma creatinine was mildly or moderately raised. They were recruited into an experiment group and a control group by random digital table. The control group received continuous intravenous Dopamine and Nitroglycerin based anti-heart failure treatment (n=30). The experimental group received additional recombinant human brain natriuretic peptide for 48 hours without bolus (at a dose of 0.006 μg·kg-1·min-1, n=30). The levels of the biomarkers for cardiac and renal function between before and after treatment were compared. ResultsIn the experiment group, treatment with recombinant human brain natriuretic peptide for 48 hours had lower level of plasma NT-proBNP than the baseline level with a statistical difference (88.6±55.1 pg/ml vs. 55.0±47.6 pg/ml, P=0.014), lower level of high sensitivity creative reaction protein than the baseline level with a statistical difference (2.79±1.27 mg/l vs. 1.39±0.79 mg/l, P=0.000), more 24 hours urine output than the baseline level with a statistical difference (1 464.0±348.3 ml vs. 1 223.0±279.9 ml, P=0.005), lower level of serum cystatin-C than the baseline level with a statistical difference (0.25±0.14 mg/l vs. 0.08±0.07 mg/l, P=0.000), higher inotrope requirement within three days after operation (2.52±1.30 mg·kg-1·min-1 vs.3.36±1.15 mg·kg-1·min-1, P=0.011), less ICU stay days (4.5±1.2 days vs. 5.3±1.6 days, P=0.03). There were no statistical differences between the experiment group and the control group after treatment in cardiac function class, left ventricular ejection fraction, left ventricular end-diastolic diameter, creatinine, chest tube drainage volume, and intra-aortic balloon pumping use. ConclusionIntravenous injection of recombinant human brain natriuretic peptide in the patients with rheumatic valve disease combined with cardiorenal syndrome before operation can decrease systemic inflammation reaction and cardiac and renal function injury, and enhance operational recovery.

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  • 第二届儿童肝移植论坛会议纪要

    Release date:2018-01-16 09:17 Export PDF Favorites Scan
  • Da Vinci robot assisted choledochal cyst resection in children: experience sharing of 200 cases in a single center

    ObjectiveTo explore the clinical efficacy and share the experience of Da Vinci robot assisted choledochal cyst resection in children. MethodThe data of children including preoperative, intraoperative, and postoperative details who underwent Da Vinci robot assisted choledochal cyst resection in the Department of Pediatric Surgery, West China Hospital of Sichuan University from April 2018 to June 2022 were collected and analyzed. ResultsA total of 200 patients were collected in this study, 54 of whom were males and 146 were females. The male to female was 1∶2.70. The age was (46±33) months and the body weight was (15.77±7.10) kg. The main symptoms were abdominal pain (136 cases, 68.0%), jaundice (62 cases, 31.0%), abdominal distension (20 cases, 10.0%), and abdominal mass (23 cases, 11.5%). The diameter of cyst was (3.46±2.01) cm. There were 153 cases of type Ⅰa, 35 cases of type Ⅰc, 1 case of type Ⅱ, and 11 cases of type Ⅳ. The operation time was (179.9±10.3) min, the intraoperative fluid infusion was (397.4±26.4) mL, the intraoperative blood loss was (21.5±10.9) mL, the liquid intake time was (3.01±0.35) d, the solid intake time was (3.80±0.27) d, and the postoperative hospitalization time was (7.44±0.94) d. The intraoperative blood transfusion was performed in 4 cases (2.0%). There were 7 cases (3.5%) of postoperative complications, including 2 cases of biliary leakage, 2 cases of incomplete intestinal obstruction, and 1 case of anastomotic bleeding, which were improved by conservative treatment. Anastomotic stenosis occurred in 1 case, and the Roux-en-Y anastomosis was performed again. Biliary loop torsion obstruction occured in 1 case, which received reoperation restoring the biliary loop and closing the mesangial fissure. ConclusionsFrom the results of this study, Da Vinci robotic surgical system can obviously reduce the difficulty of choledochal cyst resection in children. It has the advantages of safe, beautiful incision, clear exposure, rapid recovery, and less complications.

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