west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "蒋晖" 2 results
  • 腹腔镜下困难型阑尾切除术的治疗体会(附51例报道)

    目的总结腹腔镜下困难型阑尾切除术的手术技巧。 方法回顾性分析我科2011年4月至2015年3月期间腹腔镜下切除的51例困难型阑尾患者的临床资料。 结果51例患者中男28例,女23例。年龄(38.5±12.9)岁。急性腹痛发作时间平均46.5 h。急性化脓性阑尾炎33例,急性坏疽性阑尾炎12例,急性单纯性阑尾炎5例,另有1例疑似Crohn病(二次手术后明确)。手术难点:阑尾显露困难、阑尾根部处理困难、阑尾系膜处理困难。本组患者除1例术中疑似Crohn病经二次手术证实为末段回肠Crohn病外,其余50例切除困难型阑尾患者均在腹腔镜下成功完成手术。手术时间平均65 min,术中出血量平均15 mL,术后下床活动时间平均18 h,住院时间平均6 d。术后1例合并糖尿病患者发生穿刺孔感染,1例患者发生粪漏,1例并发麻痹性肠梗阻,均经保守治疗后痊愈。 结论困难型阑尾在腹腔镜下切除安全、可行,不增加手术并发症,能充分体现微创手术的优势。

    Release date: Export PDF Favorites Scan
  • Analysis of Depression and Anxiety in Patients with Chronic Obstructive Pulmonary Disease Complicated Coronary Artery Disease before and after Percutaneous Intracoronary Arterial Stenting

    ObjectiveTo explore the prevalence of depression and anxiety of chronic obstructive pulmonary disease complicated coronary artery disease before and after percutaneous intracoronary arterial stenting. MethodsA total of 114 chronic obstructive pulmonary disease complicated coronary artery disease patients were enrolled in this study and were measured with the Hospital Anxiety and Depression Scale before and after percutaneous intracoronary arterial stenting. ResultsA total of 71 patients (62.3%) had depression symptom and 68 patients (59.6%) had anxiety symptom before percutaneous intracoronary arterial stenting. There were 46 patients (40.4%) had significant depression symptom and 40 patients (35.1%) had significant anxiety symptom before percutaneous intracoronary arterial stenting. A total of 85 patients (74.6%) had depression symptom and 83 patients (72.8%) had anxiety symptom after percutaneous intracoronary arterial stenting. There were 60 patients (52.6%) had significant depression symptom and 48 patients (42.1%) had significant anxiety symptom after percutaneous intracoronary arterial stenting. There was significant difference in prevalence rate of depression and anxiety before and after percutaneous intracoronary arterial stenting (P < 0.05). ConclusionsThe patients with chronic obstructive pulmonary disease complicated coronary artery disease show higher prevalence of depression and anxiety. The prevalence of depression and anxiety increases significantly after percutaneous intracoronary arterial stenting.

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content