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find Keyword "食道" 16 results
  • Gastroesophageal reflux is associated with incresead exacerbation of chronic obstructive pulmonary disease

    Objective To investigate the prevalence and predisposing factors of gastroesophageal reflux(GER)in patients with chronic obstructive pulmonary disease(COPD)and its impacts on the frequency of COPD exacerbations.Methods 50 patients with acute exacerbation of COPD were enrolled in the study.All patients filled a modified version of clinically validated standardized Mayo Clinic GER questionnaire.Pulmonary function tests(PFT),body mass index(BMI),serum albumin,and medications were recorded.The patients were divided in to GER group(13 patients with GER symptoms longer than one year and diagnosed GER by gastroscope) and non-GER group(37 patients without GER symptoms).Results There were no significant differences in the BMI,serum albumin,use of inhaled steroids and theophylline between the two groups.Forced expiratory volume in one second as a percentage of the predicted value(FEV1%pred)(37% vs 38.3%,P=0.608.),residual volume % predicted(123.4 % vs 137.8%,P=0.222),and residual volume to total lung capacity(139.4% vs 141.5%,P=0.798) were not significantly different between the two groups.The number of COPD exacerbations per year was significantly higher in patients with GER compared to patients without GER(4.5 vs 1.3,P=0.006).Conclusions The severity of airflow obstruction and the hyperinflation is unlikely to contribute to the development of GER.Patients with GER experience significantly more exacerbations per year when compared to patients without GER,suggesting more highlight warrant in treatment of GER in COPD patients.

    Release date:2016-08-30 11:35 Export PDF Favorites Scan
  • PECTORALIS MAJOR MYOCUTANEOUS FLAP FOR RECONSTRUCTION OF LARYNGOPH ARYNGEAL AND ESOPHAGEAL DEFECTS (Report of 3 cases)

    The pectoralis major myocutaneous flap was used to repair laryngopharyngeal and esophageal defect following radical excision of pharyngeal and inferior laryngeal carcinomas in 3 cases. The results were susscessful. The patients were follwedup for 6 months to 3 years. The deglutition functions were all reestablished, the general nutritional conditions were improved, and no recurrence or distant metastasis was observed. The advantages of this operative procedure were discussed.

    Release date:2016-09-01 11:14 Export PDF Favorites Scan
  • 双眼脉络膜转移癌一例

    Release date:2016-09-02 06:00 Export PDF Favorites Scan
  • 误吞纽扣电池致食道狭窄一例

    Release date:2016-09-07 02:33 Export PDF Favorites Scan
  • 食道超声在非心脏手术中指导突发严重心律失常患者处理一例

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  • 房间隔缺损修补术后下腔静脉隔入左心房致低氧血症一例

    Release date:2016-09-07 02:38 Export PDF Favorites Scan
  • Ⅲ型先天性食道闭锁患儿围手术期护理

    目的 总结Ⅲ型先天性食道闭锁患儿的围手术期的监护方法与经验。 方法 对2010年1月-12月收治的9例Ⅲ型先天性食道闭锁、拟行食道闭锁I期吻合术及食管气管瘘结扎术患儿,围手术期予以体位、气道、管道、保暖、营养支持等有效护理措施,并积极预防相关并发症。 结果 患儿平均住院22 d,7例患儿痊愈,1例术后自动出院,1例死亡。随访1年,患儿恢复良好,2例食道吻合口狭窄患儿,经食道球囊扩张后治愈。 结论 利用体位及食道盲端负压引流技术,能很好地防止患儿术前肺炎加重。严密的监测、预防和处理并发症、气道管理、营养支持等综合监护措施是先天性食道闭锁患儿手术成功和身体康复的重要保证。

    Release date:2016-09-08 09:12 Export PDF Favorites Scan
  • 经食道超声心动图检查患者的护理干预

    【摘要】 目的 总结经食道超声心动图(TEE)检查患者的护理干预及方法。 方法 对2004年1月-2009年12月行TEE检查的1 988例患者进行回顾分析。 结果 术前充分准备,术中配合及良好的术后护理,无医疗事故发生,取得了良好效果。  结论 对行TEE检查的患者在不同的检查阶段进行不同的护理干预,有助于提高患者对检查的正确认识及减少并发症的出现。

    Release date:2016-09-08 09:24 Export PDF Favorites Scan
  • Therapeutic Effect of the Treatment Using Painless Gastroscope on Esophageal Venous Varices

    【摘要】 目的 探讨无痛胃镜两种方式——清醒镇静和静脉麻醉下治疗食管静脉曲张或出血的可行性。 方法 2004年11月-2008年5月, 根据病情或患者要求,对13例患者行清醒镇静即静脉推注咪达唑仑+芬太尼,30例行静脉麻醉即静脉推注咪达唑仑+丙泊酚。43例患者中36例行套扎治疗,7例行1%乙氧硬化醇注射治疗。 结果 43例均成功完成治疗,急诊止血率100%(11/11),治疗后4周复查,显效24例,占55.8%,有效17例,占39.5%,无效2例,总有效率95.3%。静脉麻醉组术后遗忘度100%,清醒镇静组插镜过咽和治疗过程中发生恶心分别为76.9%、46.1%。两组患者在治疗过程中及治疗后均未发生大出血。 结论 无痛胃镜下行食管静脉曲张治疗安全、疗效确切,以硬化剂注射治疗者应采用静脉麻醉。【Abstract】 Objective To observe the effect of painless gastroscopy- conscious sedation and intravenous anesthesia on treating esophageal varices or bleeding. Methods From November 2004 to May 2008, according to the disease condition or patient′s requirements, anesthetists assessed 13 patients who underwent conscious sedation with the intravenous injection of midazolam + fentanyl; 30 patients underwent intravenous anesthesia with intravenous injection of midazolam+propofol. Thirty-six patients underwent set tie treatment, and seven underwent 1% aethoxysklerol injection therapy. Results AN of the 43 patients completed the treatment successfully, and the emergency bleeding rate was 100% (11/11). Four weeks after the treatment, 24 cases had apparent therapeutic effect, accounting for 55.8%; 17 patients had effect, accounting for 39.5%; 2 patients had no effect; the total effective rate was 95.3%. The postoperative forgotten degree of the patients in intravenous anesthesia group was 100%. The nausea rate happened during the mirrors inserting and treatment in the conscious sedation group was 76.9% and 46.1%, respectively. No hemorrhage occurred in both of the tow groups. Conclusion Painless endoscopic is safe and effective for esophageal varices. Intravenous anesthesia should be used in Sclerotherapy.

    Release date:2016-09-08 09:51 Export PDF Favorites Scan
  • 双囊三腔管不同牵引力止血效果比较

    目的:探讨双囊三腔管不同牵引力止血效果。方法:四川大学华西医院消化科从2007年9月至2008年9月收住的82例肝硬化门静脉高压引起上消化道大出血患者分成传统组和改良组,传统组按常规方法插入双囊三腔管,胃气囊内注气250mL后,给予500g 重力经滑轮牵引;改良组的牵引拉力减轻至300g。结果:减轻双囊三腔管的牵引拉力后,患者近期止血成功率与传统组相似,而拔管后再出血的发生率显著降低(Plt;005)。结论:〖HTSS〗减轻双囊三腔管的牵引拉力可以减少拔管后的再出血率,也易于让患者接受。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
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