复合式小梁切除术的临床观察

目的 :观察复合式小梁切除术的手术成功率及术后并发症。方法 :对23例(27眼)小梁切除术中应用0 4mg/ml的丝裂霉素C ,联合前房穿刺 ,外置巩膜瓣可拆除缝合的方法进行观察。结果 :23例中功能滤过泡达100%,术后6mo眼压稳定 ,术后仅1例发生Ⅱ级浅前房。结论 :复合式小梁切除术不仅提高了抗青光眼手术的效果 ,而且大大减少了并发症的发生     

食管癌切除术后心律失常的分析治疗

对452例食管癌切除术后并发心律失常的69例病人的发病原因及治疗进行了分析.在 69例病人中,窦性心动过速 32例,占 46.4％;房性早搏 9例,占 13.1％;房室交界性早搏4例,占5.8％;室上性心动过速11例,占15.9％;室性早搏8例,占11.6％;房颤4例,占5.8％;室性心动过速1例.     

芬太尼麻醉手术中血糖和胰岛素的变化

目的：观察芬太尼麻醉手术中机体的血糖（ＣＬＵ）和胰岛素（ＩＮＳ）的变化。方法：Ｔ例ＡＳＡⅠ－Ⅱ择期上腹部手术患者，诱导后持续恒定静脉内输入芬太尼维持到手术缝皮后为止，３组剂量分别为每小时每公斤体重２．５、５、７．５μｇ。分诱导前（Ｔ１）、手术７０ｍｉｎ（Ｔ２）、术毕（Ｔ３）３次采静脉血，测血糖和胰岛素值。用ＳＰＳＳ软件包进行数据处理，采用方差分析和相关分析。结果：不同剂量的３组在手术７０ｍｉｎ时、     

腹部手术后继发急性阑尾炎9例分析

通过9例该阑尾炎诊治认为：患者腹部手术后，若出现腹痛、呕吐、发热、右下腹的压痛等，应考虑到阑尾炎的可能，并对患者的病情作动态观察，必要时结合B超等辅助检查，以求对患者是否继发阑尾炎及时做出明确诊断。     

大肠息肉高频电切术并发症98例临床分析

目的通过回顾性分析大肠息肉高频电切术术后并发症的防治措施,探讨减少大肠息肉高频电切术后并发症的方法.方法将采用高频电切术的196例结肠息肉患者随机分为治疗组和对照组,每组各98例,治疗组采用术前、术中、术后防治等方式防治并发症,对照组采用普通对症处理方式进行防治,比较两组患者术后并发症恢复情况.结果治疗组有2例(2.04%)出现轻微腹痛,1例(1.02%)发生延迟性出血,经积极处理后,患者均恢复正常.对照组中有5例(5.10%)出现腹痛症状,6例(6.12%)发生延迟性出血.治疗组效果优于对照组(P0.05),差异具有统计学意义.结论高频电切手术目前已成为治疗大肠息肉的首选,具有安全、有效、创面小、可反复使用等优点,积极有效的术后并发症防治措施可以避免外科剖腹手术的痛苦,降低并发症发生率,提高患者的生命质量,值得临床推广应用.     

小鼠腹腔感染阴道毛滴虫后的病理改变及致病性分析

观察小鼠腹腔感染阴道毛滴虫后的病理改变 ,进而深入探讨阴道毛滴虫的致病性 .并验证腹腔模型在研究滴虫致病性上的优越性 .将 80只小鼠分为 8组 ,除对照组外 ,用不同密度 (1.77× 10 6 个 /mL ,3 .16× 10 6 个 /mL ,7.2 4× 10 6 个 /mL)、不同剂量 (0 .2mL ,0 .3mL ,0 .4mL)的阴道毛滴虫对不同重量的小鼠进行腹腔接种 ,观察小鼠形态如毛发、体形、精神状态变化及腹腔内脏病理性改变 ,制作各腹腔内脏病理切片 ,观察病理改变 .结果表明 ,小鼠出现一系列病态症状 ,包括小鼠外观上 .病理解剖观察、镜下检查都显示出种种显著异常 .病变的严重程度与接种密度 ,接种剂量正相关 ,与小鼠体重反相关 .得出阴道毛滴虫有较强的致病性 .采用小鼠腹腔接种阴道毛滴虫来研究其致病性更为科学、可靠和实用 .     

The value of endoscopic ultrasonography on diagnosis and treatment of esophageal hamartoma

Objective： To examine the values of endoscopic ultrasonography （EUS） on diagnosis and treatment of esophageal hamartoma. Methods： We compared and analyzed various kinds of imaging examinations such as barium esophagram, contrast-enhanced computed tomography （CT） and conventional gastroscopy in retrospectively reviewing the clinical data of an esophageal hamartoma patient seen in our clinic in the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China. Having received various imaging examinations, this patient was finally diagnosed with esophageal hamartoma and underwent gastroscopic resection of hamartoma with the diagnostic information obtained from EUS. The patient had been regularly followed up for 13 months after treatment. Results： Barium esophagram, CT and conventional gastroscopy detected the lesion, but were unable to distinguish it from common esophagopolypus and other submucosal lesions, and unable to determine etiopathogenisis. EUS detected the hamartoma and identified its internal structure, echo, exact size, depth of invasion, origin and the relationship between adjacent tissues and organs, differentiating the lesion from other submucosal tumors and clearly defining the diagnosis. EUS-guided fine needle aspiration （FNA） also helped to identify the etiological diagnosis. Conclusion： EUS was superior to other imaging means in diagnosis and treatment of hamartoma.     

经腹贲门癌切除、纵膈内机械吻合的手术配合

目的：介绍经腹贲门癌切除，纵膈内机械吻合术治疗贲门癌的手术配合。方法：针对44例有糖尿病，高血压，心功能不全的贲门癌患者，采用经腹切除，纵膈内机械吻合术，根据手术配合经验，介绍了手术护士配合的详细步骤与方法，强调心理护理的重要性。结果：手术均获得成功，患者安全返回病房。结论：手术中护士的配合是重要的，尤其是使用吻合器的配合。     

Single nucleotide polymorphism analysis of the encoding region of EX-FABP gene and its association with fattiness trait in chicken

Fattiness is an important parameter to estimate meat quality, which has high heritability. In this experiment, F2 chickens derived from Broilers crossing to Silky were used to study the effect of extracellular fatty acid inding protein (EX-FABP) gene on abdominal fat accumulation. Five exons and partial introns of the gene were amplified by six pairs of primers, and then single nucleotide polymorphisms (SNPs) were detected by single strand conformation polymorphism (SSCP) and subsequently confirmed by sequencing. There were four nucleotides variations found, T-C at 659, C-T at 924, CA-TG at 968 and C-T at 1985 respectively. The result of least square analysis suggests that the chickens with HH genotype defined by the third pair of primers have a lower abdominal fat weight and abdominal fat percentage than the chickens with other genotypes (GG, GI, GH and II). It implies that extracellular fatty acid binding protein gene could be a candidate locus or linked to a major gene that significantly affects abdominal fat traits in chicken.     

脂肪抽吸联合腹壁整形术42例临床分析

目的探讨脂肪抽吸联合腹壁整形的临床疗效及安全性.方法 42例患者采用肿胀麻醉、负压吸引器行腹壁脂肪抽吸;在耻骨联合区域标记"W"形切口,沿腹肌筋膜浅层剥离,折叠缝合腹直肌前鞘,根据实际情况完成脐成形及切除多余皮瓣术,分层缝合腹壁.结果 42例患者切口均Ⅰ期愈合,无并发症发生.随访6~12个月,腹部对称柔软,切口瘢痕隐蔽,塑形效果满意.结论脂肪抽吸与腹壁整形联合应用临床疗效佳,安全可靠,值得推广.