veoexrmpzt
Dołączył: 21 Lut 2011
Posty: 371
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Skąd: England
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 Wysłany: Nie 7:40, 13 Mar 2011 Temat postu: GHD glätteisen mnf lgz rgle heh |
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Northern elderly sensitivity lower respiratory tract infections
Empyema in 1 case, exploratory thoracotomy found that the stomach herniated into the chest cavity, necrosis and gastric perforation,[link widoczny dla zalogowanych], gastric contents within the chest, giving partial resection of the stomach, diaphragm repair, and rinse with large amounts of antibiotics, chest, 1wk later recovered. Misdiagnosed as blood pneumothorax in 3 cases, 1 case of female 24 years old, a car accident outside the hospital into the hospital after 1wk,[link widoczny dla zalogowanych], the patient men Tong left chest, shortness of breath, decreased breath sounds in left lung apex beat and slightly shifted to the left of the channel on the barium Shaw found that the left thoracic stomach, surgery within the leading edge of left diaphragmatic rupture port 3 ~ 4em, gastric and omentum hernia thoracic cavity, the color darkens, gastric perforation, pleural effusion in a 500mL, line and omentum and gastric resection, diaphragm repair, after 18d cured. 1 case of 65-year-old male, closed chest injury 2d, increased difficulty breathing, chest and left shoulder men Tong radiation, the left lung breath sounds weak, percussion dullness was left out without coagulation of the blood of the chest, left chest cavity closed drainage line , after 2d, the symptoms did not improve, and nausea, vomiting brown juice, exploratory thoracotomy, see: the central part of the left diaphragm breach of 3 ~ 4em, hernia and gastric necrosis in human pleural perforation of gastric resection, diaphragm repair, postoperative 35d cured. Perforation of the organ for the stomach in 7 cases, jejunum in 2 cases, perforation of the stomach and jejunum, while in 1 case. Blunt trauma in 6 cases, 4 cases of open injury. Pro Received :2004-05-15; Revised :2004 -08-24 Author: Li Zhanqing (1965 a), M (Han), Tangshan, Hebei Province people. Master, deputy director of the physician. Te1. (0315) 3725845Email. zhanqing_li @ 163. com bed performance: chest tightness, difficulty breathing, nausea,[link widoczny dla zalogowanych], vomiting, high fever, chest pain, no shock symptoms. Preoperative upper gastrointestinal imaging, CT confirmed: diaphragmatic hernia in 4 cases of suspected gastric rupture, diaphragmatic hernia, 1 case suspected rupture of the jejunum. The group of 10 cases were broken by thoracotomy removal of hollow organs or repair, diaphragm repair. Were cured. 2 discussion of traumatic diaphragmatic hernia misdiagnosed rate of 30% to 50% .... Because small diaphragm gap, after the organs were not sliding hernia strangulation could easily lead to the formation of organ perforation. Diaphragmatic rupture, due to pressure difference abdominal cavity, abdominal hernia thoracic cavity organs easily, especially after a meal easier to form a diaphragmatic hernia, can cause circulatory and respiratory functions of the barrier '. We believe that: ① vigilance severe trauma, lower chest and upper abdomen sharp injury patients with traumatic diaphragmatic hernia may, in particular,[link widoczny dla zalogowanych], whether the left should be suspected combined abdominal perforation of hollow organs; ② those suspected of traumatic diaphragmatic hernia,[link widoczny dla zalogowanych], x ray film normal can not rule out traumatic diaphragmatic hernia, repeat for x-ray examination can improve the preoperative diagnosis rate, chest tube placement x-ray photo helps diagnose, upper gastrointestinal imaging line as soon as possible; ③ traumatic diaphragmatic hernia is suspected and the check those who can not be confirmed, the injury CT or MRI examination to allow feasible ...; ④ unexplained dyspnea should be aware of the disease possible. Should pay attention to the suture, the margins, not too thin, less J. 【
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