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 Wysłany: Śro 20:38, 16 Mar 2011 Temat postu: MBT schuhe preise glm bpk avla ays |
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Doppler tissue imaging in ischemic heart diseases
follaJeta1. Dopplertissueimagingquanti-tiesregionalwallmotionduringmyocardialischemiaandreperfusion. Circulation ,1998,97:1970-1977 [3] Zhang Jiping. Clinical Medicine (Volume One). Tianjin: Tianjin Science and Technology Press, 1999.1135 a ll36 (2004-10-10 Received, Editor Zhang Bolin) ultrasound-guided treatment of non-parasitic hepatic cyst Renlan Hu clinical analysis of 146 cases of the history of the military (Armed Police Gold a Corps Hospital Medicine, Harbin 150086, China) Key words liver cyst puncture and ethanol B-parasitic liver cysts can be divided into non-parasitic, parasites, liver hydatid cyst of liver common, non-parasitic hepatic cysts can be divided into congenital, traumatic, neoplastic and inflammatory cysts. Congenital liver cysts are benign lesions in the liver, simple liver cyst (single and multiple) is generally considered the source of aberrant bile duct retention cysts, or because of their age increases, liver dysfunction and the development of the bile duct diverticulum from .... Polycystic liver disease patients tend to be genetic (dominant and more, there are also hidden) due. Since 1991 in our hospital, in B-guided treatment of congenital liver cysts 146 cases, achieve a satisfactory effect, are reported below. 1 1.1 The object of the present objects and methods 146 patients, aged 278l years, mean 52 years; single 98 cases, multiple in 23 cases, polycystic liver disease in 25 cases. In which patients with polycystic kidney disease polycystic liver in 22 cases, three cases of hepatic hydatid cyst misdiagnosed as liver, a total of 187 cysts, a former surgical decortication was performed in 1 case. Clinical manifestations of the smaller cysts, often without discomfort, the majority of medical examination found that more or larger cysts (greater than 6cm) easy to the right upper abdominal pain, anorexia, diet increased. Check with an Aloka-SSD 260 ultrasound diagnostic apparatus,[link widoczny dla zalogowanych], puncture with a 3.5MHz sector probe connector adapter, needle core biopsy needle with the import for the PTC needle (19G Canadian G). Method of preoperative preparation of 12: Check the blood,[link widoczny dla zalogowanych], liver hepatitis and type, coagulation, pay attention to blood pressure and cardiac function in a smooth and stable and alcohol allergy, preoperative B-first determine the cyst size, location and adjacent organ and blood vessels, select the appropriate needle puncture points and lines. Supine position or left recumbency position, regular skin disinfection, sterile hole shop towels, cover with plastic wrap sterile probe, the adapter fixed on the probe Author: Renlan Hu, male, born in 1964. Degree,[link widoczny dla zalogowanych], the attending physician, Division Director. Mainly engaged in the treatment of cyst puncture. Head, good puncture to determine the angle, with 1% lidocaine local anesthesia puncture the skin, under the guidance of the B-, the first human subcutaneous needle puncture, Zhu Huanzhe breath, and then accurately and quickly thrusts the central cavity, the slow cyst fluid aspiration, to retain part of the cyst fluid routine,[link widoczny dla zalogowanych], biochemistry, cytology, such as infection should be suspected bacterial culture and drug susceptibility tests; such as puncture fluid in Nil-, washed with saline, temporarily hardening can be capsule into the amount of contrast agent (after the test sensitivity), take X-ray film or Cl If pass, consider sclerotherapy; if the same, may be considered embolization or surgery. Intracystic hemorrhage or infection such as mergers to be repeatedly washed with normal saline or metronidazole to the cyst fluid and translucent. Capsule into the appropriate amount of 1% lidocaine (General 540rn1), luggage within the local anesthesia, about 1min after the draw, and then into the amount of ethanol (about the amount of cystic fluid extract 1 / 4 to 1 / 5, the maximum amount not more than 100m1), to retain all out after 5min. If those infected and fester, and then repeatedly washed with normal saline several times, and then into the appropriate amount (10 ~ 40rn1) retention of metronidazole and gentamicin (2nd post to be based on bacterial culture and sensitivity), needle injection, After disinfection of the puncture site covered with sterile dressing. Back ward, bed rest more than 24h. Regularly reviewed after discharge to understand the cysts of liver B-retraction situation. 2 Results 2.1 The nature of 187 cysts cysts, l8 cases with intracystic hemorrhage, 7 cases with intracapsular infection and septic, the maximum 1 case l7.5cmx16.0cm, out of about 1750ml pus,[link widoczny dla zalogowanych], the 4 puncture fluid, flushing , hardening and retain antibiotic cure. 8 cysts larger 2 by intermittent pumping liquid after hardening. 3 cases of hepatic hydatid disease misdiagnosed as liver cysts, aspiration of hydatid fluid examination with the first section, worms. None of cyst fluid cytology of tumor cells. 2.2 The treatment results are generally cavity diameter is less than 8cm, if no infection, septic and alcohol allergy, 1 puncture sclerotherapy of 3 to 8 months after disappearing. Than
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