Whipple手术应用胰管内置留支架管体外引流的体会

本文介绍了whipple手术中胰管内留置硅胶管并体外引流胰液的体会。认为此乃是防止术后胰管狭窄及胰瘘发生的有效措施。     

针灸治疗运动性损伤130例疗效观察

笔者在临床治疗过程中收集了130例典型运动损伤并对其进行针灸治疗,效果显著。其中急性损伤治愈率达92．3％,疗程7．0±3．1天;慢性劳损治愈率88．80％,疗程为14．2±5．7天。由此可见,针灸对急性损伤的疗效优于慢性损伤。     

她,摘下了帽子

小菲因病做了开颅手术,手术很成功,可她却因为剃掉的长发没长出来而迟迟不肯返校上课。我和家长想了很多办法都没能说服她。正当无计可施之际,我忽然想起小苏珊的故事:苏珊不幸患了恶性肿瘤,经过治疗后一头金发掉得精光,只能戴着帽子上学。     

眼球震颤有没有手术之外的治疗方法?

收件人:health@bphg.com.cn发件人:华华妈问题:孩子双眼眼球震颤,不敢轻举妄动又特别着急,请贴身医生帮助!我儿子没满月就发现双眼眼球水平震颤,4个月后能够追视。现在他1岁4个月,看东西时有点斜视,据我们平时观察,他现在比半岁前震颤的频率低,主要在集中注意力看一样东西时由于用力而震颤,或心情激动时震颤。请问这种情况随着年龄增长能否逐渐自行恢复正常?如需治疗,除了手术还有其他更为安全有效的选择吗?如果要做手术,几岁做比较好?因为问题出在眼睛,我们不敢轻举妄动,心里又特别着急,非常希望能得到贴身医生的帮助!     

外伤性肝破裂36例诊治体会

在腹部创伤中 ,肝破裂是较常见的 .特别是随着交通业的不断发展 ,外伤性肝破裂的发病率越来越高 ,虽然多数患者经手术治疗得以康复 ,但少数伤员往往死于严重的致命伤 .本文对我们近 10年来收治的 36例外伤性肝破裂诊治体会进行总结 .1　临床资料1.1　一般资料　　本组 36例 ,其中男 2 7例 ,女 9例 .年龄 7～ 5 2岁 ,平均 2 9岁 .受伤原因为交通事故 2 1例 ,挤压伤 6例 ,刀戳伤 5例 ,坠跌伤 3例 ,枪弹伤 (鸟铳自伤 ) 1例 .闭合性伤 30例 ,开放性伤 6例 .合并其他脏器伤者 2 9例 ,合并伤发生率 80 .6 % ,其中合并脑外伤 11例 ,肺挫伤、气胸 8…     

射频治疗黎氏区鼻出血102例

黎氏区鼻出血为耳鼻咽喉科常见急症之一。我科自2003.10~2005.8月采用广州华南牌SHP-1型射频治疗仪治疗黎氏区鼻出血102例,取得满意疗效,现报告如下。1资料与方法1·1一般资料随机选102例门诊黎氏区鼻出血患者,男45例,女57例年龄6~70岁,病程2d~13年,平均出血量40mL,平均36岁,其中高血压患者4例,患糖尿病者3例,外伤1例。1·2方法患者取坐位或半卧位,用1%的卡因及1%麻黄素棉片行鼻中隔粘膜表面麻醉2~3次,每次间隔3~5min。在麻醉前及麻醉过程中注意寻找出血点,采用SHP-1型五官科射频治疗仪,负极接触患者面颊,强度4档,时间3s,用直细圆探头沿…     

Video-assisted thoracoscopic surgery （VATS） for bilateral primary spontaneous pneumothorax

Objective:To review our experience of the treatment of bilateral primary spontaneous pneumothorax (PSP) by video-assisted thoracoscopic surgery (VATS). Materials and methods: Retrospective chart review was followed by an on-clinic or telephone interview. Patients were cared for by one thoracic surgeon in four medical centers or community hospitals in Northern and Central Taiwan. Thirteen patients with bilateral PSP underwent bilateral VATS simultaneously or sequentially from July 1994 to December 2005. Results: Twelve males and one female, with age ranging from 15 to 36 years (mean 23.1 years), were treated with VATS for bilateral PSP, under the indications of bilateral pneumothoracis simultaneously (n=4) or sequentially (n=9). The interval between the first and second contra-lateral VATS procedure for non-simultaneous PSP patients ranged from 7 d to 6 years. Eleven of 13 patients (84.6%) had prominent pulmonary bullae/blebs, and underwent bullae resection with mechanical or chemical pleurodesis. The mean operative time was (45.6±18.3) min (range 25-96 min) and (120.6±28.7) min (range 84-166 min) respectively for the non-simultaneous (second VATS for the recurrence of contralateral side after first VATS) and simultaneous (bilateral VATS in one operation) procedures. There was no postoperative mortality. However, prolonged air leakage (>7 d) occurred in one patient (7.7%) who recovered after conservative treatment. The mean duration of chest tube drainage was 3.1 d and the median follow up period was 3.4 years. Conclusions: VATS is a safe and effective procedure in the treatment of bilateral PSP. Bilateral VATS is only recommended for patients with simultaneously bilateral PSP, because the incidence of recurrence, even with visible bullae, was not so high in my group and in some previous literature. Bilateral VATS in a supine position should only be used in selective cases, because of possible pleural adhesion or hidden bullae on the posterior side.     

心不快活空服药

我年轻时即被查出患有原发性高血压症。自那时起，我就按大夫开的处方遵时按量服药。几十年来，我亲身体验到，心情好的时候服药，效果佳；情绪烦闷的时候服药，疗效差，真应验了“心不快活空服药”的金玉良言。[第一段]     

孩子先天性耳前瘘管发炎怎么办

vivid803490@sina.com问:我的儿子快4岁了,前几天左脸有点儿红肿,一摸左耳后发现有小包,医生检查后说是先天性耳前瘘管发炎,开了抗生素针剂。经过两天的注射,他脸部的