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Dołączył: 13 Gru 2010
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Temat postu: Artificial trachea with the experience of the surg |
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Artificial trachea with the experience of the surgical alternative
Changes in addition, because a large section surgery, a long time, body heat loss and more, attention should be an appropriate increase in temperature of 4.3 distal tracheal intubation for surgery is an important step in the procedure for endotracheal intubation in the remote case of interrupted breathing conducted, and the operative field bleeding more air into the blood there was the possibility that a slight delay in patients with life-threatening, so the 2 distal tracheal intubation require fast, accurate surgical nurses should be prepared before the operation is far end of the catheter intubation, with particular attention to the endotracheal tube with artificial airway must be care ultrasound in 18 cases of retroperitoneal tumor mining Qing County, Hebei Province People's Hospital (302650) Sau Mei Lo peritoneal ... bit hard to larger, and the abdominal cavity year after year is not easy to identify this tumor surgically and pathologically confirmed cases of retroperitoneal tumor I8 performance analysis of ultrasound wells are discussed below. 1 Data and methods of this group of 18 down, 13 males and 5 females aged 1880 years back {on average about '8-year-old history 2} Bureau of 6 months, an average of about 3 months the main clinical manifestations: Look down mass in 9, abdominal tickle 5 down, 3 down tenderness, hematuria, l cases ultrasound equipment used SC ~ 200 Real-Time ultrasound imaging device, the probe frequency of 3.5MHz, exposure to the abdomen, the bladder filling under good conditions, the longitudinal section of the abdomen,[link widoczny dla zalogowanych], transverse , oblique, multi-directional, multi-angle scanning, well instruct patient and pant. Changes in position, such as the knee-chest position. Prone position and so on. Whether the observed mass movement, at the same time, the operator with the squeezing of the probe to observe the tumor with or without changes. 2 Results 18 down, B ultrasonographic. 11 patients showed substantial tumor echo (echo uniform in 4 cases, uneven 7 down), mixed cystic and solid echo was 5 down, 2 showed no echo down the dark areas of tumor type: B side of liposarcoma, sarcoma cells 2 down, smooth muscle sarcoma. Mesenchymal sarcoma. Seminoma in 1 case, teratoma 3 down, cysts in 2 cases. They have the following characteristics: 2I swelling of a spot in the position of Exploration; often close to the front of the spine, internal organs and the peritoneal clearance pounds. Blood vessels close to the tumor and the anterior abdominal wall distance. Tumor and the anterior abdominal wall of the intestine with active gas asked hyperechoic, no such mass of gas to see Vincent Fang strong echo the general location of the tumor with 2.2 fixed: No Zha breathing. Peristalsis. I based changes. Push the other hand and mobile locations. 2.3 tumors often polymorphic forms: the retroperitoneal space proper, not just caused by intubation or extubation may be difficult, and even lead to anastomotic tear. Also be familiar with 2 distal tracheal intubation procedures before done busy but 4.4 for the clarity of the operation, abdominal incision, surgical complexity, range, covers a wide range, oozing more surgery in a long time more than the required equipment, gauze, a tail towels, needle,[link widoczny dla zalogowanych], thread the amount of major surgery nurses and traveling nurses to strictly count the number of days left in the body cavity to prevent swelling pelican Qi Received 1995-1O-O8 O5 repair a solid date of 1996 -16 (bats series of Lu Yan) stenosis, tumor growth by the sacrum, iliac bone and organ in front of the restrictions, often for the polymorphic forms, the majority of tumors vertical, large diameter, anteroposterior diameter of the small, round tumor is more liquid is obvious. 2. 'Tumors of various shapes: round or fine round mostly benign, encapsulated clear, the internal uniform. More malignant form of irregular, round Bi Shang Qing, but no capsule, the edge of Crab-like protrusions, much lower than both the internal echo, where the different organs of the tumor and organs close to their breathing exercise where the dirty Electrical activity synchronization. Retroperitoneal mass, such as liver and kidney in liver and kidney can between the gap increases, move right hepatic lobe,[link widoczny dla zalogowanych], right kidney down, look askance renal interstitial tumor versa 3 Discussion 3.1 retroperitoneal tumor multiple sources and types of JI, and about 7O malignant, so early detection, early diagnosis and Sri Lanka, early treatment plays an important role in its outcome. Ultrasound imaging is simple and easy to image but also has a larger role in diagnostic techniques in the diagnosis and differential diagnosis of retroperitoneal tumor diagnostic imaging method of choice. . 32 pick by ultrasound imaging investigation can clearly show thin wall structure. Abdominal and retroperitoneal organs, can improve the preoperative diagnosis of retroperitoneal tumors. 3.3 The nature of retroperitoneal tumors varied, real-time ultrasonography, the tumor through the slit. Crosscutting and miter show to understand the internal structure and characteristics of the tumor. 3.4 Real-time ultrasound can show good tumor relationship with the surrounding tissues and organs collected, it is possible to provide mass organs from Afghanistan and oppression. Pushing the case of tissues and organs to understand the process run well and transfer to determine whether or not its degree. 3.5 Results dig inside the tumor specific changes, such as hemorrhage,[link widoczny dla zalogowanych], necrosis. Cystic degeneration, calcification. Can often be displayed by ultrasound. 3.6 observed by dynamic ultrasound imaging, to monitor the increasing abdominal swelling after olfactory outcome,[link widoczny dla zalogowanych], such as: increase or decrease the tumor. Whether such invasion and metastasis, and often can not help efficacy of surgical resection of the tumor assessment. Received a 1996-0l 26 (Editor summer thousands) /
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