Minimally invasive treatment of acute gallstone pa -

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Minimally invasive treatment of acute gallstone pancreatitis

Xian, [1] MoonJH. Thedetectionofbileductstonesinsuspectedbiliarypancreatitis: comparisonofMRCP, ERCP, andintraduetalus [j]. AmJGastroenterol, 2005,100 (5): 1051. [2] NeptolemsJP, CarLockeDL, LondonNJ, eta1. Controlled. trialofurgentendoscopicretrogradecholangiopancreatographyandendoscopicsphincterotomyversusconservativetIeatmemforacutepancreatitisduetogallstones [J]. Lancet, 1988,2 (4): 979. [3] BritishsocietyofGastroenterology. Unitednonguide-lines. forthemanageme ~ ofacutepanereatitis [J]. Gut, 1998,42: S1. [4] VomoG, SlavinJ. Endoscopicsphincterotomyforacute. pancreaitifis: argumentsinfavor [J]. JGatroenterolHepatol, 1998,30:557. [5] Gao Weidong, Yao Liqing. Acute gallstone pancreatitis Emergency endoscopic treatment [J]. Endoscopic, 2002,19 (6): 359. . [Received date :2008-04-title 28 School: Wang Lina Yang Yu] intervention vagal reflex in the observation and treatment Xiaodong, Cheng Long put in temporary source, Yong Yang (Jilin avant-garde intervention Branch Hospital, Changchun 130012) [Abstract] Objective: To understand the intervention process vagal reflex causes, manifestations and treatment. Methods: intervention occurred during vagal reflex causes, to give psychological care, expansion, boost the comprehensive treatment. Results: The patients with vagal reflex, the timely, proactive treatment, symptoms were quickly alleviated, back to normal. Conclusion: The system control vagal reflex causes, clinical manifestations and treatment, interventional therapy can effectively control the vagus nerve reflex in the occurrence and adverse consequences. [Key words] intervention; vagal reflex minimally invasive interventional technology is important as part of the medical, injury and good curative effect. Interventional femoral artery puncture is the most common way to technology. With Intervention in a wide range of clinical applications, there also will be increased risk of complications. In the puncture process, during and after removal of the sheath tube, there may be blood pressure, heart rate, pale, sweating, nausea, increased vagal tone as performance, vasovagal reflex (vasovagalreaction, VVR),[link widoczny dla zalogowanych], was termed as The rapid development and easy and low blood sugar reactions, allergic reactions such as contrast agents confused, if handled improperly or in time, could easily lead to heart, brain, kidney and other vital organs caused by a series of ischemic complications, more seriously, endanger the lives of patients. Our department in June 2004 ~ June 2007 more than 1,500 interventional cases of surgical treatment, vagus nerve reflex occurred in 6 cases, 4 cases in which surgery, 2 patients. Treatment Experience of the final report now follows. 1 Data and methods 1.1 General Information: June 2004 ~ June 2007 in our department more than 1,500 cases of interventional surgery, there were 6 cases of vagal reflex, or about 0.4%. Of which 2 males and 4 females, aged 58 to 69 years, mean 62 years. Surgery in 4 cases, after removal of the sheath tube in 2 cases. 1.2 Treatment: Interventional treatment of femoral artery using Seldinger technique, the choice of 5-6F arterial sheath. Routine application of intraoperative heparin 3O00U. Immediately after removal of arterial sheath, partial hand oppression 15min, sandbags pressure oppression 6h, during which observation of lower extremity temperature, color, pulse rate, 24h after ambulation. Occurred during and after vagal reflex, given expansion, such as a positive step and symptomatic treatment, were normal and no complications occurred. *

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