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find Author "唐铁龙" 2 results
  • Analysis of 1356 Health Examination Electrocardiogram

    摘要:目的: 通过分析健康体检者心电图异常的发生率及类型,为当地人群心血管疾病的早期诊断、早期治疗提供依据。 方法 : 采用光电三道心电图机在体检者安静休息状态下以常规12道描记,时间在15秒左右。按3个年龄段对健康体检患者心电图进行分组分析,同时对心电图异常者做病因诊断。 结果 : 1356例完成十二导联心电图监测,异常心电图占2257%,其中STT异常占首位1123%。41~60岁人群心电图异常的检出率男性较高,且多伴高血压、血糖异常、血脂异常等; 61~81 岁组人群心电图异常的检出率最高,且多已存在糖尿病、高血压和冠状动脉供血不足等疾病。 结论 :定期进行心电图检查,对早期发现、预防、诊断心血管疾病有重要意义。Abstract: Objective: To provide evidences for the early diagnosis and treatment of cardiovascular diseases through the analysis of the electrocardiographic abnormality and category. Methods : Analyzing the health examination electrocardiogram according to age and etiological diagnosis were committing to cases with electrocardiographic abnormality. Results : 1356 cases finished the electrocardiography. The rate of electrocardiographic abnormality was 2257%, and the STT abnormality hold the first place (1123%). The rate of electrocardiographic abnormality increased with the increasing age and it is highest in the 61~81 ages. Conclusion : Regular health examination by electrocardiography is important for early diagnosis, prevention and treatment of potential cardiovascular disease.

    Release date:2016-09-08 10:12 Export PDF Favorites Scan
  • 单纯性肾囊肿3种手术治疗效果的比较

    目的:比较和评价后腹腔镜去顶减压术、开放性去顶减压术和穿刺硬化术的治疗单纯性肾囊肿的效果。方法:138例单纯性肾囊肿者中采用后腹腔镜去顶减压术48例,开放性去顶术56例,穿刺硬化术34例。对3种术式的临床疗效、术后恢复及费用等进行对比研究。结果:3组患者在年龄、性别、侧别、随访时间及囊肿大小上差异无统计学意义。腹腔镜组症状消失者72.9%,症状好转者22.9%,无复发;开放手术组症状消失者69.6%,症状好转者26.8%,无复发;穿刺硬化组症状消失者35.3%,症状好转者58.8%,复发29.4%。腹腔镜组术后均未注射止痛剂,平均发热21d,住院35d,伤口疼痛麻木持续1.5个月;开放手术组术后39.3%(22/56)注射止痛剂,平均发热4.4d,住院5.4d,伤口疼痛麻木持续5.6个月;穿刺硬化组术后无注射止痛剂,平均发热0.2d,住院0.8d,伤口疼痛麻木持续0.5月。术后并发症发生率腹腔镜组为6.3%(3/48),主要为肾周血肿和感染;开放手术组为8.9%(5/56),主要为伤口感染、应激性溃疡等;穿刺硬化组为2.9%(1/34),主要为肾周血肿。腹腔镜组和开放手术组费用显著高于穿刺硬化手术组(Plt;0.05)。结论:腹腔镜肾囊肿去顶术疗效确切、复发率低、并发症少、费用高;开放性肾囊肿去顶术疗效确切、复发率低、并发症多、费用高;穿刺硬化术疗效确切、复发率高、并发症少、费用低。在单纯性肾囊肿的治疗中,腹腔镜手术已经成为治疗的金标准,但根据患者的病情和经济社会情况可选择开放手术和穿刺硬化手术治疗。

    Release date:2016-09-08 09:56 Export PDF Favorites Scan
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