目的 总结术中胆道造影的应用体会。方法 回顾性分析甘肃省中医院2000年5月至2007年12月期间进行术中胆道造影151例患者的临床资料。结果 所有患者术中胆道造影均顺利完成。经胆囊管造影成功者75例，其中有65例将软管直接置入胆囊管中造影，有10例经钢针穿刺胆囊管造影； 有4例直接穿刺胆总管造影； 经T管造影者72例，均直接从T管内注入造影剂。本组151例手术患者均1次完成手术，没有残余结石或术后胆管损伤的发生。结论 术中胆道造影可避免残余结石及胆管损伤的发生。
ObjectiveTo study a new method for establishing the rat model of incomplete adhesive intestinal obstruction. MethodsThe serosal stripping method was adopted, the general health condition changes of rats were observed on day 3, 5, and 7 after modeling, meanwhile the weight was measured, the superior mesenteric artery flow velocity and small intestine wall thickness were observed via the color Doppler ultrasound and orthostatic X ray. The level of D-lactate acid in the blood plasma, and the activity of superoxide dismutase (SOD) and the content of malondialdehyde (MDA) in the intestine tissue were tested. The pathological changes of the intestine tissue were observed. ResultsCompared with the normal group (no treatment was done), the general health conditions of rats were worse, the weight significantly decreased (Plt;0.01), the superior mesenteric artery blood flow velocity significantly increased and small intestinal wall was thickened (Plt;0.05, Plt;0.01), airfluid level or a great deal of seroperitoneum and pneumatosis flat appeared via orthostatic abdominal X-ray, the level of D-lactic acid in the blood plasma and the content of MDA in the intestine tissue significantly increased on day 5 after modeling (Plt;0.05, Plt;0.01), the activity of SOD in the intestine tissue significantly decreased on day 7 after modeling in the model group (Plt;0.05). The pathological changes consistented with adhesive intestinal obstruction via pathological observation. On the 7th day, the rat model of incomplete adhesive intestinal obstruction was successfully built . ConclusionThe rat model of incomplete adhesive intestinal obstruction is completed by serosal stripping method.
ObjectiveTo provide some basic data for studies in the future on the prevention of medical disputes by exploring its patterns and reasons. MethodsFifty-five processed medical disputes cases accepted between 2012 and 2014 were retrospectively analyzed for their patterns and causes. ResultsThe number of males in the medical disputes was higher than that of females (male: 60.0%, female: 40.0%), and patients at the age of 40-70 also led in the disputes (aged 40-50: 20.0%, aged 50-60: 18.2%; aged 60-70: 20.0%). There were more medical disputes in the department of cardiology (20.0%), orthopedics (16.4%), otolaryngology (12.7%), and gynecology (10.9%). ConclusionThere are differences in gender and age of the patients as well as departments in terms of medical disputes. We should try to discover the regular patterns of these disputes. Besides those existing medical indexes, we should establish other warning systems through psychological and sociological status of medical staff and patients for reducing medical disputes, which can surely help the administration of medical quality intervention on medical disputes.