west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "邹志强" 13 results
  • 黄色肉芽肿性胆囊炎1例报告

    Release date: Export PDF Favorites Scan
  • 胆道术中发现门静脉海绵样变1例报告

    Release date:2016-08-29 09:20 Export PDF Favorites Scan
  • 腋下小切口行肺部手术82例

    Release date:2016-08-30 06:15 Export PDF Favorites Scan
  • 胃大部切除术后食管癌的外科治疗

    目的 探讨胃大部切除术后食管癌的外科治疗方法和效果。 方法  18例均采用经左胸后外侧切口切除食管癌 ,将残胃连同脾脏、胰尾移于胸腔 ,行食管残胃吻合术。主动脉弓上吻合 10例 ,弓后吻合 8例 ;手工吻合 2例 ,器械吻合 16例。 结果 全组无吻合口瘘和手术早期死亡 ,术后并发症发生率为 16 .7% ( 3/18)。 1年生存率 73.3%( 11/15 ) ,3年生存率 5 5 .6 % ( 5 /9) ,5年生存率 2 8.6 % ( 2 /7)。 结论 采用将残胃、脾和胰尾移入胸腔 ,行食管残胃吻合 ,可增加残胃上移高度 ,保证食管残胃的无张力吻合。该术式操作简单 ,创伤小 ,并发症少 ,因此 ,可作为消化道重建的方式之一。

    Release date:2016-08-30 06:27 Export PDF Favorites Scan
  • 结肠或胃代食管术治疗食管腐蚀伤后瘢痕性狭窄

    目的 总结结肠或胃代食管术治疗食管腐蚀伤后食管瘢痕狭窄的临床经验。 方法 食管腐蚀伤后食管瘢痕性狭窄患者 4 6例 ,伤后 1~ 6个月内手术 4 1例 ,其中 3~ 4个月手术 2 8例 ;6个月以上 5例。采用结肠代食管术4 3例 ,胃代食管术 3例。 结果 全组无手术死亡。术后发生颈部吻合口瘘 4例 ,吻合口狭窄 2例 ,腹壁切口裂开 1例 ,均治愈。随访 4 1例 ,最长随访 3年 ,除 2例进软食时有哽噎感外 ,其余患者均能正常进食。 结论 采用结肠代食管术治疗食管腐蚀伤后瘢痕狭窄是一种理想的手术方法。

    Release date:2016-08-30 06:27 Export PDF Favorites Scan
  • STUDY ON DIAGNOSIS AND TREATMENT OF KNIFE TRAUMA OF THE ABDOMEN

    目的 探讨腹部刀刺伤诊治策略,提高治疗水平。方法 回顾性总结分析147例腹部刀刺伤的诊断和治疗。结果 剖腹手术139例,伤口清创缝合8例,治愈145例,死亡2例。结论 休克,大网膜及腹腔脏器外脱,腹痛伴腹膜炎体征,诊断性腹腔穿刺阳性均是手术指征。臀部刀刺伤要警惕损伤腹腔脏器。合并胸部伤或发生胸腹联合伤时,除有心脏大血管损伤外,原则上应先剖腹,术前置胸腔引流观察胸腔出血漏气情况,改善呼吸。

    Release date:2016-09-08 02:01 Export PDF Favorites Scan
  • 倒置胃管治疗残胃手术后食管癌一例

    Release date: Export PDF Favorites Scan
  • Correction of Pectus Excavatum by Non-thoracoscopic Nuss Procedure in 51 Patients

    ObjectiveTo summarize clinical experience of minimally invasive non-thoracoscopic Nuss procedure for the treatment of pectus excavatum (PE). MethodsFifty-one pediatric patients received minimally invasive nonthoracoscopic Nuss procedure for PE between July 2008 and February 2014 in Department of Thoracic Surgery, Jinan Military General Hospital. There were 32 males and 19 females with their average age of 8.32 (2.5-17.0) years. Transverse incisions were made in bilateral chest wall. Supporting plate was put to right chest wall through retrosternal approach, turned over and fastened onto the ribs. ResultsDeformity of all the patients was successfully corrected. Operation time was 30-52 (38±9) minutes. One patients had heart injury which was repair after open thoracotomy, and then supporting-plate was successfully secured. Postoperative complications included subcutaneous emphysema in 7 patients, pneumothorax in 3 patients and atelectasis in 3 patients, all of whom were cured by conservative treatment. Supportingplate transposition occurred in 1 patient and was corrected by reoperation. All the patients were followed up for 1-42 (21.6±7.6) months. According to Nuss standard, there were 39 patients with excellent results, 9 patients with good results, and 3 patients with fair results. ConclusionMinimally invasive Nuss procedure is an efficacious, easy, feasible and safe procedure for the treatment of PE with low morbidity.

    Release date:2016-10-02 04:56 Export PDF Favorites Scan
  • Study on Lymphatic Targeting in Rats of New Dosage Form of 5-Fluorouracil Carbon Nanoparticles

    ObjectiveTo investigate the lymphatic targeting of 5-fluorouracil (5-FU) carbon nanoparticles in rats. Methods5-FU concentration in lymphoid tissue of rats was determined by reversed phase high performance liquid chromatography after intraperitoneal injection of 5-FU carbon nanoparticle and 5-FU ordinary form (20 mg/kg body weight). Results5-FU concentration of lymphoid tissue in the 5-FU carbon nanoparticle group was higher than that in the 5-FU ordinary form group, and could sustain a longer time. Conclusion5-FU carbon nanoparticles injection can improve the drug concentration of target lymphatic organs, also has a good lymphatic targeting

    Release date:2016-09-08 10:45 Export PDF Favorites Scan
  • Evaluation of Treating Patients Undergoing Open Chest Surgery with Airway Management Drugs and Moderate or Severe COPD

    ObjectiveTo evaluate the effect of airway management drugs on the respiratory function and postoperative recovery of patients who had moderate or severe chronic obstructive pulmonary diseases(COPD) undergoing an open chest surgery. MethodThere were a total of 22 patients suffering from both lung cancer, esophageal cancer or gastroesophageal junction carcinoma and moderate to severe COPD(of which there were 16 males and 6 females; accepting traditional operation 5 cases and minimally-invasive operation 17 cases; lung cancer 16 cases, esophageal cancer 4 cases and gastroesophageal junction carcinoma 2 cases as the observation group). To statistic the respiratory function and arterial blood gas analysis before and after treating with airway management drugs. And compare the postoperative pulmonary complications(PPCs) and hospital-stay with 50 patients who have no COPD(of which there were 34 males and 16 females; accepting traditional operation 17 cases and minimally-invasive operation 33 cases; lung cancer 35 cases, esophageal cancer 11 cases and gastroesophageal junction carcinoma 4 cases as the control group). ResultThere was a statistical difference of forced expiratory volume in one second(FEV1), forced vital capacity(FVC) and maximal voluntary ventilation(MVV) after the above treatment by 7 to 10 days and comparing with prior treatment(P<0.05). Partial pressure of oxygen(PaO2) increased with no statistical difference(P>0.05) while PaCO2 decreased with a statistical difference(P<0.05). Comparing with patients without COPD, the incidences of PPCs and postoperative hospital stay were of no statistical difference(P>0.05). ConclusionPatients with moderate or severe COPD with airway management drugs(antibiotics,glucocorticoids, bronchodilators and phlegm dissolving agent) in perioperative period could improve the respiratory function and operation tolerance effectively, reduce the incidence of PPCs and shorten postoperative hospital stay.

    Release date: Export PDF Favorites Scan
2 pages Previous 1 2 Next

Format

Content