： Objective To explore the mental dynamic change of the ten－ finger replanted patients,to give psychological rehabilitation guidance,and to improve the survival of the replantation and function recovery. Methods Tak...： Objective To explore the mental dynamic change of the ten－ finger replanted patients,to give psychological rehabilitation guidance,and to improve the survival of the replantation and function recovery. Methods Take psychological investigation with Scl－ 90 at different periods after operation,judge the exsisting negative psychological factors,and find the countermeasure of solution.Enable the patients to break away from the negative mentations in short period.Results Through the 1－ week,8－ week and 16－ week Scl－ 90 measurements after operation,we found that all the items’ score of the three times measurement was higher than the usual model(p<0.05),and fluctuated up and down with mental characteristics of different phases.The assessment of the replantation of the severed finger was good. Conclusion The psychological state of the patient would affect the survivial and function recovery of the replantation of severed finger directly.So the psychological rehabilitation nursing should be performed throughout the disease.展开更多
Objective: To investigate the clinical features, diagnostic methods, and treatment choice of tumor of the papilla of Vater. Methods: The clinical data of 25 patients with tumor of the papilla of Vater treated by local...Objective: To investigate the clinical features, diagnostic methods, and treatment choice of tumor of the papilla of Vater. Methods: The clinical data of 25 patients with tumor of the papilla of Vater treated by local resection in our hospital from December 1983 to May 2006 were retrospectively analyzed. Results: The morbidities of abdominal pain, jaundice and recurrent cholangitis were 84%, 80% and 48%, respectively. The accordant rate for preoperative duodenoscopic biopsy and post-operative pathological diagnosis was 80%. Intraoperative frozen section examination accurately predicted the final pathological results in all the patients. The post-operative complication rate was 20% and the operative mortality rate was 4%. The 5-year survival rates of local resection for benign tumors and malignant tumors were 75% and 28.5%, respectively. Conclusion: Abdominal pain, jaundice and recurrent cholangitis are the main symptoms and signs of tumor of the papilla of Vater. Duodenoscopy is the principal preoperative diagnostic method and intraoperative frozen section examination is reliable in assessing the operative specimens. Selective local resection is an effective treatment option for tumor of the papilla of Vater.展开更多
文摘： Objective To explore the mental dynamic change of the ten－ finger replanted patients,to give psychological rehabilitation guidance,and to improve the survival of the replantation and function recovery. Methods Take psychological investigation with Scl－ 90 at different periods after operation,judge the exsisting negative psychological factors,and find the countermeasure of solution.Enable the patients to break away from the negative mentations in short period.Results Through the 1－ week,8－ week and 16－ week Scl－ 90 measurements after operation,we found that all the items’ score of the three times measurement was higher than the usual model(p<0.05),and fluctuated up and down with mental characteristics of different phases.The assessment of the replantation of the severed finger was good. Conclusion The psychological state of the patient would affect the survivial and function recovery of the replantation of severed finger directly.So the psychological rehabilitation nursing should be performed throughout the disease.
文摘Objective: To investigate the clinical features, diagnostic methods, and treatment choice of tumor of the papilla of Vater. Methods: The clinical data of 25 patients with tumor of the papilla of Vater treated by local resection in our hospital from December 1983 to May 2006 were retrospectively analyzed. Results: The morbidities of abdominal pain, jaundice and recurrent cholangitis were 84%, 80% and 48%, respectively. The accordant rate for preoperative duodenoscopic biopsy and post-operative pathological diagnosis was 80%. Intraoperative frozen section examination accurately predicted the final pathological results in all the patients. The post-operative complication rate was 20% and the operative mortality rate was 4%. The 5-year survival rates of local resection for benign tumors and malignant tumors were 75% and 28.5%, respectively. Conclusion: Abdominal pain, jaundice and recurrent cholangitis are the main symptoms and signs of tumor of the papilla of Vater. Duodenoscopy is the principal preoperative diagnostic method and intraoperative frozen section examination is reliable in assessing the operative specimens. Selective local resection is an effective treatment option for tumor of the papilla of Vater.
