应用消化道吻合器引起的并发症23例分析

目的探讨应用消化道吻合器出现并发症的原因及预防措施。方法回顾性分析应用消化道肠合器病例出现并发症的情况。结果23例出现并发症患者,为同期应用消化道吻合器者的3.61%(23/637)。其中吻合口瘘3例,吻合口狭窄12例,吻合口出血2例,吻合失败6例。结论吻合器在消化道的应用能取得较好效果,但应规范操作,以减少吻合器应用的并发症。

肠道微生态与非消化道疾病

人体肠道内栖息着400多种菌群，14个菌属，共同构成了人体肠道的微生态环境。随着对肠道微生态结构与功能研究的不断深入，肠道菌群对机体健康的重要性逐步被认识。肠道菌群不仅与一些消化道疾病密切相关，还可能参与了一些消化道外疾病的发病机制。已有文献报道了肠道微生态环境改变与心脑血管疾病、呼吸系统疾病、肾脏疾病、内分泌代谢性疾病、神经精神性疾病等的关系，关于这些领域的研究正在逐步兴起和深入。

一种基于体内外磁控的热疗胶囊系统设计与开发

目前消化道疾病的检测或治疗过程皆会给患者带来较大痛苦。为了能够更加快捷有效的实施消化道疾病的诊断治疗,本文结合体内外磁控技术,体外无线供能技术,温度控制技术和视频图像导航技术设计出一种适用于消化道疾病诊断与治疗的热疗胶囊系统。

A anorectal fistula treatment with acellular extracellular matrix: A new technique

AIM: To investigate a new technique of the anorectal fistula treatment with acellular extracellular matrix (AEM). METHODS: Thirty patients with anorectal fistula were treated with AEM. All fistula tracts and primary openings were identified using conventional fistula probe. All tracts were curetted with curet and irrigated with hydrogen peroxide and metronidazole. The AEM was pulled into the fistula tract from secondary to primary opening. The material was secured at the level of the primary opening. The excess AEM was trimmed at skin level at the secondary opening. RESULTS: All of the 30 patients had successful closure of their fistula after a 7-14 d follow-up. The healing rate of anal fistula in treatment group was 100%. The ache time, healing time and anal deformation of treatment group were obviously superior to traditional surgical methods. CONCLUSION: Using AEM anal fistula plug in treatment that causes the anorectal fistula is safe and successful in 100% of patients. It can reduce pain, shorten disease course and protect anal function.

Pelvic sepsis after stapled hemorrhoidopexy

Stapled hemorrhoidopexy is a surgical procedure used worldwide for the treatment of grade Ⅲ and N hemorrhoids in all age groups. However, lifethreatening complications occur occasionally. The following case report describes the development of pelvic sepsis after stapled hemorrhoidopexy. A literature review of techniques used to manage major septic complications after stapled hemorrhoidopexy was performed. There is no standardized treatment currently available. Stapled hemorrhoidopexy is a safe, effective and time-efficient procedure in the hands of experienced colorectal surgeons.

普外科住院患者营养状况评价及预后分析

目的探讨外科住院患者营养状况与手术后并发症发生率及死亡率的关系。方法采用多项营养评价指标测定4012例普外科非急诊住院患者营养状况,分析患者营养状况与死亡率、并发症关系。结果各项营养指标检测的营养不良发生率分别是:体重指数21.3%,三头肌皮褶厚度50.6%,上臂围20.5%,上臂肌围21.2%,主观全面评价法38.0%,微型营养评价法20.8%,ALB24.2%,PA35.4%,TLC55.8%。>60岁组老年患者、消化道疾病患者及恶性肿瘤患者营养不良发生率分别高于≤60岁、消化道外疾病及良性疾病患者,差异具有统计学意义(P<0.05)。营养不良患者的并发症发生率及死亡率均明显高于营养状况良好者(P<0.01),而且住院时间明显延长(P<0.05)。结论营养不良患者的手术后死亡率、并发症发生率和住院时间均高于营养状况良好者。

新生儿呕吐原因分析及护理对策

呕吐是新生儿常见的症状之一，它既可以是消化道功能紊乱或消化道梗阻的主要表现，也可以由消化道外疾病和某些生理解剖因素造成。如果呕吐处理或护理不当，可能造成窒息等严重后果。因此在新生儿科临床工作中，对于患儿的呕吐应认真分析其原因，并予以适当的处理。本文总结我院近2年来新生儿病区呕吐患儿的原因和护理要点。