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术前子宫动脉置管在凶险型前置胎盘患者中的应用 被引量:9
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作者 李丽贤 许曼 《牡丹江医学院学报》 2015年第4期62-63,共2页
目的探寻治疗凶险型前置胎盘的最佳临床干预手段。方法回顾分析进行剖宫产手术的凶险型前置胎盘患者共12例病历资料,均经子宫动脉置管,分娩后即时给予子宫动脉栓塞,将胎盘剥离后进行子宫切口缝合。同时进行剖宫产手术的凶险型前置胎盘患... 目的探寻治疗凶险型前置胎盘的最佳临床干预手段。方法回顾分析进行剖宫产手术的凶险型前置胎盘患者共12例病历资料,均经子宫动脉置管,分娩后即时给予子宫动脉栓塞,将胎盘剥离后进行子宫切口缝合。同时进行剖宫产手术的凶险型前置胎盘患者23例的临床资料进行对比分析,比较两组输血率及输血量,子宫切除率,感染及新生儿1min Apgar评分。结果观察组输血率为41.67%,对照组输血率为60.87%,组间差异显著(P<0.05);观察组输血量明显低于对照组,差异有统计学意义(P<0.05);手术过程中发现胎盘植入4例,胎盘粘连1例,所有观察患者中有11例患者介入治疗后成功保留子宫,1例在胎儿娩出时瞬时出现大量子宫出血,双侧子宫动脉栓塞未产生作用,进行全子宫切除,占总数的8.33%,对照组中子宫切除率为17.39%,组间差异显著(P<0.05);观察组术后感染发生率8.33%,明显低于对照组30.43%,差异具有显著性,P<0.05;观察组对比对照组在新生儿评分中有所提高,但差异无显著性(P>0.05)。结论凶险型前置胎盘剖宫产手术前应用子宫动脉置管,并且在胎儿娩出后马上进行子宫动脉栓塞治疗是安全、有效的综合手术治疗方法,降低治疗危险性,造福广大孕产妇和胎儿,值得临床推广应用。 展开更多
关键词 综合手术法 凶险型前置胎盘 剖宫产 置管 临床疗效性
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Comparison of integrated Chinese and Western medicine with and without somatostatin supplement in the treatment of severe acute pancreatitis 被引量:17
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作者 Qingxia LinYuan Xiao-NanYang Wen-FuTang Jun-MingJiang 《World Journal of Gastroenterology》 SCIE CAS CSCD 2005年第7期1073-1076,共4页
AIM: To evaluate the therapeutic effect of the combined use of early short-term somatostatin and conventional integrated Chinese and Western medicine in treating severe acute pancreatitis. METHODS: Sixty patients with... AIM: To evaluate the therapeutic effect of the combined use of early short-term somatostatin and conventional integrated Chinese and Western medicine in treating severe acute pancreatitis. METHODS: Sixty patients with severe acute pancreatitis were divided at random into a somatostatin group and a basic treatment group. Both groups received integrated traditional Chinese and Western medicine without surgery. For patients in the somatostatin group, somatostatin was infused intravenously 250 μg/h for 72 h; other medications were the same as in the basic treatment group. In both groups, comparisons of therapeutic effectiveness were made in terms of morbidity of organic dysfunction and mortality rate, and severity of the disease according to serum levels of C-reaction protein, scores of acute physiology and chronic health evaluation (APACHE Ⅱ), and scores of Balthazar-CT. RESULTS: The indexes for C-reaction protein levels on the fourth and seventh clays, and APACHE II scores on the seventh day after treatment, were significantly improved in the somatostatin group than in the basic treatment group. The morbidity of organic dysfunction was lower in the somatostatin group than in the basic treatment group, although the difference was not statistically significant. There was no significant difference in mortality between the two groups. CONCLUSION: We conclude that combined traditional Chinese and Western medicines with an early short-term use of somatostatin can improve the condition of patients with severe acute pancreatitis. 展开更多
关键词 Severe acute pancreatitis Somatostatin supplement C-reaction protein level APACHE Balthazar-CT
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Combined Therapy against Recurrent Hemangiopericytoma:A Case Report
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作者 Xiao-dong Li Jing-ting Jiang Chang-ping Wu 《Clinical oncology and cancer researeh》 CAS CSCD 2012年第2期141-143,共3页
A patient with a seven-year history of recurrent metastatic hemangiopericytoma(HPC) was admitted.During his treatment,he received surgical resection,radiotherapy,radiofrequency hyperthermia and chemotherapy using comb... A patient with a seven-year history of recurrent metastatic hemangiopericytoma(HPC) was admitted.During his treatment,he received surgical resection,radiotherapy,radiofrequency hyperthermia and chemotherapy using combined doxorubicin,dacarbazin, vincristine,ginsenoside Rg3,and recombinant human endostatin.This synergistic method provides an encouraging model for treating HPC. 展开更多
关键词 HEMANGIOPERICYTOMA surgical procedures RADIOTHERAPY CHEMOTHERAPY angiogenesis inhibitors
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