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腹腔镜下胆总管囊肿切除、肝管空肠吻合、腹腔外空肠吻合术50例报告 被引量:10
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作者 汤绍涛 王勇 +4 位作者 毛永忠 童强松 曹国庆 杨瑛 赵志祥 《中国微创外科杂志》 CSCD 2009年第9期769-772,共4页
目的探讨腹腔镜下胆总管囊肿根治切除、肝管空肠吻合、腹腔外空肠吻合术的技巧和中期疗效。方法对大的囊肿,于囊肿中部切开前壁,再用电钩横断囊肿后壁;对小的囊肿,围绕囊肿周围游离,完整切除扩张胆管。对反复发生胆管炎症的患儿,采用Li... 目的探讨腹腔镜下胆总管囊肿根治切除、肝管空肠吻合、腹腔外空肠吻合术的技巧和中期疗效。方法对大的囊肿,于囊肿中部切开前壁,再用电钩横断囊肿后壁;对小的囊肿,围绕囊肿周围游离,完整切除扩张胆管。对反复发生胆管炎症的患儿,采用Lilly’s方法游离囊肿。脐部切口扩大至1.5 cm,将空肠提出腹壁外,行空肠Roux-Y吻合。腹腔镜监视下肝管空肠端侧吻合。结果16例患儿行囊肿全部切除,34例患儿行Lilly’s囊肿切除。1例早期手术患儿术前反复发作胆管炎症,囊肿周围紧密粘连,分离中渗血明显中转开腹完成手术。手术时间190-450 min,平均226 min。8例患儿需要输血。术后住院时间6-16 d,平均8 d。49例术后随访3-39个月,平均26个月。术后并发症4例:1例发生胆漏,经腹腔引流后自愈;急性胰腺炎1例,保守治疗治愈;肠粘连肠梗阻1例,保守治疗;肠坏死1例,开腹探查见空肠肝支肠管梗阻坏死,行肠切除和再次胆肠吻合手术。余45例无腹痛、发热、黄疸等症状。无胆管狭窄和反流性胃炎病例,无手术死亡。结论分离囊肿后壁,避免门静脉损伤是最关键的腹腔镜操作;胆肠吻合是腹腔镜最难的技术。腹腔镜下胆总管囊肿根治术疗效满意。 展开更多
关键词 先天性胆总管囊肿 总管空吻合术 腹腔镜
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景中有情 情中有景——马致远《天净沙·秋思》赏析
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作者 白玫 《内蒙古电大学刊》 1993年第2期44-44,共1页
马致远概况介绍;生动绝妙的深秋晚景图,思乡之情刻画的人木三分;一词一景,景中生情的佳作。
关键词 马致远 绝妙 凄苦 肝场 入木三分
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Prevalence and Pathology of Fasciola Species in Slaughtered Cattle
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作者 Samson Olusegun Adewole 《Journal of Life Sciences》 2010年第4期28-31,共4页
Studies on the prevalence and pathology of Fasciola specie were carried out in nine abattoirs in Ilorin, capital city of Kwara State, Nigeria. The research was conducted during the period August, 2006 - May, 2007. Of ... Studies on the prevalence and pathology of Fasciola specie were carried out in nine abattoirs in Ilorin, capital city of Kwara State, Nigeria. The research was conducted during the period August, 2006 - May, 2007. Of the 63,649 cattles examined at the various abattoirs which are lpata, Sango, Oloje, Baboko, Oke-oyi, Iporin, Panada, Oke-ose and Marafa, 1,434 representing 25.2% were infected with Fasciola species while 114 representing 6.5% were condemned. Iporin slaughter slab had the highest prevalence of 3.6%, followed by panada with 3.4% and Ipata having the least prevalence of 1.6%. Similarly analysis of data on monthly basis showed that March had the highest prevalence of 2.8%, followed by April with 2.6% and December with the least prevalence of 1.8%. Overall infestation was 22.7% while overall condemnation was 6.5%. There was a significant difference (X^2 = 23.7, P 〈 0.05) in the monthly infestation rate. Also, there was no significant difference (X^2 = 10.7, P 〉 0.05) between the infection rate and condemnation among the various abattoirs. The factors responsible for the prevalence of Fasciola specie and pathology of infection are highlighted. 展开更多
关键词 PREVALENCE Fasciola species slaughtered cattle infection abattoirs.
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Development of workplace-related Liver Meridian-depression scale
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作者 戴国斌 刘霞 +1 位作者 常小荣 洪珏 《Journal of Acupuncture and Tuina Science》 CSCD 2018年第1期21-27,共7页
Objective: By taking the holism and differentiation concepts of traditional Chinese medicine (TCM) as the guidance, physical, mental and workplace factors were recruited in the observation of depression in employee... Objective: By taking the holism and differentiation concepts of traditional Chinese medicine (TCM) as the guidance, physical, mental and workplace factors were recruited in the observation of depression in employees, and were systematically classified to establish a workplace-related Liver Meridian-depression scale, for providing an evaluation index for depression in employees. Methods: NVIVO 11 software was adopted to assort ancient TCM classics. Based on the holism and differentiation concepts of TCM and well-developed scales, the item pool was determined via brain storm and screened by Delphi method after classified; a Wechat questionnaire was handed out 240 times via the online system 'Wen Juan Xing" and the results were statistically analyzed by the SPSS 17.0 version software. Results: Five dimensions consisting of 80 items were obtained after classification, and 60 items were selected by Delphi method; a total of 216 questionnaires were returned and the return rate was 90%. Of which, 215 questionnaires were valid ones, and the valid rate was 99%. By exploratory factor analysis (EFA), 44 items were obtained, and the aggregate split-half reliability coefficient was 0.922. The Cronbach's alpha coefficient for the five dimensions, i.e. Liver Meridian, relevant meridians, basic psychological activities, work cognition and emotional reactions, was respectively 0.841, 0.842, 0.914, 0.836 and 0.839, indicating a content internal consistency. The score of each item was highly correlated with the corresponding dimension, and the intercommunity was between 0.474 and 0.801. Nine factors were generated, 2 in the dimension of Liver Meridian, 3 in the dimension of relevant meridians, 2 in the dimension of basic psychological activities, i in the dimension of work cognition, and 1 in the dimension of emotional reactions, and the load of each factor was between 0.438 and 0.859. The reliability and validity of the scale were well examined. Conclusion: The scale can be applied to evaluate the qi activities of Liver Meridian and depression symptoms related to workplace. 展开更多
关键词 Liver Meridian DEPRESSION WORKPLACE HOLISM Dialectical Notion Health Survey
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