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保留回盲瓣回肠吻合应用于非洲黑人急腹症10例报告
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作者 韦利程 《中国民族民间医药》 2009年第11期119-119,共1页
目的:探讨近回盲瓣回肠端端吻合术应用于非洲黑人急腹症的可行性和安全性。方法:回顾性分析行近回盲瓣回肠(末端回肠距回盲瓣8cm以内)端端吻合术的10例非洲黑人急腹症的临床资料。结果:本组10例中回肠吻合口距回盲瓣均在8cm以内,其中2c... 目的:探讨近回盲瓣回肠端端吻合术应用于非洲黑人急腹症的可行性和安全性。方法:回顾性分析行近回盲瓣回肠(末端回肠距回盲瓣8cm以内)端端吻合术的10例非洲黑人急腹症的临床资料。结果:本组10例中回肠吻合口距回盲瓣均在8cm以内,其中2cm以内的4例,均痊愈出院,平均住院15d,5例发生切口感染,未发生吻合口漏及狭窄等并发症。结论:保留回盲瓣经阑尾根部引流肠减压近回盲瓣回肠切除吻合术可用于非洲黑人急腹症手术,值得我们在援非临床医疗工作中推广使用。 展开更多
关键词 非洲/黑人 急腹症手术 回肠末端切除 保留回盲瓣 肠减压
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非洲黑人伤寒并发肠穿孔258例治疗体会
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作者 韦利程 《中国中医药咨讯》 2009年第5期45-45,共1页
目的:针对非洲极其简陋医疗条件,探讨提高当地黑人伤寒合并肠穿孔的治疗效果。方法:对258例伤寒并肠穿孔病人的病因、处理原则、手术方法、预后、存在问题及解决办法进行总结,205例作单纯肠修补术,53例作部分回肠切除,其中47例作... 目的:针对非洲极其简陋医疗条件,探讨提高当地黑人伤寒合并肠穿孔的治疗效果。方法:对258例伤寒并肠穿孔病人的病因、处理原则、手术方法、预后、存在问题及解决办法进行总结,205例作单纯肠修补术,53例作部分回肠切除,其中47例作回肠造瘘术,6例作回肠端端吻合术。结果:225例治愈,死亡33例,其中并发切口感染153例;再穿孔1例;再穿孔病人二次手术后治愈,153例切口感染者,125例经引流及伤口换药后治愈,28例经二期缝合治愈。结论:尽早手术是治疗伤寒并肠穿孔成功的关键;改善生活环境及生活习惯是减少伤寒发病,改善医疗条件,早期诊断及治疗,提高医务人员素质及有效的抗感染治疗是减少术后并发症的有力措施。 展开更多
关键词 非洲/黑人 伤寒/治疗 肠穿孔 伤寒/并发症
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Child-Pugh-Turcott versus Meld score for predicting survival in a retrospective cohort of black African cirrhotic patients 被引量:5
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作者 KA Attia KC Ackoundou-N'guessan +4 位作者 AT N’dri-yoman AK Mahassadi E Messou YF Bathaix YH Kissi 《World Journal of Gastroenterology》 SCIE CAS CSCD 2008年第2期286-291,共6页
AIM: To compare the performance of the Child-Pugh-Turcott (CPT) score to that of the model for end-stage liver disease (MELD) score in predicting survival of a retrospective cohort of 172 Black African patients with c... AIM: To compare the performance of the Child-Pugh-Turcott (CPT) score to that of the model for end-stage liver disease (MELD) score in predicting survival of a retrospective cohort of 172 Black African patients with cirrhosis on a short and mid-term basis.METHODS: Univariate and multivariate (Cox model) analyses were used to identify factors related to mortality. Relationship between the two scores was appreciated by calculating the correlation coefficient. The Kaplan Meier method and the log rank test were used to elaborate and compare survival respectively. The Areas Under the Curves were used to compare the performance between scores at 3, 6 and 12 mo.RESULTS: The study population comprised 172 patients, of which 68.9% were male. The mean age of the patient was 47.5 ± 13 years. Hepatitis B virus infection was the cause of cirrhosis in 70% of the cases. The overall mortality was 31.4% over 11 years of follow up. Independent factors significantly associated with mortality were: CPT score (HR = 3.3, 95% CI [1.7-6.2]) (P < 0.001) (stage C vs stage A-B); Serum creatine (HR = 2.5, 95% CI [1.4-4.3]) (P = 0.001) (Serum creatine > 1.5 mg/dL versus serum creatine < 1.5 mg/dL); MELD score (HR = 2.9, 95% CI [1.63-5.21]) (P < 0.001) (MELD > 21 vs MELD < 21). The area under the curves (AUC) that predict survival was 0.72 and 0.75 at 3 mo (P = 0.68), 0.64 and 0.62 at 6 mo (P = 0.67), 0.69 and 0.64 at 12 mo (P = 0.38) respectively for the CPT score and the MELD score.CONCLUSION: The CPT score displays the sameprognostic significance as does the MELD score in black African patients with cirrhosis. Moreover, its handling appears less cumbersome in clinical practice as compared to the latter. 展开更多
关键词 Model for end-stage liver disease score Child score CIRRHOSIS Black African SURVIVAL
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