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高龄病人
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    A study on suitable energy of parenteral nutrition with for octogenarian patients with systemic inflammatory response syndrome
    应用合理热能肠外营养治疗高龄病人全身炎症反应综合征
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  aged patient
Similarly, for an active, middle-aged patient with a demanding job, 74 % of responses favored conservative treatment after a primary dislocation and 6 % after a recurrent dislocation.
      
When a normal MR image is obtained in a demented middle-aged or aged patient, CJD may still need to be ruled out: follow up MR imaging may be useful.
      
The risk of fatality must be one of the main factors influencing the surgeon when considering whether to offer hip replacement to an aged patient.
      
Histological work-up revealed a nevus cell nevus in the young patient and an epithelioid malignant melanoma in the middle-aged patient evolving from the ciliary body.
      
Endoscopic sphincterotomy (EST) is a useful alternative to reintervention of the bile ducts in cases of choledocholithiasis in the aged patient.
      
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Objective\ In order to recognize the high risk of acute abdomen caused by mesenteric vascular lesions and to improve the treatment.Methods\ 17 cases have been followed and analyzed on clinic features and curative methods.Among these patients,15 cases suffered from stangulation of the affected intestine induced by circulation insuficiency,which appeared as intestinal obstruction.The other 2 cases were rapture of arterial wall resulting in massive intra-abdominal hemorrhage,including one rare cases of mesenteric...

Objective\ In order to recognize the high risk of acute abdomen caused by mesenteric vascular lesions and to improve the treatment.Methods\ 17 cases have been followed and analyzed on clinic features and curative methods.Among these patients,15 cases suffered from stangulation of the affected intestine induced by circulation insuficiency,which appeared as intestinal obstruction.The other 2 cases were rapture of arterial wall resulting in massive intra-abdominal hemorrhage,including one rare cases of mesenteric apoplexy.Results\ The result showed that most cases were aged patients accompanying with cardiovascular disease.Once strangulation intestinal obstruction or massive bleeding developed,the mortality rate would be very high.It was 75% in 20 years before 1985 and reduced to 33% in late 12 years.About 67% cases had been cured and recovered recently.Conclusion\ Therefore,a better comprehension of this disorder,early diagnosis with suitable techniques and prompt treatment are the keys for rescue.

目的为了全面认识肠系膜血管病变导致的急腹症的严重性,探讨提高疗效的措施。方法对17个病例的临床特点、治疗方法和效果进行了分析比较。其中15例为循环不良引起受累肠管的梗塞,表现为肠梗阻;另2例为血管壁破裂导致腹腔内大出血,包括1例少见的肠系膜卒中。结果患此种病症者多属高龄病人,常伴有心血管疾病,发生绞窄性肠梗阻或大出血后,病死率很高,1985年前20年间为75%,近10年减少到33%,治愈率达67%。结论说明充分认识此疾患,应用恰当的检查技术,早期诊断,及时治疗是提高疗效的关键。

 
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