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According to the differential principles of Traditional Chinese Medicine, symptoms during subtotal gastrectomy under acupuncture anesthesia were divided into three groups, namely. 1 ) stasis of "Qi" "and "Xue" * ( pain ) , 2 ) deficiency of "Qi" of "Stomach" *( nausea, vomiting ) and 3 ) disturbance of "Qi" and "Xue" ( palpitation, sweating, distraction ) . Following theory of "Channels* and "Collaterals" , acupoints "Renzhong" , "Chengjiang" ( for pain ) ; "Pishu" , "Zusanli" ( for nausea, vomiting )... According to the differential principles of Traditional Chinese Medicine, symptoms during subtotal gastrectomy under acupuncture anesthesia were divided into three groups, namely. 1 ) stasis of "Qi" "and "Xue" * ( pain ) , 2 ) deficiency of "Qi" of "Stomach" *( nausea, vomiting ) and 3 ) disturbance of "Qi" and "Xue" ( palpitation, sweating, distraction ) . Following theory of "Channels* and "Collaterals" , acupoints "Renzhong" , "Chengjiang" ( for pain ) ; "Pishu" , "Zusanli" ( for nausea, vomiting ) ; "Xinshu" and "Neiguan" (for distraction etc. ) were selected to eliminate these symptoms. In a total of 151 cases, 128 ( 84.8% ) had excellent effect, 20(13.2%) with good effect and 3 (2%) with poor effect. A method of effect determination for acupuncture anesthesia in subtotal gastrectomy was also introduced. 作者用中医辨证的方法,针对针麻胃大部切除手术中出现的症状和脉象,归纳为气滞血淤、胃气失降及心神不安等三个主症,并根据通调气血、调理胃气和宁心安神的治则,选用了人中、承浆;脾俞,足三里;心俞、内关等穴位,明显地提高了针麻手术效果,优级率稳定在80%以上。作者还介绍了评定针麻胃大部切除手术效果的方法。 After placing a recording electrode over the exposed epidura of each of 4 rabbits,the sciatic nerve was stimulated.There was evoked spinal cord potential(ESCP)curvesseen on the oscilloscope of a JD-2 electromyograph in every instance.The technic wasused during operation in a total of 16 patients.ESCP were absent in 2 patients withcomplete paraplegia,but were present on the side with some remaining sensation in 3incomplete paraplegia patients.ESCP were recorded before and during Harrington roddistraction in 10... After placing a recording electrode over the exposed epidura of each of 4 rabbits,the sciatic nerve was stimulated.There was evoked spinal cord potential(ESCP)curvesseen on the oscilloscope of a JD-2 electromyograph in every instance.The technic wasused during operation in a total of 16 patients.ESCP were absent in 2 patients withcomplete paraplegia,but were present on the side with some remaining sensation in 3incomplete paraplegia patients.ESCP were recorded before and during Harrington roddistraction in 10 scoliosis patients.4 of them showed changes in the curves duringdistraction,and the potential returned to normal when over-distraction was stopped.The main display of the change was prolongation of latent period and reduction in curveamplitude.One patient with rheumatoid arthritis of spine had normal ESCP.The authorsfound that ESCP determined by JD-2 electromyograph correlated with the clinical mani-festations,especially with the sensory function. 本文报道刺激坐骨神经时用 JD—2型肌电图机可测得脊髓诱发电位。家兔实验表明诱发电位的波形为 M 波或 H 波,潜伏期为4~6毫秒。16例脊柱疾患中,2例完全性截瘫未能测出诱发电位,3例不完全性截瘫在感觉存在的一侧有诱发电位出现。用 Harrington 棒矫正的10例脊柱侧凸,6例在牵撑时诱发电位无变化,4例有明显变化;1例脊柱类风湿性关节炎伴驼背畸形者无变化。由此提示诱发电位的测定可作为脊柱手术时的监护。 Fifteen cases of unstable thoracic and lumbar spinal fractures with paraplegia were treated with Harrington distraction rods combined with cross wiring. The results were quite satisfactory. There was no loosening of the Harrington rod after operation. Firm fixation of the spine made nursing care easier and complications of paraplegia reduced after operation. Restoration of normal anatomic alignment of the spine might be beneficial for possible recovery of spinal cord injury and the technique is easy to... Fifteen cases of unstable thoracic and lumbar spinal fractures with paraplegia were treated with Harrington distraction rods combined with cross wiring. The results were quite satisfactory. There was no loosening of the Harrington rod after operation. Firm fixation of the spine made nursing care easier and complications of paraplegia reduced after operation. Restoration of normal anatomic alignment of the spine might be beneficial for possible recovery of spinal cord injury and the technique is easy to master. 应用Harrington 棒结合钢丝交叉捆扎治疗不稳定性胸腰椎骨折并截瘫15例,术后允许病人自由翻身和任意搬动病人。15例全部得到随访,随访时间3—14个月,无一例发生脱钩及内固定松动现象,损伤椎体两侧方及前方均有骨痂形成,骨折脱位趋向稳定,治疗效果满意。
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