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   tracheostomy 在 内分泌腺及全身性疾病 分类中 的翻译结果: 查询用时:0.181秒
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tracheostomy
相关语句
  气管切开术
    RESULTS There was no hospital mortality. The main postoperative complication was obstruction of the airway by sputum. Tracheostomy was done for 18 patients who recovered laterly.
    结果150例患者住院病死率为0,术后主要并发症为痰堵,有18例作了气管切开术
短句来源
    CONCLUSIONS Agressive administration of cortical steroid, reduction of anticholinoesterase dosage, measures to keep the airway free of obstruction, including a tracheostomy in time are key factors to save the patient form postoperative crisis.
    结论术后积极使用皮质激素,减少抗胆碱酯酶药物的使用,及时按需作气管切开术并加强呼吸道的管理,是手术后处理的关键。
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  相似匹配句对
    Objective To explore the risk factors and indications for perioperative tracheostomy in patients with myasthenia gravis.
    目的 探讨重症肌无力 (MG)病人胸腺切除术围手术期行气管切开的适应症和相关危险因素。
短句来源
    Exploration on risk factors of perioperative tracheostomy in patients with myasthenia gravis having undergone thymectomy
    重症肌无力围手术期气管切开的危险因素探讨
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  tracheostomy
The endoscopic guided puncture tracheostomy has established itself in many intensive care units.
      
Manufacturers offer complete tracheostomy kits, based on the described techniques from Ciaglia (Cook?-Set), as well as from Griggs (Portex?-Set).
      
The goal of this investigation was to show the advantages, disadvantages, costs and risks of the puncture tracheostomy and to make a comparison using conventional procedures.
      
At present there is a noticable trend in the literature and clinical practise that different medical specialities prefer various procedures of tracheostomy in intensive care medicine rather onesided and without consensus of opinion.
      
The indications are based on both the history of present illness and its course and the contraindications of percutaneous tracheostomy methods.
      
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From January 1978 to October 1994,23 patients with Myasthenia Gravis(MG)underwent thymectomy. Befor 1985,5 patients complicated with Myasthenia Geavis Crisis,3 cases with Cholinergic Crisis because of imperfective perioperative management.3 cases died of MG. After 1985,we improved the perioperative management,3 cases of MG and 1 case of Cholinergic Crisis occured,and no one died.In this paper,The key poits of perioperative preperation,postoperative care and management,early tracheostomy and ventilation-therapy...

From January 1978 to October 1994,23 patients with Myasthenia Gravis(MG)underwent thymectomy. Befor 1985,5 patients complicated with Myasthenia Geavis Crisis,3 cases with Cholinergic Crisis because of imperfective perioperative management.3 cases died of MG. After 1985,we improved the perioperative management,3 cases of MG and 1 case of Cholinergic Crisis occured,and no one died.In this paper,The key poits of perioperative preperation,postoperative care and management,early tracheostomy and ventilation-therapy in the prevention and treatment of Myasthenia Gravis Crisis and Cholinergic Crisis after operation have been discussed.

1978年1月到1994年10月,采用胸腺切除术治疗重症肌无力23例。1986年以前,围手术期处理不当,7例病人术后发生肌无力危象5例,胆碱能危象3例,3例因危象死亡。1985年以后,加强改进围手术期处理,16例病人术后发生肌无力危象3例,胆碱能危象1例,无手术死亡。本文对术前准备、术后处理要点,以及气管切开、呼吸机治疗在防治术后肌无力、胆碱能危象中的作用,进行了讨论。

URPOSE To discuss the indication and postoperative management of thymectomy for myasthenia gravis, and to evaluate the role of thymectomy in treating myasthenia gravis.METHODS 150 cases of myasthenia gravis who underwent thymectomy were reviewed. Results of sevenyear follow up were summerized.RESULTS There was no hospital mortality. The main postoperative complication was obstruction of the airway by sputum. Tracheostomy was done for 18 patients who recovered laterly. Among them, 9 were treated with anticholinoesterase...

URPOSE To discuss the indication and postoperative management of thymectomy for myasthenia gravis, and to evaluate the role of thymectomy in treating myasthenia gravis.METHODS 150 cases of myasthenia gravis who underwent thymectomy were reviewed. Results of sevenyear follow up were summerized.RESULTS There was no hospital mortality. The main postoperative complication was obstruction of the airway by sputum. Tracheostomy was done for 18 patients who recovered laterly. Among them, 9 were treated with anticholinoesterase only, and 9 treated with adrenocorticoid. The followup showed a satisfactory posto ̄perative outcome in tpye Ⅱ myasthenia patient or with thymus hyperplasia.CONCLUSIONS Agressive administration of cortical steroid, reduction of anticholinoesterase dosage, measures to keep the airway free of obstruction, including a tracheostomy in time are key factors to save the patient form postoperative crisis. Myasthenia of tpye Ⅱ, or with thymus hyperplasia or thymoma are strong indications for surgical intervention. Thymectomy is an effective treatment for myasthenia gravis.

目的探讨胸腺切除术的适应证及其术后的处理要点,初评手术在治疗重症肌无力中的地位。方法对150例因重症肌无力而接受胸腺切除术患者的病史回顾和1~7a的随访。结果150例患者住院病死率为0,术后主要并发症为痰堵,有18例作了气管切开术。其中术后单用抗胆碱酯酶药物者9例,使用皮质激素者9例,术后7a随访表明Ⅱ型重症肌无力、胸腺增生患者的手术效果更为满意。结论术后积极使用皮质激素,减少抗胆碱酯酶药物的使用,及时按需作气管切开术并加强呼吸道的管理,是手术后处理的关键。重症肌无力Ⅱ型或伴胸腺增生、胸腺瘤者为手术的适应证。手术与药物同为治疗重症肌无力的有效手段。

Objective To explore the risk factors and indications for perioperative tracheostomy in patients with myasthenia gravis. Methods A total of 174 patients with myasthenia gravis undergoing thymectomy were reviewed retrospectively between April 1980 and August 1999. Perioperative tracheostomy was performed on 44(25.3%) cases. Myasthenic or cholinergic crisis happened in 38 cases (21.8%). The relationship of the crisis incidence and Osserman classification, state of illness, present of thymoma, preoperative...

Objective To explore the risk factors and indications for perioperative tracheostomy in patients with myasthenia gravis. Methods A total of 174 patients with myasthenia gravis undergoing thymectomy were reviewed retrospectively between April 1980 and August 1999. Perioperative tracheostomy was performed on 44(25.3%) cases. Myasthenic or cholinergic crisis happened in 38 cases (21.8%). The relationship of the crisis incidence and Osserman classification, state of illness, present of thymoma, preoperative pulmoary function and the dose of anticholinergic agents given preoperatively were analyzed. At the same time the indications of perioperative tracheostomy were discussed. Results The highest incidence of myasthenic or cholinergic crisis and perioperative tracheostomy were found in cases with long history of the disease, high dose of anticholinergic agents administration, Osserman classification over stageⅡb, with infiltrated thymoma, and preoperative pulmoary function impairment. Conclusion Perioperative tracheostomy and artificial ventilation are most important approaches when myasthenic or cholinergic crisis after thymectomy appeared. But the indications for postoperative prophylactic tracheostomy and artificial ventilation must be strictly selected.

目的 探讨重症肌无力 (MG)病人胸腺切除术围手术期行气管切开的适应症和相关危险因素。方法 回顾性分析我院自 1980年 4月至 1999年 8月因MG行胸腺切除术病人 174例 ,44例于围手术期行气管切开 ,占总数 2 5 .3 % ,3 8例发生危象 ,占总数 2 1.8%。分析了重症肌无力临床分型、病期、是否伴有胸腺瘤、术前肺功能情况和术前抗胆碱能药物用量等因素与肌无力危象之间的关系及需要行气管切开术的手术适应症。结果 MG病人病程长、服用抗胆碱能药物剂量大、临床分期为Ⅱb型以上、术前有肺功能损害及合并有胸腺瘤者 ,特别是伴有侵润型胸腺瘤的患者 ,术后发生危象较高 ,需气管切开的比例也相应较高。结论 重症肌无力病人胸腺切除术后发生危象 ,及时气管切开 ,人工呼吸器辅助呼吸是降低病死率的重要措施 ;术后立即预防性气管切开术应根据患者的病情严格掌握 ,不能滥用 ,以有利于病人恢复。

 
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