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泌尿科学
预防医学与卫生学
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This paper reports 20 cases of congenital atresia ani treated by anoplasty through sacroperineal approach.All the patients were followed-up for 6 to 36 months. The function of fecal continence became normal. In 6 Cases in the series occurred 8 times operative complications, including injury to the urethra, the vagina and the peritoneal reflection of the pelvis, and fecal leakage of the wound. These complications were cured in a short time. The prevention consisted mainly of the following ways: (1) preoperatively...

This paper reports 20 cases of congenital atresia ani treated by anoplasty through sacroperineal approach.All the patients were followed-up for 6 to 36 months. The function of fecal continence became normal. In 6 Cases in the series occurred 8 times operative complications, including injury to the urethra, the vagina and the peritoneal reflection of the pelvis, and fecal leakage of the wound. These complications were cured in a short time. The prevention consisted mainly of the following ways: (1) preoperatively urethral and vaginal catheters were inserted, as a rule;(2) during the operation the rectum should be adequately separated from the tissues close against it to make it drawn out of the circle of the puborectalis and to make no tension on suture line of the anus; (3) hemostasis must be meticulous; and (4) postoperative care should be strengthened and a supporting traetment given.

本文报告经骶会阴肛门成形术治疗先天性无肛20例,随访6个月至3年,排便正常。20例中发生8例次(6例)手术并发症,包括尿道断裂、阴道撕裂、吻合口瘘等,均于短期内治愈。提出术前常规尿道或阴道内置管或金属探子,术中紧贴直肠壁分离,充分游离直肠,并经耻骨直肠肌环拖出,无张力吻合,术后加强护理等,可达到预防手术合并症提高疗效的目的。

Serum renin-angiotsnsion-aldosterone ( RAA ) levels were determined in 98 cases of epidemic hemorrhagic fever ( EHF ) , and 26 non-EHF as controls. The result revealed the variable elevation of RAA system levels in different phases of EHF. The highest value was in hypotensive and oli-guric phases, and returned to normal in polyuric and corvalescent stage The elevation range was found to be correlated with the severity of the disease. The activation of RAA system might be one of the contributing factors of acute...

Serum renin-angiotsnsion-aldosterone ( RAA ) levels were determined in 98 cases of epidemic hemorrhagic fever ( EHF ) , and 26 non-EHF as controls. The result revealed the variable elevation of RAA system levels in different phases of EHF. The highest value was in hypotensive and oli-guric phases, and returned to normal in polyuric and corvalescent stage The elevation range was found to be correlated with the severity of the disease. The activation of RAA system might be one of the contributing factors of acute renal failure in EHF. because the activation of RAA system is related to decrease of blood volume before hypotensive phase and to "tubulo-glomerular feedback" mechanism after oliguric phase.

对96例EHF患者病程各期血液RAA系统进行了169例次观测,发现各期RAA系统均呈激发状态,且其上升程度与病情一致。探讨了RAA系统被激活的可能原因,对稳定患者体液平衡、血容量怛定及阻断休克和肾衰的发生和发展中,该项化验的监控意义。RAA系统的全面检测,可防止因影响血管紧张素原的生物合成,或影响血管紧张素转换酶生物活性,造成AⅡ结果的不可靠性。

Ten dogs were divided into 2 groups and absolute ethanol was injected into the renal artery and its branches respectively. The kidneys injected were resected by stages and examined pathologically. The results showed that coagulative necrosis developed in the renal artery and kidney itself. In the group whose branches of the renal artery were injected there was a clear demarcation line between the necro-tic and the normal areas. The thrombus formed secondary to necrosis might worsen the blockage of the renal...

Ten dogs were divided into 2 groups and absolute ethanol was injected into the renal artery and its branches respectively. The kidneys injected were resected by stages and examined pathologically. The results showed that coagulative necrosis developed in the renal artery and kidney itself. In the group whose branches of the renal artery were injected there was a clear demarcation line between the necro-tic and the normal areas. The thrombus formed secondary to necrosis might worsen the blockage of the renal artery. The clinical observations on the renal artery injected with absolute ethanol in 15 cases showed that the method of absolute ethanol injection was better than any other methods or drugs for the renal artery. The injection was safe, convenient and more favourable to the prevention of the spread of cancer cells.

以杂种犬各5只行肾动脉主干及分支的无水乙醇灌注实验,将灌注肾分期切除作病检。肾动脉及实质皆呈凝固性坏死。分支灌注者,坏死区与未坏死区之间有清楚界线,无移行关系。坏死后继发性血栓形成可加重肾动脉梗塞。临床15例次肾动脉无水乙醇灌注后的观察证明:本法较优于其他肾动脉栓塞剂,其取材方便、易于灌注、安全且更有利于防止术中癌细胞之扩散。

 
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