目的探讨自体血回输在腹腔镜下手术治疗妇科腹腔内出血的有效性和安全性。方法 2008年3月~20年1月,对35例妇科腹腔内出血伴失血性休克（收缩压60~90 mm Hg,舒张压30~50 mm Hg,脉搏90~124次/分,）进行腹镜下手术,直视下快速收集腹腔内积...目的探讨自体血回输在腹腔镜下手术治疗妇科腹腔内出血的有效性和安全性。方法 2008年3月~20年1月,对35例妇科腹腔内出血伴失血性休克（收缩压60~90 mm Hg,舒张压30~50 mm Hg,脉搏90~124次/分,）进行腹镜下手术,直视下快速收集腹腔内积血,通过自动回收机处理后回输到患者体内。结果失血量1000~1500 ml 27例1500~2000 ml 5例,2000~2200 ml 3例。35例均在手术开始后40分钟内实行了自体血回输。回输血量560~1200 ml,平643 ml。无输自体血出现凝血功能障碍、感染及输血反应,无血红蛋白尿。术中血压稳定。术后诊断输卵管壶腹部妊娠24（破裂型9例,流产型15例）,峡部妊娠5例（破裂型）,宫角妊娠1例（流产型）,卵巢妊娠2例（破裂型1例,流产型1例）,巢黄体破裂3例。无手术并发症,无中转开腹。结论对妇科出血性急腹症,在腹腔镜下手术并自体血回输安全有效,节血源。展开更多
Objective To verify the therapeutic methods and clinical efficacy on stump stomach atony after subtotal gastrectomy （SSASG） treated with acupuncture and TDP. Methods Fifty-three cases were divided into an observatio...Objective To verify the therapeutic methods and clinical efficacy on stump stomach atony after subtotal gastrectomy （SSASG） treated with acupuncture and TDP. Methods Fifty-three cases were divided into an observation group （23 cases） and a control group （30 cases） according to the random number table. In the observation group, acupuncture was applied in combination with TDP. The main acupoints were Zúsānlǐ （足三里 ST 36）, Píshū （脾俞 BL 20）, Wèishū （胃俞 BL 21） and Zhōngwǎn （中脘 CV 12）. The treatment was given once per day. 10 treatments made one session. Two sessions of treatment were required. In the control group, Motilium was prescribed for oral administration, 10 mg each time, three times per day, continuously for 20 days. The changes in the relevant parameters in electrogastrogram （EGG） were observed before and after treatment. The efficacy was assessed. Results The principle frequency and the waveform reaction area of EGG were improved apparently after treatment in both groups （all P0.01）, and those in the observation group were superior to those in the control group （all P0.01）. The ratio of the power after/before meal was more than 1 in the observation group after treatment and that in the control group was less than 1. The effective rate was 100.0% （23/23） in the observation group, which was superior to that of 80.0% （24/30） in the control group, presenting statistically significant difference （P0.01）. Conclusion Acupuncture in combination with TDP can effectively treat SSASG. This therapy apparently improves the gastric motility, tremendously promotes the gastrointestinal peristalsis and recovers the gastrointestinal function after operation. The efficacy of it is superior to that achieved by the oral administration of Motilium.展开更多
文摘目的探讨自体血回输在腹腔镜下手术治疗妇科腹腔内出血的有效性和安全性。方法 2008年3月~20年1月,对35例妇科腹腔内出血伴失血性休克（收缩压60~90 mm Hg,舒张压30~50 mm Hg,脉搏90~124次/分,）进行腹镜下手术,直视下快速收集腹腔内积血,通过自动回收机处理后回输到患者体内。结果失血量1000~1500 ml 27例1500~2000 ml 5例,2000~2200 ml 3例。35例均在手术开始后40分钟内实行了自体血回输。回输血量560~1200 ml,平643 ml。无输自体血出现凝血功能障碍、感染及输血反应,无血红蛋白尿。术中血压稳定。术后诊断输卵管壶腹部妊娠24（破裂型9例,流产型15例）,峡部妊娠5例（破裂型）,宫角妊娠1例（流产型）,卵巢妊娠2例（破裂型1例,流产型1例）,巢黄体破裂3例。无手术并发症,无中转开腹。结论对妇科出血性急腹症,在腹腔镜下手术并自体血回输安全有效,节血源。
文摘Objective To verify the therapeutic methods and clinical efficacy on stump stomach atony after subtotal gastrectomy （SSASG） treated with acupuncture and TDP. Methods Fifty-three cases were divided into an observation group （23 cases） and a control group （30 cases） according to the random number table. In the observation group, acupuncture was applied in combination with TDP. The main acupoints were Zúsānlǐ （足三里 ST 36）, Píshū （脾俞 BL 20）, Wèishū （胃俞 BL 21） and Zhōngwǎn （中脘 CV 12）. The treatment was given once per day. 10 treatments made one session. Two sessions of treatment were required. In the control group, Motilium was prescribed for oral administration, 10 mg each time, three times per day, continuously for 20 days. The changes in the relevant parameters in electrogastrogram （EGG） were observed before and after treatment. The efficacy was assessed. Results The principle frequency and the waveform reaction area of EGG were improved apparently after treatment in both groups （all P0.01）, and those in the observation group were superior to those in the control group （all P0.01）. The ratio of the power after/before meal was more than 1 in the observation group after treatment and that in the control group was less than 1. The effective rate was 100.0% （23/23） in the observation group, which was superior to that of 80.0% （24/30） in the control group, presenting statistically significant difference （P0.01）. Conclusion Acupuncture in combination with TDP can effectively treat SSASG. This therapy apparently improves the gastric motility, tremendously promotes the gastrointestinal peristalsis and recovers the gastrointestinal function after operation. The efficacy of it is superior to that achieved by the oral administration of Motilium.
