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        west china medical publishers
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        find Keyword "再通" 3 results
        • 肝素鈉在外周靜脈置入中心靜脈導管堵塞再通中的應用

          【摘要】 目的 通過肝素鈉注射液抗凝的原理對外周靜脈置入中心靜脈導管(PICC)堵塞進行疏通,觀察肝素鈉在PICC導管堵塞再通中的應用效果。 方法 2009年5-10月對80例需化療的腫瘤患者行PICC置管治療,其中6例PICC導管堵塞, 將PICC導管接口的肝素帽更換為三通管,一接口連接吸好少量生理鹽水的20 mL注射器,另一接口連接吸好肝素鈉的5 mL注射器,利用導管內負壓將肝素液吸進導管,反復抽吸進行疏通。 結果 6例PICC導管堵塞患者中有4例再通成功,2例失敗予拔管;再通成功率為66.7%(4/6)。 結論 在患者使用PICC 的過程中,應采取積極、有效的措施預防導管堵塞;肝素鈉在PICC導管堵塞再通中的應用有效,對臨床有較大幫助。

          Release date:2016-09-08 09:52 Export PDF Favorites Scan
        • 結扎術后輸卵管二次吻合術六例臨床分析

          目的 總結分析結扎術后輸卵管二次吻合術注意事項。 方法 1997年3月~2004年3月,對6例患者行結扎術后輸卵管二次吻合術。年齡31~38歲。首次吻合術距二次吻合術時間為1~6年。術后隨訪輸卵管復通及復孕情況。 結果 患者獲隨訪1~7年。術后1個月,輸卵管通液檢查5例通暢;術后6個月,輸卵管通液檢查3例通暢, 1例已宮內妊娠;術后1年,宮內妊娠2例,足月分娩;術后2年輸卵管妊娠1例。結論 結扎術后輸卵管二次吻合術成功率尚不高,術中應用顯微外科技術和保留足夠長度輸卵管是手術成功的關鍵。

          Release date:2016-09-01 09:22 Export PDF Favorites Scan
        • Application and research progress of shared decision-making tools in ultra-early vascular recanalization therapy for ischemic stroke

          This article explores the application and research progress of shared decision-making (SDM) tools in ultra-early vascular recanalization therapy for ischemic stroke, focusing on analyzing the functional characteristics and advantages and disadvantages of various tools. Based on functional goals, SDM tools can be divided into four categories: brief decision aids, risk communication tools, patient information tools, and prognosis assessment tools. These tools can assist patients and doctors in making informed treatment decisions quickly in time-sensitive situations, providing a reference for optimizing stroke revascularization treatment. Additionally, SDM tools can facilitate communication between doctors and patients, enabling patients to better understand the risks and benefits of treatment options, leading to choices more aligned with personal preferences and values. Through an in-depth study of these SDM tools, it is expected to improve the diagnostic and treatment efficiency for stroke patients, reduce decision conflicts, promote collaboration between doctors and patients, and provide new ideas and methods for stroke treatment and management.

          Release date:2025-05-26 04:29 Export PDF Favorites Scan
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