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"王茂旭" 4 results
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To evaluate the role of octreotide in the treatment of severe acute pancreatitis (SAP). Seventy-six patients were divided into two groups (octreotide group, n＝38, control group, n＝38). All patients were treated by the same conservative regime. The octreotide group received octreotide. Results: The abdominal symptoms and signs, WBC count, serum amylase level, and volume of ascites were more effective controlled, with fewer complications occurred in octreotide group. Conclusion: Octreotide has a beneficial effect on the treatment of SAP, but the mechanism will be further investigated.
Release date：2016-08-29 09:20
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Release date：2016-09-08 01:59
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患者，男，27歲，因腹痛、腹脹，停止從肛門排便、排氣2天伴惡心、嘔吐入院。查體： 體溫37.0℃，急性痛苦病容，心、肺無異常發現； 腹平坦，未見腸型及蠕動波，未捫及腫塊，臍周有輕壓痛及局部肌緊張，但無反跳痛、移動性濁音及震水音，腸鳴音1～2次/min，偶有高調腸鳴音，未聞及氣過水聲。腹部X線透視示一組小腸可見巨大液平面。診斷： 高位腸梗阻。入院后經禁食、持續胃腸減壓、補液、抗炎及對癥治療24小時，但癥狀仍逐漸加重。體溫37.8℃，上腹部膨隆，叩診呈鼓音，腹透示左上腹有4個巨大液平面。遂在全麻下行急診剖腹探查術。術中見腹腔內有約400 ml淡紅色清亮滲液，有約1 m長的空腸及系膜呈“W”形順時針疝入由未閉之卵黃管形成的“C”形回腸憩室疝環（約300°），造成腸管完全性閉絆性梗阻。該段腸管壁水腫、瘀血，呈暗紅色，有散在瘀斑，腸腔擴張顯著，腸管蠕動明顯減弱。行腸減壓術，待該腸段松弛后，在距腹壁約3.0 cm處將卵黃管盲端切斷，縫扎斷端，從根部切斷憩室，全層加漿肌層縫合修補回腸側壁，檢查可通過一指后，于腸管修補處近端約10 cm處放置菌形造瘺管。再次檢查梗阻部位，見腸管蠕動良好，血運顯著改善。溫鹽水反復沖洗腹腔，于盆腔置血漿引流管。術后診斷： ①高位腸梗阻； ②內疝； ③卵黃管未致回腸憩室。術后行抗感染、止血、對癥及支持治療，痊愈出院。
Release date：2016-08-28 04:47
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Release date：2016-08-28 05:30
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