The clinical observation of high-intensity focused ultrasound in the treatment of abdominal and pelvic malignancies before and after the blood supply of 70 cases


Temperature effect of the cell. Ultrasound in Medicine, 2001; 17 (1) :4 - 6 (received a date of 2002-11 a l4l (edit Hyung) the exchange of experience ● spinal anesthesia and epidural anesthesia points puncture for gynecological surgery e clinical application of Yin Xudong LEARNED Lijuan the ~ tmmR] [Article 1] l6 stern of a 9866 (2003) 04-0322 Ol gynecological surgery were located in the pelvic deep and vaginal operations requiring anesthesia adequate analgesia and satisfaction of muscle relaxation. hospital from 2000 1O 2001 1O spinal anesthesia and epidural anesthesia point puncture method is used to obtain satisfactory results in 40 cases of gynecological surgery, are presented below. 1 Materials and Methods 1. 1 a chu information to select the 4o case of surgery, including total abdominal hysterectomy 2O cases myomectomy eight cases, three cases of vaginal hysterectomy, extensive hysterectomy nine cases aged 30 to 65 years of age, body weight 5O ~ 90kg, which obese 1O cases,franklin marshall outlet, associated with anemia from 2O case (Hbl00g.LI1), operative time was 90 ~ 250min. 1.2 anesthesia method the operating room, connect the monitor Blood pressure, heart rate, F_F_G and sPo2 open venous access , first taken before anesthesia rehydration 400 ~ 500mL, patients take the right lateral r L1 ~ 2 or 3 intervertebral line of epidural catheterization to spare, and injected via the catheter with normal saline 3 ~ 5mL (to maintain catheter patency). take ~ or ~, L4, intervertebral space line subarachnoid puncture the sense of a breakthrough after removal of spinal needle core, see the cerebrospinal fluid outflow slowly inject the local anesthetic of 0.5% bupivacaine 2.5 the ~ 3rTlL (Bureau after preparation of O .75% bupivacaine 2mL +10% glucose 1rTlL dubbed 0.5% bupivacaine hyperbaric solution) u '] after injection, fixed epidural catheter, ePIR ~ supine conventional oxygen mask, adjust anesthesia of the surgery required range. 2 5 ~ 10min after the 'onset time 3 ~ 5min, injection block perfect role for 120180min upper bound plane up to T4 in 15 cases, T6, 25 cases, of which 5 up to T4 cases of plane with varying degrees of decrease in blood pressure, difficulty breathing, speed up the infusion mask pressurized oxygen, intravenous ephedrine 15rag, the above symptoms, intraoperative blood oxygen saturation were within normal limits in 8 of the 40 cases of surgical patients. more obese patients. surgery is more complex surgery a long time. with epidural 2% lidocaine 5 ~ 10mL hands of units: 075 100 Xuanhua in Hebei People's Liberation Army 257 Hospital anesthesiology surgery, satisfactory anesthesia, postoperative follow-up are the headache and other complications. three discussion points puncture 4o cases of gynecological surgery for spinal anesthesia and epidural anesthesia, to solve the needle within the needle spinal anesthesia with epidural anesthesia and higher needle more suitable for domestic common type of combined spinal sack. puncture points can allow anesthesia to calm the placement of the epidural catheter,abercrombie and fitch france, spinal anesthesia puncture administration to avoid a spinal anesthesia needle, needle puncture may appear has onset of the epidural catheter has not yet put the bit to achieve the operation busy but not chaotic, the two complement each other,ugg españa, with a rapid onset of anesthesia, muscle relaxation fully sacrococcygeal nerve block to improve the local anesthetic dosage characteristics of small and continuous epidural anesthesia without time limit to avoid a simple spinal anesthesia is time-limited and can not be completed long surgical requirements and simple large amount of epidural medication, and there is incomplete block, you need auxiliary analgesic drugs,ugg boots uk, interfere with respiration and circulation, and thus the risk of spinal anesthesia, epidural anesthesia points puncture, improve security and achieve the sacrococcygeal nerve block anesthesia anesthesia and possible surgery characteristics of the effect of epidural analgesia. ◆ jI anesthetic effect of clinical observation. In 2000 the Chinese Medical sociation National anesthesia academic year will abstracts assembly. 5032 Feng Xinmin completed carefully, Ao Jie. ropivacaine and bupivacaine for spinal anesthesia study of 2000 Chinese Medical sociation National anesthesia academic abstracts compilation, 5033. Wang Huamin, Li, Qu Yan sea. spinal and epidural anesthesia France 10-year clinical analysis of Chinese Journal of Anesthesiology 1999; 19:624 - 6254 Pengshu Ling,moncler jacken, Zhong Liang, Luo thick device, such as thoracic epidural anesthesia, epidural and intravenous auxiliary respiratory effects of analgesic Chinese Journal of Anesthesiology 1998; 18:410 - 411 (a date of 2002 -11 a zs) (edit to red)