60 cases of acute organophosphorus pesticide poisoning complicated by acute pulmonary edema Clinical Analysis


V group, the Ede and so on. After oral administration of organophosphorus pesticide poisoning clinical analysis of 1415 cases. Chinese Medicine, 1991,29 (I1): 33 [51 Zhao Delu, Li Yongjun. Domestic and foreign aid treatment of organophosphorus pesticide poisoning. Journal of Internal Medicine. 1994.33 (9): 630 women in the treatment of urethral injury Ding Zhenqiu CLC: R711.4 Document code: B Article ID :1812 -5859 (2005) 04 ~ 0085-01 from 1991 to 2005, treated the female urethra injury in 8 cases. Reported as follows: 1 Clinical data of the 8 patients, aged from 12 to 44 years old, 7 traffic accident. l cases of birth trauma, injury time 2 ~ 78h. Seven cases were urinary tract. Vaginal bleeding, acute urinary retention associated with hemorrhagic shock. One cases of birth trauma in the 4d and found urethral fistula. Seven cases of traffic accident injuries are pelvic fractures, including pelvic shift ends in 4 cases, 2 cases of sacral nerve injury. Associated with other fractures in 5 cases, 3 cases of rupture of internal organs, combined vaginal, urethral, ​​rectal injury in 2 cases, longitudinal laceration in 3 cases, circular laceration in 2 cases. Irregular injury in 2 cases. 5 cases of perineal urethral anastomosis line of a repair or vaginal repair. 2 121 down routine urethral angioplasty. l routine bladder wall muscle flap plasty. 2 results of the 8 patients followed up for 6 months to 4 years. Anastomosis of the urethra a person in 2 patients with mild dysuria, urinary symptoms improved after expansion. A routine bladder wall muscle flap plasty were incontinence, postoperative follow-up has not improved; two cases of urethral plasty by normal urination. 3 to discuss Carter ~ 1 review of 146 female patients with other pelvic fracture patients, there was no urethral injury. Only when prompted can cause violent lower urinary tract injury. Basin fracture. Sacroiliac joint separation, etc. can cause injury to ride across the lower urinary tract injury. Most signs in patients with perineal not reflect the severity of the disease P-1. General physical examination is difficult to judge the bladder, urethra, vagina and rectum and scope of the damage should be carefully examined under anesthesia, according to I clinical symptoms. System check, digital rectal examination, X-ray examination. Necessary with the help of endoscopy, to accurately determine the condition. The group of 7 perineal, a high degree of swelling of the labia majora covered with blood clots, internal structure is unclear,nike free run, and avulsion of the urinary Author: Sixth People's Hospital of Changzhou, Jiangsu Province, Surgery (213003) Road vaginal position shift. The group of four routine endoscopic examination and found urethral stump shift. Vaginal laceration. Female urethra, vagina and pelvic wall strong attachment, it is also easily injured urethra vaginal injuries. Fracture segment easy to stab the urethra, vagina and rectum, this group, two cases were caused by stab fracture. Avulsion of open violence prone to cause injury. Very serious consequences, can easily cause postoperative wound infections. Healing time is relatively long. Try a repair for therapeutic purposes. Restore the continuity of the urethra, to reduce postoperative urethral stricture and urethral fistula. Vaginal stenosis and fistula may occur. Treatment as follows: (1) active anti-shock,moncler jakke dame, the first treatment of life-threatening injuries, the group 3 patients had combined visceral exception, are processed first. (21 with pelvic fractures were the first shift should be reset to make the shift back to normal anatomic position of the urethra, which will help expand the urine after the match and (3) should try to repair the perineal and urethral anastomosis in this group of 6 patients were staff from the perineum by the way, to good effect. f41 surgery should be the correct identification of tissue to remove necrotic tissue damage should be minimal resection, after proper catheter traction. can reduce anastomotic tension, but also play The purpose of hemostasis (5) with pelvic fracture,franklin marshall outlet, urethral injury,doudoune moncler pas cher, bladder neck, 6) after systemic anti-inflammatory, wound infection prevention and control. perineal edema and careful observation of the organization of color, in a timely manner to determine whether there is infection or tissue necrosis, bed time to time subject to fracture healing (7) after the placement of drainage should be avoided placed in the drainage port. vagina rectum may be appropriate to use antibiotics and sterile gauze to facilitate cord inflammation and pressure to stop bleeding. [
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