MBT schuhe preise Chronic obstructive pulmonary di

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Chronic obstructive pulmonary disease clinical analysis of pulmonary fungal infection

Breach of this group were intestinal circumference less than 3 / 4, the edge of neat, good local blood supply, no tension, no bile duct, pancreas associated injuries, surgical trauma in the 12h treatment time from the l8 routine simple suture repair, in which simple Layered repair in 12 cases,[link widoczny dla zalogowanych], simple repair of full thickness of 6 cases. The latter 2 cases of postoperative fistula, 1 case of the patients died of the feeding tube failure caused by spondylolisthesis, and 1 were cured; 1 (on the next page 144) 47 June 2009 Volume 17 of the occurrence of wound infection. 12 patients with single-layered patch only 2 patients had wound infection, fistula and other serious complications, all cured. I believe that the simple single-layered suture repair than suture repair of full-thickness effect. Mucosa, muscular layer suture pulp anatomy clearly, to work closely together, can cover two-story cross-stitch needle, can block the duodenum cavity some pressure to reduce the incidence of intestinal fistula, and can avoid a serious line of the intestinal wall edema When full-thickness suture repair of the intestinal wall in turn may cause more lumen stenosis. Processing time of operation within 6h after injury, the former more obvious advantages. 3 cases of breach of this group over the 50% of intestinal circumference, has a layered suture method, no postoperative fistula and intestinal stenosis occurred. (2) the duodenum and jejunum rip Roux-Y anastomosis: A place in the third, four of the seriously hurt,[link widoczny dla zalogowanych], the processing time later (mean 18h), local edema, can not direct suture of the 3 cases of this surgery I6]. 1 case of postoperative duodenal fistula, infection and died. 1 case of wound infection was cured. (3) of the surgery of duodenal diverticulum: a serious injury to the descending duodenum,[link widoczny dla zalogowanych], and pancreas, bile duct damage, and pancreatic injury in 2 cases this can still repair surgery. 1 case complicated with duodenal fistula after surgery, and systemic failure and death of pancreatic fistula, biliary fistula, 1 case was cured. The surgical time, the situation of poor general conditions should not use, intraoperative estimated incidence of pancreatic fistula Zheyi not be ruled out should not be used. (4), pancreaticoduodenectomy: the author of the group 1 case of severe injury and descending duodenum pancreatic serious injury cases,[link widoczny dla zalogowanych], and the line can not be repaired this surgery,[link widoczny dla zalogowanych], postoperative biliary fistula due to sepsis. The surgeries, the mortality rate is extremely high due to the general case of less use. 【
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