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急性闌尾炎怎么才能治好呢

幸运飞艇会亏吗SHIJIAN:2016-05-17 00:00:00

人氣:

BIANJI:WANGYOUZHENGLI

標簽:其他 急性闌尾炎 

導讀:近來我們在《The Lancet》上了解到Bhangu教授對急性闌尾炎的發病機制、診斷和治療方法進行了研究。急性闌尾炎是比較常見的急腹癥之一,患者的發病風險大約在7%~8%,那么急性闌尾炎怎么才能治好

  JINLAIWOMENZAI《The Lancet》SHANGLEJIEDAOBhanguJIAOSHOUDUIJIXINGLANWEIYANDEFABINGJIZHI、ZHENDUANHEZHILIAOFANGFAJINXINGLEYANJIU。JIXINGLANWEIYANSHIBIJIAOCHANGJIANDEJIFUZHENGZHIYI,HUANZHEDEFABINGFENGXIANDAYUEZAI7%~8%,NEIMEJIXINGLANWEIYANZENMECAINENGZHIHAONI?ZHILIAOJIXINGLANWEIYANDECHANGJIANFANGFASHILANWEIQIECHUSHU,XIAOBIANJINTIANZONGJIEYIXIAJIXINGLANWEIYANDEZHILIAOFANGFA。

幸运飞艇会亏吗  LANWEIYANDEBINGYINMUQIANSHANGWEIWANQUANMINGQUE,CHUANTONGDEGUANDIANRENWEILANWEIQIANGNEIZUSAISHIZHUYAODEYUANYIN,DANSHIJINLAIDEYANJIUXIANSHIJIYIN、HUANJINGHEGANRANYESHIBIJIAOZHONGYAODEYOUFAYINSU,CHUCIZHIWAI,LANWEIYANDEJIAZUSHIYEZHANJULEYIDINGDEBILI。ZAILINCHUANGSHANGXUNSUZHUNQUEDEZHENDUANRENGSHIYIGEBIJIAODADETIAOZHAN。

  一、治療方法

幸运飞艇会亏吗  BAOSHOUZHILIAO:DANCHUNXINGDELANWEIYANKEYIZIXINGHUANJIE,ERSHIYONGKANGSHENGSUZHILIAODANCHUNXINGLANWEIYANCUNZAIZHENGYI。YIPIANJIYU36GERCTYANJIUDEmetaFENXIBIJIAOLEKANGSHENGSUHELANWEIQIECHUSHUZHILIAODANCHUNXINGLANWEIYANDEJIEJU,YANJIUDEJIEGUOXIANSHIDANYONGKANGSHENGSUZHILIAODANCHUNXINGLANWEIYAN,WEIZHIYULVYUE25%~30%,ERQIEZHELEIHUANZHE1NIANHOUHUANSHIXUYAORUYUANSHOUSHUZHILIAO,LINGWAIYIGERCTYANJIUXIANSHIDUIYUERTONGXINGLANWEIYANDEHUANZHEDANYONGKANGSHENGSUHUANSHIYOUXIAODE。

幸运飞艇会亏吗  DANSHIBhanguJIAOSHOURENWEIDUIYUMUQIANDERCTYANJIUZHONGCUNZAIDEHENDUOWENTI,LIRUZHENDUANBIAOZHUNBUTONG,HUANZHENARUBIAOZHUNBUYANGE,JIEJUZHIBIAOXUANZEBUDANG,SUIFANGSHIJIANBUCHANGDENGYINSU,QIEYANJIUJUNWEIJIEHEYINGXIANGXUEFANGFA。

  ZUIJINLAIZIBEIOUDEYIGERCTYANJIUJIEHELECTYIQUEZHENLANWEIYAN,QIYANJIUJIEGUOSHIDANYONGKANGSHENGSUZHILIAODE1NIANSHIBAILVYUE27%,YUXIANQIANDEYANJIUJIEGUOXIANGJIN。XUANZEKANGSHENGSUSHI,XUXUANZECHANGDAODEXUYANGJUNHEYANYANGJUNMINGANDE,CHUCIZHIWAI,XUYAOJIEHEDANGDIXIJUNDENAIYAOQINGKUANG。

  ZAILINCHUANGYANJIUZHONG,TONGCHANGCAIYONGJINGMONEIZHUSHEKANGSHENGSU1~3d,WANQUANKOUFUKANGSHENGSUSHIYANYANJIUHUANMEIYOUKAIZHAN。MUQIANTUIJIANJINGMONEIKANGSHENGSUZHILIAOZHISHAO1d,TONGSHIJIJIJIANCE,YINWEIYUE5%~23%DEHUANZHEKENENGXUJINJIXINGLANWEIQIECHUSHU。SUIHOUJIXUKOUFUKANGSHENGSU7~10d。

  二、闌尾周圍膿腫

  DUIYULANWEIYANHUANZHE,RUOCHUJIZHONGKUAIYINGGAODUHUAIYIFUQIANGHUOPENQIANGNONGZHONGXINGCHENG,FASHENGLVYUE3.8%。RUYUANYANCHISHILANWEICHUANKONGHENONGZHONGXINGCHENGDEWEIXIANYINSU,YOUYUYANZHONGCHENGDUBUTONG,SHAOSHUHUANZHEJINGUANJISHIRUYUANZHILIAO,DANRENGYOUNONGZHONGXINGCHENG。YIPIANmetaFENXIJIEGUOTISHIDUIYUBINGQINGJIAOQINGDELANWEIZHOUWEINONGZHONG,YINGSHIYONGKANGSHENGSU,BIYAOSHIXINGJINGPINONGZHONGYINLIU,FUFALVYUE7.4%,LIJISHOUSHUKENENGTIGAOHUIMANGBUQIECHUDEFENGXIAN。DUIBAOSHOUZHILIAODELANWEINONGZHONGHUANZHEKECAIYONGJIECHANGJING、CTJINXINGSUIFANG,YUE1.2%SUIHOUFAXIANJIECHANGEXINGZHONGLIU。YINCIDUIYU40SUIYISHANGBAOSHOUZHILIAODELANWEINONGZHONGHUANZHE,CUNZAIKEYIZHENGZHUANGHUOXIANGGUANSHIYANSHIJIANCHA、YINGXIANGXUEBIAOXIANYICHANGSHI,YINGKAOLVEXINGZHONGLIUDEKENENGXING。DANCHUNXINGLANWEIYANJINGSHOUCIKANGSHENGSUCHENGGONGZHILIAOHOU,YINNIXINGLANWEIEXINGZHONGLIUDEFABINGLVWEIZHI。

  三、手術治療

  (1)JIXINGLANWEIYANSHOUSHUSHIJIYUHUANZHEYUHOUDEXIANGGUANXINGYIZHIBEISHOUZHENGYI。YIPIANJIYU11GEFEISUIJIYANJIUGONGNARU8858LIHUANZHEDEmetaFENXIBIAOMING,BINGQINGWENDINGDEHUANZHEZAIYUANNEITUICHISHOUSHU12~24hBINGWEIZENGJIACHUANKONGFENGXIAN。YINCI,DUIYUZHENGZHUANGTIZHENGBUDIANXINGDEHUANZHE,SHIDANGYANCHANGGUANCHASHIJIAN,FANFUPINGGU,KETIGAOZHENDUANZHUNQUEXING,BUZENGJIACHUANKONGFENGXIAN,KETIGAOJIZHENSHOUSHUDEGONGZUOXIAOLV。CILEIHUANZHEYEKEZAOQIXINGFUQIANGJINGTANCHA,TIGAOZHENDUANLV,ZAOQILIYUAN。

  (2)FUQIANGJINGLANWEIQIECHUSHUDEYINGYONG

  FUQIANGJINGXIALANWEIQIECHUSHUKEJIANQINGSHOUSHUTENGTONG,SUODUANZHUYUANRI,DUANQIXIAOGUOLIANGHAO,HUANZHEMANYIDUGAO,YOUQISHIYONGYUERTONGHEFEIPANGHUANZHE。YANJIUBIAOMINGFUQIANGJINGLANWEIQIECHUSHUHEKAIFANGSHOUSHUHUANZHEDECHANGQIYUHOUBINGWUXIANZHUCHAYI。DANDUIYURENSHENQILANWEIYAN,YIPIANNARU3415LIHUANZHEDEmetaFENXIJIEGUOBIAOMING,FUQIANGJINGSHOUSHUBICHUANTONGKAIFANGSHOUSHUDELIUCHANLVGAO(127LILIUCHAN,RR=1.91)。MUQIANYIKAIFANGXINGLANWEIQIECHUSHUZUOWEIRENSHENQILANWEIYANDEBIAOZHUNZHILIAOFANGAN。

  (3)XINSHOUSHUJIQIAO

幸运飞艇会亏吗  JINGQIGlove portDANKONGFUQIANGJINGSHOUSHUYINCHENGBENDI,SHUHOUXIAOGUOMANYI,QIEKOUMEIGUANERYINGYONGYULINCHUANG。YIPIANJIYUDANKONGFUQIANGJINGHECHUANTONGFUQIANGJINGDUIBIDERCTYANJIUDEmetaFENXIJIEGUOXIANSHI,LIANGZHEXIAOGUOWUMINGXIANCHAYI。JINGZIRANQIANGDAONEIJINGSHOUSHU(NOTES)DEYINGYONGCUNZAIZHENGYI,CAOZUOFUZA,SHOUSHUSHIJIANCHANGQIEFEIYONGGAO,SHANGQUEFALINCHUANGJIEGUOGAISHANDEXIANGGUANSHUJU。

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