日志
abercrombie,
|
The clinical application of calcaneal anesthesia in foot surgery
Less satisfied with our department since August 1998, the calcaneus anesthesia for foot surgery 27 cases achieved satisfactory results. Report is summarized as follows. A clinical data. I General information: orthopedic 12 cases of 24 feet {diabetic foot gangrene, amputation of two cases of hallux valgus; rheumatoid arthritis, foot gangrene, amputation I cases for a total of three times a total of 12 cases of open trauma of the foot. Male Io cases, 17 females 1.2 surgical procedures: risk of about 5cm on the ankle tourniquet at the lateral tip of the condition of patients with exsanguination or tourniquet, tourniquet inflation pressure of 20 ~ 26kPa, under l_5 ~ Zcm at the line of skin with Run anesthesia to the calcaneal periosteum with bone marrow needle puncture into the local anesthesia needle L calcaneal body, a sense of frustration. Pull out the needle core, to of calcaneus vivo Note 0j procaine due to 4OraL about. In 27 cases, 2 cases ????? trial and allergies, and change with 0.25 lidocaine. See the dorsal venous engorgement pull out a bone marrow biopsy needle, the oppression of the pinhole at the effect of anesthesia in a few minutes 1.3: The group of 26 cases markedly effective in 10 minutes. One cases of 1j minutes of Sao. Surgery patients had not felt significant pain due to time constraints of the tourniquet, the duration of anesthesia was about I ~ I. The About 5 hours. 2 Discussion calcaneal spongy cancellous bone. Contains a wealth of sinusoids, blood circulation, injection of narcotic drugs through the blood Doujin Jing clock cycle, evenly distributed in the capillary network in the following tourniquet, by diffusion into the organization, thereby blocking foot nerve, played local intravenous anesthesia role through the application of anesthesia on the calcaneus, we found that the calcaneus anesthesia have the following advantages: (I) of the waist profile or epidural anesthesia costs are relatively high, while the use of the calcaneus anesthesia can reduce anesthesia costs, reduce the burden on patients; (2 ) foot open trauma, emergency spinal anesthesia and epidural anesthesia, on the one hand anesthesia markedly longer time, on the other hand required in patients fasting water,abercrombie, and some patients for satiation after the trauma, so the above anesthetic increased risk. Local anesthesia for the exploration of the Ministry of fractures is difficult to achieve satisfactory results with no special preparation, the calcaneus anesthesia before surgery without water fasting, anesthetic risk minimal, effective time and recovery time are shorter after surgery you can eat. ; (3) can not tolerate suffering from serious the retro injury and heart, lung and kidney function insufficiency,abercrombie milano, spinal or epidural anesthesia in patients undergoing foot surgery. Anesthesia can be used calcaneus; (4) foot gangrene plane rising, many times the line amputation in patients with spinal or epidural anesthesia, due to the short term should not be repeated line. Anesthesia can be used calcaneus. Group 1 patients with rheumatoid arthritis in patients with secondary 6jI plug sex arteritis gangrene. Gangrene plane due to the short-term rise, the use of the calcaneus 3 Rotary amputation anesthesia to obtain satisfactory results; (j) The foot open injury to disinfect underwent anesthesia, causing pain in patients with the disinfection process. Such as first use of the calcaneus anesthesia (except for the calcaneus open injury), and then disinfect. Eliminate the pain, gave the surgeon disinfection to bring the convenience. Calcaneus anesthesia, there are some drawbacks. Such as tourniquet time limit may only last a I ~ 1.5 hours. In addition, patients with calcaneal fractures calcaneus anesthesia requires a longer surgical need to secondary administration; Because anesthesia drugs could be spillover from the fracture. Difficult to achieve the anesthetic effect but in general. As long as the indications have a good grasp. The calcaneus anesthesia may well be a good way for a foot anesthesia. Deposited issued on the date of I999 a I2 - 26 (bream Series afterglow) a f7z 113 cases of renal transplant patients dietary treatment experience. First People's Hospital of Changzhou City, Jiangsu Province (213003) Wang Lijun kidney transplantation has become one of the main treatment for the treatment of end stage renal disease, long-term survival rate gradually increased. Therefore, how to cooperate with the clinical management of diet therapy to speed up the recovery of renal function and patient rehabilitation is very important now my hospital 1996 years, from January to September 1998 a total of I13 cases of renal transplant patients dietary treatment report the following clinical data I. I General information: II3 cases of renal transplant patients, 71 male patients, 42 females, aged from 22 to 68 years. 103 cases of chronic nephritis. Two cases of obstructive nephropathy, hypertensive nephropathy in 2 cases, 5 cases of diabetic nephropathy, lupus nephritis one cases of post-operative days in hospital for 7 to 42 days. 89 cases of hospital days in more than 20 days. 1.2 dietary treatment of patients eating 2 to 3 days after surgery. Liquid given in the first stage of 1.2.1, so the food supply calories per day for 4.2 ~ 4.6MJ (1000 ~ IIOOkcai,) 40 ~ 45g,abercrombie italia, protein,abercrombie roma, fat 25 ~ 30g, the staple food I5O ~ 200g. The Food and egg stew, soup, milk, cereal, rice porridge, floss. Crane Pass indole
You May Also Like,Related Topics Articles?
