www.public4you.fora.pl

njlpkhgea

Two anesthetic methods for comparison of esophageal cancer surgery

Cain 150rag, fentanyl 0.3mg, meperidine 200rag, midazolam 10mg, normal saline were 100ml, 2ml / h continued to drop people. Results: Both groups were successful conclusion of the surgery. A group of patients in the procaine with 1 (170 ± 30) ml / h, succinylcholine (170 ± 30) ml / h,[link widoczny dla zalogowanych], fentanyl (O.12 ± 0.2) ml / hIB group with three drugs were (100 ± 20) ml / h, (100 ± 20) ml / Il, (O.O8 disabilities 0.01) ml / h. A group of commands after stopping the reaction time was (18.5 ± 5.8) rain, extubation time (20.4 ± 4.50) min; B were (12.3 ± 3.5) rain, (14.5 ± 2.5) rain. The two groups, B group significantly reduced the amount of anesthetics, extubation time was significantly shorter (P O. 05). Discussion: The majority of older patients with esophageal cancer, poor physical condition. Often associated with other diseases. As surgeries require anesthesia to maintain stable hemodynamics, and plug the pipe is smaller cardiovascular response, analgesic effect, waking in time, have a good postoperative analgesia. To reduce the cardiovascular system and respiratory complications. Key anesthesia is an appropriate mix of drugs, control the time and dosage of medication. Inhalation anesthesia alone thoracic surgery, before extubation turn the light anesthesia, wound pain, agitation and stimulation of tracheal tube had increased the instability of the circulatory system in patients with f and combined inhalation anesthesia + epidural can be effective avoid these problems. The amount of anesthetic drugs from the point of view, combined inhalation anesthesia + epidural group compared with procaine and fentanyl inhalation anesthesia alone group small, and rapid recovery, extubation time was significantly shortened, reducing anesthesia drug side effects. Our results show that combined inhalation anesthesia + epidural anesthesia for thoracic surgery is good, pain improved significantly reduced the amount of anesthetics, is conducive to postoperative awake; its anesthetic stable, especially suitable for combined heart and lung,[link widoczny dla zalogowanych], and other important f the organ lesions less epidural drug concentration is low, does not affect the completion of spontaneous breathing patients, it is worthy of promotion and popularization of this method. 32 cases of invasive treatment of floating knee Zhuwang Gui Ling (Wenshang County People's Hospital 2725O0) Wang Suping. 1995 to 2002, 32 cases of hospital patients with floating knee external fixation to good effect. Reported below. Clinical data: In this paper 25 males and 7 females; aged 18 to 59 years, mean 35 years. 23 cases of floating knee on the left and right in 9 cases. 32 patients had 74 fractures. Directly or indirectly as a powerful cause of violence. Fractures in the femoral neck, femoral shaft, tibia and fibula fracture patella combined in 2 cases, combined intertrochanteric fracture of tibia and fibula asked, metatarsal fracture in 1. Femoral shaft fracture with segmental fractures of tibia and fibula, 2 cases of femoral shaft fractures combined tibia and fibula, medial malleolus fracture in 1, femoral condyle on the tibia and fibula fracture, phalanx fracture in 1, femoral condyle fracture of tibia and fibula,[link widoczny dla zalogowanych], radius and ulna fracture in 1 cases of fracture of femoral shaft fracture with 24 cases. One open fracture in 5 cases, 27 cases of closed fracture. Treatment Methods: 5 cases of traumatic heavy, complex fractures, bleeding in critically ill patients to give more first aid treatment to correct shock fractures underwent open reduction and internal fixation. 27 patients with stable vital signs underwent emergency surgery. Of the femoral fractures were treated with open reduction, according to fracture type and location, the choice of compression screw, gooseneck nails, angle steel and other fixed femoral neck, intertrochanteric, supracondylar fracture of condyle asked. Except for 1 case of femoral shaft fracture comminuted fracture, bone defect with compression plate fixation and bone grafting, but were fixed with intramedullary nail f fracture of tibia and fibula fractures were selected by one or more multi-functional unilateral external fixator. 2 cases with tension band fixation of patellar fracture, and 1 with medial condylar fractures fixed with cancellous screws, the other foot and toe radius fractures with Kirschner wire fixation, and external fixation with plaster to increase stability. Results: 32 patients followed up for 5 to 36 months, excellent (no pain, range of ≥ 9O%, X-ray showed fractures of the position on the line of good bone healing) 20 cases, good (mild pain,[link widoczny dla zalogowanych], range of motion normal 7O% ~ 89%, X-ray showed fractures of the position on the line is acceptable bone healing) 8 cases, (mild pain, range of motion was normal 5O% ~ 69%,[link widoczny dla zalogowanych], X-ray showed fractures of the bit to bone healing) 3 cases, and poor (pain significantly, range of motion than normal 5O, X-ray showed fractures of the position on the line is poor, no nonunion) in 1 case, good rate of 87.2%. Discussion: The floating knee early reduction for the treatment should be the first to have a total of 65 ●