简介：

简介：AIM:Todiscusstheclinicalsignificanceofpostoperativegastrointestinaldecompressioninoperationonlowerdigestivetract.METHODS:Threehundredandsixty-eightpatientswithexcisionandanastomosisoflowerdigestivetractweredividedintotwogroups,i.e.thegroupwithpostoperativegastrointestinaldecompressionandthegroupwithoutpostoperativegastrointestinaldecompression.Clinicaltherapeuticoutcomeandincidenceofcomplicationwerecomparedbetweentwogroups.Furthermore,aninvestigationonapplicationofgastrointestinaldecompressionwascarriedoutamong200generalsurgeons.RESULTS:Thevolumeofgastricjuiceindecompressiongroupwasabout200mLeverydayafteroperation.Bothgroupshadalowergirthbeforeoperationthaneverydayafteroperation.Nodifferenceinlengthofthefirstpassageofgasbyanusanddefecationafteroperationwasfoundbetweentwogroups.Theoverallincidenceofcomplicationswasobviouslyhigherindecompressiongroupthaninnon-decompressiongroup(28%vs8.2%,P<0.001).Theincidenceofpharyngolaryngitiswasupto23.1%.Therewasalsonodifferencebetweentwogroupsregardingthelengthofhospitalizationafteroperation.Themajority(97.5%)ofgeneralsurgeonsheldthatgastrointestinaldecompressionshouldbeplacedtillpassageofgasbyanus,andonly2.5%ofsurgeonsthoughtthatgastrointestinaldecompressionshouldbeplacedfor2-3dbeforepassageofgasbyanus.Nobody(0%)deemeditunnecessaryforplacinggastrointestinalcompressionafteroperation.CONCLUSION:Applicationofgastrointestinaldecompressionafterexcisionandanastomosisoflowerdigestivetractcannoteffectivelyreducegastrointestinaltractpressureandhasnoobviouseffectonpreventingpostoperativecomplications.Onthecontrary,itmayincreasetheincidenceofpharyngolaryngitisandothercomplications.Therefore,itismorebeneficialtotherecoveryofpatientswithoutundergoinggastrointestinaldecompression.

简介：客观：为了学习寻找鼻音上的治疗学的效率和effecacy指导oflaser途径，为canalicular撕裂在吻合打破撕碎的眼泪的小管的结束。方法：受不了创伤的劣等的canalicular撕裂的49个病人(49只眼睛)被划分成控制组和指导激光的组。在眼泪的斑点和鼻音之间的距离撕碎的眼泪的小管的破结束是超过6公里。在眼皮损伤的管理的功课期间，病人被canalicular吻合操作在分别地在撕碎的眼泪的小管的结束找打破的鼻音与传统的方法和指导激光的方法对待。1条公里直径的硅酮试管作为stent在眼泪的经过被把管子插进4～6个月。结果：Inthe指导激光的组，在在撕碎的眼泪的小管的破结束找鼻音的吝啬的时间是(5。75±1.49)纪录，操作的吝啬的时间是(49.21±3.37)纪录；两个比控制组的显著地短(P<0.01)。指导thelaser组的痊愈率是96.55%，比控制组，但是没有统计意义(P>0.05)的高。结论：指导激光的方法对比传统的途径，和病人得更少的疼痛在撕碎的眼泪的小管的结束找打破的鼻音并且在canalicular吻合操作损坏快得多、更方便。

简介：AbstractImportance:Scimitar syndrome (SS) is a rare type of congenital heart disease characterized by total or partial anomalous venous drainage of the right lung to the inferior vena cava. However, the surgical repair techniques for SS vary according to patients’ anatomical and pathological features.Objective:This study was performed to analyze the mid-term results of a less invasive surgical correction technique for SS in children.Methods:Eleven patients with SS who underwent surgical repair from January 2012 to March 2020 were retrospectively analyzed. The anomalous scimitar vein (SV) was directly reimplanted to the left atrium, and the concomitant atrial septal defect was simultaneously repaired with cardiopulmonary bypass.Results:Three male and eight female patients were included in the study. Their mean age was 3.1 ± 1.3 years, and their mean body weight was 12.8 ± 3.0 kg. Most patients had symptoms, such as upper respiratory tract infection, dyspnea, and recurrent pneumonia, and two patients had pulmonary hypertension. None of the 11 patients who underwent direct SV reimplantation by right thoracotomy developed bleeding, arrhythmia, heart failure, or perioperative death, and no patients required reoperation during a mean follow-up period of 36.6 ± 15.2 months. Postoperative echocardiography revealed no restenosis or obstruction of the anastomosis in any patients.Interpretation:Surgical repair for SS by right thoracotomy and direct anastomosis of the SV to the posterior wall of the left atrium is safe and effective, with good long-term patency of the reimplanted SV and a low mortality rate.

简介：无