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Objective: To observe the esophagus drainage LMA anesthesia for gynecological hysterectomy clinical effect. Research laryngeal mask and tracheal intubation for patients cortisol (Cortisol, COR) and ACTH (Adrenocorticotropic Hormone, ACTH) impact. Compare LMA under general anesthesia and tracheal intubation for the size of the human stress response. Research Methods: Gynecologic under anesthesia hysterectomy 30 patients, ASA grade I-II-class, aged 35-60 years old, weight 45-75kg. All patients undergoing surgery were randomly divided into LMA group (L group, n = 15) and tracheal intubation group (T group, n = 15). Calm after admission in patients with 5 min, and opening up two intravenous access, an arm vein for the transfusion medicine, another elbow vein for blood samples from time to of anesthesia in all cases are used midazolam , fentanyl 3μg/kg, propofol , vecuronium intravenous injection, esophageal and laryngeal mask type drainage catheter into the trachea are placed in a one-time success. Narcotic maintenance of propofol pump 6mg/kg/h, inhalation of 1% -3% isoflurane, during operation in accordance with the depth of anesthesia and muscle relaxation circumstances additional intermittent fentanyl and vecuronium. Observation intubation (cover) before intubation immediately after intubation 1min, 5min, 10min, time period, mean arterial pressure (MAP), heart rate (HR), end-tidal carbon dioxide partial pressure (PETCO2), peak airway pressure (Ppeak).Laryngeal mask airway under general anesthesia with endotracheal intubation ventilation Comparison of stress response and found that before and after the laryngeal mask tube and the tracheal intubation group blood pressure, heart rate, end-tidal carbon dioxide partial pressure changes, compare the two groups of patients with cortisol, ACTH and other stress indicators. LMA group confirmed the group would be able to reduce the intubation tube in patients after the hormone cortisol and ACTH response to the impact of : The comparison group, L group before and after LMA insertion rate (HR), mean arterial pressure (MAP), cortisol (COR), adrenocorticotropic hormone (ACTH) compared to T0 time did not change significantly, no significant difference (P> ), T group before and after tracheal intubation COR, ACTH at T3, T4 was significantly higher than the record time T0 values (P <). Group compared to group L and T groups T3 and T4 in the time period (P <) differences statistically. Conclusion: 1, laryngeal mask airway tracheal intubation more traditional, when the stress response in patients with small. 2, laryngeal mask airway in the perioperative hemodynamic stability. 3, laryngeal mask airway after tracheal intubation than the restoration of stable, less secretion. Keywords: tracheal intubation, laryngeal mask esophageal drainage, hysterectomy, cortisol, adrenocorticotropic hormone

158 评论

柏拉图ing

你可以去创新医学网上看看,而且还有翻译服务。

148 评论

一janice一

Objective To evaluate acute and long2term angiographic and clinical outcomes of longstent or multiple overlapped stents (length ≥ 20 mm) implantation for diffuse atherosclerosis lesions inoctogenarians. Methods Long stent or multiple overlapped stents implantation was performed on 111diffuse native coronary lesions ( Group O : 47 lesions in 44 octogenarians ; Group Y: 64 lesions in 58 patientsaged under 60) . Baseline demographic , lesion characteristic , angiographic and procedural details weresimilar in these 2 groups. Six2month clinical and angiographic follow2up was completed in all cases. In2hospital and long2term outcomes were evaluated. Results Procedure success was 100 %for both had in2hospital major adverse cardiac events (MACE) . There was no significant difference inangiographic binary restenosis ( ≥50 % diameter stenosis) rate between the groups at follow2up ( Group Ovs. Group Y, 1218 % vs1 1019 % at 32month , 2918 % vs. 2616 % at 62month , P > 0105) . The rates oftarget lesion revascularization and MACE at follow2up were less in Group Y, but it showed no statisticalsignificance (718 % vs. 1016 % and 816 % vs. 1114 % at 32month , 1516 % vs. 2314 % and 2017 % % at 62month , respectively , P > 0105) . Conclusions Long stent implantation for diffuse lesionsin octogenarians appears safe and feasible , with high procedural success and favorable long2term outcomes.

195 评论

颂美装饰

去创新医学网一定能找到的,上面24科室的论文都有,而且全部免费,自己去找找吧!

138 评论

燕然铭石

Clinical Experience in the Non-extraction Correction of Lingual Tripping Deep Bite of the Front : Objective: To explore the factors, methods and matters of caution regarding the non-extraction correction of lingual tripping deep bite of the front : To select 18 cases of lingual tripping deep bite of the front teeth and conduct relevant non-extraction corrections. Result: The correction work was completed in 15-21 months, the average of each correction was months. The overbite and overjet of the front teeth of patients have become normal and the facial profiles harmonized after the : Non-extraction correction of lingual tripping deep bite of the front teeth should be conducted only on well selected indications. 【英语牛人团】

81 评论

peipei1222

NaQing sex deep overburden front teeth tooth meets the clinical experience treatmentAbstract: objective to investigate NaQing sexual front teeth tooth overburden match not deep treatment of factors, correction method and the matters needing attention. Methods selection NaQing sex deep overburden front teeth and 18 cases, are not case tooth correction. Results treatment completion time 15 to 21 months, average months. Correction by first teeth together, facial side cover normal appearance was coordination. Conclusion anterior tooth NaQing sex should be repeated in deep choosing good indications fits the tooth under treatment.

246 评论

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