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简介：摘要：目的：研究彩色多普勒超声在区域神经阻滞麻醉中的应用价值。方法：应用彩色多普勒超声对84例区域神经阻滞麻醉术患者进行实时超声引导，观察麻醉效果、麻醉药物用量，与传统区域神经阻滞术进行对比分析。结果：共完成超声引导下区域神经阻滞麻醉术84例，麻醉效果好，无并发症发生。结论：彩色多普勒超声能为区域神经阻滞麻醉提供可靠穿刺引导，实现可视化精准麻醉，减少麻醉药物用量、缩短麻醉穿刺时间，减少麻醉并发症，提高麻醉安全。

简介：摘要： 耳垂是耳部的重要组成结构，耳垂的完整性会对耳部的美观带来直接的影响。通过耳下区皮瓣转移技术可以有效的修复耳垂的缺陷，该技术在临床当中的应用十分的常见。借助耳下的菱形区域的皮瓣对耳垂进行修复，技术难度相对较低，治疗效果也比较好，通过修复手术，不仅可以达到耳垂重建的目的，还能够满足修饰性的要求 ，与现在整形外科所要求的美学理念相适应。本文将选结合临床案例来进行分析，结合案例来探究耳下区皮瓣转移在修复耳垂损伤方面的应用情况。

简介：　　摘要：目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月～ 2019年 3月收治的 40例胃底贲门下区癌患者，全部患者均采用 X线诊断，回顾性分析全部患者临床诊断资料，分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中，溃疡型 27例（ 67.50%），龛影周围黏膜变形 27例，不规则钡斑 24例，椭圆形或圆形钡斑 3例，环堤 8例；平坦型 4例（ 10.00%），树根样染钡区和云雾样染钡区各 2例；肿块型 9例（ 22.50%）；溃疡型检出率较肿块型、平坦型明显增高（ P<0.05）。结论 在胃底贲门下区癌患者临床诊断中，行 X线诊断时选择仰卧半立左前斜位，有助于造影诊断，胃底贲门下区癌 X线主要征象为溃疡型，应注意鉴别其与良性溃疡，可提高早期诊断准确率。  　　关键词：胃底贲门下区癌； X线；影像学特征  　　 Abstract: Objective To observe and analyze the effect of X-ray in the diagnosis of cancer in the lower area of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with cancer in the lower gastric fundus and cardia were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were analyzed retrospectively, and the characteristics and significance of X-ray diagnosis were analyzed. result Among 40 cases of cancer in the lower gastric fundus and cardia, 27 cases were ulcerative type (67.50%), 27 cases were mucosa deformation around niches, 24 cases were irregular barium spots, 3 cases were oval or round barium spots, 8 cases were circular dike; 4 cases were flat type (10.00%), 2 cases were root like barium stained area and 2 cases were cloud like barium stained area; 9 cases were mass type (22.50%); the detection rate of ulcerative type was significantly higher than that of mass type and flat type (P < 0.05). Conclusion in the clinical diagnosis of patients with cancer in the lower gastric fundus and cardia, it is helpful to choose the left anterior oblique position of supine and half vertical position in the X-ray diagnosis. The main X-ray signs of cancer in the lower gastric fundus and cardia are ulcer type. It should be noted to distinguish it from benign ulcer, which can improve the accuracy of early diagnosis.

简介：　　摘要：目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月～ 2019年 3月收治的 40例胃底贲门下区癌患者，全部患者均采用 X线诊断，回顾性分析全部患者临床诊断资料，分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中，溃疡型 27例（ 67.50%），龛影周围黏膜变形 27例，不规则钡斑 24例，椭圆形或圆形钡斑 3例，环堤 8例；平坦型 4例（ 10.00%），树根样染钡区和云雾样染钡区各 2例；肿块型 9例（ 22.50%）；溃疡型检出率较肿块型、平坦型明显增高（ P<0.05）。结论 在胃底贲门下区癌患者临床诊断中，行 X线诊断时选择仰卧半立左前斜位，有助于造影诊断，胃底贲门下区癌 X线主要征象为溃疡型，应注意鉴别其与良性溃疡，可提高早期诊断准确率。  　　关键词：胃底贲门下区癌； X线；影像学特征  　 Abstract: Objective To observe and analyze the effect of X-ray in the diagnosis of cancer in the lower area of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with cancer in the lower gastric fundus and cardia were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were analyzed retrospectively, and the characteristics and significance of X-ray diagnosis were analyzed. Results among 40 cases of cancer in the lower gastric fundus and cardia, 27 were ulcerative type (67.50%), 27 were mucosa deformation around niches, 24 were irregular barium spots, 3 were oval or round barium spots, 8 were circular levees, 4 were flat type (10.00%), 2 were root like barium stained area and 2 were cloud like barium stained area, 9 were mass type (22.50%). The detection rate of ulcerative type was significantly higher than that of mass type and flat type (P < 0.05) ) Conclusion in the clinical diagnosis of patients with cancer in the lower gastric fundus and cardia, it is helpful to choose the left anterior oblique position of supine and half vertical position in the X-ray diagnosis. The main X-ray signs of cancer in the lower gastric fundus and cardia are ulcer type. It should be noted to distinguish it from benign ulcer, which can improve the accuracy of early diagnosis.

简介：　　摘要：目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月～ 2019年 3月收治的 40例胃底贲门下区癌患者，全部患者均采用 X线诊断，回顾性分析全部患者临床诊断资料，分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中，溃疡型 27例（ 67.50%），龛影周围黏膜变形 27例，不规则钡斑 24例，椭圆形或圆形钡斑 3例，环堤 8例；平坦型 4例（ 10.00%），树根样染钡区和云雾样染钡区各 2例；肿块型 9例（ 22.50%）；溃疡型检出率较肿块型、平坦型明显增高（ P<0.05）。结论 在胃底贲门下区癌患者临床诊断中，行 X线诊断时选择仰卧半立左前斜位，有助于造影诊断，胃底贲门下区癌 X线主要征象为溃疡型，应注意鉴别其与良性溃疡，可提高早期诊断准确率。  　　关键词：胃底贲门下区癌； X线；影像学特征  Abstract: Objective To observe and analyze the diagnostic effect of X-ray in patients with carcinoma of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with gastric cardia cancer in our hospital were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were retrospectively analyzed, and the X-ray diagnostic characteristics and significance were analyzed. result Among the 40 patients with carcinoma of gastric fundus and cardia, 27 cases (67.50%) were ulcerative type, 27 cases were mucosa deformation around niche, 24 cases were irregular barium spot, 3 cases were oval or round barium spot, 8 cases were ring dike; 4 cases (10.00%) were flat type, 2 cases were root like barium staining area and 2 cases were cloud like barium staining area; 9 cases (22.50%) were mass type; the detection rate of ulcer type was significantly higher than that of mass type and flat type (P < 0.05). Conclusion in the clinical diagnosis of patients with carcinoma of gastric fundus and cardia, it is helpful to choose supine half standing left anterior oblique position in X-ray diagnosis. The main X-ray signs of carcinoma in gastric fundus and cardia are ulcer type. It is necessary to distinguish them from benign ulcer, which can improve the accuracy of early diagnosis.

简介：　　摘要：目的 观察分析 X线在胃底贲门下区癌患者中的诊断效果。方法 选取我院 2017年 3月～ 2019年 3月收治的 40例胃底贲门下区癌患者，全部患者均采用 X线诊断，回顾性分析全部患者临床诊断资料，分析 X线诊断特征和意义。结果 本组 40例胃底贲门下区癌患者中，溃疡型 27例（ 67.50%），龛影周围黏膜变形 27例，不规则钡斑 24例，椭圆形或圆形钡斑 3例，环堤 8例；平坦型 4例（ 10.00%），树根样染钡区和云雾样染钡区各 2例；肿块型 9例（ 22.50%）；溃疡型检出率较肿块型、平坦型明显增高（ P<0.05）。结论 在胃底贲门下区癌患者临床诊断中，行 X线诊断时选择仰卧半立左前斜位，有助于造影诊断，胃底贲门下区癌 X线主要征象为溃疡型，应注意鉴别其与良性溃疡，可提高早期诊断准确率。  　　关键词：胃底贲门下区癌； X线；影像学特征  Abstract: Objective To observe and analyze the effect of X-ray in the diagnosis of cancer in the lower area of gastric fundus and cardia. Methods from March 2017 to March 2019, 40 patients with cancer in the lower gastric fundus and cardia were selected. All patients were diagnosed by X-ray. The clinical diagnosis data of all patients were analyzed retrospectively, and the characteristics and significance of X-ray diagnosis were analyzed. result Among 40 cases of cancer in the lower gastric fundus and cardia, there were 27 cases of ulcerative type (67.50%), 27 cases of mucosa deformation around niches, 24 cases of irregular barium spots, 3 cases of oval or round barium spots, 8 cases of circular dike; 4 cases of flat type (10.00%), 2 cases of root like barium stained area and 2 cases of cloud like barium stained area; 9 cases of mass type (22.50%); the detection rate of ulcerative type was significantly higher than that of mass type and flat type (P < 0.05). Conclusion in the clinical diagnosis of cancer in the lower gastric fundus and cardia area, it is helpful to select the left anterior oblique position of supine and half vertical position in the X-ray diagnosis. The main X-ray signs of cancer in the lower gastric fundus and cardia area are ulcer type. It should be noted to distinguish it from benign ulcer, which can improve the accuracy of early diagnosis.

简介：【摘要】目的：对行手术治疗的胫腓骨骨折患者实施超声引导下区域神经阻滞麻醉的临床效果。方法：本次研究对象为我院在2019年3月-2020年3月期间收治的胫腓骨骨折患者68例为研究对象。按照随时分配的方式将其分为对照组和观察组，每组34例，对照组采取腰硬联合麻醉，观察组采取超声引导下区域神经阻滞麻醉，对比两组患者疗效及两组麻醉基本状况。结果：观察组疼痛评分、麻醉应用时间和术后清醒时间均低于对照组P

简介：[摘要]目的 在新冠疫情中、高风险区的背景下，探讨解决健康码为黄色或者红色且以非“发热及呼吸道症状”就诊患者的需求的措施。方法 利用急诊科临近办公用房或者临时搭建的通风良好的办公设施，设立“灰区”诊室，主要诊治健康码为黄色或红色且以非“发热及呼吸道症状”就诊的患者。结果 在2020年6-7月份北京新发地疫情期间，北京某大型三级医院的急诊“灰区”门诊共诊治65人，其中确诊1例新冠肺炎患者，并转往定点医院治疗。结论 在疫情爆发的中、高风险区的背景下，急诊科“灰区”门诊的设立，净化了急诊科的就诊环境，有效地隔离了感染病人，最大程度避免了急诊科交叉感染、聚集感染的发生。