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先天性脊柱侧凸手术治疗的几点体会(附24例术后近期观察)

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中华小儿外科杂志 1984年第1期5卷 41-43页

作者：王尚崑崔宽龙西安医学院第二附属医院外科

The authors report 24 cases of congenital scoliosis surgically treated from 1978 through 1982.9 were male and 15 female,with the age ranging from 1 to 15 *** to the authors,its prognosis should not be a pessimistic one,for early operations can usually prevent deterioration of the *** authors point out that some associated diseases seen in the course of treatment as well as other problems concerned need further discussion and wait to be solved in the future.

关键词：先天性脊柱侧凸手术治疗术后近期观察 Congenital Scoliosis congenital scoliosis 先天性异常 treatment 椎骨脊椎畸形 problems treated 脊柱裂发生率 female 楔形问题困难 age

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婴儿胰岛素过量分泌性低血糖外科处理

中华小儿外科杂志 1986年第2期8卷 99-101页

作者：韩茂棠房志勤胡银莲李建仁贾胜琴天津市儿童医院外科

婴儿期胰岛素过量分泌(Hyperinsulinism)所致的低血糖多严重而顽固,此病虽不多见但需积极作出诊断和有效处理,以防止发生不可逆性脑损害.1例胰母细胞增殖症(Nesidioblastosis)因反复发作低血糖入院,经胰腺次全切除术而获控制.现将此例... 详细信息

婴儿期胰岛素过量分泌(Hyperinsulinism)所致的低血糖多严重而顽固,此病虽不多见但需积极作出诊断和有效处理,以防止发生不可逆性脑损害.1例胰母细胞增殖症(Nesidioblastosis)因反复发作低血糖入院,经胰腺次全切除术而获控制.现将此例的诊断及治疗中的有关问题作一讨论,以便引起外科同道们的重视,强调在内科医师的配合下及时发现患者,并应在出现脑损害之前予以有效治疗.

关键词：婴儿期胰岛素分泌性低血糖外科处理脑损害诊断及治疗细胞增殖症次全切除术 treatment operation effective 有关问题内科医师反复发作不可逆性 treated results level 胰腺

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尺骨鹰咀牵引治疗小儿肱骨髁上骨折

中华小儿外科杂志 1986年第5期8卷 292-293,插二页

作者：王雅芹马承宣房伦光中国人民解放军总医院小儿外科

肱骨髁上骨折为儿童最常见的骨折,有72.4%发生于10岁以下的小儿.对无移位或移位很少者,常采用闭合复位,石膏或小夹板固定.

关键词：尺骨鹰咀牵引治疗小儿肱骨髁上骨折 Children children results significant 小夹板固定 treatment 无移位闭合复位 movement fracture treated 为儿童 simple paper 石膏 loss use

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小儿肾损伤61例分析

中华小儿外科杂志 1982年第2期3卷 94-95页

作者：黄澄如贺荣友北京儿童医院外科

This paper reports 61 cases with renal injuries, the majority of which were schoolchildren. There was a 2:1 male to female *** injuries were of closed variety and produced by a fall. Twelve cases were associated injuries of other structures or organs. Symptoms and signs included macroscopic or microscopic hematuria, tenderness and rigity of the lumbar region. An excretory urogram of 11 cases showed distortion of the calyces and excreting defects and extravasation of the contrast medium through the kidney. Forty-nine cases were treated by conservative methods. Twelve required operation. All the patients have recovered. The authors emphasize when patients who are not in shock are admitted, an intravenous urogram should be obtained as early as possible. If the symptoms tend to aggravate progressively and the excretory urogram do not give enough information, the renal angiography and renal scans should be done.

关键词：小儿肾损伤分析 contrast medium information structures 延误治疗内脏损伤颅脑外伤 required variety treated female shock paper 讨论手术恢复复习

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狭颅症手术治疗的远期疗效

中华小儿外科杂志 1984年第3期5卷 136-137页

作者：孟广远马景孟邹方田杨之廉孟庆海张文德青岛医学院附属医院脑外科

The authors report the long-term follow-up results of 25 cases of craniosynostosis treated surgically;16 males and 9 females with age ranging between 2 months and 6 *** had increased Intracranial *** occurred in 8 cases;mental retardation in 22;papilledema in 12;optic atrophy in 4;complete blindness in 2 and exophthalmus in *** this series;the abnormality fell into 3 types;***(13 cases);scaphicephalic(7)and platycephalic(5).The operations were done with a"++"*** bone suture was made 2 cm in width and the periosteum was removed 1.5 to 2 cm from the edge of the bone *** procedure is simple and *** cranial circumferential measurements increased and intelligence improved in all the cases after *** follow-ups showed that the results were satisfactory in 9 cases;improvement in 13 and no remarkable improvement in 2.

关键词：狭颅症手术治疗远期疗效 Treatment results 颅骨发育异常颅缝畸形早期诊断适时手术闭合 improved treated 脑发育 simple 障碍随访颅腔尖头疾病

先天性胆总管囊肿内引流术的疗效观察(附42例报告)

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中华小儿外科杂志 1982年第4期3卷 213-215页

作者：霍玉琴徐尚恩白素芳杨启政许华峰河南医学院第一附属医院小儿外科

In the past 13 years,42 children with congenital choledochal cyst were admitted.19 of them were treated by cysto-duodenostomy and 23 by Roux-en-Y *** them,31 have been followed up for 1 to 13 years.18 children were given barium meal fluroscopy after *** result:Cysto-duodenal anastomosis is usually followed by severe regurgitation of food,leading likely to infection of the bile duct.32% of the patients had persistent high fever lasting over 10 days,and some even reaching 40 ***,Roux-en-Y cysto-jejunal limb anastomosis is not complicated with food regurgitation and gives less chance to post-operative infection of the bile *** patients' convalescence is smooth and ***-term result:The long-term results of cysto-duodenal anastomosis are satisfactory but Roux-en-Y cysto-jejunal limb anastomosis proves even *** the passing of time,the cyst will decrease in size and food regurgitation become *** a result,the potentiality of infection of the bile duct is naturally reduced.

关键词：先天性胆总管囊肿内引流术疗效观察 Congenital Choledochal Cyst Treatment Roux-en-Y congenital choledochal cyst bile duct children 根治性切除术肠吻合 barium meal 治疗囊肿空肠儿童时期胆道畸形病例 treated results 国内外

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儿童特发性巨结肠

中华小儿外科杂志 1986年第4期8卷 193-195页

作者：施诚仁佘亚雄上海第二医科大学附属新华医院小儿外科

儿童特发性巨结肠(Idiopathic megacolon)是一种原因尚未明确的便秘症,其结肠壁有正常的神经节细胞.临床上主要表现顽固性便秘,直肠甚至乙状结肠远端呈明显扩张.也有人称之'小儿慢性便秘症'^(1);在病史中未发现有肛裂、肛门狭窄,甲状腺... 详细信息

儿童特发性巨结肠(Idiopathic megacolon)是一种原因尚未明确的便秘症,其结肠壁有正常的神经节细胞.临床上主要表现顽固性便秘,直肠甚至乙状结肠远端呈明显扩张.也有人称之'小儿慢性便秘症'^(1);在病史中未发现有肛裂、肛门狭窄,甲状腺机能低下等疾病.以往常与先天性巨结肠病相混淆,但自从肛门直肠测压法问世后逐步对此病有了进一步认识,我们自1979年11月至1984年12月曾诊治18例儿童特发性巨结肠病例,本文着重对其肛门直肠测压特点、治疗及与短段型先天性巨结畅病鉴别诊断作一讨论.

关键词：儿童特发性先天性巨结肠病肛门直肠测压法 anorectal manometry diameter 甲状腺机能低下顽固性便秘神经节细胞 difference 乙状结肠慢性便秘鉴别诊断肛门狭窄 quantity positive children treated results control

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小儿蛲虫性阑尾炎(附124例报告)

中华小儿外科杂志 1986年第6期8卷 350-351页

作者：胡家高鲁建生武汉市儿童医院外科武汉市儿童医院病理室

蛲虫又名蠕形住肠线虫(1),人类是蛲虫的唯一宿主,也是儿童肠道常见的寄生虫.1982～1985年我院急性阑尾炎行手术治疗共1,343例,其中蛲虫性阑尾炎124例,占9.2%.

关键词：小儿 respiratory tract mechanical damage 急性阑尾炎 lymph nodes operation 手术治疗 treated 寄生虫肠线虫 simple female upper three major found 宿主人类儿童肠道

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螺旋弹力牵引装置治疗先天性髋脱位

中华小儿外科杂志 1987年第4期9卷 233-234,插2页

作者：包勤德尹齐家中国人民解放军第二六四医院外二科

治疗小儿髋脱位常用的固定方法不能在制动后调整复位后的位置,不易解决不完全复位的问题.针对这个问题作者制作出一种轻便动力复位固定装置,它具备牵引、复位、固定三种功能,并把三者综合为一体,在一个程序中完成,打破了牵引必须卧床,... 详细信息

治疗小儿髋脱位常用的固定方法不能在制动后调整复位后的位置,不易解决不完全复位的问题.针对这个问题作者制作出一种轻便动力复位固定装置,它具备牵引、复位、固定三种功能,并把三者综合为一体,在一个程序中完成,打破了牵引必须卧床,固定仅是单纯制动的老框框.用它牵引不影响患儿坐卧、翻身爬行、扶持站立等自主活动,逐渐自动复位,节省了人力、物力及时间,免除了部分手术,减轻了惠儿痛苦,临床应用52例66个髋,疗效满意(复位率95.4%).

关键词：螺旋弹力牵引装置治疗先天性髋脱位 Children Dislocation of Hip 复位固定装置 femoral head treated hip application regulation 自主活动自动复位制动问题临床应用疗效满意固定方法

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