Forum pracy nad projektem wskrzeszenia The Forge

[xp052505]

Clinical application of digital rectal examination: a report of 93 cases


Poor, smooth surface pathology: smooth muscle tumor in 2 cases, 6 cases of leiomyosarcoma. 27 rectal abscess in 3 cases under film revolves: digital rectal examination was hit gear online rectal bulge. There have been crossing the dynamic puncture pus are indeed inter-rectal polyps 2.8, anal papillae hypertrophy, hemorrhoids and other common diseases, the application or statement of intestinal Taiwan Chuan DRE door microscope easy to diagnose. 3 Discussion of clinical digital rectal examination commonly used technique is a simple and important to draw out Anglo fork method, wide range of applications. No person shall have the following line to this: Check: There are symptoms of anorectal diseases (such as blood in the stool unknown primary week, sleep, constipation, anal 『『 = pain, perineum and lower abdominal pain), stole Ang prostate, urethra by some other surgical, gynecological and other diseases to the patient's stool specimens scoop mystery. Digital rectal examination is no absolute contraindication,[link widoczny dla zalogowanych], but {, 11I bifida patients, if not urgent,[link widoczny dla zalogowanych], should be suspended for the examination. Have saved the digital rectal examination, the key is that the patient does not feel pain. Therefore, Lian told the patient how to check before you do a good job with Taiwan and to explain and comfort work, must not be prepared in the patients without any thought to check the circumstances causing the patient's pain and fear, affect the examination difficult to achieve the desired results. In this paper 26 cases of rectal cancer in 12 patients and Chuan crack and fall bleeding, both in the local anesthesia rectal examination and reach mass, thus avoiding delay in diagnosis and treatment; general clinicians accustomed to the door with a finger check Chuan sphincter, rectal mucosa, male the patient's prostate, but more should be turned to the posterior wall of the fingers, pay attention to touch the tip of the anterior sacral and coccyx. In clinical work, should not be careless haste, Taiwan and bleeding, or a variety of diseases, only to see the hemorrhoids, fistula, fissure, etc. will be under the diagnosis of deep inspection without errors caused by missed diagnosis. Digital rectal examination are not satisfied, you can change the position (squatting or lithotomy position, etc.), further inspection. The location of the tumor can be high touch. General length of the extraperitoneal rectum 7 ~ 7.5em, if the increase in abdominal pressure in the upright position can be touched up the case of 11 ~ 12e ~ n, 26 cases of rectal cancer in this article, there are 5 cases tumor from the anal margin 9 ~ llem , were squatting before the line hit rectal tumor Jane's. For infants and young children. Suspected anal, rectal diseases, be sure to check the other line of digital rectal examination, digital rectal examination for the diagnosis of appendicitis in infants and young children have a certain significance of the differential diagnosis of infants and young children because of small abdominal cavity, a small finger deep anal, that is able to reach a higher position , the pain palpable mass, and promote bowel movements, this can be used and intussusception, indigestion and other diseases phase identification. (Closed auxiliary 1999-11-20 Revised 1999-10-13) [Youliang braided hair] of 73 cases of a Diagnosis and Treatment of hilar cholangiocarcinoma V Wanglu Lin Yang J Fanzheng Jun Wu Zheng ----~--- a Henan Medical Acknowledgements General Surgery, First Affiliated Hospital (450052) I hospitals in 1981 to 1997, surgical treatment of hilar cholangiocarcinoma 73 down, and achieved satisfactory results,[link widoczny dla zalogowanych], reported below. 1.1 General Information l clinical data of 73 cases in this group, male 50, female 23 cases. Age 30 to 69 years. Average 56 years old. History of 10 to 330 days,[link widoczny dla zalogowanych], 1 month, 70% or more,[link widoczny dla zalogowanych], to hospital for treatment before the author at a local hospital diagnosed as (10 cases), hospital misdiagnosis rate of 71.2%. The group of 73 patients with clinical manifestations of smallpox are yellow. Upper abdominal pain and discomfort accounted for 658%, fever 12.3% 671% hepatomegaly, ascites 205%, bile duct stones 9.5%, splenomegaly 68%. Imaging: are line B-mode ultrasound showed intrahepatic bile duct dilatation in all cases, 51 cases (69.9%) showed a hilar mass. 2l routine CT scan, have shown that intrahepatic duct dilatation. 3 cases were found in hilar bile duct lesions; 5 underwent PTC, 9 j £ Ca routine ERCP examination. Investigation, were successful and shows the Department is located in hepatic portal obstruction, was beak-shaped or truncated image change. 2 routine MRI examination, suggesting that the left and right hepatic duct junction obstruction. 1.2 Clinical classification according to Bi cricket uth [1 l I and Zhiqiang a method of clinical classification, 73 cases of hilar cholangiocarcinoma I-22 cases, Ⅱ 24 cases, Ⅲ a type 1 case, Ⅲ b 4 cases 5 cases of type Ⅳ. 2 Man Run by portal, you can not type in 17 cases. 1.3 Radical surgical resection in 73 patients with 15 patients (20.5%); palliative surgery in 45 cases (61.6%), including 33 cases of internal drainage, external drainage in 10 cases. 2 cases of hepatic artery catheterization; only laparotomy in 13 cases (17_8%). 15 cases of radical resection, the 5 cases, Ⅱ type in 6 cases, Ⅲ 4 cases of hepatic side with Taiwan, lobectomy in 10 cases, left lobe of liver resection in 5 cases. Caudate lobectomy, 1 case. 2 discussion 2l reduce misdiagnosis and improve the early diagnosis of hilar bile
More articles related to topics：


[link widoczny dla zalogowanych]

[link widoczny dla zalogowanych]

UGG boots Italia Diagnosis and treatment of childr