Forum pracy nad projektem wskrzeszenia The Forge

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70 patients with angina pectoris and non-guided drug medication guide follow-up study


5 cases. Nausea and vomiting in 1 case, 5 cases of loss of appetite, weight loss, 6 cases; examination: abdominal tenderness in 8 cases, anemia in 5 cases, 2 cases of right lower abdominal mass, hepatomegaly in 1. Splenomegaly 4; complications: one case of fistula formation, abscess in 2 cases, 2 cases of intestinal obstruction, toxic megacolon in 1. 1.3 auxiliary examination: 8 patients, 5 patients had anemia, of which 4 cases of mild anemia. Moderate anemia in 1 case. Fecal occult blood test was positive in three cases: where 2 cases of colonic Crohn's disease, accounting for 25.0%. Pathology: ulcer accounted for 100.0% in 8 cases, 2 cases of intestinal stenosis and 25.0%,[link widoczny dla zalogowanych], mucosal cobblestone-like changes in 1 case of 12.5%. 1.4 Diagnosis: clinical manifestations, signs with auxiliary examination comprehensive analysis of the main pathological diagnosis. 1.5 Treatment: general treatment i need to strictly control the activities of attack, should stay in bed, to the high nutrient low-residue foods. Severe cases require occasional fasting, and promptly correct water and electrolyte balance disorders. By parenteral high-nutrition therapy, pain can be atropine or other anticholinergic drugs, if necessary, additional sedative or analgesic use. Diarrhea can phenylethylamine piperidine, anemia, vitamin supplements should Bl, folic acid or blood transfusion, plasma or from the protein, there is secondary infection with antibiotics, the main treatment for sulfasalazine (s'P), who are allergic to the sulfa drugs using a 5-amino salicylic acid (5 to ASA). Corticosteroids alone or in combination,[link widoczny dla zalogowanych], can be oral or combined oral and Retention, to be adequate short-term treatment in stable condition after tapering. Maintenance dose and then be treated by conservative medical treatment fails transfer surgery. 2 Results for the first time remission in 5 cases (62.5%),[link widoczny dla zalogowanych], 3 cases turn conservative surgical treatment fails. 5 cases of first remission in 4 patients because of symptoms improved the article number from 【】 1008-3073 (2002) 04 o444 ~ 01 lines for a withdrawal cause disease relapse. 2 patients with incomplete intestinal obstruction due to surgical treatment. Most surgical bowel resection using lesion. A routine bowel resection lesions plus colostomy. 8 patients, 7 patients relapsed, with no deaths. 3 Discussion Crohn's disease is not clear, the cause of chronic granulomatous disease of the gastrointestinal tract. Diseases prevalent in the terminal ileum and adjacent colon, seen in this group 25% of the small intestine, small intestine and large intestine 50%, 25% of the large intestine. Age more than 15 to 30 years old. A good age in this group 20 - 25 years old. No significant difference between men and women. Clinically, abdominal pain, diarrhea, swelling, fistula formation and intestinal obstruction characterized. This group of patients: abdominal pain 100.0%, to right lower abdominal pain, pain is usually spastic: 100.0% diarrhea, usually a paste without sepsis, day 3 to 5 times the majority. Alternating diarrhea and constipation in 1 case; fever in 5 cases (62.5%) is generally moderate degree of heat; fistula formation in 1 case (12.5%) as the internal fistula; mass in 2 cases (25.O%) edge of the clear, medium texture ,[link widoczny dla zalogowanych], there is tenderness, more fixed. Intestinal manifestations associated with skin and oral mucosal ulceration in 1 case (12.5%), hepatomegaly in 1 (12.5%), splenomegaly in 4 (50.0%), anemia in 5 (62.5 %), mostly with mild anemia. 8 patients had no significant water and electrolyte balance disorders. Complications: 2 cases of intestinal obstruction and 25.0% for the sub-acute intestinal obstruction; abscess in 2 cases accounted for 25.0%. Mesenteric abscess; 1 case of toxic megacolon accounted for 12.5%. Crohn's disease diagnosis is clinical, signs, laboratory examinations comprehensive analysis of the main pathological diagnosis, misdiagnosis of the disease, the data in 8 patients in 4 cases misdiagnosed as ulcerative colitis, tumor Pathology showed: ulcer 8 (100.0%), intestinal stenosis in 2 cases (25.0%), mucosal cobblestone-like changes in 1 (12.5%). General treatment of the disease and treatment, including sulfasalazine,[link widoczny dla zalogowanych], corticosteroids. Both can be used alone in combination, can also be oral plus oral enema. Is sufficient to promote short-term treatment, to be in stable condition after taper the amount of maintenance therapy and then be maintained. Remission after initial treatment in 5 cases (62.5%), recurrence or multiple recurrence in 7 patients (87.5%), recurrence incentive condition has become stable and mostly due to their own withdrawal. Transferred by the conservative medical treatment fails in 5 cases surgery was 62.5%. Most surgical bowel resection with disease, 1 case of bowel resection of lesions plus colostomy. 8 patients with no deaths has not found cancer. (Received I2002 a o6-11)