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Posted: Thu 1:37, 24 Mar 2011 Post subject: belstaff outlet Bronchoscopy biopsy hemorrhage rep |
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Bronchoscopy biopsy report of 2 cases of hemorrhage
. Bleeding patients about 200ml. 2 for the common discussion of lung cancer, fiber bronchoscopic diagnosis of central lung cancer positive rate. Rich blood supply of lung cancer, especially central type, the bronchial artery, the pressure is higher. Biopsy prone to bleeding, 2 cases of hemorrhage in this volume in the 200, -, 300ml. So that should not panic when bleeding occurs, do not pull out the bronchoscopy, because the bronchoscopy port is on the bleeding site, you can always blood in the endotracheal aspirate. If you pull out the bronchoscopy patients prone to life-threatening asphyxia. Bleeding should be stopped at the pump suction, to avoid continuous pumping, because the bleeding continued to attract negative, while continuing to attract patients can cause lack of oxygen. Thrombin is necessary for bronchoscopy, it is the exact effect hemostasis. This 2 patients were bleeding gradually stopped using thrombin, no other discomfort. Usage: 500U dissolved in 20ml of 0.9% saline to each 5ml L larvae injected along the biopsy. Injection after aspiration, repeated. This prevents other drugs into the bronchus, but also make the bleeding site and always maintain a high concentration of thrombin is beneficial to stop bleeding. 【Received Date :2003 -07-311 CLC number: R271.1 Document code: B Article ID: 1004.04l2 (2004) 02.0077.01 mifepristone and misoprostol for termination of method of early pregnancy has been widely applied in clinical practice, the complete abortion rate of 90% or more, though with a simple, effective, and security features, but vaginal bleeding after medical abortion and a longer duration of incomplete abortion-prone situation. To reduce the drawbacks of using traditional Chinese medicine biochemistry department from treating vaginal bleeding after medical abortion 98 cases. Are reported as follows: 1 General Information 1.1 Clinical data: The group of 98 patients were in January 2001 to January 2002, 1O gynecology clinic patients, aged 18 to 43 years, of which 40 patients aged 18 to 30, 30 to 43 years 58 cases. Bleeding time 8 ~ 45d, the amount of bleeding 100 -, 200ml 57 patients, 200 ~ 300rrd 35 cases, 300ml or more in 6 cases. B-ultrasonic examination: Uterine tissue residues, or accumulation of blood within the 65 cases, no significant residual 33 cases. The patients vaginal bleeding after medical abortion has been uneven, dark purple color, there are the blood clots,[link widoczny dla zalogowanych], abdominal pain, according to the Tong Shen, block pain reduction under, mental fatigue, fatigue,[link widoczny dla zalogowanych], weakness, Notani weak dark purple tongue, or stasis points, or yellow greasy tongue coating thin self. 1.2 Methods: The basic method of Chinese medicine: angelica 20g, go Xiong 15g, peach kernel 15g, Bao Jiang 10g, licorice root 5g, safflower 6g, Motherwort 40g. Modified application: blood deficiency were added with Codonopsis 15g, Bai Zhu 15g, Radix Astragali 15g, Radix 15g replenishing qi and blood: weak spleen and stomach to the Bai Zhu 15g, tangerine peel 10g, 10g spleen and in Amomum; vaginal bleeding odor , yellow greasy moss were added dandelion 20g, Patrinia 30g. 1.3 The effect of standards and results: cure: 1 week treatment residual tissue discharge, vaginal bleeding stopped, the symptoms disappear, B ultrasonic examination no residual uterine cavity, menstrual cycles returned to normal by the amount of menstruation and normalization, 63; markedly: medication to reduce bleeding 2 weeks, symptoms were relieved, B-prosecutor cavity a small amount of blood in the menstrual cycle returned to normal, 31 cases; invalid: after 2 weeks, vaginal bleeding, no improvement in symptoms, need curettage, 4 cases; total effective rate was 95.92%. 2, vaginal bleeding after medical abortion discussion is not absolutely lochia medicine category. Abortion, medical abortion is a man with the marshal or blink injury setbacks or lifting or moving fetal loss and birth eating poison similar to, and prone to residual drug flow,[link widoczny dla zalogowanych], stasis cell, the new blood can not go through, it continued vaginal bleeding more than, or even heavy bleeding, a block of dark color; bleeding resistance, not General pain, stasis slightly through the next block,[link widoczny dla zalogowanych], so that pain reduction, treatment should be stasis xue, qi pain, from the Blood Stasis, specimens to rid of. Fang Angelica, Chuanxiong, peach kernel, safflower, licorice blood circulation of stasis, qi pain, gas for the commander of blood, the blood gas lines, Blood Circulation in the stasis, the stasis places to go fast, quiet cellular network. Bao Jiang Wen in pain, to help Angelica, Chuanxiong of Health and vaginal bleeding after drug flow or down the main strip and decidual insufficiency of uterine contraction recovery is related to prescription Motherwort stasis, and Angelica promote uterine contraction, discharge decidua and bureaucratic plot blood. For blood deficiency in the biochemical soup added Codonopsis, Astragalus, Atractylodes, Shouwu spleen Qi, transfer photo Chong and Ren, replenishing qi and blood. Various drugs, hit the pathogenesis. Significant effects are collected, after medical abortion to avoid a small amount of residue lines intrauterine curettage the patient pain and ideological concerns, shorten the time of vaginal bleeding after medical abortion, making abortion more advantages. f Received :2003 -10-081
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