nlwxpearo
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 Posted: Sun 22:38, 13 Mar 2011 Post subject: Section cerebrospinal fluid replacement therapy of |
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Section cerebrospinal fluid replacement therapy of primary subarachnoid hemorrhage control analysis of 22 cases
Ultra smooth catheter or Yashiro5F F catheter hepatic artery. Imaging showed the location and extent of vascular tumor bed, will be with ultra-smooth guide wire catheter into the tumor-related artery support,[link widoczny dla zalogowanych], attention should not be dependent arterial catheter into the remote too. After the success of the first catheter slowly and continuously through the catheter into the 02% lidocaine saline solution of heparin (heparin content of 5 ~ 10u/m1) 10 ~ 20ml, 5 ~ 10min after the embolic agent and the chemotherapeutic drugs and then slowly injected into tumor-associated flow control method artery, until the Ministry of vascular filling full or tumor chemotherapy is completed. If the surgery using a 5-fluorouracil chemotherapy, heparin in 0.2% lidocaine solution with dexamethasone 5mg, remaining the same treatment. Each review with digital subtraction angiography were technical processing. 1.3 Results: 23 patients, except the last line of angiography after treatment without addition,[link widoczny dla zalogowanych], after 1 to 6 times angiography, showed no hepatic artery and tumor-related artery stenosis or occlusion. In the course of treatment, hepatic vascular channels universal, non-1 patient with stenosis or occlusion of vascular access failure caused by surgery or liver decompensation of sequential treatment. 2 discussions with the modern treatment technology continues to improve, interventional therapy has medical,[link widoczny dla zalogowanych], surgical and other clinical disciplines are widely accepted and applied. The embolization has become the treatment of liver cancer after surgical resection of the effective means. However, due to uncontrolled liver cell proliferation and pathological features of the innate limitations of intervention (only the tube through the blood of active intervention, not a one-time removal), making the liver cells can not be the impact of the intervention of one or two to curb the treatment completely, requiring interventional therapy must take a gradual approach, sequential treatment. Only this way can the advantages of interventional therapy in the treatment of liver cancer in full. To safeguard the smooth progress of sequential treatment, intervention is extremely important to the protection channel. How to make vascular access in interventional therapy to maintain universal, not only is involved in technical operations, more important, is the idea of the problem. Treatment and protection is always a pair of brothers. How to balance the relationship between the two is the intervention of the biggest technical problems. In the intervention process,[link widoczny dla zalogowanych], the application of superselective vascular catheterization is essential to reduce complications and improve efficacy. The target vessel more than 2 to 3 branches of the vascular intima and the inherent structure of the sensitivity of vascular smooth muscle, in the course of treatment guidewire intubation catheter embolization of mechanical stimulation and chemical stimulation of chemotherapy drugs can cause blood vessels within the relevant target membrane damage, vascular spasm. Intimal injury may lead to local thrombosis, intimal hyperplasia, and even vascular occlusion J. Ranging from the difficulties caused by intervention, the result can not be re-intervention or decompensated liver function, affect the prognosis. How to prevent such complications and to improve the interventional treatment is important. There is no uniform understanding of control methods and standards. 2.1 Drug-Induced Injury: Japanese scholars SotaroSadahiro and other reports, steroid drugs with dexamethasone chemotherapy may be effective in preventing intimal injury and caused by arterial stenosis and occlusion of ..., which is the author's treatment of this group of patients match. However, such reports did not involve SotaroSadahiro vascular spasm secondary to vascular stenosis and occlusion problems. 2.2 mechanical origin injury: of the 23 patients were treated by catheter soft fine operation, to avoid tumor-related artery catheter placement and over-application of lidocaine 0.2% heparin solution preventive methods such as infusion of tumor-related artery, effectively avoid the intraoperative vasospasm led to surgery can not happen. Fine soft catheter-related operations and not overly in-depth artery interventional device can significantly reduce the mechanical stimulation of the target vessel, while application of 0.2% lidocaine solution prophylactic heparin infusion of tumor-related artery can reduce the mechanical damage of target vessel on the sensitive factors degrees, and the heparin solution can be effective in preventing intimal micro thrombosis, the three combined mechanical injury can lead to better prevention of vascular complications. 2.3 catheter choice: RH-type common hepatic artery catheter catheter catheter because of its hard texture, and shape the front right angle turn into the 2 ~ 3 likely to cause liver after hepatic artery intimal injury or spasm, has been rarely used. Choose Tern-mo4F Yashiro5F super smooth catheter tube or catheter because of the two more soft, good compliance lumen catheter head turning gently, without forming right angle, and VI ducts open without turning into 2 or 3 liver not after arterial passive target vessel dilation caused by mechanical stimulation, reducing the target vessel can be of serious complications. The author's experience is as far as possible Temmo4F super smooth with ultra-smooth soft catheter guide wire for catheterization. Ultra-smooth due to hard wire into the target vessel in a sudden bomb into the often over-entry,[link widoczny dla zalogowanych],
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