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Objective To explore the use double butterfly wings raised platform method for patients with fixed effects of abdominal cavity drainage tube. Methods For the treatment of gynecological surgery in the hospital and abdominal cavity drainage tube of the clinical data of 245 patients were analyzed, and on October 31, 2016 as the cut-off time was divided into the control group of 119 cases and observation group of 126 cases in control group were treated by conventional methods for abdominal cavity drainage tube, observation group of patients with double butterfly wings raised platform in the abdominal cavity drainage tube was fixed, and comparative analysis of two groups patients with abdominal cavity drainage tube drainage effect, pull the pain caused by fixed effects, and the drainage tube. Results The observation group and the control group there was no statistically significant difference total indwelling time, pain score, to observe group posted time (2.00±1.36), respectively (3.00± 0.62), the control group, respectively (5.00 ± 1.89), (0.35 ± 0.05) points, two groups compare the difference was statistically significant (t=7.883,3.457, P<0.01), the observation group without pipe of 100.0％(126/126), the control group without pipe of 89.9％(107/119), part of the pipe of 7.6％(9/119), completely pipe of 2.5％ (3/119), two groups compare the difference was statistically significant (Z=-15.305, P<0.01). Conclusion Compared with the conventional abdominal cavity drainage tube fixed method, double butterfly wings raised platform method fixed abdominal cavity drainage tube fixed effect is better, can significantly ease the pain of patients suffer, saved the time nursing.
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Objective To investigate the double T tube drainage method in the treatment of hepatic echinococcosis which ruptured into the common bile duct.Methods A retrospective study was conducted on 86 patients who were treated surgically for hepatic echinococcosis which had ruptured into the common bile duct at the First Affiliated Hospital of Xinjiang Medical University from June 2012 to December 2014.The average postoperative hospitalization,postoperative complications (residual cavity bile leakage and residual cavity effusion,residual cavity infection) and biliary complications of biliary tract infection were analyzed.Results Significant differences were found on the postoperative residual cavity complications in group A:(2,7.1％) when compared with Group B:(9,15.5 ％),and also on the postoperative hospitalization between the double T tube drainage group [group A:(7.1 ± 1.3) d] and the traditional T type tube decompression group [B group:(8.2 ± 1.5) d] (P ＜ 0.05).Conclusions The doubleT tube drainage in the treatment of hepatic echinococcosis which had ruptured into the common bile duct was simple,safe and effective.This treatment could completely cure residual cavity bile leakage,and it had the advantage of avoiding occurrence of common bile duct related complications caused by the traditional suture method for bile leakage.
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BACKGROUND: Antifibrinolytics such as aprotinin and tranexamic acid have been administered to reduce blood loss of cardiac surgery, but opinions differ regarding the efficacy of each drug. This study was performed to compare the hemostatic effects between aprotinin and tranexamic acid on adult open heart anesthesia and to evaluate their additive effects. METHODS: We randomly allocated 73 patients undergoing coronary artery bypass grafting or double valve surgery to 4 groups. Group I was non-medicated control(n=15), group II(n=21)patients were recipients of a high dose of aprotinin, group III(n=16) patients were recipients of a conventional dose of tranexamic acid, and group IV(n=21) were recipient of both drugs. Cardiopulmonary bypass time, total operation time, hematocrit, platelet count, transfusion amount and 6 hours of postoperative chest tube drainage were measured. RESULTS: The medicated three groups significantly demonstrated less amounts of blood transfusion and blood loss over the first 6 hours at ICU compared to the nonmedicated control group. Total operation times were shorter in group II, III, and IV compared to group I. Use of both agents together was more effective in reducing the total operation time and blood loss compared to tranexamic alone. CONCLUSIONS: We conclude that the use of aprotinin and tranexamic acid result in significant positive hemostatic effects but superiority of one agent vs. the others is not proved. Use of two agents together yield a more positive effective in reducing the operation time and the blood loss compared to single agent alone but further study would be needed to fully confirm.