Résumé
Objective To investigate the effect and effect of dexmedetomidine combined with etomidate anesthesia on postoperative pain in patients with gastric cancer. Methods 120 patients with elective radical gastrectomy from January 2013 to January 2015 were divided into observation group and control group (60 cases) by anesthesia. Observation of the two groups of anesthesia and pain scores. Results There was no significant difference in blood pressure between the two groups at different time points. The heart rate of the patients in the observation group was significantly higher than that in the control group (P<0.05). There was no significant difference in the time of recovery of spontaneous breathing between the observation group and the control group. There was no significant difference in the time of removal of the tracheal tube between the two groups. The incidence of postoperative pain scores and postoperative pain in the observation group was significantly lower than that in the control group (P<0.05). Conclusion The use of dexmedetomidine combined with etomidate in gastric cancer patients with anesthesia, can achieve a good anesthetic effect, but also can reduce the degree of postoperative pain and frequency.
Résumé
Objective To investigate the diagnosis and treatment of primary hyperparathyroidism ( PHPT) initially with urinary calculus .Methods The clinical data of 26 patients who diagnosed as PHPT ini-tially with urinary calculus were retrospectively reviewed .Results There were 22 cases with bilateral urinary calculus and 4 cases with unilateral relapsed urinary calculus .Ultrasonography , CT and radionuclide were helpful to determine the location of the neoplasia .24 cases underwent percutaneous nephroscope or ureteroscopy pneu-matic ballistic lithotripsy , 2 cases discharged ureteral calculi by themselves .All patients were performed surgical treatment of PHPT , which was confirmed by intraoperative frozen pathology and postoperative pathological exami -nation.There was great improvement of clinical symptoms after surgical procedures .The preoperative serum calci-um, urine calcium and parathyroid hormone elevated , while serum phosphate decreased .The postoperative indi-cators were just the opposite .The difference had statistical significance ( P<0.05 ) .Conclusions Laboratory investigations and imaging studies are very important to diagnose PHPT initially with urinary calculus .The para-thyroid surgery can remarkably reduce the calculus recurrence and improve renal function .