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Objective To discuss clinical efficacy of EST+LC for gallstones and biliary calculi. Methods Clinical data of 56 cases with laparoscopic cholecystectomy for gallstones and biliary calculi were respectively analyzed. 32 cases were treated by EST+LC, and 24 cases were treated by open cholecystectomy, choledocholithotomy and T tube drainage. Clinical efficacy of two groups was compared. Results Mean postoperative fasting time, postoperative defeca-tion time of study group was earlier than control group, and postoperative length of stay, total length of stay were shorter than control group (P<0.01). Cumulative proportion eating of study group postoperative day 1, 2, 3 were higher than control group (P<0.01). Conclusion Endoscopic duodenal sphincterotomy combined with laparoscopic cholecystectomy for gallstones and biliary calculi shows less pain, faster recovery, worthy of clinical promotion.
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OBJECTIVE To investigate the status of fungus infection in the department of diabetes in order to analyze the risk factors,and to find out the approach for prevention.METHODS The review investigation method was used to collect clinical material of 81 cases with diabetes and fungus infection in our hospital from Jun 2002 to Jul 2007,and the result of bacterial cultures was analyzed.RESULTS The fungus infection took place more frequently in urinary tract(52.94%),then in the lungs and upper respiratory tract(27.05%).The frequently presented organism was the Candida albicans(42.35%),then C.glabrata(22.35%).CONCLUSIONS The age(≥60 years),sex,fasting plasma glucose concentration,2-hour postprandial blood glucose concentrations,the complications of chronic disease,and the long-term unreasonable use of antibiotic are the risk factors.
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Objective: To study the effect of moist therapy on dermal radio lesions. Methods:13 located dermal radio lesions about Ⅲ-Ⅳ stage from 12 cases were treated with moist therapy. Wound managing steps for each time: The first step was to measure the size of wounds and take photos, and then evaluate individual pain level by a numeric pain scale. The second step was to assess and analyze the factors affecting wounds healing, including nutrition, sleeping, activity, psychological condition. After that the individualized plans about nutrition, activity, and psychological care were made. While exchanging dressings, the implementation and effects of the plans must be evaluated and adjusted. The mechanical debridement combined with autolyzing debridement was used for wounds managing. Then the wounds were saturated with bFGF and normal saline, and wetly covered with occlusive dressings. Wounds were managed every two days until wounds healed. Results: All 13 wounds were cured. The average healing time was (10?6)d and the average cost was (202?48)yuan. The pain level after moist therapy was significantly lowered than before(P