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Abdominal incision dehiscence hematoma or fat liquefaction prevention

Dose. Should prevent the preoperative patients in the cold. Lead to reduced resistance to prevent the common cold. Continuously improve the operative technique to prevent incision is the key to fat liquefaction and separation of the rectus abdominis split action to light, bleeding thoroughly. Abdominal suture straight in front sheath incision after washing with normal saline to prevent the shedding of fat particle residue. _ Pu leather according to the thickness of fat on purpose, proper suture gap, elastic moderate. Accuracy of the occlusal surface without gaps. Ensure good blood supply. Note that the skin on the joint good. Full protection of the skin barrier function. Fat thickness, easy bleeding who put rubber drainage strip the skin. Postoperative patients should pay attention to diet, not eating or eating less of the patients. Given amino acid compound, albumin, vitamin C infusion to ensure the supply of nutrients. Promote wound healing. The elderly, malnutrition, diabetes patients, to extend the date of removal of stitches, after the rational use of antibiotics. 2.3 pairs split incision hematoma of the rectus abdominis and malnutrition. Even up to peritoneal should immediately re-sutured. Fat liquefaction of wound dehiscence has not yet reached pre rectus sheath, but the length of incision dehiscence without infection should be re-sutured. Incision dehiscence of the limitations of fat liquefaction without infection, after debridement, incision with a wide stretch tape to make it natural healing,[link widoczny dla zalogowanych], such as multiple or concurrent infection exudate, drainage strip and place the light with tape pull,[link widoczny dla zalogowanych], dressing 1 - 2, fresh tissue to be grown without effusion after the incision together with a wide plastic Bradley. This method allows rapid wound healing, scar small, beautiful appearance. Can shorten the length of stay, should be promoted and widely used. Received date :2008 - 01 - 02 diabetic patients with acute myocardial infarction analysis of 38 cases, Block Wu Yuan (Shanghai City Central Hospital of the Second Division,[link widoczny dla zalogowanych], Liaoning Haicheng 114200) Article ID :1009 -5519 (2008) 07-1034-- 01 Key words: R5 Document code: B 20o4 hospital in June 1 May 2007 in 100 patients with acute myocardial infarction treated with diabetes mellitus in 38 cases,[link widoczny dla zalogowanych], 62 cases of non-diabetic, diabetic with acute myocardial this article infarction are the clinical features and prognosis. l 38 Patients with clinical diagnosis consistent with 1999 WHO diagnostic criteria (except for stress hyperglycemia): acute myocardial infarction ECG and cardiac enzymes checked OK. With acute myocardial infarction in diabetic patients (diabetic group) 38 cases, 22 males and 16 females, aged from 45 to 76 years of age, myocardial infarction in 28 cases, 10 cases of inferior myocardial infarction; non-diabetic patients with acute myocardial infarction ( non-diabetic gig.) 62 patients, 37 males and 25 females, aged 427 years old, 46 cases of anterior myocardial infarction, inferior myocardial infarction in 16 cases, two groups of gender, age, no significant difference in infarct size. 2 Results In diabetic with hypertension,[link widoczny dla zalogowanych], acute infection, myocardial infarction and mortality were higher than non-diabetic group in Table 1. 'Table 1 Comparison of two sets of characteristics and the incidence rate (cases,%) 3 to discuss an important complication of diabetes, coronary heart disease is about 43% to 50% of diabetic patients with acute myocardial infarction. Mortality rate 2-3 times higher than non-diabetic ll1. Diabetes is an independent risk factor for cardiovascular disease. Diabetic population increase in the prevalence of cardiovascular mainly accelerated coronary sclerosis. Compared with non-diabetics, diabetic patients with coronary atherosclerosis earlier ages, progress faster I2l. Diabetes with hypertension is more for the occurrence of atherosclerosis and development. Both diabetes and hypertension under the existence of a significant increase in heart disease. This group of 14 patients died of diabetes in 12 patients with hypertension. Diabetes can be expressed as painless myocardial infarction, and more complications to myocardial infarction as the first symptom, which is a long history of sensory nerve damage of diabetes led to reduced pain sensitivity, coupled with cardiomyopathy and heart function to decrease myocardial contractility , the decreased ventricular compliance, in the heart of severe trauma (such as myocardial infarction) are susceptible to heart failure, arrhythmia, cardiogenic shock. Diabetes high blood sugar, the negative balance of protein metabolism, decreased immunity, prone to various infections. Concurrent infection can not effectively control the disease caused by the aggravation of death. Myocardial infarction complicated by diabetes, poor prognosis, high mortality, it should strengthen the prevention and treatment of diabetes. Rational use of early insulin treatment of diabetes, in reducing the incidence of myocardial infarction and mortality is important.
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