Selecting person 8 gray level 1 requires 160 patients with postoperative analgesia. The age is 1760 years old. There are 49 males. 1 female, randomly divided into two groups of control group 80 cases of 100, the drug solution containing tramadol 700 800, droperidol 5, scopolamine group 80 cases of 100 liquid solution containing tramadol 700 800, fluphene steep 51 yeah Scopolamine 0.31 tons, the two groups of patients have not used the opioid preparations such as haloperidine and scopolamine recently; the patient's gender, age, weight, type of surgery and anesthesia pump, the injection of the above liquid 5 after surgery, As a loader 1; the general anesthesia ensures 3 scores of 3 points. And the analgesic pump was switched on to start postoperative analgesia. Postoperative observation and treatment of side effects such as multi-pyramidal symptoms and dry mouth.

The effect is judged to be 0-48 hours without rest, no pain or only mild pain during activity, mild pain at rest, and pain can be tolerated during exercise; 3 pain at rest is obviously able to resist rabbit activity or not Invalid pain can not be tolerated at rest. Additional painkillers are needed, and the results of analgesia in the People's Hospital are both excellent. The control group was 915, among which excellent 515., good 40; the scopolamine group had no significant difference between the groups, 5, the complication control group had 41 cases of hyperhidrosis and 51.25. The scopolamine group only had 1 case, and there was a very significant difference between the two groups. There were 4 cases of extrapyramidal symptoms in the control group, 1 case of dry mouth in the Dongqi Bi base group and no extrapyramidal symptoms. There was no statistically significant difference between the groups. Sexual central analgesics have been widely used in postoperative analgesia to avoid side effects such as respiratory depression of narcotic analgesics. The mechanism of action is to bind to central opioid receptors but has weak affinity and inhibits brain processes. The contact body on serotonin and de-flJWlmiVAlJi.llp5哎1 promotes the effect of 卟 容 卟 3 3 3 3 3 巾 巾 巾 巾 巾 巾 巾 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可 可Our hospital used up to 51.25. This increased the risk of postoperative wound infection and hemorrhoids. Flurazine also caused extrapyramidal symptoms. The pharmacological effects of scopolamine were similar to those of atropine. While inhibiting the secretion of glands, it can effectively prevent the occurrence of two side effects. And because of its aerobic bridge, it has a central inhibition effect, and a small dose produces a central sedative effect. This experiment is obvious. Scopolamine can effectively prevent excessive sweating caused by tramadol. In this experiment, 4 cases of extrapyramidal symptoms occurred in the control group and none in the scopolamine group. Although not statistically significant. However, it shows the clinical value of scopolamine. Therefore, we think Xiaoqi! 1 scopolamine 0.3. Quma 1. Fluoxidine complex solution for postoperative analgesia can effectively prevent the occurrence of hyperhidrosis. At the same time, droperidol may cause an increase in the quality of postoperative analgesia.

1 Quan Yun, Zuo Yunxia, ​​Li Yu, and so on. The effect of tramadol on ventilation. Chinese Journal of Anesthesiology, 1995, 8.3 Xia Chuanyong, Zhang Benfa, Pan Yaodong. Comparison of the effects of postoperative analgesia with tramadol or tramadol plus droperidol alone. Foreign medicine. Anesthesia and Resuscitation Volume, 1998194253.

5 Sheng Zhuoren editor. Practical anesthesiology. The first edition. Shenyang Liaoning Science and Technology Press, 1996.120 乜 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 胡 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑 郑Years. The authors used dynamic iliac screws to treat distal femoral fixation for the treatment of distal femoral fractures. The internal fixation was stable and reliable, and 14 cases of external solid fractures were not needed after operation, and satisfactory results were obtained.

He promoted the peptide off-course and his exercise was close. Clinical data were 2 females; aged 2060 years, mean 35 years old. 9 cases of supracondylar fracture of the femur, 5 cases of intercondylar fracture of the femur; 6 cases of left side, 8 cases of right side, 10 cases of car accident caused by car accident, 2 cases of heavy object injury. The method of fMJU3U52mdHi4fK was performed on the anterior aspect of the thigh. The inner edge of the bone. The lateral fascia of the lateral fascia was removed. The knee and the lower middle segment of the femur are exposed. Patients with rash fractures were first fixed with a cancellous bone screw, which was converted into supracondylar fracture. After flexion of the knee joint reduction fracture, the right middle anterior and posterior anterior and posterior anterior and posterior anterior and posterior anterior and posterior anterior Insert the guide pin directly at the entry point. Make it parallel to the knee axis in the upright position. Parallel to the patellofemoral joint in the axial position. Slowly insert the guide needle into the medial cortex and directly measure the length of the guide needle in the bone by sliding on the guide needle. Ream the bone tunnel under the guide needle.

After tapping. Screw the appropriate length of the lag screw into the guide pin and exit the guide pin. The steel plate slides on the connecting screw and the smashing screw, and the side plate is locked with the compression screw on the outer cortex of the distal femur with a driver to lock the steel plate on the 髁 screw, respectively, with a diameter of 3.2, the tap of the drill bit is changed. wire. Dry fixation, the distal end is fixed with 2 cancellous bone screws. No external fixation was performed after the operation, and the functional exercise on the bed was started 1 week later, and the angle of the knee flexion was gradually increased. After December, the staff will exercise with weight.

Treatment results The group was followed up for 6 months and 1 year. On average, 9 months, 8 months, average bone healing within 5 months. There was no wound infection after surgery. No steel plate screw breakage or bending and nail plate separation.

Distal femoral fractures include supracondylar fractures of the femur and intercondylar fractures of the femur. The intercondylar fractures of the femur are mostly comminuted. Involved in the articular surface, improper treatment of fixation may cause traumatic arthritis. Malformations that lead to knee stiffness and prone to knee varus or overextension seriously affect the quality of life of patients. Therefore, anatomical reduction, firm internal fixation, early activity is the key to prevent joint adhesion stiffness. The dynamic iliac screw was recommended by the United States in the late 1970s and has been gradually applied to clinical, mechanical 髁 screw 008 treatment. The advantage of a distal femoral fracture is that the entry point of the screw can be correctly selected. The guide pin can be pre-drilled with 2, drill bit, without any tapping. The position of the guide pin can be used before the instrument is driven in, and the line is checked. If the guide pin is in the correct position. The correct orientation of the inner plant ensures that if the position is not correct, the repositioning of the guide pin is simpler than changing the position of the chisel. However, when the 髁 steel plate is fixed, it is easy to separate and fix the smash. 2. Secondly, the 008 steel plate can be rotated by the lag screw head, which is easy to be related to the backbone shaft. Especially for comminuted fractures of the femoral condyle. It is more suitable to use the power 髁 screw. The function of the lag screw of the power 髁 screw can pressurize the fracture block. Increase stability and use a screw-in method. Maximize the integrity of the cancellous bone. Knee joint exercise can be performed on the second day after surgery in all cases. 6 months of weight-bearing walking, no plate in the follow-up period. The phenomenon of screw fracture or bending and nail plate separation has a high rate of excellent efficacy evaluation. Postoperatively, there is no need for external fixation, which can promote the early activity of the knee joint. 3. Therefore, it has the characteristics of reasonable design, simple operation and stable performance. It is an ideal treatment for the treatment of distal femoral fractures.

One case of mixed chlorpromazine and clozapine poisoning. 37 cases were severely poisoned. Among them, 34 cases were coma, and 15 cases were mechanically stopped by breathing. 12 cases of pressurizing drugs were applied, 10 cases of cholinesterase activity were determined to be 0, and the shortest time of poisoning was 31, the longest was 721, the average was 8.5h. 1 The first method was to perform gastric lavage and diuretic cleansing. The comatose patient establishes effective artificial respiration and then perfusion. Before the operation, the rice sylvestre was pushed to the ground. Anding poisonous rice 107 neutral resin 250 perfusion, other poisoning month 25 live charcoal perfusion. First, OffU62mg.U0liimM continued 231 up to no longer 6. After stun, still coma or wake up and then coma. The first perfusion was performed 24 after the first perfusion. Repeat the perfusion if necessary until the patient is awake. In the perfusion, multiple doses of atropine and cholinesterase regenerative agents are administered intravenously. Hypotension occurred in 12 patients during perfusion. Immediately from the extracorporeal circulation supplemented with saline or 5 glucose plus dopamine alamin intravenous drip. Enter plasma albumin. Slow down the blood flow and keep the head low.

The blood pressure returned to normal within 0.51. Another case was found to have chest tightness after perfusion and was found to be carbon particles.

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