PEI De-kai, male, was born in Shanghai, China, on June 8, 1928. His native place was Danyang, Jiangsu Province and he was graduated from Dalian Medical College in 1954. He holds some posts in several departments, such as the pathophysiologic professor, the academic comittee member and the head of basic research section in the Institute of Acute Abdomen in Dalian Medical University. His titles in learned society were the deputy-director of the Acute Abdomen Speciality Committee, Chinese Association of the Integration of Traditional and Western Medicine, and also in its Liaoning Branch; the deputy-director of Digestion Committee in Chinese Association of Pathophysiology, and the director of its branch in Dalian. He also holds some concurrent posts, such as the sanitary specialist of consultative committee and the researcher specially invited by Dalian municipality. As a professor, research fellow, and consultant, he was appointed by China Academy of Traditional Chinese Medicine, Dalian Institute of Medical Science, the Hospital of Integration of Traditional and Western Medicine in Dalian, and the Gallstone Research Center of State Administration of Traditional Chinese Medicine respectively.

腹腔镜在218例急腹症患者中的应用

目的探讨腹腔镜在急腹症的诊断和治疗价值及操作特点.方法对218例急腹症病人用腹腔镜明确诊断并行腹腔镜外科治疗.结果本组全部经腹腔镜明确诊断并行相应腹腔镜外科治疗,3例经腹腔镜纠正诊断,无中转手术.结论腹腔镜在急腹症的诊断及鉴别诊断中有重要的应用价值,其确诊率高,创伤和危险小,并有治疗作用.

Primany omental torsion (POT), known since 1899, is a disease that usually occurs in the fourth and fifth decades of life. Men are affected twice as frequently as women, with the majority being overweight.1　It is a rare acute abdomen among children, which should call for the special awareness of pediatric surgeons.

急腹症的诊疗与护理

在基层医院,急腹症在外科占有相当的比例,主要以急性腹痛为首发症状,正确诊断、治疗急腹症是基层医院腹部外科医生的基本功.随着社会的进步,因交通事故、工业损伤所致的急腹症日益增多,病情紧急危重,给诊断和治疗带来困难,由于病人大多是边远山区,就诊时间较晚,再由于急腹症病人病因复杂,使一些病人失去了佳的治疗机会,常造成漏诊误诊和抢救程序不当,增加了急腹症病人的并发症和死亡率.因此,早诊断、早治疗,合理的护理措施是急腹症病人的治疗关键.我们根据基层医院条件,结合急腹症病例的实际情况,总结经验.介绍如下.

急腹症外科诊治的新观点

近年来,随着科学技术的飞速发展和临床诊疗技术的不断完善,外科急腹症的诊断和治疗也发生了一些观念上的变化,及时了解急腹症的诊断与治疗上的新观点对外科医生是非常必要的.

小儿多浆膜腔积液59例临床分析

目的：分析多浆膜腔积液的病因及临床特征，以提高诊治水平。方法：回顾分析2008年至2015年宜宾市第一人民医院收诊59例多浆膜腔积液住院患儿病历资料。结果：59例多浆膜腔积液患儿，男34人，女25人，年龄段6月－3岁，3－9岁，9－14岁，病因以感染性疾病为主，感染性疾病54例，占91．5％，感染性疾病中，肺吸虫26例，占48．1％，主要分布在3－9（20例，占76．9％）结核20例，占37％，主要分布在3－9（12例，占60％），细菌感染6例，占10．2％，支原体感染2例，占3．9％，非感染性疾病5例，占8．5％。结论：多浆膜腔积液病因以感染性疾病为主，肺吸虫感染及结核感染比例高，3至9岁为高发年龄阶段。

36例妇科急腹症临床误诊的分析

妇科急腹症(Gynecologic acute abdomen)是临床常见危急重症,因发病急,进展快,病情复杂多样,给临床诊断带来很大困难.湖北省地质医院1998年5月至2007年6月收治498例妇科急腹症,误诊36例,误诊率为7.2%.通过对36例妇科急腹症临床误诊进行分析,讨论妇科急腹症的诊断、鉴别诊断及处理,找出误诊原因,供临床借鉴.

小儿肠重复畸形引起的急腹症

本文回顾了20年间收治的75例小儿肠重复畸形,其中65例是以急腹症就诊,术前诊断较为团难.本文讨论了诊断中的注意事项,以及手术方式的选择.

妇科急腹症中子宫直肠陷凹积液的超声诊断

子宫直肠陷凹亦称道格拉斯(Douglas)陷凹是腹膜腔低部位,此陷凹内积液在妇科急腹症时有一定的诊断价值.B型超声能及时发现积液的存在,并根据盆腔内超声图像的变化,为临床提供可靠的诊断依据.现报道我科B超诊断64例子宫直肠陷凹积液病例,并探讨在妇科急腹症中的诊断价值.

Objective: To recognize diagnostic factors of acute abdomen and investigate the control methods. Methods: A total of 8 patients caused by mesenteric vascular lesions were treated, followed up and analyzed on. Results: Six patients were operated on and confirmed pathologically; of two cases being superior mesenteric arterial embolism with abdominal aorta straddle and arterial embolism in both lower extremities (1 case died of whole bowel gangrene in 5 hours postoperatively, another one was recovered smoothly by resection of 60cm necrotic jejunum, removal of emboli in both iliofemoral artery, thrombolysis, and anticoagulatant therapy postoperatively); one patient with mesenteric artery thrombosis; of two cases with mesenteric venous thrombosis (1 case was removal of emboli and thrombolysis, anticoagulatant therapy postoperatively, another one was resection of 95% small intestine), one case with false aneurysm in superior mesenteric artery, resection of aneurysm and permutation of artificial blood vessel was performed successfully. The remained 2 cases with mesenteric vascular insufficiency were recovered by anticoagulatant and antispasmodic therapy. Seven cases cured. Conclusions: Mesenteric vascular diseases were relatively uncommon, symptoms and signs showed to be rather nonspecific, therefore, one should not merely rely on them for accurate diagnosis. Uhrasonography, CT are the sensitive examinations and benefit to diagnosis. Early interventions such as resecting bowel gangrene involved their mesentery and anticoagulant therapy may be essential to reduce the fatality and recurrence.