精索静脉曲张临床路径(国外英文资料).docVIP

精索静脉曲张临床路径(国外英文资料) The clinical pathway of the varicose vein A standard procedure for the clinical pathway of varicose veins (1) applicable objects. The first diagnosis is inguinal hernia (icd-10: K40.2, K40.9) Surgical treatment (icd-9-cm - 3:53-53.1) (2) diagnosis. According to the clinical diagnosis and treatment guidelines - surgery wei (written by the Chinese medical association, peoples medical publishing house), the adult inguinal hernia, femoral hernia repair surgery treatment (revised) (the Chinese surgeons with abdominal wall hernia surgery group, 2003) Symptoms: a recoverable lump in the left scrotum can be accompanied by local distension and/or fertility problems. Signs: when the patient is standing, the left scrotum is visible in a lump of varicose veins, standing up and disappearing. Differential diagnosis: scabbard fluid, the fluid of the transport scabbard, the spermatic sheath, the testicular decline, the inguinal hernia, etc. (3) treatment options. According to the clinical practice guide to the foreign scientific journal (the Chinese medical association, the peoples health press) Non-surgical treatment: infants within 1 years of age may not be operated on, and they may be used to bind the inguinal ring with a bundle of cotton. The surgical hernia can be used for the use of surgical hernia for the elderly or for other reasons. Surgery: (1) the high level ligation of the internal vein. (2) laparoscopic high level ligation of the intravenous line. (4) the standard residence day is 5-7 days. (5) enter the path standard. The first diagnosis must be in accordance with icd-10: K40.2, K40.9 inguinal hernia code. 2. When patients with other diseases diagnosis, but does not need special treatment during the hospital also does not affect the first diagnosis of clinical pathway implementation process, can enter the path. Prepare 1-2 days before surgery. The necessary inspection items: (1) routine of blood, urine, routine and semen routine; (2) liver and kidne