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外伤

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Methods Video-assisted thoracic surgery,indispensable using supplementarily small-sized incision were performed pleural effusion,pyothorax,spontaneous pneumothorax,hydatid disease of lung,the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.

目的 探讨电视胸腔镜手术诊断和治疗高原地区胸内各种疾病及其优越性。方法采用电视胸腔镜下手术,必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身麻醉双腔气管插管单肺通气下进行手术。

Methods Video-assisted thoracic surgery,indispensable using supplementarily small-sized incision were performed pleural effusion,pyothorax,spontaneous pneumothorax,hydatid disease of lung,the diseases such as chest trauma and so on under twin cavity single lungs of trachea intubaing of gen-eral anesthesia.

目的 探讨电视胸腔镜手术诊断和治疗高原地区胸内各疾病及其优越性方法采用电视胸腔镜下手术,必要时胸腔镜辅助小切口对胸腔积液、脓胸、自发性气胸、肺包虫病、胸外伤等疾病在全身麻醉双腔气管插管单肺通气下进行手术。

When large areas damaged, the loss of original function can lead to scar formation and symblepharon, eye movement is restricted, it also resulted in the tear film integrity destruction which isone of \'the high incidence of refractory eye diseases causeing of blindness in our country.

当因外伤或自身疾病导致结膜细胞丢失和功能丧失时可使泪液膜的完整性破坏进而引起瘢痕形成、睑球粘连和眼球运动受限。

Severe traumatic brain injury ; Standard large trauma craniectomy ; Routine temporoparietal craniectomy ; Outcome

重型颅脑损伤;标准外伤大骨瓣;常规颞顶瓣;预后

Methods At 6 medical centers Four hundred forty seven patients with an admission Glasgow Coma Scale score of 8 or less were randomly divided into two groups:standard large trauma craniectomy group (n=217) got unilateral or bilateral frontotemporoparietal bone flap(12cm×15cm)and routine temporoparietal c...

方法6家医院神经外科共收治符合标准的重型颅脑损伤病人447例,分为两组:(1)标准外伤大骨瓣组217例;(2)常规骨瓣组230例。

Methods Total and partial auricule reconstruction was completed with combination Medpor framework insertion and temporoparietal fascia plus skin graft in one stage. The expanded temporal scalp was transferred to package Medpor framework for ears construction in scar baldness after burn.

先天性小耳畸形和外伤后耳廓部分缺损的病例,采用带血管蒂的颞顶筋膜瓣覆盖Medpor支架,外用皮片移植,一期完成手术;烧伤后耳廓畸形的病例,采用扩张后的头皮瘢痕颞筋膜瓣带血管蒂转移,包裹Medpor支架二期完成修复。

While treating the patients of thorax injury or multiple injuries, we should consider the possibility of delayed Hematopneumothorax procedure, take care of the patients, review them in time, and then take the salvage measure of thoracentesis and thoracostomy.

胸部外伤或多发伤患者要考虑到发生延迟性血气胸的可能性,严密监测,及时复查,及时采取胸腔穿刺或引流等抢救措施,大多数延迟性血气胸转归良好。

Results Among 581 cases, 569 cases were cured, with the recovery rate of 97.4%; 12 cases died, with the death rate of 2.6%, and the main cause in 2 of the 12 deaths was related to injury of heart and large blood vessels, in 2 to thoracoabdominal injury, in 2 to acute respiratory distress syndrome, and in 6 to thorax injury complicated with severe craniocerebral injury.

结果 全组治愈569例,治愈率97.4%,死亡12例,死亡原因包括伤及心脏及大血管2例,胸腹联合伤2例,ARDS 2例,胸外伤合并重度颅脑损伤6例,死亡率2.6%。

Methods To tind the four kinds of methods that deal with the bare wound area on the skin flap pedicle,by reviewing operative methods that hand's skin imperfect is repaired by distant smaller random pattern skin flap(No including nearer fingers skin flap)in the treatment process of hand's injury in the author's hand surgery in the nearer three years,the four kinds of methods are:the pedicle is swed up to tube;Accepted wound skin edge nearly the pedicle and supplying wound skin edge are sewed up;Theskin flap's pedicle injury area is bared,and then bind up by Vaseline gauze;The fourth method is replanting free skin on the pedicle's injury area.

笔者复习了在手外科近3年来,在手外伤患者治疗过程中,应用远位(如胸腹、鱼际侧或另一肢体)微小随意带蒂皮瓣(是指皮瓣宽度在2.0cm以内的小皮瓣)修复手指部皮肤缺损的手术方法,发现在处理皮瓣蒂部处裸露创面上存在着4种不同的方法,这4种方法分别是:将蒂部缝合成管状,将受区蒂部侧皮缘与供区伤口缝合,将皮瓣蒂部创面裸露,用凡士林纱布包扎,第4种方法是在皮瓣蒂部创面上移值游离皮片。

Methods To tind the four kinds of methods that deal with the bare wound area on the skin flap pedicle,by reviewing operative methods that hand's skin imperfect is repaired by distant smaller random pattern skin flap(No including nearer fingers skin flap)in the treatment process of hand's injury in the author's hand surgery in the nearer three years,the four kinds of methods are:the pedicle is swed up to tube;Accepted wound skin edge nearly the pedicle and supplying wound skin edge are sewed up;Theskin flap's pedicle injury area is bared,and then bind up by Vaseline gauze;The fourth method is replanting free skin on the pedicle's injury area.

通过复习笔者所在手外科近3年来,在手外伤患者治疗过程中,应用远位微小随意带蒂皮瓣修复手部皮肤缺损的手术方法,发现在处理皮瓣蒂部处裸露创面上存在着4种不同的方法,这4种方法分别是:将蒂部缝合成管状;将受区蒂部侧皮缘与供区伤口缝合;将皮瓣蒂部创面裸露,用凡士林纱布包扎;第4种方法是在皮瓣蒂部创面上移植游离皮片。

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