死骨切除

Case Presentation: A 49-year-old male is a victim of diabetes mellitus. Due to osteomyelitis, he had received left third toe amputation, left second metatarsal sequestrectomy, and fourth toe shortening at distal phalangeal shaft two years before admission. He noted a fungating ulceration on his left dorsal foot which was at the base of the second toe 8 months before his coming for help.

一名49岁的男性糖尿病患者，在两年前曾因糖尿病足接受左足第三趾截肢及第二趾、第四趾死骨切除，八个月前发现他的左足第二趾根部邻近开刀疤痕处出现一疣形突起的溃疡，而至本院门诊求治。

Result:Altogether uses this method to treat 10 examples patients, completely belongs to the serious open smashing bone fracture, moreover all is outside the bone reveals, as a result of the osteomyelitis, the bone not company, the durable each kind of conventional surgery and the treatment has not attained successfully, the use bulk body emaciated by sickness excision, outside the bracket fixing pressurizes the compression to be fixed, simultaneously is doing the epiphysis end with the needle saw which independently develops to dive the good truncation bone, restores excises the body emaciated by sickness the length.

结果： 共用此方法治疗10例病人，全部是属于严重开放性粉碎性骨折，而且都是骨外露，由于骨髓炎、骨不连，经用各种常规手术及治疗未获成功，使用大块病骨切除，外固定架加压压缩固定，同时在干骺端用自行研制的针锯潜行截骨，恢复切除病骨的长度。10例分别切除病骨死骨3.0~14公分，干骺端分别延长3.0~14公分，全部获得成功，骨髓炎治愈。

Fancy gold-plated dangling earrings with facetted White Opal crystals.

花式镀金悬垂耳环与facetted白欧泊水晶。

This essay chooses the study aim from biology teachers in middle school in Shi Jiazhuang which tells us that most of the middle school biology teachers in Shi Jiazhuang have the"burnout", lower successfulness, individualize.

本文选取石家庄市初中生物教师作为研究对象，运用问卷调查的方法对石家庄市初中生物教师职业倦怠的现状进行调查，调查结果发现，石家庄市初中生物教师这一群体普遍存在职业倦怠，情感枯竭程度偏高，成就感偏低，去个性化程度最为严重。