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Objective To summary the therapeutic effect of obverse T-shape internal fixation with sternum and costal cartilage consecution for funnel chest in children.

目的总结不切断胸骨和肋软骨的倒T形内固定术治疗儿童漏斗胸的疗效。

From May 2005 to May 2007, 30 cases of 2 to 4 years old funnel chest children were cured by this approach, including 4 cases of asymmetric funnel chest, and 12 cases of costal margin extraversion in addition.

方法2005年5月至2007年5月采用不切断胸骨和肋软骨的倒T形内固定术矫治2~4岁漏斗胸患儿30例,其中不对称漏斗胸4例,合并肋缘外翻畸形12例。

Objective To evaluate the analgetic effect of continuous intercostals nerve block in the patients postthoracotomy,reducing the postthoractomy syndrome.

目的 探讨肋间神经阻滞对开胸术后胸痛的效果,减少开胸术后并发症。

Objective To evaluate the analgetic effect of continuous intercostals nerve block in the patients post thoracotomy,reducing the post thoractomy syndrome.

目的 探讨肋间神经阻滞对开胸术后胸痛的效果,减少开胸术后并发症。

The chest circumference decreased in all groups but in the groups of the cartilage fracture and costochondral junction dislocation at the end of operative intervention, and its value in the group of total segment cartilage resection was lower than that of other groups.

结果 (1)胸骨旁切断下位三对肋软骨后2周即出现典型的漏斗胸畸形,4周稳定,其胸部外观和CT表现均与人体漏斗胸较为相似。12只大鼠接受仿Nuss手术,无手术死亡,术毕胸围较术前增加,9只矫形效果满意。

We believe that resection arthroplasty of the sternoclavicular joint and preservation reconstruction of the costoclavicular joint is essential,and it is a satisfactory and safe way for the treatment of dislocation of the sternoclavicular joint.

我们认为切除性胸锁关节成形术,保留或重建肋锁韧带是治疗胸锁关节脱位疗效可靠的方法。

RESULTSThe branches of aortic arch are the left and right innominate artery in pate of mini-pig.

结果小型猪主动脉弓部向头颈部分支为左、右无名动脉;双侧颈内动脉均来自右无名动脉,故右无名动脉对脑底供血十分重要;双侧有沿脊柱向尾侧走行的折返动脉;胸主动脉背侧由胸6至胸14平面共发出8条肋间动脉,为胸腰脊髓的主要供血动脉;无腰大动脉。

Methods clinical data of 26 patients were retrospectively analyzed, including 15 with atrial septal defect, 10 with ventricular septal defect and one with mitral value replacement and the middle of the right lung resection. the intersection was at the right midaxillary line and the third rib as the upper margin of incision, and that of the midaxillary line and the sixth rib as the lower margin, going through the third or the fourth intercostal space.

回顾分析了26例经右腋下小切口行心内直视手术的临床资料,切口取右腋中线与第3肋的交点为上缘,腋中线与第6肋的交点为下缘,经第 4或第 3肋间入胸,其中房间隔缺损15例、室间隔缺损10例、二尖瓣置换+右肺中叶切除1例。

Pectus excavatum is one of the commonly found congenital chest wall deformity. It is characterized by depression of the sternum and the lower costal cartilages, producing a concave appearance to the anterior chest wall.

漏斗胸是一项常见的先天性胸廓畸形,其病症为患者之胸骨,以及肋软骨向患者体内凹陷,而於患者前胸形成漏斗状之变形。

In Group I, catheter was placed into central vein. PCIA solution contained 0.025% morphine. PCIA was commenced with a loading dose (2-5 mg) of morphine. The PCIA pump was set up with a background infusion of 2 ml/h, 1 ml bolus dose and a 15-minute lockout interval. In Group II, four intercostal nervers were freezed (-70 degrees Celsius) for 90 seconds. Pain intensity was measured at differnt time [1, 4, 8, 12, 24, 48 and 72 hour after operation] using VAS scoring.

选择80例接受开胸手术的病人,随机分为静脉镇痛组和神经冷冻组,静脉镇痛组行术后病人自控静脉镇痛,后者采用北京库蓝公司JT-1型冷冻治疗仪在关胸前对切口所在肋间及上、下各一肋间和放置胸引瓶所在肋间的肋间神经进行冷冻,以VAS评分判断两组术后胸部切口疼痛情况,并记录不良反应。

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