自体

Methods From Sep.2006 to Jun.2008,35 patients undergoing TKR in our department received predeposit autologous transfusion.

自2006年9月～2008年6月，对35例单侧全膝关节置换手术患者进行预存自体输血。

Indeed, the only 4 patients who required transfusion were among the 29 (14%) who did not predonate autologous blood.

事实上，这4例需要异体血输注的患者是29例（14%）没有进行预先的自体抽血的患者之中的。

Howeer, in one of their cited references, Hur et al,2 adocate the use of acute NH combined with hypotensie anesthesia and other techniques as safe and effectie in limiting homologous transfusion in spinal fusion surgery.2 In this series, only 4 of 119 (3.4%) patients required homologous transfusion by using not only NH and the cell saer but also autologous predonation, hypotensie anesthesia, continued postoperatie hemodilution, and transfusion indicated by clinical judgment.

在此研究系列中，119例中只有4例（3.4%）患者在应用了NH和洗血球机并进行了自体血的预先输注，麻醉性低血压和术后的血液稀释技术只好根据临床判断仍需要异体血的输注。

Aailable eidence-based blood conseration techniques include (1) drugs that increase preoperatie blood olume or decrease postoperatie bleeding,(2) deices that consere blood (eg, intraoperatie blood salage and blood sparing interentions),(3) interentions that protect the patient's own blood from the stress of operation (eg, autologous predonation and normoolemic hemodilution),(4) consensus, institution-specific blood transfusion algorithms supplemented with point-of-care testing, and most importantly,(5) a multimodality approach to blood conseration combining all of the aboe.

现有的有关血液保护的技术包括：（1）增加术前血容量的药物或减少术后出血的药物，（2）保全血液的设备（如术中血液回收利用和血液节约措施），（3）保护病人自身血液不受术中压力影响的措施（如自体输血和等容性血液稀释），（4）达成医疗机构特有的输血算法的共识，并附以点式医疗测试，5）最重要的是上述血液保护措施的综合应用。

Methods Clinical data of 14 cases of femoral pseudoaneurysm caused by injection of addictive drugs were reviewed retrospectively. Nine patients underwent revascularization with expanded polytetrafluoroethylene in situ; 4 patients underwent revascularization with autologous saphenous vein in situ; 1 patient underwent ligation of profunda femoral artery.

对14例注射毒品所致股动脉假性动脉瘤患者的临床资料进行回顾分析。9例直接采用ePTFE人工血管行原位移植间置术；4例采用自体大隐静脉原位间置移植术；1例行单纯股深动脉结扎术。

RESULTS AND CONCLUSLON: A total of 2 of 6 autogenous bone grafting cases suffered from graft bone dislocation, 1 suffered from pseudoarthrosis formation, and 1 suffered from donated ilium. Six of 21 autogenous bone graft with cervical plate-screw fixation suffered from loss of intervertebral height, and 3 suffered from pain of donated ilium.

结果与结论：6例单纯植骨患者中2例发生植骨块脱出，1例发生融合节段假关节形成，1例发生髂骨供区疼痛；21例椎体间自体髂骨植骨内固定患者中6例发生椎间高度丢失，3例发生髂骨供区疼痛；65例椎体间钛网植骨融合内固定患者中11例发生内植物下沉，椎间高度丢失，1例发生内固定断裂。

RESULTS: Psilotic scar eliminated in all cases, but 11 cases underwent scalp scar excision, transposition of local flap and autologous hair transplant because of wide incisional scar or residual small alopecia.

结果：全部病例均能消除秃发的瘢痕，术后11例因切口瘢痕过宽或残留小面积秃发区，行头部瘢痕切除、局部皮瓣转位、自体毛发移植等治疗后修复，无明显并发症发生。

Objective In order to reserve the nomally funictioning kidney with complex staghorn renal stone, remove the stone clearly and decrease the trauma, to evaluate the operation technique and clinical efficacy of hand-assisted laparoscopic nephrectomy,isolated pyelolithotomy autotransplantation of kidncy cure staghorn renal stone.

目的 为了既能保留功能良好的患有鹿角型结石的患肾，又能取净肾盂内结石和减轻创伤，探讨用手助腹腔镜取肾、离体肾切开取石、自体肾移植治疗肾盂鹿角型结石的手术方法和临床效果。

Results Although there was a reabsorption rate of 30% to 70% in the first 6 weeks, this did not differ from the reabsorption rate for fresh fat.

Fournier[1] 介绍了两个新方法：①使用由本人脂肪分离出的自体胶原；②用冷冻法保

a three steps sequence therapy was designed for patients suffered post dural puncture headache total 45 cases:step one,patient keep supine recumbence,and intravenous injection of ringer's solution 1000ml with intramuscular injection of tramadol 100mg was administrated. if pdph could not relieve within 24hr,the next step should be use. step two,drinking a cup of coffee three times a day for patients who were allowed to eating or intravenous injection ketamine 0.5mg/kg for patient in fasting diet.

选择椎管内麻醉后发生头痛的病例共45例，按设定的序贯疗法分别为a：去枕平卧1d，每天补液量增加1000ml平衡液，肌注曲马多100mg，无效时进入b和c；b：能进食者给予市售咖啡饮品，每天三次；c：不能进食者静脉注射氯胺酮0.5mg/kg，连用2d；以上治疗无效时进入d：行硬膜外填充自体血10ml。

Do you know, i need you to come back

你知道吗，我需要你回来

Yang yinshu、Wang xiangsheng、Li decang,The first discovery of haemaphysalis conicinna.

1〕 杨银书，王祥生，李德昌。安徽省首次发现嗜群血蜱。