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Surgical treatment is effective for the treatment of the complex acetabular fracture,It is a good choice that the complex acetabular fracture is treated through extensile acetabular approach.

手术治疗是复杂髋臼骨折的有效治疗方法,扩展型髂股入路对复杂髋臼骨折手术治疗是一个良好的选择。

Donclusion Surgical treatment is effective for the treatment of the complex acetabular fracture,It is a good choice that the complex acetabular fracture is treated through extensile acetabular approach.

手术治疗是复杂髋臼骨折的有效治疗方法,扩展型髂股入路对复杂髋臼骨折手术治疗是一个良好的选择。

Objective To evaluate catheter-directed regional thrombolysis with urokinase in the treatment of iliofemoral venous thrombosis, to discuss its clinical application.

目的 探讨经导管局部溶栓治疗髂股静脉血栓的效果及临床应用中的有关问题。

ObjectiveTo probe plasma calcitonin gene related peptide levels during thrombolytic therapy in patients with iliofemoral venous thrombosis in order to investigate its regularity of the alteration and its clinical significance.

目的探讨急性髂股静脉血栓形成溶栓治疗过程中血浆降钙素基因相关肽的水平及其临床意义。

However, sincemost iliofemoral thromboses originate from calf-vein thromboses,full anticoagulation with low-molecular-weight heparin is suggestedfor symptomatic patients.

然而,由于髂股血栓源于腓静脉血栓,所以建议给有症状的患者使用低分子量肝素进行充分的抗凝治疗。

In clinical,we fetched bilateral external jugular vein to make double vascular bridge,which both ends were all trousers-style with one open-ing and repaired iliofemoral and subclavian vein,and made corresponding vascular bridge to carry on shunt of artery and vein.

临床上取双侧颈外静脉并制作成两端均为裤式单开口的双血管桥进行髂-股和锁骨下静脉等修复;制作相应血管桥进行动、静脉转流。

The choice of surgical approach was basesd on the individual fracture which including ilioinguinal approach 7,Kocher Langenbech approach 9,combined approach 31,extended iliofemoral approach 11.All the patients were fixed with reconstruction plates.

根据不同的骨折类型,选择髂腹股沟入路7例,Kocher—Langenbech入路9例,联合入路31例,延长髂股入路11例,全部采用重建钢板进行固定。

Methods On the basis of the three-dimensional computed tomography, 75 cases of complex acetabular fractures were diagnosed and classified according to Letournel classification. They were treated through the anterior, posterior, combined anterior-posterior and the improved iliofemoral approaches. All the fractures were fixed with screws and AO reconstruction plates.

75例Letournel分型复杂髋臼骨折,术前经骨盆CT三维重建明确诊断分型后,分别采用前、后入路,前后联合入路及笔者改良的髂股入路显露并复位,AO重建钢板内固定。

Ligate branches of the lateral femoral circumflex artery as required.

合牢固后,切开原髂股切口的远侧部分,并向内侧牵开股直

Transfemoral and transapical approachespose unique management challenges, but both require rapid ventricularpacing, the management of hypotension and arrhythmias duringbeating-heart valve implantation, and TEE.

采用经股和经髂血管的入路时,需注意血流动力学管理方面的一些问题。但是总的来说两种入路都需要快速心室起搏、在不停跳心瓣膜移植期间处理好低血压和心律失常,以及实施 TEE 。

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这两个团体间的分歧难以掩饰。

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