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find Author "周围" 6 results
  • 食指再植术后急性肺栓塞猝死一例

    Release date:2016-09-01 11:17 Export PDF Favorites Scan
  • 断指静脉缺损的修复体会

    Release date:2016-09-01 11:37 Export PDF Favorites Scan
  • 游离腓骨移植修复股骨下段缺损

    Release date:2016-09-01 11:32 Export PDF Favorites Scan
  • 皮神经营养血管皮瓣的临床运用

    目的 探讨吻合神经的手背皮神经营养血管皮瓣的临床应用疗效。 方法 2003年1月~2006年3月,采用拇指桡侧、尺侧、虎口背侧支皮神经营养逆行岛状皮瓣修复拇指末节创面39例。男28例,女11例;年龄16~53岁。冲压伤11例,电锯伤23例,切割伤5例。皮瓣切取范围3.3 cm×2.6 cm~5.6 cm×3.5 cm。术后予石膏制动、抗凝、解痉、预防感染等处理,2周后拆石膏行功能锻炼。 结果 术后患者获随访6~12个月,平均9个月。根据赵书强手功能评定标准改进标准进行临床疗效评定,优31例(79.5%),皮瓣成活,两点辨别觉4~7 mm,对掌、对指功能恢复正常;良7例(17.9%),皮瓣远端皮肤边缘性坏死,两点辨别觉5~9 mm,对掌、对指功能恢复接近正常;差1例(2.6%),皮瓣坏死,改行腹股沟皮瓣修复。 结论 该皮瓣手术切取成活率较高,术后外观及功能恢复优良,是修复拇指末节创面的一种有效方法。

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • Application of automatic injection device based on automatic hemostasis in injection of radiopharmaceutical bolus injection

    In clinical practice, radiopharmaceutical dynamic imaging technology requires the bolus injection method to complete injection. Due to the failure rate and radiation damage of manual injection, even experienced technicians still bear a lot of psychological burden. This study combined the advantages and disadvantages of various manual injection modes to develop the radiopharmaceutical bolus injector, and explored the application of automatic injection in the field of bolus injection from four aspects: radiation protection, occlusion response, sterility of injection process and effect of bolus injection. Compared with the current mainstream manual injection method, the bolus manufactured by the radiopharmaceutical bolus injector based on the automatic hemostasis method had a narrower full width at half maximum and better repeatability. At the same time, radiopharmaceutical bolus injector had reduced the radiation dose of the technician’s palm by 98.8%, and ensured more efficient vein occlusion recognition performance and sterility of the entire injection process. The radiopharmaceutical bolus injector based on automatic hemostasis has application potential in improving the effect and repeatability of bolus injection.

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  • Application of micro-bolus injection and piezoelectric sensors to improve the safety of radiopharmaceuticals bolus injection

    Radiopharmaceutical dynamic imaging typically necessitates intravenous injection via the bolus method. However, manual bolus injection carries the risk of handling errors as well as radiological injuries. Hence, there is potential for automated injection devices to replace manual injection methods. In this study, the effect of micro-bolus pulse injection technology was compared and verified by radioactive experiments using a programmable injection pump, and the overall bubble recognition experiment and rat tail vein simulation injection verification were performed using the piezoelectric sensor preloading method. The results showed that at the same injection peak speed, the effective flushing volume of micro-bolus pulse flushing (about 83 μL/pulse) was 49.65% lower than that of uniform injection and 25.77% lower than that of manual flushing. In order to avoid the dilution effect of long pipe on the volume of liquid, the use of piezoelectric sensor for sealing preloading detection could accurately predict the bubbles of more than 100 μL in the syringe. In the simulated injection experiment of rat tail vein, when the needle was placed in different tissues by preloading 100 μL normal saline, the piezoelectric sensor fed back a large difference in pressure attenuation rate within one second, which was 2.78% in muscle, 17.28% in subcutaneous and 54.71% in vein. Micro-bolus pulse injection method and piezoelectric sensor sealing preloading method have application potential in improving the safety of radiopharmaceutical automatic bolus injection.

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