Objective To summarize the experience of preparation and administration of medical materials for the daytime-sickroom during the treatment of patients who were injured during Wenchuan earthquake in order to supply management experience for future emergency situations. Methods Data concerning the preparation and administration of medical materials and medical treatment for the daytime-sickroom were collected systematically. Results The high level of activity and order during the rescue provided quality care to patients injured in the earthquake. All 224 patients were treated effectively from May 12-29.Conclusion The daytime-sickroom acts as a combination sickroom, which allowed flexibility. The daytime-sickroom can manage medical materials and succesfully insure the treatement of patients when emergent events happen.
Objective To study the application of virtual reality bronchoscopy stimulation in novice trainees. Methods Four novice bronchoscopists entered the training programby using a VR bronchoscopy in the clinical skill center. After the program, the dexterity, speed, and accuracy of all the four doctors were tested using the virtual simulation models. Results were compared to four skilled physicians as control group who had performed at least 50 bronchoscopies. Before-training and after-training test scores were compared using paired t tests. For comparisons between after-training novice and skilled physician scores, unpaired twosample t tests were used. Results All of the four trainees finished the training program. The novices significantly improved their dexterity, speed and accuracy. The percentage of observed segments increased from ( 74. 0 ±5. 1) % to ( 89. 3 ±4. 0) % . The number of contacts with the bronchial wall decreased from 87. 5 ±13. 2 to 30. 5 ±9. 3, and total time spent shortened from ( 700. 8 ±56. 6) s to ( 607. 0 ±17. 8) s. There were no statistically significant differences between novice accuracy ( the percentage of observed segments) after training and skilled physician accuracy [ ( 89. 3 ±4. 0) % vs ( 91. 3 ±3. 0) % , P = 0. 456] . Conclusion Practice using a virtual bronchoscopy simulator help novice trainees to attain a level of skill at performing diagnostic bronchoscopy, and it might play an important role in the training of chest physicians.
【摘要】 目的 探讨切开复位肱骨近端内固定锁定系统(proximal humeral internal locking system，PHILOS)治疗老年肱骨近端骨折的疗效。 方法 2008年5月-2009年5月，对22例60岁以上肱骨近端新鲜移位骨折按Neer分型，二部分2例，三部分16例，四部分4例；采用肩前方入路切开复位PHILOS治疗。 结果 22例患者获12～18个月随访，平均14.6个月，采用Constant-Murley评分，优8例，良10例，可3例，差1例，优良率81.4%。 结论 切开复位PHILOS治疗老年肱骨近端骨折疗效肯定。【Abstract】 Objective To discuss the clinical effect of open reduction and internal fixation with the proximal humeral internal locking system (PHILOS) plate in treating elder patients with proximal humeral fracture. Methods From May 2008 to May 2009, we classified 22 cases of fresh displaced proximal humeral fracture according to the Neer classification. All patients were older than 60 years. There were two cases of two-part fracture, 16 cases of three-part fracture and four cases of four-part fracture. The open reduction and internal fixation with PHILOS plate was performed with the anterior deltopectoral approach. Results The 22 patients were followed up for 12 to 18 months with a mean period of 14.6 months. According to Constant-Murley Shoulder Score measurement, eight cases were graded as excellent, 10 good, three fair, and one poor with a excellent and good rate of 81.4%. Conclusion The open reduction and internal fixation with Philos plate is effective in treating elder patients with proximal humeral fracture.
ObjectiveTo explore the diagnosis and surgical treatment of hepatic hydatid. MethodsWe collected 51 cases of liver hydatid treated in our department from January 2008 to September 2012, and retrospectively analyzed its diagnosis and surgical treatment. ResultsCT and ultrasonography were both effective in diagnosing liver hydatid (P>0.05). Several surgical methods were all effective in the treatment of hepatic hydatid. ConclusionCT and ultrasonography are effective in the diagnosis of hepatic hydatid. Economic, convenient, and noninvasive ultrasound can be used as a routine examination. Combined with CT examination, the diagnosis of hepatic hydatid can be intensely enhanced. Treatment of hepatic hydatid should be individualized.