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find Author "蒋雷" 16 results
  • Progress in Thymectomy for the Treatment of Non-thymomatous Myasthenia Gravis

    Thymectomy is a major surgical procedure for patients with non-thymomatous myasthenia gravis,and can enhance their symptomatic remission rate and cure rate. There is still much controversy about appropriate surgical approach and extent of resection of thymectomy. The majority of thoracic surgeons believe that the completeness of thymectomy is closely associated with clinical symptom improvement,and perform complete resection of encapsulated thymus and surroun-ding fat tissues via mid-sternotomy. But minimally invasive thymectomies are often more acceptable by patients. On the contrary,in view of common existence of ectopic thymus tissue,some thoracic surgeons advocate a combination of cervical incision and sternotomy in order to further completely remove all thymus tissue.

    Release date:2016-08-30 05:47 Export PDF Favorites Scan
  • 急性双肺多发性微血栓栓塞抢救成功一例

    Release date:2016-08-30 05:57 Export PDF Favorites Scan
  • 胸腔引流管拔除后急性大面积皮下气肿二例

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  • 左全毁损肺切除术后多器官功能衰竭抢救成功一例

    Release date:2016-08-30 06:01 Export PDF Favorites Scan
  • Progress in Antimicrobial Prophylaxis for Thoracic and Cardiovascular Surgery

    Abstract: Appropriate prophylactic administration of antibiotics for thoracic and cardiovascular surgical procedure can reduce postoperative morbidity and decrease the overall cost due to infections. Prophylactic antibiotics should be given within 30 minutes preceding incision intravascularly. Serum levels of free drug above the minimal inhibitory concentration (MIC) for common contaminating bacteria should be maintained for the entire surgical period. Prophylactic antibiotics after operation are useless for patients without risk factors predisposing to postoperative infection. Heart and(or) lung transplant patients should be given antiviral and antifungal prophylaxis. Selection of antibiotics must be based on the pharmacokinetic, pharcodynamic and pharmacoeconomic properties of antibiotics and features of surgery. The policy of antibiotic prophylaxis must be modified in response to alterations in antibiotic resistance pattern which is constantly changing in hospital.

    Release date:2016-08-30 06:15 Export PDF Favorites Scan
  • 先天性左肺动脉畸形分支一例

    Release date:2016-08-30 05:50 Export PDF Favorites Scan
  • 右中间支气管节段切除治疗支气管脂肪瘤一例

    Release date:2016-08-30 06:08 Export PDF Favorites Scan
  • 遗传性高铁血红蛋白血症合并肺结核一例

    Release date:2016-08-30 06:26 Export PDF Favorites Scan
  • 肺、食管手术中的细菌调查

    目的 了解肺、食管手术中可能受到的各种内源性、外源性细菌污染,以利更好地控制手术后感染.方法 对449例肺、食管择期手术患者的食管腔或支气管腔以及手术室空气、手术人员手作细菌学检查. 结果 肺、食管手术后感染发病率为7.8%,术后感染是肺、食管手术重要的并发症.食管手术患者食管腔内含有大量细菌,如甲型链球菌、肠道杆菌、绿脓杆菌等,而支气管腔内细菌较少,以甲型链球菌为主.手术室空气中主要致病菌为金黄色葡萄球菌,手术人员洗手后手上主要细菌为表皮葡萄球菌. 结论 与支气管腔相比,食管腔中所含的大量细菌可能严重污染手术野,成为食管手术后感染重要的内源性细菌.

    Release date:2016-08-30 06:32 Export PDF Favorites Scan
  • 单剂头孢曲松预防肺手术后感染

    目的 比较预防性使用单剂头孢曲松和四剂头孢曲松对肺手术后感染的效果,论证单剂头孢曲松预防方案的临床价值。方法 223例肺手术患者随机分成单剂头孢曲松组(单剂组,n=110)和四剂头孢曲松组(四剂组,n=113)进行临床对照研究。结果 单剂组的术后感染率(2%)明显低于四剂组(8%),差别具有显著性意义(Plt;0.05),而两组的平均住院时间和平均术后住院时间差别均无显著性意义(P>0.05)。结论 单剂头孢曲松是一种较理想的肺手术预防性抗生素方案。

    Release date:2016-08-30 06:33 Export PDF Favorites Scan
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