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find Author "邱扬" 5 results
  • 足跟皮肤撕脱再植一例

    对于足跟皮肤撕脱临床多采用原位缝合或修薄打包回植,成活率低。目前国内少见关于足跟皮肤撕脱再植成活的报道。我们于2008 年12 月7 日收治1 例足跟皮肤撕脱患者,行再植术后成活。报告如下。

    Release date:2016-08-31 05:41 Export PDF Favorites Scan
  • 残存环指掌指关节远尺侧半关节修复中指尺侧半关节一例

    详见正文

    Release date:2016-08-31 05:42 Export PDF Favorites Scan
  • 皮下包埋二期重建指腹治疗甲根部断指

    目的 总结皮下包埋二期重建指腹治疗甲根部断指的疗效。 方法2009年8月-2011年6月,收治10例12指甲根部离断伤患者。男6例,女4例;年龄18~34岁,平均25岁。损伤指别:拇指1例,示指2例,中指5 例,环指3例,小指1例。断指按Ishikawa等分区标准均为Ⅱ区。末节掌侧缺损范围1.5 cm × 1.0 cm~2.5 cm × 2.0 cm。伤后至手术时间2~10 h,平均3.7 h。采用腹部皮下包埋回植的指骨及甲床,二期带神经的指动脉皮瓣重建指腹方法治疗,皮瓣切取范围1.8 cm × 1.2 cm~3.0 cm × 2.5 cm。 结果术后皮瓣均顺利成活。9例伤口Ⅰ期愈合;1例远端甲床部分坏死出现骨外露,行残端修整术后愈合。患者均获随访,随访时间6~24个月,平均12个月。患指长度与健侧接近,指甲生长平整,指腹饱满,质地柔软,弹性良好。皮瓣两点辨别觉6~9 mm,平均7.5 mm。术后复查X线片示回植指骨密度与健指接近,骨折愈合时间1~2.5个月,平均1.8个月,手指各关节活动正常。术后6个月手指功能按照中华医学会手外科学会上肢部分功能评定试用标准,获优5例,良4例,可1例。 结论应用皮下包埋回植指骨及甲床,二期重建指腹的方法修复断指,为无再植条件的甲根部离断伤提供了一种新的修复方法。

    Release date:2016-08-31 04:21 Export PDF Favorites Scan
  • 钩掌关节骨折脱位的损伤特点及治疗方法

    目的总结钩掌关节骨折脱位的损伤特点和治疗方法。 方法2010年12月-2013年8月收治钩掌关节骨折脱位10例。男9例,女1例;年龄17~51岁,平均28.1岁。致伤原因:拳击伤8例,重物击伤1例,交通事故伤1例。9例新鲜损伤根据Cain等分型标准,ⅠA型1例,ⅠB型1例,Ⅱ型3例,Ⅲ型4例;均行切开复位内固定。1例钩掌关节骨折脱位畸形愈合,伤后2年6个月行钩掌关节融合术。 结果术后患者切口均Ⅰ期愈合。10例均获随访,随访时间8~24个月,平均10.4个月。术后无环、小指麻木及手内在肌萎缩,无再骨折或脱位发生。9例新鲜骨折均于术后3个月内获得愈合,钩掌关节均恢复正常解剖关系;末次随访时握力达32.8~42.5 kg,平均36.5 kg;Cooney腕关节评分85~100分,平均92.5分;疼痛视觉模拟评分(VAS)均为0分。另1例钩掌关节融合术后10周植骨融合,术后12个月握力12 kg,Cooney腕关节评分70分,VAS评分0分。 结论钩掌关节骨折脱位多为拳击伤,损伤程度与掌骨纵向撞击和屈曲角度有关;正侧位X线片不能很好显露钩掌关节,旋前斜位X线片和CT可评估损伤类型;通过切开复位内固定获得正常解剖关系可取得良好效果。

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  • Continuous vital signs monitoring using wireless wearable devices in patients after video-assisted thoracoscopic surgery for lung cancer: A prospective self-control study

    ObjectiveTo explore the reliability and safety of continuous monitoring of vital signs in patients using wireless wearable monitoring devices after video-assisted thoracoscopic surgery (VATS) for lung cancer. MethodsThe patients undergoing VATS for lung cancer in West China Hospital, Sichuan University from May to August 2023 were prospectively enrolled. Both wireless wearable and traditional wired devices were used to monitor the vital signs of patients after surgery. Spearman correlation analysis, paired sample t test and ratio Bland-Altman method were used to test the correlation, difference and consistency of monitoring data measured by the two devices. The effective monitoring rate of the wireless wearable device within 12 hours was calculated to test the reliability of its continuous monitoring. ResultsA total of 20 patients were enrolled, including 15 females and 5 males with an average age of 46.20±11.52 years. Data collected by the two monitoring devices were significantly correlated (P<0.001). Respiratory rate and blood oxygen saturation data collected by the two devices showed no statistical difference (P>0.05), while heart rate measured by wireless wearable device was slightly lower (\begin{document}$ \bar{d} $\end{document}=−0.307±1.073, P<0.001), and the blood pressure (\begin{document}$ \bar{d} $\end{document}=1.259±5.354, P<0.001) and body temperature(\begin{document}$ \bar{d} $\end{document}=0.115±0.231, P<0.001) were slightly higher. The mean ratios of heart rate, respiratory rate, blood oxygen saturation, blood pressure and body temperature collected by the two devices were 0.996, 1.004, 1.000, 1.014, and 1.003, respectively. The 95% limits of agreement (LoA) and 95% confidence interval of 95%LoA of each indicator were within the clinically acceptable limit. The effective monitoring rate of each vital signs within 12 hours was above 98%. ConclusionThe wireless wearable device has a high accuracy and reliability for continuous monitoring vital signs of patients after VATS for lung cancer, which provides a security guarantee for subsequent large-scale clinical application and further research.

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