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find Author "黄智勇" 5 results
  • CLINICAL APPLICATION OF DIVERSION OF ARTERY-VEIN FLOW IN VASCULAR ANASTOMOSIS

    The method of diversion of the arteryvein flow was used for vascular anastomosis in 12 cases undergoing replantation of the severed limbs(fingers)and free tissue transplantations. The results from this method were successful. The efficacy of this method of re-establishment of the blood circulation broadened the indications for replantation and also provided a method of choice in cases when there was impediment of the venous return during tissue transplantation.

    Release date:2016-09-01 11:33 Export PDF Favorites Scan
  • 糖尿病患者烧伤创面的治疗

    【摘要】 目的 总结糖尿病患者烧伤后的创面诊治措施。 方法 回顾总结2007年10月-2010年5月30例糖尿病患者发生烧伤后,其治疗中就严格饮食控制、调节血糖、防治感染及处理创面等综合治疗的手段与方法。 结果 30例患者均未出现糖尿病急性并发症且烧伤创面愈合。 结论 加强血糖控制,积极创面处理,应用抗生素、防治多种并发症,是治疗糖尿病烧伤的关键。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • 自制简易封闭式负压引流装置修复四肢深度创面

    目的 总结自制简易封闭式负压引流装置在深度创面修复中的作用及效果。 方法 2010年6月-12月,收治18例深度创面患者。男15例,女3例;年龄19~65岁,平均45.8岁。火焰烧伤3例,沸水烫伤5例,电烧伤3例,挫裂伤3例,糖尿病足3例,局部皮瓣修复术后1例。创面位于手背及手腕部10例,小腿下段5例,足背及足踝部3例。创面细菌培养示阳性8例。伴肌腱外露5例,软组织坏死6例,腕、踝关节无明显活动受限。创面范围5 cm × 3 cm~28 cm × 15 cm。病程3~46 d,中位病程16 d。彻底清创后用1层油纱、3~4层消毒无菌纱布覆盖创面,医用手术粘贴膜封闭创面,取一次性吸痰管作为引流管,与中心负压吸引系统连接,行持续负压引流。 结果 感染创面更换装置3~4次后细菌培养结果呈阴性,未见新增感染创面。患者均获随访,随访时间2~5个月。创面经持续负压引流治疗14~21 d后,4例创面自行愈合;14例创面面积明显缩小,见新鲜肉芽组织生长,二期植皮修复后皮片完全成活。 结论 自制简易封闭式负压引流装置具有促进坏死组织脱落、肉芽组织生长、创面愈合的作用,可为二期手术植皮创造有利条件,且价格低廉。

    Release date:2016-08-31 05:45 Export PDF Favorites Scan
  • 自制简易封闭负压引流装置结合刃厚皮移植治疗深度烧伤

    【摘要】 目的 总结自制简易封闭式负压吸引装置在深度创面修复中的作用。 方法 2010年6月-2011年3月对11例Ⅲ~Ⅳ度烧伤患者采用自制简易封闭式负压引流装置进行创面治疗,每3~4天进行一次负压装置更换,同时进行适度的清创。 结果 经过14~21 d(平均18 d)的治疗,肉芽生长新鲜,创周组织循环明显改善,行二期手术刃厚皮植皮,皮片完全成活。 结论 自制的简易封闭式负压吸引装置同样能起到促进坏死组织脱落,肉芽组织生长,创面的愈合的作用,为二期手术植皮创造有利条件,同时大大的减少了患者的经济负担,值得在临床上推广应用。

    Release date:2016-09-08 09:27 Export PDF Favorites Scan
  • Misdiagnosis of Other Lung Diseases as Asthma:69 Cases Analysis

    ObjectiveTo analyze misdiagnosis of other lung diseases as asthma to avoid medical error. MethodsSixty-nine cases who were misdiagnosed as asthma between February 2012 and February 2014 were recruited. Clinical data was collected and analyzed including characteristics of symptoms, induced sputum, pulmonary function and blood tests. ResultsThere were 13 diseases misdiagnosed as asthma, and eosinophilic bronchitis(21.74%), upper airway cough syndrome(20.29%), chronic obstructive pulmonary disease(13.04%), allergic bronchopulmonary aspergillosis(7.25%) and hyperventilation syndrome (7.25%) were the top five diseases in these cases. Some rare diseases were also found such as idiopathic hypereosinophilic syndrome and vocal cord dysfunction. ConclusionsA variety of diseases have the similar clinical symptoms with asthma. The key to avoid and reduce misdiagnosis is to strengthen the understanding of asthma and similar diseases.

    Release date:2016-10-02 04:55 Export PDF Favorites Scan
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