警惕!中老年的生活伤

以下这组病例是我们在临床中碰到的真实例子。病例l，患者姚某，男，65岁，平时身体就不太好，一天因感冒呼吸不畅，打了一个喷嚏，正在庆幸呼吸顺畅了许多的时候，突然感觉右胸部肋下疼痛剧烈，以为是岔气了，自己回家贴了中药膏药，可3～4天后仍然没有缓解，到医院检查拍片后诊断是肋骨骨折，医生认为喷嚏所致肋骨骨折比较蹊跷，详细检查后发现是肺癌骨转移。

显微外科手术在严重四肢创伤组织修复时的应用

严重四肢创伤的伤情复杂,组织缺损不仅严重,而且往往造成复合组织缺损,瘢痕面积较广,有时还合并慢性骨髓炎,残留有感染创面、瘘管及死骨等。用传统的方法处理起来甚为困难,我们采用显微外科技术应用于创伤后的早、晚期组织缺损的修复。

眼球穿孔伤分度及其并发症、合并症处理探讨(摘要)

眼球穿孔伤及其并发症是主要致盲原因之一。分析我院1983～1988年收治的239例(243眼),探讨眼球穿孔伤损伤分度与预后关系,及其并发症处理。本组病例男198例,女41例。儿童青年居多。生活伤为主。

角膜穿孔伤的炎症机理(摘要)

本文就我院64例角膜穿孔伤的炎症机理作如下探讨。男53例,女11例;平均年龄11岁;工业伤占42%、农业伤占22%、日常生活伤占36%;受伤时间2小时～9天;右眼35例、左眼29例;角膜穿孔创口2～11mm;

中西医结合治疗股骨干骨折43例报告

中西医结合治疗股骨干骨折４３例报告浏阳市人民医院陈安平我院自１９８０～１９８７年采用骨牵引加小夹板固定，治疗股骨干骨折４３例，经３个月至４年随访，效果满意。现总结如下。１临床资料本组男３２例，女１１例。年龄最小１４岁，最大５８岁，平均３２．５岁。１６...

尺骨鹰嘴骨折38例手术内固定方法评价

尺骨鹰嘴骨折是一种常见的关节内骨折,目前手术治疗常采用的方法有如下几种:①"8"字形钢丝结扎内固定;②髓腔内固定;③AO手术内固定。我院自2002年～2005年采用以上三种手术内固定方法治愈患者38例,报道如下。1 临床资料1.1 一般资料本组38例中男26例、女12例,年龄18岁～68岁,平均32岁;车祸伤26例、坠落伤4例、生活伤(骑车或行走跌倒)8例。几乎均为中青年人,全部为闭合性损伤。

跗骨窦综合征20例治疗体会

骨窦综合征是OˋConner1958年提出的,当时被认为是踝部扭伤的合并症。我院自2008年至今,收治跗骨窦综合征20例现将治疗情况报告如下：1资料与方法1.1一般资料20例患者男15例,女5例,发病年龄17～56岁,平均29岁。左侧7例,右侧13例。20例均有外踝扭伤史,16例运动伤,4例生活伤,扭伤后症状出现时间,3个月-2年不等,平均6个月发病。

Signal molecule-mediated hepatic cell communication during liver regeneration

Liver regeneration is a complex and well-orchestrated process,during which hepatic cells are activated to produce large signal molecules in response to liver injury or mass reduction.These signal molecules,in turn,set up the connections and cross-talk among liver cells to promote hepatic recovery.In this review,we endeavor to summarize the network of signal molecules that mediates hepatic cell communication in the regulation of liver regeneration.

C-peptide and Diabetic Encephalopathy

With the changes of life style, diabetes and its complications have become a major cause of morbidity and mortality. It is reasonable to anticipate a continued rise in the incidence of diabetes and its complications along with the aging of the population, increase in adult obesity rate, and other risk factors. Diabetic en- cephalopathy is one of the severe microvascular complications of diabetes, characterized by impaired cogni- tive functions, and electrophysiological, neurochemical, and structural abnormalities. It may involve direct neuronal damage caused by intracellular glucose. However, the pathogenesis of this disease is complex and its diagnosis is not very clear. Previous researches have suggested that chronic metabolic alterations, vascular changes, and neuronal apoptosis may play important roles in neuronai loss and damaged cognitive functions. Multiple factors are responsible for neuronal apoptosis, such as disturbed insulin growth factor （IGF） system, hyperglycemia, and the aging process. Recent data suggest that insulin/C-peptide deficiency may exert a primary and key effect in diabetic encephalopathy. Administration of C-peptide partially improves the condition of the IGF system in the brain and prevents neuronal apoptosis in the hippocampus of diabetic patients. Those findings provide a basis for application of C-peptide as a potentially effective therapy for diabetes and diabetic encephalopathy.

On ＂not knowing what to say＂ in the Tragic Face of Another： Radical Phenomenology as Abysmal Consolation

These reflections address the disturbing phenomenon of ＂not knowing what to say＂ to someone who has experienced the immediacy of a traumatic event and who, nevertheless, seeks a word of consolation from us to ease the suffering. The author addresses the inadequacy of consolation as mere verbiage, and then brings to mind an expanded understanding of discourse-as-comportment to offer the possibility of deep consolation for the suffering other in the groundlessness of the tragic situation, which the author calls ＂abysmal consolation＂. In the realization that discourse is also the embodied consolation of being-with the suffering other in a shattered lifeworld, both sufferer and carer of souling are freed up to meet each other in a place that was heretofore presumed to be an alienated and speechless place.

Role of original and modified Frey's procedures in chronic pancreatitis

AIM To retrospectively review patients with chronic pancreatitis(CP) treated with Frey's procedures between January 2009 and January 2014.METHODS A retrospective review was performed of patients with CP treated with Frey's procedures between January 2009 and January 2014 in the Department of Pancreatic Surgery. A cross-sectional study of postoperative pain relief, quality of life(Qo L), and alcohol and nicotine abuse was performed by clinical interview, letters and telephone interview in January 2016. Qo L of patients was evaluated with the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire(EORTC QLQ-C30) version 3.0. The patients were requested to fill in the questionnaires by themselves via correspondence or clinical interview.RESULTS A total of 80 patients were enrolled for analysis, including 44 who underwent the original Frey's procedure and 36 who underwent a modified Frey's procedure. The mean age was 46 years in the original group and 48 years in the modified group. Thirtyfive male patients(80%) were in the original group and 33(92%) in the modified group. There were no differences in the operating time, blood loss, and postoperative morbidity and mortality between the two groups. The mean follow-up was 50.3 mo in the original group and 48.7 mo in the modified group. There were no differences in endocrine and exocrine function preservation between the two groups. The original Frey's procedure resulted in significantly betterpain relief, as shown by 5-year follow-up(P = 0.032), better emotional status(P = 0.047) and fewer fatigue symptoms(P = 0.028). When stratifying these patients by the M-ANNHEIM severity index, no impact was found on pain relief after the two types of surgery.CONCLUSION The original Frey's procedure is as safe as the modified procedure, but the former yields better pain relief. The severity of CP does not affect postoperative pain relief.

The Study on the Occupants Protection of the Emergency Landing Condition for Part 23 Airplane

The part 23 airworthiness standards for small airplanes states minimal standards of the emergency condition for the occupant protection. Under this regulation, the airplane must be designed and certified about static strength of the fuselage and seats, horizontal and vertical dynamic strength of seats. Human injuries in dynamic crash tests and the survivability in the turnover condition should be also evaluated. The most important part among injuries of human is a head and the head injury is evaluated by Head Injury Criterion （HIC）. KC-100, 4 seats airplane that is manufactured by KAI, was conducted seat dynamic tests. The HIC from tests was well within criteria limits 1,000 and the occupant compartment for head protection provided hazard-free spaces in the occupant＇s head strike envelope for the frontal-horizontal crash impacts. The airplane also was conducted a turnover static test and analysis to especially show living spaces of the head. The airframe could sustain living spaces for occupants in the turnover condition and occupants could escape and be protected. The results of tests and analysis corresponded to the criteria and proved the retention of survivable space in emergency landing condition.

Antimicrobial Activity of Probiotics on Swiss Mice

Salmonella enterica serovar typhimurium is the first cause identified of food poisoning in humans; new data indicate that the resistant strains of Salmonella sp. can be inhibited by a bacterial population present in foods have been called probiotics. Our study was conducted on Swiss albino mice in order to know the effect of probiotics or biotherapeutic agents, and suggest the different therapeutic possibilities of intestinal complications related to the presence of Salmonella enterica serovar typhimurium; Reference strains, Lactobacillus delbrueckii subsp, bulgaricus, Lactobacillus acidophilus and Lactobacillus paracasei in combination with Bifidobacterium sp. were tested for their health benefits. The number of Salmonella enterica serovar typhimurium decreases in intestine, in the stomach and in the liver for group 2, 3 in case of preventive treatment and group 4, 5 in case of a therapeutic treatment due to the use of a cuRure of probiotics, in comparison with group 1 where we recorded a high number. The bio-therapeutic treatment was finally confirmed by macroscopic and microscopic observations of different target organs before and after treatment for the experiment period.

Effect of Liandouqingmai Recipe on life quality and vascular endothelial injury in patients with coronary heart disease

OBJECTIVE:To observe the effects of Liandouqingmai Recipe on life quality and vascular endothelial injury in patients with coronary heart disease.METHODS:Capitalized 101 patients with coronary heart disease were randomly divided into a treatment group(n=45) treated with Liandouqingmai Recipe and a standard treatment group(control group,n=56).A normal group of 16 healthy persons was additionally set up.Changes in ET-1 and NO levels were measured and Seatle Angina Questionnaire(SAQ) was adopted in studying life quality before and after treatment for two weeks.The data were analyzed with SPSS 16.0 statistic software.RESULTS:The average level of ET-1 in the normal group was lower and NO higher than that of patients with coronary heart disease.There was no significant difference in the average level of ET-1 and NO and in the scores of SAQ [physical limitation(PL),pngina stability(AS),apngina frequency(AF),treatment satisfaction(TS) and disease perception(DP)] between the two groups before treatment(P>0.05).But after treatment,the scores of SAQ(PL,AS,AF,TS,DP) and NO level were higher than those in the control group,and ET-1 average level in the treatment group was lower than that in the control group.The negative relations between PL and ET-1 and between AF and ET-1 were found in this study.CONCLUSION:Liandouqingmai Recipe can raise scores of SAQ and NO level and decline ET level in patients with coronary heart disease on the basis of convertional standard treatment,thus improving vascular endothelial function and life quality.Life quality is related to vascular endothelial function.

Quality of life and its influencing factors in patients with post-traumatic epilepsy

Objective： To observe the quality of life in patients with post-traumatic epilepsy and discuss the infuencing factors. Methods： We assessed 105 patients with post-traumatic epilepsy and 100 healthy people as control using Quality of Life Scale-31 （QOL-31）, Self-rating Depressing Scale （SDS） and Self-rating Anxiety Scale （SAS）, and conducted retrospective analysis on the depression, anxiety, site of trauma, control of seizure, EEG and therapeutic compliance. Results： Patients with post-traumatic epilepsy scored much lower than the control group on QOL-31 （P〈0.01）, but higher than the control group on SDS and SAS （P〈0.01）. Multiple regression analysis indicated that major influencing factors on the quality of life were anxiety, therapeutic compliance, depression, poor control of epileptic seizure and site of trauma. Conclusions： The quality of life in patients with posttraumatic epilepsy has significantly declined. Doctors should pay attention to psychological and mental problems of patients with epilepsy, such as depression and anxiety, enhancing therapeutic compliance and controlling epileptic seizure, which are the keys to improving prognosis.

Frequency of fall-related injuries of female patients referred to the trauma center in the city of Kashan from years 2005 to 2008

Objective： Falls are one of the life events leading to injury and in serious cases cause high morbidity and mortality. This research was conducted to determine the fall incidence among female population of Kashan city from the years 2005 to 2008. Methods： This was a retrospective research using existing data from the data bank of trauma center of Kashan University of Medical Sciences. Records of all the female patients treated at local hospitals with complete hospitalisation kept at the center were examined for 4 con- secutive years from 2005 to 2008. Results： A total of 2 094 female patients＇ records were examined. A significantly higher incidence of injuy occurred in 2008 compared to 2005 （P〈0.0001）. In addition, the highest frequency of injury occurred in age group above 65 years （31.9%） and in group with elementary education level （42.8%）. Conclusion： The results showed that fall incidences occurred in the old age group above 65 years. Fall injuries at this age may cause disability. Therefore, preventive measures should be taken, such as increasing the awareness of the aging population about the seriousness of fall incidence and encouraging the aged individuals to get involved in fitness program to remain physical fit and healthy.

Treatment of very severe brain injuries

Objective: To sum up the experience in treating very severe traumatic brain injuries. Methods: Retrospective analysis of 68 patients with very severe traumatic brain injuries treated in our hospital from 1997 to 2002 was done. Results: Forty one (60%) patients died. In the 50 patients treated surgically 27 (40%) survived, 8 recovered well, 9 had moderate disability and 10 had sever deficits. The 18 patients treated non operatively all died. Conclusions: Much attention should be given to the observation of the changes of severe brain injuries with cranial base injury. Timely operative decompression, basic life support, keeping effective brain blood perfusion and effective oxygen supply, improving cerebral microcirculation and preventing or controlling complications are the main methods to raise the successful rate of treating very severe brain injuries and the life quality of the patients.

家中线绳会“下绊”

家是最安全的地方吗？未必,如果不仔细检查,家里的一些线绳会给宝宝＂下绊＂,让宝宝受到伤害。宝着装方面,妈妈们都已注意到具有装饰性的线绳,以避免宝宝被勒伤,可是,家中暗藏的各种危险线绳,妈妈们关注过吗？那些生活必需品上连接的线绳,比如窗帘拉绳、落地灯电线、电话线、电脑接线等,也暗藏安全问题呢!