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脑外膜在股骨骨折内固定术中的新应用
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作者 徐容 周晓琼 《临床合理用药杂志》 2012年第11期65-65,共1页
股骨骨折内固定手术中,由于大腿肌肉血管丰富、手术切口长、创面弥漫的毛细血管出血,以及手术部位消毒范围必须在切口20cm以上,一般不能上气压止血带,因此术中出血多,及骨折内固定结束后切口冲洗液溢出,致手术敷料不同程度浸湿,传统方... 股骨骨折内固定手术中,由于大腿肌肉血管丰富、手术切口长、创面弥漫的毛细血管出血,以及手术部位消毒范围必须在切口20cm以上,一般不能上气压止血带,因此术中出血多,及骨折内固定结束后切口冲洗液溢出,致手术敷料不同程度浸湿,传统方法为在大腿下加垫4层无菌巾. 展开更多
关键词 脑外膜 骨折内固定 股骨 应用
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CLINICAL EFFECTS OF ROPIVACAINE MESYLATE IN EPIDURAL ANESTHESIA AND ANALGESIA 被引量:1
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作者 Jian-qingXu BoZhu Tie-huYe 《Chinese Medical Sciences Journal》 CAS CSCD 2005年第1期70-73, ,共4页
关键词 epidural anesthesia postoperative analgesia ropivacaine mesylate ropivacaine hydrochloride
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A comparative study on therapeutic method of traumatic epidural hematoma 被引量:1
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作者 李松 张恒 +2 位作者 焦庆芳 刘展 毛伯镛 《Chinese Journal of Traumatology》 CAS 2007年第3期166-170,共5页
Objective:To explore the therapeutic methods, surgical indications and clinical practice of minimally invasive surgery on traumatic epidural hematoma(EDH). Methods:Retrospective study was made on 135 patients with tra... Objective:To explore the therapeutic methods, surgical indications and clinical practice of minimally invasive surgery on traumatic epidural hematoma(EDH). Methods:Retrospective study was made on 135 patients with traumatic EDH admitted into our hospital from June 2002 to August 2005.Sixty-five patients were treated with mini-invasive negative pressure drainage (treatment group),70 patients with comparable condition used traditional craniotomy(control group).The mean time of operation,average days in hospital,expenditure and prognosis of two groups were recorded and analyzed. Results:There was no significant difference in therapeutic efficacy between two groups.Patients in treatment group had a shorter hospital stay and less expenditure than those in control group. Conclusion:Mini-invasive negative pressure drainage is simple,effective,economical and applicable to some traumatic EDH patients. 展开更多
关键词 HEMATOMA Epidural space Drainage
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Early change of plasma and cerebrospinal fluid arginine vasopressin in traumatic subarachnoid hemorrhage 被引量:1
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作者 袁志华 祝建勇 +5 位作者 黄卫东 姜久昆 陆远强 徐妙 苏伟 蒋挺英 《Chinese Journal of Traumatology》 CAS 2010年第1期42-45,共4页
Objective: To investigate the changes and effects of arginine vasopressin (AVP) in patients with acute traumatic subarachnoid hemorrhage (tSAH). Methods: The plasma and cerebrospinal fluid (CSF) level of AVP,... Objective: To investigate the changes and effects of arginine vasopressin (AVP) in patients with acute traumatic subarachnoid hemorrhage (tSAH). Methods: The plasma and cerebrospinal fluid (CSF) level of AVP, and intracranial pressure (ICP) were measured in a total of 21 patients within 24 hours after tSAH. The neurological status of the patients was evaluated by Glasgow Coma Scale (GCS). Correlation between AVP and ICP, GCS was analyzed respectively. Meanwhile, 18 healthy volunteers were recruited as control group. Results: Compared with control group, the levels (pg/ml) of AVP in plasma and CSF (x±s) in tSAH group were significantly increased within 24 hours (38.72±24.71 vs 4.54±1.38 and 34.61±21.43 vs 4.13± 1.26, P〈0.01), and was remarkably higher in GCS ≤8 group than GCS〉8 group (50.96±36.81 vs 25.26±12.87 and 44.68±31.72 vs 23.53±10.94, P〈0.05). The CSF AVP level was correlated with ICP (r= 0.46, P〈0.05), but no statistically significant correlation was found between plasma AVP, CSF AVP and initial GCS (r= -0.29, P〉0.05 and r= -0.32, P〉0.05, respectively). The ICP (ram Hg) in tSAH patients was elevated and higher in GCS ≤ 8 group than in GCS〉8 group (25.9±9.7 vs 17.6±5.2, P〈0.05). Conclusion: Our research suggests that AVP is correlated with the severity oftSAH, and may be involved in the pathophysiological process of brain damage in the early stage after tSAH. It seems that compared with the plasma AVP concentration, CSF AVP is more related to the severity oftSAH. 展开更多
关键词 Arginine vasopressin Subaraehnoid hemorrhage traumatic Glasgow coma scale Intracranial pressure
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Dural arteriovenous fistulae after forehead knife-cut injury
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作者 朱刚 陈志 冯华 《Chinese Journal of Traumatology》 CAS 2004年第4期253-256,共4页
Dural arteriovenous fistulae (DAVF) is a rare intracranial vascular disease. It is pathologically characterized by direct shunting of the intracranial artery and vein, which results in cerebral ischemia, intracranial ... Dural arteriovenous fistulae (DAVF) is a rare intracranial vascular disease. It is pathologically characterized by direct shunting of the intracranial artery and vein, which results in cerebral ischemia, intracranial hemorrhage, neural deficit and intracranial murmur. The etiological mechanism of DAVF is not well known, but most researchers think it is associated with congenital abnormal development, especially abnormal development of dural blood vessels at the stage of embryogenesis. Recently, some researchers have found that DAVF is also associated with some acquired factors. This article reports a case who developed DAVF within 2 years after debridement of frontal bone fragmentation, depressed fracture, left frontal lobe contusion and superior sagittal sinus injury due to forehead knife-cut injury. The pathogenic mechanism was explored through a review of the related literatures. 展开更多
关键词 ADULT Angiography Digital Subtraction Arteriovenous Fistula Dura Mater FOREHEAD Humans Male Wounds Stab
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Traumatic interhemispheric subdural hematoma
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作者 朴永旭 陈礼刚 +3 位作者 汪庆华 王方 曾凡俊 卢敏 《Chinese Journal of Traumatology》 CAS 2003年第3期186-189,共4页
关键词 Accidental Falls ADULT Brain Injuries FEMALE Glasgow Coma Scale Head Injuries Closed Hematoma Subdural Humans Male Middle Aged
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A case report of diffuse pneumocephalus induced by sneezing after brain trauma
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作者 ZHANG Yun-xu LIU Iong-xi QIU Xiao-zhong 《Chinese Journal of Traumatology》 CAS CSCD 2013年第4期249-250,共2页
Pneumocephalus is the presence of air in the cranial vault. The common etiologies of pneumocephalus are brain trauma and cranial surgery. We report a case of a 26-year-old man with brain trauma who developed diffuse p... Pneumocephalus is the presence of air in the cranial vault. The common etiologies of pneumocephalus are brain trauma and cranial surgery. We report a case of a 26-year-old man with brain trauma who developed diffuse pneumocephalus after sneezing. CT scan was performed on arrival, and the image showed subarach- noid hemolxhage without pneumocephalus. On the seventh day after a big sneeze brain CT scan was re-performed, which showed pneumocephalus. After another ten days of treatment, the patient was discharged without any symptoms. 展开更多
关键词 PNEUMOCEPHALUS Brain injuries SNEEZING
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Case Report:Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele in a child
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作者 Zheng-xi RAO Jin LI Si-qing HANG Chao YOU 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2010年第6期429-432,共4页
Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele is very rare.We report a case in a 9-year-old Chinese boy who presented with a two-week history of progressive paraparesis and gait... Congenital spinal intradural arachnoid cyst associated with intrathoracic meningocele is very rare.We report a case in a 9-year-old Chinese boy who presented with a two-week history of progressive paraparesis and gait ataxia.Magnetic resonance imaging revealed that a dorsal intradural extramedullary cystic lesion extended from T1 to T5 and compressed the spinal cord.A left lateral intrathoracic meningocele pouch was found incidentally at the level of T1.The arachnoid cyst as well as meningocele was removed and the spinal cord compression was relieved.Arachnoid cyst was confirmed by histological examination.The patient recovered well postoperatively.This is the second report of such a case in the world according to the available literature.The take-home message for our case is that the surgical approach should be individualized,depending on the size and location. 展开更多
关键词 Spinal intradural arachnoid cyst Intrathoracic meningocele Spinal cord compression Surgical treatment
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