OBJECTIVE: To discuss the causes and treatments of wound infections after scoliosis surgery. METHODS: Nine hundred and twenty-four caes of scoliosis were reviewed, and the clinical data of 15 cases of postoperative in...OBJECTIVE: To discuss the causes and treatments of wound infections after scoliosis surgery. METHODS: Nine hundred and twenty-four caes of scoliosis were reviewed, and the clinical data of 15 cases of postoperative infection were analysed retrospectively. RESULTS: All 15 cases underwent spinal posterior fusion with autologous bone graft using instrumentations. Seven were diagnosed as early infection, and 8 were delayed infection. Radical debridement was performed in all 15 cases. The duration of antibiotics administration was 10 to 34 days with continuous closed irrigation for 2 to approximately 4 weeks and primary closure for the wounds. All patients were followed up for an average of 3.5 years (2 to 7.5 years) with good outcomes and no recurrence. CONCLUSION: Wound infection following surgical correction of scoliosis primarily results from intraoperative seeding, although host-related and operation-related factors may contribute to its development. Once the infections are diagnosed, good results can be achieved by prompt surgical debridement, irrigation and reasonably administered antibiotics. Removal of hardware may be necessary in deep infections.展开更多
目的了解183例发热待查(fever of unknown origin,FUO)患者的病因分布特点,比较其在不同医院、年龄段、性别、热程的病因构成,为临床诊治提供参考。方法回顾性分析郑州市第六人民医院及北京大学第一医院感染疾病科2022年8月至2023年10...目的了解183例发热待查(fever of unknown origin,FUO)患者的病因分布特点,比较其在不同医院、年龄段、性别、热程的病因构成,为临床诊治提供参考。方法回顾性分析郑州市第六人民医院及北京大学第一医院感染疾病科2022年8月至2023年10月收治的183例FUO住院患者的临床资料,按病因分为感染性疾病93例、非感染性炎症性疾病(non-infectious inflammatory diseases,NIID)42例、肿瘤性疾病14例、其他疾病21例、诊断不明13例,比较在不同医院、不同年龄段、不同性别、不同热程的病因分布差异。采用χ^(2)检验进行比较。结果纳入FUO患者中男性占61.20%(112/183),年龄(49.70±19.09)岁,细菌感染、成人Still病、淋巴瘤、坏死性淋巴结炎分别为各组确诊患者中常见病因。两家医院FUO患者中感染性疾病例数占比分别为64.29%(27/42)、46.81%(66/141),差异有统计学意义(χ^(2)=3.96,P<0.05);31~45岁患者感染性疾病数占比高于15~30岁患者[63.89%(23/36)比34.15%(14/41),χ^(2)=6.79,P<0.05];15~30岁患者其他疾病占比[29.27%(12/41)]高于其他各组患者(χ^(2)=4.10、6.35、9.51,均P<0.05);女性NIID占比高于男性[33.80%(24/71)比16.07%(18/112),χ^(2)=7.73,P<0.05];热程>3个月的感染性疾病患者占比[12.50%(3/24)]低于热程<1个月与热程1~3个月患者[61.33%(46/75)、52.38%(44/84)](χ^(2)=15.45、10.51,均P<0.05);热程>3个月的肿瘤性疾病患者占比高于热程<1个月的患者[20.83%(5/24)比4.00%(3/75);χ^(2)=4.86,P<0.05];热程>3个月的诊断不明病例数占比高于热程<1个月的患者[16.67%(4/24)比2.67%(2/75),χ^(2)=4.04,P<0.05]。结论对于FUO患者,应首先考虑感染性疾病。不同医院、年龄、性别、热程的FUO患者病因构成可能有所不同,应结合患者临床特点进行精确、快速的相关检验及检查以尽快明确病因。展开更多
Economic invigoration relies on education. With the rapid advancement of science and technology and the fast development of society, more and more demand has been put on fostering talented people. And how to improve s...Economic invigoration relies on education. With the rapid advancement of science and technology and the fast development of society, more and more demand has been put on fostering talented people. And how to improve students'originality has become one of the hot topics in Chinese education forum. Beginning with analyzing different foreign language teaching approaches in foreign countries and the general language teaching situation in China, this article holds that enhancing teachers'qualification, analyzing the factors that influ ence students'originality, creating positive classroom atmosphere and conducting creative class activities are indispensable measures of im proving students'originality in classroom teaching.展开更多
文摘OBJECTIVE: To discuss the causes and treatments of wound infections after scoliosis surgery. METHODS: Nine hundred and twenty-four caes of scoliosis were reviewed, and the clinical data of 15 cases of postoperative infection were analysed retrospectively. RESULTS: All 15 cases underwent spinal posterior fusion with autologous bone graft using instrumentations. Seven were diagnosed as early infection, and 8 were delayed infection. Radical debridement was performed in all 15 cases. The duration of antibiotics administration was 10 to 34 days with continuous closed irrigation for 2 to approximately 4 weeks and primary closure for the wounds. All patients were followed up for an average of 3.5 years (2 to 7.5 years) with good outcomes and no recurrence. CONCLUSION: Wound infection following surgical correction of scoliosis primarily results from intraoperative seeding, although host-related and operation-related factors may contribute to its development. Once the infections are diagnosed, good results can be achieved by prompt surgical debridement, irrigation and reasonably administered antibiotics. Removal of hardware may be necessary in deep infections.
文摘Economic invigoration relies on education. With the rapid advancement of science and technology and the fast development of society, more and more demand has been put on fostering talented people. And how to improve students'originality has become one of the hot topics in Chinese education forum. Beginning with analyzing different foreign language teaching approaches in foreign countries and the general language teaching situation in China, this article holds that enhancing teachers'qualification, analyzing the factors that influ ence students'originality, creating positive classroom atmosphere and conducting creative class activities are indispensable measures of im proving students'originality in classroom teaching.
