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目的 探讨单指脱套伤修复的新方法.方法 2007年8月至2010年6月,应用游离第二足趾背甲皮瓣联合扩大的(足母)趾腓侧皮瓣修复单指脱套伤11例,其中示指6例,中指2例,环指3例.Ⅰ型脱套伤4例,Ⅱ型脱套伤7例.均急诊清创VSD封闭负压吸引,于伤后3~5d行手术修复.(足母)趾腓侧皮瓣内和第二足趾背甲皮瓣内的趾底神经与受区残端的指神经进行吻接.供区游离植皮.结果 11例皮瓣全部成活.术后2例第二趾背远端植皮部分坏死,后经换药愈合,1例指骨穿过存活的皮肤外露,手术截除部分外露指骨后伤口愈合.11例均获得完整随访,随访3个月~3年,皮瓣颜色正常,质地柔软,外观不臃肿、接近健侧指.11例修复脱套指原第二趾背甲皮瓣感觉恢复达S3,原(足母)趾腓侧皮瓣修复的指腹饱满,两点辨别觉为6~9mm,平均7.0 mm.手指伸屈功能按手指总主动活动度(TAM)评分法评定,优9指,良2例.结论 游离第二足趾背甲皮瓣联合扩大的(足母)趾腓侧皮瓣是修复单指脱套伤的有效方法. 相似文献
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Objective To establish the reference range of venous blood cells of healthy aged people by means of investigation on the reference range of venous blood cells of healthy adults and the aged.Methods The parameters of 3302 venous blood samples from the healthy adults and the aged were analyzed by applying SymexKX-21N hematology analyzer,and the test results were statistically analyzed with SPSS10.0 software.Results The reference range of the healthy aged people(males and females):WBC(3.57-9.00)×109/L and(3.52-8.39)×109/L;RBC(3.78-5.42)×1012/L and (3.44-4.83)×1012/L;hemoglobin(Hb)121.40-168.10 and 107.90-147.90 g/L;hematocrit(HCT)36.62%-49.18% and 32.82%-44.03%;mean corpuscular volume(MCV)85.10-100.60 and 84.70-100.60 fL;mean corpuscular hemoglobin(MCH)28.54-34.48 and 28.20-34.10 pg;mean corpuscular hemoglobin concentration(MCHC)322.00-357.00 and 320.00-352.00 pg/L;coefficient of variation of red blood cell distribution width(RDW-CV)12.13%-15.10% and 10.20%-17.12%;platelet(PLT)(70.00-240.00)×109/L and(77.00-262.00)×109/L;mean platelet volume(MPV)9.77-15.37 and 9.51-15.55 fL;platelet distribution width(PDW)11.44%-27.77%;platelet hematocrit(PCT)1.10-2.73 and 1.13-2.99 mL/L;large platelet ratio(P-LCR)24.35%-70.14%.The differences of the parameters(WBC,RBC,Hb,HCT,MCHC,PLT and PCT)were statistically significant between senile males and senile females(P<0.01),while the other parameters weren't(P>0.05);the differences of parameters(WBC,MPV,PDW and P-LCR)were not significant between adults and the ageds(P>0.05),while the other parameters were(P<0.05).There were also significant differences(P<0.05)between the test results and the reported date about the blood cell parameters of adults and the ageds.Conclusion The reference range of the healthy ageds is different from that of adults;therefore it is necessary to establish the laboratory reference range of venous blood cells of the elderly in this region scientifically and rationally. 相似文献
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Objective To establish the reference range of venous blood cells of healthy aged people by means of investigation on the reference range of venous blood cells of healthy adults and the aged.Methods The parameters of 3302 venous blood samples from the healthy adults and the aged were analyzed by applying SymexKX-21N hematology analyzer,and the test results were statistically analyzed with SPSS10.0 software.Results The reference range of the healthy aged people(males and females):WBC(3.57-9.00)×109/L and(3.52-8.39)×109/L;RBC(3.78-5.42)×1012/L and (3.44-4.83)×1012/L;hemoglobin(Hb)121.40-168.10 and 107.90-147.90 g/L;hematocrit(HCT)36.62%-49.18% and 32.82%-44.03%;mean corpuscular volume(MCV)85.10-100.60 and 84.70-100.60 fL;mean corpuscular hemoglobin(MCH)28.54-34.48 and 28.20-34.10 pg;mean corpuscular hemoglobin concentration(MCHC)322.00-357.00 and 320.00-352.00 pg/L;coefficient of variation of red blood cell distribution width(RDW-CV)12.13%-15.10% and 10.20%-17.12%;platelet(PLT)(70.00-240.00)×109/L and(77.00-262.00)×109/L;mean platelet volume(MPV)9.77-15.37 and 9.51-15.55 fL;platelet distribution width(PDW)11.44%-27.77%;platelet hematocrit(PCT)1.10-2.73 and 1.13-2.99 mL/L;large platelet ratio(P-LCR)24.35%-70.14%.The differences of the parameters(WBC,RBC,Hb,HCT,MCHC,PLT and PCT)were statistically significant between senile males and senile females(P<0.01),while the other parameters weren't(P>0.05);the differences of parameters(WBC,MPV,PDW and P-LCR)were not significant between adults and the ageds(P>0.05),while the other parameters were(P<0.05).There were also significant differences(P<0.05)between the test results and the reported date about the blood cell parameters of adults and the ageds.Conclusion The reference range of the healthy ageds is different from that of adults;therefore it is necessary to establish the laboratory reference range of venous blood cells of the elderly in this region scientifically and rationally. 相似文献
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Objective To establish the reference range of venous blood cells of healthy aged people by means of investigation on the reference range of venous blood cells of healthy adults and the aged.Methods The parameters of 3302 venous blood samples from the healthy adults and the aged were analyzed by applying SymexKX-21N hematology analyzer,and the test results were statistically analyzed with SPSS10.0 software.Results The reference range of the healthy aged people(males and females):WBC(3.57-9.00)×109/L and(3.52-8.39)×109/L;RBC(3.78-5.42)×1012/L and (3.44-4.83)×1012/L;hemoglobin(Hb)121.40-168.10 and 107.90-147.90 g/L;hematocrit(HCT)36.62%-49.18% and 32.82%-44.03%;mean corpuscular volume(MCV)85.10-100.60 and 84.70-100.60 fL;mean corpuscular hemoglobin(MCH)28.54-34.48 and 28.20-34.10 pg;mean corpuscular hemoglobin concentration(MCHC)322.00-357.00 and 320.00-352.00 pg/L;coefficient of variation of red blood cell distribution width(RDW-CV)12.13%-15.10% and 10.20%-17.12%;platelet(PLT)(70.00-240.00)×109/L and(77.00-262.00)×109/L;mean platelet volume(MPV)9.77-15.37 and 9.51-15.55 fL;platelet distribution width(PDW)11.44%-27.77%;platelet hematocrit(PCT)1.10-2.73 and 1.13-2.99 mL/L;large platelet ratio(P-LCR)24.35%-70.14%.The differences of the parameters(WBC,RBC,Hb,HCT,MCHC,PLT and PCT)were statistically significant between senile males and senile females(P<0.01),while the other parameters weren't(P>0.05);the differences of parameters(WBC,MPV,PDW and P-LCR)were not significant between adults and the ageds(P>0.05),while the other parameters were(P<0.05).There were also significant differences(P<0.05)between the test results and the reported date about the blood cell parameters of adults and the ageds.Conclusion The reference range of the healthy ageds is different from that of adults;therefore it is necessary to establish the laboratory reference range of venous blood cells of the elderly in this region scientifically and rationally. 相似文献
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本世纪随着科学和医疗技术的发展,全世界老年人口显著增加,社会进入老龄社会,伴随着这个趋势,中国社会的老龄化也不可避免地到来了。2000年我国60岁以上的老年人口所占的比例达到10.18%。随着人口的老化,老年心血管病明显增多, 相似文献
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本文讨论了三才汤水煎剂对D-gal衰老模型小鼠肠道菌群的影响,结果表明,三才汤能够对衰老小鼠的肠道菌群加以调整。 相似文献
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随着支架设计的逐步改进,支架具有了更好的柔韧性和通过性。同时,随着指引导管提供了更好地的支撑力,支架脱落的平均发生率从早期的1.43%~8.3%,降到现在的0.32%~1.7%。但是,一旦发生支架脱落,出现合并症和局部血管并发症的概率较高。如果支架脱落发生在冠状动脉内,死亡率为6.2%,急诊搭桥率为17%。正如本例报告的特点,支架脱落的危险因素包括冠脉血管因素:如钙化、近端血管扭曲、预扩张不充分;操作因素:导引导管支撑力较差或同轴性较差;支架因素:早期需要手工捏至球囊上的支架或者通过近端支架置入远端支架等。支架脱落的治疗措施包括争取取出支架,如采用圈套器、远端球囊扩张、双导丝缠绕;挤压法,采用一个支架压扁另一个支架;在靶病变近端释放支架等方法。本例病例报道,在发现支架脱落后,术者将导引导管,导引导丝和支架一同撤到桡动脉位置,支架遗留在桡动脉处。后经股动脉途径完成介入治疗。术后第7天,再次对桡动脉进行造影,使用8F血管鞘头端进入桡动脉,在透视下,于体外用手固定脱落的支架,经血管鞘导入活检钳,最终取出脱落的支架。术者采取的措施,避免了支架脱落在冠脉内,降低了发生严重冠脉并发症的可能。在经股动脉途径完成介入治疗后,择期取出支架,最大程度上保证了患者的安全。待患者的情况稳定后,又尝试了使用活检钳,经大直径血管鞘的头端,配合体外固定支架,最终取出支架。此种挽救措施,的确为处理支架脱落的并发症提供了一种积极和有效的范例。但是,个例的报道经验,仍需要读者慎重借鉴和谨慎操作。应对支架脱落的最好方法,还是在于术前和术中的预防。 相似文献