股骨近端锁定接骨板治疗老年股骨粗隆间骨折32例疗效观察

目的探讨股骨近端锁定接骨板治疗老年股骨粗隆间骨折的临床疗效。方法采用切开复位股骨近端锁定接骨板内固定治疗老年股骨粗隆间骨折32例，并观察其临床效果。结果32例患者随访9～14个月，骨折全部愈合，采用Kuderna评分进行评估：优28例，良3例，可1例，优良率96．9％。结论股骨近端锁定接骨板治疗老年股骨粗隆间骨折符合生物力学的要求，操作简便，创伤少，固定牢靠，并发症少，骨折愈合率高，具有推广应用的价值。

Analysis on etiopathogenisis and therapeutic effects of 928 cases of newborn pathological jaundices

Objectives To explore, etiological and related risk factors of pathological jaundice of newborn and evaluate the effects on the bilirubin encephalopathy in early stage. Methods 928 cases of pathological jaundice in newborn were included and the related factors in etiology were analyzed. Results 68.7% of cases had conclusive etiopathogenisis The etiopathogenises relates to perinatal period were 56.6%. 16.4% was with unknown etiopathogenises. Patients were put into treatment of Blue light exposure combined with relevant measure. Gamma-globulin and albumen were less used. Conclusion It is found that infections, hemolytic diseases and perinatal period factors are main factors in etiopathogenises of bilirubin encephalopathy in newborn. The pathological jaundice of newborn could be well prevented by a series of treatments in duration of pregnancy.