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多发伤中的胸部创伤救治 总被引:2,自引:0,他引:2
胸部创伤以致伤原因分为胸部锐性伤和胸部钝性伤.胸部锐性伤与胸部钝性伤相比,具有较低的死亡率.这与其损伤面积小及合并损伤的器官少有关.而胸部钝性伤往往多见于多发伤,是多发伤中的致命伤,其损伤面积大,往往存在着多器官损伤.多发伤50%~70%有胸部创伤[1],在多发伤的救治中,胸部创伤影响其各个环节的治疗,如急救、重症监护以及手术时机的选择等. 相似文献
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非战时的胸部外伤中 ,穿透性伤较闭合性伤少见。我院从 1982 - 10~ 1999- 0 8共收治胸外伤 84 5例 ,其中穿透伤 80例 (7 4 % )。现报告如下 :1 临床资料1 1 一般资料 本组 80例病人 ,男 67例 ,女 13例 ;年龄 3岁~ 4 5岁。受伤到入院时间 8h以内 5 2例(65 % ) ,最短者 15min。受伤原因中 ,短刃器伤 4 3例 (5 3% ) ;高速武器伤 5例 ,其中 1例为小口径枪伤 ,2例为金属飞溅物伤。由于平时穿透伤多为刀伤 ,故其损伤范围常局限于伤口及伤道周围组织。为便于诊治起见 ,我们将其分为上、中、下胸部伤。穿透性胸部伤除伤道外 ,常合并有血气… 相似文献
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目的:探讨胸部贯通伤的临床诊断及救治措施.方法:对本院2003 -01~2011 - 10收治的50例胸部贯通伤患者,根据受伤原因、症状、体征、辅助检查诊断,分别给予胸带固定胸壁,胸腔闭式引流或开胸探查,复合伤给予相应处理.结果:50例病人治愈46例,死亡4例,死亡率为8%.结论:胸部外伤多呈重症、急症、危症.能否迅速正确给予检查、诊断及处理是治疗的关键. 相似文献
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目的:利用荧光眼底造影技术探讨猪胸部枪弹伤远达效应致眼部组织结构、视网膜血流伤后改变,了解胸部枪弹伤后眼组织的损伤情况。方法:采用高速弹射击10只猪(20只眼),建立胸部枪弹伤动物模型,对受试猪致伤前后不同时相点行眼底照相及荧光眼底造影,并作眼组织病理检查。结果:(1)眼底照相结果:伤后未见明显异常;(2)荧光眼底造影结果:伤后1 h耳-视网膜循环时间延长,较伤前有显著变化(P〈0.05),伤后视网膜循环时间较伤前无显著改变;(3)病理结果:角膜上皮层肿胀、疏松,内皮层大量脱落,虹膜、睫状体、脉络膜、视网膜血管充血,血管内皮细胞部分脱落,视网膜神经纤维层水肿。结论:荧光眼底造影对胸部枪弹伤后,眼组织血流改变、视网膜功能的判断具有重要价值。 相似文献
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One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care. 相似文献
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V. A. Serezhenkov I. A. Moroz G. A. Klevezal A. F. Vanin 《Applied radiation and isotopes》1996,47(11-12)
ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method. 相似文献
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Analysis of the results of the international comparison of activity measurements of a solution of Fe
The results of an international comparison of activity measurements of a solution of 55Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a 55Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.
The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison. 相似文献
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D Gasparini 《La Radiologia medica》1987,73(4):304-309
A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood. 相似文献
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目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率. 相似文献