Unusual Delayed Manifestation of a Penetrating Chest Trauma

Abstract Pericardial tamponade remains a diagnostic challenge to the clinician especially when the patient is well compensated hemodynamically. We report an unusual case who sought medical help 1 month after having been stabbed in his chest. An investigation revealed a perforation of the myocardium and a pericardial tamponade. The patient survived thanks to a large organized clot that plugged the perforation. The patient was exposed to increased risk due to delayed onset, recognition, and therapy of the tamponade. Most reports on this subject deal with acute pericardial tamponade. Only few cases of delayed pericardial tamponade have been reported. A review of the relevant literature and the therapeutic approaches are discussed.     

Vertebroplasty and Kyphoplasty in Spinal Trauma

Abstract Kyphoplasty and vertebroplasty have become recognized procedures for the treatment of vertebral fractures, especially in patients with osteoporosis. In most cases of osteoporotic spinal vertebral fracture in elderly patients, polymethylmethacrylate (PMMA) cement is used to fill the defect and stabilize the vertebral body. The techniques of vertebroplasty and kyphoplasty differ in the possibility of realignment and reconstruction of the vertebral body and spinal column. Long-term results in terms of integration of the cement and bioreactivity of the vertebral body are still lacking; so, these procedures are still no options in the treatment of younger patients. Vertebroplasty and kyphoplasty show different success in the management of fresh traumatic spine fractures. The acute traumatic vertebral fracture has to be classified sensitively, to find the right indication for cement augmentation. Mild acute compression fractures can be treated by vertebroplasty or kyphoplasty, severe compression and burst fractures by combination of internal fixation and kyphoplasty. The indications for use of biological or osteoinductive cement in spinal fracture management must still be regarded as restricted owing to the lack of basic biomechanical research data. Such cement should not be used except in clinical studies.     

医院洁净手术室智能监控系统的设计与实现

随着信息技术和自动化技术的发展,实现手术室的智能监控有助于提高工作效率和确保手术安全进行.本文简要介绍了"医院洁净手术室智能监控系统"的设计理念及其相关功能,给出了系统的硬件配置和软件实现.     

医疗设备维护管理信息系统的开发与研究

本文基于C Builder和SQLServer开发平台,介绍了设备维护管理信息系统的开发设计,实施及应用拓展,为医院对医疗设备的维护管理及科学决策作出积极探索。     

医院档案综合管理的意义及对策

对我国医院目前档案管理的现状,档案信息资源在医院现代化建设中的作用以及实行医院档案综合管理的重要意义及对策进行了全面系统地分析,强调了实现医院档案规范化、科学化和现代化管理的重要性和紧迫性。     

病房医生工作站信息系统的功能与应用

病房医生工作站面向病房临床医生，实现了医生日常工作的各种需求，提供填写首页、下达医嘱、书写病历、开申请单、查询报告单、查询体温单、病历检索等功能。系统的应用可以规范医疗文书，减少差错发生，提高工作效率，培养医师的临床工作经验。     

医疗设备管理帐目、资产卡组合的Excel实现

对医疗设备管理帐目、资产卡基本管理模式进行分析和Excel功能比较优选，运用Excel组合功能满足业务流程需要，解决帐、卡分立的现象，达到及时、全面、直观地掌握医疗设备信息的目的。     

医院信息系统变更的主要原因及对策

目的本文以医院信息系统（hispitalinformation system，HIS）系统实施的一般规律为例，讨论了HIS系统实施的一般规律，深入探讨了范围变更产生的原因、接受依据以及管理技术，对于HIS系统实施中最常发生的范围变更管理提出了对策，以使医院业务与HIS软件系统有机会结合在一起，真正实现医院业务信息化的目标。方法文章认为，系统范围变更管理应贯穿于系统实施过程的始终，每一项需求变更都应分析其产生的原因、对医院业务的影响和对系统实施的影响，以确定是否接受范围变更。结果当决定接受或拒绝范围变更申请时，信息科都应与提供产品公司的实施工程师沟通。结论在范围变更管理中，要充分使用好文档模板，并制定出规范的范围变更管理流程，以提高范围变更管理效率。