Treatment of dislocation of distal radioulnar articulation by reconstruction of ulnar collateral ligament from pediculated partial ulnar flexor tendon of wrist

Background:Auricular pseudocyst,which is also calles serous perichondritis of thd auricle,is and aseptic local serous inflammatory mass in the perichondrium of the auricle.The cause is unknown,.It is difficult to the cured with a chronic course,and might transform into suppurative perichondritis because of incorrect treatment such as repeated puncture,and even necrosis occurs,resulting in deformation of the external ear.Objective:To study the therapeutic effect of magnetic application.Unit:Jianping County Hospital.Subjects:42 patients were included in this study,including 31 males,11 females aging 10 to 56 years,with unilateral attack in 38 cases,bilateral attack in 4 cases.No obvious cause was found in all of the cases.Local prominences occurred suddenly mostly at the navicular fossa,less at the triangular fossa,least in the cavity of concha.The site is felt hot and swelling with slight tenderness.The locus ranges from 0.5 cm to 1.5cm in diameter.The disease course ranges between 3 and 30 days.Interention:The intracapsular fluid was withdrawn out from the locus in all the pwatients.Two magnetic pieces of 100-170mT in intensity were chosen and fixed on both sides of the locus by wadhesive plaster with the S and N poles opposited.The magnetic pieces of the Npole were applied 24 hours a day.But the S pole should be taken off at night and 5-10 minutes every 1-2 hours in daytime.The application method must be clearly taught to the patients to avoid local ischemic change because of persistent pressure.The poles of the magnetic pieces should also be told to the pwatients lest the pwatients fixed the magnetic pieces in a contrary way.The treatment courese was 1 week but 2 weeks in patients wih larger loci.Result:All the patients were cured with no local induration,thickness,deformation,or dispigmenttation.No recurrence occurred after 3 months of telephone following up.Conclusion:The treatment of magnetic application is easily performed,safe,reliable,cheap and free of side effects with significant therapeutic effect.     

内窥镜在神经外科的应用

脑室镜在神经外科领域应用已近一个世纪。由于世纪初以膀胱镜为原型的脑室镜工艺粗糙 ,外径粗、光源差 ,手术器械不匹配 ,多限于三脑室底造瘘和脉络丛烧灼等简单操作 ,发展缓慢。 2 0世纪 80年代末 90年代初 ,由于内镜制作工艺及其相关技术的改良和进步 ,与之配合的神经影象学、微导管技术、立体定向技术、光学设备系统、超声技术、激光技术、放射医学和计算机科学得到迅速发展 ,使神经内镜外科技术又重新获得重视和推广 ,治疗疾病的范围不断扩大 ,发展成为微侵袭神经外科一重要组成部分〔1〕。现简要综述如下。1　内窥镜治疗颅内良性疾病由…     

处理3例严重腹部伤的体会

例1，女，11岁。汽车压伤腹部20分钟内急诊入院。伤后腹部剧痛，烦燥不安。神志不清，腹部平坦，腹式呼吸受限，全腹压痛以左侧为显，有反跳痛及肌紧张，叩诊有移动性浊音，肠鸣音弱。左下腹腔穿刺抽出血性液体，导尿为血尿。入院后伤情进行性加重，血压降至零，脉搏164次，     

内窥镜鼻窦手术34例的手术配合

目的 :本文介绍内窥镜鼻窦手术 3 0例的手术配合护理体会 ,强调术前访视病人重要性 ,手术器械及物品准备、术中配合等要点。确保了手术顺利进行 ,避免并发症和意外事故的发生