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91.
基层医院眼球穿孔伤急救及转诊对策 总被引:2,自引:2,他引:0
目的探讨基层医院眼球穿孔伤的急救原则、转诊时机及手术效果。方法对56N(56跟)住院眼球穿孔伤的手术方法、转诊时间、疗效进行统计分析。结果41例单纯轻中度穿孔伤在我院1期或2期手术,效果良好。6例合并眼内异物1期清创缝合,及时转诊摘出异物,视力提高。9例严重穿孔伤,1期清创缝合,预防感染,1周后转诊。2期手术(玻切)虽视力提高不多,但保住眼球。结论基层医院条件有限,复杂严重外伤,1期缝合关闭伤口是前提,适时转诊2期手术足抢救视功能、挽救眼球关键。 相似文献
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一、减肥
过度减肥节食 头发的主要成分种称为鱼量元素不果与面粉等,蛋白质及微量元素摄入不足致使头发因严重营养不良而脱落。 相似文献
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目的 用^3He-MR成像评价哮喘病人局部气流阻塞随时间的变化,及其与疾病严重程度和应用哮喘药物的关系。方法 该符合HIPAA法案的研究经机构审查委员会同意且所有病人签署了知情同意书。 相似文献
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陈海蛟 《现代泌尿外科杂志》2007,12(3):203-203
患有肾病的男性中ED发病率很高。枸橼酸西地那非是勃起功能障碍的高效治疗药物,严重肾功能不全会使该药清除率下降,但在血透治疗的终末期肾病患者中,该药的药代动力学和血液动力学研究尚未见报导。为了研究血透患者中,该药的药代动力学和血流动力学变化,Grossman EB等人让15例慢性门诊血透维持患者在血透前2h及血透后2h口服单剂西地那非,先服哪一次进行随机分配确定。 相似文献
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Yulu Miao Mingxia Zhang Yulin Nie Wan Zhao Bin Huang Zhengming Jiang Shaoxiong Yu Zhibin Huang Hongjin Fu 《中国神经再生研究》2007,2(2):126-128
BACKGROUND: Besides local changes of cranial parenchymal cells, hemorrhage, etc., severe traumatic brain injuries also cause the changes of total body fluid and various functions, and the changes of lymphocytes and T lymphocyte subsets should be paid more attention to. OBJECTIVE: To reveal the changing laws of T lymphocyte subsets after severe traumatic brain injury, and compare with mild to moderate brain injury. DESIGN: A comparative observation. SETTINGS: Department of Neurosurgery, Longgang District Buji People's Hospital of Shenzhen City; Central Laboratory of Shenzhen Hospital of Prevention and Cure for Chronic Disease. PARTICIPANTS: All the subjects were selected from the Department of Neurosurgery, Longgang District Buji People's Hospital of Shenzhen City from August 2002 to August 2005. Thirty patients with severe brain injury, whose Glasgow coma score (GCS) was ≤ 8 points, were taken as the experimental group, including 21 males and 9 females, aging 16 - 62 years. Meanwhile, 30 patients with mild traumatic brain injury were taken as the control group (GCS ranged 14- 15 points), including 18 males and 12 females, aging 15 -58 years. All the subjects were in admission at 6 hours after injury, without disease of major organs before injury Informed consents were obtained from all the patients or their relatives. METHODS: (1) The T lymphocytes and the subsets in peripheral blood were detected with immunofluorescent tricolor flow cytometry at l, 3, 7 and 14 days after injury in both groups. (2) The conditions of pulmonary infections were observed at 4 days after injury. The differences of measurement data were compared with the t test. MAIN OUTCOME MEASURES: Changes of T lymphocytes subsets at 1 - 14 days after severe and mild or moderate traumatic injury. RESULTS: Finally, 28 and 25 patients with mild to moderate traumatic brain injury, whereas 25 and 21 patients with severe traumatic brain injury were analyzed at 7 and 14 days respectively, and the missed ones died due to the development of disease. (1) Changes of T lymphocyte subsets: At 1 and 3 days after injury, CD3, CD4, CD8, CD4/CD8 began to decrease, whereas CD8 increased in the experimental group, which were very significantly different from those in the control group (t =2.77 - 3.26, P 〈 0.01), and began to recover at 7 days, which were significantly different from those in the control group (t = 2.06 - 2.24, P 〈 0.05), and generally recovered to the normal levels at 14 days (P 〉 0.05). (2) Conditions of pulmonary infections: At 4 days after injury, the rate of pulmonary infection was significantly different between the experimental group and control group [73% (22/30), 0, x2=37.29, P 〈 0.01]. CONCLUSION: Patients with severe traumatic brain injury suffer from damages of cellular immune function at early period (within 7 days), and they are easily to be accompanied by pulmonary infections. 相似文献
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