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目的比较负压胸腔引流与胸腔闭式引流应用于胸外伤合并血气胸患者的临床效果。方法胸外伤合并血气胸106例随机分为两组,对照组50例采用传统胸腔闭式引流,观察组56例采用负压胸腔引流,对两组临床效果进行比较。结果观察组肺复张时间及出血时间均明显短于对照组,引流量明显少于对照组,两组比较差异均有统计学意义(P〈0.05)。结论负压胸腔引流应用于胸外伤合并血气胸患者临床效果更佳,值得临床关注。 相似文献
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目的 探讨负压封闭引流技术(VSD)在治疗颈部巨大恶性肿瘤术后缺损创面中的疗效及价值。方法 对15例侵犯皮肤的颈部巨大恶性肿瘤行肿瘤根治术,应用VSD覆盖创面(治疗组)。术后持续给予665~798mmHg负压引流72h,然后改用间歇负压治疗(负压治疗5min,间歇2min)。术后7~14d停止负压封闭引流,如创面肉芽组织生长良好行创面植皮术,肉芽组织生长不良则再次行VSD覆盖创面治疗1周后,行创面植皮术。另选取9例患者作为对照组,行颈部肿瘤切除加游离组织瓣移植治疗。结果 治疗组的手术时间为2~4h,平均3h;出血量为300~800ml,平均500ml。对照组的手术时间为4~8h,平均6h;出血量为500~1200ml,平均800ml。治疗组15例患者共接受17例次VSD创面治疗,经治疗后创面新鲜肉芽组织生长良好,并完全覆盖颈动脉等重要组织结构,术后1~3周创面顺利植皮,植皮愈合率为947%。对照组中1例出现移植皮瓣坏死。结论 VSD用于颈部巨大肿瘤术后缺损创面的治疗具有操作简单、减少交叉感染、促进创面愈合、患者易耐受等优点,是一种治疗颈部巨大恶性肿瘤术后缺损有效且安全的方法。 相似文献
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<正>随着体外循环设备、灌注技术及心脏外科技术的不断发展,体外循环心内直视手术的不良反应已明显减少,安全性有所提高。但体外循环术后心肌损害、心功能减退等仍有不同程度的发生,轻者仅有 相似文献
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ObjectiveTo explore the feasibility and effectiveness of modified Killian incision for nasal septoplasty.MethodsFrom Feb 2009 to June 2013, nasal septoplasty with modified incision was conducted to 382 cases with nasal septum deviation. Of them, 295 cases suffered from simple septum deviation, and 87 suffered from septum deviation with chronic sinusitis/nasal polyps. Different from Killian incision, the modified incision was located in front of the nasal septum cartilage. All 382 patients received nasal septoplasty via modified Killian incision. Meanwhile, the patients with hypertrophy of inferior turbinate were treated with inferior turbinotomy (fracture displacement or submucous resection of inferior turbinate) and those with chronic sinusitis/nasal polyps received functional endoscopy sinus surgery.ResultsThe operation time ranged from 8 to 35mins with a median time of 20 min. The amount of blood loss ranged from 10 to 80 ml with a median volume of 30 ml. All patients had been followed up for 6 to 12 months postoperatively. Deviation of nasal septum was corrected completely, nasal ventilation got improved in all the patients. No complications such as septum perforation, septum hematoma, saddle nose, or nasal adhesion occurred.ConclusionModified Killian incision can provide a clear operative field and correct the septum deformity completely in septoplasty. With advantages of reserving cartilage frame of nasal septum, less injury and bleeding, short operative time and less complication, this incision is minimally invasive for septoplasty. 相似文献
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重症胸外伤并发急性呼吸窘迫综合征的诊治体会 总被引:1,自引:0,他引:1
目的总结重症胸外伤并发急性呼吸窘迫综合征的临床特点及诊治方法。方法回顾性分析2004年1月~2011年10月本科收治的31例严重胸部外伤并发急性呼吸窘迫综合征患者临床资料。结果经积极治疗,本组31例患者治愈25例(80.6%),死亡6例(19.4%),死因为重型颅脑损伤、继发肝肾等多器官功能衰竭及失血性休克;平均机械通气时间为6.5d(2~21d)。结论重症胸外伤并发急性呼吸窘迫综合征病情危重、死亡率高,早期诊断、综合治疗以及正确使用保护性机械通气对降低病死率有重要意义。 相似文献
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目的 探讨钙化性主动脉瓣狭窄的手术治疗要点.方法 回顾性分析29例行主动脉瓣置换术治疗钙化性主动脉瓣狭窄患者的临床资料.结果 术后随访8个月,29例患者症状明显改善,心功能Ⅰ级23例,Ⅱ级4例,Ⅲ级2例;左室射血分数为52%~73%,人工瓣跨瓣压差为10~22 mmHg,室间隔及左室后壁厚度8~10 mm,重度低心排综... 相似文献
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