(足母)趾胫侧趾底动脉逆行岛状皮瓣的临床应用

Objective To study the therapeutic effect of reverse island flap based on tibial plantar digital artery for soft tissue defect at the distal end of first toe. Methods 18 cases with soft tissue defect at the distal end of first toe were treted with reverse island flap based on tibia] plantar digital artery. Results The patients were followed up for 6 ～ 12 months(mean 9.5 months). All the flaps survived completely with good functional and cosmetic results. Conclusions The reversed island flap based on tibia] plantar digital artery has a reliable blood supply and is adjacent to the recipient area. It is practical and suitable for soft tissue defect at the distal end of first toe.     

(足母)趾胫侧趾底动脉逆行岛状皮瓣的临床应用

目的 探讨采用各级政(足母)趾胫侧趾底动脉逆行岛状皮瓣修复(足母)趾远端软组织缺损的临床效果.方法 2003至2008年,根据(足母)趾远端软组织缺损的情况,对18例患者采用(足母)趾胫侧趾底动脉逆行岛状皮瓣修复.通过随访观察(足母)趾外形、功能恢复情况,了解临床疗效,总结优缺点.结果 术后随访6～12个月,18例皮瓣全部成活,修复后(足母)趾远端外观尚好,趾端无明显触痛,功能恢复满意.结论 躅趾胫侧趾底动脉逆行岛状皮瓣血管走行相对较为恒定,皮瓣供、受区距离较近,转移方便,手术操作容易,是修复(足母)趾远端软组织缺损的较好方法.     

老年急性心肌梗死心律失常临床分析

目的探讨老年急性心肌梗死心律失常的临床诊治措施。方法选取本院2009年1月至2011年12月38例急性心肌梗死伴心律失常的老年患者为观察对象,分析临床病情采取综合诊措施,指导临床诊治实践。结果 38例患者经综合性的诊治后,12例治愈,24例有效,2例无效,临床有效治愈率达94.73%。结论老年急性心肌梗死心律失常患者病情特殊,区别对待综合治疗的诊治措施值得临床应用。     

(足母)趾胫侧趾底动脉逆行岛状皮瓣的临床应用

Objective To study the therapeutic effect of reverse island flap based on tibial plantar digital artery for soft tissue defect at the distal end of first toe. Methods 18 cases with soft tissue defect at the distal end of first toe were treted with reverse island flap based on tibia] plantar digital artery. Results The patients were followed up for 6 ～ 12 months(mean 9.5 months). All the flaps survived completely with good functional and cosmetic results. Conclusions The reversed island flap based on tibia] plantar digital artery has a reliable blood supply and is adjacent to the recipient area. It is practical and suitable for soft tissue defect at the distal end of first toe.     

(足母)趾胫侧趾底动脉逆行岛状皮瓣的临床应用

Objective To study the therapeutic effect of reverse island flap based on tibial plantar digital artery for soft tissue defect at the distal end of first toe. Methods 18 cases with soft tissue defect at the distal end of first toe were treted with reverse island flap based on tibia] plantar digital artery. Results The patients were followed up for 6 ～ 12 months(mean 9.5 months). All the flaps survived completely with good functional and cosmetic results. Conclusions The reversed island flap based on tibia] plantar digital artery has a reliable blood supply and is adjacent to the recipient area. It is practical and suitable for soft tissue defect at the distal end of first toe.     

(足母)趾胫侧趾底动脉逆行岛状皮瓣的临床应用

Objective To study the therapeutic effect of reverse island flap based on tibial plantar digital artery for soft tissue defect at the distal end of first toe. Methods 18 cases with soft tissue defect at the distal end of first toe were treted with reverse island flap based on tibia] plantar digital artery. Results The patients were followed up for 6 ～ 12 months(mean 9.5 months). All the flaps survived completely with good functional and cosmetic results. Conclusions The reversed island flap based on tibia] plantar digital artery has a reliable blood supply and is adjacent to the recipient area. It is practical and suitable for soft tissue defect at the distal end of first toe.     

(足母)趾胫侧趾底动脉逆行岛状皮瓣的临床应用

Objective To study the therapeutic effect of reverse island flap based on tibial plantar digital artery for soft tissue defect at the distal end of first toe. Methods 18 cases with soft tissue defect at the distal end of first toe were treted with reverse island flap based on tibia] plantar digital artery. Results The patients were followed up for 6 ～ 12 months(mean 9.5 months). All the flaps survived completely with good functional and cosmetic results. Conclusions The reversed island flap based on tibia] plantar digital artery has a reliable blood supply and is adjacent to the recipient area. It is practical and suitable for soft tissue defect at the distal end of first toe.     

(足母)趾胫侧趾底动脉逆行岛状皮瓣的临床应用

Objective To study the therapeutic effect of reverse island flap based on tibial plantar digital artery for soft tissue defect at the distal end of first toe. Methods 18 cases with soft tissue defect at the distal end of first toe were treted with reverse island flap based on tibia] plantar digital artery. Results The patients were followed up for 6 ～ 12 months(mean 9.5 months). All the flaps survived completely with good functional and cosmetic results. Conclusions The reversed island flap based on tibia] plantar digital artery has a reliable blood supply and is adjacent to the recipient area. It is practical and suitable for soft tissue defect at the distal end of first toe.     

老年心力衰竭临床治疗分析

目的探讨老年心力衰竭临床诊治措施及效果。方法对2009年1月-2011年12月收治的38例老年心力衰竭患者的临床资料进行回顾性分析。结果 38例老年心力衰竭患者经给予利尿消肿、扩血管纠正心衰等对症综合治疗1周后,32例(84.21%)胸闷、气短、浮肿等情况明显改善,射血分数超60%,心功能有所改善,4例症状稍有缓解,仍在治疗,2例患者死亡。结论老年心力衰竭病情特殊而又危重,积极进行个体化、综合性的诊治措施有利于救治患者,使其早日康复,值得临床应用。