股前外侧皮瓣主要皮血管的体表定位

在100侧成人的股前外侧皮区,用超声多普勒仪探测了主要皮血管的声点。有92％的声点分布在以髂前上棘至髌骨外上缘连线中点为圆心,3cm为半径的圆内,其中在圆的外下1/4区最为集中,占80％。提示临床设计股前外侧皮瓣时可参考此划线区进行主要皮血管定位。     

Burn and Damage by Lipid Peroxidation

In this study,the plasma and erythrocyte(RBC)lipoperoxidation rates,the contents of antioxidant vitamin E(VE)and the activities of antioxidationenzyme SeGSHP_x of plasma and RBC in the patients with burn were determinedon the 1st,3rd,5th,10th and 15th days after burn.The results showed that ascompared with healthy subjects,the contents of Iipoperoxide were increased,and thelevels of VE and the activities of SeGSHP_x were decreased significantly.Thechanges became more significant with the time elapsing,and the most significantchanges were on the 10tb days postburn.In the meantime the percentages of RBCspontaneous hemolysis and the activities of SeGSHPx were increased,and thecontents of VE in RBC were decreased markedly.The regularity of the changes inthe lipoperoxidation rates of plasma and RBC was in accordance with that in thecontents of VE in them.The degrees of the changes in the LPO and VE contentsand the SeGSHPx activities in plasma were in relation to the extents of burn.Onthe 53th,65th and 85th days during recovery postburn,the changes were stillsignificant compared to the healthy subjects,although they had a tendency torestore.     

一次手术全耳廓再造术之改进(附12例报告)

本文报告了改进的一次全耳廓再造手木的方法,即利用耳后乳突区皮肤作两条皮下隧道,将预先塑形好的肋软骨分别插入,然后翻起颞筋膜复合瓣形成耳廓。12例术后耳廓血运好,形态满意。     

电击伤局部早期处理37例报告

本文对37例电击伤的早期局部处理进行了总结。认为电击伤的早期清创在伤后一周内进行为宜。骨烧伤可用游离皮瓣覆盖或凿除死骨后在新鲜骨面上直接覆盖刃厚皮片,若骨烧伤范围过大则待死骨自行分离后于肉芽创面上植刃厚皮片。     

股前外側皮瓣及其游离移植的应用

自显微外科技术发展以来,临床和解剖学者对皮瓣供区进行了大量的研究,可用的供区日益增加。各类皮瓣有不同的优缺点,不断地发现新的供区可使临床应用具有更大的选择余地。我们曾对皮瓣血供规律进行过系统研究,根据这些规律可以引导人们发掘更多的皮瓣新供区。我们对股部前外侧区皮肤血供进行解剖学观察时,发现由旋股外侧动脉降支     

大张中厚皮早期修复手部深度烧伤

1958年Arte报告伤后5天内切痂植皮术治疗手部深度烧伤,1964年Moncrief进一步描述了手部切痂植皮手术操作及疗效分析。1978年4月至1985年4月,我院对手背深度烧伤行早期切削痂立即用大     

烧伤与脂质过氧化损伤

本文观察了烧伤患者15天内血浆和RBC的脂质过氧化速率,VE含量和硒谷胱甘肽过氧酶SeGSHPx活性的变化.结果表明血浆脂质过氧化物LPO含量增加,VE含量和SeGSHPx活性降低,以伤后10天为最显著:RBC的自发性溶血百分率和SeGSHPx活性增加,RBC VE含量降低。血浆和RBC的脂质过氧化速率增加和它们的VE含量降低的变化规律相一致。血浆LPO和VE含量以及SeGSHPx活性变化幅度与烧伤严重度相关。     

烧伤切(削)痂植皮手术操作的几个问题探讨

本文报道了55例烧伤切(削)痴植皮手术操作几点改良;切(削)痴植皮时失将自体皮贴附创面,然后覆盖异种皮;植皮时应用“皮预制板”及肢体切(削)痴植皮时均使用止血带,不仅可缩短手术时间,减少出血量,而且提高了植皮质量。     

肩胛旁皮瓣游离移植10例报告

肩胛旁游离皮瓣的临床应用及解剖学研究已有报道。此皮瓣的血管恒定,供区隐蔽。我院自1983年6月以来用此皮瓣为10例患者做了头面部及上下肢软组织缺损修复,获得良好疗效,报告如下。 临床资料 本组10例,9例成功,1例失败。男5例,女5例。年龄13—56岁。皮瓣最小为14×     

严重电击伤抡救成功一例报告

患者王某,男性,14岁于1983年5月24日因头部、肩部触及一万伏高压电致伤,从2米高处跌落,即时不省人事,伤后五小时急诊入院。检查:体温36.9℃,脉搏130/分,呼吸30次/分,血压110/70mmHg。无尿,面色苍白、神志不清。心音弱,呼吸音粗糙,未闻及干湿性啰音。全身浅反射消失、深反射减弱。头顶部皮肤烧焦、颅骨外露9×7cm,呈碳黑色,枕部皮肤烧焦6×4cm,枕骨外露。颈部有一