简介：Objective:Toexploretheinjurymechanismandtreatmentprincipleofopensupracondylarfractureofhumerus.Methods:Thedataof32patientswithopensupracondylarfractureofhumerushospitalizedinourdepartmentintherecent20yearswereanalyzedretrospectively.Onanaverage,theywerefollowedupfor30months.Therelationshipbetweenthefracturetype,situationofwounds,operatingtime,operatingmethodandtimeforpostoperativefunctionalexerciseandfinalfunctionofelbowjointwereevaluatedwithFlynnscoringstandard.Results:Excellenttherapeuticeffectwasfoundin14cases,goodin12andbadin6,withthepercentageoffinetherapeuticeffectof81.25%.Conclusions:Forthepatientswithopensupracondylarfractureofhumerus,debridementandinternalfixationshouldbemadeasearlyaspossible,forthoroughdebridementandcorrectinternalfixationarethekeypointstoimprovetheprognosis.

简介：破坏损害被定义为avery骨头和软纸巾的严重损坏。我们在一些破裂盒子中发现了那的Butin临床的实践，软纸巾的损坏不象“destructiveinjury”一样严重显示，而弄碎破裂stillcannot表演骨头损坏的严厉。因此我们proposeda新术语“destructivefractures”在把破坏损害的定义与典型诊所盒子相结合以后。破坏破裂指谁的破裂骨状的纸巾太严重被损坏被修理，但是软纸巾，神经和静脉是严重地伤害的更少，canbe修理。从一年2001～2010，破坏破裂的75个盒子被同意进入我们的部门。根据是否与外部环境连结的破裂和破裂地点，他们被划分成6种类型：al类型，关上的骨干破坏骨折；a2类型，开的骨干破坏骨折；bl类型，关上的包含关节的破坏骨折；b2类型，开的包含关节的destructivefracture；c1类型，关上的混合破坏骨折；c2类型，开的混合破坏骨折。相应临床的治疗为破坏骨折的新分类标准是的每type.The被进行简单、实际并且thuscan被用作一个重要指南为破坏破裂做合理treatmentplans。

简介：

简介：客观：研究诊断和渗透肛门直肠的创伤的有效治疗。方法：回顾的分析在从1985～2004渗透肛门直肠的创伤的16种情况中被做。肛门直肠、膀胱的创伤，烘便、尿的溪流的有效转向和足够的presacral排水的清创术和缝术在所有情况中被执行。结果：所有16个盒子被治好。在他们之中，有在presacral空间的感染的2个盒子被足够的排水在操作以后治好，在肛门括约肌失败地被修理以后，一个盒子被第二等的修理治好并且有书籍的右页的一个盒子膀胱的管与保守治疗被治好。任何一个都没他们受不了象肛门狭窄那样的复杂并发症，尿痛orimportence等等。结论：为渗透肛门直肠的创伤，到主人，伴随物的早识别伤害，到精选适当外科的干预，加强perioperativetreatment是钥匙改进药品效果。

简介：锁骨下的脉管的损害说明所有脉管的损害的1%-5%。如果没及时发现或迅速设法，锁骨下的脉管的损害是可能的引起出血性的吃惊甚至死亡。从通过2003的8月的1998的三月，有锁骨下的脉管的损害的15个盒子的一个总数在我们的部门被对待。细节在这份报告的redescribed。

简介：WeusedBastianimonoarmexternalframefixatortofixopentibialfracture,acompositeflaptransfertocoverandrepairthedefectsoftheskinandanirrigationdevicetodrainthewoundareainpatientswithinfectedopentibialfracturesinducedbyinternalfixation.Satisfactoryfunctionwasobtainedandthecosmeticresultsofboththedonerandthereceptorsiteswerealsosatisfactoryafteroperation.

简介：Chronicsubduralhematoma(CSDH)representsoneofthemostfrequenttypesofintracranialhemorrhage.ManagementofthepatientswithCSDHhasbeenevolvedthroughavastvarietyofmethodsandtechniques.Althoughthereisgeneralagreementthatsurgicaltherapyisusuallythepreferredtreatment,therearefewotherneurosurgicalconditionsthatsparksuchstrongdiscussionsanddifferencesofopinionconcerningtheoptimalsurgicaltechnique.1,2Inthispaper,wereviewadvancesinsurgicaltreatmentofCSDH.

简介：

简介：Objective:Toexploreatreatmentapproachforseverelyinjuredlowerextremities.Methods:Thedataof42patientswithseverelytraumaticlowerextremitiesfrom1989to1999wereretrospectivelyreviewed.AccordingtoMESS(mangledextremityseverityscore)themeanscoreofallthelimbswas6.24±1.45,34caseshadMESSscore<7and8caseshadMESSscore≥7.Treatmentapproachesincludedmicrovascularanastomosistechnique,compoundtissueflaptransplantationtechniqueandcompoundbonetissueflaptransplantation.Conclusions:Successfulemergencytreatmentofseverelyinjuredlowerextremitiescouldbeachievedbyusingmicrosurgerytechniquesandstrictcontrollingoflowerextremitysalvagelindications.

简介：Objective:Todiscussthediagnosisandmanagementoftraumaticcarotidcavernousfistula(TCCF).Methods:Inall15patientswithTCCFconfirmedbyangiography,8patientsgotearlydiagnosisandcure.WithSeldingertechniqueadpotedinthepunctureoffemoralartery,Magic3F-1.8FBDcatheterscombiningwithballoonwereusedtoembolizethefistulaortheinternalcarotidartery.Results:Earlydiagnosisandcurewereachievedin8patientswithinoneweekandnosequelaeoccurred.Sevenpatientswithdelayeddiagnosiswhowerecuredbeyondoneweekhadsomesequelaesuchashypopsiain5cases,incompleteoculomotorparalysesin3andincompleteabducentparalysesin2.Amongallthe15cases,theinternalcarotidarterywaspreservedin12casesacountingfor80%.Occludingthefistulawithsacrificeoftheinternalcarotidarterywasperformedin3casesandnorepatencyofthefistulaoccurredbyfollowingupbeyondthreemonths.Conclusions:ThepreferredtherapyforTCCFistooccludethefistulausingdetachableballoon.ThediagnosisandtreatmentforTCCFcansignificantlyreduceoccurrencerateofthecomplicationsandsequelae.

简介：Traumatichematomaofposteriorfossa(THPF)isaspecialkindofcraniocerebralinjurywithitsowncharacteristicsinclinicalmanifestations,diagnosisandtreatment.Ingeneral,theprognosisofTHPFispoor.Withoutearlydiagnosisandprompttreatment,theoutcomewouldbeverypoor,withhighoccurrenceofmorbidityandmortality.Sincetheavailabilityofcomputedtomography(CT)in1983,wehavereceivedandsuccessfullytreated44patientswithTHPFuntilNovember2000.

简介：

简介：

简介：Objective:Toimprovethediagnosisandtreatmentofseverecerebralfatembolism(SCFE).Methods:ThedataofninepatientswithSCFEwereretrospectivelyanalyzed.Themanifestationsofthecentralnervesystem,respiratorysystemandhemorrhagewererecorded,atthesametime,accessoryexaminationincludingarterialoxygen,fatmacroglobulesinvenousbloodandimageexaminationwasadapted.Thepatientsweretreatedwithexopexy,pharmocotherapyandoxygentherapy.Results:Twooftheninepatientsdiedofseverecomplications,theothersevenrecoveredwithoutseveresequela.Conclusions:GurdstandardshouldbeimprovedforearlydiagnosisofSCFE.Ifsverecomplicationscanbeprevented,patientswhoreceiveearlytreatmentwillhavefavourableprognosis.

简介：客观；在脚关节关节上学习远侧的tibiofibularsyndesmosis的分离的影响并且比较各种各样的起作用的方法以便为分开的远侧的tibiofibular韧带联合发现合适的稳定。方法：从1997年7月到2002年7月，我们对待87个病人(64男性和23女性，变老18-54年)与distaltibiofibular韧带联合的分离，在谁之中，79与踝的骨折被相结合。Manipulativereduction，有cancellous螺丝钉的内部固定和有灰浆支持的外部固定在37个病人，有为腓骨的骨折的板和螺丝钉的固定和固定上被执行为34个病人上的远侧的tibiofibular韧带联合的withcancellous螺丝钉，和有peroneus的腱的distaltibiofibular系带的修理渴望我们，分开的distaltibiofibular韧带联合的减小，和有16个病人上的cancellous螺丝钉的固定。当远侧的tibiofibular韧带联合与cancellous螺丝钉被修理时，脚关节关节是为30°的dorsiflexed。并且cancellous螺丝钉在操作以后在8-10星期被拿出。结果：这些病人被跟随在上面为至少二年。药品效果根据病人的抱怨被估计，脚关节的轮廓，功能和无线电报连接；优秀in55病人(63%)，在14个病人(16%)在18个病人(21%)好、公平。distaltibiofibular韧带联合的分离在为长与peroneus的腱修理远侧的tibiofibular系带经历了一个手术的2个病人复发了我们并且恢复。一个cancellous螺丝钉被折断。没有坏死在脚关节榫眼的前面的皮肤发展了。结论:远侧的tibiofibular韧带联合的分离能与各种各样的合理操作被对待。长与peroneus的腱修理我们能为远侧的tibiofibular韧带联合的完全的分离得到优秀结果。

简介：Traumatictricuspidvalveinsufficiency(TTVI)isarelativelyuncommondisease.

简介：

简介：目的将在ICU与多重损害为病人调查外科的治疗。病人们从2006年1月承认了到我们的医院的ICU到2009年1月的163多重损害的方法临床的数据回顾地被学习，包括118男性和45女性，与36.2年的吝啬的年龄(范围，5-67年)。包括的损害区域出发，颈(29个案例)，脸(32个案例)，胸(89个案例)，腹部(77个案例)，骨盆和手足(91个案例)和身体出现(83个案例)。有57个案例，与吃惊相结合。ISS价值从10～54变化了，18.42平均。病人们分别地在在内的ICU接受了外科的治疗24个小时(10个案例)，24-48小时(8个案例)，3-7天(7个案例)和8-14天(23个案例)。为163个病人，结果ICU停留的持续时间从2～29天，与7.56天的平均价值。在他们之中，143被治好(87.73%)，11由于严重出血性的吃惊(6个盒子)在医院(6.75%)里死了，craniocerebral损害(3个盒子)和多重机关失败(2个盒子)，并且9在自愿地从医院(5.52%)排出以后死了。全部的死亡率是12.27%。当多重损害病人在ICU被复活时，损坏控制原则应该被跟随的结论。外科的治疗策略活跃地包括控制出血，对待以前错过的损害和相关创伤或外科的复杂并发症并且动计划阶段手术。

简介：

简介：Objective:Toinvestigatetheindication,perioperativeannouncements,selectionofprosthesisandclinicalresultsofshoulderhemiarthroplastyforthetreatmentofcomplexproximalhumeralfractures.Methods:Atotalof55patientswhosufferedfromcom-plexproximalhumeralfracturesweretreatedbyshoulderhemiarthroplasty.Themeanagewas55.6yearsandmeanfollow-upperiodwas25.1months.Thescoringsystemmodi-ficationforhemiarthroplasty(SSMH)hadbeenadoptedforevaluationatthelatestfollow-up.Results:Thepainwasobviouslyrelievedinallpatients.Fiftypatientswerepainlessand5patientshadslightpain.Themeanrangeofmotionwas100°(90°-110°)inabduction,95°(80°-100°)inforwardflexion,35°(30°-40°)inextemalrotationandinternalrotationwasconfinedatL2level(L1-L3).ThemeanSSMHscorewas27.9(24-29).Fiftypatients(90.1%)weresatisfiedwiththeclinicaloutcome.Conclusions:Shoulderhemiarthroplastyisaneffectivemethodtotreatcomplexproximalhumeralfractures.Theproperselectionofpatientsandprosthesis,goodoperationskillandenoughfunctionalexercisearethekeypointsofsuccessfultreatment.