简介：Objective:Tosummarizethereconstructionexperienceoftheelectricalinjuriesinemergency.Methods:All309woundsin105patientswhosufferedfromelectricalinjurieswerereviewedduringa10yearperiodfromJan.1st1986toDec.31st,1996.Treatmentmethod,patientdataandresultswerecomparedandanalyzed.Acomprehensiveurgentreconstructionalternativeusedinallcasesincludedthefollowings,1)debridingthewoundinemergency,2)preservingthevitaltissuesasmuchaspossible,evendevitalizedtissuesorlocalnecrosis,3)transplantingthesevitaltissuesduringthefirstsurgeryifthefunctionalreconstructionrequired,4)nourishingthewoundbedbytissueflapscoveringwithrichbloodsupply,5)improvingflapsurvivalbycontinuousirrigationfor24-720hoursbeneaththeflapswithacompoundmedicineaftersurgery.Results:Satisfactoryresultswereobtainedwiththeextremitylossratiooflessthan7%inthisgroupcomparedwith42.5%whichwas10yearsbefore1984inthesamehospital.Conclusions:Thisurgentcomprehensivereconstructionalternativeisaneffectiveandworkablemethodforreducingextremitylossofelectricalinjuries.

简介：与多重损伤在病人为错误诊断探索特征，治疗结果和原因的目的，以便减少错误诊断的发生。从1997年8月被同意进入我们的部门到2008年8月的有多重损伤的3163个病人全部的方法A，回顾地被学习比较诊断和治疗的特征。有2117男性(66.93%)，有平均数的1046女性(33.07%)36.46年变老(范围，14-80年)。象一般地位，创伤的条件，诊断和治疗状况，预后和死亡那样的参数被分析。错误诊断组和正确诊断组之间的差别以阐明的损害，复杂并发症和治疗结果的严厉被比较错误诊断的原因和预防。结果在这研究的多重损伤的错误诊断率是16.19%。误诊的主要解剖地点是手足和骨盆(299个位置，39.50%)，腹的区域和骨盆的机关(148个位置，19.55%)，并且胸的区域(109个位置，14.40%)。在错误诊断组，ISS，一些医院停留，知觉的骚乱的率，批评盒子和吃惊，盒子是33.78吗？

简介：Objective:Toexplorethecharacteristicsofclosedabdominalinjuryinpregnancywomenanditstreatment.Methods:Theclinicaldataof37pregnancypatientswithclosedabdominalinjurytreatedinourhospitalfromJune1993toJune2003werecollectedandanalyzed.Results:Allthe37patientsweretreatedwithoperation.Amongthem2earlypregnancypatientswithintestinalruptureand1patientwithretroperitonealhematomaweretreatedunderlaparoscope;inother34pregnancypatientslaparotomywasperformed.Ofthe34patients8usedcesareansectionbecauseprematureseparationofplacentaandenlargedwombinterruptedthemanagementofintra-abdominalorganinjury.Inthe37patients33(89.1%)werecured,4(10.8%)die,postoperativecomplicationratewas16.2%(6/37).Twopatients(5.4%)sufferedfromabdominalcavityinfection,3(8.1%)frompulmonaryinfection,and1(2.7%)hadmulti-organfailure.Conclusions:Forpregnancypatientswithclosedabdominalinjury,besidesobstericdiseasesintra-abdominalinjuryshouldbegivenmuchattention.Accuratediagnosisandtimelytreatmentcangainthetimetosavethelifeofbothmotherandfetus.

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简介：客观：为了调查与外部fixator在处理期间测量主要axials火车的不同方法并且发现，合适的压缩在一个早阶段由外部fixator装载了。方法：十八只健康大耳朵的兔子随机根据不同测量方法被划分成二个组：组织A和组B。在组A，一个紧张计量器与502胶水在外部胫骨的外皮被加，并且在组B，一个骨头cement-coatedstrain计量器在内部胫骨的外皮上被安装。组A和B被划分成二亚群A1，A2和B1，B2，分别地根据一半并且与身体重量一样的压力。Z塑造左中间柄的胫骨的截骨术被externalfixator执行并且修理。结果：组A的sealer曲线在早阶段期间戏剧性地变化了。当后者紧张价值比前者高时，内部、外部的外皮的Thetrendlines在到达稳定的阶段以后一致地去了。到达最稳定的年龄的组B的时间是短的，但是它的绝对紧张价值是不到组A的。在他们被贴在稳定的阶段以前，当亚群B1和B2的结果是一样的时，亚群A1的拒绝的速度比SubgroupA2的慢慢地是更多。在它衰退了以后，当时，组A有一个上升趋势组Bdidn“t。在他们到达了稳定的阶段，两亚群A1和A2had以后一个衰退趋势当亚群A2比亚群A1快速是更多时，当亚群B2波动时，亚群B1在明确的水平被保留。结论：在外部fixatorcan下面的轴的紧张被骨头水泥测量在vivo的涂紧张的计量器。数据可以建议身体重量负担的那一半对外部fixator合适。

简介：

简介：对学习客观解剖并且biomechanical骶的小花梗和侧面的质量展示以便为骶的小花梗和侧面的质量的临床的螺丝钉固定技术提供参考。60成年病人骶骨和尾臀骨的螺线CT图象全部的方法A随机被选择。骶的小花梗和侧面的集体螺丝钉的入口点被决定，并且螺丝钉轨道用三个维的重建方法被测量。同时，粗野解剖在15个成年死尸标本被细看决定骶的小花梗和侧面的质量拧紧入口点。骶的小花梗和侧面的集体螺丝钉轨道的长度，宽度和角度被测量。15个死尸标本中的八个被选择测试骶的小花梗和侧面的集体螺丝钉的最大的抽取力量。小花梗和侧面的集体螺丝钉技术对待的15个盒子的临床的数据镇定、分析。结果S1-S5骶的小花梗和侧面的集体螺丝钉轨道的直径和长度是常规的，与大约20?牧潯敶吗？

简介：Objective:　Tostudytheclinicalfeaturesofcraniocerebralinjury(CI)intheaged.　　Methods:　Thedataof149oldpatientswithCIhospitalizedinthedepartmentfromJuly1991toMay2000werestudiedretrospectivelyinthisstudy.Thecausesofinjury,traumaticpathology,clinicalmanifestationandcausesofdeathwereanalyzed,too.　　Results:　Automobileswerethemainvictim-makers,andfallswerethesecond.Andtherewasnosignificantdifferencebetweenthefirsttwokindsofvictim-makers.Thepatientssufferedmainlyfromcerebralcontusion,intracerebralhematomasandsubduralhematomas,andrelativelyfewerfromepiduralhematomas.ThescoresofGlasgowComaScale(GCS)wererelatedcloselytotheprognosiswhenhospitalizedorbeforesurgicaltreatment.Thetotalmortalityratewas37.5%inthisstudy.Themaincauseofdeathwasbraininjury.　　Conclusions:　TheoldpatientswithCIhaveahighmortalityrate.Andthecausesofinjury,traumaticpathologyandclinicalmanifestationarepeculiarintheaged.

简介：

简介：Objective:Theextremityinjurypatternafteramajorearthquakeisnotwellunderstoodbecausedataonthistypeofinjuryandmanagementarelimited.Theaimofthisstudywastoanalyzethedataoftraumapatientswithex-tremityinjuryintheearthquakeofBarnIran,registering6.6ontheRichterscale.Methods:Wereviewedmedicalrecordsof486patientsadmittedtohospitalsofTehranUniversityofMedicalSciences.Amongthem,274patientssustainedextremityinjuries.Thisgroupwascomposedof138females(50.4%)and136males(49.6%)and213cases(77.7%)wereunder40yearsofage.Results:Fracturewasthemajortypeofinjury(58.4%ofextremityinjuries).Themostcommonsitesofinjurywerelowerextremities(185patients,67.5%ofallvictims).Pelvic&ribfracturesandabdominalinjurieswerethemostfre-quentlyassociatedinjuries.ThemeanISSwas6.2±4.0,and61%ofthepatientshadISS≤7.Amputationanddeathoccurredin2.9%and2.5%ofcases,respectively.Conclusions:Specialattentionshouldbegiventodeal-ingwithorthopedicinjuriesinsimilardisastersinthefuture.

简介：探索临床的特征和风险因素的目的在受不了骨质疏松症相关的破裂以及有效干预的病人重新断裂。从2006年1月的方法到2008年1月，我们的医院里的门诊病人和住院病人是超过50岁并且受不了骨质疏松症相关的破裂的人，为这研究被选择。他们被划分成破裂组并且重新断裂组。重新断裂率被跟随在上面为2，年，11个病人在期间发展了重新断裂，因此在重新断裂组被包括。因此，273个病人，225个第一破裂的盒子，变老(67.7

简介：Toprovidetheoreticalbasisforeffectandmechanismofpercutaneouslumbardiscectomyinclinic.Methods:Atotalof180patientswithlumbarintervertebraldischerniationwereevaluatedbyCTonthefifthdaybeforeandafteroperation.Meanwhile,CTvaluewasmeasuredinthedeterminedlevelandregion.Results:Afteroperation,CTvalueofthecentralandposteriordeterminedpointofherniatedintervertebraldiscwaslowersignificantlythanthatbeforeoperation(P<0.01),butCTvalueoftheanteriordeterminedpointwasdifferentinsignificantly.Theexcellentandgoodresultsofthepatientstogetherwere83%postoperatively.Conclusions:Thecurativeeffectofpercutaneouslumbardiscectomyisachievedthroughreductionoflumbarintradiscalpressure.

简介：ＴＤｅｐａｒｔｍｅｎｔｏｆＣｌｉｎｉｃａｌＲａｄｉｏｌｏｇｙ，ＦｉｒｓｔＨｏｓｐｉｔａｌ，ＢｅｉｊｉｎｇＭｅｄｉｃａｌＵｎｉｖｅｒｓｉｔｙ，８ＸｉｓｈｉｋｕＳｔｒｅｅｔＢｅｉｊｉｎｇ１０００３４，Ｃｈｉｎａ（ＷａｎｇＲＧ，ＧａｏＹＪａｎｄＬｉＳＮ）Ｄ...

简介：Objective:TostudytheepidemiologicalcharacteristicsandpreventivemethodsofroadtrafficcrashesinamountaincityinwesternChinathroughsamplinginvestigationoftrafficcrashesindifferentregionsofChongqingcityinrecentyears.Methods:Twopoliceteamsoftrafficmanagementindowntown,twoteamsinsuburb,oneteamincountyandonefreewayteamwererandomlyselected,androadtrafficcrashesbetween1988and1997wereinvestigatedandanalyzed.Results:Atotalof13121roadtrafficcrasheswith6201crasheswithcasualtieswereanalyzed.TheincidenceofcrasheswashigherinMay,JuneandJuly,andonFridayandWednesdayandat8:00-12:00and14:00-18:00withinaday.Casualtieswere44.0%inpedestriansand42.5%inpassengersoftotalcasualties.Thedeathsandsevereinjuriesinpedestrianswere59.1%oftotaldeathsand56.4%oftotalsevereinjuries.Theageofdriversandpassengersweremainlyat18-30years,followedby31-40years.Peopleover60yearsoldaccountedfor24.1%oftotalpedestriancasualty.Headinjurywasthemostcommonreasonfordeaths.Themainreasonsforthesecrasheswereimproperdrivingandviolatingtrafficlaws.Violatingtrafficlawsbypedestrianwasoneofthemainreasonsforpedestriancasualty.Conclusions:Thecrashesarerelatedtothecharacteristicsofgeography,climate,societyactivityofpeople,andthesenseoftrafficsafety,thebasictrafficconstructionandmanagementinChongqing.ThetrafficcasualtyofpedestrianisabigprobleminChongqing.Topreventanddecreaseroadtrafficinjurieseffectivemethodsshouldbeworkedoutandpropagandaontrafficsafetyandtrafficmanagementshouldbestrengthenedaccordingtodifferentcharacteristicsofdifferentregions.Tostrengthenthefirstaidandtreatmentofcranium-braininjuryandchest-backinjuryisalsohelpfulindecreasingtrafficdeaths.

简介：客观：在中间的头部的窝底(EHMCFB)探索临床的特征，CT表明和创伤的额外的硬脑膜下血肿的起作用的指示。方法：有到2000年5月的从1997年1月的创伤的EHMCFB的14个盒子的一个总数回顾地被分析。结果：14个盒子，维持的12个盒子(85.7%)形成水塘的禅宗ge为被压的ambiens；11个盒子收到了操作的人，都被治好；3收到了保守治疗，2更好变得，1死了。结论：在创伤的EHMCFB，形式水塘变化ambiens容易发生。因此，如果显得日益增多地加重了，形式在水塘以后水塘换掉ambiensambiens正在被压，一早nd活跃操作必要、关键。

简介：Objective:Toexploretheoptimaltreatmentforcraniocerebraltraumacomplicatedwiththoraco-abdominalinjuries.Methods:Atotalof2165casesofcraniocerebraltraumacomplicatedwiththoraco-abdominalinjuriesadmittedtoourhospitalbetweenJuly1993andJune2003wereretrospectivelystudied.Amongthem,382casessustainedseverecraniocerebraltrauma(inwhich167werecomplicatedwithshock),733thoracicinjuries,645abdominalinjuriesand787thoraco-abdominalinjuries.Onadmittance,294caseshaddevelopedshock.Withtheprimegoalofsavinglife,respiratoryandcirculatorysystemsandencephalothilipsiswereespeciallytreatedandmonitored.Priorityinmanagementwasdirectedtosevereoropeninjuresratherthantomoderateorclosedinjures.Forcaseswithcerebralherniaduetointracranialhematomaandsevereshockduetobloodloss,cerebralherniaandshockweretreatedconcurrently.Results:Aftertreatment,2024(93.49%)casessurvivedandtheother141(6.51%)died.Amongpatientswhohadseverecraniocerebralinjurywithshockandthosewithout,78(46.71%)and53(24.56%)died,respectively.Forpatientswhohadunderwentcraniocerebralandthoraco-abdominaloperationsconcurrentlyandthosewhohadnot,thedeathrateswere58.49%-65.96%and28.57%respectively,indicatingasignificantdifference(P<0.05).Conclusions:Treatmentforhematomahernia,shockanddisturbedrespirationisthekeyinthemanagementofmultipletraumaofcraniocerebral,thoracicorabdominalinjuries,especiallywhentwoorthreeconditionsoccurredsimultaneously.Unlessitisnecessary,operationsattwodifferentpartsatthesametimeisnotrecommended.Itispreferredtostarttwoconcurrentoperationsatdifferenttime.

简介：Objective:Tomonitorthesystemicgeneexpressionprofileinamurinemodeloflipopolysaccharide-inducedacutelunginjury.Methods:Acutelunginjurywasinducedbyintratrachealinjectionoflipopolysaccharidein3mice.Another3normalmicereceivingsamevolumeofnormalsalineweretakenasthecontrols.Thecomprehensivegeneexpressionprofilewasmonitoredbytherecentlymodifiedlongserialanalysisofgeneexpression.Results:Atotalof24670tagsrepresenting12168transcriptsinthecontrolmiceand26378tagsrepresenting13397transcriptsinthemicewithlunginjurywereidentifiedrespectively.Therewere11transcriptsincreasingand7transcriptsdecreasingmorethan10foldsinthelipopolysaccharide-treatedmice.ThemostoverexpressedgenesinthemicewithlunginjuryincludedserumamyloidA3,metallothionein2,lipocalin2,cyclin-dependentkinaseinhibitor1A,lactatedehydrogenase1,melatoninreceptor,S100calcium-bindingproteinA9,natriureticpeptideprecursor,etc.Mitogenactivatedproteinkinase3,serumalbumin,complementcomponent1inhibitor,andATPsynthasewereunderexpressedinthelunginjurymice.Conclusions:Serialanalysisofgeneexpressionprovidesamolecularcharacteristicofacutelunginjury.

简介：Objective:Toexplorethecausesoftheformationoftraumaticcarotid-cavernousfistulasandthetherapeuticeffectofdetachableballoonand/orcoilembolizationandthepreventionofitscomplications.Methods:FromOctober,1992toMarch,2002,17patientswithtraumaticcarotid-cavernousfistulasweretreatedwithdetachableballoonand/orcoilembolizationinourhospital.TheclinicaldataandimagingfeaturesofCT,MRandselectiveangiogramofthesepatientswereanalyzed.Results:Oneweekaftertreatmentwithembolization,theclinicalsymptomsofthe17patientswereremitted,andopticcacophony,nystagmus,exophthalmosanddropsyofconjunctivadisappeared.Twopatientsmanifestedsurgicalcomplications,onepatientdied.Sixteenpatientssurvived.Theywereallfollowedupformorethan2years,whichshowedonepatienthadhandicapinmovement,andinonepatientthesignsandsymptomsoftraumaticcarotid-cavernousfistulasreoccurred2monthsaftertreatment.Conclusions:Thedetachableballoonand/orcoilembolizationissafeandreliable.Itisagoodmethodtotreattraumaticcarotid-cavernousfistulas.

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简介：客观：在单个教材扩大(矿泉)和高密度的oligonucleotideDNA数组的帮助下学习在earliergestational皮肤和老鼠的以后的gestational皮肤之间的基因表示的差别理解scarlesshealing的分子的机制。方法：全部的RNA从疤更少(E15)的胎儿的老鼠皮肤被孤立怀孕期(学期=21.5天)的形成andscar(E18)时期。从更早的gestational皮肤(EGS)和以后的gestational皮肤(LGS)的RNA相对地两个都被抄录到cDNAs，然后为由矿泉方法准备杂交探针用荧光灯的dCTP的加入标记。Themixed探针当时是到包含了5的oligonucleotideDNA数组的hybridized代表5705老鼠基因的705根探针。在高度紧的洗以后，这些DNA数组被扫描因为显示差别的荧光灯的信号表示了在2组skin.Results之间的基因：在5705老鼠基因之中，与差别有53基因(0.93%)在EGS和LGS组，之间的表示层次27基因，包括成纤维细胞生长因素2(FGF2)并且follistatinwere起来调整(0.47%)并且26基因是下面调整的(0.46%)在胎儿的皮肤在scarlessperiod对形成疤的时期期间。在EGS的FGF2和follistatin的更高的表情被RT-PCR方法也比那些inLGS揭示。结论：高密度的oligonucleotideDNA数组为调查微分基因表示在提供了一个强大的工具更早并且latergestational胎儿的皮肤。这种技术验证胎儿的疤更少愈合的机制是很复杂化，许多基因表情的变化与胎儿的疤被联系更少的愈合。