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简介：Objective:Toanalyzetheprinciplemechanismofthearcusplantarisanditsclinicalapplication.Methods:Thestatesofforcessustainedbythearcusplantariswereanalyzedandcalculatedaccordingtothemechanismofthequadraticparabolicarch.Results:Theaponeurosisplantariscorrespondedtothepullrodofthearcusplantaris.Themedialandlaterallongitudinalarchesformedbythepedalboneswerestablewiththerod,butunstablewithouttherod.Inthelattercondition,onloading,theforcesustaingedbytheparabolicarchbecameaforcesustainedbyasimplebeam,andthearcusplantaristendedtodisappear5andtobeflattened.clinically,240feetwithtalipesequinusweretreatedwithtriplearthrodesis.In34outofthereexamined156feet,theaponeurosisplantariswascutinadditiontothetriplearthrodesisandwasimmobilizedwithcastfor3months.Oneortwoyearslater,theirarcusplantarisdisappeared,paindevelopedwhenwalking,andsomeofthemwalkedwiththemidtarsaljointagainsttheground.Then,thetriplearthrodesisandshorteningoftheaponeurosisplantariswereappliedon18cases,andosteotomyofthecalcaneusandreconstructionoftheaponeurosisplantarisweremadeon10casesandsatisfactoryeffectswereobtained.Conclusions:Inordertoachievesatisfactorytherapeuticeffectsofthetriplearthrodesis,weshouldreestablishthearcusplantarisandaccuratelytreattheaponeurosisplantarisforthebalanceofthesurroundingmuscleforce.

简介：Objective:Toprovidedetailedinformationofcoronamortisforilioinguinalapproachasananteriorapproachtotheacetabulumandpelvis.Methods:Thecourse,branchesanddistributionofthevascularconnectionbetweentheobturatorsystemandtheexternaliliacorinferiorepigastricsystemslocatedoverthesuperiorpubicramuswereobservedon50hemipelviseswithintactsofttissues.Results:Duringthedissections,72%ofthecadavericsideshadatleastonecommunicatingvesselbetweentheobturatorsystemandtheexternaliliacorinferiorepigastricsystemsonthesuperiorpubicramus.Theaveragediameteroftheconnectingvesselwas2.6mm(range,2.0-4.2mm).Itcoursedoverthesuperiorpubicramusoriliopubiceminenceverticallytoentertheobturatorforamenandexitthepelvis.Theaveragedistancefrompubicsymphysistothevascularconnectionsbetweentheobturatorandexternaliliacsystemswas52mm(range,38-68mm).Conclusions:Vascularconnectionsbetweentheobturatorsystemandtheexternaliliacorinferiorepigastricsystemswerefoundoverthesuperiorpubicramuswithahighincidence.Theyarepronetodamageduringtheilioinguinalapproachasananteriorapproachtotheacetabulumandpelvis.Thus,coronamortislocatedoverthesuperiorpubicramusdeservesgreatattentionduringtheilioinguinalapproach.

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.

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简介：全身的煽动性的反应症候群(先生)和得分系统的概念被骨头的杂志在1992定义。先生在四(发烧或降低体温，tachypnea，心悸亢进，和白细胞增多)被描述为二的出现或更多的临床的标准。Anearly在病人的全身的发炎的诊断和评价对治疗有用选举。这篇论文考察获得系统的先生的申请，它广泛地与严重损害和批评外科的疾病为批评照顾病人的大组被验证了。最近的研究在批评照顾病人作为不利结果的一个重要预兆的参数记录了先生分数。而且，一些研究也给我们上的一个建议岩山引出超载全身的反应。

简介：客观：为了学习寻找鼻音上的治疗学的效率和effecacy指导oflaser途径，为canalicular撕裂在吻合打破撕碎的眼泪的小管的结束。方法：受不了创伤的劣等的canalicular撕裂的49个病人(49只眼睛)被划分成控制组和指导激光的组。在眼泪的斑点和鼻音之间的距离撕碎的眼泪的小管的破结束是超过6公里。在眼皮损伤的管理的功课期间，病人被canalicular吻合操作在分别地在撕碎的眼泪的小管的结束找打破的鼻音与传统的方法和指导激光的方法对待。1条公里直径的硅酮试管作为stent在眼泪的经过被把管子插进4～6个月。结果：Inthe指导激光的组，在在撕碎的眼泪的小管的破结束找鼻音的吝啬的时间是(5。75±1.49)纪录，操作的吝啬的时间是(49.21±3.37)纪录；两个比控制组的显著地短(P<0.01)。指导thelaser组的痊愈率是96.55%，比控制组，但是没有统计意义(P>0.05)的高。结论：指导激光的方法对比传统的途径，和病人得更少的疼痛在撕碎的眼泪的小管的结束找打破的鼻音并且在canalicular吻合操作损坏快得多、更方便。

简介：客观：为了改进痊愈，与由craniocerebral损害复杂的腹的内脏的损害病人评价。方法：由craniocerebral损害复杂的腹的内脏的损害的176个盒子的临床的数据回顾地被分析。结果：在这个系列，44个盒子死了，死亡是25.0%。死亡的主要原因是与吃惊相结合的腹的内脏的损害和严重craniocerebral损害。结论：在早舞台由精确诊断改进痊愈率是必要的。腹的帕拉穿刺术和CT应该即时并且动态地被执行。优先级应该被给life-threateninginjuries的治疗。

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

简介：与ipsilateral联系的Hoffa骨折大腿骨的柄骨折是很稀罕的。损害的这种稀罕类型的三个盒子回顾地被考察。大腿骨的柄破裂和Hoffa破裂的地点被记录。所有大腿骨的柄破裂与内部固定被管理。为Hoffa破裂的错误诊断的率被记录。影响的膝的功能在二年后续为特殊外科(HSS)分数根据修改医院被评估。大腿骨的破裂在所有三个盒子中横向或合成。IpsilateralHoffa破裂在一种情况中在二种情况，和侧面的髁中发生在中间的髁。一仅仅Hoffa破裂外科手术前地被识别。所有大腿骨的柄破裂太平无事地愈合了。在其Hoffa骨折正确地被诊断的病人，修改HSS分数是94。在另一个病人，其Hoffa断裂，被第二个手术对待，修改HSS分数是93。并且在第三个盒子中，为Hoffa破裂拒绝了另外的操作，修改HSS分数仅仅是70。决定性地大腿骨的柄骨折能与ipsilateralHoffa骨折被联系，特别在摩托车事故。这类损害是很稀罕的，错误诊断是普通的。

简介：Tosutdythemechanicalpropertiesandtheclinicalresultsofminimum-contactplateinthetreatmentoffractures.Methods:Four-pointbendingandtorsiontestswereconductedtocomparethenewminimumcontactplate(MCP)withdynamiccompressionplate(DCP)andlimitedcontactdynamiccompressionplate(LC-DCP).Thefracturehealingtimeandgrowthofhonycalluswereobservedin29casesoflongbonefracturefixedwithMCPtoevaluatetheadvantagesofthiskindofplate.Results:The29patientswhounderwentMCPwerefollowedupfrom6to14months.Theaveragehealingtimeforfemoral,tibialandhumeralfractureswas12,13and10weeks,respectively.Allfractureswerehealed.Nodisplacementoffracture,screwpullout,deformationorhreakoftheplatewerefound.Conclusions:ThebendingstiffnessofMCPissignificantlygreaterthanthatofDCPandLC-DCP(P<0.05).MCPcanprotecttheperiostealhloodsupplyagainstavascularosseousnecrosisandacceleratehonehealing.Itisakindofreliableandeffectiveplateintreatmentoffractures.

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。

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简介：目的损伤在死亡的领先的原因之中。钝腹的损伤(蝙蝠)的医药管理依靠判定剖腹术是谁强制的病人。这研究试图决定蝙蝠病人的符号，以及paraclinical数据，并且澄清精确性，敏感，特性，临床的腹的得分系统(CASS)的积极、否定的预兆的价值，一个新得分系统基于临床的符号，在预言一个蝙蝠病人是否需要剖腹术。完全，400个病人怀疑了从2007年3月20日在二所大学医院的紧急情况部门到达了德黑兰到2009年3月19日的蝙蝠的方法在这研究被包括。他们好久被评估，性，损伤的类型，收缩血压，格拉斯哥昏迷规模(GCS)，脉搏率，在损伤以后的表示的时间，腹的临床的调查结果，呼吸的率，温度，血红素(Hb)集中，在损伤的集中的腹的sonography(快)并且CASS。我们的大小显示出的结果那CASS有94%的精确性，100%，88%的特性，90%的积极预兆的价值和在在蝙蝠病人决定剖腹术的必要性的100%的否定预兆的价值的敏感。而且在我们的分析，收缩血压，GCS，脉搏率，Hb集中，在损伤以后的表示的时间，腹的临床的调查结果并且也快被显示在为剖腹术证实需要有用(P<0.05)。结论CASS是在对剖腹术以及在在蝙蝠病人为进一步的评估最小化辅助开销的需要的快速的察觉的一个有希望的得分系统，这样支持诊断的本利的比率和精确性。

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.

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简介：Objective:Toobservetherevascularizationandtheopportunityofcross-fingerflap.Methods:Ananimalmodelwasdevelopedtopermitdailymonitoringofneovascularizationoftheflapwithautoradiography,tissuetransparenttechnique,grossobservationandhistologicalexamination.Results:Therevascularizationoftheflapwaschieflyraisedfromthesurroundingtissues.Thepediclesof334cross-fingerflapsofthepatientsweresuccessfullydividedfrom1to5dafteroperations,averagely3.3d.Allofthecasesshowedsatisfatoryresultsaccordingtoafollow-upsurveyof3to72mon.theresultsfurtherprovedthattherevascularizationofthecross-fingerflapshadaccomplishedwithin3d.Conclusions:Itsuggeststhatthedivisionofacrossfingerflapcanbecarriedoutbetweenthe3rdand5thdayafteroperationwithahighdegreeofsafety.

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