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

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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：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：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：Objective:Toreporttheexperienceinthediagnosisandtreatmentofpost-traumaticpseudoaneurysmsandarteriovenousfistulas.Methods:Aseriesof30patients(11womenand19men)withposttraumaticpseudoaneurysmswerereviewedretrospectively.Amongthem7patients(5womenand2men)wereassociatedwitharteriovenousfistula.Results:Thecausesincludedsharppenetrationtrauma(18cases),blunttrauma(6cases)andiatrogenicarterialinjury(6cases).Themainclinicalmanifestationsconsistedoflocalpulsatilemass(26cases),vascularbruits(19cases),thrill(13cases),ischemiaofdistallimb(9cases),neuropathy(5cases)andpseudoaneurysmrupture(2cases).Allpatientsunderwentsurgery.Theoperationsincluded:ligationofthevessels(12cases),surgicalresectionandprimarysuturerepainofthevasculardefectoranastomosis(11cases),vascularreconstructionwithautogenoussaphenousvein(3cases)andsyntheticvasculargraft(4cases).Conclusions:Becauseoftheimminentclinicalcourse,earlyoperationisusuallyindicated.Theoperativetreatmentiseffectiveandsafeformostofthepatientswithpost-traumaticpseudoaneurysmsandarteriovenousfistulas.

简介：Objective:ToinvestigatetherelationbetweennecrosisandapoptosisinthehippocampusofexogenousbFGFonthisprocess.Methos:WithMarmarou'smethodweproducedaseverediffusebraininjuryandstudiedthechangesinthehippocampusbyadaptingamodifiedTdT-mediateddUTP-biotinnickendlabeling(TUNEL)method.AtthesametimeweobservedtheeffectofexogenousbFGFonneuronalnecrosisandapoptosis.Results:WefoundthattogetherwithcellnecrosistherewasanincreaseinthenumberofapoptoticneuronsinthehippocampusCA2-3sectorsasearlyas4hafterinjury,withnumbersreachingamaximumat7d.ExogenousbFGFresultedinadefinitereductionintheamountofnecrosisandapoptosis.Conclusions:NeuronalnecrosisandapoptosisoccurincombinationafterbraininjuryandthatoneofthecausesmaybetheinsufficienceexpressionofthebFGFgeneinthehippocampusaftersevereinjury.ExogenousbFGFandsimilarsubstancemayproveclinicallyusefulafterbraininjurybyreducingcellnecrosisandapoptosis.

简介：Traumaticmultipleintracranialhematomas(TMICHs)areintracranialhematomas(ICHs)formedinmorethantwopositionsorwithmorethantwotypesafterheadinjury.1Thisarticlereports147casesofTMICHstreatedinourhospitalbetweenJuly1993andDecember1999.

简介：Objective:Toanalyzeretrospectivelythesurgicaltreatmentof21casesofinfectedarterialinjuriesofthemajorlimbhospitalizedfrom1989to2003inourdepartment.Methods:Afteraradicaldebridementanddrainage,anautologousvesselbypassreconstruction,simplevesselligationoramputationwerecarriedoutrespectivelyaccordingtoeachpatient'scondition.Inordertomakeabettermilieuforthegrafts,localmusculo-cutaneousflapsweretranslocatedtocoverthewoundsin9cases.Results:1case(4.8%)diedduringthetreatment.5cases(5/21,23.8%)underwentamputations.Bloodsupplyreconstructionwassuccessfulin15cases(15/21,71.4%).93.3%(14/15)ofthecasesweresuccessfulingettinganunobstructedvesselatearlystage.Thrombosisoccurredin1case(1/15,6.7%)andasoundresultwasobtainedafterasecondoperation.Conclusions:Radicaldebridementcombinedwithbypassvesselreconstructionwithautologousveinandwithmusculo-cutaneousflaptranslocationisaneffectivetreatmentforinfectivelimbvascularinjuries.

简介：Objective:Tosummarizetheperi-operativeexperiencefrom53patientswithtraumaticheadinjurieswithGCSscore3-5.Methods:Fifty-threemostseverelyhead-injuredpatientswithGCSscore3-5wereadmittedtoourdepartmentandtreatedoperativelyfromOct.1994toJun.1998andthedatawereanalyzedretrospectively.Results:Thirty-sevencases(69.8%)survived,amongthem28(52.8%)hadagoodrecoveryormoderatedisability,and9(17%)hadseveredeficits.Theother16(30.2%)diedaftertherapy.Conclusions:Theprognosisofmostseverelyhead-injuredpatientscouldbeimprovedbyperi-operativetreatmentincludingpremedicalcare,earlyevacuationofintracranialhematomawithlargedecompressivecraniectomies,intracranialhypertensionmonitoring,moderatehypothermiatherapy,effectivepreventionandtreatmentofcerebralvasospasmandcomplications.

简介：客观：调查创伤的有三个尖头的不足的外科的治疗的最佳的时间和过程。方法：从1984年5月到2004年9月，八个病人为创伤的有三个尖头的阀门不足经历了操作。所有病人，男性，从7～67年变老[中部：38年，意味着：（38。5±18。1)年]。在损伤和操作之间的间隔从1个月到20年[中部：19个月，意味着：(52.5±80.3)月)]。Inseven病人，有三个尖头的不足被归因在三个病人包括车辆事故弄钝胸损伤，另外的病人是一处stab创伤。诊断是证实的byechocardiography。在病人的外科手术前的心脏的功能作为纽约HeartAssociation(NYHA)班Ⅱ-Ⅳ被分类。在手术期间，有三个尖头的阀门的前面的传单完全或部分在所有病人由于索的破裂被乱摆。氏族的传单的索的破裂在一个病人被发现。前面的传单在二个病人被穿孔。Septalleaflet被缩回并且支持者到在二个病人的室的中隔。阀门修理为所有病人被打算。最后，阀门修理在3个病人成功地被执行，有三个尖头的代替在5个病人被执行。结果：没有早或迟了的死亡发生了。与follow-upthrough为7-129月的临床的表明和回响心动描记法[中部：39个月，平均数:(53.4±42.8)月]，所有病人作为NYHA班Ⅰ被分类，没有任何changes.Conclusions：创伤的有三个尖头的不足的令人满意的治疗能被外科的治疗获得。更早的外科可以增加有三个尖头的阀门修理的可行性并且阻止恰好室的功能的恶化。

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：客观：在旧王牌上与骨膜调查免费的肠骨的冠接枝的治疗学的有效性平坦缺点。方法：从1996年2月到2005年6月，9patients与骨膜与免费的肠骨的冠接枝被对待重建旧acetabulardefects。有7男性和2女性，平均年龄是41。3年。acetabulardefects被交通事故在3种情况中在6种情况和秋天损害中引起。处理的从损害的时间是4-13月并且平均8个月。Intraoperatively，我们第一移开以后的墙的theacetabular破裂碎片。大腿骨的头当时是reducted。骨头接枝与骨膜从肠骨的冠被收获，它与骨钳被雕刻遵循缺点。凹面(肠骨的窝)接枝的方面被放向大腿骨的头。Thegraft被二～三个腿螺丝钉安全地修理。结果：手术后的症候群没在任何盒子中被发现。哈里斯“20个系统证明分数从32涨了。3pointspreoperatively手术后地指向81。新潮的功能在3种情况中作为优秀被评估，在在2种情况中的4种情况和交易会中好。结论：尽管这个过程不能确切复制新潮的关节的解剖，它启用恢复以后的稳定性，为新潮的关节的providebone股票并且阻止大腿骨的头的脱臼。