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        west china medical publishers
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        find Author "段祥林" 2 results
        • A case report on treatment of compartment syndrome with novel coronavirus pneumonia

          A 49-year-old male patient with compartment syndrome of the right leg caused by acute carbon monoxide poisoning was admitted on December 30, 2019. The patient had a 10-year history of chronic nephritis and began dialysis treatment due to renal failure 1 month ago. Emergency surgical decompression for compartment syndrome was performed after admission. Two weeks later, the patient was diagnosed as the novel coronavirus pneumonia caused by 2019 novel coronavirus (2019-nCoV) infection. Then, the patient was transferred to the isolation ward, where he was given anti-infection, anti-virus, expectorant, heat-clearing and detoxifying drugs, bedside dialysis, and nutrition support symptomatic treatment. After 2 weeks of treatment, the patient is getting better, with no fever, cough, wheezing, and other discomfort. Meanwhile, the sensory and motor functions of right lower limb recovered gradually. This case is rare, severe, and difficult to diagnose and treat. It is the first reported case of novel coronavirus pneumonia after orthopedic surgery.

          Release date:2020-08-19 03:53 Export PDF Favorites Scan
        • 縫匠肌蒂髂骨瓣及加壓螺釘在中青年

          目的 總結切開復位、加壓螺釘內固定及縫匠肌蒂髂骨瓣移植術治療中青年股骨頸骨折患者的臨床效果。方法 2003年2月~2005年11月,采用縫匠肌蒂髂骨瓣移植,3根空心加壓鈦螺釘內固定術,治療中青年股骨頸骨折患者52例。男37例,女15例;年齡19~52歲,平均46.4歲。車禍傷29例,墜落傷15例,跌傷8例。左側23例,右側29例。股骨頸骨折頭下型27例,經頸型18例,基底型7例。骨折按Garden分型:Ⅱ型16例,Ⅲ型25例,Ⅳ型11例。傷后至手術時間4h~15d。結果 術后切口均Ⅰ期愈合。39例獲隨訪6~41個月。35例術后23~39周骨折愈合,4例股骨頭壞死。療效評定按粱雨田等標準:優19例,良14例,可2例,差4例。髖關節功能按Harris評分標準:優良33例,平均86.1分;可2例,平均65.0分;差4例,平均51.3分。結論以縫匠肌為蒂的髂骨瓣移植及3枚空心加壓鈦螺釘內固定,可提供股骨頸骨折后股骨頭的血供,有植骨支撐,促進骨折愈合,是手術治療中青年股骨頸骨折的有效方法之一。

          Release date:2016-09-01 09:22 Export PDF Favorites Scan
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