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缺氧条件下有机磷毒剂梭曼对大鼠心肌损伤的实验研究
有机磷毒剂--梭曼是难防难治的神经性毒剂之一,其主要中毒机理是对机体乙酰胆碱酯酶(AChE)的抑制,造成胆碱能神经系统功能紊乱,引起中毒症状[1,2].缺氧条件下梭曼中毒是可能发生在高原缺氧地区的一种特殊的化学中毒损伤,是在一种损伤(缺氧或梭曼中毒)的基础上加上另一种致伤效应(梭曼中毒或缺氧),无疑将使这种特殊损伤伤情和致伤机制复杂化,并增加救治难度.
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国产带锁髓内钉治疗浮膝损伤八例
创伤性浮膝损伤是一种严重下肢特殊损伤,因其合并症多,后遗症重治疗较为困难.2001年~2004年我科采用国产胫骨带锁髓内钉及股骨逆行带锁髓内钉治疗8例浮膝损伤患者取得了满意的疗效.
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腹直肌肌皮瓣修复胸部慢性放射性溃疡的应用
目的 总结应用腹直肌肌皮瓣修复胸部慢性放射性溃疡的经验.方法 2010年以来收治胸部深度放射性溃疡6例,全身麻醉下行胸壁放射性溃疡创面清创,切除坏死软组织及变性肋骨,根据缺损大小及形状,切取带有腹壁上动静脉血管蒂的腹直肌肌皮瓣转移修复胸壁缺损,重建胸壁.其中4例采用纵行腹直肌肌皮瓣;2例采用横行腹直肌肌皮瓣修复,供瓣区给予游离皮片移植或缝合修复.结果 1例患者皮瓣边缘与创缘愈合不佳,给予扩大切除局部病变皮肤范围后缝合修复.其余皮瓣成活良好,创面修复满意.术后随访1~3年,溃疡无复发,供瓣区无腹壁疝形成.结论 清创后,应用血运丰富的腹直肌肌皮瓣覆盖,可有效修复胸部慢性放射性溃疡,是一种简单、安全、有效的治疗方法.
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热贯通伤、热盲管伤的治疗体会
热贯通伤、热盲管伤是一种机械暴力与高温烧伤同时作用的严重复合伤,在机械暴力所致皮肤与软组织缺损的基础上,往往合并以贯穿点为中心呈圆形的皮肤烧伤,是一种在职业特定环境中所致的特殊损伤[1].对于此种病人的治疗方案目前尚无统一意见.我院自2000年以来共收治此种病人15例,其中皮瓣移植治疗2例,行手术探查后保守治疗4例,完全保守治疗9例,均取得较理想效果,现报告如下:
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创新,卫勤的腾飞之路——第二军医大学卫勤系创新驱动科学发展的启示
2012年9月,在"十二五"全军5项军事医学重大项目立项中,第二军医大学卫勤系承担的课题,某海域"特殊损伤卫勤保障策略与关键技术研究"榜上有名.这是继201 1年7月他们建成我军首个卫勤决策支持平台后的又一次飞跃.2012年10月,卫勤系卫勤决策支持实验室,获批成为首个全军卫勤重点实验室……
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颅脑损伤合并腹腔脏器损伤的诊治
颅脑损伤合并腹腔脏器损伤是颅脑损伤中的特殊损伤,其病理生理变化极其复杂,治疗原则不同于单纯颅脑损伤,预后也具有特殊性.我科从1995年~2005年10年间共收治此类病人42例,现作如下报告.
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吻合血管或带蒂皮瓣移植修复四肢组织缺损
我们自1990年至今,采用吻合血管或带蒂皮瓣移植,修复电击伤、热压伤、毒品局部注射等特殊损伤所致四肢软组织缺损32例,获满意效果,报道如下.
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重视特殊损伤的治疗与探索
Treatment of " extraordinary injuries" is a major challenge for surgeons major in burn care and plastic surgery, though they are experts in wound treatment and repair.The " extraordinary injuries" is very complicated, and its treatment needs multidisciplinary cooperation.Surgeons not only have to master the relevant knowledge, but also should have the expertise to choose the appropriate treatment targeting the special pathological characteristics of the extraordinary wounds.Therefore, surgeons should learn and aggregate more knowledge regarding extraordinary injuries, strengthen muture communication, and encourage research work.
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特殊损伤救治带来的启示和思考
With the development of modern society, the range of disease spectrum is changing, and risk factors leading to human trauma and damage are also in the shift.In addition to the extraordinary burns in the traditional sense, we also call extraordinary injury as damage induced by some of extraordinary insults in the past.In recent years, damage to skin and soft tissue caused by an extraordinary injury showed a gradually increasing trend.Manifestations of the wound of an extraordinary injury are various and its clinical treatment is very difficult, often requiring exceptional systemic comprehensive treatments.Currently, it is the duty of colleagues in the burn unit to actively deliberate about their realities regarding the following aspects: to accurately define the concept and scope of extraordinary injury,to include it into the range of clinical research and treatment of burns, to fully use professional skills of burn surgeons in dealing with wounds, and to effectively treat the patients through learning and mastering treatment skills of other clinical disciplines for treatment of extraordinary injury.