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经皮穿刺椎间盘水刀髓核切吸术治疗腰椎间盘突出症的护理体会
采用微创技术治疗腰椎间盘突出症近年来发展迅速,微创技术以其操作简单、并发症少、对脊柱的稳定结构无破坏、疗效确切而备受人们的关注,经皮穿刺椎间盘水刀髓核切吸术治疗颈椎间盘突出症就是其主要方法之一.笔者分析了于桐乡市第一人民医院69例的病例相关护理及临床资料,对如何做好相关的护理工作进行了探讨.
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水动力清创系统在烧伤创面中的应用
The healing process of burn wounds is strongly associated with the depth of wounds, and the depth of wounds is dependent to initial temperature and duration of contact with source of heat, infection, and secondary damage in the debridement process.On this basis, some experts present a concept of accurate debridement, which denotes removal of all necrotic tissue and at the same time protecting viable tissue for repair of raw wounds in order to maximally maintain patients' appearance and functions.A new technology of burn wound debridement--hydrosurgery system has been applied clinically.This paper summarizes the characteristics of hydrosurgery in the aspects of its technology, suitable wounds, bacterial load, amount of blood loss, and degree of pain produced during operation, and also the author's opinions regarding its efficacy to realize an accurate debridement for burn injury.
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双极电凝在肝切除术中的应用
减少术中出血仍然是肝脏外科医生不懈追求的目标,而肝实质离断又是控制肝切除术中出血的关键步骤。目前用于肝实质离断的方法众多,既有传统的钳夹法,又有精细设备的使用,如水刀、CUSA、超声刀、双极电凝等。诸多离断方法和设备各有其优劣,不能一概而论,在不同的单位,不同的医生使用不同的设备都可达到认为理想的效果。双极电凝切肝以其高效、安全、价廉为很多肝胆外科医生认可并推广,本文仅就双极电凝在肝切除术中的应用浅谈一些体会,与同道交流。