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Retrospective analysis of eFAST ultrasounds performed on trauma activations at an academic level-1 trauma center 预览
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作者 Samantha Shwe Lauren Witchey +3 位作者 Shadi Lahham Ethan Kunstadt Inna Shniter John C.Fox 《世界急诊医学杂志(英文)》 CAS CSCD 2020年第1期12-17,共6页
BACKGROUND:Point-of-care ultrasound(POCUS)has become increasingly integrated into the practice of emergency medicine.A common application is the extended focused assessment with sonography in trauma(eFAST)exam.The Ame... BACKGROUND:Point-of-care ultrasound(POCUS)has become increasingly integrated into the practice of emergency medicine.A common application is the extended focused assessment with sonography in trauma(eFAST)exam.The American College of Emergency Physicians has guidelines regarding the scope of ultrasound in the emergency department and the appropriate documentation.The objective of this study was to conduct a review of performed,documented and billed eFAST ultrasounds on trauma activation patients.METHODS:This was a retrospective review of all trauma activation patients during a 10-month period at an academic level-one trauma center.A list comparing all trauma activations was crossreferenced with a list of all billed eFAST scans.Medical records were reviewed to determine whether an eFAST was indicated,performed,and appropriately documented.RESULTS:We found that 1,507 of 1,597 trauma patients had indications for eFAST,but 396(27%)of these patients did not have a billed eFAST.Of these 396 patients,87(22%)had documentation in the provider note that an eFAST was performed but there was no separate procedure note.The remaining 309(78%)did not have any documentation of the eFAST in the patient’s chart although an eFAST was recorded and reviewed during ultrasound quality assurance.CONCLUSION:A significant proportion of trauma patients had eFAST exams performed but were not documented or billed.Lack of documentation was multifactorial.Emergency ultrasound programs require appropriate reimbursement to support training,credentialing,equipment,quality assurance,and device maintenance.Our study demonstrates a significant absence of adequate documentation leading to potential revenue loss for an emergency ultrasound program. 展开更多
关键词 Point-of-care ultrasound Emergency medicine Focused assessment withsonography in trauma Trauma activation Blunt trauma
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Effect of the combination of high-frequency repetitive magnetic stimulation and neurotropin on injured sciatic nerve regeneration in rats 预览
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作者 Jie Chen Xian-Ju Zhou Rong-Bin Sun 《中国神经再生研究:英文版》 SCIE CAS CSCD 2020年第1期145-151,共7页
Repetitive magnetic stimulation is effective for treating posttraumatic neuropathies following spinal or axonal injury.Neurotropin is a potential treatment for nerve injuries like demyelinating diseases.This study sou... Repetitive magnetic stimulation is effective for treating posttraumatic neuropathies following spinal or axonal injury.Neurotropin is a potential treatment for nerve injuries like demyelinating diseases.This study sought to observe the effects of high-frequency repetitive magnetic stimulation,neurotropin and their combined use in the treatment of peripheral nerve injury in 32 adult male Sprague-Dawley rats.To create a sciatic nerve injury model,a 10 mm-nerve segment of the left sciatic nerve was cut and rotated through 180°and each end restored continuously with interrupted sutures.The rats were randomly divided into four groups.The control group received only a reversed autograft in the left sciatic nerve with no treatment.In the high-frequency repetitive magnetic stimulation group,peripheral high-frequency repetitive magnetic stimulation treatment(20 Hz,20 min/d)was delivered for 10 consecutive days after auto-grafting.In the neurotropin group,neurotropin therapy(0.96 NU/kg per day)was administrated for 10 consecutive days after surgery.In the combined group,the combination of peripheral high-frequency repetitive magnetic stimulation(20 Hz,20 min/d)and neurotropin(0.96 NU/kg per day)was given for 10 consecutive days after the operation.The Basso-Beattie-Bresnahan locomotor rating scale was used to assess the behavioral recovery of the injured nerve.The sciatic functional index was used to evaluate the recovery of motor functions.Toluidine blue staining was performed to determine the number of myelinated fibers in the distal and proximal grafts.Immunohistochemistry staining was used to detect the length of axons marked by neurofilament 200.Our results reveal that the Basso-Beattie-Bresnahan locomotor rating scale scores,sciatic functional index,the number of myelinated fibers in distal and proximal grafts were higher and axon lengths were longer in the high-frequency repetitive magnetic stimulation,neurotropin and combined groups compared with the control group.These measures were not significantly different am 展开更多
关键词 AXON myelinated NERVE fibers NERVE REGENERATION neurological rehabilitation NEUROTROPIN peripheral NERVE injury REPETITIVE magnetic stimulation SCIATIC NERVE trauma
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小儿创伤评分
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作者 明美秀 陆国平 《中国小儿急救医学》 CAS 2019年第2期86-89,共4页
创伤是儿童和青少年致死致残的主要原因之一。多发伤患儿病情复杂多变,儿童创伤评分体系繁多,各有优缺点,但无任何一种创伤评分能满足所有的临床和科研要求,目前损伤严重程度评分是应用最广泛的院内评分系统,儿童创伤评分是最简单易行... 创伤是儿童和青少年致死致残的主要原因之一。多发伤患儿病情复杂多变,儿童创伤评分体系繁多,各有优缺点,但无任何一种创伤评分能满足所有的临床和科研要求,目前损伤严重程度评分是应用最广泛的院内评分系统,儿童创伤评分是最简单易行的院前院内评分系统,BIG评分是新兴的简单易行的评分系统。建议儿童多发伤评估反复多次进行,并多种评分综合使用。 展开更多
关键词 创伤 儿科 多发伤 创伤评分 损伤严重程度评分 儿童创伤评分 BIG评分
Systemic analysis of pre-hospital trauma emergency treatment in Zhengzhou
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作者 Xiao-Peng Shi Li-Jie Qin +2 位作者 Yu-Xia Chang Fa-Liang Li Peng Wang 《急性病杂志(英文版)》 2019年第1期34-37,共4页
Objective: To analyze the data of pre-hospital emergency treatment in zhengzhou from 2007 to 2016, and evaluate the current situation of pre-hospital trauma emergency treatment, in order to provide a scientific basis ... Objective: To analyze the data of pre-hospital emergency treatment in zhengzhou from 2007 to 2016, and evaluate the current situation of pre-hospital trauma emergency treatment, in order to provide a scientific basis for effective use of first aid resources and enhance success rate of trauma emergency treatment. Methods: Retrospective analysis was conducted based on pre-hospital emergency resources of Zhengzhou Emergency Medical Rescue Center from 2007 to 2016. Results: The total number of pre-hospital emergency treatment cases was 9305687 from 2007 to 2016 in Zhengzhou, of which 418882 were trauma cases. The top five causes of injury were traffic accident injury, cutting injury, beating injury, crushing injury and falling injury. The top five emergency treatments used were oxygen, hemostasis, dressing and fixation, fluid supplementation, analgesics and sputum aspiration. According to different directions of diagnosis, the pre-hospital emergency patients were divided into four groups:emergency treatment group, emergency observation group, admission to general ward group and admission to ICU group. There was no statistical difference in the ages among the four groups (P>0.05). There were significantly statistical differences in gender composition among the four groups, with more males than females (P<0.01). Significant statistical differences also showed in CRAMS scores among the four groups (P<0.01). Before and after the training of primary trauma care, there was no significant difference in the constituent ratio of the trauma (P>0.05), but the mortality of the trauma, the average arrival time, and the mean treatment time were significantly different (P<0.01). Conclusions: The number of pre-hospital emergency trauma patients increased year by year, but the constituent ratio changed little. CRAMS score is important for the patients triage. Through the training of primary trauma care, the constituent ratio of death was reduced, and the average treatment time was shortened. 展开更多
关键词 PRE-HOSPITAL FIRST AID TRAUMA CRAMS PRIMARY TRAUMA CARE
Epidemiological Features of Patients with Craniomaxillofacial Fractures: A Single Centre Study 预览
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作者 Mohamed Khallaf Mohammed S. Shahine 《现代神经外科学进展(英文)》 2019年第2期132-144,共13页
Purpose: It has been shown that cranial injuries associated with facial fractures may cause a great risk of mortality and neurological morbidity, which mainly occurs in young adults. Various studies have been carried ... Purpose: It has been shown that cranial injuries associated with facial fractures may cause a great risk of mortality and neurological morbidity, which mainly occurs in young adults. Various studies have been carried out in various countries to study the epidemiology of the cranio maxillofacial injuries but the studies from Egypt are few. The aim of this study was therefore to assess the prevelance, etiology, type of injury, and site of fractures among patient attending Assiut University Hospitals. Material and Methods: Retrospective hospital study was carried out at Trauma unit, Assiut University Hospitals (Single Tertiary Hospital) between January 2010 and December 2017. Radiographs and hospital data of 1745 patients with craniomaxillofacial trauma were gathered and analyzed. The identified fractures, such as, age, gender, etiology of injury, and anatomical sites of fractures were classified as: frontal/skull base, naso-orbital, maxilla, zygoma, and mandible. According to GCS, patients were classified into 3 grades: mild, moderate and severe. Gathered data was coded and entered into a computer and analyzed using SPSS version 22. Result: Overall prevalence of cranio maxillofacial injuries was 3%. Age ranged from 1 - 90 with mean ± SD 25.75 ± 15.5. The greatest number of the patients had 18 to 40 years old (48.4%) and most of them were male (M/F ratio was 7:1). The most prevalent causes of the trauma in this study were the road traffic accidents (67.7%) and accidental fall (15%), respectively. Firearm injuries accounted for fractures in 86 patients (4.9%). The most common bone fracture among the patients was the mandibular bone (47.7%). 837 patients (48%) required surgical intervention. Conclusions: This retrospective population study demonstrates an insight into the demographics and fracture patterns in craniomaxillofacial trauma patients. The most common etiology of craniomaxillofacial injury was road traffic accidents followed by falls and assaults, suggesting that interventions addressing the prevention of 展开更多
关键词 Cranio MAXILLOFACIAL TRAUMA EPIDEMIOLOGY Assiut
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Trampoline Troubles: Serious Traumatic Injuries in Children from a Trampoline Park, a Case Series 预览
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作者 Jeremy Smith Brendan Williams Tricia B. Swan 《临床医学国际期刊(英文)》 2019年第9期452-461,共10页
Background: Trampoline use is one of the most common causes of recreational injury in children. In recent years, trampoline parks have grown in popularity and may be altering the spectrum of the trampoline-related inj... Background: Trampoline use is one of the most common causes of recreational injury in children. In recent years, trampoline parks have grown in popularity and may be altering the spectrum of the trampoline-related injuries that occur. These parks create increased opportunity for injuries that appear uniquely different from accident patterns seen with home trampoline use. Recent work has suggested this may result in injuries occurring in greater frequency and with increased severity that may result in a greater need of hospital admission and procedural management by subspecialty services. Case Series Presentation: This case series presents three such examples occurring after the opening of a trampoline park in our local community: 1) A displaced forearm fracture requiring closed reduction and orthopedic follow-up;2) An ankle fracture necessitating operative reduction and fixation;and 3) A facial injury with tooth avulsion prompting oral surgery consultation and endodontic follow-up. Conclusions: These cases demonstrate the complexity and severity of injury that can occur from trampoline park participation and should serve to increase awareness among health care providers of these risks to provide appropriate parental counseling and advocate for preventative measures. 展开更多
关键词 TRAMPOLINE Injury PEDIATRICS TRAMPOLINE Parks TRAUMA CHILDREN
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Management of Traumatic Injuries of Road Traffic Accident Victims in the City of Ouagadougou at the University Hospital Trauma Emergency Department-Yalgado Ouédraogo 预览
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作者 Alexandre S. Korsaga Anatole J. I. Ouedraogo +6 位作者 Sayouba Tinto Ives R. Kieno Mamoudou Sawadogo M. Narcisse Dabire Mohamed Tall Namori Keita Songahir C. Da 《矫形学期刊(英文)》 2019年第10期212-223,共12页
Purpose: To evaluate the management of traumatic injuries of accident victims in the city of Ouagadougou admitted to the trauma emergencies of the University Hospital of Ouagadougou. Material and Method: This was a de... Purpose: To evaluate the management of traumatic injuries of accident victims in the city of Ouagadougou admitted to the trauma emergencies of the University Hospital of Ouagadougou. Material and Method: This was a descriptive prospective study of road traffic accident victims in the city of Ouagadougou on their arrival at trauma emergencies and on the 7th and 30th day after their discharge. A total of 991 patients were identified. The sex ratio was 1.94 with a male predominance. The average age of the patients was 31.5 years. The ratio of caregivers to patients on a 24-hour shift was 7/47, excluding patients hospitalized in the corridors. Results: We note that 81.94% of patients were transported by the fire brigade. The average time to first contact with a caregiver was 11 minutes. Upon admission, accident victims were accompanied in 84% of cases. The combination of paracetamol and néfopam was the most prescribed analgesic (50.2%). The average time between admission and X-ray completion was 101 minutes. Benign skin lesions were the most frequent (48.82%), followed by osteoarticular lesions of the limbs (fractures and dislocations). Ceftriaxone, and the combination of Amoxicillin + Clavulanic Acid, were the most prescribed antibiotics. Dressings and sutures (44.63%) were the most commonly performed treatments, followed by orthopaedic restraints (37.88%) and open fracture areas in 14.34%. The average time between admission and orthopaedic and/or surgical treatment was 04 hours 25 minutes. Patients discharged against medical advice accounted for 10.80% of cases. In 95% of cases, patients were satisfied with their management. Conclusion: The management of patients admitted to trauma emergencies is satisfactory, but difficulties remain in terms of delays in management. It is imperative to take into account certain factors involving both staff and working conditions in order to reduce the time required to provide care and improve user satisfaction in this emergency unit. 展开更多
关键词 EMERGENCIES TRAUMA Treatment SATISFACTION
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外伤性晶状体脱位的治疗
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作者 温嘉洁 马歆琪 龙崇德 《中华眼外伤职业眼病杂志》 2019年第5期395-400,共6页
任何原因所导致的晶状体悬韧带断裂都可引起晶状体脱位,其中外伤(包括开放性或闭合性眼外伤)是导致晶状体脱位的主要原因之一,约占22%。晶状体脱位可分为不全脱位和全脱位,不全脱位指悬韧带的部分断裂,晶状体向悬韧带断裂的相对方向移位... 任何原因所导致的晶状体悬韧带断裂都可引起晶状体脱位,其中外伤(包括开放性或闭合性眼外伤)是导致晶状体脱位的主要原因之一,约占22%。晶状体脱位可分为不全脱位和全脱位,不全脱位指悬韧带的部分断裂,晶状体向悬韧带断裂的相对方向移位,全脱位指悬韧带的全部断裂,脱位的晶状体可进入前房,也可进入后房或玻璃体,在极少数情况下可脱至结膜下、视网膜下、巩膜下和脉络膜上腔甚至体外。需根据不同的情况选择治疗方式,手术治疗的方式根据晶状体脱位的程度及囊袋是否完整等具体情况进行选择。 展开更多
关键词 脱位 晶状体 外伤性 悬韧带断裂 外伤
Traumatic Retropharyngeal Abscess of Insidious Onset—A Case Report and Literature Review 预览
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作者 Shuaib Kayode Aremu 《临床医学病理报告(英文)》 2019年第4期57-61,共5页
Retropharyngeal abscess is an abscess of the deep spaces in the neck which if not treated urgently can be life-threatening as a result of airway compromise. It is important to detect and treat very early. It may arise... Retropharyngeal abscess is an abscess of the deep spaces in the neck which if not treated urgently can be life-threatening as a result of airway compromise. It is important to detect and treat very early. It may arise in pediatrics from direct neck trauma which is not very common and fishbone impaction. Direct anterior neck trauma resulting in insidious retropharyngeal abscess has not been widely reported. 展开更多
关键词 RETROPHARYNGEAL ABSCESS TRAUMA NECK Spaces
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玛格丽特·阿特伍德小说《猫眼》中欺凌创伤的分析研究
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作者 王玮 《唐山文学》 2019年第6期141-142,共2页
一、玛格丽特·阿特伍德与《猫眼》玛格丽特·阿特伍德作为加拿大家喻户晓的作家,她写作体裁广泛,在小说、诗歌以及文学批评上均有建树。其作品曾屡获殊荣,其中包括获英国布克奖和加拿大总督文学奖,而她本人也有着极高的呼声竞... 一、玛格丽特·阿特伍德与《猫眼》玛格丽特·阿特伍德作为加拿大家喻户晓的作家,她写作体裁广泛,在小说、诗歌以及文学批评上均有建树。其作品曾屡获殊荣,其中包括获英国布克奖和加拿大总督文学奖,而她本人也有着极高的呼声竞争诺贝尔文学奖。阿特伍德非常关注她所处时代的社会状况和女性的命运。她的很多作品都给读者呈现了女性在社会中所面临的种种危机以及所遭受的痛苦与折磨。《猫眼》是阿特伍德创作的第七部小说,被冠以'迄今为止最有艺术成就的小说'的美誉。 展开更多
关键词 Margaret ATWOOD Cat’s Eye School BULLYING TRAUMA
Physiological Markers and Reflex Pattern Progression in Individuals with Neurodevelopmental Deficits Utilizing the MNRI Method 预览
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作者 Trina Deiss Rebekah Meyers +4 位作者 Jordan Whitney Clayton Bell Тatiana Tatarinova Lorri Franckle Susan Beaven 《神经系统科学与医药(英文)》 2019年第1期30-54,共25页
The physiological markers of 310 individuals aged 2 through 19 were evaluated for the effects of the Masgutova Neurosensorimotor Reflex Integration Method on their four body systems: respiratory, cardiovascular, diges... The physiological markers of 310 individuals aged 2 through 19 were evaluated for the effects of the Masgutova Neurosensorimotor Reflex Integration Method on their four body systems: respiratory, cardiovascular, digestive, and nervous systems of individuals with neurodevelopmental deficits—cerebral palsy (CP), seizures, traumatic and acute brain injury, attention deficit and hyperactive disorders (ADD, ADHD), autism spectrum disorders, anxiety, post-trauma and post-traumatic stress disorders. We found that 53.33% of physiological markers and 66.67% of reflex patterns on the pre-test demonstrated to be poorly functioning. Both evaluation results showed statistically significant improvements after 8-days of intensive training using the Masgutova Neurosensorimotor Reflex Integration Method. Improvements according to 60.0% of the physiological markers positively correlated with functionality gains in 77.5% of reflex patterns in all four study groups compared to the control group, which did not receive the Reflex Integration training program (p-value < 0.05). The magnitude of improvement depended upon the severity of symptoms indicating the essentiality for individualized training in accordance with the diagnosis and individual neurological deficits. Results of this study show that reflex integrative techniques can lead to a reduction of stress and other negative factors blocking health homeostasis, limiting perception, and causing dysregulation in behavior and emotions, especially following traumatic events. Positive changes in physiological markers and reflex pattern functions indicate potential benefits for survival and stress resiliency through supporting neuro-physiological and neuro-psychological aspects of overall health and well-being in individuals with neurological deficits. 展开更多
关键词 PHYSIOLOGICAL MARKERS Cerebral PALSY Autism Brain Injury Trauma PTSD Masgutova Neurosensorimotor REFLEX Integration METHOD (MNRI)
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Racial Trauma in Topdog/Underdog 预览
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作者 左佳 《海外英语》 2019年第5期192-193,共2页
The 2002 Pulitzer winner Topdog/Underdog by Suzan-Lori Parks presents us a predestined life story of two young African Americans Lincoln and Booth. In the play, the difficulties in accommodating individual trauma and ... The 2002 Pulitzer winner Topdog/Underdog by Suzan-Lori Parks presents us a predestined life story of two young African Americans Lincoln and Booth. In the play, the difficulties in accommodating individual trauma and the“unspeakable”collective trauma inflicted by racism overwhelm Lincoln and Booth and eventually destroy their identities. 展开更多
关键词 Topdog/Underdog INDIVIDUAL TRAUMA COLLECTIVE TRAUMA IDENTITY
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创伤协调护士的发展现状及启示
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作者 陈妮 魏薇萍 胡三莲 《中华护理杂志》 CSCD 北大核心 2019年第9期1427-1430,共4页
介绍创伤协调护士的产生背景、定义、任职资格、职责范畴,分析创伤协调护士发展面临的机遇和挑战,提出发展中国创伤协调护士的建议:认为中国应该借鉴创伤协调护士发展的成功经验,建立科学规范的培训模式和资格认证制度,完善岗位设置和... 介绍创伤协调护士的产生背景、定义、任职资格、职责范畴,分析创伤协调护士发展面临的机遇和挑战,提出发展中国创伤协调护士的建议:认为中国应该借鉴创伤协调护士发展的成功经验,建立科学规范的培训模式和资格认证制度,完善岗位设置和运行机制,以提升创伤救治能力,应对创伤救治服务模式改革带来的挑战。 展开更多
关键词 创伤 创伤协调护士 护理管理研究 急诊处理 卫生人力
创伤致死性三联征
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作者 曾赛珍 《中国小儿急救医学》 CAS 2019年第2期96-101,共6页
严重创伤患者通常表现为"致死性三联征",该三联征由低体温、酸中毒和创伤性凝血病组成,与创伤患者不良预后密切相关。了解严重创伤患者病理生理改变,提高临床医师对"致死性三联征"的认识,早期识别及干预,实施损伤... 严重创伤患者通常表现为"致死性三联征",该三联征由低体温、酸中毒和创伤性凝血病组成,与创伤患者不良预后密切相关。了解严重创伤患者病理生理改变,提高临床医师对"致死性三联征"的认识,早期识别及干预,实施损伤控制性复苏等有效管理,进一步改善患者预后仍是我们需要不断探索的课题。 展开更多
关键词 创伤 低体温 酸中毒 创伤性凝血病
143例ICU老年创伤患者的流行病学分析 预览
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作者 敬慧丹 李洪超 +1 位作者 蒋东坡 艾山木 《中华临床医师杂志(电子版)》 CAS 2019年第4期266-271,共6页
目的探讨单中心老年创伤重症患者流行病学特点,为临床救治提供参考。方法回顾性分析2017年1月至2018年6月陆军军医大学大坪医院重症医学科(ICU)收治的65岁以上老年创伤患者143例,分析患者性别、年龄、致伤机制、损伤严重程度评分(ISS)... 目的探讨单中心老年创伤重症患者流行病学特点,为临床救治提供参考。方法回顾性分析2017年1月至2018年6月陆军军医大学大坪医院重症医学科(ICU)收治的65岁以上老年创伤患者143例,分析患者性别、年龄、致伤机制、损伤严重程度评分(ISS)、并发症、住院时间等资料。采用Mann-Whitney检验比较ISS评分、急性生理与慢性健康评分(APACHE Ⅱ评分)、ICU时间、住院时间在不同受伤机制和不同年龄之间的差异,使用Pearson χ^2检验比较年龄分层计数、基础疾病分类计数、好转出院例数在不同受伤机制和不同年龄之间的差异,应用Logistic回归分析法分析并发症发生的危险因素。结果所有创伤患者中,男性患者71例(49.65%,71/143),女性72例(50.34%,72/143);年龄65~99岁,平均年龄(78±1)岁;多发伤43例(30.07%,43/143),单部位伤100例(69.93%,100/143)。跌倒伤是首位致伤原因90例(62.94%,90/143),其次为车祸伤40例(27.97%,40/143)。跌倒伤ISS[9(9,9)分vs 22(16,27)分,Z=7.574,P<0.001]、APACHE Ⅱ评分[15(14,17)分vs 17(15,21)分,P=0.001]均较低,住ICU时间[2(1,3)d vs 8(1,16)d,Z=4.407,P<0.001]和住院时间[(16(12,22.25)d vs 30(19,49)d,Z=4.779,P<0.001)]较非跌倒伤更短,好转出院率比较差异无统计学意义(P>0.05)。≥80岁患者与<80岁患者比较,APACHE Ⅱ评分明显升高[16(15,20)分vs 14(15,18)分,Z=2.093,P=0.036)],住ICU的时间更长[3(1,10)d vs 1(1,7.5)d,Z=2.013,P=0.044]。APACHE Ⅱ评分是并发症发生的危险因素(OR=1.771,P=0.01)。结论老年患者入住ICU的主要原因是跌倒伤,其次是车祸伤。除年龄外,APACHE Ⅱ评分高时,住ICU时间更长和并发症发生率更高。 展开更多
关键词 创伤 老年 重症医学科 流行病学
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创伤后伤口感染的病原学分析及中药熏洗治疗的效果观察 预览
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作者 林潮炫 刘毓 +2 位作者 张雄辉 黎惠金 赖冬青 《海南医学》 CAS 2019年第9期1155-1157,共3页
目的总结创伤后伤口感染的病原学特点,探讨中药熏洗的治疗效果。方法选择2017年6月至2018年10月期间河源市中医院骨科收治的54例创伤后伤口感染患者为研究对象,分析其病原学资料及药敏情况。根据随机数表法将患者分为对照组和观察组,每... 目的总结创伤后伤口感染的病原学特点,探讨中药熏洗的治疗效果。方法选择2017年6月至2018年10月期间河源市中医院骨科收治的54例创伤后伤口感染患者为研究对象,分析其病原学资料及药敏情况。根据随机数表法将患者分为对照组和观察组,每组27例,对照组患者予常规换药、抗感染治疗,观察组在此基础上联合中药熏洗,疗程均为14d。比较两组患者治疗前后的血清C反应蛋白(CRP)、血沉(ESR)水平,并比较伤口愈合时间和住院时间。结果伤口感染病原菌以革兰阳性菌为主,占55.71%,前三位细菌分别为金黄色葡萄球菌(37.14%)、凝固酶阴性葡萄球菌(15.71%)、大肠埃希菌(15.71%),主要革兰阳性菌均对万古霉素敏感,大肠埃希菌对亚胺培南敏感;治疗后,观察组患者的血清CRP、ESR水平分别为(13.4±3.4)mg/L、(10.7±2.9)mm/h,明显低于对照组的(18.9±4.1)mg/L、(13.8±3.5)mm/h,差异均有统计学意义(P<0.05);观察组患者的伤口愈合时间及住院时间分别为(17.6±4.3)d、(20.8±3.1)d,均明显短于对照组的(21.4±6.8)d、(23.1±4.7)d,差异均有统计学意义(P<0.05)。结论创伤后伤口感染患者病原菌以革兰阳性菌为主,对万古霉素敏感性较好;中药熏洗治疗可以有效抑制炎症反应、促进伤口的愈合。 展开更多
关键词 创伤 感染 病原学 耐药 中药熏洗 疗效
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美容缝合技术在颌面部创伤中的应用价值 预览
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作者 魏亚锋 李永熙 《临床医学研究与实践》 2019年第14期80-82,共3页
目的探究美容缝合技术在颌面部创伤中的应用价值。方法回顾性选取我院86例颌面部创伤的患者作为研究对象,将采用常规缝合技术治疗的患者纳入对照组,采用美容缝合技术治疗的患者纳入观察组,每组43例。比较两组治疗后的颌面创伤治疗满意... 目的探究美容缝合技术在颌面部创伤中的应用价值。方法回顾性选取我院86例颌面部创伤的患者作为研究对象,将采用常规缝合技术治疗的患者纳入对照组,采用美容缝合技术治疗的患者纳入观察组,每组43例。比较两组治疗后的颌面创伤治疗满意度、生活质量评分及不良反应发生情况。结果治疗后,观察组的各项颌面创伤治疗满意度评分均显著高于对照组(P<0.05);治疗后,观察组的心理功能、躯体功能及社会功能评分均明显高于对照组(P<0.05);治疗后,观察组患者的不良反应总发生率低于对照组(P<0.05)。结论美容缝合技术在颌面部创伤的治疗中能提高患者的恢复效果及生活质量,降低患者不良反应发生率。 展开更多
关键词 美容缝合技术 颌面部 创伤
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创伤、战争、起点与新生:“汶川地震十年”纪念报道中的叙事隐喻 预览
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作者 刘子琨 闫岩 《新闻与传播评论》 CSSCI 2019年第6期68-79,共12页
运用概念隐喻理论和语料库分析法相结合的方式,对汶川地震十周年当天的52家媒体刊发的纪念报道进行研究发现,新闻媒体主要运用战争隐喻、家庭隐喻、方位隐喻和人体隐喻等手法书写灾难纪念。在重述历史的过程中,战争经验深刻地影响人们... 运用概念隐喻理论和语料库分析法相结合的方式,对汶川地震十周年当天的52家媒体刊发的纪念报道进行研究发现,新闻媒体主要运用战争隐喻、家庭隐喻、方位隐喻和人体隐喻等手法书写灾难纪念。在重述历史的过程中,战争经验深刻地影响人们的思维和语言;家庭隐喻将一地的自然灾害放大至整个民族层面,有助于实现全国范围内的认同;方位隐喻选择性地将震后十年键入进步主义话语的叙事框架之中;从"满目疮痍"到"涅槃重生",媒体通过人体隐喻完成灾后重振的事实建构。党报和市场报在隐喻的使用上存在对某一方面的偏重。媒体通过隐喻使用迎合国家的宏大叙事,以强化政治、文化和社会认同。 展开更多
关键词 汶川地震 隐喻 媒介记忆 创伤
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开放性眼外伤手术间隔时间对效果的影响
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作者 闫媛媛 刘平 高航 《中华眼外伤职业眼病杂志》 2019年第7期497-501,共5页
目的探讨外伤至手术间隔时间对开放性眼外伤手术结果的影响。方法回顾性分析本院2014年1月至2018年1月收治的102例开放性眼外伤的临床资料。根据手术迟早分成两组:A组52例(79只眼),外伤与手术间隔时间为2~4天,B组50例(74只眼),间隔时间... 目的探讨外伤至手术间隔时间对开放性眼外伤手术结果的影响。方法回顾性分析本院2014年1月至2018年1月收治的102例开放性眼外伤的临床资料。根据手术迟早分成两组:A组52例(79只眼),外伤与手术间隔时间为2~4天,B组50例(74只眼),间隔时间为5~14天。两组均行玻璃体切除手术,比较两组手术的效果。结果A组总治愈率为93.67%,高于B组的82.43%(P=0.031)。两组术后1周的血清白介素IL-4、IL-6、IL-12、IL-17、IFN-γ水平均低于术前,且A组低于B组(P<0.05)。A组视网膜牵引及牵引性增生性玻璃体视网膜病变的发生率(2.53%、1.27%)均低于B组(12.16%、10.81%)(P=0.021,0.030)。两组术后眼压情况差异无统计学意义(P=0.490)。结论开放性眼外伤后较早进行手术治疗,效果较好。 展开更多
关键词 外伤 开放性 玻璃体切除术 效果
早期细胞因子浓度评估创伤预后研究进展 预览
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作者 李娅 潘险峰 《创伤与急危重病医学》 2019年第3期190-193,共4页
创伤给人类带来了较大的生理、心理及经济负担[1-2]。早期良好的治疗可提高严重创伤患者的存活率[3]。Haagsma等[4]在2013年全球疾病负担研究中发现,创伤占全球疾病负担的10.1%。其中,道路交通伤导致的死亡人数日渐增加[5-7]。
关键词 创伤 细胞因子 脓毒血症 多器官功能障碍 预后
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