west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "买买提艾力" 2 results
  • 足部复发恶性黑色素瘤术后创面修复

    目的 总结足部复发恶性黑色素瘤切除术后应用带血管蒂皮瓣修复创面的疗效。 方法 2005 年5 月- 2008 年6 月,收治7 例足部恶性黑色素瘤复发患者。男2 例,女5 例;年龄21 ~ 63 岁。足跟3 例,足内侧3 例,足外侧1 例。瘤体直径为2.0 ~ 4.5 cm,根据美国癌症联合会分期标准,均为Ⅰ~Ⅱ期。于外院行肿瘤局部切除手术术后3 ~ 48 个月复发。术中扩大切除黑色素瘤后,采用大小为8 cm × 4 cm ~ 14 cm × 10 cm 带足背动脉或带足底内侧动脉皮瓣修复创面。供区游离植皮修复。 结果 术后14 d 1 例带足底内侧动脉皮瓣边缘发生溃疡;供区2 例10 d 植皮部分坏死,均经相应处理后愈合;余皮瓣及植皮均成活,切口Ⅰ期愈合。患者均获随访,随访时间6 ~ 36 个月,平均26 个月。患者均无瘤生存,皮瓣均有感觉恢复,两点辨别觉15 ~ 20 mm;色泽同受区相似,耐磨,足部外形满意,足及足趾活动良好。 结论 带血管蒂皮瓣修复足部复发恶性黑色素瘤术后创面,愈合率高,血运与感觉良好,可获得较好外观和功能效果。

    Release date:2016-09-01 09:08 Export PDF Favorites Scan
  • Clinical Analysis of Patients with Sever Influenza H1N1 in Xinjiang Region

    Objective To investigate the clinical characteristics of patients with sever H1N1 influenza in Xinjiang region, and analyze risk factors related to patients’prognosis. Methods 63 patients with severe H1N1 influenza from September 2009 to December 2009, who came from five general hospitals and contagious disease hospitals were retrospectively studied. Data of baseline characteristics, treatment, and outcomes were collected. Results Among the 63 cases of severe H1N1 influenza patients, 46 patients survived, in which 30 cases were complicated with pneumonia( 63. 8% ) , 10 cases with MODS ( 43. 48% ) ;26 were male,20 were female; the median age was ( 28. 48 ±19. 59) years old.17 patients died, in which 11 were male, 6 were female; the median age was ( 39. 47 ±21. 23) years old. There were no significantdifferences in white blood cells, neutrophils, granulocytes, lymphocytes, Hb, platelets, CK-MB, HB, DH, UN,APTT, INR, K+ , Na+ , Cl - , PaO2 , SaO2 between the survival patients and the died patients ( P gt; 0. 05) .However there were significant differences in AST, ALT, CK, LDH, AL, CR, and pH ( P lt; 0. 05) .Conclusions Most of the patients with sever H1N1 influenza are young. The typical clinical manifestations are fever, cough, and expectoration. The patients usually are complicated with pneumonia. The patients complicated with MODS have a higher risk of death. Early administration of effective antiviral agents, low dose corticosteroids, and reasonable mechanical ventilation may improve the prognosis.

    Release date:2016-08-30 11:54 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content