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find Author "梁贵友" 8 results
  • Correlation of Clinical Characteristics and Outcomes with Organ Injury Scaling in Penetrating Cardiac Trauma

    Objective To evaluate the relationship of the organ injury scale (OIS) with clinical characteristics and survival in penetrating cardiac trauma patients. Methods A retrospective review identified 224 patients with penetrating cardiac trauma. A grade assigned on the basis of the American Association for the Surgery of Trauma OIS was assigned to each case studied. Clinical data, including Glasgow coma scale(GCS), revised trauma score(RTS), injury severity score (ISS), penetrating thoracic trauma index (PTTI), penetrating trauma index (PTI), and outcomes were analyzed for association with OIS grade. Results The majority of patients were either grade Ⅳ/ or Ⅴ , with grade Ⅵ having the highest mortality. Patients of grade Ⅰ to Ⅲ were mostly Sub-clinical type patients, and grade Ⅳ to Ⅵ were mostly pericardial tamponade type and hemorrhagic shock type patients. The OIS grade was significantly negative correlated with postinjury duration and GCS (r=-0. 18, -0.16), and positive correlated with transfusion, ISS, PTTI, PT1, and death(r=0. 17,0. 22,0. 40,0. 41,0. 29). Conclusion The OIS appears to correlate with severity of injury and survival, and it may be useful in predicting outcomes in patients with penetrating cardiac injury.

    Release date:2016-08-30 06:26 Export PDF Favorites Scan
  • 二尖瓣置换术后持续顽固性呃逆一例

    Release date:2016-08-30 06:31 Export PDF Favorites Scan
  • 心脏穿透伤224例的临床分型和处理

    目的 为了比较不同时期心脏穿透伤(PCT) 的流行病学、诊治疗效的发展趋势,探讨临床分型对PCT救治的指导意义以及影响预后的因素. 方法 对15家三级医院1990年1月~2001年10月收治的PCT 共224例进行回顾性研究,按年代的先后将其分为两组, 组1(1990年1月~1995年12月,92例)和组2(1996年1月~2001年10月,132例);并根据入院时的临床表现分为亚临床型、临床型,后者又分为心脏压塞型和失血休克型. 结果 亚临床型53例,其院前时间(T 1)、入院时修订创伤计分1(RTS 1)分别为0.74±0.54小时和5.35±0.87;临床型171例,T 1、RTS 1分别为1.50±2.60小时和4.29±1.64(Plt;0.05),两型的麻醉时修订创伤计分(RTS 2)、损伤严重度评分(ISS)差别无显著性意义(Pgt;0.05).全组死亡36例,总死亡率16.07%.其中亚临床型死亡2例,心脏压塞型9例,失血休克型25例.组1死亡20例,死亡率为21.74%;组2死亡16例,死亡率下降至12.12%(Plt;0.01). 结论 PCT的发生率呈逐年增高趋势,要提高PCT的抢救成功率,应加强院前救治和转运,简化诊断方法,尽早开胸手术治疗.临床分型对救治具有指导意义.

    Release date:2016-08-30 06:30 Export PDF Favorites Scan
  • 缩窄性心包炎心包切除术128例

    Release date:2016-08-30 06:33 Export PDF Favorites Scan
  • Progress of risk factor evaluation for prolonged mechanical ventilation after cardiac surgery

    Post operational recovery from cardiac surgery can be affected by many factors, including preoperative, intraoperative, and postoperative factors. Prolonged mechanical ventilation (PMV) , one of the major complications, has been widely accepted as a measure to evaluate the performance and outcomes of cardiac surgeries. Great progress has been made in the studies of risk factors contributing to PMV following cardiac surgeries in recent years. However, no clear and effective measures and approaches are available yet to prevent PMV. In this review, the authors try to summarize the risk factors that are associated with PMV throughout the perioperative period of cardiac surgery, as well as possible interventions when applicable.

    Release date:2018-11-27 04:47 Export PDF Favorites Scan
  • 心脏瓣膜病合并巨大左心室51例术后近中期疗效观察

    Release date:2016-10-02 04:56 Export PDF Favorites Scan
  • C 臂 CT 引导下微波消融治疗非小细胞肺癌的近期疗效观察

    目的探讨 C 臂 CT 引导下微波消融治疗非小细胞肺癌的安全性及有效性,总结围术期并发症的危险因素及处理办法。方法回顾性分析 2014 年 10 月至 2016 年 10 月我院46例非小细胞肺癌患者在 C 臂 CT 引导下行微波消融治疗的临床资料,其中男 34 例、女 12 例,年龄 71(44~83)岁。分析无进展生存期、总生存期、围术期并发症。结果46 例患者实施了微波消融治疗,消融功率 60(45~70)W,消融时间 8(4~15)min。成功率 100.00%,完全消融率 84.91%(45/53),中位随访时间为 14(5~24)个月, 1、2 年生存率为 74.31%、28.36%;中位无进展生存期为 13 个月[95%CI(10.42,15.58)],中位总生存期为 16 个月[95%CI(13.24,18.76)]。并发症发生率 19.57%(9/46),其中气胸 8.69%(4/46);不良反应发生率 43.48%(20/46),其中胸痛 30.43%(14/46),围术期无严重并发症。结论C 臂 CT 引导下经皮微波消融治疗非小细胞肺癌是一种安全、有效的治疗方法,值得推广。

    Release date:2019-08-12 03:01 Export PDF Favorites Scan
  • Outcomes of subxiphoid uniportal video-assisted thoracoscopic surgery for bilateral chest diseases

    Objective To summarize clinical outcomes of subxiphoid uniportal video-assisted thoracoscopic surgery for bilateral chest diseases simultaneously. Methods The clinical data of 60 patients with bilateral chest diseases treated by uniportal thoracoscopic surgery via subxiphoid approach in the Department of Thoracic Surgery, Affiliated Hospital of Zunyi Medical College from August 2016 to December 2017 were retrospectively analyzed. There were 35 males and 25 females, aged 25.5±8.8 years ranging from 13 to 51 years. There were 40 patients wtih palmar hyperhidrosis, and 20 patients with bilateral pulmonary bullae and onset of one-side pneumothorax. All patients adopted subxiphoid uniportal video-assisted thoracoscopic surgery. Among them 36 patients with palmar hyperhidrosis underwent resection of R3 bilateral sympathetic nerves, 1 resection of R4 bilateral sympathetic nerves, 3 resection of R3+R4 bilateral sympathetic nerves, and 20 patients with pulmonary bullae underwent bilateral bullectomy and pleurodesis. Results Fifty-five patients cured within 1 to 4 days and discharged after surgery. One patient with incision infection and pulmonary infection after bullectomy, cured and discharged after 3 weeks anti-inflammation and incision dressing change. Four patients with Grade B healing recovered after 1 to 2 weeks dressing change. During the follow-up, no pneumothorax or hand perspiration relapsed. Conclusion Subxiphoid uniportal video-assisted thoracoscopic surgery for simple bilateral chest disease simultaneously is safe and feasible, which not only avoids simultaneous trauma of bilateral punch, but also alleviates the pain of patients.

    Release date:2018-11-27 04:47 Export PDF Favorites Scan
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