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find Author "胡浩" 5 results
  • 胸腺切除术治疗重症肌无力102例分析

    目的总结胸腺切除术治疗重症肌无力(myasthenia gravis,MG)的经验。方法回顾1990年1月~2004年12月对102例MG患者行胸腺切除术的临床资料,从性别、年龄、病程、Osserman分型、纵隔脂肪组织清扫程度和病理结果等6个方面统计分析影响疗效的因素。结果102例患者术后发生并发症22例(21.6%),其中危象14例(13.7%),死亡2例(2.0%),1例死于肺部感染,1例放弃治疗。术后平均随访5年,治愈率为29.4%(30/102),总有效率为82.4%(84/102)。Osserman分型、纵隔脂肪组织清扫程度和病理结果对有效率有影响(P〈0.05)。结论扩大胸腺切除术是治疗MG安全、有效的方法,而围手术期处理是综合治疗MG的重要组成部分;Osserman分型、纵隔脂肪组织清扫程度和病理结果是影响手术疗效的重要因素。

    Release date:2016-08-30 06:23 Export PDF Favorites Scan
  • Analysis of complaints in emergency department of women and children’s specialized hospital

    Objective To analyze the complaint characteristics of emergency department of women and children’s specialized hospital, and to provide a basis for improving medical service quality, enhancing hospital management, increasing satisfaction, and reducing complaint rates in specialized hospitals. Methods Using the Healthcare Complaint Analysis Tool classification framework, a retrospective analysis was conducted on complaints from the Emergency Department of West China Second University Hospital of Sichuan University. Results The total number of complaints from 2020 to 2022 was 525, and the number of complaints had been increasing year by year. There were 196 complaints against personnel and 329 complaints against regions. There were 320 complaints related to management issues (61.0%), 143 complaints related to doctor-patient relationship issues (27.2%), and 62 complaints related to clinical issues (11.8%). The complained areas were mainly fever clinics (193 cases), and the complained personnel were mainly nurses (82 cases). Conclusion The emergency department of women and children’s specialized hospitals is different from comprehensive hospitals, and active optimization should be carried out to address the main issues. While continuously improving the level of medical technology, it is also necessary to strengthen information technology construction, optimize medical procedures, improve environmental facilities, and provide psychological support for patients and their caregivers.

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  • Gore-Tex 人工血管加钢丝外固定重建气管一例

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    Release date:2016-08-31 05:42 Export PDF Favorites Scan
  • EFFECT OF HUMAN SALIVA ON WOUND HEALING

    Objective To observe the effects of sal iva on impaired raw surface so as to elucidate the possible mechanism in wound heal ing by comparing with Yunnan baiyao. Methods Six wounds (2.5 cm × 2.5 cm in size) were establ ished at both sides on the back of 6 3-month-old adult Japanese rabbits (weighing 2.0-2.5 kg). According to treatment, 36 wounds were randomly divided into 3 groups: wounds were treated with 0.4 mL normal sal ine (blank control group, n=12), 0.5 g Yunnan baiyao powder (Yunnan baiyao group, n=12), and 0.4 mL sal iva of health adult (sal iva group, n=12) for 15 days, respectively. And the general observation of raw surface, the scar formation time, wound healing rate, and histopathology were used to evaluate the effectiveness of sal iva on wound heal ing. Results The wound healing speeds of sal iva group and Yunnan baiyao group were faster than that of blank control group. The wound healing rates of sal iva group were significantly higher than those of blank control group and Yunnan baiyao group at 5, 8, and 11 days after injury (P lt; 0.05). No obvious hemorrhage or necrosis of raw surfaces was observed in sal iva group, and the raw surfaces generally were covered with epidermis at 15 days after injury. The inflammatory cells and microvessel density in sal iva group were significantly less than those of Yunnan baiyao group and control group (P lt; 0.05). Conclusion Sal iva could obviously improve wound heal ing, which is related to its effects on reducing inflammatory cell infiltration, preventing wound infection, accelerating collagen fibers prol iferation, and promoting vessel reconstruction in the process of wound heal ing.

    Release date:2016-08-31 04:23 Export PDF Favorites Scan
  • 阻塞性睡眠呼吸暂停低通气综合征血清学氧化应激标志物研究进展

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