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find Author "韩文雅" 3 results
  • 抗结核治疗稳定吸收过程中并发肺栓塞一例

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  • APPLICATION OF NARROW HYPODERMAL PEDICLED RETROAURICULAR FLAP IN REPAIRINGPREAURICULAR SOFT TISSUE DEFECT

    Objective To investigate the technique and effectiveness of using narrow hypodermal pedicled retroauricular flap for repairing preauricular soft tissue defect. Methods Between June 2008 and July 2011, 11 cases of preauricular soft tissue defect were treated, which were caused by resection of preauricular tumors, including 5 cases of pigmented nevus, 2 cases of basal cell carcinoma, 2 cases of mixed hemangioma, and 2 cases of skin papilloma. There were 7 males and 4 females, aged from 26 to 75 years (mean, 50 years). The disease duration was 3-50 years (mean, 35 years). The size ofthe soft tissue defect ranged from 1.5 cm × 1.0 cm to 3.5 cm × 3.0 cm. The narrow hypodermal pedicled retroauricular flap was designed with its pedicle along the pathway of the superficial temporal artery and posterior auricular artery through tunnel to repair the defects. The size of the flaps ranged from 1.8 cm × 1.3 cm to 3.8 cm × 3.3 cm with the pedicle of 2-5 cm in length and 0.4-0.7 cm in width. The donor site was sutured directly or repaired with local flap. Results All flaps survived and incisions healed primarily after operation. Eight cases were followed up 6 months to 1 year. The flaps had good texture, flexibil ity, and color, and the auricle appearance was satisfactory. No recurrence of tumor was found. Conclusion The narrow hypodermal pedicled retroauricular flap has long and narrow pedicle, big transferring angle, large repairing area, no major blood vessel, and easy operation, so it is a simple and ideal technique for repairing preauricular soft tissue defect.

    Release date:2016-08-31 04:23 Export PDF Favorites Scan
  • 肺栓塞合并矛盾栓塞致大面积脑梗死一例并文献复习

    目的 分析肺栓塞合并矛盾栓塞的病例特点,提高临床医生对矛盾栓塞的认识,减少误诊、漏诊,对该疾病做到早发现、早诊断、早治疗,降低患者的死亡风险。方法在“知网数据库”及“万方数据库”检索1998—2023年肺栓塞合并矛盾栓塞的文献,结合十堰市太和医院收治的1例患者,汇总分析相关临床资料。结果 肺栓塞合并矛盾栓塞患者共99例,其中91例为临床诊断病例,8例为尸检确诊病例。其中男51例,女48例,年龄15~77岁。矛盾栓塞最常见部位为脑47例(47.5%),其次是四肢动脉18例(18.2%),肾脏11例(11.1%)。右向左分流的通路主要为卵圆孔未闭。91例临床诊断病例中,13例(14.3%)患者死亡。结论 面对肺栓塞/静脉血栓栓塞患者及反复发生动脉栓塞的患者,应警惕卵圆孔未闭等因素存在造成矛盾栓塞的可能,诊疗过程中应密切关注患者病情变化,更加仔细询问相关病史,加强筛查,减少漏诊、误诊,降低患者死亡风险。

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