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前臂损伤
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  “前臂损伤”译为未确定词的双语例句
     Methods 240 inpatients with forearm skin defect were randomly divided into four groups, each group containing 60 cases.
     方法 将 2 40例前臂损伤急诊住院病人随机分为 4组 ,每组 60例。
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  相似匹配句对
     ARCADE INJURIES TO PERIPHERAL NERVES OF THE FOREARMS IN ATHLETES AND ACTORS
     前臂周围神经拱门性损伤——9例分析
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     Duodenal injuries
     十二指肠损伤
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     Diagnosis and Therapy on Extensor Tendons Injury in Forearm Combined with Deep Branch of Radial Nerve Injury
     前臂伸肌损伤合并桡神经深支损伤的诊治
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     Management of urethral injury in young girls
     女孩尿道损伤
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     The Myoelectric Controlled Forearm Prosthesis
     前臂肌电假肢
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  forearm injuries
The crisscross injury mechanism in forearm injuries
      
Surgical interventions of hand and forearm injuries were done in 15 cases within 24 hours, 4 patients were treated after 24 hours.
      
CONCLUSION: Multiple-trauma patients with hand and forearm injuries showed a statistically significantly decreased injury severity and were younger compared to the overall multitrauma population.
      


Objective To observe the influence of preoperative analgesia with different dispensation by intravenous PCA or subcutaneous PCA on postoperative analgesic effect and flap blood-supply after repair of forearm skin defect. Methods 240 inpatients with forearm skin defect were randomly divided into four groups, each group containing 60 cases. Fentanyl was administered in group PCIA 1 and group PCSA 2, Morphine in group PCIA 3 and group PCSA 4, and Ondansetron in all of the four groups. The injection solution...

Objective To observe the influence of preoperative analgesia with different dispensation by intravenous PCA or subcutaneous PCA on postoperative analgesic effect and flap blood-supply after repair of forearm skin defect. Methods 240 inpatients with forearm skin defect were randomly divided into four groups, each group containing 60 cases. Fentanyl was administered in group PCIA 1 and group PCSA 2, Morphine in group PCIA 3 and group PCSA 4, and Ondansetron in all of the four groups. The injection solution in the PCA pump was adjusted to 100ml by adding physiologic saline. The pump was started preoperatively in velocity of 2ml/h, and kept administration for 48hrs. The VAS, Ramesay assessment scoring(RAS), MAP, HR, RR and SPO 2 were recorded at 12hr, 24hr, 36hr, and 48hr after starting pump. Results In the general clinical data of 240 inpatients and the analgesic dispensation, there was no significant difference among the four groups(P>0 05). There were significant differences in VAS,RAS,MAP,HR,RR and SPO 2 between preoperation and postoperation(P<0 05,<0 01). In postoperative analgesic effect, skin blood-supply and flap survival rate, there were no significant differences among the four groups. The side-effect of group PCIA 1 and group PCSA 2 was significantly less than that of group PCIA 3 and group PCSA 4(P<0 05). Conclusions Preoperative analgesia with two kinds of analgesic dispensation by two ways of PCA administration can be used to enhance the postoperative analgesic effect in repair of forearm skin defect by skin flap transfer, especially when there are several operation sites. But the side-effect of group PCIA 1 and group PCSA 2 was significantly less than that of group PCIA 3 and group PCSA 4.

目的 对比观察不同静脉与用皮下持续注入器 (PCA)配方预先镇痛 ,对前臂皮瓣修复病人术后镇痛疗效及血运状况的影响。方法 将 2 40例前臂损伤急诊住院病人随机分为 4组 ,每组 60例。PCIA1 组和PCSA2 组用芬太尼 0 0 1~ 0 0 5mg·kg-1 、PCI A3 组和PCSA4组用吗啡 0 3~ 0 5mg·kg-1 ,4组均伍用恩丹西酮 0 0 5~ 0 1mg·kg-1 。泵液均加生理盐水至 10 0ml,手术开始前开启PCA泵 ,注量 2ml/h ,维持时间 48h。于开泵后 12、2 4、3 6和 48h 4个时点记录各项指标。结果  4组病人一般资料及PCA配对药液之间无显著性差异 (P >0 0 5 ) ;开泵后各时点VAS、Ramesay评分、MAP、HR、RR、SPO2 分析虽略有升降 ,交叉比较均无显著性差异 (P>0 0 5 ) ,但与开泵前相比较均有显著或非常显著性差异 (P <0 0 5 ,<0 0 1) ;镇痛效果满意度、皮瓣血管痉挛及成活情况均无显著性差异 (P >0 0 5 ) ;不良反应PCIA1 组和PCSA2 组显著少于...

目的 对比观察不同静脉与用皮下持续注入器 (PCA)配方预先镇痛 ,对前臂皮瓣修复病人术后镇痛疗效及血运状况的影响。方法 将 2 40例前臂损伤急诊住院病人随机分为 4组 ,每组 60例。PCIA1 组和PCSA2 组用芬太尼 0 0 1~ 0 0 5mg·kg-1 、PCI A3 组和PCSA4组用吗啡 0 3~ 0 5mg·kg-1 ,4组均伍用恩丹西酮 0 0 5~ 0 1mg·kg-1 。泵液均加生理盐水至 10 0ml,手术开始前开启PCA泵 ,注量 2ml/h ,维持时间 48h。于开泵后 12、2 4、3 6和 48h 4个时点记录各项指标。结果  4组病人一般资料及PCA配对药液之间无显著性差异 (P >0 0 5 ) ;开泵后各时点VAS、Ramesay评分、MAP、HR、RR、SPO2 分析虽略有升降 ,交叉比较均无显著性差异 (P>0 0 5 ) ,但与开泵前相比较均有显著或非常显著性差异 (P <0 0 5 ,<0 0 1) ;镇痛效果满意度、皮瓣血管痉挛及成活情况均无显著性差异 (P >0 0 5 ) ;不良反应PCIA1 组和PCSA2 组显著少于PCIA3 组和PCSA4组 (P <0 .0 5 )。结论 两种径路两种PCA配方预先镇痛均适用于受区和供区点多面广的前臂皮瓣修复的术后镇痛 ,但就其不良反应而言 ,PCIA1 组和PCSA2 组优于PCIA3 组和PCSA4组

OBJECTIVE: To summarize the progression in the study of distal radioulnar joint injuries in the following aspects: anatomy, biomechanics, injured mechanism, diagnosis character and treatment in recent years and to assess on the different treatment methods. DATA SOURCES: The relevant articles on the distal radioulnar joint injuries were searched for by using computer. ① The above mentioned articles published between January 2003 and April 2005 were searched for in (www.ncbi.nlm.nih.gov/PubMed) by using the "the...

OBJECTIVE: To summarize the progression in the study of distal radioulnar joint injuries in the following aspects: anatomy, biomechanics, injured mechanism, diagnosis character and treatment in recent years and to assess on the different treatment methods. DATA SOURCES: The relevant articles on the distal radioulnar joint injuries were searched for by using computer. ① The above mentioned articles published between January 2003 and April 2005 were searched for in (www.ncbi.nlm.nih.gov/PubMed) by using the "the distal radioulnar joint" and limited the language to English. ② Meanwhile, the articles published between January 1995 and December 2004 were also searched for in http://www.wanfangdata.com.cn/ with the key words of "the distal radioulnar joint" and limited the language to Chinese.STUDY SELECTION: The included articles were those ① Experimental studies ② Clinical studies. Excluded articles were: ① Studies on tumor, deformity and degeneration in the distal radioulnar joint ② Repetitive research literatures ③ Reviews.DATA EXTRACTION: Totally 141 articles related to the distal radioulnar joint in the aspects of anatomy, biomechanics, injured mechanism, diagnosis character and treatment were collected, among which 40 were focus on the quoted literatures and 101 were excluded. DATA SYNTHESIS: ① Anatomy and biomechanics: In order to keep normal biomechanics, the anatomic integrity of the distal radioulnar joint should be preserved in surgery operation ② Injured mechanism and diagnosis charater: The careful examination to the injured forearm was very important, especially to the proximal and distal joints. We must be aware of the unstability of the distal radioulnar joint in the elbow injured patients. Some recent examination techniques would promote the early diagnostic accuracy ③ Treatment: conservative treatment on the distal radioulnar joint injuries: Using forearm complete supination splinting to treat the dearticulation of back side of distal radioulnar joint (Ⅰ type dearticulation) with 36 cases, the effect was good The operation treatment in early period: after manipulative reduction the dearticulation of distal radioulnar joint was fixed by rubber forceps directly. This kind of method had the advantages of small volume, fast fix, easy to operation In the terminal stage salvage operations must be performed, including ulnar caitulum resection, Sauve-Kapandji operation, ligament translocation reconstruction, periost of pronator quadratus muscle translocation operation, shortening ulnar or radius lengthening etc. Each operation had their advantages and disadvantages and adaptation, but the sequela was left more or less. The anatomic reconstruction should be conducted in the distal radioulnar joint.CONCLUSION: Clinical doctors should pay attentions to the distal radioulnar joint injuries. How to make effective early diagnosis and avoid the sequelae effectively will be the development direction of research from now on.

目的:总结近年来下尺桡关节损伤在解剖、生物力学、损伤机制、诊断特点和治疗方面的研究进展,并对不同的治疗方法进行评估。资料来源:应用计算机检索下尺桡关节损伤方面的文献。①对www.ncbi.nlm.nih.gov/PubMed2003-01/2005-04文献进行检索,检索词为“thedis-tal radioulnar joint”,限定文章语言为English。②同时检索http://www.wanfangdata.com.cn/1995-01/2004-12文献,检索词为“下尺桡关节”,限定文章语言种类为中文。资料选择:纳入条件:①实验研究。②临床研究。排除条件:①下尺桡关节肿瘤、畸形、退行性变类文献。②重复研究文献。③综述文献。资料提炼:共收集到141篇关于下尺桡关节的解剖、生物力学、损伤机制、诊断特点和治疗方面的文章,重点引用文献23篇,排除118篇。资料综合:①解剖和生物力学:在外科手术中,如果要保持正常的生物力学,下尺桡关节的解剖完整性应该保持。②损伤机制和诊断特点:对前臂损伤进行详细的查体尤其重要,一定要对受伤部位的上下关节详细检查,并对肘关节损伤患者的下尺桡关节不稳定有清楚认识。利...

目的:总结近年来下尺桡关节损伤在解剖、生物力学、损伤机制、诊断特点和治疗方面的研究进展,并对不同的治疗方法进行评估。资料来源:应用计算机检索下尺桡关节损伤方面的文献。①对www.ncbi.nlm.nih.gov/PubMed2003-01/2005-04文献进行检索,检索词为“thedis-tal radioulnar joint”,限定文章语言为English。②同时检索http://www.wanfangdata.com.cn/1995-01/2004-12文献,检索词为“下尺桡关节”,限定文章语言种类为中文。资料选择:纳入条件:①实验研究。②临床研究。排除条件:①下尺桡关节肿瘤、畸形、退行性变类文献。②重复研究文献。③综述文献。资料提炼:共收集到141篇关于下尺桡关节的解剖、生物力学、损伤机制、诊断特点和治疗方面的文章,重点引用文献23篇,排除118篇。资料综合:①解剖和生物力学:在外科手术中,如果要保持正常的生物力学,下尺桡关节的解剖完整性应该保持。②损伤机制和诊断特点:对前臂损伤进行详细的查体尤其重要,一定要对受伤部位的上下关节详细检查,并对肘关节损伤患者的下尺桡关节不稳定有清楚认识。利用一些较新的技术能增加早期诊断正确率。③治疗:下尺桡关节损伤保守治疗:采用前臂完全旋后位夹板固定治疗下尺桡关节背侧脱位(Ⅰ型脱位)36例,效果优良;;早期手术治疗:手法复位后直接经皮钳固定下尺桡关节脱位,这种方法具有固定物体积小,固定牢,操作简单的优点;;晚期则必须进行补救手术,包括尺骨小头切除术、Sauve-Kapandji术、韧带转位重建术、旋前方肌骨膜瓣转位术、尺骨缩短或桡骨延长术等,各手术有其各自优缺点及适应症,但或多或少都残留一定的后遗症,应尽量做到远端尺桡关节的解剖学重建。结论:下尺桡关节损伤应该引起临床医师的重视,如何有效的早期诊断和有效的避免后遗症将是今后研究的发展方向。

 
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