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contracture
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  挛缩
    Analysis on 11 cases of using prefabricated flap at neck and shoulder to repair cervical and chest scar contracture induced by chemical burns
    用颈肩预制皮瓣修复化学灼伤致颈胸疤痕挛缩11例分析
短句来源
    The Expression and Effect of Cytoskeleton Related Genes Protein In Wound Healing and Cicatricial Contracture
    细胞骨架基因相关蛋白在创伤愈合及瘢痕挛缩中的表达和作用
短句来源
    Methods In total 11 patients who suffered from scar contracture after in 31 joints severe extensive burn, the scars were dissected in part under general anesthesia to improve mobility and correct deformity of joints, and the wounds were covered with minced skin autograft.
    方法选择大面积深度烧伤后期瘢痕严重增生挛缩造成关节畸形而自体皮匮乏的病人11例,共31个关节,在全麻下切除部分瘢痕,彻底松解,矫正关节畸形,用微粒皮加异体皮覆盖创面,术后进行植皮区压迫和早期功能锻炼。
短句来源
    Results The distortion and contracture of the ligament fibers were shown in the explosive injury group (n=14).
    结果震击伤(n=14)显示韧带纤维扭曲、挛缩;
短句来源
    Results The reparative and reconstructive microsurgical techniques achieved a significant development in treating the following pathologic changes after burn: deformity due to proliferation and contracture of the scars, severe hand deformity, defects occurring in the muscle tendons and nerves due to electricity burn, and defects occurring in the long tubular bones of the extremities.
    结果烧伤晚期需要进行畸形修复和功能重建的患者数量很大,涉及临床多学科。 我国当前临床常用的对烧伤后瘢痕增生挛缩畸形、严重的烧伤手畸形、腕部电烧伤后肌腱、神经等缺损的修复和手功能重建、烧伤后四肢长管状骨缺损的修复以及显微外科技术在这些方面的应用均取得了明显进展。
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  相似匹配句对
    Prevention and Treatment of Axillary Deformity Caused by Cicatricial Contracture
    腋部烧伤瘢痕挛缩畸形的防治
短句来源
    The Expression and Effect of Cytoskeleton Related Genes Protein In Wound Healing and Cicatricial Contracture
    细胞骨架基因相关蛋白在创伤愈合及瘢痕挛缩中的表达和作用
短句来源
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  contracture
Both in vivo and in vitro stimulation of σ receptors prevents the development of reperfusion contracture and creatine kinase release and increases the developed pressure, double product, +dP/dt, and -dP/dt in the left ventricle.
      
These patients should be transferred to a MH specialist to confirm susceptibility to MH by the in vitro contracture test with caffeine and halothane with a sensitivity of >amp;gt;99% and a specificity of 94%.
      
However, a genetic test can replace the invasive in vitro contracture test only in families with a known RYR1 mutation.
      
A change to normal perfusion fluid causes a period of contracture to occur.
      
Barium, ouabain and hypoxia cause contracture and reduce the size of the extracellular space.
      
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Objective To explore a method for correction of scar contracture of joints with minced skin autograft after severe extensive burn. Methods In total 11 patients who suffered from scar contracture after in 31 joints severe extensive burn, the scars were dissected in part under general anesthesia to improve mobility and correct deformity of joints, and the wounds were covered with minced skin autograft. After operation, the patients were guided to press the wound sites and do proper exercises early,...

Objective To explore a method for correction of scar contracture of joints with minced skin autograft after severe extensive burn. Methods In total 11 patients who suffered from scar contracture after in 31 joints severe extensive burn, the scars were dissected in part under general anesthesia to improve mobility and correct deformity of joints, and the wounds were covered with minced skin autograft. After operation, the patients were guided to press the wound sites and do proper exercises early, and followed-up for over 12 months to evaluate skin appearance, joint function, and histological behavior. Results The patients treated with minced skin autografting showed improvement in skin appearance and joint function. Histological findings revealed thick epidermis and thin dermis with orderly arranged collagen fibers. Conclusion Transplantation of minced skin autograft along with large skin allograft is a candidate method for correction of scar contracture of joint in patients with severe extensive burn.

目的探讨大面积深度烧伤病人自体微粒皮与大张异体皮移植术治疗关节部位瘢痕挛缩的方法。方法选择大面积深度烧伤后期瘢痕严重增生挛缩造成关节畸形而自体皮匮乏的病人11例,共31个关节,在全麻下切除部分瘢痕,彻底松解,矫正关节畸形,用微粒皮加异体皮覆盖创面,术后进行植皮区压迫和早期功能锻炼。随访12个月以上。通过术前、术后的皮肤外观、关节功能、组织学观察等进行效果评价。结果微粒皮移植者皮肤外观及关节功能明显改善;组织学可见表皮较厚,部分可见表皮脚,真皮层较薄,胶原纤维排列较有规律。结论微粒皮加大张异体皮移植术可用于治疗大面积深度烧伤病人关节部位瘢痕挛缩。

Objective To study the clinical classification,diagnosis and treatment of penetrating craniofacial injuries. Methods Thirty-six patients with penetrating craniofacial injuries and treated in our hospital between Janurary 1994 to Janurary 2005 were retrospectively studied. The patients' age ranged from 1.5 to 50.0 years old, with a mean age of 24.5 years old. The penetrating location: via orbital portion in 18 , via ethmoid in 8 patients, via middle cranial fossa in 5 patients, via posterior cranial fossa in...

Objective To study the clinical classification,diagnosis and treatment of penetrating craniofacial injuries. Methods Thirty-six patients with penetrating craniofacial injuries and treated in our hospital between Janurary 1994 to Janurary 2005 were retrospectively studied. The patients' age ranged from 1.5 to 50.0 years old, with a mean age of 24.5 years old. The penetrating location: via orbital portion in 18 , via ethmoid in 8 patients, via middle cranial fossa in 5 patients, via posterior cranial fossa in 3 patients and via sphenoid sinus in 2 patients. Results Twenty-two patients recovered well,4 had slight disability,3 patients had middle disability,7 died.The aesthetic and functional results were good in 25 patients, facial cicatricial contracture was in 3 patients, maxillofacial skeleton collapsed in 1 patient. Among the patients with cerebrospinal fluid (CSF) leak, 20 were cured after operation, 2 needed another revision. There were no epilepsy, intracranial infection, wound infection in the follow-up period. Conclusion Transorbital penetrating craniocerebral injuries is the most common type of penetrating craniofacial injuries. It is difficult to treat the patients with penetrating craniofacial injuries,with high mortality and disability rate .Medical record and the change of vital signs should be payed attention to.It is important to treat brain injuries and debride thoroughly as early as possible.

目的探讨颅面穿通性损伤的临床分型及诊治原则。方法回顾性分析1994年1月至2005年1月本科收治的36例颅面穿通性损伤患者的资料,其中非火器伤27例,火器伤9例;穿通部位在经眶部18例,经筛窦8例,经中颅窝底5例,经颅后窝3例,经蝶窦2例。结果恢复良好者22例,轻残4例,重残3例,死亡7例。面容恢复满意11例,基本满意14例,瘢痕挛缩3例,面部塌陷l例。20例脑脊液漏术后2~27d停止,2例经再次手术治愈。随访6个月至11年未见癫痫发作,无1例发生颅内感染和创面局部伤口感染。结论经眶部穿通伤是颅面穿通伤的最常见类型。颅面穿通性损伤病死率和残废率高,救治难度大,因此,应重视病史及生命体征变化,妥善处理脑损伤,尽早彻底清创Ⅰ期手术修复。

Objective To observe the histological characteristics of the rabbit patellar ligaments repaired after blast injury and seawater immersion. Methods Explosive wounds were made at the knee joints of 36 New Zealand white rabbits with a 0.9 g detonator fastened on the anterolateral side of the joint. Then the wounds were immersed in seawater for 1 hour. After debridement and anti-inflammatory treatment, the broken patellar ligaments were sutured at the 4th day (n=19) and the 6th day (n=1) respectively. Histological...

Objective To observe the histological characteristics of the rabbit patellar ligaments repaired after blast injury and seawater immersion. Methods Explosive wounds were made at the knee joints of 36 New Zealand white rabbits with a 0.9 g detonator fastened on the anterolateral side of the joint. Then the wounds were immersed in seawater for 1 hour. After debridement and anti-inflammatory treatment, the broken patellar ligaments were sutured at the 4th day (n=19) and the 6th day (n=1) respectively. Histological examinations and electronic microscope observations of the injured and ruptured patellar ligaments were done respectively soon after blast injury, 1 hour after seawater immersion, 1 month, 2 months and 3 months after repair. Results The distortion and contracture of the ligament fibers were shown in the explosive injury group (n=14). The ligament fibers were broken and the fibroblasts were stacked in disorder in the rupture group (n=22). In the 2 groups, the ligament samples contained mainly collagen Ⅰ. The edema of tissue appeared after seawater immersion for 1 hour and the majority elements were collagen Ⅲ. 3 months after repair, the ligaments in the explosive injury group recovered almost to normal while in the rupture group the fiber arrangement was not compact and the fibroblasts were obviously fewer than those in the explosive injury group. Conclusions After explosive injury and seawater immersion, the rabbit patellar ligaments mainly excrete collagen Ⅲ. 3 months is enough for ligaments to repair the explosive injury. Even after treatment and 3 months’repair, there is still a distinct difference between the formerly ruptured ligaments and the normal tissue.

目的观察海水浸泡的兔髌韧带爆炸伤修复的组织学变化。方法新西兰白兔36只,以0.9g单质猛炸药黑索今(RDX)铜壳小型爆炸装药捆绑于兔膝关节前外侧,电引爆,制作兔膝关节开放性爆炸伤并海水浸泡1h的模型。经扩创消炎,分别于第4天(n=19)和第6天(n=1)采用直接缝合法修复炸断髌韧带。分别于爆炸伤后即刻、海水浸泡1h及修复后1、2、3个月时切取爆炸震击及炸断的韧带做组织学及电镜观察。结果震击伤(n=14)显示韧带纤维扭曲、挛缩;炸断伤(n=22)显示韧带纤维断裂,成纤维细胞杂乱堆积,以Ⅰ型胶原纤维为主。海水浸泡1h后,组织水肿,以Ⅲ型胶原纤维为主。经修复后3个月,震击伤韧带已近于正常,炸断伤韧带纤维排列松散,成纤维细胞数目明显少于震击伤韧带。结论兔髌韧带爆炸伤并海水浸泡后,韧带成纤维细胞以分泌Ⅲ型胶原为主。震击伤韧带修复后3个月已恢复正常;炸断韧带缝合修复后3个月与正常韧带仍有明显差别。

 
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