排序方式： 共有136条查询结果，搜索用时 15 毫秒
61.
Background: Hepatic hydrothorax is defined as a significant pleural effusion in patients with liver cirrhosis and without underlying cardiopulmonary diseases. Treatment of hepatic hydrothorax remains a challenge at present. Methods: Herein we share our experiences in the treatment of 12 patients with hepatic hydrothorax by video-assisted thoracoscopic surgery (VATS).Repair of the diaphragmatic defects, or pleurodesis by focal pleureetomy, talc spray, mechanical abrasion, electro-cauterization or injection was administered intraoperatively, and tetracycline intrapleural injection was used postoperatively for patients with prolonged (＞7 d) high-output (＞300 ml/d) pleural effusion. Results: Out of the 12 patients, 8 (67%) had uneventful postoperative course and did not require tube for drainage more than 3 months after discharge. In 4 (33%) patients the pleural effusion still recurred after discharge due to end-stage cirrhosis with massive ascites. Conclusion: We conclude that the repair of the diaphragrnatic defect and pleurodesis through VATS could be an alternative of transjugular intrahepatic portal systemic shunt (TIPS) or a bridge to liver transplantation for patients with refractory hepatic hydrothorax. Pleurodesis with electrocauterization can be an alternative therapy if talc is unavailable. 相似文献
62.
Tanya Strusberg 《The Journal of perinatal education》2015,24(3):141-144
63.
目的:探讨基于微信群线上线下混合式外科临床技能教学模式的应用效果。方法:2019年1月—2019年11月共84名在胸心血管外科实习轮转的2015级临床医学专业实习医生作为研究对象,随机分为试验组和对照组,试验组采用基于微信群线上线下混合式外科临床技能教学模式,对照组采用传统示范教学,出科结束进行理论考核和技能考核,比较两组教学效果。结果:试验组实习医生理论学习成绩、外科技能及学习积极性均优于对照组。结论:基于微信群线上线下混合式外科临床技能教学模式能调动实习医生学习的积极性,提高外科操作自信,有效提高了教学质量,是值得推广的实习教学模式。 相似文献
64.
护理教学查房是临床教学的重要形式,是提高护理质量和护理技能的重要手段[1]。为适应护理教学模式的改变,培养学生理论联系实际的能力,提高带教教师的整体素质,我们医院规范了护理教学查房流程及评分标准,加强了带教管理。现将护理教学查房在我院胃肠外科的应用加以分析。 相似文献
65.
甲状腺微小癌16例诊治分析 总被引：1，自引：0，他引：1
[目的]研究甲状腺微小癌的临床特点、诊断及治疗方法.[方法]回顾性分析1992-10～2006-04手术治疗的甲状腺癌103例的临床资料,其中甲状腺微小癌16例,占同期甲状腺癌病人的15.53%,全部患者均经手术治疗并对其进行随访,随访2个月～10 a.[结果]①甲状腺微小癌与显性甲状腺癌在淋巴结转移上没有明显差异,甲状腺微小癌具有更多的多灶性生长特点,显性甲状腺癌有更多的外侵包膜现象.②B超在诊断甲状腺微小癌上有明显优势.[结论]甲状腺微小癌与显性甲状腺癌在生物学行为及淋巴结转移上没有明显差异,其治疗应遵循甲状腺癌的治疗原则. 相似文献
66.
目的:介绍经肛门Ⅰ期结肠拖出术治疗先天性巨结肠的经验.方法:10例先天性巨结肠均经肛门Ⅰ期结肠拖出术治疗,方法为在直肠齿状线上0.5cm处游离直肠粘膜达腹膜返折后切断肌鞘1周,后壁肌鞘"∨"形切除,游离拖出近端正常结肠与肛缘二层吻合.结果:10例经肛门Ⅰ期结肠拖出术根治的患儿,手术时间短,出血少,术后反应轻,无术中和术后并发症.结论:经肛门Ⅰ期结肠拖出术适宜治疗3岁以内的短段型、普通型先天性巨结肠,较经腹切口巨结肠根治术简单、安全,且达到同样效果. 相似文献
67.
为探讨微信平台在小儿外科学业考核中的构建及运用,选取2017年9月至2019年6月在温州医科大学附属第二医院学习的小儿外科医学生共80人,随机分为实验组和对照组,每组各40人;考核试卷分为微信版(A卷)与传统纸质版(B卷),实验组行A卷考核,对照组行传统纸质版B卷考核,比较两组考试的耗时时间;实验组A卷考核结束后再行B卷传统考核,对实验组满意度进行调查。结果实验组有效地节省了人力和物力,缩短了无效时间,提高了考核工作效率,考生对此类考核形式较满意。可见,微信网络平台学业考核优点突出,考核公平公正,节省财力物力,工作效率和学生满意度高,值得运用推广。 相似文献
68.
69.
吴立东 《浙江大学学报(A卷英文版)》2004,5(10):1270-1278
Objective: To observe the accuracy of femoral preparation and the position of the cementless prosthesis in femoral cavity, and to compare the results between the computer-assisted surgical group (CASPAR) and the conventional group. Methods: Ten femoral components were implanted either manually or by CASPAR in cadaver femurs. The specimens were cut to 3 mm thick slices. Microradiograms of every slice were sent to a computer for analysis with special software (IDL). The gaps and the medullary cavities between component and bone, the direct bone contact area of the implant surface,the gap width and the percentage of gap and bone contact area were measured in every slice. Results: In the proximal implant coated with HA of the CASPAR group, the average percentage of bone contact reached 93.2% (ranging from 87.6% to 99.7%); the average gap percentage was 2.9% (ranging from 0.3% to 7.8%); the maximum gap width was 0.81 mm and the average gap width was only 0.20 mm. While in the conventional group, the average percentage of bone contact reached 60.1% (ranging from 49.2% to 70.4%); the average gap percentage was 32.8% (ranging from 25.1% to 39.9%); the maximum gap width was 2.97 mm and the average gap width was 0.77 mm. The average gap around the implant in the CASPAR group was only 9% of that in the manual group; the maximum and average gap widths were only about 26% of those in the manual group. On the other hand, the CASPAR group showed 33% higher bone contact than the manual group. Conclusion: With the use of robotics-assisted system, significant progress can be achieved for femoral preparation in total hip arthroplasty. 相似文献
70.
Caroline Messmer Ryan T. Kellogg Yixin Zhang Andresa Baiak Clinton Leiweke Jeffrey R. Marcus L. Scott Levin Michael R. Zenn Detlev Erdmann 《Anatomical sciences education》2010,3(4):191-194
The demand for laboratory‐based teaching and training is increasing worldwide as medical training and education confront the pressures of shorter training time and rising costs. This article presents a cost‐effective perfusion technique that extends the useful life of fresh tissue. Refrigerated cadavers are preserved in their natural state for up to 45 days with a daily working period of ten hours. Tissues maintain their color and natural consistency throughout this period. This new process for preservation of tissue opens the door to improved surgical training and to numerous research opportunities. Anat Sci Educ. © 2010 American Association of Anatomists. 相似文献