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helikopter
Dołączył: 03 Mar 2011
Posty: 735
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Skąd: England
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 Wysłany: Śro 13:43, 09 Mar 2011 Temat postu: adidas scarpe lkf wwi xtd nck |
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Acute 1927 cases of severe head injury
Effect. The author 2003 l2 months to August 2005 using anterior corpectomy, spinal cord decompression and interbody Z-plate fixation system for thoracolumbar burst fracture in 23 cases, the effect is satisfactory. Are as follows. l 1.1 General The clinical data of l6 cases of male and 7 female; age of l8 ~ 69 years,[link widoczny dla zalogowanych], mean 38 years. Fracture site: T2 cases, T. 3, Ll8 cases,[link widoczny dla zalogowanych], 3 cases, L, 4 例, L41 cases, L52 cases. The causes of injury: l3 cases falling from height injuries, traffic injuries in 7 cases, 3 cases weight crushing. l8 cases with paraplegia, 5 patients without nerve injury. 20 cases of vertebral body height lost a Division Unit: 561000 Anshun City People's Hospital of bone loss 超过 1 / 2, CT examination were bone fragments to the spinal cavity block cause sudden spinal cord and cauda equina compression, of which 6 cases (the lumbar) spinal canal diameter before and after occupancy of 80%. Injury to operation 5d ~ 3 weeks. 1.2 The group were surgical anesthesia with tracheal intubation, the lateral position will be heavy pressure on the side of the spinal canal in the last, and placed back on the bridge. Incision starting from the top 1 or 2 vertebral ribs, along the incision near the beginning of the sacral spinal muscle 5cm start. Longitudinal first down, at vertebral level, and then the next diagonal, of axillary line or the anterior axillary line, cut off after the removal of 1-2 rib muscle layer after layer diaphragm segments Separation get cut rib vertebral. Since lumbar extraperitoneal access, and the psoas muscle retractor handle segmental vessels,[link widoczny dla zalogowanych], and adjacent vertebral exposed side of the upper and lower vertebral body, found with a syringe needle or Kirschner wires down vertebral disc space and insert the proper depth,[link widoczny dla zalogowanych], intraoperative X vertebral line position and correct positioning confirmed by bone knives were carved in the injured vertebrae in a compartment, and then long nose rongeur bite ipsilateral vertebral pedicle to the dural sac exposed, pull back with a nerve stripper After dural opening and protect the vertebral body under direct vision after the bite were to remove the spinal dural sac of the bone fragments in compression until the complete removal of film, in the injured anterior 1 / 3 AC 2004.10:2163-2176.4 Jiang Jiyao, Zhu Cheng, eds. Clinical treatment of traumatic brain injury planing guide. L-ed. Shanghai: Second Military Medical University Press ,2002.9-13 .5 HlatkyR, ValadkaAB, RobertsonCS. In-tracranialhypertensionandcerebralischemiaafterseveretraumaticbraininjuryNe ~ rgFocus. 2003,14: e2.6WinterCD. AdamidesA. RosenfeldJV. Theroleofdeeompressiveeranieetomyintheman%, ementoftrautuaucbraininjury: acnt-icalreview. JClinNeuresci ,2005.12:619-623 .7 only up to stone, Photo Competition, Chen Netherlands, et al. Hypothermia treatment of acute severe brain injury clinical efficacy. Neurosurgery ,2000,16:239-241 .8 SmrckaM. FadrusP, NeumanE, eta1. TheUseofmoderatehypothermiainneur ~ surgery. CasLekCesk ,2005,[link widoczny dla zalogowanych],144:19-23.
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