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前臂骨干骨折骨不连的原因分析和对策
...2例,Ⅲa型1例。原治疗情况:切开复位内固定19例,其中Kirschner针髓内固定5例(尺骨近端3例,桡骨远端2例),4孔加压接骨板固定2例,钢丝捆扎3例,4孔Sherman接骨板固定3例,桡骨钢板尺骨Kirshner针髓内固定5例;小夹板和石膏固定...
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僵硬型先天性马蹄内翻足手术方法的改进
...eningcorrespondenttendons.Especialyoverthesubtalarandcalcaneo-cuboidjoints.Kirschner’spinwasusedtofixthefootincorrectedpositionuntiltheligamenthealed.ResultsSixteenpaˉtients(Eighteenoperatedfeet)werefollowed-up.Excellentresultswereachievedin89%ofcases.ConclusionExtensivesofttissuereleaseofthe...
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手术治疗跟骨关节内骨折14例
...侧壁向外翻开,暴露跟距后关节面,进行骨折的复位并用Kirschner针固定维持。注意尽可能恢复后关节面及距下关节面的平整以及Bhler角和Gissane角的大小,然后恢复跟骨的长度、宽度及高度。根据骨缺损情况取髂骨植于骨缺损处...
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腔镜甲状腺手术的现状
...肌下间隙后,在颈中部前方皮下层水平置入2根直径1.2mm的Kirschner钢丝,将其固定在一L形的支架上)或充气法(即向颈部的人工腔隙注入CO2,并维持压力在6~8mmHg)来维持这个空间以便于手术操作。2.2手术入路的选择腔镜甲状腺...
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改良手术治疗脑瘫痉挛性双侧下肢瘫
...soffootandtwoobliquebarsconnectingtworodsfromthelegtothefoot.Firstlydrawtwokirschnerwiresintotheboneattheupper1/3ofthefemurindistanceoflcmanddraw1kirschnerwiresintotheboneatupper1/3oftibia,calcaneusandthefivemetatarsalnecksrespectively.Thediameterofkirschnerwireswerefrom1.5to2.0mm,accrordingtothepat...
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IsolationofNontuberculousMycobacteriainZambia:EightCaseReports
...NontuberculousmycobacteriaintheHIVinfectedpatient.Clin.ChestMed.23:665-674.Kirschner,P.,andE.C.Bottger.1998.SpeciesidentificationofmycobacteriausingrDNAsequencing.MethodsMol.Biol.101:349-361.Marras,T.K.,andC.L.Daley.2002.Epidemiologyofhumanpulmonaryinfectionwithnontuberculousmycobacteria.Clin.ChestM...
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肱骨近端骨折
...四部分骨折的治疗效果尚不肯定。Qidwai[7]等报道采用Kirschner绞锁髓内钉治疗41例肱骨近端骨折,根据Neer评分标准,92%的患者获得较好疗效。其中2例四部分骨折的患者遗留有肩关节疼痛症状。采用Polarus绞锁髓内钉技术治疗肱骨...
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骨不连的手术治疗进展
...,为碎骨清除和骨移植提供了满意的暴露,并应用螺钉和Kirschner钢丝治疗舟骨骨不连,在36例患者中取得89%的骨愈合率及不同程度的患肢功能恢复。Procˉtor[23]认为骨移植加内固定治疗舟骨骨不连效果较好,若单用骨移植需较...
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PulmonaryMycobacteriumintermediumDiseaseinanElderlyManwithHealedPulmonaryTuberculosis
...ificationof22Mycobacteriumspecies.J.Clin.Microbiol.29:1596-1603.Meier,A.,P.Kirschner,K.-H.Schrder,J.Wolters,R.M.Kroppenstedt,andE.C.Bttger.1993.Mycobacteriumintermediumsp.nov.Int.J.Syst.Bacteriol.43:204-209.Saito,H.,K.Murakami,M.Yajima,N.Ishii,andH.H.Kwon.2000.Thevirulenceformiceofnewlydescribedmyco...
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PulmonaryMycobacteriumsherrisiiInfectioninaHumanImmunodeficiencyVirusType1-InfectedPatient
...04.ImmunereconstitutioninHIV-infectedpatients.Clin.Infect.Dis.38:1159-1166.Kirschner,P.,B.Springer,U.Vogel,A.Meier,A.Wrede,M.Kiekenbeck,F.C.Bange,andE.C.Bottger.1993.Genotypicidentificationofmycobacteriabynucleicacidsequencedetermination:reportofa2-yearexperienceinaclinicallaboratory.J.Clin.Microbio...
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AnewmechanismofBRAFactivationinhumanthyroidpapillarycarcinomas
...ubunitRIalphaofcyclicAMP-dependentproteinkinaseA.Mol.Cell.Biol.13::358-366.Kirschner,L.S.etal.2000..MutationsofthegeneencodingtheproteinkinaseAtypeI-alpharegulatorysubunitinpatientswiththeCarneycomplex.Nat.Genet.26::89-92.作者:AlfredoFusco1,2,GiuseppeViglietto1andMassimo
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Mycobacteriumaviumsubsp.paratuberculosis,GeneticSusceptibilitytoCrohn‘sDisease,andSardinians:theWayAhead
...itton,T.Moran,R.Karaliuskas,R.H.Duerr,J.P.Achkar,S.R.Brant,T.M.Bayless,B.S.Kirschner,S.B.Hanauer,G.Nunez,andJ.H.Cho.2001.AframeshiftmutationinNOD2associatedwithsusceptibilitytoCrohn‘sdisease.Nature411:603-606.Podolsky,D.K.2002.Inflammatoryboweldisease.N.Engl.J.Med.347:417-429.Sechi,L.A.,M.Mura,F.T...
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Acomparisonof10MHzand20MHzultrasoundprobesinimagingtheeyeandorbit
...nswithcomparisontoinvitrohistologicalspecimens.Circulation1991;83:913–26.Kirschner-HermannsR,KleinHM,MullerU,etal.Intra-urethralultrasoundinwomenwithstressincontinence.BrJUrol1994;74:315–8.MillerLS,LiuJB,KlennPJ,etal.Endoluminalultrasonographyofthedistalesophagusinsystemicsclerosis.Gastroenterol...
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UseoftheINNO-LiPA-MYCOBACTERIAAssay(Version2)forIdentificationofMycobacteriumavium-Mycobacteriumintracellulare-MycobacteriumscrofulaceumComplex
...sequenceanalysisoftheRNApolymerasegene(rpoB).J.Clin.Microbiol.37:1714-1720.Kirschner,P.,B.Springer,U.Vogel,A.Meier,A.Wrede,M.Kiekenbeck,F.C.Bange,andE.C.Bttger.1993.Genotypicidentificationofmycobacteriabynucleicacidsequencedetermination:reportofa2-yearexperienceinaclinicallaboratory.J.Clin.Microbiol...
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ComputationalApproachInvolvingUseoftheInternalTranscribedSpacer1RegionforIdentificationofMycobacteriumSpecies
...sequenceanalysisoftheRNApolymerasegene(rpoB).J.Clin.Microbiol.37:1714-1720.Kirschner,P.,J.Rosenau,B.Springer,K.Teschner,K.Feldmann,andE.C.Bottger.1996.Diagnosisofmycobacterialinfectionsbynucleicacidamplification:18-monthprospectivestudy.J.Clin.Microbiol.34:304-312.Kirschner,P.,B.Springer,U.Vogel,A.M...
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FirstCaseofHumanCryptococcosisDuetoCryptococcusneoformansvar.gattiiinSpain
...firstobservationintheUnitedKingdom.J.Infect.49:253-255.Bottone,E.,J.Paul,A.Kirschner,andI.F.Salkin.1986.IsolationofhighlyencapsulatedCryptococcusneoformansserotypeBfromapatientinNewYorkCity.J.Clin.Microbiol.23:186-188.Campisi,E.,F.Mancianti,G.Pini,E.Faggi,andG.Gargani.2003.InvestigationinCentralItal...
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Intra-andInterpatientVariabilityofthehsp65and16S-23SIntergenicGeneRegioninMycobacteriumabscessusStrainsfromPatientswithCysticFibrosis
...ologicalandpathogenicitystudies.J.Clin.Microbiol.35:1959-1964.Bange,F.C.,P.Kirschner,andE.C.Bttger.1999.Recoveryofmycobacteriafrompatientsofcysticfibrosis.J.Clin.Microbiol.37:3761-3763.Brunello,F.,M.Ligozzi,E.Cristelli,S.Bonora,E.Tortoli,andR.Fontana.2001.Identificationof54mycobacterialspeciesbyPCR-...
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ClinicalSignificanceandEpidemiologicAnalysesofMycobacteriumaviumandMycobacteriumintracellulareamongPatientswithoutAIDS
...cytokinelevelsandhormonereplacementtherapy.Am.J.Obstet.Gynecol.184:309-314.Kirschner,R.A.,Jr.,B.C.Parker,andJ.O.FalkinhamIII.1992.Epidemiologyofinfectionbynontuberculousmycobacteria.Mycobacteriumavium,Mycobacteriumintracellulare,andMycobacteriumscrofulaceuminacid,brown-waterswampsofthesoutheasternUn...
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DiagnosisofExtrapulmonaryTuberculosisbySmear,Culture,andPCRUsingUniversalSampleProcessingTechnology
...ismoftuberculouslymphadenitisinEthiopiabyPCR.J.Clin.Microbiol.40:4230-4234.Kirschner,P.,B.Springer,U.Vogel,A.Meier,A.Wrede,M.Kiekenbeck,F.C.Bange,andE.C.Bottger.1993.Genotypicidentificationofmycobacteriabynucleicacidsequencedetermination:reportofa2-yearexperienceinaclinicallaboratory.J.Clin.Microbio...
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DrugResistanceEvolutionofaMycobacteriumtuberculosisStrainfromaNoncompliantPatient
...strainsofMycobacteriumtuberculosis.Microb.DrugResist.5:265-270.Finken,M.,P.Kirschner,A.Meier,A.Wrede,andE.C.Bottger.1993.MolecularbasisofstreptomycinresistanceinMycobacteriumtuberculosis:alterationsoftheribosomalproteinS12geneandpointmutationswithinafunctional16SribosomalRNApseudoknot.Mol.Microbiol....
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ClinicalandPrognosticImportanceofSerotypingMycobacteriumavium-MycobacteriumintracellulareComplexIsolatesinHumanImmunodeficiencyVirus-NegativePa
...onparametricestimationfromincompleteobservation.J.Am.Stat.Assoc.53:457-481.Kirschner,R.A.,Jr.,B.C.Parker,andJ.O.FalkinhamIII.1992.Epidemiologyofinfectionbynontuberculousmycobacteria.X.Mycobacteriumavium,Mycobacteriumintracellulare,andMycobacteriumscrofulaceuminacid,brown-waterswampsofsoutheasternUni...
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MethodforRapidIdentificationandDifferentiationoftheSpeciesoftheMycobacteriumchelonaeComplexBasedon16S-23SrRNAGeneInternalTranscribedSpace
...ersandconditions,andrestrictionpatternanalysis.J.Clin.Microbiol.42:453-457.Kirschner,P.,M.Kiekenbeck,D.Meissner,J.Wolters,andE.C.Bttger.1992.GeneticheterogeneitywithinMycobacteriumfortuitumcomplexspecies:genotypiccriteriaforidentification.J.Clin.Microbiol.30:2772-2775.Kusunoki,S.,andT.Ezaki.1992.Pro...
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IdentificationofMycobacteriumSpeciesbysecA1Sequences
...R.C.Good,E.C.Bottger,R.Butler,M.Dorsch,T.Ezaki,W.Gross,V.Jonas,J.Kilburn,P.Kirschner,M.I.Krichevsky,M.Ridell,T.M.Shinnick,B.Springer,E.Stackebrandt,I.Tarnok,Z.Tarnok,H.Tasaka,V.Vincent,N.G.Warren,C.A.Knott,andR.Johnson.1996.Semantide-andchemotaxonomy-basedanalysesofsomeproblematicphenotypicclusterso...
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RapidIdentificationofBacteriafromPositiveBloodCulturesbyTerminalRestrictionFragmentLengthPolymorphismProfileAnalysisofthe16SrRNAGene
...eRDP-II(RibosomalDatabaseProject).NucleicAcidsRes.29:173-174.Maquelin,K.,C.Kirschner,L.P.Choo-Smith,N.A.Ngo-Thi,T.vanVreeswijk,M.Stammler,H.P.Endtz,H.A.Bruining,D.Naumann,andG.J.Puppels.2003.Prospectivestudyoftheperformanceofvibrationalspectroscopiesforrapididentificationofbacterialandfungalpathogen...
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手术室医院信息系统的建立与应用体会
【摘要】目的建立手术室医院信息系统(HIS),以保证围手术期患者管理和手术部的安全运转,达到信息及时准确传递及手术相关的统计工作的目的。方法在医院信息系统运行中逐步优化和完善手术申请、手术安排、手术登记、手...
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优化手术室业务流程提升手术台利用率
【摘要】 目的找出目前手术室工作的流程中存在的问题,根据问题优化手术室工作流程,提高工作效率。方法运用业务流程再造的技术和方法,对原有的第一台手术不能按时开始、连台手术间隔时间太长等不合理的工作流程...
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接台手术的护理问题及对策分析
【摘要】探讨手术室接台手术中存在的护理问题,加强接台手术中的护理。根据所存在的护理问题,进行相应的对策分析,确保手术患者的安全。【关键词】接台手术;护理问题;对策分析随着手术量的不断增加,手术室手术的接...
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围手术期手术指征与手术适应证评价控制手术并发症降低手术风险
随着医学水平的不断发展和提高,近年来对围手术期并发疾病的认识与处理,被认为是提高手术治愈率、控制手术并发症、改善患者生存质量、降低围手术期病死率及手术风险的重要因素,越来越被重视。尤其是对多学科共同协...
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HighFrequencyofGastricColonizationwithMultipleHelicobacterpyloriStrainsinVenezuelanSubjects
...persistence:biologyanddisease.J.Clin.Investig.113:321-333.Blaser,M.J.,andD.Kirschner.1999.DynamicsofHelicobacterpyloricolonizationinrelationtothehostresponse.Proc.Natl.Acad.Sci.USA96:8359-8364.Blaser,M.J.,G.I.Perez-Perez,H.Kleanthous,T.L.Cover,R.M.Peek,P.H.Chyou,G.N.Stemmermann,andA.Nomura.1995.Infe...
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手术通知单网络化的使用体会与管理对策
【摘要】通过对我科自手术通知单应用网络化管理后的使用过程中发现的一系列问题的总结,并进行分析,提出对策,从而进一步体现手术通知单管理的网络自动化在现代手术室管理发展中的必然趋势及其优势所在。【关键词】...