1.The risk factors of incision infection in elderly patients of general surgery
Xiaohai ZHAO ; Chengzhi WANG ; Jianbing KONG ; Yuebing BAO
Chinese Journal of Postgraduates of Medicine 2014;37(2):36-38
Objective To investigate the risk factors of incision infection in elderly patients of general surgery.Methods The clinical data of 306 elderly patients of general surgery were analyzed retrospectively.The risk factors of incision infection were analyzed.Results The rate of incision infection was 10.5% (32/306).The rate of incision infection in chronic disease patients was higher than that in non-chronic disease patients [12.9%(27/210) vs.5.2%(5/96)],the rate of incision infection in summer was significantly higher than that in spring,autumn and winter[16.3%(15/92) vs.8.4%(7/83),8.5%(6/71) and 6.7% (4/60)],the rate of incision infection in operative time longer than 120 min patients was higher than that in operative time less than 120 min patients [15.0% (18/120) vs.7.5% (14/186)],the rate of incision infection in emergency surgery patients was higher than that in non-emergency surgery patients [12.3% (20/162) vs.8.3%(12/144)],there had significantly difference (P< 0.05).Conclusion Chronic disease,summer,operative time longer than 120 min,emergency surgery in elderly patients are the mainly risk factors of incision infection in general surgery.
2.Investigation and analysis of two suspected Yunnan sudden unexplained death cases in a village with a history of Yunnan sudden unexplained death
Yanmei XI ; Puping LEI ; Zhengjiang ZHANG ; Jianzhong BAO ; Yi DONG ; Lin MA ; Xue TANG ; Yongpeng YANG ; Mengyao SUN ; Zhizhong SONG ; Yuebing WANG
Chinese Journal of Endemiology 2022;41(5):389-392
Objective:To explore the cause of death of 2 suspected Yunnan sudden unexplained death (YNSUD) cases in Dayao County, Yunnan Province.Methods:The field epidemiological investigation and autopsy of 2 cases of YNSUD in Dayao County from June 15 to 20, 2020 were conducted; and blood and tissue samples were collected for qualitative analysis of common poisons and drugs.Results:The areas where the two cases were located were all seriously ill villages with a history of YNSUD, and the time of death occurred in the onset season of YNSUD. There was no blood relationship between the 2 cases, no obvious abnormal symptoms before death, no special diet, no history of exposure to pesticides and other toxic chemicals, and the test results of common poisons were all negative. Autopsy pathological examination results showed that case 1 died of acute cardiac dysfunction caused by sudden acute myocardial infarction of coronary heart disease, and case 2 died of central respiratory and circulatory failure caused by spontaneous subarachnoid hemorrhage.Conclusions:The two cases are excluded from YNSUD through autopsy, and the cause of death is determined. It is suggested that emergency response should be taken as soon as possible for YNSUD cases, and autopsy should be actively carried out to clarify the cause of death from a pathological point of view.