1.Application of internal iliac artery interruption in management of pelvic hemorrea caused by pelvic fracture or other conditions
Xuejun RAN ; Peijin TANG ; Changqing DENG ; Feilang LI ; Xianfu TANG ; Haiquan LUO
Chinese Journal of General Practitioners 2009;8(8):572-573
sed by pelvic fracture or other conditions.
2.Nursing care of total hip replacement
Bailu HU ; Min ZHANG ; Hui LIU ; Xuejun RAN
Journal of Clinical Medicine in Practice 2017;21(10):87-90
Objective To explore the effective nursing methods and effect of total hip replacement.Methods A total of 523 patients with artificial hip replacement in our department from January 2010 to December 2013 were selected as the study subjects, and 280 patients in the observation group were treated with stage nursing, and 243 cases in the control group were treated with routine nursing.The rehabilitation of the enthusiasm, complications and rehabilitation effect were compared.Results The degree of demand, the compliance degree and the coordination degree of rehabilitation in the observation group were higher than that in the control group, and the difference was statistically significant (P<0.05).The complications in the observation group were less than those in the control group, and the hip function score and the excellent rate were higher than that in the control group, the differences were statistically significant (P<0.05).Conclusion Stage nursing can improve the rehabilitation of patients with hip joint replacement, reduce postoperative complications and promote the rehabilitation of hip joint function.
3.Nursing care of total hip replacement
Bailu HU ; Min ZHANG ; Hui LIU ; Xuejun RAN
Journal of Clinical Medicine in Practice 2017;21(10):87-90
Objective To explore the effective nursing methods and effect of total hip replacement.Methods A total of 523 patients with artificial hip replacement in our department from January 2010 to December 2013 were selected as the study subjects, and 280 patients in the observation group were treated with stage nursing, and 243 cases in the control group were treated with routine nursing.The rehabilitation of the enthusiasm, complications and rehabilitation effect were compared.Results The degree of demand, the compliance degree and the coordination degree of rehabilitation in the observation group were higher than that in the control group, and the difference was statistically significant (P<0.05).The complications in the observation group were less than those in the control group, and the hip function score and the excellent rate were higher than that in the control group, the differences were statistically significant (P<0.05).Conclusion Stage nursing can improve the rehabilitation of patients with hip joint replacement, reduce postoperative complications and promote the rehabilitation of hip joint function.
4.A comparison of different suturing methods to prevent or reduce complications of calcaneal fracture incision
Jiang YU ; Zhaoyang HU ; Guangsheng LI ; Min HU ; Chuancheng PU ; Xuejun RAN
The Journal of Practical Medicine 2018;34(1):93-95,99
Objective To explore variety of suture methods in the prevention or reduction of calcaneal fracture incision complications.Methods The data on 120 patients receiving open reduction and internal fixation of the calcaneus fractures in our hospital from January 2014 to December 2015 were collected.A lateral L-like incisionwas used.Allgower-Donati suture,interrupted vertical mattress suture,intradermal suture,and interrupted suture were applied to manage the incision.The incidence of tension blisters in the incision and its surrounding areas,skin flap necrosis,stitch-cutting edge in the skin,and plate exposure was statistically analyzed.The SPSS 18.0 was used for statistical analysis,and P < 0.05 was statistically significant.Results Postoperative complication rate was 6.7% for Allgower-Donati suture,13.3% for interrupted vertical mattress suture,26.7% for intradermal suture and 33.3% for interrupted suture (P < 0.05).Conclusions Allgower-Donati suture can prevent or reduce wound complications of calcaneal fractures effectively,and it is worthy of extensive clinical use.
5.Willis covered stent in the treatment of traumatic carotid cavernous fistulae:a report of 7 cases
Yanting GAI ; Shubin TAN ; Muhua GONG ; Fangqiang PENG ; Wei WANG ; Yanjiang LI ; Mindi LIU ; Xuejun ZHANG ; Ran ZENG ; Donglei SONG
International Journal of Cerebrovascular Diseases 2018;26(12):908-911
Objective To evaluate the efficacy and safety of Willis covered stent in the treatment of traumatic carotid cavernous fistulae (tCCF).Methods The imaging and clinical data of 7 patients with tCCF treated with Willis covered stent in Shanghai Punan Hospital from November 2015 to June 2018 were analyzed retrospectively.Results Seven Willis covered stent were used in 7 patients.Immediately after stent release,angiography showed that the fistulae completely disappeared in 6 cases.One patient had a small amount of endoleak,and there was still a small amount of endoleaks after balloon dilatation.It was not further treated.There were no operative complications.During 3-12 months follow-up,no new neurological deficits were found in all patients.Angiographic follow-up of 2 patients showed that the fistulae completely disappeared without recurrence.The internal carotid arteries were patent,no in-stent stenosis and stent displacement.Conclusions Wills covered stent can be used as a treatment for tCCF.Its efficacy is satisfactory and the safety is good.