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Tension measurement of small blood vessels and small vascular suture technique

Edition Du. 199 256. [3] Cheng Guoliang, Zhang Ning port, Lin Sapporo, et al. Tension of small artery tone shoes Study Journal of Hand Surgery, 1994,10:217. [4] Wang Ren-slip, Xu Shaoting, Li Jianmin, et al. Nervous tension kiss sound tester population research and application of Spine arrows, 1987,7:135. (Received: 19980725 Editor: Even Chile China) Zhang injured orthopedic treatment of earthquake-stricken areas north of experience and teaching f Zhang Moser Kong Zhigang Wang Ximin Liu Shao Shun New Lock Sun Chunrui (the Third Hospital of Hebei Medical University, Shijiazhuang, Hebei 050051, China) January 10, 1998, Hebei Province Zhangbei 6.2 Richter epicentral earthquake, which caused 9,642 casualties, of which slightly injured 9255 people, injured 336 people, killed 51 people. On-site participated in the treatment of orthopedic injuries, orthopedic injuries now where the experiences and lessons are summarized below. Clinical data 1 1.1 45.6%. 34 were male and feeding. 39 females; age of 5--78 years, average 43.9 years old. Zhu injured parts of spinal fractures 1.2, 5 cases of pelvic fracture in 1, 2 cases of humeral fracture, shoulder dislocation 2 feeding, radius and ulna fracture in 1, distal radioulnar joint dislocation of a feeding, Craig's fracture in 1. Femur fracture in 1, 6 cases of tibial fractures meal. Tibia and fibula fracture in 1 double feeding, 2 cases of patellar fractures, ankle fractures in 2 cases. 10 cases of foot trauma. 6 cases of multiple fractures and knee ligament injury in a fall,[link widoczny dla zalogowanych], scapula fracture in 1 feed. Bilateral brachial plexus injury in a fall, down 2 hand injury. 27 cases of soft tissue injury. Complications in 73 patients 1.3 Shock 2 back down. Accounted for 2.796. 1 down crush syndrome, accounting for 1.4%. 2 results in 73 cases of orthopedic patients. 48 hours after injury, 23 cases of surgical treatment experts,[link widoczny dla zalogowanych], including two inverted open fractures,[link widoczny dla zalogowanych], closed fractures of 21 feeding. 20 feeding patients undergoing open reduction and internal fixation, 3 with simple open reduction and ligament feed or nerve, vascular anastomosis, repair of postoperative traction or cast immobilization and intravenous antibiotics in general 3 to 7 days. Short-term observation of 23 cases of patients with wound healing, fracture alignment is good, solid fixation. This discussion took place 3 Zhangbei magnitude 6.2 earthquake epicentral in less than a minute were also injured in 9642, this short time, large-scale, multi-treatment of injured people at the same time, can not be used peacetime disasters, accidents or general treatment method. Our experience and lessons learned: ① comprehensive or specialized hospitals at all levels should have a normal and applications for Medical Device with reasonable medical emergency rescue team. And every year 1 or 2 times to organize rescue work exercises. ② According to the earthquake in the region, which is expected injury profiles, emergency rescue teams to bring the appropriate Equipments. Such as took place in small villages, looting in the medical rescue team on the basis of experience with multi-disciplinary collaboration to the squad, so that work can be distributed to reduce the transport of such death or injuries were aggravated. ③ earthquake occurred during the day. Head trauma and limb fractures were more. Should be more equipped with the appropriate medical professionals, while an ample supply of specialized equipment, surgical kits and external fixation. To avoid wrong and surgical equipment and professional internal fixation devices such as deprivation. ④ earthquake occurred at night, the general ridge Zhu, short pelvic fracture patients reported more medical and rescue teams should be more with the appropriate Medical Device and internal and external fixation devices. ⑤ earthquake, water,[link widoczny dla zalogowanych], electricity, housing facilities will be subject to different degrees of damage, more patient, preferably an ample supply of sterile disposable surgical gowns, surgical towels and anesthesia bag. @ As housing, infrastructure collapse buried beneath the patient, according to the site of compression and pressure conditions buried objects, picking, prying, digging, moving, etc.,[link widoczny dla zalogowanych], as the case processing, but must not Shenglayingzhuai. A feeding brachial plexus injury patients, not because of concussion, but by the pressure due to the lower body to be buried. Outside the control arm, was violently pulled the ambulance officers caused by the upper limbs. There are 3 to 4 cases the method should not be caused or aggravated the rescue of the injury. ⑦ conditions by the time the diagnosis is not a major organ damage, changes in blood pressure should be closely observed. Can not be transferred to distant hospitals rush and rescue station, died on the way to avoid shipping. ⑧ limbs, spine, pelvic fracture patients. External fixation must be line; open fractures. And then transferred to the wound to be bandaged. @ A great vessel injury or suspected vascular injury in patients, immediately transferred to a hospital or site conditions, surgical treatment to prevent delayed timing of surgery. If both sides with shock should be transferred to the rescue side, as soon as surgery. ⑩ dead from the concussion caused by deformation of dismemberment or serious injury should be immediately wrapped to prevent irritation caused by the spirit of relatives with mental disorders.