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陕西医学杂志 2008年第9期37卷 1204-1205,1215页

作者：李淳吴振海陕西省蒲城县中医医院外科蒲城715500 陕西省白水县红十字会医院

目的:探讨急性胆囊炎腹腔镜治疗的方法及总结术中胆管损伤的常见因素。方法:回顾分析腹腔镜胆囊切除术126例的临床资料。结果:腹腔镜手术方法可用于急性胆囊炎治疗,但术中需注意操作技术,仔细解剖Calot三角以防止可能出现的胆管损伤。结... 详细信息

目的:探讨急性胆囊炎腹腔镜治疗的方法及总结术中胆管损伤的常见因素。方法:回顾分析腹腔镜胆囊切除术126例的临床资料。结果:腹腔镜手术方法可用于急性胆囊炎治疗,但术中需注意操作技术,仔细解剖Calot三角以防止可能出现的胆管损伤。结论:急性胆囊炎行LC安全可行,关键是术者必须充分了解LC操作要点和熟练掌握操作技术,以避免胆管损伤。

关键词：胆囊炎/外科学腹腔镜检查胆管/损伤创伤和损伤/预防和控制

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腹腔镜胆囊切除术中肝外胆道损伤的预防

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陕西医学杂志 2006年第6期35卷 743-744页

作者：刘军辉刘秀林陕西省宝鸡市凤县人民医院凤县721700 西安市第二医院

2003－2005年,我院共进行312例腹腔镜胆囊切除术(LC),现就如何避免LC术中肝外胆道损伤,总结分析如下。[第一段]

关键词：胆囊切除术,腹腔镜胆管/损伤创伤和损伤/预防和控制

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Injury in the aging: recovery and rehabilitation

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BRITISH MEDICAL BULLETIN 1999年第4期55卷 895-909页

作者： Horan, MA Clague, JE Hope Hosp Salford Royal Hosp NHS Trust Dept Geriatr Med Salford M6 8HD Lancs England

Interest in how victims of traumatic injuries recover is increasing and a number of observational studies have now been done. There are very few intervention studies aimed at enhancing recovery, but there will be more as our knowledge base grows. Older recipients of traumatic injuries differ from the young in the types of injuries they sustain, in the way they respond to their injuries and in the consequences of even relatively minor injuries on their future independence. In this paper, we summarise our understanding of recovery after injury and consider this in more depth for older people with specific injuries.

关键词：意外跌倒/预防和控制日常生活活动老年人身心健康评价髋骨折/预防和控制髋骨折/康复损伤严重度评分转诊和会诊创伤和损伤/预防和控制创伤和损伤/康复老年人老年人 80以上女(雌)性人类男(雄)性

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Inhibition of neointima formation by tranilast in pig coronary arteries after balloon angioplasty and stent implantation

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JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY 2000年第5期35卷 1331-1337页

作者： Ishiwata, S Verheye, S Robinson, KA Salame, MY de Leon, H King, SB Chronos, NAF Atlanta Cardiovasc Res Inst Atlanta GA 30342 USA Emory Univ Sch Med Dept Med Cardiol Andreas Gruentzig Cardiovasc Ctr Atlanta GA USA

OBJECTIVES We evaluated the effect of orally administered tranilast, N-(3,4-dimethoxycinnamoyl) anthranilic acid, on histologic and histomorphometric changes after angioplasty or stent implantation in pig coronary arteries. BACKGROUND Tranilast, which has antikeloid and antiallergic properties and therefore may modulate the fibrotic and inflammatory tissue responses to angioplasty and stenting, has been shown to inhibit angiographic restenosis in small clinical trials. However, its effect on histomorphometric changes in coronary arteries after angioplasty and stenting is unknown. METHODS Following initial pharmacokinetic studies in two pigs to determine desirable plasma levels of orally administered tranilast, 36 crossbred juvenile pigs were randomized to placebo or tranilast before undergoing balloon angioplasty in both the left anterior descending and left circumflex plus stent implantation in the right coronary artery. Oral tranilast was administered at 3 g/day starting 3 days before coronary injury and continued for 28 days until euthanasia. Injured vessels were harvested and sections analyzed by computer-assisted microscopic planimetry. RESULTS In balloon-injured vessels, tranilast was associated with a 37% reduction in neointimal area normalized to fracture length (0.47 +/- 0.01 vs. 0.74 +/- 0.03 mm;p < 0.001) and a 23% reduction in adventitial area normalized to vessel size (0.43 +/- 0.02 vs. 0.56 +/- 0.03;p = 0.003). In stented arteries, neointimal area normalized to injury score was 32% lower in the tranilast-treated group compared to control (1.94 +/- 0.17 vs. 2.86 +/- 0.29;p = 0.01). CONCLUSIONS In pig coronary arteries, tranilast was associated with a reduction in neointima formation and adventitial reaction after balloon injury. In stented vessels, tranilast was associated with a reduction in neointima formation normalized to injury score. (J Am Coil Cardiol 2000;35: 1331-7) (C) 2000 by the American College of Cardiology.

关键词：投药口服血管成形术气囊冠状动脉/副作用血管成形术气囊冠状动脉/仪器和设备抗变态反应药/血液抗变态反应药/药代动力学抗变态反应药/治疗应用消炎药非甾类/血液消炎药非甾类/药代动力学消炎药非甾类/治疗应用冠心病/血液冠心病/免疫学冠心病/病理学冠心病/治疗冠状血管/损伤疾病模型动物药物评价临床前纤维化炎症随机分配复发支架/副作用猪时间因素血管内膜/损伤伤口愈合/药物作用创伤和损伤/免疫学创伤和损伤/病理学创伤和损伤/预防和控制动物女(雌)性男(雄)性

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Injury prevention and control in children

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ANNALS OF EMERGENCY MEDICINE 2001年第4期38卷 405-414页

作者： Mace, SE Gerardi, MJ Dietrich, AM Knazik, SR Mulligan-Smith, D Sweeney, RL Warden, CR Amer Coll Emergency Phys Customer Serv Dallas TX 75261 USA Cleveland Clin Fdn Dept Emergency Med Cleveland OH 44195 USA Ohio State Univ Dept Emergency Med Columbus OH 43210 USA Morristown Mem Hosp Dept Emergency Med Morristown NJ USA Childrens Hosp Sect Emergency Med Columbus OH 43205 USA Ohio State Univ Dept Pediat Columbus OH 43210 USA Childrens Hosp Michigan Dept Emergency Detroit MI 48201 USA Broward Hosp Dist N Serv Pediat Lauderdale FL USA Broward Hosp Dist N EMSC Ft Lauderdale FL USA Jersey Shore Med Ctr Dept Emergency Med Neptune NJ USA Univ Med & Dent New Jersey Robert Wood Johnson Med Sch Dept Pediat Piscataway NJ 08854 USA Oregon Hlth & Sci Univ Dept Emergency Med Portland OR 97201 USA

Injury is the number one cause of death and life-years lost for children. In children, injury mortality is greater than childhood mortality from all other causes combined. Modern injury prevention and control seeks to prevent and limit or control injuries through the 4 Es of injury prevention: engineering, enforcement, education, and economics. Emergency physicians are often placed in a critical role in the lives of individuals are respected, authorities on the health and safety of children and adults, and have daily exposure to high-risk populations. This gives emergency physicians a unique perspective and an opportunity to take an active role in injury control and prevention. Specific methods or strategies for promulgating injury prevention and control in our emergency medicine practices are suggested, ranging from education (for our patients and health professionals);screening and intervention for domestic violence, child maltreatment, drug-alcohol dependency and abuse;data collection;reporting unsafe products;research;legislation, serving in regulatory and governmental agencies;emergency medical services-community involvement, and violence prevention. Emergency physicians can play a significant role in decreasing pediatric injury and its concomitant morbidity and mortality.

关键词：虐待儿童/预防和控制家庭暴力/预防和控制急救医学/方法急诊室医院损伤严重度评分一级预防/方法危险性评估存活率分析美国/流行病学创伤和损伤/死亡率创伤和损伤/预防和控制创伤和损伤/治疗儿童儿童学龄前女(雌)性人类婴儿男(雄)性

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The use of existing military administrative and health databases for injury surveillance and research

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AMERICAN JOURNAL OF PREVENTIVE MEDICINE 2000年第3期18卷 8-13页

作者： Lincoln, AE Smith, GS Baker, SP Johns Hopkins Univ Sch Publ Hlth Dept Hlth Policy & Management Ctr Injury Res & Policy Baltimore MD 21205 USA

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DETERMINANTS OF INJURY AND OPPORTUNITIES FOR INTERVENTION

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AMERICAN JOURNAL OF EPIDEMIOLOGY 1975年第2期101卷 98-102页

作者： BAKER, SP JOHNS HOPKINS UNIV SCH HYG & PUBL HLTH DEPT PUBL HLTH ADM BALTIMORE MD USA

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Injury control in Honduras: A survey of injury mortality

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ANNALS OF EMERGENCY MEDICINE 2000年第4期36卷 333-339页

作者： Richman, M Shayne, P Heron, S Lowery, D Todd, KH Emory Univ Sch Med Dept Emergency Med Atlanta GA 30303 USA

Study objective: We sought to evaluate the methods and accuracy of mortality data collection and summarize the injury mortality rate in one sector of the State of Olancho, Honduras, with the intent to establish a baseline of injury mortality that will identify potential areas of intervention and serve as a comparison after subsequent interventions. Methods: Mortality data were collected from a rural, regional, health center database containing age, sex, and cause of death for one geographic sector in the State of Olancho, Honduras. Causes of death were classified as medical or intentional versus nonintentional injury. Results: Accurate mortality data were difficult to obtain for several reasons: (1) deaths are often recorded by untrained health care workers, (2) causes of death are not coded in a standard manner, and (3) infant mortality is underreported. We found 132 recorded noninfant deaths. A disproportionate number of these resulted from injury, especially from intentional injury, particularly among male subjects aged 12 to 49 years. Eighty-two percent of male subjects aged 12 to 49 years who died did so from injuries, and 52% died from intentional injuries. Overall, 48% of all male deaths were injury related. The estimated male mortality rate (age 12 to 49 years) from injuries was 4.5 times that of the United States. Conclusion: Injury, particularly intentional injury, is an important cause of mortality in rural Honduras, particularly among male subjects aged 12 to 49 years. This suggests a fertile opportunity for intervention. More reliable data collection will be necessary to accurately target which specific causes of injury death are most amenable to interventions and to monitor the effect of injury control programs.

关键词：年龄分布死亡原因洪都拉斯/流行病学性别分布创伤和损伤/流行病学创伤和损伤/死亡率创伤和损伤/预防和控制青少年成年人儿童儿童学龄前女(雌)性人类婴儿男(雄)性中年人

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An armed forces epidemiological board evaluation of injuries in the military

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AMERICAN JOURNAL OF PREVENTIVE MEDICINE 2000年第3期18卷 14-25页

作者： Jones, BH Hansen, BC USA Ctr Hlth Promot & Prevent Med Aberdeen Proving Ground MD USA Univ Maryland Sch Med Baltimore MD 21201 USA

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Injury analysis and prevention in the developing countries

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ACCIDENT ANALYSIS AND PREVENTION 1999年第4期31卷 295-296页

作者： Guastello, SJ Marquette Univ Dept Psychol Milwaukee WI 53201 USA

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