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As the body response for the trauma, the adipose tissues as blood serum behavior in the wounded tissue were suffered mobilization. At the same time, the ectogenesis fat tissue entranced blood circulation. As the result of hemodynamics alteration, there were blood platelet and erythrocyte and leucocytes and lipid granules collecting on the surface of these lipid droplets. The volumes of these lipid droplets were enlargement. These lipid droplets were changed to fat embolus by the promotion of coagulation and fibrin deposition intra-blood vessel.

现代医学理论认为,外伤后组织存留的血清状态的脂肪组织受到动员,同时,损伤部位的血管外源性脂肪进入血循环,而创伤引起的机体反应使血液动力学发生改变,血小板、红细胞、白细胞及血脂乳化不稳定所析出的脂质颗粒等,均可聚集于以上脂滴的表面,使之体积增大,加之组织凝血活化酶的释放,促使血管内凝血,纤维蛋白沉积的发生,从而形成脂肪栓子,导致脂肪栓塞。

Familiar location of trauma is shaft of tibia and fibula, shaft of thigh, shaft of ulna and ridius, ankle and foot, chest, knee, coax, pelvis, wrist and hand, shoulder, skull, shoulder bone, spine and elbow in turn. The familiar complication and accompanying trauma is shock, trauma of skull and brain, trauma of chest, trauma of nerve and vessel , fat embolism, trauma of organ in abdomen and trauma of urine system. 3. Emphasizing the treatment before and after the hospital can decrease the mortality and improve the quality of treatment. 4 The effect of early treatment is better than delayed treatment , internal fixation is done in 72h is better than after 72h, which can improve the function and reduce the complication menacing life.

常见的并发症和合并伤依次为:休克、颅脑损伤、胸部损伤、神经血管损伤、脂肪栓塞、腹部脏器损伤和泌尿系损伤。3、多发性骨与关节损伤的治疗以早期内固定效果为好,72h内手术并进行早期功能锻炼的患者远期功能恢第一军医大学2004届硕士学位研究生毕业论文复情况优于超过上述时限手术的患者。4、重视院前急救及院内各科室的急诊救治工作,有效的降低了死亡率,提供了早期处理骨关节损伤的良机。5、早期内固定治疗便于早期开展功能锻炼,可以明显改善伤肢功能,减少了威胁生命的并发症。

Study of embolic events used to focus on the function of coagulative system.

对于房颤血栓栓塞并发症的研究,过去主要集中在患者凝血系统的功能改变上,并由此应用华法林抗凝治疗,取得了很好的效果,已成为房颤患者抗凝的规范化治疗,但是华法林潜在的严重出血副作用以及需要频繁实验室检测使其应用受到很大限制。

There is n strong association of PFO with paradoxical embolism and ischemic cerebral infarction, and reports on patients with PFO-related cryptogenic stroke after coronary artery bypass grafting and various surgical cases of heart or lung are being increasingly published in recent years.

近年来的研究发现,卵圆孔未闭的存在与反常栓塞、缺血性脑卒中的发生密切相关,与冠状动脉旁路移植术及各种心、肺手术后不明原因的卒中或猝死相关的报道日益增多。

There is a strong association of PFO with paradoxical embolism and ischemic cerebral infarction, and reports on patients with PFO related cryptogenic stroke after coronary artery bypass grafting and various surgical cases of heart or lung are being increasingly published in recent years.

近年来的研究发现,卵圆孔未闭的存在与反常栓塞、缺血性脑卒中的发生密切相关,与冠状动脉旁路移植术及各种心、肺手术后不明原因的卒中或猝死相关的报道日益增多。

Objective To study the protective action of compound agent madeup with effective ingredients of Hirudo and Rhizoma chuanxiong and Folium Ginkgo in animal ischemic cerebral infarction.Methods To mix Hirudin extracts of Folium Ginkgo and Ligustrazine according2:25:5into asepsis injection,rats local cereˉbral ischemia induced by embolism of middle cerebral arterywas used as experimental model to study the efˉfects of the compound agent and positive control drug,Nimodipine and extracts of Folium Ginkgo on cerebral infarct size and neurological deficits.Disposing the experimental data with statisticsand comparing their otherness among difˉferent groups.

目的 探讨用中药水蛭、银杏、川芎的有效成分组成的复方制剂对动物局灶脑缺血的保护作用方法将水蛭素、银杏叶提取物、川芎嗪按2∶25∶5的比例制成无菌注射液,应用鼠大脑中动脉栓塞导致缺血性脑卒中的实验模型,并用生理盐水、尼莫地平和银杏提取物作对照,观察不同药物对脑缺血面积和由缺血造成的大鼠行为障碍的影响,将实验据用统计学处理并进行组间的差异性比较。

We speculate rapid pneumoperitoneum introduction pushed CO2 into the abnormal vasculature, which communicates with systemic vascular system, causing a new pseudoaneurysm formation inside the tumor and gas embolism appearance.

我们臆测快速的二氧化碳充气制造气腹,可能将CO2 推入异常的肿瘤血管而产生pseudoaneurysm,而肿瘤的异常血管和身体的血液循环是相通的,可能产生气体栓塞。

Although the main treatment for Lemierre syndrome is intravenous antibiotics with good anti-anaerobic activity, surgical debridement, as well as ligation and excision of the thrombosed jugular vein, may be necessary for uncontrolled infection and repeated septic embolization.

虽然Lemierre症候群的治疗主要以具对抗厌氧性细菌的抗生素为主,但是对於难以控制的感染和反覆的败血性肺栓塞,摘除颈静脉血栓的手术治疗可能有其必要性。

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