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The Australian and New Zealand journal of surgery最新文献

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Hiatus.
Pub Date : 2019-11-11 DOI: 10.1007/978-981-13-2538-0_1049
Meandros
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引用次数: 2
EUTHANASIA: A POINT OF VIEW1 安乐死:一种观点
Pub Date : 2008-01-21 DOI: 10.1111/J.1445-2197.1976.TB03235.X
P. Rhodes
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引用次数: 0
ELECTROSURGERY: A SHORT HISTORY1 电外科学:历史短
Pub Date : 2008-01-21 DOI: 10.1111/J.1445-2197.1976.TB03258.X
John C. Hall
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引用次数: 1
DISSEMINATED INTRAVASCULAR COAGULATION CADE 弥散性血管内凝血cade
Pub Date : 2008-01-21 DOI: 10.1111/J.1445-2197.1976.TB03240.X
J. Cade
Disseminated intravascular coagulation (DIC) is a syndrome of deposition of platelet-fibrin thrombi in the microcirculation, with consumption of platelets and clotting factors and possible clinical features of bleeding or thrombosis or both. It may be produced by activation of coagulation, platelet aggregation or endothelial damage. It is not a primary disease, but a common and important complication of many serious illnesses, especially sepsis, carcinoma and obstetrical accidents. Shock and acidosis are frequent precipitating factors, and vitamin K deficiency is a common complicating factor. DIC usually produces no clinical features, but it may give rise to bleeding, ischcemic organ damage or shock. Although its clinical contribution is often difficult to separate from that due to the underlying disease, DIC remains the commonest cause of a generalized bleeding tendency in acutely sick patients. Laboratory confirmation consists of the demonstration of thrombocytopenia, coagulation impairment, hypofibrinogenamia, raised levels of fibrin degradation products, and positive results of para-coagulation tests. The most important therapeutic measure is control of the underlying disease, but replacement therapy and heparin may be required, especially if bleeding is significant and the process is not acute and self-limited.
弥散性血管内凝血(DIC)是一种血小板-纤维蛋白血栓在微循环中沉积的综合征,伴随着血小板和凝血因子的消耗,可能的临床特征是出血或血栓形成,或两者兼而有之。它可能由凝血激活、血小板聚集或内皮损伤产生。它不是一种原发疾病,而是许多严重疾病的常见和重要并发症,特别是败血症、癌症和产科事故。休克和酸中毒是常见的诱发因素,维生素K缺乏是常见的并发症。DIC通常无临床表现,但可引起出血、缺血性器官损伤或休克。尽管DIC的临床贡献往往难以与潜在疾病分开,但DIC仍然是急性患者全身性出血倾向的最常见原因。实验室确认包括血小板减少症、凝血功能障碍、低纤维蛋白原血症、纤维蛋白降解产物水平升高和凝血试验阳性结果。最重要的治疗措施是控制基础疾病,但可能需要替代治疗和肝素,特别是如果出血明显,过程不是急性和自限性。
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引用次数: 0
A model for reflecting upon the ethical dilemma of hands-on teaching of surgery 一个反思外科实践教学伦理困境的模型
Pub Date : 2008-01-01 DOI: 10.1111/j.1445-2197.2008.04513.x
Michael K. Morgan, R. M. Clarke, J. Cartmill, M. Stoodley
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引用次数: 0
Hip fracture rates in South Australia: into the next century: comment. 南澳大利亚髋部骨折率:进入下个世纪:评论。
Pub Date : 2000-11-21 DOI: 10.1046/J.1440-1622.2000.01966.X
M. Sanders, A. M. Kotowicz, A. Pasco, R. Mcarthur, C. Nicholson
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引用次数: 1
Hip fracture rates in South Australia: into the next century: comment. 南澳大利亚髋部骨折率:进入下个世纪:评论。
M K Sanders, A M Kotowicz, A J Pasco, R McArthur, C G Nicholson
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引用次数: 0
Addition of physicians to paramedic helicopter services decreases blunt trauma mortality: comment. 增加医生到护理直升机服务降低钝性创伤死亡率:评论。
C Walker
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引用次数: 0
Single-versus multiple-dose antibiotics prophylaxis for cardiac surgery. 心脏手术的单剂量与多剂量抗生素预防。
Pub Date : 2000-06-01 DOI: 10.1046/j.1440-1622.2000.01837.x
S J Bucknell, M Mohajeri, J Low, M McDonald, D G Hill

Background: This study was carried out to determine if single-dose antimicrobial prophylaxis is sufficient for cardiac surgery.

Methods: The study was a prospective non-randomized trial of 353 consecutive patients undergoing cardiac surgery. Group A (n = 151) received 48 h of prophylaxis and Group B (n = 202) received a single dose. Cephazolin was used in all patients except those at high risk from methicillin-resistant Staphylococcus aureus (MRSA) who received teicoplanin and timentin.

Results: There was an overall in-hospital infection rate of 2.8%. There was no significant difference in rate or type of infection between the two groups.

Conclusions: An in-hospital infection rate of 2.8% compares favourably with other reported series. Single-dose antimicrobial prophylaxis is as effective as a 48-h regimen. Targeting high-risk groups is effective.

背景:本研究旨在确定单剂量抗菌药物预防是否足以用于心脏手术。方法:该研究是一项前瞻性非随机试验,纳入353例连续接受心脏手术的患者。A组(n = 151)接受48小时的预防治疗,B组(n = 202)接受单剂量治疗。所有患者均使用头孢唑啉,但接受替柯planin和汀丁治疗的耐甲氧西林金黄色葡萄球菌(MRSA)高风险患者除外。结果:我院住院总感染率为2.8%。两组之间的感染率和感染类型无显著差异。结论:我院住院感染率为2.8%,优于其他系列报道。单剂量抗菌素预防与48小时治疗同样有效。针对高危人群是有效的。
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引用次数: 50
Surgical training of doctors in their own isolated hospital. 在他们自己的隔离医院对医生进行外科培训。
Pub Date : 2000-06-01 DOI: 10.1046/j.1440-1622.2000.01842.x
F H Garlick
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引用次数: 4
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The Australian and New Zealand journal of surgery
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