Force from 1994 to 2003 admitted to the major infe

e707004304 · Wysłany: Czw 12:32, 17 Mar 2011

Force from 1994 to 2003 cases of major infectious diseases and preventive recommendations were treated

We should conscientiously implement the policy of prevention. Increased investment in basic health units and focusing on critical health issues. Construction of necessary health projects, such as drinking water comply with hygiene requirements engineering, canteen and toilet. Add the necessary health and epidemic prevention equipment, such as food processing and storage equipment, tableware disinfection equipment, field testing equipment and field sanitation of drinking water disinfection under the conditions of the people of Medical Research 2004 11 47 (Total 540) equipment. 3.3 establish and improve disease reporting disease surveillance network in the past, mostly manual reporting, complex operation, time-consuming,[link widoczny dla zalogowanych], timeliness, accuracy is poor, can not meet the new technology local wars under conditions of medical support requirements. The network should be established and the use of information technology to monitor the epidemic, so that timely and accurate at all levels of force can control the outbreak and to take proper precautionary measures. At the same time, should pay attention to communication and cooperation with local, full use of its resources to health and disease prevention services for the troops. 3.4 full advantage of military hospital military hospital has a staff in infectious diseases, techniques,[link widoczny dla zalogowanych], equipment and information, and other areas, hospitals and Garrison troops should strengthen the linkages and play their own advantages to the hospital, often clinical characteristics of forces, correct guidance of health and epidemic prevention work force, improve the capacity of health and epidemic prevention work. (Editing: Zhang Linping Received :2004 -05-1 Cool

* Short reported correction of the latissimus dorsi muscle flap transplantation in 1 case of facial paralysis 100088 Beijing Armed Police Headquarters authority clinics ice Madeng Wen Zhu Fang Xiao-Jie Yang Keywords: facial paralysis; the latissimus dorsi muscle flap Transplantation Library Classification of China: R745.12 facial paralysis is usually non-surgical treatment to get better results can take muscle flaps were fewer reported surgical correction. February 2003. Operation of the appliance to the latissimus dorsi flap in 1 case of facial paralysis, the effect is good. Case Report 1 male patient, 3O years. Due to loss of facial expression said, on the right side of expressionless 3O l1 in February 2003 on treatment. Specialist examination: the static loss of facial symmetry, the right face was full compared with the contralateral, right amount of smooth, no amount of grain. Can not carry the amount of frown. Right palpebral fissure than the contralateral large 4mm, light eyes closed Lu Bai 4mm, hard eyes closed Lu Bai 4mm, the right nostril smaller than the contralateral 2mm. Can not raise the nose, pout, bared teeth, when the right side of the mouth cheek drum leakage. No taste, tears, saliva, hearing,[link widoczny dla zalogowanych], and other changes. The patient accidentally fell the ground at birth, was born 4 months after opened his eyes, his right eye unable to close. Diagnosis: right side of the old peripheral traumatic facial paralysis without surgery contraindications. General anesthesia on the right latissimus dorsi muscle flap with neurovascular pedicle and anastomosis surgery cut nerves,[link widoczny dla zalogowanych], blood vessels of the one across the free surface of the latissimus dorsi graft. Submandibular incision double ear before, on the ipsilateral external maxillary artery, vein and in front of upper lip artery, vein anastomosis, anatomy, free latissimus dorsi nerve, vascular bundle, nerve pedicle length of 15cm, vascular pedicle length 13cm, protect the wound. Cut flap 10cm × 6cm, top flap is divided into three bundles. Were fixed on the ipsilateral nasolabial fold, upper lip, lower lip, the lower end fixed in the temporal fascia, latissimus dorsi muscle flap placed on the affected side facial wounds. Under the operating microscope with 100 line upper lip artery and thoracodorsal artery anastomosis. Release of vascular blood flow folder, and further the upper lip vein and thoracodorsal vein anastomosis. Operation went smoothly as scheduled removal of wound sutures, with no complications. 4 months after referral. Eyelids can be self-open eyes, closed,[link widoczny dla zalogowanych], discussion of clinical cure 2 for young people in view of the patient, using the same period vascularized latissimus dorsi free transfer across surface treatment is better. This method can achieve the functional purpose of surgical correction, so for the region fell to the lowest dysfunction, and the hidden incision, postoperative results were satisfactory and rapid recovery. However, there are some difficulties and risks of surgery such as surgery a large range of time-consuming; maxillofacial vascular anastomosis are prone to small vessel thrombosis. Blood clots occur, the possible failure of tissue transplantation; surgical procedure more difficult, nerve, blood vessel anastomosis demanding. Surgical aspects should be noted that the submandibular area to protect the incision should be noted that external maxillary artery, vein before; latissimus dorsi muscle flap to protect. The first choice for areas to the latissimus dorsi, because of nerves, vascular pedicle length up to 17cm, to meet the requirements of cross-face nerve graft. After the temperature of operation area to observe whether the swelling and bleeding, consistent with blood flow to understand the situation. Prevent the occurrence of thrombosis and vascular crisis. Note that in this case because the above-mentioned points, the process of surgery, postoperative recovery and treatment effects are ideal. (Editing: Huang Xu Bing Received :2004 -07-10) self-Gui Huang San 106 cases of chilblains treated 71 426 454 150 military hospital in Jiaozuo Yellow River Keywords: frostbite; Gui Huang San Chinese Book Classification: R244.91995 ~ 2003 years, we applied self-Gui Huang San 106 cases of frostbite treatment.