| 8 | Infectious keratitis in Vietnam:etiology,organisms,and management at Vietnam National Eye Hospital显示文摘AIM:To report the etiologies,risk factors,treatments,and outcomes of infectious keratitis(IK)at a major Vietnamese eye hospital.METHODS:This is a retrospective review of all cases of IK at Vietnam National Eye Hospital(VNEH)in Hanoi,Vietnam.Medical histories,demographics,clinical features,microbiological results,and treatment outcomes were reviewed.RESULTS:IK was diagnosed in 1974 eyes of 1952 patients,with ocular trauma being the greatest risk factor for IK(34.2%),frequently resulting from an agriculturerelated injur y(53.3%).The mean duration between symptom onset and presentation to VNEH was 19.3±14.4 d,and 98.7%of patients had been treated with topical antibiotic and/or antifungal agents prior to evaluation at VNEH.Based on smear results of 1706 samples,the most common organisms identified were bacteria(n=1107,64.9%)and fungi(n=1092,64.0%),with identification of both bacteria and fungi in 614(36.0%)eyes.Fifty-five of 374 bacterial cultures(14.7%)and 426 of 838 fungal cultures(50.8%)were positive,with the most commonly cultured pathogens being Pseudomonas aeruginosa,Streptococcus pneumonia,Fusarium spp.,and Aspergillus spp.Corneal perforation and descemetocele developed in 391(19.8%)and 93(4.7%)eyes,respectively.Medical treatment was successful in resolving IK in 50.4%eyes,while 337(17.1%)eyes underwent penetrating or anterior lamellar keratoplasty.Evisceration was performed in 7.1%of eyes,most commonly in the setting of fungal keratitis.CONCLUSION:Ocular trauma is a major risk factor for IK in Vietnam,which is diagnosed in almost 400 patients each year at VNEH.Given this,and as approximately one quarter of the eyes that develop IK require corneal transplantation or evisceration,greater emphasis should be placed on the development of prevention and treatment programs for IK in Vietnam. | Pham Ngoc Dong Do Thi Thuy Hang Nguyen Thi Nga Duong Mai Thi Lien Angela C.Chen Anthony J.Aldave | 2022 | International Journal of Ophthalmology(English edition)2022，15，1： | 0 |
| 9 | 钳夹辅助复位治疗高位股骨转子下骨折手术技术显示文摘背景:股骨转子下骨折的治疗具有复杂性。由于该部位具有较大的(肌肉)牵拉应力而使得近端骨折块较易移位以致于使骨折端的精确复位及内固定物放置困难。本研究的目的是评价一组高位股骨转子下骨折患者采取钳夹辅助复位及髓内钉内固定对于骨折愈合率及骨折复位质量的影响。方法:自2003年12月到2007年1月,来自于两个一级创伤中心共55例移位型高位股骨转子下骨折患者,其中2例死亡,9例失访。剩余44例患者均得到随访至术后6个月或至骨性愈合;男27例,女17例,平均年龄55岁。均采用扩髓型顺行静态锁定髓内钉内固定系统,同时通过外侧小切口使用钳夹辅助复位,其中9例患者加用线缆环扎骨折端。术后常规X线检查,评价骨折复位质量及骨折愈合情况。结果:随访44例患者中,43例患者达到骨性愈合,骨折复位后冠状面及矢状面成角均不大于5°。38例(86%)达到解剖复位,6例患者骨折端发生轻微的内翻畸形(2°-5°),所有的患者均无并发症发生。结论:使用钳夹辅助复位髓内钉固定适时加用线缆环扎骨折端治疗股骨转子下骨折可达到满意的骨折复位和较高的术后骨折愈合率。手术成功要点是操作细微,尽量减少对软组织的剥离。可信水平:治疗性研究Ⅳ级。关于证据等级的完整描述详见投稿须知。 | Alan Afsari, MD Frank Liporace, MD Eric Lindvall, DO Anthony Infante Jr., DO Henry C. Sagi, MD George J. Haidukewych, MD 杨雷(译) | 2011 | 中华骨科杂志2011，31，3： | 0 |
您所在的机构暂未开通此部分的功能，请联系管理员