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Objective:To evaluate the trauma center model in general hospitals for patients with severe trauma.Methods:The data of 1,248 patients with severe trauma (ISS≥16) were retrospectively analyzed who had been admitted to the trauma centers in 6 Chinese general hospitals from January 2019 through June 2020. They were 987 males and 261 females with an age of 50.4 years ± 15.4 years. Their injuries were caused by a traffic accident in 622 cases, falling from a height in 357 cases, a knife in 62 cases, and others (like a heavy object and fall) in 207 cases. Upon admission, their injury severity scores (ISS) were 24.9±8.5 and their Glasgow coma scores (GCS) 12.6±3.6. They were all treated in a scientific and standard manner by a multidisciplinary team at the trauma center of their specific general hospital. Recorded were deaths within 30 days after admission, 30-day mortality and causes of death.Results:All the patients were treated effectively. 101 deaths occurred within 30 days after admission, yielding a 30-day mortality of 8.1%. The main causes of death were severe craniocerebral injury in 56 cases, hemorrhagic shock in 26 cases, multi-organ failure in 11 cases and others in 8 cases.Conclusions:Establishment of trauma centers in China can make up for the disadvantage of over-division of clinical specialties in large general hospitals which has led to insufficient care for patients with severe trauma and multiple injuries. The trauma centers in general hospitals may be a feasible model to be popularized in treatment of patients with severe trauma and multiple injuries.
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Objective@#To investigate the clinical application value of symmetrical three-hole laparoscopic sleeve gastrectomy (LSG).@*Methods@#The retrospective and descriptive study was conducted. The clinical data of 232 patients with obesity who were admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from April 2017 to December 2018 were collected. There were 40 males and 192 females, aged (32±8)years, with a range of 17-63 years. All the 232 patients underwent symmetrical three-hole LSG. Observation indicators: (1) surgical and postoperative conditions; (2) complications; (3) follow-up. Follow-up was conducted by telephone interview and WeChat to collect the patient satisfaction with cosmetic effects of wounds at 3 months after surgery up to March 2019. Measurement data with normal distribution were expressed as Mean±SD. Count data were expressed as absolute numbers or percentages.@*Results@#(1) Surgical and postoperative conditions: of the 232 patients, 230 underwent symmetrical three-hole LSG successfully, without conversion to open surgery. Two patients had one puncture hole added due to spleen bleeding to help pull the omentum to stop bleeding, and no spleen hemorrhage recurred after improving the surgical procedure. Of the 232 patients, the operation time, volume of intraoperative blood loss, and duration of postoperative hospital stay were (115±7)minutes, (10±5)mL, and (3.0±0.8)days. (2) Complications: of the 232 patients, 10 had postoperative complications of fat liquefaction in the umbilical incision, and were cured after repeated dressing changes. All patients had no serious complications such as gastrointestinal bleeding, abdominal bleeding, or gastric fistula. (3) Follow-up: of the 232 patients, 230 undergoing successful symmetrical three-hole LSG were followed up for 3 months. Of the 230 patients, 3 were dissatisfied with the cosmetic effects of wounds, 12 were satisfied, and 215 were very satisfied. The satisfaction rate was 98.70%(227/230).@*Conclusion@#Symmetrical three-hole LSG is safe and feasible, with a good cosmetic effects of wounds.
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Objective To investigate the clinical application value of svmmetrical three-hole laparoscopie sleeve gastrectomy (LSG).Methods The retrospective and descriptive study was conducted.The clinical data of 232 patients with obesity who were admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from April 2017 to December 2018 were collected.There were 40 males and 192 females,aged (32±8)years,with a range of 17-63 years.All the 232 patients underwent symmetrical three-hole LSG.Observation indicators:(1) surgical and postoperative conditions;(2) complications;(3) follow-up.Follow-up was conducted by telephone interview and WeChat to collect the patient satisfaction with cosmetic effects of wounds at 3 months after surgery up to March 2019.Measurement data with normal distribution were expressed as Mean±SD.Count data were expressed as absolute numbers or percentages.Results (1) Surgical and postoperative conditions:of the 232 patients,230 underwent symmetrical three-hole LSG successfully,without conversion to open surgery.Two patients had one puncture hole added due to spleen bleeding to help pull the omentum to stop bleeding,and no spleen hemorrhage recurred after improving the surgical procedure.Of the 232 patients,the operation time,volume of intraoperative blood loss,and duration of postoperative hospital stay were (115±7) minutes,(10±5) mL,and (3.0±0.8) days.(2) Complications:of the 232 patients,10 had postoperative complications of fat liquefaction in the umbilical incision,and were cured after repeated dressing changes.All patients had no serious complications such as gastrointestinal bleeding,abdominal bleeding,or gastric fistula.(3) Follow-up:of the 232 patients,230 undergoing successful symmetrical three-hole LSG were followed up for 3 months.Of the 230 patients,3 were dissatisfied with the cosmetic effects of wounds,12 were satisfied,and 215 were very satisfied.The satisfaction rate was 98.70％(227/230).Conclusion Symmetrical three-hole LSG is safe and feasible,with a good cosmetic effects of wounds.
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Objective To investigate the prevalence and the related factors of female breast disease in Zhengzhou City, Henan Province, and to provide a targeted prevention guide for female breast disease. Methods A total of 6310 women were enrolled in this study. In addition to breast ultrasound, mammography and pathology assays were performed. Finally, the prevalence and influencing factors for female breast disease were analyzed. Results The prevalence of breast cancer and the total prevalence of breast diseases was 0.06% and 24.94%, respectively. The prevalence of female breast diseases was significantly correlated to age, educational level, occupa-tion, menstruation, reproductive age and a history of abortion. Logistic regression analysis showed that the occupa-tional type had a significant effect on the prevalence of female breast. Conclusion The prevalence of female breast disease is relatively high in Zhengzhou City, and it is affected by many factors. The targeted surveys and breast dis-ease screening should be conducted, and the secondary prevention of female breast disease should be strengthened.
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Objective To evaluate the efficacy of intravenous laser treatment for varicose great saphenous veins of lower limbs. Methods .Intravenous laser treatment in combination with surgical procedure was used to treat 126 cases of varicose great saphenous vein (150 limbs) in this hospital between July 2002 and May 2004. Results .The operation time was 30~50 min (mean, 45 min). A follow-up for 3~19 months (mean, 6 months) in 120 cases (142 limbs) was carried out. Out of the 142 limbs, symptoms of soreness and lacking in strength completely disappeared in 134 limbs (94.4%) and partially subsided in 8 limbs (5.6%). A complete disappearance of symptoms of skin pigmentation and swelling was achieved in 45 limbs (90.0%, 45/50) and 97 limbs (96.4%, 97/101), respectively. The varicose superficial veins vanished in all the limbs without recurrence. Complications included skin burn on the medial malleolus (2 cases) or anterior shank (2 cases), numbness and hypoesthesia on the medial shank (3 cases), and subcutaneous cord-like hard tubercles (32 cases, which were completely softened and absorbed 3 months later). Conclusions .Intravenous laser treatment is a reliable method in the treatment of varicose great saphenous veins, with simplicity of performance, good safety, little influence of normal activities, and excellent cosmetic results.