Zhonghua yi xue za zhi
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Zhonghua yi xue za zhi · Aug 2013
[Effects of fluid resuscitation programs on the levels of inflammatory mediators during burn shock stage].
To explore the effects of different methods of fluid resuscitation on the levels of inflammatory mediators during burn shock stage. ⋯ The recovery regimens of hydroxyethyl starch and Parkland groups may restrain the levels of inflammatory mediators. And the effects are similar to those of allogeneic plasma group.
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Zhonghua yi xue za zhi · Aug 2013
[Posterior C1-C2 transarticular screw fixation for atlantoaxial instability assisted by intraoperative 3-dimensional fluoroscopy-based navigation].
To assess the feasibility, efficacy and indication of posterior C1-C2 transarticular screw fixation for atlantoaxial instability assisted by intraoperative 3-dimensional fluoroscopy-based navigation. ⋯ Posterior C1-C2 transarticular screw fixation for atlantoaxial instability assisted by intraoperative 3-dimensional fluoroscopy-based navigation is both feasible and safe. Combined with minimally invasive techniques, this procedure may achieve greater precision and minimal invasion.
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Zhonghua yi xue za zhi · Jul 2013
Randomized Controlled Trial[Effects of parecoxib sodium analgesia on serum concentrations of neuron-specific enolase and S-100β and postoperative cognitive function of elderly patients undergoing acute replacement of femoral head].
To explore the effects of parecoxib sodium analgesia on serum concentrations of neuron-specific enolase (NSE) and S-100β and postoperative cognitive function of elderly patients undergoing acute replacement of femoral head. ⋯ Parecoxib sodium analgesia reduces the rate of POD and POCD in elderly patients with neuroprotective effects.
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Zhonghua yi xue za zhi · Jul 2013
Comparative Study[Unilateral versus bilateral pedicle fixation at the level of fracture in the treatment of thoracolumbar fractures with mild to moderate instability].
To evaluate the efficacies of unilateral versus bilateral pedicle screw fixation through the pedicle of fractured vertebra plus short-segment pedicle instrumentation (SSPI) in the treatment of thoracolumbar fractures. ⋯ Pedicle screw fixation through the pedicle of fractured vertebra plus SSPI is an excellent surgical therapeutic choice for patients with a LSC range of 5-7 thoraclumbar fractures. The efficacies of unilateral and bilateral pedicle screw fixation at fracture level are the same.
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Zhonghua yi xue za zhi · Jul 2013
Comparative Study[Lateral position one-stage combined anteroposterior approach versus posterior approach with subtotal corpectomy, decompression, and reconstruction of spine in the treatment of thoracolumbar burst fractures].
To compare the medium and long-term outcomes of lateral position one-stage plus anteroposterior versus posterior approach with subtotal corpectomy, decompression, and reconstruction of spine in the treatment of thoracolumbar burst fractures. ⋯ Lateral position one-stage plus anteroposterior and posterior approaches with subtotal corpectomy, decompression, and reconstruction of spine are adequate surgical treatments for thoracolumbar burst fractures. But the latter has the major advantages of less perioperative volume of blood loss, fewer complications, shorter operative duration and better pulmonary functions.