Zhonghua wai ke za zhi [Chinese journal of surgery]
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To investigate the way of sacral tumors surgical treatment. ⋯ Complete resection of tumor (radical surgery when possible) is the most effective way to manage sacral tumors. Postoperative adjuvant radiation therapy can reduce the tumor recurrence rate, but it also can cause troubles that would hinder further surgical managements. Even if the tumor is relatively huge and the upper resection margin is as high as at S(1) or S(2) level, the tumor can be removed successfully by posterior approach and the postoperative complications could be accepted. To the patients with aneurysmal cyst or giant cell tumor on sacrum, for control bleeding purpose, anterior approach should be performed to ligate the bilateral internal iliac artery.
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Zhonghua Wai Ke Za Zhi · Nov 2003
[Fluid management and cause of death during shock period in patients with severe burns or burns complicated by inhalation injury].
To explore fluid management and cause of death during shock period in severe burns or burns with inhalation injury. ⋯ Many fluid formula can provide guidance for resuscitation and it is very important that early fluid therapy should accord with concrete clinical conditions of patients in order to pass smoothly through shock period. Early fluid management is not different between burns and burns with inhalation injury.