ABSTRACT
Spastic diplegia and hemiplegia are the common types of cerebral palsy which needs treat-ment in clinic. The paper discusses the classification of gait problems in these two types of cerebral palsy and ac-cording to gait analysis,recommended the management for them. Through the understanding of the classification, the treatment plan could be made individually regarding the GMFCS level of the patient and improve their functions.
ABSTRACT
This paper summarizes the experiences of nursing care for children patients with Pavlik harness in the treatment of developmental hip dysplasia. Nurses attended to the children immediately after the diagnosis was identified. Cooperating with orthopedic surgeon,nursing care mainly focused on family health education,follow-up and guidance on how to prevent the leg from the position of over abduction,as well as guidance on daily life,skin care and positions being holded. As a result,43 children achieved stable reposition with Pavlik harness while 4 cases changed to manipulation reposition integrated with casting whose femoral head had not reduced to the acetabulum. No femoral head necrosis and limb contracture happened except 3 cases suffered from slight skin damage.
ABSTRACT
[Objective]To evaluate the effectiveness of ultrasound screening for degenarative dislocation of hip(DDH)in infant.[Method]Fifty infant hips were accepted for the ultrasound screening and the pelvic radiograph simultaneously.The author measured the ? angle on ultrasonography and the acetabulum index(AI)on the radiograph,then evaluated the data by different criteria.[Result]Forty-two hips were diagnosised as DDH according to the X-ray,but by the ultrasound there only 13 hips were abnormal.The author analyzed the data by paired-sample x2 test,there was significant difference between two methods(P
ABSTRACT
[Objective]To introduce the pathogeny,diagnosis and treatment of anterior superior iliac spine avulsion fracture in adolescent.[Method]Fifteen cases were treated with conservative or open treatments according the different severity in Shanghai children's medical center.[Result]With both conservative and open treatments,all cases returned to full activity without residual complaints or weakness.[Conclusion]Correct diagnosis and treatment will get good results in ASIS avulsion fracture.
ABSTRACT
Shanghai Medical Center for Children, jointly set up by the municipal government and the World Health Foundation of America, possesses advanced intelligence hospital buildings and medical facilities. The authors gave a detailed account of the centers practice in implementing reform with modern ideas of hospital management. Specific ways include: ①improving the overall quality by training all workers and staff of the management contingent; ②strengthening medical quality control via orienting medical service towards the needs of patients; ③conducting widespread international exchanges and cooperation with specialty development serving as the link; ④enriching hospital culture by strengthening the building of a spiritual civilization with special characteristics; ⑤setting up the centers development department so as to raise social charity funds for the advancement of the hospital; ⑥outsourcing logistic service so as to improve operating efficiency.
ABSTRACT
Objective To improve the knowledge for flow direction of renal spleen circulation in Budd Chiari syndrome and effects in treatment. Methods Two Budd Chiari syndrome patients with reno splenic venous shunt were treated by PTA, and the circulation directions were investigated. Results One case with hepatic vein occlusion showed the circulation from left renal spleen vein to IVC; another case with IVC stenosis proximal to heart showed the flow direction from spleen left renal vein to varices and finally to SVC. The circulation disappeared after treatment with PTA.Conclusions The direction of circulation in different types of Budd Chiari with portal hypertension may be different and should be identified clearly for a suitable management.