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Objective To investigate the epidemic situation of children with respiratory viruses in zhongs-han ,Guangdong to provide evidence for the diagnosis of respiratory virus infections in children .Methods 55 240 cases were collected in a hospital from November 25 ,2011 to September 30 ,2016 ,Influenza virus(IFA , IFB) ,parainfluenza virus (PIV1 ,PIV2 ,PIV3) ,respiratory syncytial virus (RSV) and adenovirus (ADV) were detected by direct immunofluorescent ,and analyzed the results .Results The positive rate of virus infection in 55 240 children was 23 .25%,of which RSV 53 .75%,IFA 13 .83%,ADV10 .81%,PIV3 10 .77%,IFB 6 .49%, PIV1 2 .37%,PIV2 1 .14% and mixed infection 0 .84% .There were statistical significance between male and female (P＜0 .05) .The positive rates of virus infection in children 0- ≤1 years and 1- ≤3 years were higher than those in the other age groups ,the difference was statistically significant (P＜0 .05) .The positive rate of RSV was higher in both age groups (71 .92%,46 .23%) The positive rate of these 7 viruses infection in winter and spring was higher than that in summer and autumn ,the difference was statistically significant (P＜0 .05) , and the positive rate of RSV was the highest .The positive rate of these 7 viruses patients with bronchitis was higher than that of the other patients ,the difference was statistically significant (P＜0 .05) and in 108 patients with mixed infections ,the most cases was patients with RSV (90 cases) .Conclusion The main pathogen is RSV .The infection rate of children under 3 years old is the highest .Winter and spring are the high incidence of respiratory virus infection in children in Guangdong zhongshan district .
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Objective:To study the value of three surgical methods in the treatment of dislocation of shoulder joint combined with fracture of greater tuberosity of humerus. Methods: A total of 75 cases of shoulder joint combined with fracture of greater tuberosity of humerus in our hospital from Jul 2012 to Mar 2014 were randomly divided into 3 groups,each with 25 cases. Patients in group A received antero-lateral approach with absorption nail treatment, group B with antero-lateral approach with mini-plate treatment, and group C with anteriomedialis of shoulder approach with anatomy plate treatment. Clinical data in 3 groups were analyzed. Results: Incision length , operation time and intraoperative hemorrhage in group A and group B were not statistically significant (P>0.05), and compared with group C, incision length was smaller, operation time was shorter, intraoperative hemorrhage was less (P<0.05) .At 24 months after surgery, the incidence rate of subacromial impingement in group A and B was lower than that in group C (P<0.05) . There was no significant difference in fracture healing time between the three groups (P>0.05) .Conclusions:Antero-lateral approach is a simple method with less trauma. Absorbable screws and mini-plate can effectively fix fracture of greater tuberosity of humerus. The suitable surgical approach and internal-fixation should be selected according to fracture morphous.