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1.
Artigo em Chinês | MEDLINE | ID: mdl-38296241

RESUMO

In September 8th, 2021, a male patient (aged 18 years) with severe destructive injuries of high-voltage electric burns in the head, face, and neck was admitted to General Hospital of Taiyuan Iron Steel (Group) Co., Ltd. Based on the economic theory of flaps, the flap donor site and transplantation method were optimized and evaluated before surgery, and then debridement of head, face, and neck wounds+removal of necrotic skull+free transplantation of super large latissimus dorsi myocutaneous flap+thin intermediate thickness skin graft transplantation from the left thigh was performed. The extra large flap donor site wound was sutured directly. This surgery reduced the adverse consequences of the flap donor site on the premise of ensure of repair effect. After operation, the patient's condition was stable, the flap and skin graft survived well, the repair effect of wound was well, the scar in the flap donor area was relatively mild, and the upper limb had no dysfunction.


Assuntos
Queimaduras por Corrente Elétrica , Procedimentos de Cirurgia Plástica , Lesões dos Tecidos Moles , Humanos , Masculino , Queimaduras por Corrente Elétrica/cirurgia , Transplante de Pele , Lesões dos Tecidos Moles/cirurgia , Retalhos Cirúrgicos/cirurgia , Cicatrização , Adolescente
2.
Eur Rev Med Pharmacol Sci ; 27(15): 7188-7200, 2023 08.
Artigo em Inglês | MEDLINE | ID: mdl-37606129

RESUMO

OBJECTIVE: Serum procalcitonin (PCT) reflects the infection status of the organism and the severity of the infection. The purpose of this study was to systematically evaluate the diagnostic value of serum PCT for burn sepsis in adults and to provide a factual basis for future clinical diagnosis and decision-making. MATERIALS AND METHODS: On August 16, 2022, six databases were searched in this study and a total of 856 studies were found. The retrieved literature was comprehensively evaluated according to the inclusion and exclusion criteria, and the valid data were extracted and included for analysis. The number of true positives, false positives, true negatives and false negatives were used as indicators to evaluate the diagnostic value of serum PCT for burn sepsis in adults. RESULTS: In total, 15 studies met the inclusion criteria. Meta-analysis showed a combined sensitivity of 0.78 (95% CI: 0.69-0.84), a combined specificity of 0.85 (95% CI: 0.77-0.91), a combined positive likelihood ratio of 5.17 (95% CI: 3.25-8.25), a combined negative likelihood ratio of 0.26 (95% CI: 0.19-0.37), and a combined diagnostic ratio of 19.63 (95% CI: 10.17-37.90). The AUC was 0.88 (95% CI: 0.85-0.90). CONCLUSIONS: Serum PCT provides good early diagnostic benefits for burn sepsis in adults. More high-quality studies are required to clarify its specific early diagnostic value.


Assuntos
Queimaduras , Sepse , Adulto , Humanos , Pró-Calcitonina , Sepse/diagnóstico , Queimaduras/diagnóstico , Bases de Dados Factuais , Pesquisa Qualitativa
4.
Am J Trop Med Hyg ; 39(2): 214-7, 1988 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-2841880

RESUMO

In a study begun in 1985, 1,026 children between the ages of 5 and 12 years, living in an area of low Japanese encephalitis (JE) infection, were vaccinated with live-attenuated JE vaccine, strain SA14-14-2. A group of 47 of the vaccinated children, 5-6 years of age, were examined for fever and other systemic reactions every other day for 2 weeks following vaccination. None of these children had temperatures greater than 37.4 degrees C or other systemic reactions during the observation period. No untoward reactions were reported in the remainder of the vaccinated group. After immunization, seroconversion rates in seronegative children were 100% (GMT 35.3, n = 11), 100% (GMT 31.7, n = 12), and 83.3% (GMT 23, n = 10) in groups receiving vaccine diluted 1:3, 1:5, and 1:50, respectively. These results indicate that the JE SA14-14-2 live-attenuated vaccine is immunogenic and safe for children.


Assuntos
Encefalite Japonesa/prevenção & controle , Vacinas Virais/efeitos adversos , Animais , Anticorpos Antivirais/biossíntese , Temperatura Corporal , Criança , Pré-Escolar , Vírus da Encefalite Japonesa (Espécie)/imunologia , Humanos , Camundongos , Vacinas Atenuadas/efeitos adversos , Vacinas Atenuadas/imunologia , Vacinas Virais/imunologia
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