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The 3rd Tianjin Thoracic Trauma and Chest Wall Reconstruction Forum - ndi National Relay Program: Njira Zochepa Zochepa Zopangira Opaleshoni Yothyoka Nthiti zinamalizidwa bwino!

Nthawi: 2022-11-18 Phokoso: 77

The 3rd Tianjin Thoracic Trauma and Chest Wall Reconstruction Forum - ndi National Relay Programme: Minimally Invasive Surgery Technique for Rib Fracture Learning Class, mothandizidwa ndi China Collaborative Clinical Research Group for Thoracic Trauma (CCIRS), yokonzedwa ndi Thoracic Trauma Gulu la Chinese Medical Association, yochitidwa ndi Chipatala cha Tianjin Tianjin ndipo mothandizidwa ndi Changzhou Jishuo Medical Devices Co. Akatswiri oposa 20 ochokera m'madera ena ndi mizinda ina ndi akatswiri oposa 40 pa opaleshoni ya thoracic ku Tianjin adapezeka pamsonkhanowu.

Prof. Wang Dongbin wa ku chipatala cha Tianjin ndi amene anatsogolera msonkhanowu.

Prof. Yang Yi, Wapampando wa Chinese Thoracic Trauma Clinical Research Collaborative Group komanso membala wa chipatala cha Shanghai Sixth People's Hospital, adalankhula.

Adilesi ya Prof. Yang Yi: Tikuyamikira kwambiri kutsegula bwino kwa 3rd Tianjin Thoracic Trauma and Chest Wall Reconstruction Forum! Kupwetekedwa kwa thoracic kukuwonjezeka kwambiri, koma panthawi imodzimodziyo, kumakumananso ndi zovuta zambiri, mwachitsanzo, madokotala ambiri sangavomereze kwenikweni opaleshoni yaing'ono chifukwa cha kuvulala kwa thoracic. Ife madokotala ochita opaleshoni ya pa thoracic tiyenera kuyamba kuchokera kwa ife tokha kuti tikhazikitse ndondomeko ya opaleshoniyo ndikuthandizira kuzindikira kwa anthu opaleshoni ya thoracic yochepa. Ndikusintha kwamalingaliro amoyo wa anthu, ndikukhulupirira kuti opaleshoni yocheperako pang'ono pa opaleshoni yam'mimba ikhala ndi chiyembekezo chogwiritsa ntchito. Tikukhulupirira kuti aliyense agwira ntchito limodzi kuti alimbikitse zambiri!

Adilesi ya Prof. Zhang Xun, Wapampando Wolemekezeka wa Congress, Tianjin Chest Hospital.

Mayankhulidwe a Prof. Zhang Xun: Ndikuyamikira mwachikondi Msonkhano Wachitatu wa Tianjin Chest Trauma ndi Chest Wall Reconstruction Forum! M'mbuyomu, panalibe chilango chodziwika bwino pakuvulala kwa khoma la pachifuwa ndikumanganso ku Tianjin. Popeza Pulofesa Wang Dongbin anabwera ku Tianjin Hospital, iye wagwiritsa ntchito mokwanira chuma cha opaleshoni ya chifuwa ndi opaleshoni zoopsa mu chipatala cha Tianjin, ndipo anamanga bwino nsanja imeneyi ndi yabwino kusinthana kwa ogwira ntchito kuvulala pachifuwa ndi kumanganso khoma pachifuwa dziko lonse. . Chifukwa cha kuchuluka kwa magalimoto komanso kuwonjezeka kwa nyumba zapamwamba, mwayi wa kuvulala kwa khoma la pachifuwa kumawonjezeka kwambiri, ndipo kufunikira kwa chithandizo chamankhwala chapafupi ndipamwamba kwambiri. Momwe mungasinthire kukhazikika, kukhazikika ndi homogenization ya zovulala pachifuwa m'zipatala zosiyanasiyana, makamaka zipatala zoyambirira, ziyenera kusamala. Tikufuna kuti msonkhanowu ukhale wopambana!

Adilesi ya Prof. Wang Guangshun, Wapampando Wolemekezeka wa Msonkhano, Chipatala cha Anthu a Chigawo cha Tianjin Baodi.

Adilesi ya Prof. Wang Guangshun: Ndizosangalatsa kutenga nawo gawo pa 3rd Tianjin Thoracic Trauma and Chest Wall Reconstruction Forum! Kupwetekedwa kwa thoracic ndi gawo lofunika kwambiri la opaleshoni yam'mimba, ndipo chidziwitso cha kupwetekedwa mtima chimakhala chodetsa nkhaŵa kwambiri kwa odwala onse, madokotala ndi anthu! Kuvulala kwa thoracic ndi ntchito yofunika kwambiri ya opaleshoni, ndipo momwe angachitire ntchito yabwino populumutsa ndi kuchiza kuvulala kwa thoracic kumayenera kusamala. Mkhalidwe wa kupwetekedwa mtima pachifuwa umasiyana kuchokera kwa wodwala kupita kwa wodwala, kotero pali kusiyana kwakukulu kwa chithandizo, ndipo tiyenera kuyesetsa kwambiri populumutsa ndi kuchiza matenda a chifuwa m'tsogolomu. Pulofesa Wang Dongbin ndi mtsogoleri wa kuvulala pachifuwa ndi kumanganso khoma la pachifuwa ku Tianjin, ndipo ndikukhulupirira kuti luso la kuvulala pachifuwa ndi kumanganso khoma la chifuwa ku Tianjin lidzakhala lotsogola kwambiri pansi pa utsogoleri wa Pulofesa Wang Dongbin, ndipo potsiriza ndikulakalaka 3rd. Tianjin Forum pa Chest Trauma ndi Chest Wall Reconstruction yapambana kwambiri!

Nthawi ya Maphunziro

01

Consensus on Concept ndi Guideline

Wotsogolera: Prof. Zhang Xun, Prof. Wang Guangshun

Pulofesa Yang Yi waku chipatala cha Shanghai Sixth People's Hospital adagawana nawo "Kukhazikitsidwa ndi kugwiritsa ntchito malo osungirako ovulala pachifuwa": Pulofesa Yang adawonetsa momwe zinthu ziliri pano ku United States, Britain ndi Japan, komanso malo ena osungira zoopsa ku China, akuwonetsa. kuti palibe deta yonse yamankhwala ovulala ku China pakadali pano. Ntchito za database zidayambitsidwanso, monga gawo lazachipatala, kafukufuku wasayansi komanso kugawa kwazinthu zamankhwala. Chipatala cha Sixth cha Shanghai chapanga nkhokwe yakuvulala kwa thoracic kutengera deta yakuthyoka kwa nthiti ndi ntchito zambiri zamunthu pamodzi ndi makampani apulogalamu, ndipo zipatala zopitilira khumi ku China zatenga nawo gawo pomanga databaseyi. Tikukhulupirira kuti zipatala zambiri zidzalowa nawo kuti zikhale zosungira dziko lonse ndikuthandizira kuti pakhale zoopsa ku China.

Prof. Yang Jinliang wa ku chipatala chachitatu cha Hebei Medical University adagawana nawo "Kutanthauzira kwa Kugwirizana kwa Mayiko ndi Malangizo pa Chithandizo cha Kuthyoka kwa Nthiti": Prof. Yang anatanthauzira ndi kufotokoza mwachidule mgwirizano wapadziko lonse ndi malangizo okhudza chithandizo cha kuthyoka kwa nthiti kuperekedwa kunyumba ndi kunja, ndipo anatsindika za mfundo zazikuluzikulu, monga: nthawi yoyenera ya opaleshoni ndi yoyambirira bwino; kuzindikira malo opangira opaleshoni; kupanga chisankho panthawi yake pa malo omwe mpweya umatuluka m'mapapo. Malo otuluka m'mapapo amayenera kupangidwa munthawi yake ndipo ziwalo zina ziyenera kuthandizidwa munthawi yake; kugwiritsa ntchito njira zokhazikika zokhazikika za nthiti monga njira ya anesthesia, njira yodula, njira yowunikira pachomera cha thoracic, kuwonongeka kwa minofu yozungulira, komanso ubwino wogwiritsa ntchito lumpectomy. Lumpectomy yofufuza ndi kukonza nthiti yothyoka nthiti imalimbikitsidwanso mu mgwirizano.

Prof. Su Zhiyong wochokera ku Chipatala Chogwirizana cha Chifeng College adagawana nawo "Mkhalidwe wamakono wa opaleshoni yochepa kwambiri ya nthiti zothyoka": Prof. Su anawunikiranso chithandizo cha nthiti zothyoka kusanayambike kwa lumpectomy ndipo adafotokozera mwatsatanetsatane njira zopangira opaleshoni yochepa ya nthiti. fractures ku mbali zingapo ndi zinachitikira gulu lake ntchito, ndipo mwachidule mfundo zisanu ndi chimodzi za mfundo za chithandizo. Anatsindika kuti lumpectomy ndiyo njira ndipo kasamalidwe kake ndi kofunikira kwambiri; phindu la opaleshoni liyenera kupitirira zoopsa za opaleshoni. Iye ananeneratu kuti absorbable zakuthupi ndi malangizo waukulu m'tsogolo, ndiyeno ndi kuluka bundling njira adzakhala kusankha bwino.

Prof. Zhang Qiang wochokera ku chipatala cha Beijing Jishuitan adagawana nawo "Kugwiritsa ntchito lingaliro la ERAS pa opaleshoni yothyoka nthiti": Prof. Zhang adayambitsa njira zosiyanasiyana ndi njira zopangira opaleshoni kuti afulumire kuchira kwa odwala pogwiritsa ntchito zipangizo ndi njira zopangira opaleshoni, ndi cholinga chochepetsera kuvulala kwa opaleshoni ndi zotsatira za odwala mozungulira lingaliro la accelerated recovery surgery (ERAS). Anayambitsa njira ndi njira zosiyanasiyana zofulumizitsira kuchira kwa odwala malinga ndi zipangizo ndi njira zopangira opaleshoni. Ananena kuti njira zenizeni zopulumutsira ziyenera kupangidwa molingana ndi kusiyana kwa kukula kwa thupi ndi kuvulala kwapadera kwa odwala osiyanasiyana, monga kugwiritsa ntchito makina osindikizira a 3D kuti athetse chithandizo cha odwala onenepa kwambiri. Pakalipano, zipangizo zambiri sizinali zoyenera kuti ziphatikizidwe ndi thoracoscopy. Anagogomezera kufunika kwa kukonzekera opaleshoni, yomwe ingafupikitse nthawi ya opaleshoni komanso kufulumizitsa kuchira kwa odwala, komanso ndi chitukuko cha zipangizo, opaleshoni ya thoracic yocheperapo ndiyo njira yamtsogolo.

Prof. Xia Fei wochokera ku Affiliated Hospital of Guizhou Medical University, Prof. Hu Ping wochokera ku Affiliated Central Hospital ya Chongqing University, Prof. Shi Jin wochokera ku Affiliated Hospital ya Shandong University of Traditional Chinese Medicine, Prof. Jiang Wei wochokera ku Affiliated Central Chipatala cha Shenyang Medical College, Prof. Jiang Haifeng wochokera ku Affiliated Chuzhou Hospital of Anhui Medical University, Prof. Zou Zhiqiang wochokera ku chipatala cha 960th cha People's Liberation Army, ndi Prof. Li Xiaoliang wa ku Qinghai Red Cross Hospital anakambirana mokwanira za kugawana nawo akatswiri angapo motero.

02

Clinical Basic Research

Moderator: Prof. Lu Xi Ke Prof. Zhang Weidong

Prof. Huang Lijun wa ku chipatala cha Tangdu cha Fourth Military Medical University adagawana nawo "opaleshoni ya thoracic medical-industrial cross-transformation research": Prof. Huang adagawana ntchito yochitidwa ndi Tangdu Hospital ya Fourth Military Medical University mu opaleshoni ya thoracic medical-industrial cross- kusandulika. Anayambitsa njira yogwiritsira ntchito kusindikiza kwa 3D kwa ana omwe ali ndi chifuwa cha funnel kwa nthawi yoyamba mu 2015, komanso zoyesayesa zina zotsatila, ndipo adalongosola malingaliro ndi kusintha komwe kumbuyo kwake. Pankhani yosankha zinthu, polyether ether ketone (peek) ili ndi biocompatibility yabwino komanso makina osinthika, komanso kusindikiza kwa 3D ndi peek monga momwe zinthu zagwiritsidwira ntchito m'zipatala za 35 ku China. Ntchito zonsezi sizingachitike popanda kuthandizidwa ndi akatswiri aukadaulo.

Prof. Wang Liming wa ku chipatala cha Tianjin adagawana nawo "Kafukufuku wa ntchito ya EIT pakuwunika ntchito ya mpweya wabwino m'nthiti zingapo zothyoka": Electrical impedance tomography (EIT) ndi chida chofunikira chowunikira odwala omwe amathyoka nthiti zingapo m'magawo osamalira odwala kwambiri, poyang'anira mawonekedwe a mpweya wabwino, imatha kupeza malo opanikizika, kuwerengera kutsika kwa mpweya ndikuwonetsa kuchuluka kwa kuvulala. EIT ili ndi kusintha kwakukulu kwa malo ndi kwakanthawi ndipo ndi yosavuta kuchita, yomwe ingapereke phindu lodziwika bwino kwa madokotala kuti asinthe ndondomeko ya chithandizo panthawi yake.

Pulofesa Meng Xianghong wa ku chipatala cha Tianjin adagawana nawo "Kugwiritsa ntchito ukadaulo wa AI pakuzindikira kuthyoka kwa nthiti": Kuthyoka kwa thoracic kumakhala ndi mitundu yosiyanasiyana ya zilembo, zina zomwe sizimanyalanyazidwa. Kuphatikiza kwa zotsatira za AI ndi kuunikanso pamanja kwathandizira kwambiri kulondola kwa siteji, ndipo kugwiritsa ntchito mogwirizana kwa malipoti okonzedwa kumapangitsa kuti zotsatira zake zikhale zomveka. AI ili ndi mtengo wothandiza kwambiri pakuwunika kwabwino komanso kuchuluka kwa kuvulala kwa pachifuwa, komanso kuphatikiza kwa data yolingalira za odwala ndikofunikira kwambiri pakuwonetsetsa kuti wodwalayo ali ndi matenda.

Prof. Li Zhenyu wa ku Guizhou People's Hospital, Prof. Yi Jun wa Eastern War Zone General Hospital, Prof. Yu Xiaojun wa Hangzhou Fuyang District First People Hospital, Prof. Li Genzhi wa Xiamen Fifth Hospital, Prof. Shen Yuguang wa Zunyi First People's Hospital , ndi Prof. Yang Tao wa ku Tianjin Fifth Central Hospital anakambilana za nkhaniyi.

03

Njira yokhazikitsira nthiti yocheperako pang'ono

Woyang'anira: Prof. Peng Zhang

Prof. Jin Longyu wa ku Third Xiangya Hospital ku Central South University adagawana nawo "Anatomy ndi zizindikiro za thupi la khoma la pachifuwa": Prof. Jin adawunikiranso mawonekedwe a anatomical okhudzana ndi opaleshoni yam'mimba, kuphatikiza mawonekedwe a khoma la pachifuwa, zizindikiro za thupi (mzere wakutsogolo wamkati, wosanjikiza). mzere, mzere wa clavicular, parasternal line, etc.), zizindikiro za thupi la minofu (pectoralis yaikulu minofu, mastoid muscle, latissimus dorsi muscle, etc.), ndi zizindikiro za thupi la bony. ), zizindikiro za thupi la bony (nthiti, sternum, thoracic vertebrae, etc.), ndi zina zotero, ndipo anafotokoza tanthauzo lachipatala la dongosolo lililonse la anatomical, komanso zotsatira zake chifukwa cha kuvulala, kuti apereke chidziwitso pazochitika zachipatala.

Pulofesa Fan Xinglong wa ku chipatala cha Qilu ku yunivesite ya Shandong adagawana mutu wakuti "Kusankha mwayi wokonza nthiti za lumpectomy": Pakalipano, thoracoscopy yakhala ikugwiritsidwa ntchito kwambiri pofufuza ndi kutulutsa magazi kwa chifuwa cha thoracic, chomwe chikuwoneka bwino, chosawonongeka ndi zina zambiri. zowunikidwa molondola kuposa njira zachikhalidwe. Kwa fractures yachiwiri, komanso odwala omwe ali ndi kupha magazi kwa thoracic ndi kuvulala kwamapapu, lumpectomy ndi yopindulitsa kwambiri. Kusankha mlandu kuyenera kukhala kosavuta kuchita. Kukonzekera pansi pa lumpectomy ndizovuta ndipo kumafuna kukonzanso kwapamwamba. Lumpectomy sichivulaza thupi ndipo imathandizira kuchepetsa zovuta zomwe zimachitika pambuyo pa opaleshoni.

Prof. Zhang Dongsheng wa ku Shijiazhuang Third Hospital adagawana nawo "Thoracoscopic reverse fixation method for intra- thoracic nthiti yothyoka": Prof. Zhang anafotokoza njira ya opaleshoni ya lumpectomy nthiti yothyoka nthiti kudzera mu kanema ndikuwonetsa zotsatira za kukonza opaleshoni ya thoracoscopic kupyolera muzochitika zenizeni. Ambiri mwa maopaleshoni enieni amachitidwa ndi lumpectomy yokhala ndi dzenje limodzi, yomwe ili ndi ubwino wodula pang'ono, kuyang'ana kwakukulu, kupewa kuwonongeka kwa minofu ndi minyewa, komanso chitetezo chapamwamba pakuwonongeka pafupi ndi mitsempha yayikulu yamagazi. Komabe, ili ndi chiopsezo cha kuwonongeka kwa dera lalikulu kwa pleura; kutsimikiza ngati mapeto odulidwawo akugwirizana bwino panthawi yokonzekera akhoza kukhudzidwa; Kukonzekera kwamkati kwamakono kumafuna kufufuza kwina ndi chitukuko kuti chikhale bwino; pali chiopsezo china cha dehiscence nthawi zina, chomwe chimafuna kudulidwa bwino kwa nthiti ndi zolakwika zina.

Prof. Xu Enwu wa ku General Hospital of the Southern War Zone of the Chinese People's Liberation Army adagawana nawo "Bone healing and bone discontinuity theory (BHN) for nthiti yothyoka": kutha kwa fupa kumaphatikizapo njira yayikulu yochiritsira mafupa ndipo ndiyoyenera kuchitapo kanthu mwachangu. kuphunzira ndi madokotala a thoracic. Kuthyoka kwa nthiti osteonecrosis ndiye chifukwa chofunikira kwambiri cha ululu wosatha. Augmented and atrophic osteonecrosis ndizofala kwambiri pa opaleshoni ya thoracic. Kuyika mochulukira pamakina, kupsinjika kwambiri, komanso kusasinthika kwamakina kumaganiziridwa kuti kumathandizira kuti pakhale kusagwirizana. Zonse ziwiri pansi pa kukhazikika kwa mkati ndi kuuma kwambiri kwa kukhazikika kungayambitse fupa nonunion. Machiritso a mafupa ndi chiphunzitso cha fupa la discontinuity (BHN) cha kukonza nthiti kuthyoka chimasonyeza kuti tiyenera kusankha zipangizo zokhala ndi mphamvu zolimbitsa thupi, zolimba komanso zowonongeka, komanso kuyanjana kwabwino kwa histocompatibility.

Prof. Sui Gang wochokera ku chipatala chachitatu cha Shandong Provincial Third Hospital adagawana nawo "Matrix System mu Chifuwa Kukonzanso Chotupa": Kumanganso khoma lachifuwa nthawi zambiri kumafunika pazifukwa zazikulu zowopsa pachifuwa, monga kugwiritsa ntchito minofu ya autologous (kagawo ka khungu), chigamba chofewa ( polyethylene), ndi zinthu zolimba (fupa, zitsulo, zosindikizira za 3D) zomanganso khoma la chifuwa pambuyo pochotsa nthiti za cartilage. Kumanganso khoma la pachifuwa kuli ndi zofunikira zina zazinthu, zomwe zimafunika kukhala zotanuka komanso zothandizira. Dongosolo la matrix lili ndi mawonekedwe a biocompatibility yabwino, kukonza kosavuta, kuumba kosavuta, kudula kosavuta, ndi zina zambiri. Zakhala zikugwiritsidwa ntchito pomanganso mbali zambiri monga chotupa chapamtima pachifuwa, chotupa chapakhomo la chifuwa, chotupa cha phesi la sternal ndi chotupa cha nthiti.

Prof. Shi Xuejun wa ku Tianjin Baodi District People's Hospital, Prof. Xu Hejun wa Tianjin Chest Hospital, Prof. Wang Taoyuan wa Tianjin Armed Police Specialized Medical Center, Prof. Shang Hongwei wa Chipatala cha 983 cha China People's Liberation Army Joint Security Force, Prof. Huang Jingtao wa ku chipatala cha Tianjin Nankai, Prof. Zhang Yunsong wa ku Wuqing Chinese Hospital of Tianjin University of Traditional Chinese Medicine, Prof. Yang Bingjun wa ku Tianjin People’s Hospital, ndi Li Mingjiang wa ku Tianjin First Central Hospital Prof. Yang Bingjun wa ku Tianjin People’s Hospital ndi Li Mingjiang wa ku Tianjin First Central Hospital anakambirana zomwe zili pamwambazi.

04

Zamakono zatsopano ndi kupita patsogolo kwatsopano

Wotsogolera: Prof. Han Xingpeng, Prof. Jiao Jianlong

Prof. Jing Baoli wa ku Xi'an Red Society Hospital adagawana nawo "Kugwiritsa ntchito njira zosiyanasiyana zakumaloko pochita opaleshoni yoduka nthiti yocheperako": Prof. Jing adafotokozera mwatsatanetsatane njira zosiyanasiyana zopezera nthiti zothyoka, kuphatikiza kukhazikika kwapang'onopang'ono ndi palpation, zida (instrumentation). mwachitsanzo 3D CT localization, ultrasound localization), ndi intraoperative localization ndi ultrasound pambuyo opaleshoni. Njira iliyonse yoyikirayi ili ndi zabwino zake komanso zovuta zake. Posankha malo abwino kwambiri a preoperative minimally incision incision, kudulidwa kumatha kuchepetsedwa bwino ndipo minofu ya wodwalayo, mitsempha ya magazi ndi mitsempha imatha kutetezedwa kumlingo waukulu kwambiri pogwiritsa ntchito njira yopangira opaleshoni, yomwe ingachepetse zovuta za opaleshoni ndikulimbikitsa kuchira.

Prof. Wang Zhi wa pa chipatala cha Tianjin adagawana nawo "Structured Fracture CT Report": Lipoti lokhazikika la CT la Chipatala cha Tianjin likuchokera paukadaulo woyezetsa, kulumikizana kwambiri ndi asing'anga, kuphatikizika kwa zosowa zenizeni zachipatala, komanso kugwiritsa ntchito mawu akuti radiological to kupeza standardization ndi standardization. Tsatanetsatane wa zithunzizo zimagawika, zopezeka molondola, ndipo mitundu yosweka imafotokozedwa mwatsatanetsatane kuti apange lipoti lovomerezeka lachidziwitso ndi chithandizo chomwe chimaphatikiza zithunzi ndi zolemba. Pakali pano chipatalachi chikugwira ntchito mwakhama pa nzeru zopanga kupanga kuti zitheke bwino komanso kumasula anthu ogwira ntchito.

Pulofesa Zhou Zhiming wa ku Central Hospital of Shenyang Medical College adafotokoza zomwe adakumana nazo pakugwiritsa ntchito msomali pachifuwa cha kuthyoka kwa nthiti: msomali wamtunduwu ndi chinthu chokumbukira, chomwe chingachepetse kukhudzana ndi fupa ndikusunga magazi kupita ku fupa. pamwamba, ndipo si kophweka kuyambitsa yachiwiri fracture. Mkhalidwe wa kutentha kwapakati kumathandiza kulimbikitsa kuchira msanga kwa fracture. Ndikofunikira kusankha kukula koyenera posankha msomali ndikuwonetsetsa kuti ikugwirizana pambuyo podutsa. Misomali ya Bowtie ikuwonetsedwa muzochitika zambiri pa opaleshoni ya thoracic. Pa zosweka pafupi ndi sternal shank-body joint, angagwiritsidwe ntchito pamodzi ndi titaniyamu mbale.

Pulofesa Pi-Cong You wa ku chipatala cha Tianjin adagawana nawo "ERAS mu mawonekedwe a DRG": chikhalidwe cha zakudya chimakhudza kagayidwe kake kagayidwe kachakudya, ndipo chithandizo chopatsa thanzi komanso kufulumira kukonzanso zimakwaniritsana ndipo ndizofunikira pa chithandizo cha opaleshoni, makamaka kwa odwala matenda osowa zakudya m'thupi omwe amatayika kwambiri minofu, komanso kwa odwala omwe ali ndi vuto lazakudya kapena osatha kudya ayenera kuperekedwa payekhapayekha Chithandizo chopatsa thanzi chiyenera kukhala payekha kwa odwala omwe ali ndi vuto lazakudya kapena osatha kudya. The preoperative, intraoperative ndi postoperative kuwunika kwa thupi la wodwalayo ndi yogwira zakudya miyeso zingathandize kulimbikitsa kuchira kwa wodwalayo ndi kufupikitsa chipatala cha wodwalayo.

Pulofesa Ren Wanlu wa ku chipatala cha Tianjin adagawana nawo "Kusankha koyenera kwa opaleshoni ya opaleshoni yothyoka nthiti": Pamaopaleshoni ang'onoang'ono pansi pa lingaliro la EARS, akatswiri ogonetsa maliseche ayenera kusamala kwambiri za kasamalidwe ka opaleshoni. Katswiri wa opaleshoni amafunikira kuti ayese ndondomeko ya opaleshoni, kusankha njira yabwino kwambiri ya anesthesia, kuonetsetsa kuti opaleshoni yotetezeka komanso yothandiza, kukwaniritsa zofunikira za opaleshoni, kupangitsa wodwalayo kukhala womasuka, komanso kupereka chithandizo chabwino cha postoperative kuti wodwalayo achire mwamsanga. Mitsempha ya paravertebral ndi yodziwika bwino kwa aliyense, anterior serratus block imakhala ndi zovuta zochepa ndipo ingagwiritsidwe ntchito ngati mankhwala opha tizilombo toyambitsa matenda a mitsempha ya paravertebral, ndipo erector spinae block imagwiritsidwa ntchito ngati njira yoyamba yochepetsera ululu kunja, ndipo izi ndizo. komanso njira zazikuluzikulu za mitsempha yopangira opaleshoni yothyoka nthiti m'chipatala chathu pakadali pano.

Pulofesa Ren Jie wa pachipatala cha Tianjin Jinan adagawana nawo "zotsatira zachipatala za odwala omwe athyoka nthiti zingapo": Kupyolera mu kafukufuku woyendetsedwa mwachisawawa wa odwala 76, Pulofesa Ren adapeza kuti poyerekeza ndi chithandizo chodziletsa, kukhazikika kwamkati kwamkati kumatha kuyikanso bwino ndikukonza. malo ophwanyika a nthiti zambiri zothyoka, ndipo akhoza kuchepetsa chiwerengero cha analgesics ogwiritsidwa ntchito, kufupikitsa ICU kukhala ndi kukhala kuchipatala, ndi kuchepetsa mlingo wa ululu ndi chitetezo chapamwamba.

Prof. Liu Xufeng wochokera ku chipatala cha Binhai New Area People's Hospital, Tianjin, Prof. Guo Xintao wochokera ku Tianjin Fourth Central Hospital, Prof. Li Xuedong wochokera ku chipatala cha Tianjin Jizhou District People's Hospital, Prof. Zhang Xuejun wochokera ku Tianjin Wuqing District People's Hospital, Prof. Chipatala cha Tianjin TEDA, Prof. Wang Yueming wochokera ku chipatala cha Tianjin Ninghe, Prof. Pei Zhijie wochokera ku chipatala cha Tianjin Xiqing ndi Prof. Huang Xin wochokera ku chipatala cha Tianjin Jinghai District Hospital anakambirana zomwe zili pamwambazi.

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