Objective:To explore the clinical characteristics of 19 cases of Vibrio vulnificus infection in Humen area.Methods:The clinical data of 19 patients with Vibrio vulnificus infection admitted to Burn Plastic & Hand and Foot Surgery, Dongguan Binhai Bay Central Hospital from January 2018 to January 2023 were retrospectively analysed, observed the clinical characteristics and summarized the experience and lessons of treatment.Results:Vibrio vulnificus infection mostly occured in summer and autumn (13/19, 68.42%). The patients with metabolic disease or abnormal liver function were susceptible (11/19, 57.89%), and the prognosis of gout patients was relatively worse, the three deaths were all gout patients. There were 18 positive cases in bacterial culture of Vibrio vulnificus before the application of antibiotics on the day of admission, one positive case was found one day later. Afterwards, no Vibrio vulnificus was found in bacterial culture. The number of white blood cells were closely related to the percentage of neutrophils and the level of procalcitonin (r=0.972, P=0.000; r=0.861, P=0.006). The white blood cell levels gradually decreased along with the condition improved.Conclusion:The infection of Vibrio vulnificus in Humen area mostly occurs in summer and autumn. Patients with metabolic diseases are more susceptible, and gout patients have a poor prognosis. Vibrio vulnificus is sensitive to most antibiotics. The white blood cell and procalcitonin are good indicators for the severity and prognosis.
目的:探讨分析手部屈指深浅肌腱Ⅱ区断裂全吻合与单纯吻合屈指深肌腱效果比较研究.方法:选取2016年2月至2019年2月期间东莞市滨海湾中心医院收治的56例右手屈指深浅肌腱Ⅱ区断裂患者为研究对象,通过随机数表法将其分为观察组和对照组,每组各28例,对照组给予屈指深肌腱单纯吻合术,观察组给予屈指深浅肌腱Ⅱ区断裂全吻合术.比较两组手术时间、住院时间、术后6个月示指及中指伸、屈主动活动度及术后不同时间段手总主动活动度(TAM)评分.结果:术后6个月观察组示指及中指伸、屈主动活动度均大于对照组;观察组手术时间、住院时间均少于对照组,差异均具有统计学意义(P＜0.05);术后1个月两组患者的TAM评分比较,差异无统计学意义(P＞0.05);术后6个月观察组TAM评分明显优于对照组,差异具有统计学意义(P＜0.05).结论:与屈指深肌腱单纯吻合术比较,手部屈指深浅肌腱Ⅱ区断裂全吻合术临床疗效更佳,对于手部功能恢复具有重要意义.
目的:探究甲根部生化床部分切除治疗复发型踇趾甲沟炎的效果.方法:本次研究对象为2018年1月-9月期间我院门诊收治的30例踇趾复发型甲沟炎患者,手术方法为切除部分甲根部生化床,总结治疗效果.结果:患者的术后愈合时间、恢复正常活动时间,分别为(10. 46 ± 3. 02)天、(6. 02 ± 1. 02)天,换药次数为(5. 41 ± 2. 01)次;术后1周患者疼痛度评分较术前下降明显,术前为(6. 60 ± 2. 57)分,术后为(2. 11 ± 1. 02)分,指标间有较大的差异(P<0. 05),有统计学意义;患者的治疗总有效率较高,为93. 33% ;随访4个月,观察组的并发症率较低为6. 67% ,无1例复发、畸形.结论:甲根部生化床部分切除治疗复发型踇趾甲沟炎的效果良好,能缩短患者的恢复时间,无复发现象,且新生甲板外观良好,穿鞋、剧烈运动无疼痛感,值得临床进一步推广.
