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Emergency strategies and trends in the management of liver trauma
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《医学前沿(英文)》 2012年 第6卷 第3期 页码 225-233 doi: 10.1007/s11684-012-0186-6
The liver is the most frequently injured organ during abdominal trauma. The management of hepatic trauma has undergone a paradigm shift over the past several decades, with mandatory operation giving way to nonoperative treatment. Better understanding of the mechanisms and grade of liver injury aids in the initial assessment and establishment of a management strategy. Hemodynamically unstable patients should undergo focused abdominal sonography for trauma, whereas stable patients may undergo computed tomography, the standard examination protocol. The grade of liver injury alone does not accurately predict the need for operation, and nonoperative management is rapidly becoming popular for high-grade injuries. Hemodynamic instability with positive focused abdominal sonography for trauma and peritonitis is an indicator of the need for emergent operative intervention. The damage control concept is appropriate for the treatment of major liver injuries and is associated with significant survival advantages compared with traditional prolonged surgical techniques. Although surgical intervention for hepatic trauma is not as common now as it was in the past, current trauma surgeons should be familiar with the emergency surgical skills necessary to manage complex hepatic injuries, such as packing, Pringle maneuver, selective vessel ligation, resectional debridement, and parenchymal sutures. The present review presents emergency strategies and trends in the management of liver trauma.
关键词: liver trauma nonoperative management operative management
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《医学前沿(英文)》 2013年 第7卷 第2期 页码 264-269 doi: 10.1007/s11684-013-0259-1
The effect of the severity of appendiceal inflammation on post-operative stay in children following appendicectomy has shown conflicting results. This study was conducted to determine the association between the severity of appendiceal inflammation and post-operative stay amongst children undergoing open appendicectomy. A retrospective cohort study was conducted at a District General Hospital for two years. A total of 204 patients were included in the study with an age range between 3 and 16 years. Females were 54.9% while the rest were male. Mean age was 12.5±3 years. The association of the severity of appendiceal inflammation and post-operative stay was assessed by multivariable Cox Proportional hazards model. Mean post-operative stay was 2.32 days (95% CI 2.14–2.51). Macroscopically perforated appendix, histological inflammation and post-operative complications were significantly associated with post-operative stay on univariable analysis (P<0.05). Whereas, the multivariable analysis showed that the post-operative stay was significantly prolonged only in case of either perforated appendix or post-operative complications while it remained unaffected by the histological inflammation.
关键词: appendiceal inflammation post-operative stay paediatrics
Severe adhesive small bowel obstruction
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《医学前沿(英文)》 2012年 第6卷 第4期 页码 436-439 doi: 10.1007/s11684-012-0221-7
Adhesive small bowel obstruction is a frequent cause of hospital admission. Water soluble contrast studies may have diagnostic and therapeutic value and avoid challenging demanding surgical operations, but if bowel ischemia is suspected, prompt surgical intervention is mandatory. A 58-year-old patient was operated for extensive adhesive small bowel obstruction after having had two previous laparotomies for colorectal surgery, and had a complex clinical course with multiple operations and several complications. Different strategies of management have been adopted, including non-operative management with the use of hyperosmolar water soluble contrast medium, multiple surgical procedures, total parenteral nutrition (TPN) support, and finally use of anti-adherences icodextrin solution. After 2 years follow-up the patient was doing well without presenting recurrent episodes of adhesive small bowel obstruction. For patients admitted several times for adhesive small bowel obstruction, the relative risk of recurring obstruction increases in relation to the number of prior episodes. Several strategies for non-operative conservative management of adhesive small bowel obstruction have already addressed diagnostic and therapeutic value of hyperosmolar water soluble contrast. According to the most recent evidence-based guidelines, open surgery is the preferred method for surgical treatment of strangulating adhesive small bowel obstruction as well as after failed conservative management. Research interest and clinical evidence are increasing in adhesions prevention. Hyaluronic acid-carboxycellulose membrane and icodextrin may reduce incidence of adhesions.
关键词: post-operative intraperitoneal adhesions adhesive small bowel obstruction adhesiolysis antiadhesion treatments hyperosmolar water soluble contrast medium
The Routine and Emergency Coordinated Management of Public Security
Ning Liu
《工程管理前沿(英文)》 2015年 第2卷 第4期 页码 331-338 doi: 10.15302/J-FEM-2015063
关键词: public security routine management emergency management coordinated management
Inheritance and Innovation of Engineering Management Informatization
Kai Sun,Ren-huai Liu
《工程管理前沿(英文)》 2014年 第1卷 第1期 页码 76-82 doi: 10.15302/J-FEM-2014014
关键词: engineering management informatization inter-organizational relationship management creation resource sharing
Energy storage resources management: Planning, operation, and business model
《工程管理前沿(英文)》 页码 373-391 doi: 10.1007/s42524-022-0194-4
关键词: energy storage system energy storage resources management planning configuration operational management business model
Discussion on Problem-Based Engineering Management System
Qiao Xiang
《工程管理前沿(英文)》 2015年 第2卷 第3期 页码 249-260 doi: 10.15302/J-FEM-2015054
Jian-ya Jiang,Yang-wei Rao
《工程管理前沿(英文)》 2014年 第1卷 第4期 页码 406-409 doi: 10.15302/J-FEM-2014049
关键词: engineering management system education mode comparative research training improvement
Strengthening Project Management to Attain Overseas Blocks with High Potential for Exploration
Shu-lin Zhang
《工程管理前沿(英文)》 2016年 第3卷 第4期 页码 331-337 doi: 10.15302/J-FEM-2016058
关键词: new overseas venture evaluation exploration project management quality management assessing system
郭仁忠
《中国工程科学》 2009年 第11卷 第10期 页码 67-71
首先回顾了国土资源信息化的发展进程,综合评述了相关阶段的特征,然后,在分析国土资源信息化应用特点的基础上,阐述了知识管理与国土资源信息化的关系,指出知识管理是国土资源信息化新的发展阶段和发展方向,最后,初步规划了国土资源知识工程建设的主要任务。
David A. Wyrick,Warren Myers
《工程管理前沿(英文)》 2016年 第3卷 第3期 页码 203-205 doi: 10.15302/J-FEM-2016046
关键词: Grand Challenges urban infrastructure development engineering management system of systems strategic management engineering management case study
Development of Engineering Management Education in China
Chuan-jun Zheng,Hu Cheng
《工程管理前沿(英文)》 2015年 第2卷 第3期 页码 304-310 doi: 10.15302/J-FEM-2015046
关键词: engineering management education discipline development China
Percolation-based health management of complex traffic systems
《工程管理前沿(英文)》 2021年 第8卷 第4期 页码 557-571 doi: 10.1007/s42524-021-0174-0
关键词: traffic health health management critical infrastructure systems science and engineering
张曙
《中国工程科学》 2000年 第2卷 第4期 页码 16-20
技术创新及其管理已经发展成为系统科学。创新不仅是个人创造能力的体现,而且是企业的一种核心竞争能力。文章首先探讨技术创新的定义、特征和类型,提出技术创新包括产品、过程、管理和市场4个内容,继而从知识获取和管理等若干方面讨论了企业如何才能成为技术创新的主体。然后对创新的实施、激励机制、评价体系和影响创新成功及失败的因素作了详尽的阐述。
郭健,张强,马敬海
《中国工程科学》 2010年 第12卷 第7期 页码 64-67
基于结构危险性分析方法论和管理科学的量化管理,将悬索桥风险管理细化为单元层次上的标准化巡检养护管理子过程,通过定义该单元巡检养护的全部内容以及特殊事件和特殊维修的管理策略,实现了基于风险管理的跨海悬索桥养护管理,同时还介绍了基于风险管理的养护管理系统的组成。
标题 作者 时间 类型 操作
Appendiceal inflammation affects the length of stay following appendicectomy amongst children: a myth or reality?
null
期刊论文
Revealing Engineering Management System and Education Model in Developed Countries for Engineering Management
Jian-ya Jiang,Yang-wei Rao
期刊论文
Strengthening Project Management to Attain Overseas Blocks with High Potential for Exploration
Shu-lin Zhang
期刊论文
Strategic Project Management to Use the Grand Challenge Scholars Program to Address Urban Infrastructure
David A. Wyrick,Warren Myers
期刊论文