玉米联合收割机致手外伤的治疗

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1、授予单位代码10089学号或帽号20123151HebeiMedicalUniversity硕士学位论文专业学位玉米联合收割机致手外伤的治疗研究生：赵晓亮导师：张桂生教授专业：外科学二级学院：第三医院2015年3月河北医科大学学位论文使用授权及知识产权归属承诺本学位论文在导师（或指导小组）的指导下，由本人独立完成。本学位论文研究所获得的研究成果，其知识产权归河北医科大学所有。河北医科大学有权对本学位论文进行交流、公开和使用。凡发表与学位论文主要内容相关的论文，第一署名单位为河北医科大学，试验材料、原始数据、申报的专利等知识产权均

2、归河北医科大学所有。否则，承担相应的法律责任。/'•.[•'}•》.C,•I.....•'‘、v'•；；.^..研究生签名导师签章：级学院签章意:”脾5月”曰^si河北医科大学研究生学位论文独特性声明本论文是在导师指导下进行的研究工作及取得的研究成果，除了文中特别加以标注等内容外，文中不包括其他人已经发表或撰写的研究成果，指导教师对此进行了审定。本论文由本人独立撰写，文责自负。研究生签名导师签章：iXrt^is年巧

3、曰目录中文摘要·················································

4、······················1英文摘要·····································································3英文缩写·····································································5研究论文玉米联合收割机致手外伤的治疗前言········································································6材料与

5、方法·································································6结果········································································9附图·········································································10附表·············································

6、····························12讨论·········································································15结论·········································································19参考文献·································································21综述玉米收割机致手外伤的

7、研究··············································23致谢···············································································30个人简历·········································································31中文摘要玉米联合收割机致手外伤的治疗摘要目的：近年来随着玉米联合收割机的普遍应用，此类机器所致手外伤也逐年增加

8、，此类机器常有挤压，牵拉等多种致伤机制并存，且创面多被油污及植物碎屑严重污染，临床上此类外伤是较难治疗的一种外伤，且预后普遍较差，本研究对本地区玉米收割机所致手外伤的外伤特点、治疗规律及预后进行总结，对感染病原菌分布及感染因素进行调查分析，意在为临床医生接诊此类外伤患者时提供经验及科学依据。方法：选用2014年9月至2014年11月间我科两个病区收治的玉米联合收割机致伤患者共48例，男33例，女15例，年龄18-78岁，平均44岁。对本组患者进行回顾性调查与分析。对此类外伤的转归进行分类，总结外伤及治疗特点。对本研究中26例术后

9、感染的患者感染的危险因素进行统计学分析。对细菌培养及药敏实验结果进行整理，分析感染原因并提出对策。结果：本组所有患者未出现死亡病例。均经过1-6次手术，平均3次手术的治疗，平均住院天数为55.3天。初次手术均为清创术，骨折和神经、肌腱、血管损伤均一期修复；皮肤缺