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性交损伤子宫阔韧带致腹腔内出血1例
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作者 叶红霞 沈平绒 栗宝华 《浙江临床医学》 2019年第12期1728-1728,共1页
性交后出血多见于粗暴或不文明性交引起的生殖器损伤,较常见的为外阴或阴道壁撕裂伤.性交后导致的腹腔内出血发生率较低,容易被误诊.现将本院收治的1例性交损伤子宫阔韧带致腹腔内出血病例报告如下.
关键词 子宫阔韧带 腹腔内出血 病例报告 性交后出血 外阴 生殖器损伤 性交损伤
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腹腔镜治疗性交致腹腔内出血的临床应用
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作者 高丽亚 张震波 《中国内镜杂志》 CSCD 北大核心 2005年第5期526-527,共2页
目的探讨妇科急腹症中性交致腹腔内出血患者在腹腔镜早期诊断和急诊手术中的临床应用价值。方法回顾113例妇科急腹症LSO手术,其中3例是由性交所致腹腔内出血,均在入院后24h内接受急诊LSO手术。结果所有病例术中探查诊断明确,手术顺利,... 目的探讨妇科急腹症中性交致腹腔内出血患者在腹腔镜早期诊断和急诊手术中的临床应用价值。方法回顾113例妇科急腹症LSO手术,其中3例是由性交所致腹腔内出血,均在入院后24h内接受急诊LSO手术。结果所有病例术中探查诊断明确,手术顺利,无中转开腹和并发症发生。结论腹腔镜手术因其微创性而在妇科临床上得到迅速的发展与普及。腹腔镜下治疗性生活致腹腔内出血,是一种安全、及时、有效,并且有广泛应用价值的手术方法,前景广阔。 展开更多
关键词 妇科 急腹症 腹腔镜 手术 性交损伤 腹腔内出血
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Structural behaviour of fibre metal laminates subjected to a low velocity impact 被引量:2
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作者 CANTWELL W J 《Science China(Physics,Mechanics & Astronomy)》 SCIE EI CAS 2011年第6期1168-1177,共10页
Structural impact tests were first presented to cover typical fibre metal laminates (FMLs) subjected a low velocity projectile impact,which produced the corresponding load-displacement traces and deformation/failure m... Structural impact tests were first presented to cover typical fibre metal laminates (FMLs) subjected a low velocity projectile impact,which produced the corresponding load-displacement traces and deformation/failure modes for the validation of numerical models.Finite element (FE) models were then developed to simulate the impact behaviour of FMLs tested.The aluminium (alloy grade 2024-0) layer was modelled as an isotropic elasto-plastic material up to the on-set of post failure stage,followed by shear failure and tensile failure to simulate its failure mechanisms.The glass fibre laminate (woven glass-fibre reinforced composite) layer was modelled as an orthotropic material up to its on-set of damage,followed by damage initiation and evolution using the Hashin criterion.The damage initiation was controlled by failure tensile and compressive stresses within the lamina plane which were primarily determined by tests.The damage evolution was controlled by tensile/compressive fracture energies combined with both fibre and matrix.The FE models developed for the 2/1,3/2 and 4/3 FMLs plates made with 4-ply and 8-ply glass fibre laminate cores were validated against the corresponding experimental results.Good correlation was obtained in terms of load-displacement traces,deformation and failure modes.The validated models were ready to be used to undertake parametric studies to cover FMLs plates made with various stack sequences and composite cores. 展开更多
关键词 DAMAGE Hashin criterion finite element IMPACT FMLs progressive failure
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Multi-slice computed tomography for diagnosis of combined thoracoabdominal injury 被引量:5
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作者 Jun Liu Weidong Yue Dingyuan Du 《Chinese Journal of Traumatology》 CAS CSCD 2015年第1期27-32,共6页
Purpose: To investigate the diagnostic value of multi-slice computed tomography (MSCT) for combined thoracoabdominal injury. Methods: A retrospective study was conducted to analyze the clinical data and MSCT image... Purpose: To investigate the diagnostic value of multi-slice computed tomography (MSCT) for combined thoracoabdominal injury. Methods: A retrospective study was conducted to analyze the clinical data and MSCT images of 68 patients who sustained a combined thoracoabdominal injury associated with diaphragm rupture, and 18 patients without diaphragm rupture. All the patients were admitted and treated in the Chongqing Emergency Medical Center (a level I trauma center) between July 2005 and February 2014. There were 71 males and 15 females with a mean age of 39.1 years (range 13-88 years). Among the 86 patients, 40 patients suffered a penetrating injury, 46 suffered a blunt injury as a result of road traffic accident in 21 cases, fall from a height in 16, and crushing injury in 9. The MSCT images were retrospectively reviewed by two radiologists. The results of CT diagnosis were compared with surgical findings and/or follow-up results. Results: Among the 86 cases, diaphragm discontinuity was found in 29 cases, segmental nonrecognition of the diaphragm in 14, diaphragmatic hernia in 21, collar sign in 14, dependent viscera sign in 18, elevated abdominal organs in 21, bowel wall thickening and/or hematoma in 6, and pneumoperitoneum in 8. CT diagnostic accuracy for diaphragm rupture was 88.4% in the right side and 90.7% in the left side. CT diagnostic accuracy for hemopneumothorax, pulmonary contusion, mediastinal hemorrhage, kidney and adrenal gland injuries was 100%, while for liver, spleen and pancreas injuries was 96.5%, 96.5g, 94.2% respectively. Conclusion: To reach an early diagnosis of combined thoracoabdominal injury, surgeons and radiologists should be familiar with all kinds of images which might show signs of diaphragm rupture, such as diaphragm discontinuity, segmental nonrecognition of the diaphragm, dangling diaphragm sign, diaphragm herniation, collar sign, dependent viscera sign, and elevated abdominal organs. 展开更多
关键词 DIAPHRAGM Multidetector computed tomography Thoracoabdominal injuries
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