骨外科英文交班

英文交班五段四病房Wardreport•Wardfive/fourN5/4•Totalpatient:forty-one总数:41•Admission:two新入院:2•Transferredin:one转入:1•Discharge:two出院:2•Operation:three手术:3•Transferredout:one转出:1侧弯常见诊断与手术名称•常见诊断:先天性侧弯congenitalscoliosis继发性侧弯secondaryscoliosis特发性侧弯idiopathicscoliosis成人侧弯adultscoliosis•常见手术名称:•前路松解后路矫形内固定植骨融合术anteriorreleaseandposteriorcorrectionwithinternalfixationandbonegraftfusion半椎体切除resectionofhemivertebra腰椎病变常见诊断与手术名称•常见诊断:腰椎间盘突出discprotrusion腰椎管狭窄•Spinalstenosis•常见手术名称:腰椎间盘摘除discectomyofintervertebraldisc腰椎管减压内固定植骨Lumbarspinaldecompressionwithinternalfixationandbonegraftfusion颈椎病常见诊断与手术名称常见诊断:神经根型cervicalspondyloticradiculopathy脊髓型cervicalspondyloticmyelopathy椎动脉型vertebralarterytypeofcervicalspondylosis交感型sympathetictypeofcervicalspondylosis混合型compoundtypeofcervicalspondylosis•常见手术名称:前路椎体次全切anteriorcorpectomyofC*间盘摘除discectomyof后路单(双)开门椎管扩大成形术posteriorsingle-doorlaminoplastyofC*-*侧弯病人•Bed22wangxin13-year-oldboy,thismorninghewillundergoanteriorcorrectionwithisolainternalfixationandbonegraftfusionundergeneralaneasthesia.Thismorninghistemperaturewasthirty-sixpointsevencentigrade.•22床王欣13岁男孩，今日上午将在全麻下行前路矫形isola内固定植骨融合术．今晨体温是36.7度．侧弯术后•Bed22wangxin13-year-oldboy,yesterdayheunderwentanteriorcorrectionwithisolainternalfixationandbonegraftfusionundergeneralaneasthesia.Hereturnedtowardawakenattwoandaquarterpmwithrightsenses,themovementandsenseofalllimbswasnormal.Thismorning,histemperaturewasthirty-sevenpointfivecentigrade,thedrainagewastwohundredandthirtymillimeter,thethoracicdrainagewastwohundredmillimeter,fluctuatingwasobvious.•22床王欣13岁男孩，昨日在全麻下行前路矫形isola内固定植骨融合术．术后两点十五返病室时神志清楚,四肢感觉活动好,今晨体温37.5度,伤口引流230ml,胸引起200ml,波动好.腰椎手术•Bedelevenyangxinyusixty-eight-year-oldfemalethismorningshewillundergoposteriordecompressionwithTSRHinternalfixationandbonegraftfusionundergeneralaneasthesia.Thismorninghertemperaturewasthirty-sixpointtwo.•11床杨星语68岁女性.今晨将在全;麻下行腰椎后路减压TSRH内固定植骨融合术.今晨体温是36.2度.腰椎术后•Bedelevenyangxinyusixty-eight-year-oldfemaleyesterdaysheunderwentposteriordecompressionwithTSRHinternalfixationandbonegraftfusionundergeneralaneasthesiashereturnedtowardatonepm.Themovementandsenseofalllimbsisnormalexcept.Thismorninghertemperaturewasthirty-sevenpointtwocentigrade,thedrainagewasonehundredmillimeter.•11床杨星语68岁女性.昨日在全麻下行腰椎后路减压TSRH内固定植骨融合术.1PM回病室,四肢感觉活动好,今晨体温是37.2度.引流100ML.颈椎病•Bedtenyangliuforty-six-year-oldmalethisafternoonhewillundergoposteriorsingle-doorlaminoplastyofC3-7undergeneralaneasthesia.Thismorninghistemperaturewasthirty-sixpointthreecentigrade.•10床杨柳男,46岁今天下午将在全麻下行颈后路C3-7单开门扩大成形术.今晨体温36.3度.颈椎病术后•Bedtenyangliuforty-six-year-oldmaleunderwentposteriorC3-7single-doorlaminoplastyhereturnedtowardat7PM,themovementandsenseofbothlowerlimbsispowerless,hecomplainedofpain(paralysis)onleftupperlimb.Thismorninghistemperaturewasthirty-sevenpointsix,thedrainagewasfiftymillimeter.Themovementandsenseofalllimbschangedunconspicuously.•10床杨柳男,46岁昨天下午在全麻下行颈后路C3-7单开门扩大成形术.术后7PM返病室神志清楚,双下肢感觉活动弱,主诉左上肢疼痛(麻木),今晨体温37.6度,引流50ML,四肢感觉活动无明显变化.高热病人•BedfortyweifangpostoperationofresectionofL3withCDHinternalfixationandbonegraftfusionfourdays.Yesterdayeveninghertemperaturewasthirty-ninepointseven,wegaveheroneoverthreeindomethacinandsupplyliquor,thismorninghertemperaturewasthirty-eightpointfivecentigrade.•40床魏芳L3后路减压CDH内固定植骨相互依赖融合术后4天,昨晚体温39.7度,遵嘱查血培养,给予1/3消炎痛栓置肛,补液.今晨体温38.5度.血压高•Bedsixteenliluyesterdayafternoonsheunderwentmyelographyunderlocalaneasthesia.Themovementandsenseofalllimbswasnormal.Bloodpressurewasonehundredandeightyoveronehundredmillimetermercury.Bloodpressurewasdowntoonehundredandfortyovereighty-fivemmhgbytakingnifedipinetwohourslater.Thismorningherbloodpressurewasonehundredandsixtyoverninety-fivemmhg.•16床李璐昨天下午在局麻下行脊髓造影术,返病室时四肢感觉活动好,血压180/100mmhg,口服心痛定一片,两小时后复测140/85mmhg,今晨血压160/95mmhg.输血•BedthirtyheunderwentposteriorcorrectionwithisolainternalfixationunderGA.Hisdrainagewasfourhundredandfiftymlintwohours.Oneunitofreptilasewasgivenintramuscularly,anotherunitwasgivenintraveinlyimmediately,alongwithtransfusionofredbloodcellstwounits.Theresultofbloodroutineshowed血红蛋白ninety-twomg/dl.•30床昨日在全麻下行后路矫形isola内固定植骨术,两小时倒引流450ml,遵嘱给予立止血一个单位肌注,一个单位入壶.输入两个单位红细胞.今晨血常规结果示血红蛋白92mg/dl.疼痛•BedthirtyheunderwentposteriorcorrectionwithisolainternalfixationunderGA.Hecomplainedofseverepainonthewound,thepainalleviatedmuchbyinjectingdolantin50milligramsandpromethazine25mgintramuscularly.•30床昨日在全麻下行后路矫形isola内固定,主诉伤口疼,肌注D+P后疼痛减轻.血糖高•Bedtwentythediagnosisisdiscprotrusion.bloodsugarafterdinnerwas298mg/dlanddecreasedto232mg/dlbyinjectingfourunitsinsulin.Thismorningthefastingbloodsugarwas225mg/dl.•20床诊断是腰椎间盘突出.餐后血糖是298mg/dl,注射4个单位胰岛素后复测血糖232mg/dl,今晨空腹血糖为225mg/dl出入量•Postoperationoflumbarspinaldecompressionandinternalfixation5days,yesterdaythepatient’sintakewasthreethousandtwohundredml,urinevolumewastwothousandninehundredandeightymlin24hours.•腰椎减压术后5天,昨日全天入量3200ml,尿量2980ml.