| 查看: 3772 | 回复: 0 | |||
冰箱啊啊123金虫 (小有名气)
|
[求助]
老师让我翻译100篇英文摘要，在下水平有限快翻译吐了，请各位高手帮帮忙吧！
|
|
Title: Hand pain during hand assisted laparoscopic nephrectomy--an ischemic event? Author: Ost, M. C.; VanderBrink, B. A.; Rastinehad, A. R. (...) Source: J Urol, 2006, 176(1): 149-154 Abstract: PURPOSE: The etiology of hand discomfort during hand assisted laparoscopic nephrectomy may be ischemic in nature. We determined if pneumoperitoneal pressure sustained to the hand during hand assisted laparoscopic nephrectomy poses an occupational risk, contributing to local hand hypoxia and resultant extremity pain. MATERIALS AND METHODS: A total of 442 measurements of hand oxygen saturation were made during hand assisted laparoscopic nephrectomy. A Nellcor OxiMax Max-1 oxygen sensor was attached to the left index finger of each surgeon and hand assisted laparoscopic nephrectomy was performed using a LapDisc at 15 mm Hg pneumoperitoneal pressures. Local hand oximetry readings and a numerical pain distress scale (range 0 to 10) were recorded every 2 minutes. To control for motion artifact oximetry readings were taken during hand motion and at rest. The Student t test was used to compare differences in local hand oxygen saturation and hand pain in and between study groups. RESULTS: A history of hand pain during hand assisted laparoscopic nephrectomy was significantly associated with local hypoxia during operative motion and at rest (p = 0.023 and 0.012, respectively), even with an adequate fascial incision and standard pneumoperitoneal pressures. During hand assisted laparoscopic nephrectomy hand pain was most significantly associated with local hypoxia after 24 minutes (p = 0.0002), when local oxygen saturation was 56% to 88%. CONCLUSIONS: A cohort of urologists is predisposed to ischemic hand pain during hand assisted laparoscopic nephrectomy. The etiology of this pain may be hypoxic in nature, attributable to pneumoperitoneal pressure decreasing perfusion and causing venous congestion or regional local ischemia. Circumferential antebrachial constriction from the LapDisc does not seem to be a significant contributing factor in the presence of an adequate fascial incision. Hand pain secondary to ischemia is most significant after 24 minutes at 15 mm Hg. Future studies in more subjects are called for to validate these findings to elucidate which surgeons are predisposed to this potential occupational hazard and what perioperative measures can be taken to avoid hand pain during hand assisted laparoscopic nephrectomy.  |
回复此楼» 猜你喜欢
药化及相关博士的申请
已经有3人回复
-
一篇MDPI论文改变了学习工作和生活
已经有4人回复
-
一个化合物的合成路线：CAS:367929-02-0 名称：8β-乙烯基雌二醇
已经有4人回复
-
太白金星有点烦
已经有3人回复
-
中国地质大学（北京）博士招生补录，数理学院材料科学与工程专业和材料与化工专业
已经有3人回复
-
河北省自然基金
已经有8人回复
-
收到国自然专家邀请后几年才会有本子送过来评
已经有3人回复
-
考博
已经有3人回复
-
有没有快的中文核心比较快录用的，纳米材料光催化
已经有4人回复
-
有人投过CCC中国控制会议吗？
已经有3人回复
