Model essay on the opening report of medical master students

Key words: steel wire encircling limb long bone fracture Jinan paper opening report

First, the basis, purpose and significance of the topic:

Fracture nonunion is a common clinical disease in orthopedics, in which there are many long bones in limbs, such as tibia, femur and humerus. In view of the second operation of nonunion of long bone fracture of limbs, bone grafting combined with LCP internal fixation is often used in our hospital. Autologous iliac bone as bone graft material has the advantages of simple material, good histocompatibility, no graft rejection and strong bone induction. These advantages make ilium the best donor for bone transplantation, and it has formed a knowledge in clinic. Bone grafting is an important method to treat nonunion of fracture, and its mechanism is the role of scaffold and mineral supply caused by creeping substitution. The smooth progress of creeping substitution requires precise reduction, adequate bone grafting and firm fixation. In order to achieve sufficient bone grafting and promote fracture healing as soon as possible, we used 36 intramedullary and extramedullary bone grafting, external steel wire ligation and LCP rigid internal fixation, followed up within 3 ~ 65 48 0 months after operation, and analyzed the clinical effect of the operation according to the healing and functional recovery. The purpose of this topic is to explore the improved surgical method and curative effect of treating nonunion of long bone fracture of limbs, and to provide reference for clinical treatment.

Based on the clinical data of the tutor for many years, this topic systematically sorts out the literature about surgical treatment of fracture nonunion at home and abroad, combines the follow-up investigation and retrospective analysis of patients with long bone nonunion in the orthopedic ward of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine, analyzes the treatment effect according to the special biomechanical characteristics of orthopedics and the clinical experience of the tutor in treating fracture nonunion for many years, and preliminarily discusses and discusses the details in the operation. At the same time, I hope that through the research and summary of the tutor's clinical practice, I can provide some help and guidance for future clinical work.

Second, the current research trends and levels at home and abroad.

The treatment of nonunion of fracture can be divided into surgical treatment and non-surgical treatment, among which the most important surgical treatment is the improvement of bone grafting and internal fixation of broken end. Autologous bone transplantation is effective in the treatment of fracture nonunion, and has formed a * * * understanding. Bone grafting is an important method to treat nonunion, and the combination of intramedullary and extramedullary bone grafting is often used in clinic. Enter along the muscle space, carefully peel off the subperiosteal fracture, take out the internal fixation device, remove the scar between the broken ends of the bone, bite off the hardened bone, open the medullary cavity, trim the broken ends, reset by hand, and take the bone according to the bone defect. Intramedullary bone grafting used a bone rod slightly thicker than the medullary cavity and clung to the medullary cavity bone; Bone grafting of extramedullary upper cover should be fixed with screws; Bone fragments can fully fill the residual gap, so as to truly achieve the purpose and requirements of bone grafting. Creeping substitution with autogenous skin-cancellous bone graft shortens the process of fracture healing. Fresh autogenous bone has biological activity, no immune rejection, no risk of infectious diseases, and bone conduction and bone induction.

The replacement of internal fixation should adhere to the following principles. If the original steel plate is fixed internally, the interlocking intramedullary nail or longer steel plate can be replaced and placed on the tension side; If the original interlocking intramedullary nail is used for internal fixation, a larger intramedullary nail or steel plate can be used for internal fixation; The original short steel plate can be replaced with a longer steel plate. All cases need bone grafting. After replacing the internal fixator, those who use plaster external fixation after operation should do muscle contraction as soon as possible. After the callus grows, remove the plaster and start the joint flexion and extension movement. However, doctors should treat specific problems in clinic and deal with them according to the growth of callus. When leaving the hospital, they must give the patient detailed doctor's advice and cooperate with the doctor until the fracture is completely healed. LCP plate internal fixation is suitable for nonunion of long bone fracture of limbs. Broken bone and transplanted bone can be fixed by lag screw, and the broken bone end can be locked by axial compression. The key to the operation is to remove all scar connective tissue at the fracture end, bite off all hardened bone at the bone end, expose normal bone and drill through the medullary cavity. The implanted bone block must be firmly embedded in the defect area, and the gap should be filled with cancellous bone. We should actively and correctly guide postoperative functional exercise, and strictly follow up regularly. Avoid premature and incorrect loading. To sum up, for the treatment of fracture nonunion, autogenous bone transplantation is effective, safe and reliable, with mature technology and wide application, which is worth popularizing.

Third, the main content of the study.

Clinical data of 1

1 1 case source

All the cases in this study were collected in the orthopedic ward of the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.

(2) Collection time

May 9 ~ 1

(3) case selection

1 Diagnostic criteria []

(1) medical history: definite history of trauma, no union after 6 months, no ... >; & gt

Discussion on how to write a special report on senior health titles

It is better to write this kind of article by yourself.

Otherwise it is contrary to the actual situation.

The format and requirements are not very high.

Just write down your level as a doctor.

But be sure to write down the reason for your promotion.

Not much to say, but not a joke.

You can learn from the articles of successful people around you.

You can refer to the following contents: the experience and understanding in solving crimes, experiments, diagnosis, on-site (epidemiological) investigation, drug dispensing, etc. The specific requirements should be what professional work the applicant has concentrated on during his current job, and select 1-2 businesses with high representative level, and summarize them from the following aspects: First, combine the advanced technology and experience of domestic and foreign counterparts, and cite them for analysis and discussion; Second, medical services such as clinical diagnosis and treatment, nursing or diagnosis of difficult and complicated cases, on-site investigation and disposal of major public health emergencies, complex drug dispensing and laboratory technology; Three, personal business work summary report should provide the corresponding medical record number (hospitalization number) or diagnosis report number, in case of spot check; Fourthly, the sources of the domestic and foreign literatures cited together should be indicated.

How to write a medical report with a score of 50?

(1) title.

A single title, such as the title of the above example, can be drafted as "Investigation Report on Reasonable Consumption of Middle School Students", clearly indicating the contents of the investigation.

(2) Double title, which can be drafted as "Rational Consumption-Investigation Report of ——XX Middle School"

The title does not need the word "investigation report", but can also be in the form of a general article title, such as "Middle school students should develop good habits of reasonable consumption".

(2)

Foreword In this part, the time, place, object and scope of the investigation are often explained, and the full text is always obtained. In the above example, the survey site can be the whole school of XX Middle School, the whole grade of Grade One in junior high school as the survey object, and randomly selected students as the survey object. The content of the survey is mainly about students' attitude towards life and performance.

(3)

Theme. The text is a key part to describe the investigation content, list examples and data, conduct appropriate discussion and analysis, sum up experience or laws, and express the main idea of the investigation report. In the arrangement of materials, we should summarize and sort out a number of items from a large number of materials obtained from the investigation, and write with subheadings, paying attention to clear levels and clarity. Some materials can be arranged in parallel according to several aspects or problems, that is, "horizontal structure". ; Some can be written in the order of the development process of things, that is, adopted? Vertical structure ".

(4) the end. The end is the conclusion of the investigation report, which is also a summary of the main points of the whole article, and can also point out the existing problems and make suggestions.

How to write a special report on clinical medicine

Organophosphorus poisoning

How to write three new special reports on medical scientific research?

I specialize in using new knowledge, new technology and new achievements at home and abroad to make a special report on a certain business work. The new special report should include the name, background, main contents, discussion and conclusion of the new technology project.

How to write a special report of outpatient endocrinologist

Can you talk about the specific writing requirements of the special report of the outpatient endocrinologist?

How to write a special report on the topics of medical secondary schools in Jiangsu Province

Special report on the naming of medical secondary schools in Jiangsu Province

There are materials for reference.

How to write a special report on the topics of medical secondary schools in Jiangsu Province

So what kind of help do you need?

How to write the theme of medical students' summer social practice report?

Medical students' summer internship report

This summer, our class organized a social practice activity with the theme of caring for farmers and health. And I am fortunate to be one of them and carry out activities with them.

Under the organization of the captain, we made a lot of preparations and made detailed plans in the early stage of this social practice. The venue is arranged in Sheyang County, Yancheng City, and a group of seven of us form Sheyang Team. Social practice is divided into three parts:

The first part is a social practice survey of farmers' families in Haitong Town. We investigated the medical and health conditions of farmers. Farmers cooperate enthusiastically. We have made some simple investigations on the current rural cooperative medical system, and the general response is good. We found that all farmers participated in the new rural cooperative medical system. We are all happy about this, which shows that farmers are very supportive of this national policy and farmers have benefited a lot from it. However, we also found some limitations, for example, some people reported that the rural cooperative medical system still has restrictions on reimbursement of certain diseases and so on. At the same time, due to their own limitations, their awareness of prevention is still very weak. In the conversation with farmers, I deeply felt the farmers' thirst for talents and knowledge. I remember an old woman holding my hand and saying, I hope you can work in our poor place after graduation. We really need you.

The second part is to arrange an internship in Haitong Hospital. Because seven people are different majors, we are assigned to four different post internships, namely laboratory, ward, otolaryngology and general medical room. My captain and I are internship in the clinical laboratory. As our sophomore year has just ended, a lot of professional knowledge has not been involved. We are mainly interns and see what the doctors nearby do. Doctors also care about us and give us appropriate opportunities to practice, from which we have accumulated a lot of experience, which we can't learn in class. Only when you have experienced it yourself will you be more impressed. We regard it as a kind of wealth! After a week of internship, our experience is getting richer and richer. The doctor gave us a good evaluation because of our excellent performance.

The third part is to publicize health knowledge in Haitong Town market. It's just the time for farmers to go to market, and farmers seem to be very interested in the publicity of our college students. Our publicity point attracted the attention of many farmers' friends in less than a minute. In view of some problems reflected in the investigation, we publicized the prevention and knowledge popularization of some common diseases in summer to farmers, and gave reasonable answers and guidance to make the propaganda content vivid and easy to understand. Judging from the situation on the spot, our publicity has played a certain role. Many farmers read our leaflets carefully. To our delight, some farmers told us that we did a good job.

We have enough internship time this time, so we have made full preparations for internship, not only in class, but also in farmers and society, and learned a lot of medical knowledge, which enriched our summer life and laid the foundation for future work.

Is the unit and time of the medical special report written at the end?

Some are written at the beginning, others at the end.

In general, the unit of the report is displayed in the title of the text, and the time is written directly below the title in fine print. Of course, it can be written at the end. But the last one is often the seal of the unit, that is, after typing the name of the unit, a seal is added to prove it.

It's best to write both the beginning and the end, so that no one will doubt it.