Penile abnormal erection I diagnosis; treatment of penile abnormal erection is a kind of persistent painful erection of the penis unrelated to sexual stimulation or sexual desire, the disease is rare, the author 〗 〖5 years June 19 £> 9 years in August to treat the penis 6 cases of abnormal erection, the report is as follows. 1 The clinical data were caused by intravital injection of papaverine and prostaglandin Ei in 3 cases, chronic myeloid leukemia in 1 case, and 2 cases were unknown. 2 treatment and results in this group were given sedatives, anticoagulant drugs and local cold compress treatment. 1 case is valid and 5 cases are invalid. One patient refused surgery, and the other 4 patients underwent penile head corpus cavernosum shunt or corpus cavernosum corpus cavernosum shunt. During the operation, heparin was rinsed with heparin. After intravenous infusion of urokinase 40,000 U/d, the effect was Satisfied, gradually relieved within 16h. Three patients were followed up for 6 months and 2 years. Two cases of erection were not strong and the duration of sexual life was short. The erectile stiffness and duration of sexual life were the same as before the onset. 3 Discussion There are many reasons for abnormal erection of the penis, which is mostly caused by venous obstruction. As the corpus cavernosum injection of vasoactive drugs (such as papaverine, prostaglandin Ei and phentolamine) as an increase in the diagnosis and treatment of impotence, the resulting iatrogenic penile abnormal erection is gradually increasing, this group has 3 For example, the intracavernosal injection of vasoactive drugs is caused. Secondly, penile or perineal injury, spinal cord injury, pelvic tumors and leukemia can cause this disease. Clinical manifestations are sudden, often occurring at night, and erections last for hours to days. The performance of the corpus cavernosum is hard and tender; while the corpus cavernosum and the penis head are soft, the penis, the waist and the pelvis are painful, and sometimes the urination is difficult. Treatment is not timely and can lead to complications such as impotence and penile necrosis. In the treatment of abnormal erection of the penis, in the past, the use of cold ice, injection of estrogen and sedatives, etc., the effect is not good. All patients underwent conservative treatment, and only 1 case was relieved. If the above method fails, surgery should be performed immediately. This group of 4 patients underwent surgical treatment with good results. The author believes that for patients with poor conservative treatment, the penile head corpus cavernosum shunt should be performed early to eliminate the blood in the penis sponge, so that the penis can return to normal as soon as possible to reduce complications. If the treatment is not satisfactory, the urethral cavernous corpus cavernosum shunt, but the incidence of impotence is higher in the postoperative patients = (2001-09-03 received) (Editor Li Qingyou) angle plate combined with lag screw for the treatment of femur Experience of intertrochanteric fracture Zhu Changcheng Liu Peng Xu Meiwen Dong Lei (Zhaozhuang Coal Mine Hospital of Shandong Province, Zhuang Zaozhuang City, Central District Maternal and Child Health Hospital) intertrochanteric fracture; lag screw; angle steel angle arc is the treatment of intertrochanteric fracture One of the most commonly used internal fixation devices is widely used in primary hospitals. Since the beginning of our year, we have achieved good therapeutic results on the basis of the internal fixation of the angle plate alone and using the lag screw technology. 1 Clinical data 1.1 General information 25 cases of this group, male I9 cases, female 6 cases . The age is 6182 years old, with an average of 67.3 years old. Among them, I4 cases of comminuted fracture. 56%; 30mm6d after the injury, 15 cases of left femur, 10 cases of right femur, all closed fractures; all patients were in good condition. 1.2 treatment methods after admission to the hospital, lying on the hard bed, patient skin traction, preoperative comprehensive examination, for the heart, lung, brain and other important organs and chronic diseases, given the corresponding treatment, and for the possible accidents during surgery, Do the necessary emergency measures; preventive application of antibiotics before surgery. Surgical method: the lateral position was taken, the affected side was on the upper side, and the lateral incision of the trochanter was about 20 cm long. After the skin and subcutaneous tissue were cut, the cutaneous fascia was infiltrated into the posterior margin of the tensor fascia lata, and the lateral femoral muscle was exposed. The lateral femoral muscle attachment was removed and bluntly separated along the muscle, and the periosteum was exfoliated to reveal the upper end of the femur. The hemorrhage at the fracture end and the embedded soft tissue were removed, and the 2 fracture ends were repositioned. After determining the hitting point, drill 3 holes in parallel with the drill bit, first hit the human seat chisel, and then place the human angle steel plate. Fix it with the bone holder according to the specific condition of the fracture, which can be 1.5cm under the thick line of the big thick, or slightly At the entry point of 11.km, punch a lag screw into the femoral neck parallel to the blade or screw the lag screw to the opposite side of the angle plate. For more complicated fractures, the two methods can be used at the same time. After the other steel plate screws are placed at the same time, after detecting the abnormal functions of the hip joint, the incision is flushed, and a knife drainage tube is placed, and the knife edge is sutured according to the level. Postoperative treatment: no need for external fixation, routine application of antibiotics, hemostasis and other drugs, drainage tube within 24 ~ 48h, 48h after the start of quadriceps and biceps contraction exercise and squat autonomic exercise, functional recovery and fracture healing Synchronization. 2 Results 25 cases were followed up for 624 months, all fractures healed, according to the chart score, 5 points in 4 cases, 6 points in 21 cases. See Table 1. Table 1 Charnle scoring standard score Pain movement Walking spontaneous severe pain can not walk, need to be crutches or cane to start feeling pain, all activities blocked or not with a stick, time distance can be tolerated, limited activity single stick assist Distance is limited ( The author believes that the causes of deformity after internal fixation are: 1 such as the chiseling angle change (greater than or less than 130*) can cause hip and valgus deformity; 2 if the plane of the hitting point cannot be with the longitudinal axis of the femoral shaft Vertical, it will cause the fracture end to be fixed and then deformed forward and backward. 3 If the position of the plate is not in the middle of the lateral cortex of the femoral shaft, but the front or the back, the tip of the blade may have been shot. Or neck. At the same time, if many of the above factors occur at the same time, it will cause more serious and difficult to control deformities, and may lead to serious complications such as nonunion and steel plate and screw fracture. Therefore, special attention should be paid to these possible situations during the operation, and timely detection and timely correction can make the internal fixation accurate, firm and reliable.
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