拉动方向对节点安全性的影响:一个实验室研究
Hong-Feng Guo1, Xiao-Yu Hou1, Wei-Wei Dai1
1Department of Basic Operative Surgery, College of General Medicine, The First Affiliated Hospital of Army Medical University, China.
Asian journal of surgery
|September 28, 2023
概括
为了提高安全性,外科医生在绑定手术结时应交替拉动方向. 在不变的方向上捆绑节点会导致较弱的节点,可能会危及患者的安全.
科学领域:
- 手术技术手术技术的使用.
- 对手术结的生物机械分析.
背景情况:
- 外科医生在创建手术结时经常忽略拉动方向.
- 拉动方向对节点安全性的影响尚不清楚.
研究的目的:
- 为了研究拉方向对手术结安全性的影响.
- 为了比较节点的安全性,当抛物被拉在交替的方向与恒定的方向.
主要方法:
- 368名居民使用3-0尺编织的丝结 (2-7次) 结了手术结.
- 根据拉动方向分类节点:交替 (A组) 或恒定 (C组).
- 为进行比较分析,测量了拉伸强度和解锁速率.
主要成果:
- 用交替拉动方向 (A组) 结合的结节的抗拉强度明显高于用恒定方向 (C组) 结合的结节.
- 与C组相比,A组的节点在5-7次投中表现出明显较低的解锁率.
- 来自A组的未拉结的抗拉强度明显高于来自C组的.
结论:
- 在结结时不断拉方向会损害结的安全性.
- 外科医生应该使用交替的拉方向来实现更好的结安全性.
- 优化结结技术可以通过降低结结失效的风险来提高患者的安全性.
相关概念视频
Cable: Problem Solving
344
When dealing with a cable that is fixed to two supports and subjected to uniform loading, it is crucial to determine the maximum tension in the cable. This process can be broken down into several key steps, as outlined below:
344
Stability of structures
188
In mechanical engineering, the stability of systems under various forces is critical for designing durable and efficient structures. One fundamental way to explore these concepts is by analyzing systems like two rods connected at a pivot point, O, with a torsional spring of spring constant k at the pivot point. This system is similar in appearance to a scissor jack used to change tires on a car. In this case, the arms of the linkage (equivalent to the rods in this system) are entirely vertical,...
188
Cable Subjected to a Distributed Load
711
The analysis of suspension bridges is a complex and critical process that involves multiple factors, including the shape and tension of the main cables. The main cables of suspension bridges are subjected to distributed loads, which result in changes in tensile forces and deformation of the cable. These loads must be carefully considered to ensure that the bridge is safe and capable of supporting the weight of different loads.
711
Torsion of Noncircular Members
154
Circular shafts undergoing torsional stress maintain their cross-sectional integrity due to their axisymmetric nature. This symmetry ensures an even distribution of stress, allowing the shaft to withstand torsion without distorting. In contrast, square bars, lacking this axial symmetry, experience significant distortion across their cross-sections when subjected to torsion, with the exception of along their diagonals and at lines connecting midpoints. A detailed examination of a cubic element...
154
Angle of Twist: Problem Solving
323
An electric motor applies a torque of 700 N·m to an aluminum shaft, triggering a stable rotation. Two pulleys, B and C, are subjected to torques of 300 N·m and 400 N·m, respectively. The modulus of rigidity is provided as 25 GPa. With the knowledge of the length and diameter of each segment, the twist angle between the two pulleys can be computed. First, a section cut is made between pulleys B and C, and the cut cross-section is analyzed using a free-body diagram. Given that the...
323
Principle of Moments: Problem Solving
866
The principle of moments is a fundamental concept in physics and engineering. It refers to the balancing of forces and moments around a point or axis, also known as the pivot. This principle is used in many real-life scenarios, including construction, sports, and daily activities like opening doors and pushing objects.
One such scenario involves a pole placed in a three-dimensional system with a cable attached. When a tension is applied to the cable, the moment about the z-axis passing through...
One such scenario involves a pole placed in a three-dimensional system with a cable attached. When a tension is applied to the cable, the moment about the z-axis passing through...
866


