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简介:Objective:Toexploretheoptimaltreatmentforcraniocerebraltraumacomplicatedwiththoraco-abdominalinjuries.Methods:Atotalof2165casesofcraniocerebraltraumacomplicatedwiththoraco-abdominalinjuriesadmittedtoourhospitalbetweenJuly1993andJune2003wereretrospectivelystudied.Amongthem,382casessustainedseverecraniocerebraltrauma(inwhich167werecomplicatedwithshock),733thoracicinjuries,645abdominalinjuriesand787thoraco-abdominalinjuries.Onadmittance,294caseshaddevelopedshock.Withtheprimegoalofsavinglife,respiratoryandcirculatorysystemsandencephalothilipsiswereespeciallytreatedandmonitored.Priorityinmanagementwasdirectedtosevereoropeninjuresratherthantomoderateorclosedinjures.Forcaseswithcerebralherniaduetointracranialhematomaandsevereshockduetobloodloss,cerebralherniaandshockweretreatedconcurrently.Results:Aftertreatment,2024(93.49%)casessurvivedandtheother141(6.51%)died.Amongpatientswhohadseverecraniocerebralinjurywithshockandthosewithout,78(46.71%)and53(24.56%)died,respectively.Forpatientswhohadunderwentcraniocerebralandthoraco-abdominaloperationsconcurrentlyandthosewhohadnot,thedeathrateswere58.49%-65.96%and28.57%respectively,indicatingasignificantdifference(P<0.05).Conclusions:Treatmentforhematomahernia,shockanddisturbedrespirationisthekeyinthemanagementofmultipletraumaofcraniocerebral,thoracicorabdominalinjuries,especiallywhentwoorthreeconditionsoccurredsimultaneously.Unlessitisnecessary,operationsattwodifferentpartsatthesametimeisnotrecommended.Itispreferredtostarttwoconcurrentoperationsatdifferenttime.
简介:AIMTo评估剩余的excimer激光修正的功效和安全在有intraocular的奔流抽取以后的折射错误透镜(IOL)培植在不平常cases.METHODSTotally有高剩余的24个病人在有IOL培植的奔流外科以后的折射错误被检验。22个病人有phacoemulsification和IOL培植的历史,并且二与IOL培植有囊外的奔流抽取。外科手术前的医药记录的详细检查被做解释奔流以后的折射错误的起源。所有病人经历了photorefractirekeratectomy(PRK)改进。吝啬的结果措施是折射,uncorretted视觉尖酸(UCVA),最好改正的视觉尖酸(BCVA)和角膜的透明性并且列在后面在上面从1到剩余变常眼的8y.RESULTSThe主管原因是在有高近视和先天的透镜畸形的反常眼睛的不精确的IOL计算,两个都由角膜的散光列在后面导致的缝术并且先存在。在奔流外科以后并且在激光改进前,吝啬的球形的等价物(SE)是-0.56?潢吗?
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简介:目的:照观察针药结合与单纯西药治疗中风后抑郁症(PSD)的疗效及不良反应。方法:采用开放性对照研究方法,将93例抑郁症患者随机分为三组,针药组30例、百忧解A组30例、百忧解B组33例。针药组口服百忧解20mg/d并加以针刺,百忧解A组口服百忧解20mg/d,百忧解B组口服百忧解20~40mg/d;三组治疗时间均为42d,以汉密尔顿抑郁量表(HAMD)及副反应观察量表(TESS)分别观察三组的疗效及不良反应。结果:针药组有效率为86.7%,百忧解A组为63.3%,百忧解B组为87.9%,针药组疗效优于百忧解A组,与百忧解B组疗效差异无统计学意义(P〉0.05),但药物不良反应发生率百忧解B组高于针药组。结论:药并用是脑卒中后抑郁症的一种疗效确切且副反应少的治疗方法。
简介:ObjectivesToinvestthesuccessprocedure,immediateoutcomeafterprocedure,therateofmainadversecardiaceventsafterprocedureandrestenosisafterstentplacementinsmallcoronaryvessels.Methods290patientswithselectedoremergencystentimplantationinsmallvesselsfromApril,1997toMarch,2002.Total299vessels,304lesionsand316stentswerestatisted.Thesuccesssrateofprocedure,immediateoutcomeafterprocedure,therateofmainadversecardiaceventsafterprocedureandrestenosisafterstentplacementinsmallcoronaryvesselswereassessed.Thepatientswerefollowedup1monthto4years.Re-catheterangiographyweredonein122/290patients.ResultsThenarrowrateoflesiondroppedfrom89%±12%beforeprocedureto5%±5%afterprocedure(diameter).202patientswerefollowedup1month(69.7%).197/202casesweresurvival.5/202casesdiedin3hrsto7days.2/5casesdiedofpersistenthypotensionafterprocedure.1/5casediedofacuteleftheartfailure.2/5casesdiedofsuddendeath.180caseswerefollowedup5monthsto4years.Thenon-eventsurvival(NES)ratewas73.3%(132/180).There-angiographyweredonein122cases.Restenosishappenedin39cases(30.3%).37patientsrepeatedPCI.2patientswenttoCABG.2casesgotanginarecurrenceandwereprovedsecondtimerestenosisbyre-angiography.ThethirdtimePCIwasdonein1patient.TheotherpatientswenttoCABG.1casediedofchronicheartfailureafter2years.1casesufferedacutemyocardialinfarctiononarterystentimplanted.ConclusionsTherearehighsuccessrateofprocedureandperfectimmediateoutcomeinstentplacementinsmallvessels.Mainadversecardiaceventsdidnotincreased.Non-eventsurvialwassatisfiedinlongtermfollow-up.Restenosisratewasshowedslightlyhigherthantheoneofmainvessels.
简介:ObjectiveTocomparedifferenttreatmentprotocolsforsuddendeafness(SD),forthepurposeofidentifyinganappropriateapproachtoSD.MethodsAtotalof104patientswithdiagnosisofsuddenhearinglosstreatedfromJan2006toDecember2008wereincludedinthisstudy,ofwhich31receivedthetypicalpharmaceuticaltreatment(groupⅠ),40receivedthetypicalpharmaceuticaltreatmentpluspolarizedliquid(GroupⅡ)and33receivedthehyperbaricoxygeninadditiontothetreatmentincludedinGroupⅡ(GroupⅢ).ResultsThetotalimprovementrate(67.74%,62.50%and75.76%forGroupsⅠ,ⅡandⅢrespectively)wasnotstatisticallydifferentbetweenthethreegroups(P>0.05).ConclusionThethreetreatmentprotocolsaresimilarwhenjudgedbythetreatmentoutcomesinSD,neitherbeingsuperiortotheothers.Thetwoimportantfactorsthatappeartoinfluencetreatmentoutcomesaretheaudiogrampatternanddurationofhearinglossbeforeseekingtreatment.Patientswithupslopingorpeak-typeaudiogramsandtreatedwithin7daysfromtheonsethavebetterprognosisthanothers.
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