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简介：ObjectivesToimplantecardioverter-defibrillator(ICD)inthepatientswhohadlife-threanteningtachyarrhythmiasandwithindicationsofimplantation,thenanalyseandinvestgatetheefficacyofimplantableICDtothepatientswhohadlife-threanteningtachyarrhythmias.MethodsFromOctober2005toJanuary2009,ourdepartmenttreated18casesthatpatientshadlife-threanteningtachyarrhythmias.11casesofIschemiccardiomyopathyin,7casesofdilatedcardiomyopathy,agefrom40-76years,meanageis(55.77±15.16)years,16malepatients,2femalepatients.Etiologicaldiagnosis:CTexaminationbythecoronaryangiographyorgatedcardiovascular,11casesofclearlyischemiccardiomyopathy,7casesofdilatedcardiomyopathy.amongthemthereare3casestobeimplantedICDAfter2weeksofcardio-pulmonaryresuscitation.Theotherswhohadlife-threanteningtachyarrhythmiashavehistoryofunexplainedsyncopeornot.Amongthem,4receivedsinglechamberICDtherapy,5.receiveddualchambersand9receivedcardiacresynchronizationtherapy-defibrillators.ResultsAllpatientsweresuccessfullyimplanted.Operativetimewas1.5-5hours,X-rayexposuretimefor19-62min.shockimpedance、pacemakerthresholdandR/Aamplitudewassatisfied.3patientswereinducedVentriculartachycardia(VF)byT-shock,andwereconvertedby10-20Jshock.DuringFollow-upof2-43months,nodeathoccurredandICDfunctionwasimproved.Onopration,Atthesametimeusecardoarone,thereweretotal8episodesofventriculartachycardia/ventricularfibrillation(VT/VF)happenedin5patients,theywereterminatedbyshocksonce,2patientwithsinglechamberICDweremisdiagnosed?atrialfibrillationasaventricularfibrillationthenleadtowrongtreatment.Westartedthestabilityandthewidthoftwodiagnosticfunctions,follow-upobservationofsixmonths,nomoremisdiagnosisandwrongtreatmenthappenedagain.9casesofpatientsoccurredsupraventriculartachycardiainobservationperiodandtransferredbyantitachycardiapacing(ATP).The9patientsw

简介：尖锐胰腺炎是能触发全身的inammatory回答的本地织物损害描绘的inammatory疾病。胰腺炎的那么脉管的复杂并发症是病态和死亡的一个主要原因。在尖锐胰腺炎的肺的栓塞被报导了很稀罕。我们与尖锐胰腺炎报导了肺的栓塞的一个案例。一个38岁的女人爆发了没有明确的动机的上面的腹部疼痛。她没有恶心并且呕吐，发烧，呼吸困难，咳嗽和咳痰，胸疼痛。病人在本地医院里与尖锐胰腺炎被诊断了。病人与抗菌素和质子泵禁止者被对待，并且腹部疼痛稍微被减轻。但是病人向前来了有一点血的咳嗽和咳痰，进步呼吸困难。腹部的计算tomographic扫描揭示了胰腺炎。胸的随后的计算机断层摄影术angiography揭示了肺的栓塞(两个都击倒恰好肺的动脉的肺的动脉，左肺的动脉和分支)。病人的呼吸困难与thrombolytic治疗和anticoagulation治疗变好。肺的栓塞是胰腺炎的稀罕却潜在地致命的复杂并发症。对这复杂并发症的熟悉将帮助它的早诊断，治疗并且阻止肺的栓塞，稀罕却灾难的现象。

简介：以推、揉、拿、扳、拉等手法，治疗22例肌性斜颈患儿，治愈18例，显效3例，无效1例。总有效率95．4％。

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简介：ＡＣＬＩＮＩＣＡＬＲＥＰＯＲＴＯＦＲＥＦＲＡＣＴＯＴＹＣＡＲＣＩＮＯＭＡＯＦＯＶＡＲＹＡＮＤＦＡＬＬＯＰＩＡＮＴＵＢＥＴＲＥＡＴＥＤＷＩＴＨＴＡＸＯＬＣａｉＳｈｕｍｏ蔡树模；ＴａｎｇＪｉｅ汤洁；ＦａｎＪｉａｎｘｕａｎ范建玄；ＷｅｎｇＺｈｏｎｇｙｉｎｇ...

简介：AbstractIntroduction:Behçet disease is a chronic multisystem vasculitis disease, however generalized polymorphous cutaneous lesions are uncommon.Here, we reported a case of Behçet disease with multiple parts of the body and complex lesions, which may lead to misjudging in clinical diagnosis.Case report:A 69-year-old man presented with a seven-year history of recurrent generalized polymorphous mucocutaneous lesions (erythematous papules, nodules, ulcers, and necrosis) over his entire body, and the lesions had been painful for the past three years. Based on the past medical history, clinical presentation, histological examination excluded other diseases, and the 2014-amended International Criteria for Behget disease, the patient had a score of 6 points and was diagnosed as Behçet disease.Discussion:The common clinical feature in patients with Behçet syndrome is the presence of recurrent and usually painful mucocutaneous ulcers. Other clinical manifestations of this disorder are more variable among different patients. A diagnosis of generalized polymorphous cutaneous lesions should remain on the list of differential diagnosis of Behçet disease after excluding other diseases.Conclusion:The mucocutaneous lesions of Behçet disease are often preceded by other manifestations, and timely diagnosis may benefit early treatment and prognosis.

简介：AbstractFrostbite in Southwestern China has been overlooked due to its low incidence, relatively mild temperature and lack of literature published before. However, it needs to be further studied for religious diversity and distinct geomorphology. In this article, we reported an 18-year-old Tibetan girl who suffered from blizzard attack during pilgrimage. Her feet and several fingers showed mummified gangrene upon physical examination with poor movement. She was diagnosed with 3rd to 4th degree of frostbite. The girl was given oral ibuprofen, debridement and other regular treatment daily, but she was eventually amputated due to insufficient thrombolytic management in primary hospital, delayed informing consent in the referral hospital and ethnic conflict between religion and guidelines. This case enriched the experience of managing complex frostbite in Tibetan population and alarms that efforts should be integrated to protect pilgrims and mountaineers in the Tibetan region.

简介：AbstractCorynespora cassiicola is a common plant pathogen responsible for leaf-spotting diseases in the tropical and subtropical areas. C. cassiicola seldom causes human infections. Here we describe a case of subcutaneous phaeohyphomycosis caused by C. cassiicola in a 76-year-old Chinese man, who presented to our hospital with a purulent discharge and painful sensation on his right leg. Skin biopsy revealed an abscess, and culture confirmed C. cassiicola to be the causative agent. The result was further identified by sequence analysis of the internal transcribed spacer region. The patient was successfully treated with systemic voriconazole and wound debridement: the lesion disappeared after 20 days.

简介：AbstractThere are only a few case reports of Q fever caused by Coxiella burnetii in China, despite the nature as a ubiquitous zoonotic disease worldwide. In the northeast part of China, a 52-year-old male presented with fever, cough, shortness of breath, and sputum production, accompanied by headache, dizziness, chill, myalgia, and arthralgia. Chest computed tomography images showed pneumonia accompanied by bilateral scattered infiltrates and localized upper-lobe emphysema. The abnormal liver function was indicated by the increased levels of alanine aminotransferase and aspartate aminotransferase. Through high-throughput sequencing and molecular detection, Coxiella burnetii was positive in the patient's blood specimens. After treatment with moxifloxacin hydrochloride and vidarabine monophosphate for 12 days, the patient completely recovered. To our knowledge, this was the first reported case of Q fever with pneumonia and hepatitis in this country.

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简介：AbstractThis study reported a case of spontaneous rupture of an ovarian artery aneurysm 4 days following cesarean section. The patient mainly presented with a consistent low-grade fever and did not have symptoms, such as severe abdominal or flank pain, as is common in other similar cases. Enhanced magnetic resonance imaging revealed a massive retroperitoneal hematoma; angiography confirmed that there was a rupture in an ovarian artery aneurysm. A selective embolization was performed successfully.

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简介：AbstractSubtalar dislocation is defined as a separation of the talocalcaneal and talonavicular articulations, commonly caused by high-energy mechanisms, which include falls from height, motor vehicle crashes, and twisting leg injuries. The dislocations are divided into medial, lateral, anterior, and posterior types on the basis of the direction in which the distal part of the foot has shifted in relation to the talus. The most common type is medial dislocation resulted from inversion injury. Subtalar dislocation may accompany with other fractures. Physical examination must be performed carefully to assess for neurovascular compromise. Most of the subtalar dislocations can be treated with closed reduction under sedation. If this is not possible, open reduction without further delay should be conducted. After primary treatment, X-ray and computed tomography scan should be performed to evaluate the alignment and the fractures. We report a 37-year-old male patient sustained a subtalar dislocation without any bony injury when he was playing football. The patient was successfully treated by closed reduction, and a good alignment was observed at the last follow-up. The pathogenesis and treatment method of this case were analyzed, and the related literature were reviewed, which provided a reference for future clinical treatment.

简介：SupraglotticlaryngectomywasfirstreportedbyAlousein1974andacceptedgradually.{’lAtventricularlevelincludingventricleband,vestibule,aryepiglotticfold,epiglottis,preepiglotticspaceandhyoidboneexcisionwascompleted.Itwasalsocalledhorizontalsupra-hemilaryng...

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简介：Wereportacaseofcapillaryhemangiomsathatinvolvedtheentiremiddleearspace,externalauditorycanal(EAC)andtympanicantrum.Symptomsinthecaseincludedearfullness,hearingloss,otalgiaandotorrhea.Thecasewasmisdiagnosedasrecurrentchronicotitismediawithgranulationpreoperatively.Adiagnosisofcapillaryhemangiomawasestablishedbypostoperativehistologicalexamination.Themanagementofcapillaryhemangiomaofthemiddleearandexternalauditorycanalisdiscussed,withareviewoftheliterature.Becauseofitsvariableandsometimesmisleadingclinicalpresentation,hemangiomacaninitiallybemisdiagnosedasotherlesions.Therefore,ahighindexofsuspicionisnecessaryforearlyandaccuratediagnosis.

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简介：Splenicmetastasisisgenerallynotacommonclinicalevent.However,metastasistothespleenfromadrenalpheochromocytomaisextremelyrareandhasnotbeenreportedinliterature.Thisreportpresentsacaseofa58year-oldmalepatientwhodevelopedspleen-onlymetastasesinJuly2007.ThepatienthadaprevioushistoryofleftepinephroectomyforadrenalpheochromocytomainJanuary2003.Abdominalcomputedtomographydemonstratedmultipleenhancinglesionssuggestiveofmetastases;thussplenectomywasperformed.Pathologicalexaminationsconfirmedthediagnosisofsplenicmetastasesfrompheochromocytoma.Thepatientwasalivewithoutrecurrence48monthsaftersplenectomy.Thisstudyisthefirstreportonsplenicmetastasisfrompreviousadrenalpheochromocytoma,andlong-termsurvivalwasachievedbysplenectomy.Ahistoryofmalignancyindicatesahighindexofsuspicionforsplenicmetastasis,andlong-termsurvivalcanbeachievedbysplenectomyforspleen-onlymetastasis.

简介：Anewcaseofepithelioidhemangioendotheliomaisreportedtohaveoccurredtoa67-year-oldpatientwhoconsultedforrightsidedchestpain.Thework-upshowedmultiplerightpulmonarylesionsassociatedwithbilateralmoderatepleuraleffusionandleft-sidedpleuralthickeningandthreehypodensenodulesintherightlobeoftheliver,peritonealthickening,ascites,andmultiplevertebrallyticlesions.Thediagnosisofanepithelioidhemangioendotheliomawasconcludedthroughahistologicalexaminationofacomputedtomographyscanguidedbiopsyoftheliver.Thepatientreceivedaprimarymono-chemotherapywithAdriamycin(75mg/m~2everythreeweeks)andintravenousbisphosphonateswithoutresponseandgeneralstatusimpairment.Thepatientdiedafter16monthsoffollow-up.