简介:Treateduroschesisduetospinalcordinjuryin32caseswithacupuncturetherapy(acupuncturegroup)andcomparedwithNeostigmineinjection(controlgroup).Inacupucturegroup,10casesgotclinicalrecovery,17efficacyand5inefficacy,withaneffectiverateof84.4%;among32casesincontrolgroup,3casesgotclinicalrecovery,15efficacyand14inefficacy,theeffecriveratewas56.2%.
简介:AbstractBackground:The 2019 novel coronavirus (2019-nCoV) causing an outbreak of pneumonia in Wuhan, Hubei province of China was isolated in January 2020. This study aims to investigate its epidemiologic history, and analyze the clinical characteristics, treatment regimens, and prognosis of patients infected with 2019-nCoV during this outbreak.Methods:Clinical data from 137 2019-nCoV-infected patients admitted to the respiratory departments of nine tertiary hospitals in Hubei province from December 30, 2019 to January 24, 2020 were retrospectively collected, including general status, clinical manifestations, laboratory test results, imaging characteristics, and treatment regimens.Results:None of the 137 patients (61 males, 76 females, aged 20-83 years, median age 57 years) had a definite history of exposure to Huanan Seafood Wholesale Market. Major initial symptoms included fever (112/137, 81.8%), coughing (66/137, 48.2%), and muscle pain or fatigue (44/137, 32.1%), with other, less typical initial symptoms observed at low frequency, including heart palpitations, diarrhea, and headache. Nearly 80% of the patients had normal or decreased white blood cell counts, and 72.3% (99/137) had lymphocytopenia. Lung involvement was present in all cases, with most chest computed tomography scans showing lesions in multiple lung lobes, some of which were dense; ground-glass opacity co-existed with consolidation shadows or cord-like shadows. Given the lack of effective drugs, treatment focused on symptomatic and respiratory support. Immunoglobulin G was delivered to some critically ill patients according to their conditions. Systemic corticosteroid treatment did not show significant benefits. Notably, early respiratory support facilitated disease recovery and improved prognosis. The risk of death was primarily associated with age, underlying chronic diseases, and median interval from the appearance of initial symptoms to dyspnea.Conclusions:The majority of patients with 2019-nCoV pneumonia present with fever as the first symptom, and most of them still showed typical manifestations of viral pneumonia on chest imaging. Middle-aged and elderly patients with underlying comorbidities are susceptible to respiratory failure and may have a poorer prognosis.
简介:SupraglotticlaryngectomywasfirstreportedbyAlousein1974andacceptedgradually.{’lAtventricularlevelincludingventricleband,vestibule,aryepiglotticfold,epiglottis,preepiglotticspaceandhyoidboneexcisionwascompleted.Itwasalsocalledhorizontalsupra-hemilaryng...
简介:Jiansanzhen,Tianzong(SI11),Jugu(LI16),Jianzhen(SI9),Binao(LI14)andQuchi(LI11)weregivenwarming-needlemoxibustiontotreatshoulderperiarthritisin78cases,andtheresultshowedtotaleffectiveratewas97.4%.
简介:WemadeclinicalobservationsonthetherapeuticeffectofacupunctureonacuteupperrespiratorytractinfectionandcomparedwiththeeffectofparacetamolandAntondine,Theresultshowedthatacupuncturetherapycouldallayfevermorerapidlythandrugs,solongasthedifferentiationofsyndromesiscorrectandtheacupointisselectedproperly.
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简介:ObjectivesTostudythecharacteristicofpulmonaryembolism(PE)incontrast-enhancedCT.MethodsTheradiologicalfeaturesweredescribedin20patientswithlobarandproximalPEdiagnosedwithaToshibaXpress/SXCTscanneraftercontrastmaterialwasadministrated.ResultsTherewere7casesofpulmonaryembolism(PE)secondarytolowerlimbdeepveinthrombosis(DVT),ofwhich2caseswererelatedtosaunabath.Wegroupedthecasesaccordingtotheirextensivenessofembolism:mild,moderate,severe,orcompleteembolism.Mildembolism:theembolioccupiedlessthan30%,oftheinnerdiameterofpulmonaryartery(PA).Medianembolism:theembolioccupied30~50%ofthePAdiameter.Severeembolism:theembolioccupiedoverhalfofthePA(50%),buttherewerecontrastflow.Completedembolism:therewasnocontrastfoundaroundtheemboli.ThedirectsignofPEwasafillingdefectornoopacificationintheaffectedbranchofpulmonaryartery(PA).Therewere9othersecondarysigns:①widenPA,②enlargedrightventricleandtherightatrium,③increasedtranslucencyofthelunganddecreasedbronchovascularshadows,④shrunkenpulmonaryveinslikeddriedrattan,⑤decreasedleftatriumandtheleftventriclesize,⑥shiftingofinterventricularseptumtotheleftandposteriordirection,⑦Thelaterallungparenchymademonstratedinatriangularshape,⑧pleuraleffusionand⑨pericardiacleeffusion.ConclusionsThediagnosisofPEwasrevealedby10radiologicalsignsbycontrast-enhancedCT:Withfullunderstandingofthepathophysiologicalbasisofthese10signs:correctdiagnosisofpulmonaryembolismcanbemade.PEiscommonlycausedbylowerlimb.Andsaunabathisoneofthemainpredisposingcauses.
简介:Objective:Langerhanscellhistiocytosis(LCH)hasbeenwelldescribedonlyinchildren.Weanalyzedthecharacteristics,reactivation,andoutcomeofLCHinacohortof55patientsacrossallages.Methods:WereviewedtherecordsofallpatientswithLCHtreatedatasingleinstitutebetweenJan.1974andMay1998.Results:The55patientswere2to67yearsofage(median,31years)atthetimeofdiagnosis,and85.5%weremale.Fortypatients(72.7%)hadsingle-systemLCH;Fifteen(27.3%)hadmultisystemdisease.Theheadandneckwasthemostfrequenttumorsite(63.6%).LCHwasnotfoundinorgansatriskofinvolvement(liver,spleen,bonemarrow,andlungs).Thefrequencyofbonyinvasion(23.6%overall)differedsignificantlyaccordingtoage(15years(66.7%)vs.Age>15years(11.6%)(P=0.0005).Atamedianfollow-upof12years,nopatientdiedofLCH.The5,10-yearsurvivalestimateswere100%.The5,10-yeardisease-freesurvivalestimateswere70.9%and58.4%.The5-yeardisease-freesurvivalestimatewas58.3%forage(15yearsvs.74.4%forage>15years(P=0.83)and75%forsingle-systemdiseasevs.60%formultisystemdisease(P=0.13).LCHwasreactivatedin43.6%ofpatients,withamedianof14months(range,2-180months).Threepatientswithrecurrentdiseaseexperiencedspontaneousremission.Atthetimeofthemostrecentfollow-up,23.6%ofsurvivorshadactivedisease.Conclusion:LCHisnotfoundexclusivelyinchildrenandadolescents.Thefrequencyofboneinvasionisinverselyrelatedtoage.Reactivationisverycommonregardlessofthetypeoftreatment,buttheprognosisisgenerallygood.
简介:ObjectivesWedidaretrospectivestudytosummarizethesurgicalexperienceofanomalouspulmonaryvenousdrainage(APVD)correctionanddiscusseffectivewayofimprovingthesurgicaloutcome.MethodsFromJanuary1985toMay2008,127patients[56menand71women,aged14-55yearswithanaverageof(26.79±10.62)years]withAPVDunderwentsurgicaltreatments.Amongthem,13patientshadsimplepartialAPVDwithintactatrialseptum,104patientshadpartialAPVDwithatrialseptaldefectand10patientshadtotalAPVD.Seventy-onepatientsofthemaccompaniedwithothercardiacanomalieswhichwerealsocorrectedintheiroperations.ResultsOneearlyoperativedeathduetoseverelowcardiacoutputsyndrome(LCOS)developedpostoperatively,whichresultedinamortalityrateof0.78%.Amongotherpatients,10patientscomplicatedwithLCOS,11patientswitharrhythmia,7patientswithacuterenalfailureand4patientswithpoorwoundhealing,alldischargedfromhospitalaftertreatment.Postoperativeechocardiographyreexaminationrevealed1caseofmildresidualshuntinatrialseptumbutwithoutpulmonaryveinstenosis.ConclusionForrightatrialandventricleenlargedpatientswithorwithoutpulmonaryhypertension,surgeonsshouldbevigilanceofaccompaniedAPVDwhetheratrialseptaldefectsexistornot.Aslongasnocontraindicationsarefound,surgicaltreatmentshouldbeperformedonceaccuratediagnosisisobtained.
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简介:ThehulbarparalysisofupperrnotorneuronsisacommonseniIedisease.lnrecentycars.weselectLianquan(CV23)asachiefpointincomhinationwithJinjin(EX-HNl2).Yuye(FX-HN13)andZhaohai(KI6)andemployuniformreinforcing-reducingmanipuIationtotreat280patients.Theresultsshowthatatotaleffectivcrateis55.71%.Thepossiblemechanismsaredis-cussedpreliminarilyinthcpresentpaper.
简介:Herpeszosterisanacutedermatosiscausedbychlckenpoxvirusinflammationandmarkedmainlybyviolentpainandcord-likeherpesontheskinsurface.IntraditionalChinesemedicine,itistermedas"SheChuanChuang"(蛇串疮).Theintolerablepainexitsinthewholeprocessofthediseaseevenafewweeksormonthsafterdisappearanceoftheherpes,causingthepatienttosufferalot.FromAprilof1997toJuneof2002,theauthoradoptedacupoint-injectionandacupuncturetherapiestotreat19casesofherpeszosterandachievedsatisfactoryresults,hereisthereport.
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简介:得到中央neurocytoma的更好的识别并且减少的目的错误诊断。回顾的评论识别了中央neurocytoma的15个盒子的方法。中央neurocytoma的所有情况为他们的临床的症状,病理学的变化,染色的immunohistochemical,预后和微分诊断被分析。临床列在后面在上面被执行。在那里的结果1064年是8男性和7女性(中部32.93年)。最普通的介绍症状是与增加的intracranial压力(ICP)有关的那些,包括头疼(100%),papilledema(93%)并且呕吐(80%)。所有肿瘤位于室的系统。肿瘤由一致房间组成与围着原子核和一个好染色质模式,并且在一些区域,有perinuclear光圈的小房间能被看见。特别地,无核的区域可以有一个好fibrillary矩阵(neuropil)。原子atypia和脉管的增长分别地出现在二种情况中。焦点的坏死能在一种情况中被看见。Immunohistochemical调查结果包括了synaptophysin(15/15)的表示,神经原特定的enolase(12/15)和glialfibrillary酸的蛋白质(GFAP)(3/15)。MIB-1增长索引从0.812.5%,并且在估计的15个盒子中的3个中是超过2%。11个病人的后续信息是可得到的。结论中央neurocytoma一般来说,但是在里面有有利预后一些情况,临床的功课能是好攻击的。GFAP确实,增长索引和脉管的增长的增加可能建议一个更恶意的过程。