简介:Ashipoint(tonsil)incombinationoftheprickingandbleedingtechniqueonShaoshang(LU11)andShangyang(LI1)wereusedtotreat58outpatientsofacutetonsillitis.Theresultsshowedcurein38cases,remarkableeffectin17casesandfailurein3casesbyonetreatment,andthetotaleffectiveratein95%.
简介:ObjectiveToretrospectivelystudyclinicalfeaturesanddiagnosticimagingofvasculogeneicpulsatiletin-nitus,andthefeasibilityandefficacyoftransvascularinterventionaltreatmentforthiscondition.MethodsDatafrom82casesofarterialorvenouspulsatiletinnituswerereviewed.DSAcharacteristicsandpossiblepathophysiologicalmechanismsofpulsatiletinnitusinthesecaseswerestudied.Diagnosesinthisgroupin-cludedintracranialarterovenousfistula(AVF)(n=3),spontaneousskullbaseduralAVF(n=16),traumaticca-rotid-cavernoussinusfistula(n=5),subclavianarterystenosis(n=2),internalcarotidarterystenosis(n=3),in-tracranialarterialstenosis(n=1),kinkedand/orelongatedvertebrobasilarartery(n=2),venoussinusdivertic-ulum(n=2),venoussinusstenosisonthedominantdrainageside(n=46)andoccipitalsinusstenosis(n=2).Treatmentsincludedembolizationandstentingusingcoils,NBCAglue,Baltballoons,self-expansionstentsandintracranialmicro-stentsviaeitherthefemoralarteryorfemoralvein.ResultsProceduresweresuc-cessfulinallcaseswithnosurgery-relatedcomplications.Tinnitusdisappearedwithin2daysafterthepro-cedureinallcases.Followupdurationwas5-36months.Recurrenceoccurredin4casesofarterialtinnituswithin3monthsfollowingtheinitialprocedure,whichimprovedafterrevisionembolizationorsymptommanagement.Therewasnorecurrenceinvenoustinnituscasesfollowingstentplasticorstent-coilingembo-lizationtreatments.ConclusionsEndovascularinterventionprovidesanewapproachtothediagnosisandtreatmentofintractablepulsatiletinnitus.Itisalsoeffectiveindifferentiatingandstudyingothertypesoftinnitus.
简介:Objective:Toimprovethediagnosisandtreatmentofseverecerebralfatembolism(SCFE).Methods:ThedataofninepatientswithSCFEwereretrospectivelyanalyzed.Themanifestationsofthecentralnervesystem,respiratorysystemandhemorrhagewererecorded,atthesametime,accessoryexaminationincludingarterialoxygen,fatmacroglobulesinvenousbloodandimageexaminationwasadapted.Thepatientsweretreatedwithexopexy,pharmocotherapyandoxygentherapy.Results:Twooftheninepatientsdiedofseverecomplications,theothersevenrecoveredwithoutseveresequela.Conclusions:GurdstandardshouldbeimprovedforearlydiagnosisofSCFE.Ifsverecomplicationscanbeprevented,patientswhoreceiveearlytreatmentwillhavefavourableprognosis.
简介:客观;在脚关节关节上学习远侧的tibiofibularsyndesmosis的分离的影响并且比较各种各样的起作用的方法以便为分开的远侧的tibiofibular韧带联合发现合适的稳定。方法:从1997年7月到2002年7月,我们对待87个病人(64男性和23女性,变老18-54年)与distaltibiofibular韧带联合的分离,在谁之中,79与踝的骨折被相结合。Manipulativereduction,有cancellous螺丝钉的内部固定和有灰浆支持的外部固定在37个病人,有为腓骨的骨折的板和螺丝钉的固定和固定上被执行为34个病人上的远侧的tibiofibular韧带联合的withcancellous螺丝钉,和有peroneus的腱的distaltibiofibular系带的修理渴望我们,分开的distaltibiofibular韧带联合的减小,和有16个病人上的cancellous螺丝钉的固定。当远侧的tibiofibular韧带联合与cancellous螺丝钉被修理时,脚关节关节是为30°的dorsiflexed。并且cancellous螺丝钉在操作以后在8-10星期被拿出。结果:这些病人被跟随在上面为至少二年。药品效果根据病人的抱怨被估计,脚关节的轮廓,功能和无线电报连接;优秀in55病人(63%),在14个病人(16%)在18个病人(21%)好、公平。distaltibiofibular韧带联合的分离在为长与peroneus的腱修理远侧的tibiofibular系带经历了一个手术的2个病人复发了我们并且恢复。一个cancellous螺丝钉被折断。没有坏死在脚关节榫眼的前面的皮肤发展了。结论:远侧的tibiofibular韧带联合的分离能与各种各样的合理操作被对待。长与peroneus的腱修理我们能为远侧的tibiofibular韧带联合的完全的分离得到优秀结果。
简介:Recentfindingsinthepathophysiologyandmonitoringofhemostasisinpatientswithendstageliverdiseasehavemajorimpactoncoagulationmanagementduringlivertransplantation.Thereisincreasingevidence,thatthechangesinbothcoagulationfactorsandplateletcountregularlyobservedinpatientswithlivercirrhosiscannotbeinterpretedasareliableindicatorofdiffusebleedingrisk.Instead,adifferentiatedviewonhemostasishasledtotheconceptofarebalancedcoagulationsystemWhileitisimportanttorecognizethatprocoagulantfactorsarereducedinlivercirrhosis,itisalsoevidentthatsynthesisofanticoagulantfactorsandfibrinolyticproteinsproducedintheliverisalsodiminished.Similarly,thedecreasedplateletcountmaybecounterbalancedbyincreasedplateletaggregabilitycausedbyhighlyactivevonWillebrandmultimeres.Thecoagulationsystemisthereforstatedtoberebalanced.Whileundernormal"unstressed"conditionsdiffusebleedingisrarelyobserved,howeverbothdiffusebleedingorthrombusformationmayoccurwhencompensationmechanismsareexhausted.Whilemostpatientspresentingforlivertransplantationhaveseverecirrhosis,liverfunctionandthusproductionofpro-andanticoagulantfactorscanbepreservedespeciallyincholestaticliverdisease.Duringlivertransplantation,profoundchangesinthehemostasissystemcanoccur.Surgicalbleedingcanleadtodiffusebleedingascoagulationfactorsandplateletsarealreadyreduced.Ischemiaandtissuetraumacanleadtoalterationsofhemostasiscomparabletotraumainducedcoagulopathy.Afurthercommondisturbanceoftenstartingwiththereperfusionofthetransplantedorganishyperfibrinolysiswhichcaneventuallyprecipitatecompleteconsumptionoffibrinogenandanendogenousheparinizationbyglycocalyxshedding.Moreover,thromboticeventsinlivertransplantationsarenotuncommonandcontributetoincreasedmortality.Besidesconventionallaboratorymethods,bed-sidemonitoringofhemostasis(e.g.,thrombelastography,thrombe
简介:Inthispaper,effectsofneedle-prickingplusTDPlampradiationandmedicationonstenotictenovaginitisarecompared.Intheneedle-prickinggroup,athree-edgedneedleisinsertedintothesubcutaneoustissuesperpendicularlyafterthepainpointoftheaffectedfingerisdetected,thentheneedIebodyisinclinedalongthelongitudinalaxisofvaginatendinis,andthetipoftheneedleismovedhorizontallytoprickthevaginatendinisforafewtimesuntilnosnappingoccurswhenthepatientisflexingandstretchinghisdiseasedfinger.Inthemedicationgroup,theinjectionofPrednisoloneandProcaineisgiventopically.Resultsshowthatthetherapeuticeffectofneedleprickingissuperiortothatofmedication(P<0.01).Moreover,therecurrencerateoftheneedle-prickinggroupislower.
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简介:Traumaticinjuriestothecentralnervoussystem(CNS),includingtraumaticbraininjury(TBI)andspinalcordinjury(SCI),ofteninvolveanimmediatemechanicaldamagetoplasmamembranethatsurroundsneuronalsomataandaxons.Thisinitialdisruptionofplasmamembranefollowinginjurieshasbeenconvincinglydemonstratedbyincreasedmembrane
简介:目的将在ICU与多重损害为病人调查外科的治疗。病人们从2006年1月承认了到我们的医院的ICU到2009年1月的163多重损害的方法临床的数据回顾地被学习,包括118男性和45女性,与36.2年的吝啬的年龄(范围,5-67年)。包括的损害区域出发,颈(29个案例),脸(32个案例),胸(89个案例),腹部(77个案例),骨盆和手足(91个案例)和身体出现(83个案例)。有57个案例,与吃惊相结合。ISS价值从10~54变化了,18.42平均。病人们分别地在在内的ICU接受了外科的治疗24个小时(10个案例),24-48小时(8个案例),3-7天(7个案例)和8-14天(23个案例)。为163个病人,结果ICU停留的持续时间从2~29天,与7.56天的平均价值。在他们之中,143被治好(87.73%),11由于严重出血性的吃惊(6个盒子)在医院(6.75%)里死了,craniocerebral损害(3个盒子)和多重机关失败(2个盒子),并且9在自愿地从医院(5.52%)排出以后死了。全部的死亡率是12.27%。当多重损害病人在ICU被复活时,损坏控制原则应该被跟随的结论。外科的治疗策略活跃地包括控制出血,对待以前错过的损害和相关创伤或外科的复杂并发症并且动计划阶段手术。
简介:目标范围是在无线传感器网络的一个重要还挑战性的问题,特别当范围和精力限制应该被考虑时。由于它的非线性的性质,这个问题的以前的研究主要集中了于启发式的算法;理论界限仍然保持未知。而且,最流行的方法在以前的文学使用了,即,连续时间的discretization,还得被认为正当。这份报纸用二理论结果填这些差距。第一个是为方法的一个正式理由。我们使用一个简单例子说明及时转变一个解决方案的过程领域进在有一样的网络一生的模式域的一个相应解决方案并且获得二关键观察。在那以后,我们正式证明这是二观察并且把他们用作基础认为方法正当。第二结果是能保证网络一生是的一个算法至少(1-)最佳的网络一生,在此能被使任意地小取决于要求的精确。算法基于列产生(CG)理论,它把原来的问题分解成二亚问题并且反复地以接近最佳的答案的一个方法解决他们。而且,我们开发了几条建设性的途径进一步优化算法。数字结果验证我们的基于CG的算法的效率。
简介:AbstractFacial erythema is the main characteristic of rosacea. It has a negative impact on quality of life. The two forms of rosacea-associated erythema are inflammatory erythema and non-inflammatory erythema. There are numerous therapeutic options available that achieve satisfactory responses. This review summarizes the latest advances in the treatment of rosacea-related erythema and concludes the treatment of two forms of them.