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  • 简介:AbstractCongenital diaphragmatic hernia is a congenital fetal disease, which mainly causes pulmonary hypoplasia and pulmonary hypertension. Effective early prenatal diagnosis can detect and predict the prognosis of congenital diaphragmatic hernia in infants, thus provide a reference for prenatal counseling, early intervention, and potential choices for the child’s family. Ultrasound and magnetic resonance imaging are the most commonly used methods for non-invasive examination of the fetus. This paper discusses evaluation parameters based on these two imaging modalities.

  • 标签: Hernias diaphragmatic congenital Magnetic resonance imaging Prenatal diagnosis Ultrasound
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  • 简介:AbstractPurpose:Rapid decompressive craniectomy (DC) was the most effective method for the treatment of hypertensive intracerebral hemorrhage (HICH) with cerebral hernia, but the mortality and disability rate is still high. We suspected that hematoma puncture drainage (PD) + DC may improve the therapeutic effect and thus compared the combined surgery with DC alone.Methods:From December 2013 to July 2019, patients with HICH from Linzhi, Tibet and Honghe, Yunnan Province were retrospectively analyzed. The selection criteria were as follows: (1) altitude ≥1500 m; (2) HICH patients with cerebral hernia; (3) Glascow coma scale score of 4-8 and time from onset to admission ≤3 h; (4) good liver and kidney function; and (5) complete case data. The included patients were divided into DC group and PD + DC group. The patients were followed up for 6 months. The outcome was assessed by Glasgow outcome scale (GOS) score, Kaplan-Meier survival curve and correlation between time from admission to operation and prognosis. A good outcome was defined as independent (GOS score, 4-5) and poor outcome defined as dependent (GOS score, 3-1). All data analyses were performed using SPSS 19, and comparison between two groups was conducted using separate t-tests or Chi-square tests.Results:A total of 65 patients was included. The age ranged 34-90 years (mean, 63.00 ± 14.04 years). Among them, 31 patients had the operation of PD + DC, whereas 34 patients underwent DC. The two groups had no significant difference in the basic characteristics. After 6 months of follow-up, in the PD + DC group there were 8 death, 4 vegetative state, 4 severe disability (GOS score 1-3, poor outcome 51.6%); 8 moderate disability, and 7 good recovery (GOS score 4-5, good outcome 48.4%); while in the DC group the result was 15 death, 6 vegetative state, 5 severe disability (poor outcome 76.5%), 4 moderate disability and 4 good recovery (good outcome 23.5%). The GOS score and good outcome were significantly less in DC group than in PD + DC group (Z=-1.993, p = 0.046; χ2= 4.38, p= 0.043). However, there was no significant difference regarding the survival curve between PD + DC group and DC group. The correlation between the time from admission to operation and GOS at 6 months (r=-0.41, R2= 0.002, p= 0.829) was not significant in the PD + DC group, but significant in the DC group (r=-0.357, R2= 0.128, p= 0.038).Conclusion:PD+ DC treatment can improve the good outcomes better than DC treatment for HICH with cerebral hernia at a high altitude.

  • 标签: Intracranial hemorrhage Hypertensive High altitude Cerebral hernia Hematoma puncture drainage Decompressive craniectomy
  • 简介:2018年6月30日.7月1日,由印度尼西亚疝协会,(IndonesiaHerniaSociety,PERHERI)联合亚太疝协会(AsiaPacificHerniaSociety,APHS)组织的APHSHerniaEssentials系列培训之BasicsCourse于印度尼西亚的首都雅加达GadingPluit医院举行。参加本次培训的专家教师主要来自于APHSHE学术委员会和印度尼西亚疝协会,包括亚太疝协会创始人及前任主席BarlianSmedja教授(印度尼西亚),亚太疝协会创始人及前任主席AnilSharma教授,亚太疝协会执行委员、中国医师协会外科医师分会疝和腹壁外科医师委员会主任委员陈杰教授.

  • 标签: 中国医师协会 培训班 印度尼西亚 学术委员会 元素