简介：Objective:Toanalyzeretrospectivelytheclinicalsymptoms,signs,radiologicalfindingsandresultsoftreatmentofposttraumaticsyringomyelia.Methods:Thedataof7patientswithposttranmaticsyringomyeliaconfirmedbycomputerizedtomography(CT)andmagneticresonanceimaging(MRI)inourhospitalbetween1999and2004werereviewedretrospectively.Thepatientsunderwentdecompressivelaminectomyorsyringo-subarachnoid(S-S)shuntingwithmicrosurgery.Long-termfollow-upwasavailable(range:13-65months).Results:Themajorclinicalmanifestationsofposttraumaticsyringomyefiausuallyincludedtheonsetofincreasingsignsandthedevelopmentofnewsymptomsafteranapparentlystableperiod.Theclinicalsymptomsincludedpain,sensorydisturbance,weakness,andproblemsinautonomicnerves.Syrinxexistedmerelyatthecervicallevelin4casesandextendeddownwardtothethoraciclevelsintheother3cases.Onecaseunderwentdecompressivelaminectomy,6casesweretreatedbyS-Sshunting.Duringtheearlypostoperativeperiod,allthepatientsshowedanimprovementofsymptomsofsyrinxwithoutmajorcomplicationordeath.ThedecreasedsizeorcollapseofthesyrinxwasdemonstratedbypostoperativeMRI.Conclusions:Posttraumaticsyringomyeliaisadisablingsequelaofspinalcordinjury,developingmonthstoyearsafterspinalinjury.MRIisthestandarddiagnostictechniqueforsyringomyelia.Thepatientswithposttraumaticsyringomyeliacombinedwithprogressiveneurologicaldeteriorationshouldbetreatedwithoperations.S-Sshuntingprocedureiseffectiveinsomepatientswithposttraumaticsyringomyelia.Decompressiveproceduremaybeanalternativeprimarysurgicaltreatmentforpatientswithkyphosisandcordcompression.

简介：Objective:　Tostudytheclinicalfeaturesofcraniocerebralinjury(CI)intheaged.　　Methods:　Thedataof149oldpatientswithCIhospitalizedinthedepartmentfromJuly1991toMay2000werestudiedretrospectivelyinthisstudy.Thecausesofinjury,traumaticpathology,clinicalmanifestationandcausesofdeathwereanalyzed,too.　　Results:　Automobileswerethemainvictim-makers,andfallswerethesecond.Andtherewasnosignificantdifferencebetweenthefirsttwokindsofvictim-makers.Thepatientssufferedmainlyfromcerebralcontusion,intracerebralhematomasandsubduralhematomas,andrelativelyfewerfromepiduralhematomas.ThescoresofGlasgowComaScale(GCS)wererelatedcloselytotheprognosiswhenhospitalizedorbeforesurgicaltreatment.Thetotalmortalityratewas37.5%inthisstudy.Themaincauseofdeathwasbraininjury.　　Conclusions:　TheoldpatientswithCIhaveahighmortalityrate.Andthecausesofinjury,traumaticpathologyandclinicalmanifestationarepeculiarintheaged.

简介：无

简介：Objective:Implantableportthrombosis(IPT)incancerpatientsisarelativelyrarebutseverecomplication.Severalfactorsarereportedlyassociatedwiththeoccurrenceofthrombosis.WeaimedtodescribetheprevalenceandtheanatomoclinicalfeaturesofIPTobservedincancerpatientswhoweretreatedinamedicaloncologydepartmentinTunisia.Methods:Atotalof600cancerpatientswhohadportimplantationfromJanuary2013toDecember2015wereretrospectivelyidentified.Caseswithsymptomatic/incidentalIPT(radiologicallyconfirmed)werefurtheridentified.Epidemiologicalandanatomoclinicalfeatureswerecollectedfrompatientrecordsandthedepartmentdatabase.Results:Weobservedthat33ofthe600patientshadIPT;thus,theprevalencewas5.5%.Themedianagewas57years,andthegenderratiowas0.43.Overweightorobesitywasobservedin73%ofthepatients.IPToccurredmainlyinpatientswithbreast(36.4%)andcolorectal(33.3%)cancers,whichweremostlynonmetastatic(79%).Atleastoneidentifiedclassicalthromboembolicriskfactorwasfoundin13patients(smokingin9,tamoxifenin2).IPTwassymptomaticin93%ofthecases,occurringwithinanaveragetimeof56days.Implantableportswereremovedbecauseofinfectionin2casesandnonfunctionalityin3cases.IPTtreatmentwasbasedonlow-molecular-weightheparins(94%)andantivitaminK(6%)foranaverageof130days.Fourpatientshadpost-therapycomplications:onethrombosisrecurrenceandthreeinfections.Conclusions:IPTcasesinthe600patientswereobservedtooccurinobesenonmetastaticcancerpatientswithinthefirst3monthsafterIPimplantation.

简介：针刺内关．足三里．乳根和肩贞穴．温灸膻中．治疗了62例产后缺乳患者。经7次治疗．30例产妇乳汁分泌每天400mL以上．精神饱满；26例乳汁分泌每天250mL左右．需补充牛奶喂养婴儿；6例乳汁分泌无明显改善．挤压双侧乳房极少量乳汁分泌。

简介：无

简介：

简介：目的：观察针刺对原发性失眠患者日间觉醒状态的影响。方法：将60例原发性失眠患者随机分为2组，每组30例。治疗组针刺百会、神庭、神门、四神聪、三阴交，对照组口服艾司唑仑，疗程均为30d。对所有病例进行爱泼沃斯思睡量表（EpworthSleepinssScale，ESS）及匹茨堡睡眠质量指数量表（PittsburghSleepQualityIndex，PSQI）测评。结果：与对照组比较，治疗组患者日间的觉醒程度及睡眠质量提高更快。结论：针刺相对于艾司唑仑治疗原发性失眠具有一定的优势。

简介：AbbottLaboratoriesisbettingheartpatientswillbenefitfromanewtypeofarterialstentthatdissolvesawaywhenitisnolongerneeded.Stentsarescaffold-likedevicesusedtopropopenclogged

简介：Objective:Tostudytheemergencymanagementprinciplesofseveretraumainhospital(injuryseverityscore≥16).Methods:Weused'ATPprinciple'tomanageseveretraumaticpatients.TheATPprincipleiscomposedof:1)attendingsurgeonsofferinginitialmanagement(A);2)teamworkcommencementimmediatelyafterpatientsadmittedtohospital(T);3)parallelprinciple,ie,emergencyresuscitation,evaluationandlaboratorytestperformedsimultaneously(P).ClinicaleffectsbeforeandafterapplyingATPprinciplewereretrospectivelyanalyzedandcompared.Results:DuringJanuary1,2002toDecember31,2003,338patientsweretreatedwithoutapplyingATPprinciple,inwhichISSwas25.9±6.4,152casesdiedwiththemortalitybeing39.2%,andthetimestayedinemergencydepartmentandthetimetooperationroomafteradmissionwere(102.8±16.7)min,(140.3±20.6)min,respectively.DuringJanuary1,2004toDecember31,2005,438patientsweretreatedbasedonATPprinciple,inwhichISSwas28.6±7.8,87casesdiedwiththemortalitybeing19.9%,andthetimeinemergencydepartmentandthetimetooperationroomafteradmissionwere(69.5±11.5)min,(89.6±9.3)min,respectively.ISSshowednosignificantdifferencebetweenthetwogroups(P>0.05),butthemortality,thetimestayedinemergencydepartmentandthetimetooperationroomafteradmissionweregreatlyreducedandshowedsignificantdifferencebetweenthetwogroups(P<0.05).Conclusions:ApplyingATPprincipletotreatseveretraumaticpatientscanshortenemergencytreatmenttimeinhospitalanddecreasemortality.

简介：Objective:TostudytheimmunologicalmechanismsofCondylomaacuminata(CA)throughinvestigatingTlymphocytesubsetlevelsandcytokineprofileintheperipheralbloodofpatientswithCondylomaAcuminata.Methods:Tricolorandbicolorimmunofluorescentstainingantibodyofcellsurfaceantigenandintracel-lularIL-2,IL-4,IL-12,IFN-γinCD4^+andCD8^+T-lymphocytesfrom20patientswithCAwereperformedandfollowedbyflowcytometry.Results:ThenumberofCD3^+T,CD4^+T-lymphocytescellsandCD4^+/CD8^+Tcellsratioweresignificantlydecreased(P<0.01)inpatientswithCAComparedtocontrols,andIL-2,IL-12,IFN-γproductioninCD4^+Tcellswasdecreased(P<0.01),IL-4andIFN-γproduc-tioninCD4^+Tcellswasnotsignificantlydifferent(P>0.05),whileIL-2andIL-12productioninCD8^+Tccellswasdecreased(P<0.01),whereasIFN-γandIL-4pro-ducinginCD4^+Tcellswereofnosignificantlydifference(P>0.05).Conclusions:TherewasanimbalanceofTlympho-cytesubsets,Th1/Th2cytokinesandTc1/Tc2intheperipheralbloodofCApatients,whichmayplayanimportantroleinthepathogenesisandprogressionofCA.

简介：Purpose:Toinvestigateatreatmentforfemaleurethralsyndrome.Method:Electroacupuncturewasusedtotreat36casesoffemaleurethralsyndrome,withmedicationfor42casesasacontrol.Results:Thetotaleffectiveratewas88.9%fromelectroacupunctureand52.4%frommedication.Therewasasignificantdifferenceincurativeeffectbetweenthetwogroups(p＜0.05).Conclusion:Electroacupunctureisaneffectivemethodfortreatmentoffemaleurethralsyndrome.

简介：瞄准：为了评估磁性的回声cholangiopancreatography(MRCP)，与磁性的回声(先生)一起的调查结果在自体免疫的胰腺炎(AIP)想象病人。方法：有AIP的九个病人经历了MRI，MRCP，内视镜后退cholangiopancreatography(ERCP)，计算断层摄影术，和ultrasonography。在类固醇治疗前后拿的MRCP和先生图象被考察并且与另外的成像形式相比。AIP盒子的MRCP调查结果与有胰的头的癌的10个盒子的那些相比。结果：在MRCP上，在ERCP上注意的主要的胰腺的管的缩小的部分没被设想，当主要的胰腺的管的非包含的片断被设想时。近似的主要的胰腺的管的在上游的膨胀的度比在胰腺的癌的情况下看温和。更低的胆汁管的狭窄或阻塞在8个病人被检测。先生图象在T1加权的先生图象上与减少的信号紧张显示出胰的增大，T2加权的先生图象上的增加的信号紧张，并且，在3个病人，低亚硫酸钠强烈像囊的边界。在类固醇治疗以后，以前没设想主要的胰腺的管的部分被看见，与胆汁管狭窄的改进一起。胰腺的增大减少了，并且T1加权、T2加权的先生图象上的反常信号紧张成为了isointense。结论：MRCP不能区分从与胰腺的癌看见的主要的胰腺的管的狭窄与AIP看见的主要的胰腺的管的不规则的变窄。然而，与在T1加权、T2加权的先生图象上显示出反常信号紧张的胰腺的增大的先生成像一起的MRCP调查结果在支持AIP的诊断是有用的。

简介：Objective:TostudycentralfunctionalnetworkconnectionsandtheiralterationsintinnituspatientsusingfMRI.Methods:Regionalhomogeneity(ReHo)valuesonfMRIwereobtainedfrom18tinnituspatientsand20ageandgender-matchedcontrolsubjects.ReHovalueswerecomparedbetweentinnituspatientsandcontrolsubjectstoevaluatefunctionalnetworkconnectiondifferences.Results:TinnituspatientsshowedincreasedReHovaluesingyrusfrontalisinferioranddecreasedReHovaluesintheanteriorlobeofcerebellumincomparisonwiththecontrols.Analysisoffunctionalnetworkconnectionfromthegyrusfrontalisinteriorshowsstrongerconnectionstothemiddlebrain(FWE,P<0.001)andrightventralstriatum(FEW,P<0.05,smallvolumecorrection).Conclusions:ThefMRIresultsindicatethatbothauditoryandnon-auditorycentersplayimportantrolesintinnitus.Functionalconnectionsamongtheauditorycortex,thalamus,medialtemporalgyrus,parahippocampalgyrusandinsulamaybeanunderlyingcauseforthedevelopmentoftinnitus.

简介：瞄准：在糖尿病的病人调查倒流食道炎(RE)和Hpylori感染的发生。方法：RE和Hpylori感染的发生与糖尿病在85个病人被调查，结果与控制相比。结果：在糖尿病的病人的RE的发生是17.6%。尽管这趋于在糖尿病的病人更高，有没有统计上在糖尿病的病人和控制之间的有效差量。在糖尿病的病人的Hpylori感染的发生是53.7%，但是不，统计上，有效差量在Hpylori感染的发生在糖尿病的病人和控制之间被看见。结论：没有有效差量能在RE和Hpylori感染的发生在糖尿病的病人和控制之间被看见。

简介：Objective:ThisstudyexaminedHerpesSimplexVirus(HSV)subclinicalsheddinginthegenitaltractofpatientswithgenitalherpes(GH)ornon-gonoccalurethritis(NGU).Method:SwabswerecollectedafterexposuretorashandgenitaltractduringGHrelapseorremissiononaweeklybasisforfourtosixweeks.NGUpatientswithnegativechlamydiaandmycoplasmatestswerealsoswabbedforasimilarduration.AllswabsunderwentHSVDNAdetectionwithquantitativePCR.Result:TherewasasignificantdifferenceintherateofasymptomaticHSVsheddinginurinarytractscomparingGHandthecontrolgroupandcomparingNGUandthecontrolgroup(P<0.05).TherateofHSVsheddingwas22%,9.8%and3.3%forGH,NGUandcontrolgroupsrespectively.TherateofHSVsheddingwas21.7%(20/92)forpatientswithactiveGHand23%forthoseinremission.TheHSVpositiveratewassignificantlyhigherinthegroupwithpatientswhohadmorethansixrelapseswithinoneyearcomparedtothegroupofpatientswithlessthansixGHrelapses.Conclusion:ThereisHSVsubclinicalsheddingintheirgenitaltractduringactiveGHandremission.SubclinicalHSVsheddingismorecommoninpatientswithmorethansixGHrelapsesperyearcomparedtoGHpatientswithfewerrelapses.Approximately9.9%ofNGUpatientswithnegativechlamydia,mycoplasmatestingwasfoundtohavesubclinicalHSVinfection.

简介：AbstractBackground:Moyamoya disease (MMD) is a relatively important and common disease, especially in East Asian children. There are few reports about EEG in children with MMD in China till now. This study is aimed to analyze the electroencephalographic features of MMD in pediatric patients in China preliminarily.Methods:Pediatric patients with MMD who were hospitalized in Peking University International Hospital and Beijing Tiantan Hospital from January 2016 to December 2018 were collected. Clinical and electroencephalography (EEG) findings were analyzed retrospectively.Results:A total of 110 pediatric patients with MMD were involved, and 17 (15.5%) cases had a history of seizure or epilepsy. Ischemic stroke was associated with a 1.62-fold relative risk of seizure. A subset of 15 patients with complete EEG data was identified. Indications for EEG in patients with MMD included limb shaking, unilateral weakness, or generalized convulsion. Abnormal EEG was seen in 14 (93.3%) cases, with the most common findings being focal slowing 12 (80.0%), followed by epileptiform discharge 10 (66.7%), and diffuse slowing 9 (60.0%). "Rebuild up" phenomenon on EEG was observed in one patient.Conclusions:Seizure and abnormal background activity or epileptiform discharge on EEG were common in pediatric patients with MMD. EEG may play a role in differential diagnosis among the transient neurological events in MMD such as transient ischemic attack and seizure.

简介：

简介：无

简介：