直背综合征6例误诊分析

目的探讨直背综合征误诊原因及X线的诊断价值。方法收集6例直背综合征误诊的临床资料,并对其X线胸片的表现及胸廓前后径、横径、心胸比率数值的测定进行分析。结果6例直背综合征患者均有不同程度的胸椎生理曲度变小,3例曲度消失变平直,1例有反凸;胸廓前后径明显缩短,4例男性胸廓前后径/横径比值均小于0.35,2例女性胸廓前后径/横径比值均小于0.37。结论确诊直背综合征,常规X线胸片是准确、有效的手段。     

直背综合征的临床及X线表现分析

目的：总结分析直背综合征的临床及X线表现,探讨胸部X线正侧位片对直背综合征的诊断作用。方法：对29例直背综合征的临床及X线表现进行了分析,全组病例均拍摄胸部X线正侧位片,21例做心脏B超检查。结果：正位胸片有8例出现心脏中度增大,侧位胸片均有平行线征,胸廓前后径缩短。结论：胸部X线正侧位片是诊断本病的重要检查方法,特别是侧位胸片对测量胸廓前后径最为重要。     

直背综合征X线平片诊断的价值

目的：分析胸部X线平片在直背综合征中的诊断价值。方法：本组4例中男3例，女1例，年龄19～61岁，平均45岁。均摄标准胸部正侧位片。结果：4倒直背综合征的心胸比率分别为0．48，0．55，0．46，0．47，胸前后径与胸横径的比值分别为0．22，0．29，0．31，0．24。结论：本根据4例直背综合征的临床表现及放射学征象进行分析与评价，认为X线平片胸前后径与胸横径的比值小于正常是诊断依据。     

直背综合征的诊断和治疗(附8例报告)

本文报告8例直背综合征的临床特点,结合文献认为,凡胸椎平直,生理性后弯曲度<1.2cm,或/和胸骨扁平,胸廓前后径<9.5cm,前后径与横径比值<0.35cm,并导致心脏和大血管根部受压产生相应的心脏杂音者,可诊断为直背综合征。本综合征一般无需特殊治疗。     

直背综合征的X线特征与临床误诊分析

目的 探讨直背综合征的X线特征与临床误诊原因.方法 收集我院125例直背综合征完整的X线及临床资料,在标准胸部正侧位片上测量胸前后径与胸横径大小并计算其比值,测量胸椎曲度弧高( T3～T12).结果 直背综合征的X线特征有:胸椎生理曲度变直或消失,胸腔前后径与横径之比＜0.4,胸椎曲度弧高(T3 ～T12)＜0.5cm.临床误诊为先天性肺动脉狭窄23例,误诊为房缺 16例,误诊为室间隔缺损13例,误诊为冠心病10例.结论 充分认识直背综合征的X线特征是减少误诊的关键.     

直背综合征11例报告

报告直背综合征11例,主要表现为心慌、胸闷、收缩期杂音;心电图常有ST—T改变,心得安试验后恢复;超声心动图1例见二尖瓣脱垂,余正常。X线胸片示脊柱平直,胸廓扁平,前后径与横径比值平均为35%,正位片心影可呈假性增大,侧位片心前间隙多消失。结合文献讨论了本征的发病机理与诊断,强调应与器质性心脏病鉴别。     

直背综合征X线诊断标准的探析

目的:增加对直背综合征的X线诊断依据.方法:随机选择我院200例(男100例,女100例)健康者的正侧位胸片及我院临床诊断为直背综合征的9例患者的胸部正侧位片测量其T3～T12胸椎曲度弧高和胸腔前后径与横径之比.结果:正常组与病变组前后径/横径及T3～T12曲度弧高均有显著性差异.结论:增加胸椎曲度弧高的诊断依据对直背综合征的X线诊断更可靠.     

直背综合征的X线特征与临床误诊分析

目的探讨直背综合征的X线特征与临床误诊原因。方法收集我院125例直背综合征完整的X线及临床资料,在标准胸部正侧位片上测量胸前后径与胸横径大小并计算其比值,测量胸椎曲度弧高（T3～T12）。结果直背综合征的X线特征有：胸椎生理曲度变直或消失,胸腔前后径与横径之比〈0.4,胸椎曲度弧高（T3～T12）〈0.5cm。临床误诊为先天性肺动脉狭窄23例,误诊为房缺16例,误诊为室间隔缺损13例,误诊为冠心病10例。结论充分认识直背综合征的X线特征是减少误诊的关键。     

直背综合征的X线特征(136例报告)

直背综合征系脊柱胸段生理弯曲度畸形 ,胸廓前后径缩短 ,以致心脏和大血管受挤压产生心脏杂音的假性心脏病。196 0年首先由 Rawling报道 ,并命名为直背综合征 (Straightback syndrome) ,此后国内外学者相继有报道 ,但未引起医务人员的足够重视 ,往往被误诊为先天性心脏病 ,给患者带来不应有的精神负担和经济损失。笔者收集 1990～ 1999年以来的 136例病例 ,结合文献资料 ,着重分析普通 X线征象 ,以提高广大基层医师对本病的认识。1　临床资料1.1　一般资料　男性 5 2例 ,女性 84例 ,年龄 43.5± 12 .7岁 (16～ 6 8岁 ) ,其中 <30岁占 72 %…     

直背综合征引起的假性心脏病(附11例X线分析)

直背综合征的临床表现为心悸、胸闷、心前区不适、心律失常及心瓣膜杂音等,临床中常疑似为器质性心血管病。本文就11例直背综合征患者的资料分析表明:直背综合征患者具有器质性心血管病的临床症状,但无器质性病变。X线片的特征为心胸比例偏大,胸廓矢状径变小,胸廓前后径与胸廓横径之比明显变小,本组资料显示为0.36。X线片特征是确诊     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.