表现为头痛脑神经症状的鼻咽癌47例分析

目的 :通过对头痛脑神经病损者临床分析 ,总结鼻咽癌诊断的经验。方法 :分析 4 7例表现为头痛脑神经症状的鼻咽癌患者的临床及CT检查特点。结果 :4 7例鼻咽癌患者头痛 10 0 % ,脑神经损害占 70 .2 1% ,有的病例同时伴有多条脑神经的损害。鼻咽部CT检查具有特征性改变。结论 :不明原因的顽固性头痛 ,或头痛伴有脑神经症状的患者 ,应考虑鼻咽癌的可能。应常规行鼻咽部的检查。     

41例以耳部症状为首发症状鼻咽癌的临床诊断

目的 探讨以耳部症状为首发症状鼻咽癌的临床特点,减少漏诊和误诊.方法 分析41例鼻咽癌以耳部症状为首发症状患者的临床资料.结果 41例患者中,听力下降36例,耳痛无听力下降5例,其中伴耳鸣31例,头痛7例,面部麻木疼痛6例,眼球外展受限6例等.本组患者易被误诊为分泌性中耳炎等疾病.误诊患者中以浸润型(43.48%)和黏膜下型(26.09%)鼻咽癌为主,活检时如取材不深不易确诊.结论 对可疑以耳部症状为首发症状的鼻咽癌者应仔细检查鼻咽部,多次活检可以降低鼻咽癌的误诊.     

鼻咽癌首发症状的分析

目的分析鼻咽癌的早期症状，以提高此疾病的早期诊断。方法经病理证实的391例鼻咽癌病人的首发就诊症状。结果首发症状为颈部包块、回缩性血涕、耳部症状（耳痛、听力下降、耳鸣）、鼻堵等，其中颈部包块为最常见首发症状占47％，回缩性血涕占19．7％，耳部症状占18％。确诊时颅神经受侵者67例。各对颅神经中第Ⅴ对颅神经受侵最为常见（45例），其次为第Ⅵ对颅神经（22例）。确诊时颈部淋巴结转移324例，其中N1 117例，N2 129例，N3 78例。N0，N1远处转移率为18％，N2，N3分别为33％、51％。结论本文分析了鼻咽癌病人首发症状后表明颈部淋巴结肿大仍是病人就诊的首发症状，出现鼻音及回缩涕带血是原发病灶引起的主要早期表现，应引起病人和临床医生的足够重视。以达到疾病的早期诊断。     

颈部肿块与鼻咽癌89例临床分析

目的 分析鼻咽癌颈部淋巴结转移的特点,总结颈部肿块与鼻咽癌的关系,提高鼻咽癌的确诊率.方法 对89例鼻咽癌患者的临床资料进行回顾性分析,研究鼻咽癌与颈部肿块的关系.结果 89例鼻咽癌患者中有67例出现颈部肿块,其中59例为首发症状,颈部肿块位于病变同侧51例,对侧4例,双侧12例,累及颈深上淋巴结56例.结论 鼻咽癌患者大多数会出现颈淋巴结转移,患者以颈部肿块就诊者应首先排除鼻咽癌可能.鼻咽癌转移多位于同侧的颈深上淋巴结.     

以腮腺区包块为首发症状的鼻咽癌腮腺淋巴结转移1例报告

<正>1临床资料颈部淋巴结是鼻咽癌最常见的转移部位,腮腺淋巴结是鼻咽部不常见的淋巴引流部位,故临床上鼻咽癌腮腺淋巴结转移少见,尤其是以腮腺区包块为首发症状的鼻咽癌腮腺淋巴结转移更为罕见。现     

以耳部为首发症状的31例鼻咽癌临床分析

鼻咽癌发病率居耳鼻咽喉科恶性肿瘤之首。由于其原发部位深而隐蔽,不易观察,周围毗邻关系复杂,临床表现各异。常以一侧头痛、回吸性涕血及鼻出血、颈部淋巴结肿大、鼻塞等引起医生警惕,而以耳部症状为首发症状的患者往往未能引起重视而发生误诊或漏诊。但鼻咽癌以耳部症状为首发症状者并不罕见,鼻咽癌患者以耳鸣为初发症状的在23．5％-45．6％之间不等。回顾分析我院以耳部症状为首发症状的鼻咽癌共31例,结果报告如下。     

72例鼻咽癌误诊分析

７２例鼻咽癌误诊分析王翠微，刘庆涛，李士荣，姜瑞花，姜季花（临沂市肿瘤医院）（莱西市结核病防治所）关键词肿瘤；鼻咽鼻咽癌是我国最常见的恶性肿瘤之一，其颈部淋巴结转移率高，颈部肿块为首发症状的占４０％，初诊时上颈部有肿块的达６０％～８０％［１］。本文对...     

鼻咽癌误诊64例分析

鼻咽癌的原发部位深而隐蔽,早期症状不明显,表现各异,常易造成误诊。作者将1971年4月至1979年6月遇到的鼻咽癌误诊64例作了分析报告。 从初诊至确诊时间最短者22天,最长者3年以上,平均误诊时间半年以上。 误诊病种包括颈淋巴结炎14例,渗出性中耳炎9例,颈淋巴结结核8例,鼻衄7例,头痛待查6例,鼻息肉4例,余为其他病。 作者还就颈部肿块、耳部症状、鼻部症状、头痛、神经系统症状等,温习了文献,探讨了误诊的原因。     

鼻咽癌的早期诊查

鼻咽癌是我国南方发病率较高的恶性肿瘤,在我区较为常见,大多数病人就诊时常见的症状体征为抽吸性血痰、头痛、发现颈部肿块、耳听力下降等。部分病人鼻咽肿块不明显或为黏膜下型鼻咽癌,给早期诊断带来一定困难,而早期诊断,及时治疗．是提高生存率及生存质量的重要因素。为提高隐匿鼻咽癌的检出率,2003年10月～2007年10月我们予对可疑患者行电子鼻咽镜检查,部分行鼻咽MRI检查,或在鼻内窥镜直视下进行鼻咽活检,明显提高鼻咽癌的检出率。     

鼻咽癌12例临床特征和误诊分析

目的 分析鼻咽癌的临床特征和误诊原因,提高早期诊断率.方法 回顾性分析2008年2月-2010年3月误诊的鼻咽癌患者12例,总结其临床特征并分析其误诊原因.结果 本组患者的首发症状中鼻塞10例,血涕9例,听力减退、鼓室积液等耳部症状6例,头痛6例,面部麻木、感觉异常、饮水呛咳、面瘫等面神经损害4例,颈部淋巴结肿大2例,...     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.