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101.
目的:探讨气管切开与呼吸机机械通气抢救重度有机磷农药中毒(AOPP)致呼吸肌麻痹的疗效。方法:对6例重度AOPP致呼吸肌麻痹患者在综合治疗基础上,及时予气管切开,并使用全能呼吸机机械通气。结果:治愈5例,死亡1例。抢救成功率达83.3%。结论:对重度AOPP患者及时行气管切开,并使用全能呼吸机机械通气,抢救效果良好。 相似文献
102.
Ureteropelvic junction obstruction was noted in a newborn male infant with acro-pectoro-renal field defect. To our knowledge, this association has not previously been reported. Ultrasonography of the urinary tract should be performed on all children with aplasia of the pectoralis major muscle. 相似文献
103.
本文报道1988年6月~11月,单独应用上海交通大学电力工程系研制的JT—ESWL—Ⅱ型体外震波碎石机,治疗尿路结石506例,其中肾结石304例(双侧12例)输尿管结石199例(双侧5例),膀胱结石3例。冲击能量15~40焦耳,每次治疗冲击波次数为400~2800次。本组无开放手术、无肾脏丧失、无死亡。效果满意者96.44%。其并发症主要有血尿、结石串。作者认为单用ESWL治疗小于3Cm的尿路结石安全可靠、无严重并发症。文中对单用体外震波碎石(ESWL)治疗尿路结石病例选择,如何减少并发症,提高治疗效果进行了讨论。 相似文献
104.
Kohei Hara MD PhD Shigeru Kohno MD PhD Hironobu Koga MD PhD 《Journal of infection and chemotherapy》1996,1(3):166-176
Conclusion Reviewing the history of diagnostic procedures of causative organisms of respiratory infections, invasive techniques such
as the protected specimen catheter (PSB) and bronchoalveolar lavage (BAL) have become the preferred choices because they have
many advantages. These methods cause the patient relatively little discomfort, and permit an early diagnosis since they can
easily be performed at the bedside and the causative organism from the disease site is obtained in cultures. These procedures
can be used not only in patients with community-acquired lung infections, but also in immunocompromised hosts, including those
with blood diseases or following renal transplantation, in patients in intensive care units and in mechanically-ventilated
patients so that the cause can be accurately determined and chemotherapy started quickly, resulting in better therapeutic
efficacy.
Although these invasive procedures are advantageous for the diagnosis of respiratory infections, they also present various
problems which remain to be addressed including minimizing contamination and setting diagnostic threshold values. However,
the importance of accurately determining the causative organism in respiratory infections should be recognized as the most
important factor, and these methods have shown to date to provide the most accurate information to aid in the timely treatment
of respiratory infections in a wide variety of patients. 相似文献
105.
Obstructive and restrictive ventilatory impairment in polyvinylchloride fabrication workers 总被引:1,自引:0,他引:1
P Ernst L De Guire B Armstrong G Thériault 《American journal of industrial medicine》1988,14(3):273-279
Responses to a standardized respiratory symptom questionnaire, spirometry, and cross-shift decreases in lung function between 70 current employees of a polyvinylchloride (PVC) fabrication plant and a control group consisting of 48 men employed in a vegetable packing plant were compared. FEV1/FVC was significantly lower in the PVC workers. Cross-shift drops in Vmax75 of 15% or more were also more prevalent in the exposed group (p = .01). When examining the association between months of work within the exposed workforce and spirometric indices of airway obstruction, no relationship could be demonstrated. However, an inverse dose-response relationship was seen between level of FVC and duration of employment, suggesting a restrictive impairment. While the specific exposures have not been identified, it appears that employment in PVC fabrication may be associated with both obstructive and restrictive ventilatory effects. 相似文献
106.
尿路复合性恶性肿瘤(附21例报告) 总被引:4,自引:0,他引:4
报告21例尿路复合性恶性肿瘤,位于肾盂2例,膀胱19例。主要临床表现为血尿,绝大多数病人伴有尿路刺激症状。低分化的移行细胞癌(TCC)与继发性复合肿瘤有密切关系。21例中1例为TCC复合肉瘤,11例为TCC复合鳞癌,7例为TCC复合腺癌,2例为腺癌复合鳞癌。本组2例肾盂肿瘤分别行肾输尿管全长加膀胱袖口状切除术和肾部分切除术,术后存活6个月和1年;膀胱肿瘤14例行膀胱部分切除术,已生存3年4例,1年2例,未满1年2例,3例1~2年内死亡,失访3例;2例根治性膀胱全切术已生存5年和3年以上;3例行TURBt,已生存3年1例,15年1例,未满1年1例。对尿路复合性恶性肿瘤的组织学、临床和病理特征进行了讨论。 相似文献
107.
Malignant Gastric and Duodenal Stenosis: Palliation by Peroral Implantation of a Self-Expanding Metallic Stent 总被引:11,自引:0,他引:11
Isabel T. Pinto 《Cardiovascular and interventional radiology》1997,20(6):431-434
Purpose: To assess the use of self-expanding metallic stents in patients with inoperable malignant antrum-pylorus-duodenal obstruction.
Methods: Six patients underwent implantation of a Wallstent self-expanding metallic endoprosthesis (20 mm in five patients and 16
mm in one). In five patients a catheter (Berenstein) was introduced perorally into the stomach. A guidewire (Terumo) was introduced
through the catheter and advanced through the antrum-pylorus-duodenal stenosis. The guidewire was removed and a 260-cm-long,
0.035″ superstiff guide (Amplatz) was introduced. After the catheter was removed the stent assembly was introduced. In the
last patient the stent was implanted through a percutaneous gastrostomy.
Results: Treatment of inoperable gastric outlet obstruction caused by tumor compression is difficult and unsatisfactory. Peroral implantation
of self-expanding metallic stents resulted in successful palliative therapy of antrum-pylorus-duodenal stenosis in six patients
in whom surgery was not possible because of advanced disease and poor general condition. On average, patients were able to
eat during 41 days. One patient is tolerating oral intake at 3 months.
Conclusion: Implantation of stents resulted in palliative relief of malignant antrum-pylorus-duodenal obstructions.
Received: 0/00/00/Accepted: 0/00/00 相似文献
108.
研究新生仔兔和成兔呼吸道内分泌细胞的形态结构及分布,结果显示在呼吸道有单个物成群的内分泌细胞,单个的内分泌细胞从喉直至肺内导气部粘膜上皮内均可观察到,细胞形态多样,细胞胞质充满大量银染黑色颗粒;成群的内分泌细胞,仅分布于肺的支气管树粘膜上皮内,由几个或几十内分泌细胞组成圆形或卵圆形的小体,细胞胞南内也有大一银染黑色颗粒。 相似文献
109.
王慧伶 《南京军医学院学报》1998,(2)
呼吸道感染是呼吸系统常见病、多发病。利用杭州地区1990年1月~1992年12月气象资料作了统计分析,并对同期来海军杭州疗养院门诊就诊的呼吸道感染病人进行了调查。结果为1~3、11、12月发病率高,与5~9月相比有非常显著差异(P<0.001),呼吸道感染与气温低,湿度高,温差大,天气骤变等气象因素密切相关。潮冷天气(气温在10℃以下),频繁降温(每月3次以上),大幅度降温(4℃以上)三种气象因素共同存在情况下可导致呼吸道感染性疾病的高发。同时从气象学角度提出了预防该病的一些措施。 相似文献
110.
Jan E. Zejda Thomas S. Hurst Ernest M. Barber Charles Rhodes James A. Dosman 《American journal of industrial medicine》1993,23(5):743-750
A cross-sectional survey on respiratory health in swine producers showed that 30% of 301 examined men usually used a dust mask when working inside a barn. They did not differ significantly from dust mask nonusers in respect to respiratory symptoms and lung function. This analysis was undertaken to determine whether the respiratory health of dust mask users was associated with reasons why they had started individual respiratory protection. The subjects were recontacted in order to identify those who started using a mask to deliberately prevent symptoms (42 men) and those who started protection because of pre-existing respiratory symptoms (44 men). Not unexpectedly, betweengroup comparisons of respiratory symptoms and lung function suggest that swine producers who wear dust masks for preventive purposes have better respiratory health than those who wear dust masks because of symptoms or those who do not use individual respiratory protection. The individual reasons for starting dust mask usage should be examined among potential determinants of the outcomes of prospective studies which can then provide more valid assessment of the effect of individual respiratory protection. © 1993 Wiley-Liss, Inc. 相似文献