Transarterial coil embolization in treatment of gross hematuria following self-inflicted stab wound in a horseshoe kidney

Horseshoe kidney is an uncommon anomaly of the urinary system with an increased risk of injury during penetrating and blunt abdominal traumas.Selfinflicted abdominal stab wound,a rare type of abdominal...     

海洋生物毒性手指感染96例治疗体会

我国沿海从事渔业人员常发生鱼刺刺伤手指引发慢性生物毒性感染，造成化脓性指头炎、腱鞘、滑液囊感染、指骨骨髓炎等，治疗不及时易遗留手指功能障碍甚至截指。1990年10月-2004年12月，我科共收治鱼刺刺伤致手指感染病例96例共128指，总结分析如下。     

抗人血小板单克隆抗体的PAP免疫组化法鉴别生前和死后锐器创

首次用抗人血小板膜搪蛋白GPIb和GP Ⅲa单克隆抗体建立的PAP免疫组化法,检测人体皮肤锐器创组织血小板粘集和血栓形成规律,以区别生前与死后锐器创。结果表明,以血小板粘集和血栓形成为主的初期止血反应是一重要的生活反应。     

Vertical stab wound to the lumbo-sacral spinal canal: Report of a case

(Received for publication on July 16, 1996; accepted on Mar. 4, 1997)     

Expression of adiponectin receptors in the brain of adult zebrafish and mouse: Links with neurogenic niches and brain repair

Adiponectin and its receptors (adipor) have been initially characterized for their role in lipid and glucose metabolism. More recently, adiponectin signaling was shown to display anti-inflammatory effects and to participate in brain homeostasis and neuroprotection. In this study, we investigated adipor gene expression and its regulation under inflammatory conditions in two complementary models: mouse and zebrafish. We demonstrate that adipor1a, adipor1b, and adipor2 are widely distributed throughout the brain of adult fish, in neurons and also in radial glia, behaving as neural stem cells. We also show that telencephalic injury results in a decrease in adipor gene expression, inhibited by an anti-inflammatory treatment (Dexamethasone). Interestingly, adiponectin injection after brain injury led to a consistent decrease (a) in the recruitment of microglial cells at the lesioned site and (b) in the proliferation of neural progenitors, arguing for a neuroprotective role of adiponectin. In a comparative approach, we investigate Adipor1 and Adipor2 gene distribution in the brain of mice and demonstrated their expression in regions shared with fish including neurogenic regions. We also document Adipor gene expression in mice after middle cerebral artery occlusion and lipopolysaccharide injection. In contrast to zebrafish, these inflammatory stimuli do no impact cerebral adiponectin receptor gene expression in mouse. This work provides new insights regarding adipor expression in the brain of fish, and demonstrates evolutionary conserved distribution of adipor with mouse. This is the first report of adipor expression in adult neural stem cells of fish, suggesting a potential role of adiponectin signaling during vertebrate neurogenesis. It also suggests a potential contribution of inflammation in the regulation of adipor in fish.     

Stabwound of the cervical spinal cord. Two case reports

Two cases of Brown-Sequard syndrome following a stab wound of the cervical spinal cord are reported. Spinal cord hemisection was confirmed by magnetic resonance imaging and surgical exploration. Both patients presented leakage of the cerebrospinal fluid and underwent surgical repair. In the first case, the pia-mater was sutured to close the wound and decrease the risk of post-traumatic syringomyelia. Outcome at ten and two years follow up was good in both patients who were able to walk. One of them returned to work. The contribution of surgical repair of spinal cord stab wounds and mechanisms of recovery are discussed.     

中药配合刺血疗法治疗高血压脑病40例的临床研究

目的探讨中药配合刺血疗法治疗高血压脑病的疗效。方法采用中药配合刺血疗法对40例高血压脑病患者进行治疗观察,并与单纯西药治疗组36例作对照,评定疗效并对其原理进行探讨。结果综合治疗结果,中药配合刺血疗法治疗组显效率、总有效率分别为28%和87.5%;单纯西药治疗组显效率和总有效率分别是16%和72.2%。结论中药配合刺血疗法治疗高血压脑病治疗组疗效显著,是一种有效的方法,值得推广。     

提高静脉留置针穿刺成功率的体会

静脉留置针又称套管针，作为头皮针的换代产品，目前，我国许多医院都将静脉留置针作为临床输液治疗的主要工具。具有减少血管穿刺次数，减少液体外渗，对血管的刺激性小，有利于临床用药和紧急抢救，减轻护士的工作量等优点。怎样在最短的时间内完成静脉留置针的穿刺已成为护理同仁探讨的重要课题，笔者在我科近6年的临床护理工作中，总结了静、慎、准、观静脉留置针穿刺方法，供大家参考。     

Unrecognized penetrating intracranial foreign body

Low-velocity penetrating craniocerebral trauma may present as an apparently trivial injury. A case is presented which illustrates the need to suspect a penetrating injury whenever a low velocity object strikes the head.     

Local wound exploration of anterior abdominal stab wounds

At least 25% of stab wounds of the abdomen are superficial. This can be determined in the ED by local wound exploration. If there is no penetration of the posterior fascia as determined by the technique herein described, the patient can be discharged from the emergency department after adequate local wound care is given. Because the patient is not admitted if exploration is negative, this is a safe and cost-effective method of managing superficial stab wounds of the abdomen.