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21.
V. Wewer C. Strandberg A. Pærregaard P. A. Krasilnikoff 《European journal of pediatrics》1997,156(10):787-788
We report on our experience with routine abdominal ultrasonography in 120 children (aged 3–15 years) with recurrent abdominal
pain, in order to determine the diagnostic value of this investigation. Eight children (7%) revealed sonographic abnormalities:
gallbladder stone (n = 2), splenomegaly (n = 1) and urogenital abnormalities (n = 5). The recurrent abdominal pain could be explained by these findings in only two (may be three) cases.
Conclusion The diagnostic value of abdominal ultra‐sonography in unselected children with recurrent abdominal pain is low. However,
the direct visualization of the abdominal structures as being normal may be helpful to the parents and the child in their
understanding and acceptance of the benign nature of recurrent abdominal pain.
Received: 19 March 1996 / Accepted: 29 January 1997 相似文献
22.
A 78-year-old woman is described who presented with a diaphragmatic hernia through the foramen of Morgagni. A definitive
diagnosis was confirmed by a sagittal view on magnetic resonance imaging prior to surgery. The hernia was repaired laparoscopically
under an abdominal wall lifting technique without pneumoperitoneum, and her symptoms completely resolved postoperatively with
no evidence of recurrence. The laparoscopic repair was considered a suitable and safe procedure for the treatment of a Morgagni
hernia.
Received: 3 April 1996/Accepted: 3 May 1996 相似文献
23.
电针对大鼠海马兴奋性突触后电位长时程增强的作用 总被引:4,自引:0,他引:4
目的 观察电针对麻醉状态下正常和东莨菪碱引起的学习记忆减退模型大鼠海马突触EPSP长时程增强(LTP)的作用。方法 引导大鼠海马齿状回颗粒细胞层突触后兴奋性电位群(EPSPs),强直刺激(HFS)大脑皮层前穿质区引起海马突触LTP反应;用东莨菪碱制备学习记忆障碍模型;观察电针大椎和肾俞穴对正常和模型大鼠海马LTP的影响。结果 电针对HFS诱发的海马突触LTP效应,其作用强于未电针组,部分参数和时段有统计学意义(P<0.05),且维持时间长于后者;东莨菪碱i.p可显著抑制HFS诱发的海马突触LTP(P<0.01),电针能显著对抗这一抑制作用(P<0.01;P<0.05)。结论 电针对HFS引起的海马突触LTP有一定的易化作用,并对东莨菪碱引起的学习记忆障碍有显著的对抗作用。 相似文献
24.
腹部刀刺伤单纯腹壁清创术的临床应用 总被引:1,自引:0,他引:1
目的 探讨单纯腹壁清创术在腹部刀刺伤患者中的应用 ,以提高腹部刀刺伤的治疗水平。方法 我科收治腹部刀刺伤患者中 1 6例进行单纯腹壁清创术 ,对病例选择及其注意事项进行了分析总结。结果 1 6例患者治疗成功 1 4例 (87.50 % ) ,2例 (1 2 .50 % )中转手术。结论 对于腹部刀刺伤的患者 ,选择适合的病人进行腹壁伤口的单纯清创缝合 ,术后严密观察是可行的。 相似文献
25.
Acupuncture is able to accelerate the process of healing significantly when employed in cases of nerve paresis as shown in the following analysis. The patient's constant condition of speech and swallowing impediment before treatment changed relatively fast after starting acupuncture treatment. It is self evident that we took into account the primary disease (AIDS) and its problems. The simplicity of a complementary treatment with acupuncture according to the possible results should make us consider the use of acupuncture as an important way to treat paresis in the early subacute phase and if possible during clinical stay. 相似文献
26.
温海云 《武汉大学学报(医学版)》1995,(2)
针药并用,针刺人中、百合、涌泉、合谷,中药内服疏风情热,表里双解,止痉退烧,双管齐下治疗24例小儿高热惊厥,经治疗均获痊愈。 相似文献
27.
Alain Branchereau MD Jacques Nazet MD Jean-Christian Colavolpe MD Louis Scotti MD 《Annals of vascular surgery》1990,4(1):10-14
Two hundred aneurysms of the abdominal aorta were treated surgically from 1980 to 1987 by the same surgeon. There were 187 men and 13 women whose mean age was 66.1 years. Nine patients were 80-years-old or more. Eighty-seven percent of patients had preoperative risk factors, 30% of which were coronary artery disease. The operative approach was through a transverse laparotomy in 188 patients compared to 11 midline incisions and one lumbotomy. An aortoaortic tube was inserted in 87 patients, a bifurcated prosthesis in 99, and a tube bypass in 14. Five patients (2.5%) died within the 30 day perioperative period. Death was due to colonic necrosis, right heart chamber thrombosis, renal failure after repeat operation for acute lower limb ischemia, and myocardial infarction associated with renal and respiratory failure. The morbidity rate was 15.7% (31 patients) and included seven neurologic accidents, four respiratory complications, five ischemic events of the lower limbs requiring reoperation and one amputation, four cardiac complications, two renal failures, one reversible colonic ischemia, one revision for incomplete hemostasis, one phlebitis, one sliding syndrome, and five minor infections or cutaneous complications. Mean duration of hospital stay was 10.9 days. These results confirm that direct operation on aortic aneurysms can be performed in patients from all age groups and even with associated diseases. A rapid, simple technique based on a transverse approach, minimal dissection and insertion of aortoaortic tubes, whenever feasible, appears to reduce combined mortality-morbidity.Presented at the Annual Meeting of the Societé de Chirurgie Vasculaire de Langue Française, May 20–21, 1988, La Grande Motte, France. 相似文献
28.
Özgür Aydin 《Langenbeck's archives of surgery / Deutsche Gesellschaft fur Chirurgie》2007,392(1):105-109
Introduction Scar endometriosis develops in and is adjacent to surgical scars at the site of previous abdominal operations. The most frequent
clinical presentation of the disease is that of a palpable subcutaneous mass near surgical scars associated with cyclic pain
and swelling during menses. Endometriosis of the surgical scar is often referred to the general surgeons because the clinical
presentation suggests an incisional hernia or other conditions related to the general surgery. Cyclical symptoms such as pain
and swelling, in relation to surgical scars, which worsen at the time of menstruation, are nearly pathognomonic of scar endometriosis.
However, often the diagnosis of endometriosis is not suggested until after histology has been performed.
Case report We present two cases of cutaneous endometriosis that has occurred on the site of previous cesarean section scar area. 相似文献
29.
“Suture hernia”: identification of a new type of hernia presenting as a recurrence after laparoscopic ventral hernia repair 总被引:2,自引:0,他引:2
After laparoscopic repair of ventral or incisional hernias, the recurrence rates reported are around 4%. Different mechanisms
for the recurrences have been identified. We report two cases in which the patients were operated on laparoscopically for
recurrence after laparoscopic ventral hernia repair. In both cases, the site of the recurrent hernia was situated at the transfascial
fixation sutures. Patients were treated by laparoscopy with a larger intraperitoneal mesh covering the new hernia and the
old mesh. 相似文献
30.