Pediatric intracranial aneurysms——clinical characteristics and therapeutic strategies

Objective To assess the radiological characteristics and therapeutic strategies of intracranial aneurysms in children. Methods From our dedicated neurovascular databank of patients, we reviewed 23 consecutive children who had 24 intracranial aneurysms. There were 14 boys and 9 girls with a mean age of 9.09 years ( range 1 - 14 years ). Results Intracranial aneurysms in children ≤ 14 years constituted 1.3% of all intracranial aneurysms. Internal Carotid artery (ICA) and middle cerebral artery (MCA) were the most frequent sites for aneurysms. About 58.3% of the aneurysms were complex, including dissecting, pseudoaneurysm, giant and fusiform aneurysm. 1/3 of all aneurysms were located in posterior circulation. Only 1 case had multiple aneurysms in this case series. Almost half of all cases presented with subarachnoid hemorrhage and others presented with mass effect. 14 cases underwent endovascular treatment. 4 patients received microsurgical therapy. 5 cases did not receive microsurgical or endovascular therapy, 2 of them whose aneurysms spontaneously thrombosed during follow up. One boy with left vertebral artery giant aneurysm died after endovascular therapy owing to gradual thrombosis in basilar artery. Another child had poor outcome because of rerupture of aneurysm before operation. Whereas the majority had a favorable outcome. Conclusions Intracranial aneurysms in children had many clinical and radiological characteristics different from those in adults : ( 1 ) remarkable male predominance; ( 2 ) ICA and MCA were the most common sites for aneurysms; (3) high incidence of large, traumatic, infectious, dissecting and fusiform aneurysms. (4)For pediatric intracranial aneurysms, both microsurgical approaches and endovascular treatment were effective. Endovaacular therapy was the best choice for complex aneurysms.     

甲状腺病传统检查法评价和诊断进展

目前,在甲状腺病的诊断中,血清甲状腺激素抗甲状腺抗体,高敏度促甲状腺激素测定和影像学检查已取代了传统的基础代谢率,血清蛋白结合碘和甲状腺摄碘试验。从而使甲状腺病的早期诊断显著提高。本文先回顾传统检查法的应用价值,然后对诊断进展加以综述。     

完全性胸腹腔内脏反位合并十二指肠壶腹周围癌一例报告与文献复习

目的总结完全性胸腹腔内脏反位合并十二指肠壶腹周围癌的临床诊治方法。方法报道2006年3月收治的1例极为罕见的完全性胸腹腔内脏反位合并十二指肠壶腹周围癌行胰十二指肠切除术的病例,并复习国内外相关文献。结果本例患者病理诊断为十二指肠乳头及壶腹部腺癌Ⅰ-Ⅱ级。术后1周胆红素降至正常;但2周后出现胃-空肠吻合输出袢粘连性不完全性梗阻,经内镜下置管、鼻饲、营养支持、针灸等处理,40d后痊愈出院。经检索,全球自1936-2006年间报道的全胸腹腔内脏反位合并恶性肿瘤的患者仅15例;其中只有5例全胸腹腔内脏反位合并胰头与壶腹周围癌的报道。结论完全性胸腹腔内脏反位合并肿瘤时,若无明显禁忌证,应同样予以积极的外科治疗,术中操作应注意完全相反的解剖学结构。     

腹腔镜诊治外科急腹症的体会（附14例报业）

目的探讨腹腔镜在外科急腹症中的应用。方法回顾性分析本院收治的14例外科急腹症的临床资料。结果12例术中明确诊断，1例经细菌培养后确诊，1冽探查阴性；6例腹腔镜手术成功，5例中转开腹完成手术，1例延长戳孔完成手术，1例内科治疗，均痊愈。结论腹腔镜诊治急腹症具有创伤小、视野清晰、恢复快的优点。     

高度近视白内障手术方法探讨（附118眼报告）

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酚妥拉明与硫酸镁治疗肺心病心衰46例对照观察

我院自2000年1月～2003年12月收治肺心病心衰患者46例,在常规治疗的基础上加用酚妥拉明与硫酸镁,疗效显著,现报告如下:……     

顶空气相色谱法测定饮用水中氟化物初探

顶空气相色谱法测定饮用水中氟化物初探缪益民，赖来胜，周连保，运月英目前，生活饮用水中氟化物测定一般采用氟电极法￣［１］，此法操作条件严格而且繁琐，存在费时间和消耗试剂多等缺点。我们在实际工作中参考有关文献￣［２］，建立了一种顶空气相色谱法（ＨＳ－ＧＣ...     

慢性腹泻162例患者结肠镜检查结果分析

<正>腹泻超过4周即为慢性腹泻,是临床常见症状,其病因复杂。我院2000年9月至2007年9月共收治慢性腹泻患者196例。现对196例患者全结肠镜检查结果进行回顾性分析。