高血压性脑出血急性期血肿扩大的多因素分析

目的:调查并分析高血压性脑出血急性期血肿扩大的临床因素。方法:高血压性脑出血急性期患者178例,出现血肿扩大者41例为研究组,未出现血肿扩大的137例为对照组,分析两组患者临床特征。结果:入院时两组患者出现呕吐症状、CT密度不均、长期酗酒的差异均有统计学意义(P<0.01),而糖尿病患者差异无统计学意义(P>0.05)。结论:出现呕吐症状、血肿密度不均、长期酗酒与高血压性脑出血急性期血肿扩大有一定关系。     

股骨颈骨折修复后股骨头坏死7个相关因素：199例回顾分析

BACKGROUND: The incidence of femoral head necrosis after internal fixation in femoral neck fracture is at high level, but the risk factors are still under discussion. OBJECTIVE:To retrospectively propose and analyze the relative risk factors of femoral head necrosis after internal fixation with femoral neck fracture in patients younger than 60 years old. METHODS:Data from 199 patients with femoral neck fractures, younger than 60 years, undergoing closed reduction and internal fixation were analyzed retrospectively. Seven factors including age, sex, body mass index, Garden classification, fracture seasons, reduction quality and weight-bearing time after internal fixation were statistically analyzed to evaluate their correlation with femoral head necrosis. RESULTS AND CONCLUSION: The incidence of femoral head necrosis was 13.1% among the 199 cases. Body mass index, Garden classification, fracture seasons, reduction quality were significantly associated with femoral head necrosis. The age, sex and weight-bearing time were in significantly associated with femoral head necrosis. In multivariate logistic regression analysis, Garden classification, reduction quality and fracture seasons (winter versus summer) had overt effects on development of femoral head necrosis. These results suggest that Garden classification and reduction quality make an important effect on the healing of femoral neck fracture. In addition, fracture in winter may be the risk factor of the femoral head necrosis after internal fixation in femoral neck fracture.| 中国组织工程研究杂志出版内容重点：组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程     

周期性肢动症1例

周期性肢动症通常发生于下肢,故也称周期性腿动症,或夜间肌阵挛。男性多见,各年龄均可发病,但随年龄增加而增多,60岁以上老年人约有1/3患本病[1]。     

短暂脑缺血发作1例

患者男,61岁.因2 d内两次出现发作性右侧上下肢活动受限伴失语,于1998年7月17日入院.发作时无意识障碍,无复视,无肢体感觉障碍.两次发作间隔10 h,发作间歇期一切正常,约2 min症状完全消失.有高血压病史15年,冠心病史1年,无脑血管意外史.     

染色体复杂结构异常三例

例1 女,24岁,婚后妊娠2次均孕6周左右胚胎停育.夫妇表型、智力均正常,非近亲结婚,孕期无不良毒物接触史,妇科检查正常.细胞遗传学检查:抽取静脉血进行淋巴细胞培养,常规制片,G显带核型分析.     

染色体复杂结构异常三例

例1 女,24岁,婚后妊娠2次均孕6周左右胚胎停育.夫妇表型、智力均正常,非近亲结婚,孕期无不良毒物接触史,妇科检查正常.细胞遗传学检查:抽取静脉血进行淋巴细胞培养,常规制片,G显带核型分析.     

高危妊娠孕产妇住院期间的护理55例

高危妊娠对孕产妇、胎儿及新生儿潜在的危害大,并发症多。高危妊娠孕产妇住院期间,实施正确的治疗、有效的护理,可预防和减少危害因素的发生,使母婴平安,现报告如下。     

貌似脑血管意外的低血糖反应20例分析

目的提高对低血糖反应的认识,减少误诊,提高救治水平。方法对20例有神经系统症状和体征,初诊为脑血管意外的低血糖反应患者的临床资料进行回顾性分析。结果20例患者血糖均明显降低,所有患者均给予高渗葡萄糖治疗,19例患者症状体征消失,1例死亡。结论对于有神经系统症状、体征患者,应及时检测血糖,早期诊断低血糖反应。以免延误了治疗时机。     

脑出血后癫痫发作的临床研究

目的探讨脑出血后早发性癫痫发作、迟发性癫痫发作和继发性癫痫的发生率及其危险因素。方法对322例确诊为脑出血患者的临床资料进行回顾性研究并对其进行随访。结果脑出血后早发性癫痫发作的发生率为7.45%,迟发性癫痫发作的发生率为2.48%,继发性癫痫的发生率为2.80%;皮质出血较皮质下出血,再发性脑出血较初发性脑出血更易发生脑出血后早发性癫痫发作,皮质出血较皮质下出血更易出现迟发性癫痫发作和继发性癫痫。结论皮质出血、再发脑出血与脑出血后早发性癫痫发作相关;皮质出血与迟发性癫痫发作和继发性癫痫相关;迟发性癫痫发作与继发性癫痫密切相关。