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1.
We report the case of a thoracic epidural hematoma at the T7-T9 level which occurred after placement of spinal epidural catheter for continuous anaesthesia in acute pancreatitis. The male patient felt a sudden back pain after six days of successful analgesia and became paraplegic 24 hours afterwards. An emergency laminectomy and removal of the hematoma were performed; however, the patient recovered only incompletely.We discuss the clinical signs and symptoms of spinal epidural hematoma as well as its diagnostics and therapy. The controversial views from the literature concernings its etiology are critically reviewed. 相似文献
2.
目的探讨医源性输尿管损伤的原因、类型、处理和预防.方法回顾性分析1994年5月~2003年11月13例14侧医源性榆尿管损伤临床资料.结果 1例输尿管内支架管引流、2例输尿管端端吻合内支架管引流、2例松解部分结扎及内支架管引流、7例8侧输尿管膀胱再植术,输尿管均通畅,肾功能均恢复正常,6例尿瘘治愈;1例肾切除.结论规范化操作及输尿管逆行插管对预防医源性输尿管损伤和早期发现输尿管损伤有决定性的作用和帮助;早期与后期诊断有所不同;治疗的目的是恢复输尿管通畅和保护肾功能;后期诊断病例应考虑一次性恢复输尿管通畅,尽可能不作尿流改道. 相似文献
3.
Albert B. Zajko M.D. Klaus M. Bron William L. Campbell 《Cardiovascular and interventional radiology》1987,10(1):28-31
Biliary obstruction and multiple hepatic abscesses occurred in a patient after ligation of a segmental branch of the right
hepatic duct. The patient was successfully managed by transhepatic biliary drainage and balloon dilatation of an internal
fistula that developed between the ligated duct and a Roux limb of jejunum. Internal biliary fistulas may be dilated using
interventioanl radiologic techniques to permit nonobstructed bile flow. Implications for the nonsurgical treatment' of biliary
strictures are discussed. 相似文献
4.
5.
姚芳 《中国实用神经疾病杂志》2006,9(1):44-45
目的探讨脑电图与老年人脑血管病的临床关系。方法对确诊的95例老年人脑血管病的临床及脑电图总结。结果脑电图正常24例(25.3%),异常71例(74.7%),其中轻度异常28例,占异常的39.4%;中度异常以上7例(9.9%),局限性异常者36例,占异常脑电图的50.7%。结论脑血管病的脑电图虽无特异性改变,但脑电图的动态观察对于诊断、鉴别诊断及预后有一定的指导价值,脑电图复查好转或正常,一般预后较好。而脑电图异常,临床症状好转或正常,说明受损脑部不具有重要性,但要定期复查。 相似文献
6.
本文用前瞻性连续检测方法,对269例患者作胃粘膜HP检测,且同步对消毒前后的胃镜、有关器械和操作者手套采样,作HP检测。结果发现,消毒前镜端(含弯曲部)、活检钳、清洁刷、器械管道插口和操作者手套采样标本的HP阳性率分别达69.51%、73.60%、81.62%、87.73%和97.72%。目前常规的清洗消毒虽能清除HP对胃镜的大部分污染,但还存在一些易忽视的环节,这可能在检查中引起医源性感染,应予高度重视。 相似文献
7.
Summary A pathologic study was undertaken of seven encephalic arteriovenous malformations, including five resected from one to seven days after balloon embolization, one resected 10 days after embolization with polyvinyl alcohol foam (PVA), and a large mesencephalic AVM in a patient who died eight weeks after a series of embolization procedures with PVA and silicone spheres. AVM's resected 6–7 days following balloon embolization showed focal mural and adventitial inflammatory infiltrates and parenchymal (i.e. non-vascular) necrosis of a large portion of one AVM. The AVM examined 7 days post-balloon embolization showed an intraluminal thrombus containing refractile particles surrounded by foreign body giant cells (FBGC's). The AVM removed 10 days after PVA embolotherapy showed mural and perivascular necrosis with infiltration by polymorphonuclear leukocytes. The single autopsy case showed FBGC's surrounding residual PVA, refractile particles deep within vascular walls, and marked mural thickening of AVM channel walls, changes that may represent a response to previous angionecrosis and inflammation at the time of embolization. These findings, the pathogenesis of which is discussed in detail, may help to explain some of the rare complications of iatrogenic embolotherapy with these materials, as well as providing evidence for the basis of their efficacy.Presented in part at the 63rd Annual meeting of the American Association of Neuropathologists, Seattle, Washington, June, 1987 相似文献
8.
目的探讨医源性小儿气管、支气管破裂的外科治疗方法.方法根据气管、支气管破损程度,分别采用颈部深筋膜切开14例,胸膜腔闭式引流10例,气管膜部修补5例,病肺切除术2例.结果本组31例患儿全部治愈.结论严密观察,及时处理,恰当选择外科手术方法是提高疗效的关键. 相似文献
9.
10.
Almost all surgical repair techniques for hypospadias include dissection of the glans penis, and covering the neo-urethra with the glans tissue circumferentially. Surprisingly, the presence of the “septum glandis” in the ventral midline has been overlooked for decades. A careful examination of six patients with iatrogenic hypospadias (IH) revealed direct indications of the septum glandis. All patients were treated with long-term urethral catheterisation in the paediatric intensive care unit due to neurologic and/or metabolic diseases. The glans was disrupted in all patients due to ventral midline compression of the urethral catheter, which resulted in a tear in the septum glandis. A remnant of the septum glandis was clearly observed in patients with an incomplete tear. Further injuries caused tear in the frenulum and corpus spongiosum, exposed the glanular urethra and made its vertical elliptical shape, the “fossa navicularis”, visible. Intact contours of the separated glans wings were observed in all patients. The glans wings merge ventrally in the midline, but are separated by a fine connective tissue (septum glandis) in conjunction with the frenulum, which is involved in the formation of the ventral wall of the glanular urethra. IH provides further insight into the structural anatomy of the normal human glans and glanular urethra. 相似文献