角膜内皮炎27例临床分析

角膜内皮炎是以角膜内皮混浊水肿,后弹力层粗大皱折,角膜基质水肿和角膜后沉着物（KP）为主要特征,部分患者伴有眼内压升高和虹膜睫状体炎。该病的发病原因目前多倾向于与单纯疱疹病毒感染或自身免疫反应有关。我院自2001年9月-2005年8月应用皮质类固醇及抗病毒药物治疗本病27例。疗效满意。现报道如下。     

特发性角膜内皮炎继发性青光眼的中西医结合治疗

急性特发性角膜内皮炎（Acute idiopathic comea endothlitis，MCE）自1982年Khodadoust首次报道2例以来，国内外陆续有人报道，虽然报道不多，却也并非罕见。急性期常出现眼压升高而继发青光眼，临床上误诊、误治时有发生。作者自1992年3月至1997年6月采用中西药联合治疗MCE继发青光眼患者，取得满意疗效。现报告如下。     

急性特发性角膜内皮炎22 例临床分析

急性特发性角膜内皮炎(acute idiopathic corneal endo-thelitis,AICE)是原因不明的角膜内皮异常所引起的一种炎症反应。自1982年Khodadoust首次报告以来,国内外陆续有人报道[1-6]。由于本病起病较急,而作为一种新的临床类型,如未及时正确诊断,势必延误治疗,增加患者的痛苦,甚至造成失明,因此日益受到眼科临床工作的重视。本科自1999~2006年共收治AICE患者22例,报告如下。1资料和方法1.1一般资料本组22例(22眼),男12例12眼,女10例10眼,年龄30~73岁,平均40.8岁。按文献[1]的临床分型法:急性特发型(Ⅰ型);中央水肿型(Ⅱ型);角膜内皮-虹膜…     

急性特发性角膜内皮炎7例临床分析

目的 加深对特发性角膜内皮炎的认识,提高诊治水平,减少误诊误治.方法 通过7例急性特发性角膜内皮炎患者临床资料的回顾分析,详细记录其发病经过和发病特征.结果 急性特发性角膜内皮炎的临床主要特征为角膜基质水肿和水肿区相应的角膜内皮有大小不等灰白色角膜后沉着物.结论 详细询问病史,仔细检查,记取特发性角膜内皮炎的主要特征,可减少误诊误治.     

更昔洛韦联合皮质类固醇治疗角膜内皮炎临床观察

目的：观察采用更昔洛韦联合皮质类固醇治疗角膜内皮炎疗效。方法：将30例角膜内皮炎患者随机分成两组,对照组15例（15眼）：局部给予阿昔洛韦眼药水眼膏点眼。治疗组15例（15眼）：局部给予典必殊、更昔洛韦等眼药水眼膏点眼全身给皮质类固醇治疗观察疗效并进行随访,进行比较。结果：对照组治愈4眼,好转7眼,无效3眼,复发率为33.3%。治疗组治愈10眼,好转4眼,复发率为6.67%。治疗组疗效和复发率均优于对照组（P〈0.05）。结论：临床应用更昔洛韦联合皮质类固醇治疗角膜内皮炎能提高疗效,缩短病程,降低复发率,具有较好的治疗和抗复发效果,临床效果良好。     

新制柴连汤治疗急性特发性角膜内皮炎16例

急性特发性角膜内皮炎（AICE）是一种原因尚未明了的角膜炎症，目前还没有特异性的检测和治疗方法。笔对1992年1月～2005年8月间遇到的16例16眼AICE患，采用新制柴连汤为主的中西医结合方法治疗，取得满意效果。兹报告如下：     

派瑞松治疗湿疹皮炎临床观察

派瑞松近年来广泛用于临床，使一些皮炎湿疹患者得到了很好的治疗。我院于2005年4～10月在门诊观察治疗取得了一定疗效现报告如下。     

卤米松乳膏治疗皮炎湿疹60例疗效观察

澳能皮肤膏是0．05％卤米松乳膏（halometasone cream）的商品名．是目前强效的皮质类固醇激素之一，具有抗炎、抗过敏、抗增生、止痒、起效快等特点，用于治疗皮炎、湿疹等。我科从2003年采用澳能皮肤膏治疗皮炎湿疹。取得了较好的疗效，现报告如下。[第一段]     

强力宁治疗皮炎、湿疹60例临床观察

选自2000年～2003年期间门诊与病房60例皮炎、湿疹患者经应用强力宁（甘草酸单铵）注射液治疗，取得比较满意疗效现总结报告如下。     

产后出血的预防及护理

目的 介绍产后出血的预防及护理方法.方法 通过对各种导致产后出血及时采取护理措施,有效地预防和减少产后出血的发生.结果 本组360例产后出血抢救成功率100%,康复良好.结论 恰当的预防、护理措施可减少产后出血的发生,提高患者的生存率.     

产后出血的预防及护理

目的介绍产后出血的预防及护理方法。方法通过对各种导致产后出血及时采取护理措施,有效地预防和减少产后出血的发生。结果本组360例产后出血抢救成功率100％,康复良好。结论恰当的预防、护理措施可减少产后出血的发生,提高患者的生存率。     

Postpartum hemorrhage

Postpartum hemorrhage (PPH) is a very common obstetric emergency with high morbidity and mortality rates worldwide. Understanding its etiology is fundamental to effectively managing PPH in an acute setting. Active management of the third stage of labor is also a key component in its prevention. Management strategies include conservative measures (medications, uterine tamponade, and arterial embolization) as well as surgical interventions (arterial ligations, compression sutures, and hysterectomy). Creating a standardized PPH protocol and running simulation-based drills with a multidisciplinary team may also help decrease maternal morbidity and improve perinatal outcomes, although further studies are needed.     

Postpartum hemorrhage

Postpartum hemorrhage is usually unexpected, and blood loss can be massive. Excessive bleeding after delivery may result from uterine atony, disruption of the genital tract, placental abnormalities, coagulation disorders and miscellaneous obstetric complications. Prompt treatment is imperative. Treatment options include oxytocics, prostaglandins, uterine exploration, uterine packing and, occasionally, surgery.     

Postpartum hemorrhage.

Early PPH remains a significant cause of maternal morbidity and mortality. Many cases occur in women with antecedent risk factors and can thus be anticipated, promptly diagnosed, and promptly treated. Postpartum hemorrhage is most commonly due to uterine atony and often responds to medical treatments such as ecbolic medications, uterine massage or bimanual compression, and blood and fluid replacement. Appropriate laboratory studies should be obtained promptly. Women with significant bleeding should receive blood product transfusions. Patients who do not promptly respond to these conservative measures should be considered and counseled for operative procedures. Surgical intervention, either to repair lacerations, transiently reduce pelvic pulse pressure, or remove the uterus, can be life-saving.     

产后出血致子宫切除的护理及预防

目的探讨产后出血致子宫切除的原因、手术指征、观察及护理、处理方法、预防措施等。方法采用回顾性资料分析法,对攀枝花市第二人民医院2002～2007年因产后出血致子宫切除的22例患者临床资料进行整理分析。结果6年中攀枝花市第二人民医院分娩产妇2208例中有22例子宫切除,发生率为0．99％,其中剖宫分娩切除19例,阴道分娩切除3例;胎盘因素10例,其中胎盘植入3例,前置胎盘4例,胎盘早剥3例;产后宫缩乏力7例,宫内感染3例,多次妊娠2例。结论子宫切除是治疗产后出血,挽救产妇生命的一项重要措施,但其对产妇的身心有一定的影响。产后出血致子宫切除的发生率,在剖宫分娩组中明显高于阴道分娩组。应加强围生期保健,防止产科严重并发症,严格掌握剖宫产指征,降低剖宫产率,可以减少子宫切除的发生。     

Postpartum intracranial hemorrhage disguised as preeclampsia

A 35-year-old woman, gravida 5 para 3, presented to the emergency department 9 days after a cesarean delivery with a new-onset headache, hypertension, and hyperreflexia. Formal urinalysis did not demonstrate proteinuria. Computed tomography of the brain demonstrated bilateral parietal subarachnoid hemorrhages. The patient was subsequently transferred to a tertiary care hospital where she underwent magnetic resonance imaging and computed tomographic angiography that were not suggestive of intracerebral aneurysm, arteriovenous malformation, sinus thrombosis, or angiopathy. The patient was treated with nimodipine and was successfully discharged without any neurologic sequelae or continued hypertension. This case illustrates the potential for presumed postpartum preeclampsia to mask other serious entities, such as intracranial hemorrhage.     

Postpartum hemorrhage resulting from uterine artery pseudoaneurysm

This article presents a rarely reported cause of late postpartum hemorrhage in a 33-year-old woman. A uterine artery pseudoaneurysm with arteriovenous fistula was identified that required uterine artery embolization.