B淋巴母细胞性淋巴瘤/白血病18F-FDG PET/CT显像一例

患者女,18岁,2007年10月因发现全身多处皮下出血入院就诊,骨髓穿刺行病理检查,确诊为急性淋巴细胞白血病,2008年5月行骨髓移植术,术后行5次化疗并一直行抗排斥治疗.     

肠系膜异位脾种植一例

病例资料 患者,女,15岁,因反复间断腹部疼痛1年余,加重3天收入院.患者9年前因外伤曾行脾切除术,临床因疑肠梗阻行CT检查.     

阴囊横纹肌肉瘤1例报告

病人,男,86岁.2004年4月初无明显诱因发现右侧阴囊肿块,约7 cm×5 cm×4 cm,表面有多个结节,质地硬,轻微触痛,左侧阴囊未见异常,同年4月23日行右侧阴囊肿块及右侧睾丸切除术,术后病理诊断为梭形细胞肉瘤;2005年3月18日因阴囊肉瘤第1次术后复发再次行阴囊肿块及左侧睾丸切除术,术后病理诊断为横纹肌肉瘤;2005年9月5日因阴囊肉瘤第2次术后复发再次行阴囊肿块切除术,术后病理诊断为多形性横纹肌肉瘤;2006年4月13日因阴囊肉瘤第3次术后复发再次行阴囊肿块切除术,术后病理诊断为横纹肌肉瘤;2006年12月14日因阴囊肉瘤第4次术后复发,其阴囊肉瘤浸润整个阴囊,阴茎根部,中部,耻骨联合有转移硬结,有轻微触痛,再次行阴囊肿块切除术,术后病理诊断为横纹肌肉瘤.     

胸部恶性神经鞘膜瘤一例

病例资料:患者,男性,47岁,因右侧胸闷、气喘1个多月就诊.3周前在当地医院就诊摄胸片发现右侧液气胸,当时行右侧胸腔闭式引流术,但引流2周肺未完全复张.     

胸部恶性神经鞘膜瘤一例

病例资料:患者,男性,47岁,因右侧胸闷、气喘1个多月就诊.3周前在当地医院就诊摄胸片发现右侧液气胸,当时行右侧胸腔闭式引流术,但引流2周肺未完全复张.     

子宫腺肌瘤误诊子宫肌瘤术后复发1例

病例 女,35岁,G2P1,因"月经量多,B超检查发现子宫肌瘤2年"入院.2年前患者出现月经量多,轻微腹痛,行B超发现"子宫稍大".入院时再次复查B超,发现子宫前壁肌间4～5 cm大小,偏强回声团块,诊断"子宫肌瘤":.     

阴道成形术后上段不完全性闭锁并宫腔反复积血积脓1例

高某,女,44岁.阴道臭味白带4月,于1992年3月14日入院.患者18岁因“先天性阴道闭锁”行阴道成形术,术后月经及性生活正常。1977年因停经5月,盆腔包块行剖腹探查,术后诊断:“宫腔积血”.1978年11月又因阴道臭味白带半年行第二次手术,术中见子宫畸形并宫腔积脓,遂行子宫     

超短波联合半导体激光治愈大隐静脉取血管桥处创面1例

资料与方法1.临床资料男性患者,54岁,2010年5月7日因冠心病,冠脉多支病变,主动脉瓣重度关闭不全于2010年5月7日在武汉协和医院心外科行4支冠脉搭桥及主动脉换瓣手术,取全程大隐静脉进行     

采用血管缝合器成功处理误穿锁骨下动脉并置管1例

1 病例资料 患者男,85岁.半年前因急性心肌梗死在我科行冠脉介入,冠脉造影提示:3支血管弥漫性病变,在前降支植入支架l枚.本次因活动后气促2周再次入院,考虑心力衰竭所致.入院后成功行左侧锁骨下静脉穿刺置管术建立静脉通路.     

经皮肺动脉异物介入取出一例

患者男,9岁,因"原发孔房间隔缺损性先天心脏病"行"原发孔房间隔缺损根治术",在手术结束前关胸拔22 G"下腔静脉插管"时发现其头端脱落,当时手术视野内、外未发现脱落头端,故考虑脱落于心血管内,极有可能进入肺动脉.当时因无法确定脱落位置,故未手术取出.术后患者情况稳定.为了尽快祛除异物,行胸部正位片检查后,发现在左肺中上野锁骨中线第6后肋与第三前肋交叉处可见"齿轮状"阴影.复行多层螺旋CT检查示:左肺上叶前段基底部异物影,与"下腔静脉插管"头端相似,通过重建显示发现异物头端近心(图1).结合手术病史,考虑"肺动脉内异物"的诊断.因手术取出有困难,故考虑先行"经股静脉肺动脉造影"以明确诊断,必要时用介入方法将异物取出.     

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.     

带状疱疹83例误诊原因分析

带状疱疹是由水痘—带状疱疾病毒引起的皮肤科常见疾病。其主要的病理损害,一是受累神经的严重炎症性浸润,继而导致受侵犯神经节内神经细胞变性、坏死;二是皮肤的水泡。迅速抑制神经节和相应的感觉神经纤维的充血、水肿和坏死,防止粘连形成,达到迅速镇痛、改善皮损,缩短病程及防止后遗症的发生是治疗的关键。因而,尽早明确诊断,     

Estimation of accumulated dose of radiation by method of ESR-spectrometry of dental enamel of mammals

ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P_1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method.     

Analysis of the results of the international comparison of activity measurements of a solution of Fe

The results of an international comparison of activity measurements of a solution of ⁵⁵Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a ⁵⁵Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.

The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison.     

Evaluation of the results of various technics of non-surgical therapy of varicocele

A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood.     

延迟性脾破裂误漏诊原因分析

目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率.