剖宫产术后并发血栓性静脉炎的诊治和预防

目的：探讨剖宫产术后并发血栓性静脉炎的诊断治疗及预防措施。方法：回顾性分析11年间9例剖宫产术后并发血栓性静脉炎患者的临床特点及诊断、治疗和预防方法。结果：剖宫产术后并发血栓性静脉炎的最佳诊断方法为彩色多普勒超声，经抗凝、溶栓、支持等保守治疗，预后良好。结论：剖宫产与产褥期血栓性静脉炎之间呈正相关，血栓性静脉炎的道选治疗方法是溶栓、抗凝治疗。     

妇产科手术后下肢血栓性静脉炎27例临床分析

目的 探讨妇产科手术后下肢血栓性静脉炎的病因和防治。方法 对1992—2002年收治的27例下肢血栓性静脉炎进行临床分析。结果 导致下肢血栓性静脉炎的形成,除与盆腔和下肢静脉的解剖特点、手术时应激反应及术中失血、失液等有关外,还与术后患者活动少、活动晚,止血剂的应用等有关。治疗主要包括抬高患肢,局部理疗,全身应用抗生素,抗凝,溶栓及手术取栓等。结论 术中注意患者体位的摆放,减少出血,缩短手术时间。术后早活动,腹带松紧适宜,减少止血剂应用,高凝患者适量给予抗凝剂等可减少血栓性静脉炎的发生。     

耳源性侧窦血栓性静脉炎的治疗问题

侧窦由横窦和乙状窦二部组成。乳突与乙状窦相依傍,当乳突炎症波及该静脉窦时,可引起血栓性静脉炎,称为“耳源性侧窦血栓性静脉炎”,其中分为壁性血栓和闭塞性血栓二种。 本病发病率不高(一般指闭塞性血栓),国内各家统计在乳突炎中占1～5％之间。我     

高原地区血栓性静脉炎124例临床分析

临床和病理上都已证实 ,机体在高原环境下易致血栓形成 ,血栓性静脉炎是静脉的一种血栓性疾病 ,伴有不同程度的炎症。在作者收治的 1 2 4例患者中 ,血红蛋白 1 80 ｇ/Ｌ以上者 5 9例 ,占 4 7.5 8% ;高原红细胞增多症 (Ｈｂ≥2 0 0 ｇ/Ｌ) 2 8例 ,占 2 2 .5 8%。可见高原红细胞增多在血栓性静脉炎发病中起着重要作用 ,当机体暴露于缺氧环境时 ,血液中红细胞代偿性和血液粘度明显升高 ,血流缓慢 ,血细胞互相聚积 ,血小板与静脉血管接触机会增加 ,因而血液易于凝固 ,由于高原环境下 ,血液中红细胞增多在血栓性静脉炎发病中起着重要作用 ,因此在…     

双下肢血栓性深静脉炎引起胫腓骨骨膜增生1例报告

双下肢血栓性深静脉炎引起胫腓骨骨膜增生１例报告ＴｈｅＰｅｒｉｏｓｔｅａｌＲｅａｃｔｉｏｎｏｆＴｉｂｉａａｎｄＦｉｂｕｌａＣａｕｓｅｄｂｙＴｈｒｏｍｂｏｔｉｃＤｅｅｐＰｈｌｅｂｉｔｉｓｏｆＢｉｌａｔｅｒａｌＬｏｗｅｒＬｉｍｂｓ李成功河南安阳１５１医院放...     

牙科感染所致慢性海绵窦血栓性静脉炎2例

 海绵窦血栓性静脉炎(cavernous sinus thrombophlebitis,CST)常常继发于面部化脓性血栓性的炎性反应,其病死率在抗生素用于临床前几乎高达100%。尽管从抗生素广泛使用以后其病死率已明显降低,但仍有很高的致残率^[1,2],因此对CST进行及时准确诊断和有效治疗至关重要。当患者具有海绵窦综合征的临床表现时,CST应该作为可能的原因加以鉴别。     

妇科术后并发下肢血栓性静脉炎36例分析

1994～ 1999年 ,我院妇科共行开腹手术 130 0余例 ,发生血栓性静脉炎 36例 ,其中左下肢 32例 ,右下肢 4例。现对其病因、部位及预防进行分析。1　临床资料1 1　一般情况　 36例中 ,年龄 34～ 71岁 ,平均4 8 6岁 ;体重 4 6～ 91ｋｇ ,平均 68 9ｋｇ。子宫肌瘤全切术后 2 3例 ,卵巢肿瘤切除术后 10例 ,宫颈癌术后 2例 ,输卵管吻合术后 1例。术前有高血压病史2 1例 ,糖尿病史 6例。术前及术中输血 7例。再生障碍性贫血 1例。均于术后 3ｄ常规静滴止血药 ,血栓性静脉炎发生于术后 6～ 10ｄ ,平均 8 1ｄ。1 2　临床表现　下肢均有疼痛、肿胀、患…     

肺动脉血栓栓塞症常用诊断技术及研究进展

肺栓塞(PE)是内源性或外源性栓子堵塞肺动脉或其分支引起肺循环和呼吸功能障碍的临床和病理生理综合征,99%的栓子是血栓性的,故也称为肺动脉血栓栓塞症(PTE)[1,2]。每年由血栓性静脉炎引发肺栓塞的发病率高达(23～69)/10万,其中近1/3有临床症状,2/3有深静脉血栓形成(DVT);约10%的急性肺栓塞患者死于确诊后的1～3个月,10%的医院内死亡病例与肺栓塞相关[3]。肺栓塞是仅次于心肌梗死和脑     

剖宫产术后下肢深静脉血栓形成的护理研究进展

以下肢深静脉血栓形成(deep venous thrombosis,DVT)为代表的血栓栓塞性疾病已经成为我国孕产妇围产期的常见并发症,该病在剖宫产妇中发生率明显高于自然分娩者。DVT除了可导致血栓性静脉炎、浅表静脉代偿性曲张等自身危害外,还可因栓子脱落而继发急性肺梗死,严重威胁孕产妇的生命安全。     

微小切口分段剥除术治疗大隐静脉曲张

<正>大隐静脉曲张为临床常见下肢血管病变,临床表现为浅静脉迂曲扩张,肢体肿胀,足靴区皮肤营养障碍性病变,偶会并发血栓性静脉炎,轻者妨碍生活和工作能力,重者可致不同程度病残[1]。多年来治疗下肢静脉曲张仍以手术治疗效果最好。传统的治     

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.