脑静脉系统血栓形成8例临床分析

脑静脉及静脉窦血栓形成（cerebral venous and sinus thrombosis，CVST）是由于感染性或非感染性原因导致静脉系统血栓形成而造成静脉回流障碍，导致脑组织肿胀及颅内压增高，从而表现出一系列临床症状与体征。CVST临床少见，但随着近年来影像技术的发展，对CVST诊断和对该病的认识也在逐渐增加。本文对2002年至今在我院诊断为颅内静脉系统血栓形成的8例住院病例进行回顾性分析。     

低颅压综合征合并颅内静脉血栓形成1例及文献回顾

目的 总结分析低颅压综合征合并颅内静脉系统血栓形成的临床特征、诊断方法及治疗原则.方法 报道1例低颅压综合征合并颅内静脉系统血栓形成病例,并复习相关文献.结果 患者以体位性头痛起病,经腰椎穿刺及影像学检查诊断为低颅压综合征,继发硬膜下积液及颅内静脉系统血栓形成.头颅CT、MRI均可提供低颅压综合征的表现,MRV及全脑血管造影术(DSA)是静脉系统血栓形成的重要诊断手段.结论 低颅压综合征是静脉系统血栓形成的危险因素之一,了解两者的临床特征有利于早期诊断及治疗.     

脑小静脉疾病（连载3）

第三节脑深静脉系统血栓形成脑深静脉系统血栓形成主要是指发生于大脑内静脉、Rosenthal基底静脉和 Galen静脉的血栓形成。DCVST 与皮质静脉血栓形成的危险因素差异不明显，凡能引起静脉血流异常，如静脉壁炎症反应或渗出、静脉本身闭塞或狭窄、血液处于高凝状态的因素均可导致；二者均可伴发于静脉窦血栓形成，但也均可单独发生；二者相比，深静脉血栓形成更多见于女性，单纯性DCVST的男女之比为1：8.3。     

颅内静脉系统血栓形成的临床特征与疗效分析

目的 探讨颅内静脉系统血栓形成的临床特征以及治疗原则.方法 分析14例颅内静脉系统血栓形成患者的发病年龄、发病形式、临床表现、影像学特征、脑脊液检查结果,并比较阿加曲班和低分子肝素对神经功能改善程度及预后的影响.结果 颅内静脉系统血栓形成可见于任何年龄段,中青年女性多见,以妊娠、感染、免疫性疾病等为常见发病原因.急性或...     

不应忽视的脑静脉系统疾病

正颅内动脉系统主要负责脑组织的血供和氧供,其病变可以发生相应供血区域的缺血性损伤;颅内静脉系统则承担脑静脉血和脑脊液回流,主要由脑静脉和硬脑膜窦构成,包括脑浅静脉、脑深静脉、静脉窦和颈内静脉等。常见的脑静脉系统疾病包括脑静脉系统血栓形成(CVT)、脑静脉窦狭窄、颈内动脉海绵窦瘘(CCF)和颅内动-静脉畸形(AVM)等。本文拟就脑静脉系统疾病的诊断与治疗现状及展望进行简要评述。一、脑静脉系统血栓形成     

脑静脉及静脉窦血栓形成的病因学及病理学

脑静脉及静脉窦血栓形成(cerebral vein and sinus thrombosis,CVT)的发病率较脑动脉血栓为低,其致病因素、发病特点及病理学改变与后者也不尽相同.本文将对脑静脉系统解剖、脑静脉血栓形成的病因及病理学改变做一初步介绍.     

颅内静脉和静脉窦血栓形成患者的临床护理

颅内静脉系统包括静脉窦和脑静脉,颅内静脉系统血栓形成是脑血管病中的特殊类型,以往因诊断困难发现较少,近年随着影像学不断发展,临床确诊患者越来越多[1],但是由于静脉系统在颅内分布广泛,且静脉系统血栓的病因复杂,因此临床表现呈现多样化,护理的难度较大,对护理技术水平要求也较高.     

《中国颅内静脉系统血栓形成诊断和治疗指南2015》解读

颅内静脉系统血栓形成是特殊类型的脑血管病,由于其临床表现无特异性,临床易误诊和漏诊。近年此类疾病的诊断与治疗均取得较大进展,为此中华医学会神经病学分会脑血管病学组修订《中国颅内静脉系统血栓形成诊断和治疗指南2015》。为了指导临床医师更好地理解和使用指南,本文对指南进行解读。     

支架取栓联合窦内溶栓治疗脑深部静脉窦血栓形成1例报道

正脑静脉窦血栓形成(Cerebral venous sinus thrombosis,CVST)是一类少见的脑卒中类型,其临床症状变异较大,包括单纯头痛到重度昏迷甚至死亡。脑静脉回流包括浅部静脉组和深部静脉组,大脑深部结构如丘脑、下丘脑的静脉血液通过Galen静脉回流至直窦。相比于脑浅部静脉组的血栓形成,脑深部静脉血栓形成的预后更加凶险。抗凝是脑静脉系统血栓形成首选治疗方案,但是大约20%的患者对抗凝治疗反应较差。昏迷、意识混乱、脑深部C     

脑静脉系统疾病和脑小血管病研究进展:中国学者海外报道

我国学者于2013-2016年有多篇关于脑静脉系统疾病和脑小血管病的高质量研究发表在国外专业杂志上,内容涉及新的影像学技术对脑静脉系统血栓形成诊断与鉴别诊断的应用、重症脑静脉系统血栓形成的联合治疗,以及脑小血管病相关危险因素、检测技术和治疗方法等,本文拟对上述研究进展进行简要概述。     

Physical and Sexual Abuse and Neglect and Eating Disorder Symptoms

For eating-disordered patients with a history of post-traumatic stress, childhood abuse and neglect, and dissociative disorder, eating behavior symptoms may function as a rational response to unmetabolized traumatic experiences. This paper will review trauma-based theory, dissociation, abreactive, and ego-states therapy as they apply to eating disorder patients.     

Efficacy and Effectiveness of Child and Adolescent Psychotherapy and Pharmacotherapy

Decades of intervention research have produced a rich body of evidence on the effects of psychotherapies and pharmacotherapies with children and adolescents. Here we summarize and critique that evidence. We review findings bearing on the efficacy of psychosocial treatments and medications under controlled experimental conditions. We also report evidence, where available, on the effectiveness of both classes of treatment with clinically referred youth treated in real-world clinical contexts. In general, the large body of evidence on efficacy contrasts sharply with the small base of evidence on effectiveness. Addressing this gap through an enriched research agenda could contribute importantly to linking scientific inquiry and clinical practice—to the benefit of both ventures. This is one element of a multifaceted agenda for future research and for synthesis of research, which will require the interplay of multiple disciplines related to child and adolescent mental health.     

Presence and severity of anorexia and bulimia among male and female Omani and non-Omani adolescents

OBJECTIVE: The population of Oman is a heterogeneous mix of nationalities providing a natural setting for studying the cross-cultural differences in the presence and severity of eating disorders as well as an opportunity for evaluating the performance of measurement instruments for these disorders. METHOD: Disordered eating screening instruments (the Eating Attitude Test and the Bulimic Investigatory Test) were administered to Omani teenagers, non-Omani teenagers, and Omani adults. RESULTS: On the Eating Attitude Test, 33% of Omani teenagers (29.4% females and 36.4% males) and 9% of non-Omani teenagers (7.5% of males and 10.6% females) showed a propensity for anorexic-like behavior. On the Bulimic Investigatory Test, 12.3% of Omani teenagers showed a propensity for binge eating or bulimia (13.7% females and 10.9% males). Among the non-Omani teenagers, 18.4% showed a tendency toward bulimia, with females showing a slightly greater tendency than males. In contrast, barely 2% of Omani adults showed either a presence of or a severity of disorderly behavior with food. CONCLUSION: Omani teenagers scored significantly higher than other ethnic groups and Omani adults. This finding is discussed in the light of emerging evidence from many parts of the world suggesting that cultural transition, compounded by demographic constraints, plays a significant role in abnormal eating attitudes.     

Physical and Sexual Abuse and Neglect and Eating Disorder Symptoms

Abstract

For eating-disordered patients with a history of post-traumatic stress, childhood abuse and neglect, and dissociative disorder, eating behavior symptoms may function as a rational response to unmetabolized traumatic experiences. This paper will review trauma-based theory, dissociation, abreactive, and ego-states therapy as they apply to eating disorder patients.     

Micro-affirmations and Recovery for Persons with Mental Health and Alcohol and Drug Problems: User and Professional Experience-Based Practice and Knowledge

Recurrent factors contributing to a recovery process from co-occurring mental health and addiction problems mentioned by users and professionals have been analyzed as part of working alliances and helpful relationships. Still, we lack knowledge about how helpful relationships are developed in daily practice. In this article, we focus on the concrete construction of professional helpful relationships. Forty persons in recovery and fifteen professionals were interviewed. The interviews were analyzed according to thematic analysis, resulting in three themes presented as paradoxes (1) My own decision, but with the help of others; (2) The need for structures and going beyond them; and (3) Small trivial things of great importance. Micro-affirmations have a central role in creating helpful relationships by confirming the individuals involved as more than solely users or professionals. More attention and appreciation should be paid to practices involving micro-affirmations.

     

Opiate and digitalis receptor assays distinguish between neuroexcitant and inactive organochlorines and between anesthetics and convulsants

Specific binding of [3H]naloxone to rat brain tissue in vitro was inhibited by the excitant organochlorinated insecticides (OCI), by ether (E) and octanol (OCT), and by the convulsant indoklon (IND) and its anesthetic isomer, isoindoklon (ISO). In the presence of 100 mM NaCl the inhibition of naloxone binding by E, OCT and ISO was greatly potentiated, whereas that by OCI and IND was attenuated. KCl (100 mM) was equally effective as NaCl on the action of anesthetics, but the effect of the excitant drugs was, in contrast to NaCl, unaffected by KCl. Specific binding of [3H]ouabain in the absence of Na, was depressed by anesthetics and enhanced by neuroexcitants. In the presence of NaCl, which by itself inhibits ouabain binding to brain, both anesthetics and excitants enhanced ouabain binding. DDE, a non-insecticidal analog of DDT, and the dimethyl derivative of the OCI, lindane, were inactive in the receptor assays. These observations point to a unique isolated system which responds consistently to anesthetic agents as a class and, in a different way, to neuroexcitant compounds.