The Retrospective Study on High Risk Factors of Subphrenic Infection after Hepatectomy

ＴｈｅＲｅｔｒｏｓｐｅｃｔｉｖｅＳｔｕｄｙｏｎＨｉｇｈＲｉｓｋＦａｃｔｏｒｓｏｆＳｕｂｐｈｒｅｎｉｃＩｎｆｅｃｔｉｏｎａｆｔｅｒＨｅｐａｔｅｃｔｏｍｙＸＩＮＧＸｕｅ（邢雪）；ＷｕＺａｉ－ｄｅ（吴在德）（ＤｅｐａｒｔｍｅｎｔｏｆＳｕｒｇｅｒｙ，Ｔｏｎｇ...     

Nine Cases of Herpes Zoster with HIVInfection Treated with Rhubarb Powder

ＦｒｏｍＭａｙ１９９７ｔｏＭａｙ１９９８,ｗｈｉｌｅｔｈｅａｕｔｈｏｒｓｔｒｅａｔｅｄＨＩＶｉｎｆｅｃｔｅｄｐａｔｉｅｎｔｓｗｉｔｈｔｒａｄｉｔｉｏｎａｌＣｈｉｎｅｓｅｍｅｄｉｃｉｎｅ（ＴＣＭ）ｉｎＴａｎｚａｎｉａ,９ｃａｓｅｓｏｆｈｅｒｐｅｓｚｏｓｔｅｒｗｉｔｈＨＩＶｉｎｆｅｃｔｉｏｎｗｅｒｅｔｒｅａｔｅｄｗｉｔｈｔｈｅｐｏｗｄｅｒｏｆＲａｄｉｘｅｔＲｈｉｚｏｍａＲｈｅｉ（ＲＲＲ）．ＭＥＴＨＯＤＳＣｌｉｎｉｃａｌＤａｔａ　　ＮｉｎｅｃａｓｅｓｗｅｒｅｄｉａｇｎｏｓｅｄＨＩＶｐｏｓｉｔｉ…     

Adrenal Cortical and Medullar Hyperplasia—A Retrospective Analysis of 6 Cases

The features of the symptoms,laboratory tests and pathological characteristics of adrenal cortical and medullary hyperplasia were studied.In 6 cases of hypercatecholaminenia,plasma norepinephrine(NE),epinephrine(E),catecholamine(CA) and 24-h urinary vanillylmandelic acid(VMA),17-hydroxycorticosteroid (OHCS) and 17-ketosteroid (KS) were determined.adrenal glands were examined by CT scan and ^131I-MIBG imaging.Pathological examination was performed after operation.The results showed that in 6 cases of hypercatecholaminenia (3 men and 3 women) aged from 34-50 years,the clinical features were just like “pheochromocytoma”,for example,episodic headache,perspiration,palpitation,pallor,apprehension,nausea,tremor,anxiety and so on.Plasma levels of CA,NE and E were elevated in all 6 cases.24-h urinary samples obtained at the onset revealed elevated VMA in 1 case.24-h urinary cortisol was obviously elelated in all 6 cases.24-h urinary 17-OHCS,17-KS was normal.B-type ultrasound,CT,MRI and ^131I-MIBG revealed 9 lateral adrenal gland diffuse or nodular enlargement in 6 cases.Pathologic examination showed adrenal cortical and medullary hyperplasia.Clinically,adrenal cortical and medullary hyperplasia resembled “pheochromocytoma”.The most significant feature of this disease was both elevated plasma CA and 24-h urinary cortisol obviously.Pathologic examination showed adrenal cortex nodular hyperplasia and medullar diffuse or limit hyperplasia.Whether it is an independent disease or symptoms of the other disease has not final conclusion up till now.     

Surgical Treatment of Aortic Aneurysm and Aortic Dissection： A Retrospective Analysis of 122 Cases

The study summarizes the clinical experience of surgical treatments of various types of thoracic aneurysm and aortic dissection. Clinical data of 122 patients with thoracic aneurysm and aortic dissection during July 2005 to July 2008 were retrospectively analyzed. The elective operations were performed in 107 patients while emergency surgery was done in 15 cases. Different surgical strategies were employed on the basis of diseased region, including simple ascending aortic replacement （n=3）, aortic root replacement （n=43）, hemi-arch replacement/total arch replacement ＋ elephant trunk technique （n=32）, thoracic/thoracoabdominal aortic replacement （n=8） and endovascular repair （n=36）. In this series, there is 4 cases of perioperative death due to massive cerebral hemorrhage （n=1）, respiratory failure （n=1） and multiple organ dysfunction syndrome （MODS） （n=2）. Three cases developed post-operative massive cerebral infarction and the relatives of the patients abandoned treatment. Instant success rate of endovascular repair was 100%. The intimal rupture was sealed. Blood flow was unobstructed in true lumen and no false lumen was visualized. It was concluded that aggressive surgery should be considered in the patients with thoracic aneurysm and aortic dissection. Surgical procedures should vary with the location and the nature of the lesions.     

Bamboo Nodes of Vocal Fold—A Clinical Study of 14 Cases

Objective Bamboo node (BN) of vocal folds is a rare disease which is mostly associated with autoimmune diseases and always involves women as reported in literature. The purpose of this study is to investigate the clinical characteristics and the treatments in a series of BN cases. Methods We retrospectively collected and reviewed clinical information of all patients who presented bamboo nodes by fibreoptic laryngoscopy from 2011 to 2020 in our hospital, including the demographic information, clinical symptoms, associated autoimmune diseases, voice abuse, treatments, and outcomes. Patients were followed up periodically at clinics with fibreoptic laryngoscopy and/or voice recovery evaluation using the self- assessed voice visual analog scale (VAS). Results Totally 14 patients were diagnosed with BN and were included in the study. BN involved both women (8/14, 57.1％) and men (6/14, 42.9％). Bilateral lesions were found in 13 patients (92.9％). The most common symptom of BN was hoarseness (100％). Ten (71.4％) of 14 patients experienced voice abuse. Thirteen (92.9％) of them were concomitant with autoimmunity disease, and received medication therapy for the underlying autoimmune diseases; one patient received anti-acid treatment for the gastroesophageal reflux disease. Voice rests were performed in all patients. Voice recovered completely in 3 cases (21.4％), improved remarkably in 8 cases (57.1％), improved slightly in 1 case (7.1％), and no improvement in 2 cases (14.3％). Conclusions BNs are mostly associated with autoimmune disease and vocal abuse. It may occur in both females and males. Conservative treatment for the underlying autoimmune diseases and vocal rest are beneficial to voice recovery in most of the patients, and can be used as the first choice of treatment.     

Pathological Study of 20 Cases of Silicotuberculosis.

This paper was a brief summary based on 20cases (17 necropsies and 3 biopsies) of silicotu-berculosis (ST) documented in our department.Pathologically they were classified into two types:A. separate or additional type--12 cases, whichwere characterized by the specific tuberculouslesions distinctly different from the classicalsilicotic changes in the lungs. B. combining     

A Retrospective and Comparative Study of Familial and Non-familial Bullous Lichen Planus

In order to compare the clinical characteristics of familial and non-familial bullous lichen planus (BLP), the archival data of 36 BLP patients with positive family history and 21 BLP patients with negative family history diagnosed according to the clinical features and histopathology were collected in our department from 1956 to 2003. The clinical features were analyzed and compared. There were significant differences between familial and non-familial BLP in age of onset, duration of disease and extension of eruption (P<0.01). It was concluded that familial BLP appeared to differ from the non-familial form in its earlier age of onset, longer duration of the disease, more extensive eruption and more tendency to involve nails. Hereditary factors may play a role in the pathogenesis of familial BLP.     

A Chromosome Study on 97 Cases of Acute Nonlymphocytic Leukemia M2

(程范军)(杨爱德)(费洪宝)ＡＣｈｒｏｍｏｓｏｍｅＳｔｕｄｙｏｎ９７ＣａｓｅｓｏｆＡｃｕｔｅＮｏｎｌｙｍｐｈｏｃｙｔｉｃＬｅｕｋｅｍｉａＭ２￥ＨＥＮＦａｎ－ｊｕｎ，ＹＡＮＧＡｉ－ｄｅ，ＦＥＩＨｏｎｇ－ｂａｏ（ＲｅｓｅａｒｃｈＩｎｓｔｉｔｕｔｅｏｆＨｅｍａ...     

Clinicopathological and Immunohistochemical Study of 118 Cases of Rhabdomyosarcoma

One hundred and eighteen cases of rhab-domyosarcoma are reported. Specimens from30 of these cases were stained with Massontrichrome and phosphotungstic acid haemoto-xylin. Thirty six cases were studied immuno-histochemically by PAP, and ABC methods.     

Clinical Characteristics of Hereditary Multiple Exostoses: A Retrospective Study of Mainland Chinese Cases in Recent 23 Years简

Hereditary multiple exostoses（HME） are an autosomal dominant skeletal disease with wide variations in clinical manifestations among different ethnic groups. This study investigated the epidemiology, clinical presentations, pathogenetic features and treatment strategies of HME in mainland China. We searched and reviewed the related cases published since 1990 by searching electronic databases, namely SinoMed database, Wanfang database, CNKI, Web of Science and PubMed as well as Google search engines. A total of 1051 cases of HME（male-to-female ratio 1.5：1） were investigated and the diagnosis was made in 83% before the age of 10 years. Approximately 96% patients had a family history. Long bones, ribs, scapula and pelvis were the frequently affected sites. Most patients were asymptomatic with multiple palpable masses. Common complications included angular deformities, impingement on neighbouring tissues and impaired articular function. Chondrosarcomas transformation occurred in 2% Chinese cases. Among the cases examined, about 18% had mutations in EXT1 and 28% in EXT2. Frameshift, nonsense and missense mutations represented the majority of HME-causing mutations. Diagnosis of HME was made based on the clinical presentations and radiological documentations. Most patients needed no treatment. Surgical treatment was often directed to remove symptomatic exostoses, particularly those of suspected malignancy degeneration, and correction of skeletal deformities. This study shows some variance from current literature regarding other ethnic populations and may provide valuable baseline assessment of the natural history of HME in mainland China.     

A Clinical Study on the Treatment of Urinary Infection with Zishen Tongli Jiaonang

Objective: To observe the therapeutic effects of Zishen Tongli Jiaonang (滋肾通利胶囊 capsules for nourishing the kidney and promoting urination) for treatment of urinary infection. Method: The treatment group with a control group were randomly set up. 120 patients in the control group were given antibiotics according to drug sensitive tests for orally taking or intravenous drip, while 136 patients in the treatment group were additionally given the capsules on the basis of the above-mentioned treatment. One course of treatment lasted 2 weeks. Statistical analysis on the therapeutic effects was conducted after a two-course treatment. The recurrence rates of the two groups were compared one year later. Results: The total remission rates were respectively 96.3% in the treatment group and 81.7% in the control group (P＜0.05).The recurrence rates one year later were respectively 4.4% in the treatment group and 30.0% in the control group (P＜0.01). Conclusion: The capsules show good effects for urinary infection, especially in the longterm effect.     

A Clinical Study on Haunglian Fire-Purging Mixture In Treatment of 46 Cases of Primary Hypertension

In order to observe the therapeutic effects of Huanglian Fire-Purging Mixture (黄连清降合剂) on primary hypertension, 46 cases of primary hypertension in the treatment group were treated with Huanglian Fire-Purging Mixture to clear away heat from the liver, relieve mental stress, purge fire and remove toxin;and the other 26 cases of primary hypertension in the control group were treated with Niuhuang Bolus for Lowering Blood Pressure (牛黄降压丸). The effect in the treatment group was obviously superior to that in the control group (P＜0.05). The Huanglian Fire-Purging Mixture shows noticeable effects 3-6 hours after medication. The mixture can improve the clinical symptoms, the left ventricular diastolic function and myocardial ischemia, correct dyslipoproteinemia and dysglycemia, and reduce blood viscosity. And it is safe and with no obvious adverse reactions.     

Analysis of the 619 Brånemark System TiUnite Implants: A Retrospective Study

The purpose of this retrospective study was to determine the outcome of Br?nemark System TiUnite? implants (Nobel Biocare/Sweden), and to identify the risk factors associated with implant failure. A total of 151 patients (83 maxillae and 91 mandibles) received 619 implants from July 2003 until May 2010. The patients included 86 males and 65 females, with a median age of 51.6 years and an age range of 16 to 90 years at the time of implant surgery. Seventeen maxillae and 16 mandibles were completely edentulous, and 66 maxillae and 75 mandibles were partially edentulous. All the patients were followed until June 2011. Among the 619 implants, 9 maxillary implants and 8 mandibular implants were unsuccessful. The overall survival rate was 96.82%. A logistic regression analysis identified that a history of steroid treatment, application of a dento-maxillary prosthesis, a lack of mechanical coupling between the implants, and the length of the implants (≤8.5mm) were significant predictors of implant failure.     

Clinical Evaluation of ERCP and Naobiliary Drainage for Biliary Fungal Infection——A Report of Five Cases of Severe Combined Bacterial and Fungal Infection of Biliary Tract

Summary： This study studied the use of ERCP and nasobiliary tube in the diagnosis of fungal infection of hiliary tract and the efficacy of combined use of local administration via nasohiliary tube and intravenous antifungal treatment for severe biliary tract fungal infection. 5 patients in our series, with age ranging from 47 to 68 y （mean 55.8）, were diagnosed as having mixed bacterial and fungal infection of hiliary tract as confirmed by smear or/and culture of bile obtained by ERCP and nasohiliary drainage. Besides routine anti-bacteria therapy, all patients received local application of flu- conazole through nasohiliary tube and intravenous administration of fluconazole or itraconazole in terms of the results of in vitro sensitivity test. The mean duration of intravenous fluconazole or itraconazole was 30 days （24-40 days）, and that of local application of fluconazole through nasobiliary drainage tube was 19 days （8 24 days）. During a follow up period of 3-42 months, all patient＇s fungal infection of biliary tract was cured. It is concluded that on the basis of typical clinical features of biliary tract infection, fungal detection of smear/culture of bile obtained by ERCP was the key for the diagnosis of fungal infection of biliary tract. Local application antifungal drug combined with intravenous anti-fungal drugs might be an effective and safe treatment for fungal infection of biliary tract.     

Detection and Analysis of Multidrug Resistance in 100 Cases of Acute Leukemia.

Bone marrow specimens from 100 cases of acute leukemia (AL) diagnosed by MIC were detected with     

Cohort Study of HIV Infection among Drug Users in Ruili,Longchuan and Luxi of Yunnan Province,China

In March 1992,KAP investigation and HIV blood test were carried out for 860 drug users and 82 spouses in Ruili,Luxi,Longchuan of Yunnan Province,China.The results showed that there were 285 injecting drug users(IDUs)(33.1%)among 860 drug users.Among 282 blood samples of IDUs,the HIV infection rate was 49.0%,highest in Ruili(81.8%,63/77),then Longchuan(44.6%,74/166),lowest in Luxi county(5.1%,2/39).Twelve new HIV( )were found from 75 persons,who had been tested as HIV(-)in recent two years.Sixty-two blood samples were collected among 82 spouses of IDUs with HIV( ),and 6 were HIV( )(9.8%),with an increase of 6.7% compared with results of the investigation two years ago(3.1%,2/64).     

Video-assisted Thoracoscopic Surgery in Early Evaluation of First Time Spontaneous Pneumothorax： A Retrospective Study

Objective To analyze the differences in efficacy and costs in treating first time spontaneous pneumothorax by conservative therapy （pleural drainage or observation） and video-assisted thoracoscopic surgery （VATS）. Methods 59 Patients with first time spontaneous pneumothorax were retrospectively divided by either a continuous tube thoracostomy with/without negative pressure absorption （group 1,n=31） or VATS （group 2, n=28） after placement of the first chest tube for 48-72 hours. Patients in group 1 with additional intervention failed were divided subsequently randomly to VATS group （n=5） or thoracotomy group （n=10）. Study end points included duration and costs of hospitalization. Results： Patients in group 2 had shorter duration of tube drainage （4.56 1.74, versus 7.63 4±3.46 days, p〈 0.05）, shorter total hospital days （7.84±3.86 versus 10.96±4.27 days, p〈0.05） compared to patients in group 1. Hospital costs were higher in group 2 than that in group 1 （￥15.365±4.478 versus ￥8.894±6.423, p〈0.05）. There was no mortality in either group. No patient of group 2 was required to convert to thoracotomy group. 15 patients of group 1 with prolonged tube placement failed, and this subset was divided to VATS group （n=5） or thoracotomy group （n=10）. No significant difference in clinical outcome was found between with two subgroups. Conclusion： Intent to treat with early VATS for first time spontaneous pneumothorax decreases the duration of tube drainage, the length of hospital days and potentially reducing hospital costs if disposable Endo-devices were not used in VATS.     

IVF-ET, TET, and GIFT in an Oocyte Donation Program：A Retrospective Analysis of 106 Cases

We have reviewed our experience with gamete intra fallopian transfer (GIFT), in vitro fertilization and uterine transfer (Ⅵ F-ET), and tubal embryo transfer (TET) with donated oocytes in 89 patients for a total of 106 cycles. The overall pergnancy rate of 45%, is significanty higher than that obtained during cycles in which patients undergo controlled ovarian hyperstimutation (COH) and the transfer performed with theirown gametes or embryos, A Clinical pergnaney rate per cycle of 37%, 48% and 57% were obtained in Ⅳ F-ET, GIFT, and T ET transfers, respectively. The regults of thisstudy do not show a clear superiority of any transJer technique over the others in casesof oocyte donation. No difference in pregnancy rate was noted according to recipient‘s age.     

A Retrospective Study on Cholesteatoma Otitis Media Coexisting with Cholesterol Granuloma

Cholesterol granuloma (CG) is a tissue reactionto foreign body cholesterol crystal.It often happensin chronic disease of middle ear and mastoid,such asidiopathic hemotympanum,chronic secretory otitismedia,chronic suppurative otitis media and somepostoperative infection in ear.In addition,ittendstocoexistwith cholesteatoma.Retrospectively reviewedin this study were 1 5 cases of middle ear cholesterolgranuloma accompanied by cholesteatoma verified bysurgery and pathology and treated in our hosp…     

A Clinical Study on Treatment of Senile Psoriasis by Replenishing Qito Activate Blood——A Report of 40 Cases

40 cases of senile psoriasis were treated by the therapeutic principle of replenishing qi to activate blood,and the changes of T lymphocyte subgroups and indexes of haemorheology were observed. The results showed that CD4 was significantly increased, CD8 significantly decreased, and the CD4/CD8 ratio significantly raised; and that the specific viscosity of whole blood at high shearing rate, and at low shearing rate, the specific viscosity of plasma, packed cell volume, and fibrinogen all significantly decreased after treatment. It is therefore concluded that the therapeutic method of replenishing qi to activate blood can exert an effect of improving immunologic function and blood circulation.