急性坏死性肠炎1例报告

病例男,26岁,藏族,因腹痛、腹胀伴发烧4d入院。患者缘于4d前进食腐烂生羊肉约500g,3h后出现腹痛并呕吐,呕吐物为胃内容物,腹泻1次为稀便,腹痛、腹胀呈进行性加重,未再呕吐、腹泻、肛门停止排便排气。1d前出现发烧,遂来我院就诊。查体:体温38.5℃、脉搏110次/min、呼吸24次/min,     

灌肠致迷走反射1例

<正>病人,女,54岁。入院前10 d无明显诱因感腹胀,腹痛,疼痛呈持续性钝痛,无放散,并停止排便,无恶心及呕吐。3 d前停止排气,伴腹痛、腹胀加剧。门诊以"肠梗阻"收入院。平素体健,无"高血压"、"冠心病"、"糖尿病"等病史,无手术史。查体:体温36.8℃,脉搏78次/min,呼吸     

胃癌术后并发多发性大肠癌1例

1病例报告 患者男,60岁。因腹痛4天,停止排气、排便1天就诊。患者4年前行胃癌根治术,术后恢复良好。病理学检查：下半胃、胃窦小弯侧腺癌2级,伴坏死溃疡形成,癌组织穿透肌层及浆膜,上下切缘送检未见癌组织残留;小弯侧见淋巴结癌转移1枚,大弯侧淋巴结未见癌转移。术后给予化疗6周,并定期复查胃镜、癌胚抗原、糖类抗原15—3、糖类抗原19—9及增强CT,随访4年未见肿瘤复发和转移。患者于入院前4天饭后运动时出现腹部不适、恶心、无呕吐、无腹泻,排气、排便少,人院前1天出现腹胀、腹痛,停止排气、排便等肠梗阻症状。     

肠石性小肠梗阻一例

病例资料患者,女,71岁。因间断性腹痛伴恶心、呕吐1个月余,停止排气、排便3天入院。患者于1个月前无明显诱因出现上腹部疼痛,初为阵发性下腹隐痛,后逐渐蔓延至全腹,伴恶心、呕吐。呕吐物为胃内容物及少量胆汁。近3天来未排气排便,腹痛加重。查体：腹部深压痛,无反跳痛。既往：患者于1993年因胆囊结石行胆囊切除术。     

胆囊十二指肠瘘致胆石性肠梗阻1例并文献复习

患者 男,64 岁.因间断性腹痛伴呕吐及肛门停止排气、排便 1 周入院.现病史:患者及家属诉 1 周前无明显诱因出现间断性腹痛,进食后疼痛加重并出现恶心、呕吐,呕吐物为胃内容物,后肛门停止排气及排便,腹胀感逐渐加重,无腹泻,无心慌、胸闷等不适.体格检查:腹隆起,呈蛙状腹,上腹部可见肠型,全腹柔软,轻压痛,双侧肾区无叩痛...     

原发性子宫恶性淋巴瘤一例

患者女，28岁。因腹痛3d，停止排便2d入院。患者22d前因便血1年在外院诊断为直肠癌，行直肠癌经腹前切除术(Dixon式)，切除大部分直肠，手术顺利，病理证实为直肠炎，术中发现子宫约妊娠3个月大小，术后22d患者无诱因出现腹胀、腹痛，以下腹部为著，停止排气、排便，无恶心呕吐及寒战高热。患者23岁结婚，生有1女，近2年来，出现阴道间歇性出血，量时多时少，未行妇科检查。     

肠镜下取出异物解除肠梗阻1例

1病例报告患者男,44岁。因吞服异物后腹痛、腹胀并肛门停止排气、排便4天人我院就诊。患者于4天前吞服60余粒圆柱状包装品,3天前出现腹痛、腹胀,肛门停止排气、排便,并逐渐出现头晕、全身乏力、出冷汗,无寒战高热。     

影像诊断胆石性肠梗阻1例

1 病历简介 1.1 临床资料患者,女,66岁.因间断性下腹疼痛伴停止排气排便10天入院.10天前无明显诱因,出现间断性下腹部疼痛伴腹胀及停止排气排便.病程中频发恶心,呕吐,呕吐物均为胃内容物.于2008年8月17日收入我院.入院诊断: (1) 肠梗阻;(2) 胆囊结石;(3) 糖尿病.给予通便灌肠,抗炎,对症支持治疗后,病情好转.2008年8月20日出院.出院后,进食后又出现恶心,呕吐,并停止排便,排气,再次收入我院诊治.既往史: 糖尿病病史3年.     

腹茧症1例

1 临床资料患者,男,37岁,4个月来反复发作右上腹痛、时伴恶心、呕吐,行持续胃肠减压后缓解。本次因腹胀、腹痛,恶心、呕吐伴肛门停止排气、排便2d,经持续胃肠减压等对症治疗后,症状仍进行性加重,急诊入院。查体:上腹部膨隆,左上腹触及一包块,质软、光滑、边界不清、无压痛、活动度差,右季肋区压痛( ),Murphy征(-),无移动性浊音,肠鸣音亢进。立     

读片窗

读片窗吴剑波，朱晓华患者女，３９岁。于入院前２０天，不明原因出现腹部饱胀不适，伴恶心、呕吐，但无阵发性腹痛及肛门停止排气、排便等症状。既往无腹部手术、腹膜炎或长期服药史。当地Ｂ超提示＂腹腔内大量腹水＂，病情进行性加重而入院。查体：腹胀，隆起，中、下腹...     

Knee injury and Osteoarthritis Outcome Score (KOOS) - validation of a Swedish version

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.     

The acutely limping child

Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.     

Do Balance Board Training Programs Reduce the Risk of Ankle Sprains in Athletes?

Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).     

High Intensity Interval Training:New Insights

KEY POINTS ·High-intensity interval training(HIT)is characterized by repeated sessions of relatively brief，intermittent exercise.often performed with an“a11 out”effort or at an intensity close to that which elicits peak oxygen uptake(i.e.，≥90%of VO2 peak).     

Endovascular management of carotid-cavernous fistulas

Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas （CCF） and their complications such as pseudoaneurysms. Methods： Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coll embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stem management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% （4/22）. A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% （8/22）. Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.     

Developmental validation of the PowerPlex(®) ESI 16 and PowerPlex(®) ESI 17 Systems: STR multiplexes for the new European standard

In response to the ENFSI and EDNAP groups’ call for new STR multiplexes for Europe, Promega^® developed a suite of four new DNA profiling kits. This paper describes the developmental validation study performed on the PowerPlex^® ESI 16 (European Standard Investigator 16) and the PowerPlex^® ESI 17 Systems. The PowerPlex^® ESI 16 System combines the 11 loci compatible with the UK National DNA Database^®, contained within the AmpFlSTR^® SGM Plus^® PCR Amplification Kit, with five additional loci: D2S441, D10S1248, D22S1045, D1S1656 and D12S391. The multiplex was designed to reduce the amplicon size of the loci found in the AmpFlSTR^® SGM Plus^® kit. This design facilitates increased robustness and amplification success for the loci used in the national DNA databases created in many countries, when analyzing degraded DNA samples. The PowerPlex^® ESI 17 System amplifies the same loci as the PowerPlex^® ESI 16 System, but with the addition of a primer pair for the SE33 locus. Tests were designed to address the developmental validation guidelines issued by the Scientific Working Group on DNA Analysis Methods (SWGDAM), and those of the DNA Advisory Board (DAB). Samples processed include DNA mixtures, PCR reactions spiked with inhibitors, a sensitivity series, and 306 United Kingdom donor samples to determine concordance with data generated with the AmpFlSTR^® SGM Plus^® kit. Allele frequencies from 242 white Caucasian samples collected in the United Kingdom are also presented. The PowerPlex^® ESI 16 and ESI 17 Systems are robust and sensitive tools, suitable for the analysis of forensic DNA samples. Full profiles were routinely observed with 62.5 pg of a fully heterozygous single source DNA template. This high level of sensitivity was found to impact on mixture analyses, where 54–86% of unique minor contributor alleles were routinely observed in a 1:19 mixture ratio. Improved sensitivity combined with the robustness afforded by smaller amplicons has substantially improved the quantity of data obtained from degraded samples, and the improved chemistry confers exceptional tolerance to high levels of laboratory prepared inhibitors.     

Bronchial stump fistula :treatment with covered retrievable hinged metallic stents-preliminary clinical experience

Objective To evaluate the preliminaily clinical efficacy and retrievability of a retrievable hinged covered metallic stent in the treatment of the bronchial stump fistula （BSF）. Methods Between April 2003 and March 2005, 8 patients with bronchial stump fistula after pneumonectomy or lobectomy were treated with two types （A and B） of retrievable hinged covered metallic stents. Type A stent was placed in 6 patients and type B in 2 under fluoroscopic guidance. The stent was removed with a retrieval set when BSF was healed or complications occurred. Results Stent placement in the bronchial tree was technically successful in all patients, without procedure-related complications. Immediate closure of the BSF was achieved in all patients after the procedure. Stents were removed from all patients but one. Removal of the stents was difficult in two patients due to tissue hyperplasia. Patients were followed up for 6 - 21 months. Placement of the stents remained stable in all patients except one due to severe cough. Permanent closure of BSF was achieved in 7 （87.5%） of 8 patients. Conclusion Use of a retrievable hinged covered expandable metallic stent is a simple, safe, and effective procedure for closure of the BSF. Retrieval of the stent seems to be feasible. （J Intervent Radiol, 2007, 16： 253-257）     

Prevalence and severity of hip and groin pain in sub‐elite male football: a cross‐sectional cohort study of 695 players

The purpose of this study was twofold: (a) to investigate the prevalence of hip and groin pain in sub‐elite male adult football in Denmark and (b) to explore the association between prevalence and duration of hip and groin pain in the previous season with the Copenhagen Hip and Groin Outcome Score (HAGOS) in the beginning of the new season. In total 695 respondents from 40 teams (Division 1–4) were included. Players completed in the beginning of the new season (July–Sept 2011) a self‐reported paper questionnaire on hip and/or groin pain during the previous season and HAGOS. In total 49% (95% CI: 45–52%) reported hip and/or groin pain during the previous season. Of these, 31% (95% CI: 26–36%) reported pain for >6 weeks. Players with the longest duration of pain during the previous season had the lowest HAGOS scores, when assessed at the beginning of the new season, P < 0.001. This study documents that half of sub‐elite male adult football players report pain in the hip and/or groin during a football season. The football players with the longest duration of pain in previous season displayed the lowest HAGOS scores in the beginning of the new season.