迟发性脾破裂1例

患者男 ,5 9岁 ,于半天前无明显诱因出现阵发性左上腹痛 ,伴恶心、呕吐数次。二十多天前被三轮车把击伤左上腹部 ,当时疼痛 ,经村卫生所治疗后好转。彩色多普勒检查示肝被膜光滑 ,实质回声增强 ,光点略增粗 ,门静脉宽约15 .5ｍｍ ,于左季肋区探及一约 14 0ｍｍ×12 3ｍｍ大小实性强回声团块 ,边界不清晰 ,内部回声极不均 ,ＣＤＦＩ示内部血流信号极少 ,其前上方隐见脾回声 ,边界不清 ,与上述包块关系密切 ,脾血流显示不清 ,腹腔内探及大量液性暗区。于右上腹抽出不凝血。诊断 :①左上腹实性占位 :考虑脾肿瘤自发性破裂。②慢性肝病。ＣＴ平…     

氯氰菊酯中毒迟发性脑病1例

对1例氯氰菊酯中毒迟发性脑病患者的临床资料进行分析并复习国内外相关文献。患者有明确的氯氰菊酯接触病史,出现胃肠道、呼吸道等急性中毒表现,“假愈期”后3 d 出现烦躁、胡言乱语、四肢无力等神经系统症状,出现神经系统症状19 d后入院,诊断为迟发性脑病,给予营养神经及对症支持治疗后症状改善。此病例提示,氯氰菊酯中毒可引起迟发性脑病,临床可考虑早期给予预防性治疗。     

迟发性羊水栓塞1例

1 病例报告 患者,女,30岁,G2P0因“停经9个月,阴道血性分泌物1天”于2008年3月1日11：00入院。患者有青霉素等药物及海鲜食物过敏史。查体：BP100／60mmHg,P80次／min,R20次／min。心肺（-）,腹膨隆,双下肢无凹陷性水肿。产科情况：宫高37cm,腹围105cm,胎位LOA,胎心140次／min,无宫缩,产道检查无异常。肛查宫口未开大。     

面颈部枪弹伤后感染继发性大出血1例急救

面颈部由于解剖结构的特点，枪弹贯通伤与其他外伤和其他部位的损伤有着显著的不同。现将我院急救１例此类患者体会报告如下。１临床资料患者，男２９岁，公安干警。于１９９６年１１月１０日在追捕持枪歹徒英勇搏斗时中弹负伤。枪弹从右眶下击碎颧骨进入，从右侧后颈部胸...     

颅脑损伤后迟发性面神经损伤32例的诊治与随访

本院2003--2012年期间收治540例颅脑损伤患者中迟发性面神经损伤32例（占5．92％）,非手术治疗后随访12个月,现报道如下。     

脱敏注射TAT致迟发性过敏反应1例

笔者在临床遇到 1例因脱敏注射TAT致迟发性过敏反应 ,故报道如下。1　病例介绍患者 ,女 ,37岁 ,系本院医务人员 ,因右足背部外伤于2 0 0 2年 6月 2 4日注射破伤风抗毒素 (TAT) 15 0 0U ,注射前做TAT过敏试验呈阳性反应 ,给予TAT脱敏注射 (在臀部的同一侧注射 3次 ) ,注射后观察 30min ,无反应后回家。注射后第 2天患者感心慌 ,全身不适 ,1小时后自行缓解。注射后第 7天晨皮试处出现奇痒 ,挠后迅速扩大 ,2小时后局部红肿、硬结直径达 5cm ,有伪足 ;4小时后达 10cm ,6小时后逐渐缩小 ;但此时臀部注射处开始奇痒 ,硬结迅速增大直径达12cm…     

氯丙嗪治疗癫痫并发迟发性运动障碍1例

1 临床资料 患者，男，55岁，4个月前癫痫大发作后在乡卫生院予苯妥因钠100mg 2／日，盐酸氯丙嗪100mg 3／日持续口服，癫痫未再发作，但一个月来，渐出现舐唇、咀嚼、舞蹈指划等反复不自主运动并渐加重。在乡卫生院诊断为1、癫痫持续状态2、脑炎，予加大苯妥英钠用量及进一步镇静、抗感染治疗，效果均差。入我院后，行腰穿脑脊液相关检测均正常，CT示脑白质疏松改变。予停用盐酸氯丙嗪，服用利血平片，营养脑细胞及全身支持治疗3周后，症状减轻。[第一段]     

老年患者青霉素迟发性过敏反应1例护理

青霉素G是临床应用广泛，疗效高，毒性低的窄谱抗生素，因其可致严重的速发性过敏性休克，已引起广大医护人员的高度重视。而由青霉素G引起的迟发性过敏反应，则往往易被忽视。我科于2007年9月收治1例青霉素迟发性过敏反应老年患者，经及时治疗，精心护理后治愈。现将病例及护理体会报道如下。     

1例密盖息致迟发性急性腹痛

密盖息(通用名鲑鱼降钙素注射液)是调节钙代谢,抑制甲状旁腺的激素类药物之一.临床上常用于治疗骨质疏松症,Paget氏骨病(变形性骨炎),高钙血症和高钙血症危象等疾病.不良反应常见恶心呕吐.     

微聚焦超声技术在面颈部年轻化中的临床应用

目的探讨面颈部年轻化过程中采取微聚焦超声技术的临床效果,进一步分析其使用价值.方法本研究总计纳入70例患者作为研究对象,均在2021年8月到2021年12月期间来院接受面颈部年轻化治疗,且均采取微聚焦超声技术,以回顾性分析的方式对患者治疗效果展开分析与研究结果经过随访,患者各项皮肤指标均优于治疗前,P<0.05;其治疗...     

Cervical eosinophilic granuloma and torticollis: a case report and review of the literature

Eosinophilic granuloma (EG) is a benign and solitary bony lesion of unknown etiology, which typically affects children: 90% of patients are between the ages of 5 and 15 years. EG, a variant of histiocytosis X, is a rare disease causing destructive bony lesions of the cervical spine in children. This report describes the case of a 5-year-old boy with torticollis who presented to the Emergency Department and was found to have EG of C₆. He was successfully treated with anterior cervical corpectomy and fusion by using anterior plate and screws, with resolution of his symptoms.     

自体脂肪颗粒注射和透明质酸注射两种方法填充鼻唇沟凹陷的效果对比

目的 研究自体脂肪颗粒注射和透明质酸注射两种方法填充鼻唇沟凹陷的效果.方法 选取我院2018年7月至2019年7月收治的78例需行鼻唇沟填充术的患者为研究对象,使用随机数字表法将患者分为试验组(39例)和对照组(39例),试验组行自体脂肪颗粒注射术,对照组患者行透明质酸注射术.比较两组患者术后临床效果,术后3个月、6个...     

Generalized granuloma annulare in a case of breast cancer: A case report and review of the literature

Generalized granuloma annulare can be associated with breast cancer. Atypical granuloma annulare especially in older patients should alert physicians to the possibility of an occult malignancy.     

Potential impact of early physiotherapy in the emergency department for non-traumatic neck and back pain

BACKGROUND: Musculoskeletal complaints, especially non-traumatic neck and back pain, are routinely encountered in the emergency department (ED) and lead to ED overcrowding, a burgeoning wait time for physiotherapy and outpatient orthopedic reviews. The study aimed to evaluate the impact of early physiotherapy evaluation and treatment (EPET) vs. standard care (SC) on clinical outcomes for patients presenting to the ED with non-traumatic neck and back pain.     

Repeated measures of recent headache, neck and upper back pain in Australian adolescents

The epidemiological and clinical literature identifies strong associations between adult headache, cervical and thoracic spine dysfunction and spinal posture. This paper reports on the prevalence and incidence of headache, neck and upper back pain which occurred in the previous week, in urban Australians aged 13-17 years. Commencing in 1999, we followed a cohort of South Australian students through 5 years of secondary schooling. Of our commencing cohort of students, 132 (30%) provided data on bodily pain every year. For both girls and boys, there was a significantly decreasing prevalence of headache over the study period, while neck pain and upper back pain increased. There was a significantly increasing trend over time for boys with upper back pain. Twenty percent of girls and boys consistently reported headache, neck pain or upper back pain over 5 years. The progression of early adolescent headaches to mid-adolescent neck and upper back pain potentially reflects the adolescents' biomechanical responses to intrinsic and extrinsic imposts. This requires further investigation to understand the causes of adolescent headache, neck and upper thoracic pain.     

中药酒剂配合电磁治疗仪治疗颈肩腰腿痛效果观察与护理

目的：探讨中药酒剂配合电磁治疗仪治疗颈肩腰腿痛的疗效。方法将80例颈肩腰腿痛患者分为治疗组和对照组,每组各40例,治疗组使.用中药酒剂加电磁治疗仪治疗,对照组采.用单纯电磁治疗仪治疗。分别在治疗前,治疗3 d、7 d后,采.用数字等级评分（numerical rating scale,NRS）对两组患者进行测评。结果治疗后,治疗组患者NRS评分低于对照组,两组比较,差异具有统计学意义（均P＜0.01）。结论中药酒剂配合电磁治疗仪治疗颈肩腰腿痛效果满意,值得临床应.用推广。     

First reported case of delayed‐type hypersensitivity reaction to non‐hyaluronic acid Polycaprolactone dermal filler following COVID‐19 vaccination: A case report and a review of the literature

Cases of filler reactions after COVID‐19 vaccination have been reported. Here, we present the first case of delayed‐type reaction (DTR) to non‐hyaluronic acid Polycaprolactone dermal filler after the second dose of Sinopharm COVID‐19 vaccine which was improved with administration of topical and intralesional steroids.