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81.
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Acute otomastoiditis and its complications: role of CT 总被引:2,自引:0,他引:2
Acute bacterial (suppurative) otomastoiditis responds to antibiotic treatment; radiologic study is required only when there is clinical suggestion of coalescent mastoiditis, intracranial complications, or an underlying chronic disease. Computed tomography (CT) is the method of choice for evaluating otogenic intra- or extra-cranial complications. CT scans can show stages of disease progression when infection has spread by way of soft tissue, blood, and bone pathways into the dural venous sinuses, meninges, labyrinth, facial nerves, epidural and other intracranial spaces. When there is clinical suggestion of acute coalescent mastoiditis, a CT scan of the temporal bone can confirm the presence of rarefying osteitis, coalescence of the air cells, and subperiosteal abscess. 相似文献
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Carpino A; Siciliano L; Petroni MF; De Stefano C; Aquila S; Ando S; Petrone MF$corrected to Petroni MF 《Human reproduction (Oxford, England)》1998,13(1):111-114
Total seminal zinc concentration, seminal zinc fraction bound to high
molecular weight proteins (HMW-Zn%) and zinc content in spermatozoa were
assayed in the ejaculates of 90 asthenozoospermic patients subdivided into
two study groups: normoasthenozoospermics (group I: n = 50) and
oligoasthenozoospermics (group II: n = 40). The zinc concentrations of
patients were compared with those of a control group of donors showing
normal semen parameters. All samples were also investigated for their sperm
membrane functional integrity by the hypo- osmotic swelling test (HOS). The
results showed normal total zinc concentrations but very low HMW-Zn% values
(P < 0.001) in seminal plasma of the two groups of asthenozoospermic
patients compared to the controls. Furthermore higher zinc amounts (P <
0.001) were measured in spermatozoa of oligoasthenozoospermic patients
compared to group I and to the control group. Oligoasthenozoospermics also
displayed a lower HOS score (P < 0.001) compared to the other two
groups. These data suggest that the increased unbound seminal zinc could
contribute to the decrease of sperm motility in normoasthenozoospermic and
oligoasthenozoospermic patients. A further impairment in sperm motility
could occur in the oligoasthenozoospermic patients where the increase of
seminal free zinc was followed by a major zinc uptake by spermatozoa. The
higher intrasperm zinc content in these patients could be a reflection of
their low sperm membrane functionality.
相似文献
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Magnuson JE; Brown ML; Hauser MF; Berquist TH; Fitzgerald RH Jr; Klee GG 《Radiology》1988,168(1):235-239
When infection of prosthetic orthopedic implants is suspected, optimal management requires accurate confirmation or exclusion of infection. The authors retrospectively studied 98 patients with possible infection who underwent scanning with indium-111-labeled white blood cells (WBCs) and subsequently underwent surgery within 14 days. At surgery, 50 patients had infections, as determined by means of culture or histologic results. The diagnostic accuracy of In-111 scanning was compared with that of plain radiography, arthrography, three-phase bone scanning, and various clinical and laboratory findings classically associated with infection. Positive findings on In-111 WBC scans and elevated erythrocyte sedimentation rates were found to be the most predictive variables in the diagnosis of septic prostheses (P less than or equal to .001 and P less than or equal to .002, respectively). Likelihood ratio analysis more clearly demonstrated the superiority of In-111 WBC scanning, with positive and negative scans yielding likelihood ratios of 5.0 and 0.16, respectively. 相似文献
88.
Pflugfelder PW; Wendland MF; Holt WW; Quay SC; Worah D; Derugin N; Higgins CB 《Radiology》1988,167(1):129-133
Cardiac-gated magnetic resonance (MR) imaging was performed in rats to determine the effects of manganese ethylenediaminetetraphosphonate (TP). Ten normal rats received Mn-TP in a dose of 50 mumol/kg through a tail-vein injection. Spin-echo MR images were obtained before and every 10 minutes after Mn-TP injection for 1 hour. Cardiac signal intensity (SI) increased more than 70% after Mn-TP injection and remained nearly unchanged 1 hour after injection. Myocardial T1 was 517 +/- 49 msec in eight control rats and 282 +/- 61 msec (P less than .001) in six rats 81 +/- 0 minutes after injection. Nine rats underwent occlusion of the left anterior descending coronary artery prior to MR imaging. Images were obtained before and 15, 30, and 60 minutes after Mn-TP injection. In normal myocardium, SI increased up to 82% and remained elevated for 1 hour. In ischemic myocardium, SI rose 11%, leading to a marked contrast between the two tissue zones. T1 was also different in the two regions: In normal tissue, it was 206 msec +/- 54; in ischemic tissue, 338 +/- 82 (P less than .001). With T1-weighted MR imaging, Mn-TP showed a potential for delineating the jeopardized area after acute myocardial ischemia. 相似文献
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