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11.
We report a case of coronary artery bypass grafting (CABG) using the left internal mammary artery (LIMA) and a saphenous
vein graft in a 36-year-old man with Buerger's disease. He was hospitalized in the coronary intensive care unit with a diagnosis
of acute myocardial infarction. His coronary angiography showed total occlusion of the proximal segment of the left anterior
descending artery (LAD) and right coronary artery. Left ventricular dysfunction was detected by ventriculography. The patient
had undergone bilateral sympathectomy of the lumbar branches for distal arterial occlusions due to thromboangiitis obliterans
12 years previously. Under cardiopulmonary bypass and aortic cross-clamping, we performed endarterectomy and a complex bypass
procedure to LAD. Aorta-right coronary artery bypass was also applied. A histopathological study of an endarterectomy specimen
showed characteristic features of thromboangiitis obliterans. The postoperative course was uneventful and the patient was
discharged on the ninth postoperative day.
Received: November 19, 2001 / Accepted: February 16, 2002 相似文献
12.
Protective role of melatonin given either before ischemia or prior to reperfusion on intestinal ischemia-reperfusion damage 总被引:3,自引:0,他引:3
Ates B Yilmaz I Geckil H Iraz M Birincioglu M Fiskin K 《Journal of pineal research》2004,37(3):149-152
Tissue injury resulting from ischemia-reperfusion is of fundamental importance. Experimental evidence suggests that the generation of reactive oxygen species is significantly responsible for this type of injury. In the present study, besides investigating the protective role of melatonin on tissue damage caused by intestinal ischemia-reperfusion, the protective activity of this compound was also analyzed in both pre- and post ischemia melatonin-treated rats. The activities of the main antioxidative enzymes, catalase, superoxide dismutase and glutathione peroxidase in the intestine showed significant (P < 0.05) increases in melatonin-treated animals that were subjected to ischemia/reperfusion compared with those subjected only to ischemia/reperfusion. Also, results clearly indicate that the level of malondialdeyhde, an index of lipid peroxidation, decreased significantly (P < 0.05) when rats subjected to intestinal/reperfusion were given melatonin either before ischemia or before reperfusion. 相似文献
13.
The first diagnostic step in pleural effusions is the separation of transudates from exudates. We aimed in present study to investigate the value of HDL/LDL ratio for distinguishing between pleural exudates and transudates. Pleural fluids (PF)from 121 patients, including 28 transudates and 93 exudates were analyzed. The levels of cholesterol, HDL cholesterol and LDL cholesterol in PF were measured. The HDL/LDL ratio was calculated. HDL/LDL ratio found significantly higher in transudates than exudates (p= 0.001). Receiver operating characteristic (ROC) curves were generated and the cut off points determined to the highest level of accuracy and precision. The HDL/LDL ratio was to maximize sensitivity over specificity in the diagnosis of a transudative effusion. The usefulness of HDL/LDL ratio for identifying transudates was evaluated in terms of sensitivity and specificity. The value of pleural HDL/LDL ratio that best differentiated between transudates and exudates was 0.6 (sensitivity 89%, and specificity of 79%). Measurement of HDL and LDL in PF and calculating of HDL/LDL ratio can be proposed to aid for differentiation between pleural exudates and transudates with advantage of not requiring serum levels. 相似文献
14.
15.
Background:
Isolated oesophageal atresia without tracheo-oesophageal fistula represents a major challenge for most paediatric surgeons. Here, we present our experience with six neonates with isolated oesophageal atresia who successfully underwent immediate primary anastomosis using multiple Livaditis circular myotomy.Materials and Methods:
All six neonates were gross type A isolated oesophageal atresia (6%), from among 102 neonates with oesophageal atresia, treated between January 2009 and December 2013. Five neonates were female; one was male. The mean birth weight was 2300 (range 1700-3100) g.Results:
All six neonates successfully underwent immediate primary anastomosis using multiple myotomies (mean 3; range 2-4) within 10 (median 3) days after birth. The gap under traction ranged from 6 to 7 cm. One neonate died of a major cardiac anomaly. Another neonate was lost to follow-up after being well for 3 months. Three anastomotic strictures were treated with balloon dilatation, and four anastomotic leaks were treated conservatively. The mean duration of follow-up was 33 months.Conclusions:
To treat isolated oesophageal atresia, an immediate primary anastomosis can be achieved using multiple myotomies. Although, this approach is associated with high complication rates, as are other similar approaches, these complications can be overcome.Key words: Anastomotic leak, anastomotic stricture, isolated oesophageal atresia, long-gap oesophageal atresia, myotomy 相似文献16.
17.
Camli Adil Teoman Ayd?n ?zgür Ta?p?nar Huriye K?z?ltan Ali Hikmet Eri? Ilknur Turk Hocaoglu Sevde Po?ul Muge Kepekci Ebru Denizli Mustafa Güler 《Journal of Physical Therapy Science》2015,27(1):179-182
[Purpose] Diabetes mellitus is a metabolic disorder resulting from a defect in insulin
secretion, insulin action, or both. A consequence of this is chronic hyperglycemia with
disturbances in carbohydrate, fat and protein metabolism. We investigated whether there is
any difference among DM patients and a control group in terms of lumbar and femur BMD
(bone mineral density), and standard deviation scores (Z score and T score). [Subjects and
Methods] This randomized, prospective, controlled, single-blind study was conducted in the
Physical Medicine and Rehabilitation Department Faculty of Medicine, Bezm-i Alem Vakıf
University. Patients with type 2 diabetes mellitus were included in the patient groups.
Healthy individuals were included in the control group. [Results] A total of 126 patients
completed the study (63 in the study group, 63 in the control group). There was no
significant difference in the results of the laboratory examinations of the cases. The
bone mineral densities of the cases were found to be significantly low in terms of the
lumbar (L1–4) T scores in the type 2 diabetes group. [Conclusion] Although osteoporosis is
one of the potential complications of type 1 diabetes, its effect on bone mineral density
in type 2 DM is controversial. In different studies, the bone mineral density values have
increased, decreased or remained normal. With the exception of the lumbar (L1–4) T score,
similar results were obtained in this study.Key words: Type 2 diabetes mellitus, Osteoporosis, Bone mineral density 相似文献
18.
Accuracy of fine‐needle aspiration cytology in the diagnosis of breast cancer a single‐center retrospective study from Turkey with cytohistological correlation in 733 cases 下载免费PDF全文
19.
Aktas Aykut Degirmenci Bumin Yilmaz Omer Kayan Mustafa Cetin Meltem Celik Orhan Unlu Nisa Orhan Hikmet Demirtas Hakan Koroglu Mert 《African health sciences》2015,15(3):925-930
ObjectiveThe aim was to compare coronary high-definition CT (HDCT) with standard-definition CT (SDCT) angiography as to radiation dose, image quality and accuracy.ResultsThe intraclass correlation coefficient (ICC) of measured vessel attenuation values in SDCT between the two radiologists was exceedingly good. The ICC was higher in HDCT. The radiation dose of HDCT was higher than that of SDCT. The mean tube current was 180 (mA) in HDCT and 147(mA) in SDCT with the same tube voltage (kVp). There was no significant difference between image quality.ConclusionHDCT has a higher radiation dose but has much more atenuation and the spatial resolution which improve measurement accuracy for imaging coronary arteries. 相似文献
20.
Eftal Murat Bakirci Levent Demirtas Husnu Degirmenci Selim Topcu Selami Demirelli Hikmet Hamur Mutlu Buyuklu Emin Murat Akbas Adalet Ozcicek Fatih Ozcicek Gokhan Ceyhun Ergun Topal 《Clinics (S?o Paulo, Brazil)》2015,70(2):73-80