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51.
1例脊髓空洞症侧脑室延髓池内分流术的护理 总被引:1,自引:0,他引:1
1 病例介绍病人,男,34岁,左下肢步态不稳10年,加重伴酸麻、隐痛1年,于2004年4月入院.入院时精神欠佳,生活不能完全自理,左上肢肱二腱、肱三腱反射和下肢膝反射亢进,右上肢肱二腱、肱三腱反射减弱,右前臂及手部触觉消失,左下肢膝关节以下触觉、位置觉、浅感觉消失.MRI示脊髓空洞症.术前检查未发现手术禁忌证,行全身麻醉下环枕畸形减压、侧脑室延髓池内分流术.手术顺利,术中输红细胞悬液400 mL,放置皮下引流管1根,术后恢复好,无并发症发生,病人生活上基本自理,出院随访1年,情况良好.…… 相似文献
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Fengxiu Ouyang Binyan Wang Lester M. Arguelles Xiping Xu Jianhua Yang Zhiping Li Liuliu Wang Xue Liu Genfu Tang Houxun Xing Craig Langman Xiaobin Wang 《Archives of osteoporosis》2007,2(1-2):29-43
Summary We prospectively examined bone growth patterns in 894 children aged 6–17 years at the baseline visit, with a 6-year follow-up.
Results show bone “tracking” over a six-year interval and sexual dimorphism of bone attained levels and timing of peak bone
growth. Our findings underscore childhood and adolescence as critical periods for building bone and developing gender differences.
Introduction Bone growth patterns were prospectively examined in 894 Chinese children (496 males), aged 6–17 yrs, from a population-based
twin cohort. Whole-body bone area (BA), bone mineral content (BMC), and bone mineral density (BMD) were measured by DEXA at
baseline and a 6-yr follow-up.
Methods Graphic smoothing plots and generalized estimating equations were used to model bone attained levels, growth, and “tracking”.
Results Attained levels of BMC and BA increased curvilinearly with age. Male attained levels were higher than females after age ∼15 yr,
but BMD was lower between 13–17 yrs (Tanner stage I to IV). In both genders, peak BMC and BMD growth lagged ∼2 yrs behind
peak BA growth, which lagged 2 yrs behind peak height growth. Peak bone growth occurred 1–3 yrs later in males. Over the 6-yr
follow-up, all bone measurements “tracked”, but “shifting” across ranks also occurred, and baseline tertile ranking influenced
bone growth. Females with early menarche had higher attained levels than females with late menarche at age 12–13 yrs.
Conclusion Our findings confirm and expand previous studies on peak bone growth conducted in Caucasian cohorts, particularly sexually
dimorphic and maturational effects. The significant “tracking” of bone measurements in this 6-yr follow-up study underscores
the importance that osteoporosis prevention should begin in childhood and adolescence.
Fengxiu Ouyang and Binyan Wang contributed equally to this article.
Source(s) of support: This study is supported in part by grant R01 HD049059, R01 HL0864619 and R01 AR045651 from the National
Institute of Health and by the Food Allergy Project. 相似文献
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目的 探讨PHS在腹股沟马鞍疝无张力修补术中的治疗效果和手术经验.方法 对11例使用PHS行无张力修补术的腹股沟马鞍疝患者进行分析.结果 在局麻下完成手术,手术时间25~60 min,全组留院观察24~72 h,无阴囊积液、切口感染、血肿及其它与手术有关的并发症.随访6个月~30个月,无复发,无异物感.结论 PHS修补牢靠,对于腹股沟马鞍疝的手术治疗更有针对性.重视手术的技巧是手术成功的关键. 相似文献
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摘要:目的 探讨诱导分化剂苯乙酸(PA)对人结直肠癌细胞系HCT 8细胞周期及增殖的影响。 方法 应用MTT比色法,以1.0,2.0,3.0,4.0,5.0 mmol/L的PA作用于体外培养的HCT 8细胞,分别于24,48,72h后对细胞增殖进行检测;流式细胞术分析细胞周期。结果 随着PA浓度的增加(1~5 mmol/L)或药物作用时间的延长(24~72h),肿瘤细胞生长抑制率明显增加。PA1~5mmol/L作用24h细胞生长抑制率为5.1%-24.3%,48h为16.7%-72.3%,72h为30.2%-93.4%。PA作用细胞72h后,G0/G1期比例显著下降,S期比例相对升高,组间差异显著(P<0.05)。结论 PA在诱导分化结直肠癌HCT 8细胞过程中,可诱导G1细胞周期阻滞,抑制细胞增殖。 相似文献
58.
新生儿Rh溶血病不同血源换血疗法的疗效观察 总被引:2,自引:0,他引:2
目的:探讨新生儿 Rh溶血病实行换血疗法时的血源选择和换血量的确定。方法 :选取在我院接受换血治疗的 6 3例 Rh溶血病患儿 ,其中用 Rh阳性血换血 32例 ,Rh阴性血换血 31例 ,分析其换血前后血清总胆红素(TB)和血红蛋白 (Hb)变化以判断疗效。 结果 :两种换血术均获得满意疗效 ,换血后胆红素值明显下降 ,所有患儿均痊愈出院。 结论 :在紧急情况下 ,若无法及时得到 Rh阴性血 ,可用 Rh阳性血换血 ,换血量至少应 >2 0 0 m l/ kg(为 Rh阴性血的 2倍 ) ,若应用得当 ,是一项安全有效的替代疗法 相似文献
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Yong Li A. John Vartanian Francis J. White Chang-Jiang Xue M. E. Wolf 《Psychopharmacology》1997,134(3):266-276
We examined the effect of 2,3-dihydroxy-6-nitro-7-sulfamoyl-benzo(f)quinoxaline (NBQX), an antagonist of the α-amino-3-hydroxy-5-methyl-4-isoxazole
propionate (AMPA) subtype of glutamate receptor, on the development and expression of behavioral sensitization to amphetamine
and cocaine in rats. A single injection of NBQX (12.5 mg/kg) administered 30 min prior to cocaine during the induction phase
(days 1–5) prevented the development of cocaine sensitization, assessed by responsiveness to cocaine challenge on day 8. This
NBQX regimen did not affect development of amphetamine sensitization. Two pretreatment injections of NBQX, one 20 min before
and one 70 min after amphetamine on each day of the induction phase (days 1–6), did not affect sensitization of stereotypy
but prevented sensitization of post-stereotypy ambulatory hyperactivity (both assessed by responsiveness to amphetamine challenge
on day 8). The effect of NBQX on ambulatory sensitization was dose-dependent (attenuation with 12.5 mg/kg, complete prevention
with 25 mg/kg). In contrast to its effects on development, NBQX (25 mg/kg) did not prevent expression of sensitization to
cocaine or amphetamine. NBQX itself exerted no significant effects on locomotor activity in either drug-naive rats or rats
that had received either NBQX or amphetamine repeatedly. These findings support a requirement for AMPA receptor stimulation
in the development of locomotor sensitization to cocaine and amphetamine, but suggest a different mechanism for sensitization
of amphetamine stereotypy.
Received: 14 January 1997 / Final version: 24 June 1997 相似文献