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AIMS: To assess the long term morbidity and quality of life in survivors of gastroschisis. DESIGN: All babies born with gastroschisis between 1972 and 1984 and who survived more than one year were identified. Those who could be traced were questioned about their general health, growth, abdominal symptoms, cosmetic concerns, education, employment, and fertility. RESULTS: Of the 35 patients, two have died, seven could not be traced, and three declined to be interviewed. Twenty three subjects (70% of survivors) with a median age of 16 years (range 12-23 years) responded. Twenty two (96%) were in good health and overall growth was within normal limits. Eight subjects (35%) have had further surgery related to gastroschisis, including two for adhesive small bowel obstruction and three for scar complications. In 13 (57%), absence of an umbilicus caused distress during childhood. CONCLUSION: Most gastroschisis survivors can eventually expect normal growth and good health. Adhesive bowel obstruction is an uncommon, but potentially late, complication. The umbilicus should be conserved during gastroschisis repair. 相似文献
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Prevalence of Asherman's syndrome after secondary removal of placental remnants or a repeat curettage for incomplete abortion 总被引:5,自引:1,他引:5
This prospective study assesses the prevalence of intrauterine adhesions
among women undergoing secondary removal of placental remnants after
delivery, or a repeat curettage for incomplete abortions, and evaluates
risk factors associated with the presence of intrauterine adhesions. In 50
women, undergoing either a secondary removal of placental remnants more
than 24 h after delivery, or a repeat curettage for incomplete abortions,
ambulatory hysteroscopy was performed 3 months after the intervention.
Intrauterine adhesions were found in 20 of the women (40%): five patients
had Asherman's syndrome grade I, six had grade II, six had grade III and
three had grade IV. In women with menstrual disorders a statistically
significant 12-fold increased risk for Asherman's syndrome grade II-IV was
found. Previous abortion as well as infection during surgery were
associated with a mildly but non-significant increased risk. Based on our
findings, hysteroscopy is recommended only in those patients who develop
menstrual disorders, either after secondary intervention for placental
remnants after delivery or after a repeat curettage.
相似文献
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可变误差多面体法用于多种维生素的同时测定 总被引:11,自引:0,他引:11
本文基于对多元校正分析模型的简要讨论,探索了应用可变误差多面体法同时测定维生索B1,B2,B6和烟酰胺的可行性。其结果准确度和精密度均较满意。维生素B1,B2,B6及烟酰胺的回收率分别是99.8±0.9%(CV),100.1±0.8%(CV),100.2±2.1%,100.1±0.7%(CV)。结果表明,通过公式KS=ASCST(CSCST)-1计算校正系数矩阵KS,并结合可变误差多面体法这一直接求解方法,能有效地提高分析结果的准确度,克服组分间的交互作用及病态,是多元校正分析的较佳策略之一。 相似文献
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WM HUI J HO BW CHEN C-H CHO FJ BRANICKI SK LAM 《Journal of gastroenterology and hepatology》1997,12(1):7-12
We compared the effects of misoprostol, omeprazole and methylcellulose (control) on gastric mucosal injury induced by nicotine and/or ethanol. The results demonstrate that misoprostol and omeprazole each significantly reduce macroscopic injury and deep injury at a microscopic level (P < 0.05) induced by nicotine alone, ethanol alone or a combination of ethanol and nicotine. Misoprostol and omeprazole each reduced the leakage of fluorescein isothiocyanate-albumin into the interstitium in the gastric mucosa. Misoprostol and omeprazole are each effective in preventing injury induced by nicotine and ethanol and vascular factors are involved. 相似文献
49.
辽西蜂胶中一新的桂皮酸酯成分的分离与鉴定 总被引:1,自引:0,他引:1
A new cinnamate ester drivitive (II) and three flavonoids (I, III, IV) were isolated from Liaoxi propolis. Their chemical structures were established as benzyl caffeate (II), 7-O-methylchrysin (I), genkwanin (III) and rhamnazin (IV) by spectral analysis. II is a new natural compound; I, III and IV were found from the propolis for the first time. 相似文献
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