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971.
舌下腺囊肿口外型临床治疗(附17例分析) 总被引:7,自引:0,他引:7
舌下腺囊肿口外型临床治疗(附17例分析)张伟杰,张志勇,哈 ,胡永杰舌下腺囊肿是口腔颌面外科学中常见疾病之一,而其口外型临床较少见,易引起误诊,造成手术进路的错误,增加病员的痛苦。本文报告我科1990~1995年17例舌下腺囊肿口外型的临床表现,诊断... 相似文献
972.
下体负压作用下心率变异性的线性和非线性动力学分析 总被引:1,自引:1,他引:0
胡志红 《航天医学与医学工程》1998,11(4):235-239
为了评估下体负压作用下心率变异性的变化,本文应用了时域,频域分析和复杂度分析了HRV。受试者为15名健康男性。下体负压作用的强度和时间分别为-2.7kPa,2min;-4.0kPa,3min;-5.3kPa,5min;-6.7kPa,10min。 相似文献
973.
974.
Digital subtraction arthrography in preoperative evaluation of painful total hip arthroplasty 总被引:1,自引:0,他引:1
A. Z. Ginai F. C. van Biezen P. A. M. Kint H. Y. Oei W. C. J. Hop 《Skeletal radiology》1996,25(4):357-363
Objective. The objective of this clinical study was to define the diagnostic value of plain radiography, digital subtraction arthrography
and two-phase bone scintigraphy in patients with clinically loose or infected hip prostheses. Design. Digital subtraction arthrograms, scintigrams and plain radiographs of 70 consecutive patients who underwent revision hip arthroplasty
were scored individually and in masked fashion for the presence or absence of features indicating loosening of femoral and/or
acetabular components. The operative findings acted as the gold standard. Results. Digital subtraction arthrography was best (P<0.001) for predicting a loose acetabular component, while no significant additional predictive value was found for plain
radiographs (P=0.24) and scintigraphy (P=0.27). Digital subtraction arthrography was also the most important modality for predicting a loose femoral component (P=0.001), while the plain radiograph was of significant (P=0.04) additional value and scintigraphy was of no additional value (P=0.13) on multivariate analysis. Conclusion. Digital subtraction arthrography gives the best results in the prediction of loosening of acetabular and femoral components.
Plain radiographs give additional information on loosening of the femoral component, but scintigraphy offers no additional
advantage. 相似文献
975.
M. Z. Ansari A. J. Costello D. J. Jolley M. J. Ackland N. Carson I. G. Mc donald 《ANZ journal of surgery》1998,68(12):830-836
Background : A retrospective analysis of data from the Victorian Inpatient Minimum Database (VIMD) was conducted to analyse trends in prostatectomy rates in Victorian public acute-care hospitals from 1989/90 to 1994/95. The study also sought to identify predictors of adverse events (AE) after prostatectomy, and to compare in-hospital complications between open prostatectomy and transurethral resection of prostate (TURP). Methods : All patients who had undergone any prostatectomy were identified according to the relevant ICD-9-CM procedure codes (60.2–60.4) documented in the VIMD. The main outcome measures, AE, were identified using the ICD-9-CM supplementary classification of external cause of injury (E850–858, E870–876, E878–879, E930–949). The variables used as predictors were year of prostatectomy, type of admission (planned, emergency), location of the hospital (rural, metropolitan), type of procedure (TURP, open), and teaching status of the hospital. Crude and adjusted odds ratios (OR) were based on univariate and multivariate logistic regression. Results : The rates of prostatectomies have significantly increased over the 6-year study period (P for trend < 0.0001). The percentage of AE after prostatectomy increased simultaneously from 6.1 to 12.9% (P < 0.0001). During the same period, the in-hospital mortality rate after prostatectomy decreased from 1.2 to 0.5%, and length of stay decreased from 10.3 to 6.1 days (Kruskal–Wallis P < 0.0001). The significant predictors of outcome were year of prostatectomy (P for trend < 0.0001), emergency admissions (OR = 1.57; P < 0.0001), metropolitan hospitals (OR = 0.81; P= 0.0003), non-teaching hospitals (OR = 0.78; P < 0.0001), and open prostatectomy (OR = 1.52; P= 0.04). More in-hospital complications were associated with open prostatectomy than with TURP. Conclusions : The rise in AE rate after prostatectomy is unlikely to reflect poor quality of care, because in the same period there was a significant decrease in in-hospital mortality after prostatectomy. A more likely explanation is heightened awareness of AE with a lower threshold for reporting such events. Important factors other than variations in quality of care can result in an increase in AE. Hence the reported increase should be interpreted with caution before attempting to conclude that changes in clinical practice could have a direct impact on these rates. 相似文献
976.
Salvatore J. A. Sclafani M.D. Michael Herskowitz M.D. Susan Rachlin M.D. Stanley Z. Trooskin M.D. 《Emergency radiology》1995,2(6):380-383
Traumatic communications between the hepatic artery or its branches and the portal vein or its tributaries usually are clinically
occult until the late sequelae of portal hypertension, such as esophageal and mesenteric varices, ascites, or congestive heart
failure, become manifest. The authors describe the early diagnosis of such a lesion by computed tomography. The CT findings
included a hepatic hematoma and, more significantly, diffuse thickening of the small and large bowel wall. This thickening
represents vascular congestion of the bowel caused by acute portal hypertension prior to the development of decompressing
portal collateral circuits.
When this CT finding is not associated with other signs of intestinal ischemia or infarction, it should suggest portal hypertension
and lead to arteriography for diagnosis and therapy of arterioportal fistula. 相似文献
977.
978.
E. Faber D. Riegrová M. Jarošová J. Hubácek P. Slezák Z. Pikalová P. Hamal K. Indrák 《Annals of hematology》1996,73(4):195-198
The case report of a 61 year-old man with AML M2 FAB, t(1; 13; 14) and zygomycotic mesenterial thromboangiitis is presented.
Two induction cycles of chemotherapy were administered due to primary drug resistance. They were complicated by pneumonia,
colonic pseudo-obstruction and perforation with peritonitis. The patient died on the 40th day of therapy, 4 days after undergoing
palliative surgery. Zygomycotic thromboangiitis, which very probably contributed to the intestinal perforation, was confirmed
morphologically at necropsy. The novel complex chromosomal translocation t(1; 13; 14) (q31; q32; q24) and the problems connected
with the diagnosis of invasive fungal infections are discussed.
Received: 26 January 1996 / Accepted: 12 June 1996 相似文献
979.
980.