Prolapso genital en una gestante con antecedente de accidente de tráfico y lesión perineal severa

The association between genital prolapse and pregnancy is more common in the second half of pregnancy and is often corrected after childbirth. There are no data on the incidence or prevalence of uterine prolapse from the beginning of pregnancy or on those developing during the course of pregnancy or in the postpartum.     

小剂量盐酸异丙嗪注射液治疗慢性喘息型支气管炎急性发作疗效观察

目的：观察小剂量盐酸异丙嗪注射液结合常规常规抗感染、解痉平喘、止咳化痰治疗慢性喘息型支气管炎急性发作的临床疗效。方法选取45例自2012年1月~2013年6月本院收治的慢性喘息型支气管急性发作的患者，随机分为两组；两组病例的年龄、病程、临床症状、体征及实验室器械检查比较无统计学差异；观察组23例，对照组22例，所有病例均予常规抗感染、解痉平喘、止咳化痰治疗。观察组在对照组基础上每天加肌注小剂量盐酸异丙嗪注射液；7d 1疗程。根据咳嗽、咳痰、喘息情况、肺部啰音及哮鸣音情况；分出疗效院显效、有效、无效。结果疗程结束后观察组总有效率95%，对照组总有效率73%。两组差异有统计学意义(P<0.05)。结论小剂量盐酸异丙嗪注射液结合常规抗感染、解痉平喘、止咳化痰治疗慢性喘息型支气管炎急性发作的疗效确切，且价格低廉，使用方便，无明显不良反应，值得临床推广应用。     

Intervalos de referencia de hormonas tiroideas en mujeres gestantes mediante 2 inmunoanálisis diferentes: la importancia del método por encima de valores únicos universales,en consonancia con las recomendaciones internacionales 2017

Background and objectives

Thyroid dysfunction during pregnancy affects maternal and foetal health, which may influence the child's neurocognitive development. The thyroid physiology changes during pregnancy, requiring reference values (RV) to be established for each population and method. The objectives were to determine these thyroid hormone (TH) RV using 2 immunoassays and to estimate the nutritional status of iodine and the prevalence of thyroid autoimmunity in our population.

Colecistectomía durante la resolución obstétrica,evento simultáneo

The existence of factors that influence the development of bile duct stones has been recognized for many years. These factors include multiparity, the physiology of pregnant women and hormones that contribute to the genesis of the disease.     

Manejo de gestante con cistoplastia de ampliación con sigma

Augmentation cystoplasties with intestinal section are used to treat some urological diseases in patients with low bladder capacity and deficient adaptation (myelomeningocele, lipomeningocele, intradural lipoma, dermoid cyst, sacrum agenesia, traumatic lesions of the spinal cord) in whom conservative measures have failed.     

Leiomioma perineal grande en gestante de 9 semanas

Perineal leiomyoma are rare mesenchymal tumours classified as somatic or retroperitoneal. The retroperitoneal variety are mainly related to women during the peri-menopausal phase. Diagnosis is directed at differentiating them from leiomyosarcomas and gastrointestinal stromal tumours. We report on a case of a 30-year-old and 9-week pregnant woman. She consulted due to a progressive growing mass in the right ischiorrectal fossa coinciding with pregnancy, but with sparse symptoms. Surgery was performed through a perineal access with a complete resection of a 9 cm tumour.     

Embarazo ectópico cervical: a propósito de 3 casos. Revisión de la práctica clínica

Three cases of cervical ectopic pregnancy treated medically are described. The first case with selective uterine artery embolization and methotrexate dose single, the second case with selective uterine artery embolization and methotrexate dose multiple, and the third case intraamniotic puncture and instillation of KCl due to persistent embryonic heartbeat was necesary, before selective uterine artery and methotrexate dose unique. A spontaneous evacuation of the cervical pregnancy occurred in all patients treated conservatively. We postulate that the preventive use of uterine artery embolization in combination with standard MTX treatment could contribute to reduce the risk of excessive bleeding and facilitate spontaneous expulsion. The diagnostic and therapeutic methods are discussed and the literature is reviewed.     

观察比较间隙和持续性光疗治疗新生儿黄疸的效果

目的：观察比较间隙和持续性光疗对新生儿黄疸的治疗效果。方法将98例新生儿黄疸随机分为两组,在常规治疗基础上,实验组49例采用间隙光疗,对照组49例采用持续性光疗,对两组治疗效果进行分析对比。结果同样时间下,实验组治愈率高于对照组,不良反应发生率低于对照组,两者差异有统计学意义(P<0.05)。结论间隙光疗治疗效果优于持续性光疗,间隙光疗治疗时发生不良反应率低于持续性光疗。     

蒸汽清洗机在腔镜器械清洗中的应用与效果

蒸汽清洗机是一种高效,省时,省力,方便的手工辅助清洗设备,特别适合腔镜器械的清洗,腔镜器械清洗是否彻底,是保证灭菌质量和控制医院感染的重要环节,我院消毒供应中心自2013年6月开始使用蒸汽清洗机后,腔镜器械的清洗质量临床疗效在实践中得到了明显的改善和提高。     

颐年降压饮治疗南粤地区早期原发性高血压患者临床疗效及对血管内皮功能的影响

目的:观察颐年降压饮治疗南粤地区早期原发性高血压患者临床疗效及对血管内皮功能的影响。方法:选择早期原发性高血压中医证属痰瘀阻络、肝阳偏亢型病例79例,随机分为治疗组(40例)与对照组(39例),分别给予颐年降压饮和天麻钩藤饮进行连续2个疗程30天的治疗。比较两组的临床疗效、治疗后血压与脉压(PP)的变化,以及血浆内皮素-1(ET-1)和血管假性血友病因子(vWF)的变化。结果:治疗组总有效率优于对照组(P<0.01),治疗后治疗组收缩压、舒张压降低较对照组显著(P<0.01),治疗后治疗组PP、ET-1、vWF均明显低于对照组(P<0.05),治疗前后进行安全性指标检测,均无明显变化(P>0.05)。结论:颐年降压饮可以显著改善早期原发性高血压患者临床证候,具有较好的降低血压的作用,且安全稳定,未发现明显副作用。其具有的缩小PP水平,降低血浆ET-1、vWF浓度,可能与其保护血管内皮功能,进而改善动脉弹性有关。