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51.
A 49-year-old man presented with episodic hypothermia many years after sustaining a contusional brain injury. Brain magnetic resonance imaging demonstrated the destruction of the anterior parts of the corpus callosum without hypothalamic lesions. Nevertheless, delayed hypothalamic dysfunction at the neurotransmitter level is the probable pathophysiological key factor. Clomipramine treatment was beneficial. This case expands the spectrum of Shapiro's syndrome. 相似文献
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K. L. Chan 《Hernia》2007,11(1):37-40
Background Open repair of recurrent paediatric inguinal hernias (IH) is difficult and there is definite risk of damaging the vas deferens
and testicular vessels during dissection of the previous open herniotomy field. Laparoscopic repair (LR) has the benefit of
avoiding the previous operative site.
Method Records of patients with recurrent IH that had LR after open repair were reviewed and evaluated retrospectively. The results
were compared with data from cases in which the LR method was used in the initial IH repair.
Results From September 2002 to October 2005, four boys and one girl (mean age 58.8 months) were treated in our institution for recurrent
IH after open repair. Operative time, success rate and complications did not show any statistically significant difference
when compared with our previous prospectively collected data for primary repairs.
Conclusion Laparoscopic repair is the preferred operation for recurrent childhood IH after open repair. 相似文献
55.
为了探索单疱病毒性角膜炎的发病机制和快速诊断HSK。方法应用多聚酶链反应对感染的HSK的20只纯新西兰白兔和60例HSK患者的角膜进行了单疱病毒-1-DNA检测。结果急性感染期的5只兔角膜和12只人角膜均阳性;用稳定期45d的兔角供体行部分穿透性角膜移植术,术后50d10只兔角膜中7只阳性,稳定期6个月-6年的18只人角膜片,12只阳性;30例临床可疑HSK角膜刮取物,26例阳性;5只未感染HSK 相似文献
56.
Abstract Periodontal diseases may be the first clinical sign of human immunodeficiency virus (HIV)-infection. Since the immunosuppression and subsequent susceptibility may alter the responses of the oral tissues as well as the microflora, both periodontal treatment and result of therapy may be modified. The periodontal diseases in HIV-seropositive patients include common as well as less conventional forms of gingivitis and periodontitis, and bacteria, mycotic and viral infections are seen. Neoplasias may also involve the periodontium; most common are Kaposi's sarcoma and non-Hodgkin's lymphoma. Recent studies of unselected groups of patients indicate that periodontal health in at least some groups of HIV-seropositive patients is better than previously reported. 相似文献
57.
Wolfgang H Oertel Tobias W?chter Niall P Quinn Gudrun Ulm Dirk Brandst?dter 《Movement disorders》2003,18(4):430-432
According to the consensus statement on the diagnosis of multiple system atrophy (MSA), erectile dysfunction is required for male patients to fulfil the urinary incontinence criterion. However, there is no equivalent item for female patients. We questioned 19 female patients with MSA of the parkinsonian type (MSA-P), 28 female patients with Parkinson's disease (PD), and 27 healthy controls on their genital sensitivity. A total of 47% of the MSA patients but only 4% of the PD patients and 4% of the control group admitted to reduced genital sensitivity, a highly significant difference (P < 0.001). Moreover, the appearance of reduced genital sensitivity in female MSA patients showed a close temporal relation to the onset of the disease. If these preliminary results can be confirmed and further specified in a larger sample, a historical item of reduced genital sensitivity in female patients might become a diagnostic feature for MSA, comparable to erectile dysfunction in male patients. 相似文献
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目的 :观察丝裂霉素C(MMC)在抗青光眼手术中应用的近期及远期效果。方法 :4 2只复发性青光眼在二次手术中一次性应用MMC术后观察及随访。结果 :术前眼压 34.0 5± 4 .0 5mmHg ,明显高于随访半年期 13.13± 3.30mmHg以及随访 2年期 14 .33± 3.30mmHg ,差异有显著性 (P <0 .0 1)。术后近期眼压 6 .75± 1.4 3mmHg ,明显低于随访半年期 (P <0 .0 1)。功能性滤过泡所占比率为 95 .2 %。结论 :术中一次性应用MMC ,远期观察其降压效果明显 ,且无严重并发症发生 相似文献