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971.
One hundred and three patients with hemorrhagic fever with renal syndrome(HFRS) verified clinically were included, B- utrasound (B- us) was done in all the patients.The result showed that B- us had high. sensitivity and specificity in the diagnosis and diffirential dagnosis of HFRS,and it play an important role in assessing the severity and course of HFRS. 相似文献
972.
血液透析和导泻疗法治疗肾综合症出血热急性肾功衰竭之比较 总被引:1,自引:0,他引:1
目的探讨血液透析(血透)和导泻疗法治疗肾综合症出血热(HFRS)急性肾功衰竭疗效比较。方法血透组52例,用碳酸透析液、小剂量肝素化,平均透析380次。导泻组56例,用甘露醇、大黄、芒硝口服导泻,一日两次。结果对照两组BUN、Cr、尿常规恢复正常日数,血液组明显少于导泻组。P<0.01。结论对HFRS-ARF患者应及早实施血透。 相似文献
973.
参仙升脉液十二指肠给药对兔病窦模型作用的实验观察 总被引:4,自引:0,他引:4
用日本大耳白兔40只,随机分为模型组,参仙升脉液大、中、小3个剂量组和心宝组。用20%甲醛液外敷窦房结区制作病态窦房结综合征(病窦)模型,观察参仙升脉液十二指肠给药对家兔病窦模型的心率和窦房结电生理指标的变化。结果表明参仙升脉液可以明显提高窦性心率,明显缩短窦房结传导时间(SACT)及窦房结恢复时间(SART),且大剂量组较心宝组效果显著。 相似文献
974.
975.
采用单导管射频消融法治疗12 例预激综合征( W P W) 。12 例中8 例有反复快速性房颤史,3 例须用同步直流电复律,1 例伴有晕厥。旁路分别为左侧8 条,右后间隔2 条,右后侧及右前间隔各1 条,右侧者有1 例并存1 条左侧隐匿旁路。全部旁路一次消融成功。术中未诱发房颤。随访5 ~17 月未见复发。 相似文献
976.
黄建安 《苏州大学学报(自然科学版)》1999,19(6):653
应用小潮气量通气致容许性高碳酸血症方法对11例急性呼吸窘迫综合征(ARDS)进行临床观察。设定潮气量为6.4±1.1ml/kg,保持动脉血二氧化碳(PaCQ2)为5.97±1.41kPa,血氧分压8.54±3.19kPa。结果7例存活,未发现气压伤。说明小潮气量通气致一定程度高碳酸血症是临床上值得推荐使用的方法。 相似文献
977.
The long QT syndrome (LQTS) is associated with syncopal attacks or even sudden death at a young age due to ventricular fibrillation. We report a patient with an undiagnosed LQTS who had an episode of cardiac arrest during the final part of general anesthesia, immediately after the drugs for reversal of the neuromuscular blockade were given. We suggest that the administration of glycopyrronium might have been the provoking factor in this patient. 相似文献
978.
CT and MRI in one case of Cryptococcus neoformans infection showed contrast-enhancing parenchymal lesions resembling granulomata or abscesses. After an initial phase without
contrast enhancement, the full extent of the lesions was visible within 2 weeks of presentation. The enhancing masses were
assumed to represent intracerebral cryptococcomas. Despite evidence of massive meningeal infection on cerebrospinal fluid
(CSF) examination, no radiological signs of meningitis, invasion of the Virchow-Robin spaces or ventriculitis could be demonstrated.
With antimycotic treatment the contrast enhancement disappeared and cystic, partly calcified lesions remained. Recurrence
of meningeal infection without radiological correlates was apparent in this stage. In a second case of proven cryptococcus
meningitis, dilation of Virchow-Robin spaces or cysts in the adjacent parenchyma were the main abnormalities on MRI. Enhancing
masses were not detected. These cases may represent two different reactions of the immunocompromised hosts to infection with
C. neoformans: widening of the perivascular spaces as a correlate of the more typical meningeal infection and enhancing parenchymal lesions
as a sign of further invasion from the CSF spaces. Enhancement of cryptococcomas, indicating an inflammatory response in the
surrounding brain, is not typical in patients with impairment of immune function.
Received: 11 March 1998 Accepted: 19 June 1998 相似文献
979.
High-frequency ultrasound (US) is an efficient, rapid and inexpensive altenative to magnetic resonance imaging (MRI) for investigation
of diseases in the soft tissues of the wrist and hand. US allows detection of foreign bodies and the reliable identification
of a variety of traumatic lesions affecting tendons, annular pulleys, ligaments, vessels and nerves. Inflammatory diseases
of tendons, including acute and chronic tenosynovitis and some degenerative conditions in the wrist and hand, can also be
diagnosed. In entrapment neuropathies, US is able to identify nerve shape changes and possible extrinsic space-occupying lesions
that may cause nerve compression within the tunnels. In patients with localized swelling of the hand or wrist, US is able
to assess the presence of an expansile lesion and to characterize its nature in most cases. The objective of this article
is to review the main findings and the primary indications of US in the investigation of disorders of the hand and wrist.
Received: 10 September 1998 Accepted: 24 November 1998 相似文献
980.
Saïd MH Layani MP Colon S Faraj G Glastre C Cochat P 《Pediatric nephrology (Berlin, Germany)》1999,13(1):39-44
Mycoplasma pneumoniae infection is a rare cause of acute nephritis. Six children (2 girls) aged 5–10 years, admitted for nephritis, had serological
tests showing recent Mycoplasma pneumoniae infection. The diagnosis of Mycoplasma pneumoniae infection was based on the presence of serum IgM, detected either by immunofluorescence (IF) (n=1) or enzyme-linked immunosorbent assay (n=5). Four children had a renal biospy, with analysis of parenchymal Mycoplasma pneumoniae components by indirect IF and polymerase chain reaction. Extrarenal symptoms were: respiratory (n=3), ear, nose, and throat (n=2), gastrointestinal (n=3), hepatic (n=1), neurological (n=1), articular (n=1), and hematological (n=3). The patients presented with acute nephritis (1 had a nephrotic syndrome) or with acute renal failure and proteinuria.
Pathological findings included type 1 membranoproliferative glomerulonephritis (MPGN, n=1), proliferative endocapillary glomerulonephritis (n=2), and minimal change disease (n=1). The patient with type 1 MPGN progressed rapidly towards end-stage renal failure because of a congenital solitary kidney.
Among the patients with endocapillary glomerulonephritis, 1 relapsed 6 months later and remained proteinuric, while the other
recovered, as did the child with minimal change disease. The search for Mycoplasma pneumoniae antigens and nucleic acids in renal tissue was negative. However, the absence of the microorganism in the kidney is a common
feature of post-streptococcal glomerulonephritis. We conclude that Mycoplasma pneumoniae is a rare yet potential cause of acute glomerulonephritis.
Received: 13 September 1996 / Revised: 16 June 1998 / Accepted: 18 June 1998 相似文献