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41.
Pratipal Singh Vivek Vijjan Manu Gupta Deepak Dubey Aneesh Srivastava 《International journal of urology》2007,14(6):558-560
Congenital thoracic ectopic kidney is a very rare developmental anomaly and the rarest form of all ectopic kidneys. It is usually asymptomatic and discovered incidentally on routine chest radiography. Herein we reported the first case of staghorn stone in a thoracic kidney managed successfully by percutaneous nephrolithotomy. 相似文献
42.
The calculation of the extent of the ring scotoma around positive lenses, as conventionally taught to students of clinical optics, indicates that the scotoma is of a significant size. Using knife-edge lenses this study shows that the calculations are invalid due to the finite size of the eye's entrance pupil and in many instances the scotoma is shown not to exist. The effect noticed in clinical practice is probably largely due to the frame and the edging techniques used which add to the refractive scotoma which is present with high powered lenses, large apertures and/or small pupil sizes. 相似文献
43.
44.
P. D. Tsitsopoulos C. A. Tsonidis K. A. Nanasis K. D. Tsoleka G. N. Tavridis 《Acta neurochirurgica》1995,135(3-4):198-200
Summary This report deals with a case of rhabdomyosarcoma in the upper thoracic spine. It is of particular interest, not only for the rarity of type and location of this tumour, but for its clinical course, which presented fluctuations of neurological status, included an acute demonstration of complete paraplegia followed by full recovery after conservative treatment, and gradual relapsing of neurological deficit, one year later. 相似文献
45.
Diagnosis and treatment of thoracic outlet syndrome 总被引:2,自引:0,他引:2
Masataka Abe Tadashi Shimamura Jun Nishida Katsuaki Ichinohe 《Journal of orthopaedic science》1997,2(2):119-127
Patients who develop symptoms of thoracic outlet syndrome (TOS) have a predisposing anatomic abnormality. In most patients
with TOS, the symptoms are caused by entrapment of the brachial plexus and they do not arise from compression of the subclavian
artery, as was previously thought. The tests advocated for diagnosing this common syndrome (i.e., evaluating the positional
compression of the artery when the arms are raised, the neck is turned, or the shoulders are braced) cannot accurately diagnose
this syndrome. There are two reasons for this. The symptoms of TOS are not related to the compression of the artery in the
outlet in 98% of patients, and 75% of normal individuals without symptoms show diminished radial pulse on various provocation
tests. We employed four timed provocation tests (minute tests) to diagnose TOS: the timed Morley test, timed Wright test,
timed Eden test, and elevated arm stress exercise, all of which are very sensitive. In normal individuals without symptoms,
20% experience transitional symptoms such as slight pain and tiredness, on these tests indicating a subclinical state. TOS
is treated by keeping the thoracic outlet wide, this being done either conservatively or surgically. In 1993 and 1994, we
conservatively treated 418 of 422 patients with TOS by means of active exercise, a brace, and by block therapy. These measures
did not reduce the symptoms in 23 of these patients, so surgical treatment was indicated. In the remaining 4 of the 422 patients,
conservative treatment was not indicated and surgery was performed directly. All the patients showed significant clinical
improvement of varying degree.
Presented at the 69th Annual Meeting of the Japanese Orthopaedic Association, Tokyo, April 12, 1996 相似文献
46.
应用同种动脉治疗主动脉根部病变 总被引:4,自引:0,他引:4
报告5例采用同种动脉(HAV)治疗5例主动脉根部病变(主动脉瓣狭窄1例,关闭不全4例)。男3例,女2例;年龄13~47岁。病因为细菌性心内膜炎2例(包括先天主动脉瓣二瓣化畸型1例),Marfan综合征2例,风湿性主动脉瓣关闭不全1例。术中采用同种主动脉全根置换3例(Bentall手术),其中1例用HAV上的二尖瓣前叶加宽主动脉瓣环(Manouguian手术),余2例用自体肺动脉移置主动脉根部,另取同种肺动脉做原位移置(Ross手术)。结果死亡1冽,4例存活,且无并发症发生。术后超声心动图提示主动脉根部良好,无主动脉瓣反流。随访2.5~3.5年疗效满意。 相似文献
47.
复合带瓣人工血管替换升主动脉和主动脉瓣(24例报告) 总被引:1,自引:0,他引:1
报告24例升主动脉瘤伴主动脉瓣关闭不全行升主动脉和主动脉瓣替换及冠状动脉开口移植术(Bental术22例,底盘法2例)。13例伴有升主动脉夹层分离,对其中8例DeBakeyI型者,以Teflon毡条内外加固主动脉切端后吻合。13例用人工血管周围间隙与右心耳吻合以控制升主动脉吻合之外的出血。3例以人工血管片环包主动脉吻合口控制局部广泛渗血及出血。2例术毕不能脱离体外循环死亡,手术死亡率83%。随访平均218个月,2例死于蛛网膜下腔出血,1例右股动脉栓塞经手术治愈;其余病人康复良好,心功能(NYHA)I~II级。 相似文献
48.
利多氟嗪加强间断缺血心停搏心肌的保护作用 总被引:1,自引:1,他引:0
通过对16条犬常温下用利多氟嗪(lidoflazine)预处理加强间断主动脉阻断心停搏心肌保护作用的实验研究。16条犬随机分为对照组和实验组。结果发现,实验组心脏血流动力学的恢复要明显优于对照组。二组间心肌组织ATP、腺苷和肌苷以及冠脉回流液中CPK、CPK-MB、LDH、SOD和MDA值均有显著性差异(P>0.05)。作者认为,冠脉搭桥术中采用间断缺血心停搏时加用利多氟嗪有利于保存心肌能量,减轻心肌再灌注损伤和术后迅即恢复心脏功能。 相似文献
49.
Tsutomu Ogata Peter Goodfellow Christine Petit Pierre Maroteaux Nobutake Matsuo 《American journal of medical genetics. Part A》1993,45(1):101-104
This is a follow-up report on a male patient with a 46, Y, r(X) karyotype. Although he had no clinico-radiological features of X-linked recessive chondrodysplasia punctata (CDPX1), molecular studies revealed an Xp terminal deletion involving the putative region for the CDPX1 locus (PABX-DXS31). We suspect that the absence of CDPX1 may be attributable to the nature of the disease and the extreme short stature of the patient (mean – 5.6 S.D.). © 1993 Wiley-Liss, Inc. 相似文献
50.
Jack C. Kim 《Archives of pharmacal research》1994,17(3):204-206
A regioselective preparation of 10-methoxy-11-hydroxyaporphine (“Apocodeine,1b”) from (R,S)-10, 11-dihydroxyaporphine(apomorphine,1a) is described. The isopropylidene ketal ring of 10,11-(isopropylidenyldioxy) aporphine (2) obtained by the isopropylidenation of apomorphine, was regioselectively opened by the ten equivalent of trimethylaluminum
to give 10-hydroxy-11-t-butyloxyaporphine (3). The free 10-hydroxyl position of 3 was methylated with methyl p-toluenesulfonate/NaH, and afforded 10-methoxy-11-t-butyloxyaporphine
(4) in high yield. Selective debutylation gave the desired 10-methoxy-11-hydroxyaporphine (“apocodeine”,1b) in good yield. 相似文献