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Dr. Rainer Braunschweig Oliver Schilling Wolfgang Wawro Martin Herrmann 《Trauma und Berufskrankheit》2003,5(2):156-162
Projection radiographic techniques have been used in a standardized manner for decades for the diagnosis of conditions of the foot and ankle; the indications for them and the pattern of findings useful in the initial diagnosis and monitoring of the course are generally known to clinical radiology staff. Computed tomography has been introduced as an extension of the basic procedures performed for diagnosis in the ankle and the hindfoot. In the case of complex fractures, however, specialist experience is essential. CT is an easily accessible investigative procedure and is meanwhile economical and very powerful. Magnetic resonance imaging supplements the range of investigations in special cases when there are particular problems. Microfractures, findings indicative of inflammation and/or dystrophy and, in particular questions concerning the musculoligamentous support system are the situations in which such investigations are needed. Ultrasound has an additive value vis-à-vis magnetic resonance imaging and is an easily accessible and highly effective examination procedure both for the primary diagnosis and for serial monitoring. Financial constraints in the healthcare sector are increasingly limiting purely medical indications. Regardless of this development, the retention of projection radiography, computer tomography, and magnetic resonance imaging must be demanded for the initial diagnosis in the care of foot and ankle injuries. The earliest possible implementation of all these techniques for the initial diagnosis is the first step towards effective treatment. Cafrefully chosen and, if appropriate, complementary strategies are needed for monitoring of the course and for assessment. 相似文献
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Foropenseverewoundandthewoundafterdebridement,mostscholarsthinkthewoundshouldbeclosedindelayedfirst-phase.Meshrelaxingshortincision(MRSI)methodcanclosemoreskindeficiencyandhightensionopenwound,andavoidsubcutaneoushematomaandskinflapdrift.Intheexperiment,theexperimentalmodelonrattensionskinflaphasbeeninvolved,andthecontentofendothelin(ET)inratskinflaptissuehasbeenmeasuredinvariousperiodofwoundhealingaftermeshedrelaxingshortincisionsuturewithimmunohistochemistry,inordertodiscussprobablemechani… 相似文献
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R波相关振动法血压测量 总被引:1,自引:0,他引:1
为了提高振地血压测量的准确性,提出了一咱基于心电R波与血压振动波之间相关性,识别振动信号的一种抗干扰方法=-R波相关法,结合振动波形特征识别,该方法可有效地提取信号,消除干扰影响,该算法已在16位8098单片机上实现,本文同时给出了程序的详细流程图。 相似文献
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The Na+–Ca2+ exchange (NCX) system plays a pivotal role in regulating intracellular Ca2+ concentration in cardiomyocytes, neuronal cells, kidney and a variety of other cells. It performs a particularly important function in regulating cardiac contractility and electrical activity. One of the leading NCX inhibitors is KB‐R9743 (KBR) that appears to exhibit selectivity for Ca2+‐influx‐mode NCX activity (reverse mode of NCX). In this article we reviewed pharmacology of KBR and provide a brief summary of studies with other NCX inhibitors, such as SEA0400 (SEA) and SN‐6 (SN). Potential clinical usefulness of KBR and other NCX inhibitors is still controversial but the reviewed findings may be helpful in designing more selective and clinically useful NCX inhibitors for the treatment of cardiac, neuronal and kidney diseases. 相似文献
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Shuu-Jiun Wang Kwong-Kum Liao Hung-Hsiang Liou Shei-Shee Lee Ching-Piao Tsai Kon-Ping Lin Ko-Pei Kao Zin-An Wu 《Muscle & nerve》1994,17(4):411-418
Sympathetic skin response (SSR) and R–R interval variation (RRIV) were studied in 36 chronic, nondiabetic uremics to compare with their nerve conduction studies (NCS) and clinical dysautonomia. Abnormal SSR was noted in 5 (13.9%) patients, abnormal RRIV in 14 (38.9%), and abnormal NCS in 26 (72.2%). The patients were classified into three groups: group (GP) 1: “normal,” n = 21 (58.3%), normal RRIV and SSR; GP 2: “isolated parasympathetic dysfunction,” n = 10 (27.8%), abnormal RRIV and normal SSR; and GP 3: “sympathetic sudomotor dysfunction,” n = 5 (13.9%), abnormal SSR. A significant difference in age was found among the three groups (GP 3 > GP 2 > GP 1; P < 0.0001, ANOVA). After controlling the age factor, we still noted a tendency toward increasing NCS disturbances (distal latency and nerve conduction velocity of peroneal nerve; P < 0.05, multiple regression analysis) and frequencies of clinical autonomic symptoms (postural dizziness and impotence; P < 0.05, Mantel–Hanszel test) from GP 1 to GP 3. Patients with abnormal SSR (GP 3) displayed significantly higher frequencies of postural dizziness and impotence, indicating the relationship between an absence of SSR and clinical dysautonomia. © 1994 John Wiley & Sons, Inc. 相似文献
20.
P物质及其受体在慢性胰腺炎组织的表达和临床意义 总被引:3,自引:1,他引:2
目的 了解P物质及其受体NK-1R在正常胰腺和慢性胰腺炎中的表达,探讨它们与慢性胰腺炎时疼痛发生的关系。方法 25个慢性胰腺炎标本取自慢性胰腺炎手术,男性18例,女性7例,正常胰腺组织取自20个器官捐献者,男性11例,女性9例。应用实时定量逆转录整合酶链反应(RT-PCR)技术,检测正常胰腺和慢性胰腺炎组织中P物质和NK-1R的mRNA水平,应用Western blot技术检测NK-1R的蛋白水平,应用免疫组织化学方法进行NK-1R的组织学定位。将P物质及其受体NK-1R mRNA水平与疼痛的程度,发作频率和病程进行分析,寻找其中的相关性。结果 与正常胰腺相比,慢性胰腺炎组织中P物质和NK-1R mRNA和蛋白都过度表达,NK-1RmRNA水平与疼痛的程度,发作频率和病程明显相关。免疫组化检查显示,NK-1R的表达主要位于胰腺腺泡,胰腺导管,神经纤维和炎性细胞。结论 慢性胰腺炎组织中P物质和NK-1R的表达水平都明显上调,扰乱了神经激肽的作用环节,NK-1R的过度表达与疼痛发生有关。 相似文献