Case report of a patient with true bulbar palsy following Bentall procedure for aortic sinus aneurysm

<正>INTRODUCTION The medulla oblongata is located at the lowest end of the brainstem.Damage to the ambiguous nucleus at the level of the upper medulla oblongata can lead to swallowing disorders,paralysis of the ipsilateral soft palate,larynx,and epiglottis,hoarseness,and unclear speech,known as true bulbar palsy or medullary paralysis.Difficulty swallowing during the pharyngeal phase is one of its most severe manifestations,which can easily lead to aspiration and aspiration pneumonia^1<...     

心脏瓣膜置换术后发热原因分析及防治策略探讨

目的分析心脏瓣膜置换术后患者发热的原因并探讨其防治策略。方法分析2016年6月至2016年7月90例心脏瓣膜置换术患者的术后资料,根据术后有无发热,将患者分为发热组和无发热组。分析心脏瓣膜置换术患者术后发热的比例,并探讨术后发热的原因。结果90例心脏瓣膜置换术患者中有37例(41.1%)术后出现发热,其中32例为外科手术热;5例为感染性发热。发热组与无发热组手术时间、麻醉后复苏时间、留置导尿管时间、手术并发症比较,差异有统计学意义(P0.05);两组性别、年龄、术后进水时间比较,差异无统计学意义(P0.05)。结论发热是心脏瓣膜置换术后患者常见的症状,多数为外科手术热,术中减少出血和损伤、减少手术并发症、减少手术麻醉时间,术后尽快拔除尿管,发现感染因素并及时干预,对于加快患者恢复、缩短病程具有重要意义。