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Glucocorticoid effects on kainic acid-induced motor seizures and wet dog shakes in rats were investigated by adrenalectomy and dexamethasone treatment. One-day adrenalectomy attenuated kainic acid-induced wet dog shakes and seizure activity. These effects were restored by dexamethasone. Administration of dexamethasone to non-adrenalectomized rats potentiated kainic acid-induced wet dog shakes and severity of seizure activity. These results suggest that glucocorticoids may play an important role in modulating the severity of kainic acid-induced seizures and wet dog shakes. 相似文献
3.
Urvashi Razdan R. M. Raizada V. N. Chaturvedi 《Indian journal of otolaryngology and head and neck surgery》2004,56(1):20-22
Objective To assess the efficacy of conservative modalities in the management of epistaxis.
Study design Prospective case studies.
Setting Rural medical college hospital.
Patients Indoor and outdoor patients with epistaxis.
lntervention Conservative(non surgical) management techniques in epistaxis.
Results Chemical cauterization was successful in 72.07% cases, anterior nasal packing in 84.5% and posterior nasal packing in 95.6%
cases.
Conclusion Out of 300 cases of epistaxis included in the study (except for one case that required internal maxillary artery ligation).
all cases were treated successfully with conservative treatment alongwith treating the underlying pathology causing epistaxis. 相似文献
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5.
Masashi Watanabe Haruhiro Nakazaki Natsuki Tokura Wataru Takita Kazuo Kobayashi 《Journal of hepato-biliary-pancreatic sciences》2004,11(6):422-425
Hemosuccus pancreaticus (HP) is a rare cause of gastrointestinal bleeding, usually due to rupture of a visceral artery aneurysm in chronic pancreatitis. Other causes of HP are rare. We present a case of HP which occurred in a patient with chronic calcifying pancreatitis and a pancreatic pseudocyst documented by ultrasonography and computed tomography. With detectable fresh blood in the descending duodenum, an aneurysm in the pancreatic head was revealed by superior mesenteric angiography as the suspected origin of intermittent bleeding from the pancreatic duct. Because an artery feeding the pseudocyst could not be identified, angiographic embolization was not possible. Surgical resection or ligation was difficult by laparotomy; therefore, intraoperative packing of the pseudocyst with absorbable gelatin sponges was achieved via a cannula through a directly punctured site in the pseudocyst wall. The patient has been followed for 4.25 years with no further episodes of HP. It is possible that the packing of a pancreatic pseudocyst with gelatin sponges is a method that can be used in similar cases, where control of hemostasis is the primary concern. The packing of a pancreatic pseudocyst with gelatin sponges is a technique that can be performed not only via laparotomy but also via laparoscopy or concomitant angiography and ultrasonography. 相似文献
6.
In order to determine whether patients having pharyngeal packing experience more or less post-operative throat pain when tampons were used, 80 patients were randomized into two groups to receive either gauze or tampon pharyngeal packing. A third control group of 40 patients were intubated but did not have any throat packs. Post-operative throat pain was subjectively rated at both 6 hours and at 24 hours by an independent observer. Thirty-eight per cent of patients had moderate or severe throat pain in the gauze group, whilst in the tampon and control groups these amounted to only 15% and 1% respectively. A significantly higher proportion of patients also had a moderate or severe sore throat at 24 hours in the former group. Intubation alone resulted in a sore throat post-operatively in 50% of patients, but 85% of those had a mild sore throat only. No differences in pain ratings in any group could be shown between men or women or between age groupings. Endotracheal intubation often causes post-operative throat pain which is exacerbated by the use of pharyngeal packing. The results presented suggest that tampons are a safe, effective alternative to gauze and result in less severe post-operative throat pain. 相似文献
7.
Hans Oberleithner Barbara Schuricht Stefan Wünsch Stefan Schneider Bernd Püschel 《Pflügers Archiv : European journal of physiology》1993,423(1-2):88-96
Condensation of chromatin depends upon the ion composition in the cell nucleus. We tested in isolated nuclei of Madin-Darby canine kidney cells the influence of various ions on nuclear volume (i. e. DNA packing) and intranuclear voltage. After isolation, nuclei were superfused with cytosolic solutions in which Na+, K+, Ca2+ and H+ ions were varied. With video-imaging and microelectrode techniques nuclear volume and intranuclear potential were measured in response to the various ions. In control cytosolic solution, isolated nuclei exhibited an intranuclear electrical potential of –6.5±0.5 mV (relative to a reference electrode in the cytosolic solution) corresponding to a nuclear volume of 250±10 fl (n=104). Changing the Na+, K+ or free Ca2+ concentration in the superfusate in the physiological range resulted in minor changes of volume and intranuclear potential whereas pH altered both parameters dramatically. Nuclear swelling and intranuclear negative voltage increased with alkalinization and decreased when pH was reduced. An intact nuclear envelope was found to be no prerequisite for maintaining intranuclear negativity, indicating that the composition and functional state of nuclear chromatin rather than specific ion permeabilities of the nuclear envelope determine nuclear electrical potential. We present a model that explains nuclear volume and voltage on the basis of interaction between negatively charged DNA and positively charged histones of the nuclear chromatin. 相似文献
8.
剖宫产术中大出血的原因分析与治疗 总被引:2,自引:0,他引:2
谭斌 《江苏大学学报(医学版)》2001,11(1):19-21
目的探讨剖宫产术中大出血的原因及治疗.方法回顾性分析39例剖宫产术中出血≥1000ml作为研究组,出血<1 000ml,且>500ml者作为对照组1,出血≤500ml者600例作为对照组2.结果研究组中出血首位原因主要为前置胎盘和低置胎盘,占53.85%(21/39),显著高于对照组1中的10.67%(27/253),P<0.01.在药物控制出血失败后,11例子宫动脉结扎中8例治疗成功、29例宫腔填塞纱条中28例治疗成功,得以保留子宫,2例行子宫切除术.结论前置胎盘和低置胎盘是剖宫产术中大出血的主要原因,宫腔填塞纱条治疗剖宫产术中大出血有良好效果. 相似文献
9.
《Surgery (Oxford)》2021,39(9):577-590
Epistaxis is a common problem that can affect the whole population. The majority of cases are self-limiting and do not require any medical intervention, but epistaxis can be associated with morbidity and even death in very rare circumstances. If epistaxis does not resolve with first aid measures, or episodes are frequent, patients may require specialist assessment and treatment by ENT, either in the outpatient clinic or via an unscheduled (emergency) admission to the hospital. Here, we provide an overview of the management of epistaxis in the outpatient setting and during an emergency admission in both paediatric and adult patients. We highlight the key considerations in the history and management, covering the common and rare conditions that are associated with epistaxis. This article provides an update from our previous article published in 2018 to include the more recent literature and a useful learning resource for examinations. 相似文献
10.
目前临床检验中的固相化学法主要是多层膜法(Multiple Layer-Film),它集当代化学、光学、酶学、化学计量和计算机技术于一体,并已作为定量分析法达到常规湿化学法的测定水平。由于其具有准确度高、精密度高;标本量少;不需配制试剂操作简便、快速,可随时随地进行.无废液产生等优点,更适用于实验动物特别是小动物的体内生化成份测定。本项研究目的在于应用囿相化学法的优点以新西兰大耳兔为实验动物模型对兔血清中的ALT、AST、GLU、TB、BUN和Ca^2 进行分析测定,并应用临床化学分析法的选择和评价原理,在重复性实验、稀释实验、回收实验和方法比较实验等方面进行丁固相化学法对实验动物血清中生化成分测定的可行性实验探讨。 相似文献