中老年甲亢12例误诊分析

目的：探讨中老年甲亢容易误诊的各种因素。方法：对１２例中老年甲亢病例的发病年龄、首发症状、体征、实验室及辅助检查以及误诊疾病的种类进行了统计分析。结果：该组病例均因首发临床症状表现单一，缺乏特异性而误诊。被误诊的疾病涉及多个系统，误诊时间在２个月至３年之间。结论：对首发症状单一的中老年甲亢患者应详尽地搜集病人的资料，深入了解病史，细致观察症状，全面体格检查，进行综合分析以减少和避免误诊。

Clinical Application of Stereotactic Surgery

Objective: To evaluate the methods and the effection of stereotactic surgery on treatment,we have reported cases including Parkinson's disease, epilepsy, cancerous pain, chronic psychosis and intracranial metal exotic body. Methods: We laid waste certain groups of nerve nuclei for above diseases by using multifunctional stereotactic device. Results: Of 182 operations in 166 patients with Parkinson's disease the curative cases were 13, the marked effective cases were 145, the effective cases were 11, the ineffective cases were 12, the died case was 1 and the effective rate was 92.7%. In 18 patients with epilepsy the marked effective cases, the effective cases,the ineffective cases and the effective rate were 11,4,3 and 83.0% respectively. All 5 patients with cancerous pain were marked effective In 3 patients with psychosis 2 cass were marked effective and 1 case was effective. Two patients with intracranial exotic body were cured. Conclusion: Stereotactic surgery for above diseases showed satisfactory or well efficacy and the total effective rate was 92.3%. So,in comparison with conventional open surgery stereotactic advantage was simpler and safer.