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Results From 2007 to 2008, a total of 105 suspected Lyme disease patients were subject to the analysis, resulting in 16 positives (15.24%), including 4 out of 44 patients with neurological disorders; 1 out of 5 patients with cardiovascular conditions, 6 out of 25 patients with skin lesions; 1 out of 10 fever patients; 2 out of 14 arthralgia patients; and 2 out of 7 patients with mental disorders.

其中神经系统患者44例,阳性4例;心血管系统患者5例,阳性1例;皮肤病变25例,阳性6例;发热患者10例,阳性1例;关节痛14例,阳性2例;精神障碍疾患7例,阳性2例。16例患者应用抗生素治疗后有效率达87.50%。16例莱姆病患者分布在9个省,确诊病例以黑龙江、吉林、内蒙古地区较多。

Results There was no apparent gender difference among 14 patients. 9 patients were younger than 30 years old. Pathological examination showed that bronchial infiltration of eosinophils in 14 patient (100%), thickened basement membrane of the bronchial mucosa in 12 patients (85.7%), proliferation of smooth muscle cells in 11 patients (78.6%), proliferative mucous gland in 9 patients (64.3%), mucous plug in bronchiole in 8 patients (57.1%), and cicatvization of left ventricle in 10 patients (71.4%).

结果哮喘猝死患者无性别差异,年龄30岁以下者9例(64.3%);病理改变的特点为支气管管壁嗜酸细胞浸润14例(100%),粘膜基底膜增厚12例(85.7%),支气管平滑肌细胞增生11例(78.6%),粘液腺增生、肥大9例(64.3%),细支气管内粘液栓形成8例(57.1%);左心室壁瘢痕形成10例(71.4%),病变主要位于左心室侧壁和心尖部。

A significant residual deficit was present in 29 of 138 patients (21.0%) at the final follow-up and included proptosis in 7 patients, ptosis in 6 patients, ocular motility restriction in 3 patients, diplopia in 2 patients, strabismus in 2 patients, and a combination of the above in 9 patients. CONCLUSIONS: Orbital cysticercosis is a common clinical condition in the developing world.

在最后随访期间,138名患者(21.0%)中的29名出现明显的缺陷后遗症,其中包括7名患者眼球突出,6名患者眼睑下垂,2名患者眼球能动性受限,3名患者斜视,2名患者复视,9名患者出现上述综合缺陷。

Material and Methods:From March,2008 to January,2009,250 patients(146 Males and 104 Females,ranged from 18 to 82 years old,mean age was 48 years old) enrolled in the First Affiliated Hospital of Kunming Medical College were performed dual energy scan(Group A,200 patients) and Neuro-DSA scan(Group B,50 patients) using DSCT.The patients were randomly divided into Group A and Group B.Regarding to the justification of scan protocol,100 patients in Group A were selected as sub-group to explore the scan protocol.The image quality Was analyzed both in four categories(4.0/60、4.5/60、4.0/70、4.5/70) of flow rate and total amount of contrast-enhanced material and in three categories(100—150HU、150—200HU、200-250HU) of CT value of left common carotid artery.The comparison of two scan approach was based on image quality,radiation does, postprocessing methods,time of scanning and subtraction and data storage amount.To validate the diagnostic capability of DE-CTA virtual unenhanced images,100 patients in Group A were undergoing head scan both in routine non-contrast program and DE-CTA virtual unenhanced program.Mean CT values,signal-to-noise ratio,image quality,sensitivity of lesion identification,and radiation does were applied to comparison.According to diagnostic results of dual energy of cerebral arterial angiography,62 patients out of 200 patients in Group A were confirmed with cerebral vessel lesions,the results were complied with DSA findings(the time between the two methods were within 1 week).

材料与方法收集2008年3月到2009年1月间在昆明医学院第一附属医院行DSCT CTA检查者250例(男性146例,女性104例,年龄范围18-82岁,平均48岁),随机分为A、B两组,A组200例行双能量头颅CTA扫描;B组50例行Neuro-DSA扫描。A组前100例按对比剂不同流率和总量分为4组(4.0/60、4.5/60、4.0/70、4.5/70)对图像质量比较;按触发时左颈总动脉内平均CT位分3组(100—150HU、150—200HU、200-250HU),比较图像质量的差异;对A、B两组血管图像质量、辐射剂量、后处理的方法、扫描和后处理时间及数据的容量进行比较分析;A组中前100例行常规与DE-CTA虚拟平扫的平均CT值、信号噪声比、图像质量、病灶显示情况、辐射剂量的比较分析;A组中行DSA检查62例(两种方法间隔时间均1周内),比较两种检查方法诊断结果是否符合,并对其中24例动脉瘤行动脉瘤部位、数目、形态、瘤颈显示程度、瘤颈大小及瘤体长径和短径的比较研究。

The optimal reconstruction windows of patients with stable HR(≤75 bpm and≥91 bpm) were concentrated in 71%,ranged from 65%-80%, and in 41%,ranged from 32%—50%,respectively.The prospectively ECG-gated DSCT coronary angiography can be used in patients with stable HR(≤75 bpm and≥91 bpm) in abstract.②To explore the clinical application of prospectively ECG-gated transverse DSCT coronary angiography.Methods Two hundreds patients[Body mass index:23-25 kg/m~2,122 patients(average HR≤75 bpm),78 patients(average HR≥91 bpm)]with suspected or known coronary artery disease underwent prospectively ECG-gated transverse DSCT coronary angiography,among them,30 patients underwent selectively coronary angiography,grouping them into 2 groups according to the average HR of scanning.Group A(17 cases,HR≤75 bpm),group B(13 cases, HR≥91 bpm),the DSCTA results were compared with SCAG.Then,calculate the accuracy of patients in each group and evaluate the agreement of accuracy between DSCTCA and SCAG by Kappa statistics.

方法回顾性分析200例行适应性前瞻性心电门控双源CT冠状动脉血管成像的患者(排除扫描过程中,屏气配合差,出现心律不齐的患者及行支架置入或搭桥术后复查的患者),包括屏气时平均HR≤75 bpm患者122例,HR≥91 bpm患者78例;其中30例同期行选择性冠状动脉血管造影,按屏气时HR将其分为2组,A组17例:HR≤75 bpm,B组13例:HR≥91 bpm,分别与金标准SCAG对照,计算2组患者的阳性诊断准确率,应用SPSS 13.0统计学软件,利用Kappa检验比较每组患者的2种诊断方法诊断结果的一致性,利用两样本率x~2检验,比较2个心率组间的诊断准确率有无明显统计学差异,并计算此30例患者的平均有效辐射剂量。

No Ⅲ° atrioventricular conduction block happened, 9 patients developed right bundle branch block, and 2 patients showed junctional rhythm. Two patients with perimembranous extending outlet were repaired because of residual shunt(0.4cm,0.3cm) on the anterosuperior rim of defect. One patient with trivial residual shunt(0.15cm) on the posteroinferior rim of defect was found closed spontaneously six months later. Tricuspid valve was incised in 10 patients of VSD sextending outlet,8 patients vertical to the valve ring,2 patients parallel to the valve ring. Moderate tricuspid valve regurgitation was found in 1 patient, mild in 5 patients, trivial in 4 patients. No one aggravated. One patient complicated with pericardial effusion.

无Ⅲ°房室传导阻滞发生,9例发生右束支传导阻滞,2例结性心律。2例膜周偏流出道型VSD患者因前上缘残余分流分别为0.4cm和0.3cm,再次手术修补;1例后下缘残留细束样分流,直径0.15cm,随访6个月后自愈;10例膜周偏流出道型VSD患者剪开三尖瓣,8例垂直瓣环,2例平行瓣环;1例三尖瓣中度反流,随访无加重;5例轻度反流,4例轻微反流,随访均无加重;1例心包积液;1例再次进入手术室止血。

objective to evaluate dsa and percutaneous transluminal renal arterioplasty for the treatment of renovascular hypertension.methods 82 suspected patients with renovascular hypertension were given dsa examination.28 patients were treated by means of ptra while another 5 cases with unilateral kidney atrophy treated surgically.results 49 patients were normal,33 patients were abnormal,28 patients were treated by means of ptra.blood pressure had got to normal in 10 patients while in 13 patients bp dropped noticeably after ptra.the overall benefit rate was 82.1%.conclusion dsa and ptra are clinically effective for the treatment of renovascular hypertension.ptra is technically successful.

目的 评价经皮腔内肾动脉成形术治疗肾血管性高血压的价值。方法 82例全部行dsa检查,肾血管狭窄者行ptra术或外科手术,观察其治疗效果。结果 82例患者行肾动脉造影后血管正常者49例,异常者33例,其中单侧肾萎缩5例行外科手术(肾动脉搭桥1例),肾动脉狭窄28例行经皮腔内肾动脉成形术(血管内支架5例),术后10例血压降至正常或基本正常,13例血压得到改善,5例无效,总有效率达82.1%。结论 dsa检查和ptra术在诊断和治疗肾血管性高血压方面有明显的临床价值。高血压,肾血管性;数字减影血管造影术;经皮腔内肾动脉成形术

Methods: Fifty-six cases of cholelith in residual gallbladder after cholecystectomy were analysed retrospectively. Among them, 18 patients under went conventional cholecystectomy, 16 patients underwent mini-lap cholecystectomy, 22 patients underwent laparoscopic cholecystectomy; 30 patients under went emergency operation and 26 patients under went selective operation; 42 patients' first operation was performed by under grade three hospital and 14 patients were performed by up gradethree hospital.

对56例残余胆囊结石再次手术的病例进行回顾性分析。56例中初次手术行经典胆囊切除术18例,小切口胆囊切除术16例,腹腔镜胆囊切除术22例;急诊手术30例,择期手术26例;初次手术在三级以下医院施行42例,在三级以上医院施行14例。

The preoperatie symptoms before ACDF were myelopathic symptoms in 24 patients, nonmyelopathic symptoms in fie patients, and unknown in two patients. The adjacent lesions were spondylosis in 27 patients and disc herniation in four patients, and they occurred in the superior segment in 21 patients and in the inferior segment in 10 patients. Thirty-one age- and sex-matched patients with cerical spondylotic myelopathy who underwent ELAP during the same period, who gae no history of surgery on the cerical spine, were enrolled as controls (group B; 26 males, fie females; mean age: 58 years).

ACDF术前24例患者有脊髓病症状,5例为非脊髓病症状,2例患者为不名症状。27例和4例患者相邻节段损害分别是颈椎病和椎间盘突出,并且21例患者发生在上位节段10例在下位节段,31例年龄和性别相符患有脊髓型颈椎病而又没有脊柱手术史的患者在同一时期行ELAP者被计入对照组(B组:26例男性,5例女性;平均年龄58岁)。

Pulmonary function tests showed restrictive ventilation disturbance and/or a decreased diffusing capacity in 12 patients and normal condition in 4 patients. Chest X-ray films showed multiple patchy consolidation in 12 patients and thickening of lung markings in 4 patients. HRCT scans demonstrated patchy consolidation and/or ground-glass opacity in 16 patients and fine nodular consolidation in 4 patients. The lesions were diffuse in 1 patients and had a predominantiy subpleural and/or peribron chovascular distrbution in 15 patients.

结果:14例患者主要表现为干咳和气短,2例主要表现为发热伴咳嗽。12例患者肺功能检查表现为限制性通气功能障碍和弥散功能减低,4例肺功能正常。12例患者X线胸片呈多发斑片实变影,4例表现为纹理增粗。16例患者HRCT扫描表现为多发斑片实变影和磨玻璃影,4例伴小结节。1例病变弥漫分布于双肺,15例病变位于胸膜下和沿支气管血管鼠分布。

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