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Methods The clinical manifestations and the plasma ammonia levels were analyzed in l7 patients with HE , who underwent EEG , CT and MRI examinations Results Fifteen patients had abnormal EEG findings characterized by lowered basic rhythm, moderate to high amplitude θ wave activity, and sporadic δ wave and triphasic wave Fourteen patients had abnormal MRI findings , including increased signal in the bilateral globus pallidus (14/17), putmen (4/17) and tegmentum of the midbrain (7/17) in T1WI without corresponding alterations in the signal Intensity in T2WI T2 FLAIR demonstrated increased signal in the bilateral white matter of the cerebral hemispheres.

总结17例各种原因引起的肝性脑病患者的临床表现、血氨水平,对全部病例进行EEG、颅脑CT、MRI检查。结果 17例肝性脑病患者EEG异常15例,主要表现为:基本节律慢化;中波~高波幅θ活动;散在的δ波、三相波。

42 patients were randomly divided into 2 groups: Jianpijiedu therapeusis combined with FOLFOX4 group(21 patients), FOLFOX4 control group(21 patients).

将42例患者随机分为2组,研究组21例,采用健脾解毒方联合FOLFOX4方案化疗,对照组21例,单纯FOLFOX4方案化疗。

Methods Twenty-eight patients with SPT, who were selected from 168 patients with typical thyrotoxicosis, were compared against patients with Graves disease and Hoshimotos disease.

从以典型甲亢症状初诊的168例患者中,鉴别出28例STP并与Graves病及桥本氏病相比较。

The Glasgow coma scale, the initial computed tomogram and ambulatory electrocardiogram were performed in all subject.Data were analyzed according to different place and severity of brain injury.Results:ECG abnormalities were found in 32 patients out of 56 patients with acute head injury(57.14%). ST-T abnormities were found in half of the brain injury patients.

选取我院急性脑损伤患者56例,经Glasgow评分分型,脑CT确定损伤部位,并行24h动态心电图检查,观察急性脑损伤后心电异常的发生情况,并根据脑损伤部位和严重程度分组观察,以了解其心电异常的特点。

There were 3231 patients with isolated mitral valve replacement , 917 patients with isolated aortic valve replacement , and 48 patients with tricuspid valve replacement .

其中二尖瓣置换术3231例,主动脉瓣置换917例,三尖瓣置换48例,二尖瓣和主动脉瓣置换1296例,其他14例。

Result: Scoliosis was identified in 58 cases with Marfan syndrome (38 males and 20 females), the prevalence rate was 42.03%, male-female sex ratio was 1.18:1, 6 cases were in younger than 10-year-old group. 12 cases were in 11~20-year-old group, 19 cases were in 21~30-year-old group, 11 cases were in 31~40-year-old group, 7 cases were in 41~50-year-old group, 3 cases were in 51~60-year-old group. Mean magnitude of Cobb angle in coronal plane was 26.8°±27.8°, the types of scoliosis curve included thoracic curve (36 cases), thoracolumbar curve (11 cases), lumbar curve (2 cases), double curve (6 cases) and triple curve (3 cases), apex vertebraes were convex to the right side among single curves in 38 cases while 11 cases were convex to the left side. Mean magnitude of kyphosis in sagittal plane was 14.3°±13.2°, 5 patients had thoracic lordosis and 40 patients had hypokyphosis and 12 patients had normal kyphosis.

结果:58例(42.03%)患者合并脊柱侧凸,男38例,女20例,男女患病率比例为1.18:1,其中≤10岁6例,11~20岁12例,21~30岁19例,31~40岁11例,41~50岁7例,51~60岁3例;平均冠状面Cobb角为26.8°±27.8°;胸弯36例,胸腰弯11例,腰弯2例,双弯6例,三弯3例;单弯中顶椎凸向右侧38例,凸向左侧11例;矢状面胸椎后凸平均为14.3°±13.2°,其中胸椎前凸5例,胸椎后凸不足40例,胸椎正常后凸12例,仅1例胸椎后凸45°;11例患者冠状面Cobb角>40°,平均年龄15.9岁。

Results: 77.5% of abnormal changes EEGs among 40 patients were observed. 70% in Epileptic type patients and 100% in brain tumorous type patients.

结果:31例出现不同程度的EEG异常改变,异常率为77.5%,其中癫痫性为70%;脑瘤型为100%。

Results: One-time cured 149 patients,two-time cured 51 patients, invalid 6 patients.

结果:一次治愈149例,两次治愈51例,无效6例。

Overall 7 patients were found to suffer from fibrinogen A alpha-chain-[amyloid of fibrinogen; 4 (1.7%) patients], transthyretin-[amyloid of transthyretin; 2 (0.9%)], or apolipoprotein A1-derived amyloidosis [1 (0.4%)]. In 8 patients (3.4%) the amyloid deposits remained unclassifiable.

随后,我们又加做了几项免疫组化,结合临床资料,其中12例患者(5.1%)的诊断做了更改,包括:2例ALλ型淀粉样变性,4例ALκ型,1例无法分类型,3例混合型(AA+ATTR、ALλ+ATTR和ALκ+ATTR),1例AFib型和1例AApoA1型。

Overall 7 patients were found to suffer from fibrinogen A α-chain-[amyloid of fibrinogen; 4 (1.7%) patients], transthyretin-[amyloid of transthyretin; 2 (0.9%)], or apolipoprotein A1-derived (AApoA1) amyloidosis [1 (0.4%)]. In 8 patients (3.4%) the amyloid deposits remained unclassifiable.

随后,我们又加做了几项免疫组化,结合临床资料,其中12例患者(5.1%)的诊断做了更改,包括:2例ALλ型淀粉样变性,4例ALκ型,1例无法分类型,3例混合型(AA+ATTR、ALλ+ATTR和ALκ+ATTR),1例AFib型和1例AApoA1型。

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