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呕吐

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BACKGROUND: A number of studies investigated the use of P6stimulation for the prevention of intraoperative and postoperativenausea and vomiting in women having cesareandelivery under neuraxial anesthesia.

背景:关于刺激内关穴用于预防椎管内麻醉下剖宫产手术术中及术后的恶心呕吐(IONV 和 PONV)的发生已经有了一系列的调查报道。

BACKGROUND: A number of studies investigated the use of P6stimulation for the prevention of intraoperative and postoperativenausea and vomiting in women having cesareandelivery under neuraxial anesthesia.

背景:关於刺激内关穴用於预防椎管内麻醉下剖宫产手术术中及术后的恶心呕吐(IONV 和 PONV)的发生已经有了一系列的调查报导。

Anesthesia with remifentanil and midazolam contributes to reducing the inflammatory response through modulation of the neurohumoral response to stress.

尽管全凭静脉麻醉在调节血药浓度、快速恢复意识和减少呼吸并发症有潜在优势,在神经外科手术结束时更适宜于按计划拔管,但是术后寒战、恶心呕吐和高血压等并发症发生率仍高。

ODS is an effective agent for tr eatment of vomiting and nausea induced by chemotherapy.

ODS是防治肿瘤化疗引起的恶心、呕吐的安全有效药物。

Liver pain, or even death in cirrhotic ascites; Paragonimiasis infected cysts, child or adult worms in human tissues and organs within the transitional, If staying in the lung, patients would cough, chest pain and other discomfort, live in the brain occur in epilepsy, hemiplegia, live mainly in the liver to the liver, liver pain, will live in the subcutaneous form transitional mass or nodule; Fasciolopsiasis worm infection can suffer from abdominal pain, diarrhea, malnutrition, etc.; Angiostrongylus cantonensis larvae in human migration, lesions in the brain, can cause severe headache, nausea, vomiting, fever and neck hard, there will be serious paralysis, lethargy, coma or even death.

感染食源性寄生虫病后可出现不同的症状或体征:华枝睾吸虫病的危害主要是肝受损,轻症者可出现胃肠道不适症状,重者常有肝肿大、肝区疼痛、肝硬变腹水甚至死亡;感染肺吸虫囊蚴后,童虫或成虫在人体组织与器官内移行,若寄居在肺里,患者会出现咳嗽、胸痛等不适感觉,寄居在脑中则出现癫痫、偏瘫等情况,寄居在肝内主要表现为肝大、肝痛,寄居在皮下则形成移行性包块或结节;感染姜片虫后可出现腹痛、腹泻、营养不良等;广州管圆线虫的幼虫在人体移行,病变集中在脑组织,可引起剧烈头痛、恶心、呕吐、发热及颈硬等,严重者会出现瘫痪、嗜睡、昏迷甚至死亡。

Sensory impairment and urinary dysfunction also had developed, and paraparesis persisted after the hypokalemia was corrected during hospitalization. An optokinetic nystagmus test showed bilateral sick waves and at the same time a cerebrospinal fluid analysis was normal. A blood examination disclosed borderline anti-nuclear antibodies and an elevated serum IgG level. Her cervical spinal cord showed mild swelling and contrast-enhancement when examined by magnetic resonance imaging. Neither a brain stem nor an optic nerve's lesion was found. Based on the above, acute transverse myelitis was diagnosed. All the symptoms present in the patient relieved gradually after 5-days of pulsed intravenous methylprednisolone therapy.

一50岁女性,因为眩晕、前额头痛、视力模糊、恶心、呕吐及两侧下肢无力而求诊,於低血钾矫正后,两侧下肢无力依然持续,并发生胸部以下感觉缺损及排尿困难等现象,视运动性眼振检查显示两侧波形障碍,脑脊液检查正常,血液学检查显示抗核酸抗体及血清IgG指数偏高,显影剂增强磁振造影显示颈段脊髓肿大且略为显影,并无脑干或视神经的病灶,诊断为急性横断性脊髓炎,给予静脉注射类固醇后症状逐渐缓解。

Figure 14. Pericecal hernia through the paracolic sulci in an 86-year-old man with a 10-day history of lower abdominal pain and vomiting.

图14一86岁男性患者的经结肠旁沟的盲肠旁疝,表现为持续10天的下腹疼痛和呕吐

Figure 13. Pericecal hernia through the retrocecal recess in an 84-year-old man with colicky right lower quadrant pain and vomiting of 48 hours duration.

一84岁男性患者的经盲肠后隐窝的盲肠旁疝,表现为持续48小时的右下腹的疝气痛和呕吐

Compared with the gold standard of clinical diagnosis by a pediatric neurologist who had not seen the pictures,headache drawings depicting pounding pain, nausea or vomiting, recumbency, periorbital pain, photophobia, or visual scotoma had a sensitivity of 93.1%, a specificityof 82.7%, and a positive predictive value of 87.1% formigraine.

同未见过这些图画的儿科神经学医师用於临床诊断的黄金指标相比,描述出重击头痛、恶心或呕吐、斜卧、眼窝疼痛、畏光或视觉盲点的头痛图画,可预测偏头痛的灵敏度为93.1%,预测特异性为82.7%,阳性预测值为87.1%。

We report a 59-year-old female patient admitted due to periumbilical pain, vomiting and no stool passage for 5 days.

我们报告一位59岁女性患者,因为肚脐周围疼痛、呕吐及五天未解大便住院。

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