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find Keyword "临床表现" 45 results
  • Clinical Aanalysis of 48 Patients with Primary Biliary Cirrhosis

    目的:分析原发性胆汁性肝硬化(PBC)患者的临床表现,试验室检查及治疗情况。方法:回顾性分析48例PBC患者临床资料。结果:93.8%是中年女性患者,平均年龄53.2±8.73。主要的临床表现包括肝功能异常(ALT、GGT、AKP升高)95.8%,乏力纳差83.3%,黄疸79.2%,瘙痒66.6%,肝肿大62.5%,脾大58.3%等。常合并干燥综合征(25%),类风湿关节炎(16.7%)等自身免疫性疾病及结缔组织疾病。所以患者AMA及AMAM-2均为阳性。全部病例使用熊去氧胆酸治疗,但仅31.3%患者病情有不同程度好转。结论:加强对PBC的认识,重视对AMA 或AMA-M2的检测,尤其对长期不明原因肝功能异常的女性患者。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • The Clinical Analyse for 21 Cases in Pontine Hemorrhage

    Objective To investigate the clinical manifestations, CT and prognosis of pontine hemorrhage. Methods Analyze the summarized clinical data of 21 patients with pontine hemorrhage retrospectively. Results The period of 46-70 years old was vulnerable to pontine hemorrhage,and hypertension was the major risky factor of it. The death rate of pontine hemorrhage inceases when the bleeding beyond 5 ml. Nine of the 21 patients survived. Conclution The prognosis was highly related to the bleeding amount, the position of bleeding and the complication.

    Release date:2016-09-07 11:12 Export PDF Favorites Scan
  • CLINICAL MANIFESTATION AND QUANTITATIVE ANALYSIS ON ROENTGENOGRAPHY OF UNKNOWNETIOLOGY OSTEOARTHRITIC DISEASE IN CHONGZHOU CITY OF SICHUAN PROVINCE

    Objective To investigate the clinical manifestation and radiological features of unknownetiology ostearthritic disease in Shigeng village of Chongzhou city in Sichuan province so as to lay a basis for further study. Methods The data were analyzed retrospectively. The epidemiology investigation, physical examination, movement functional assessment, lab test and X-ray examination were performed on 116 villagers of 3 years and more than. Quantitative analysis on roentgenography was conducted. Results Sixty-four villagers had unknown ostearthritic disease,the prevalence was 55.2%;17 patients were limp, the prevalence of limp was 26.6%,onset age mainly focused under 40 years. Main manifestation of osteoarthritic disease was fixed pain of knee joint or hip joint, and bilateral pain was significantly more than single pain, but local fever and swelling were not obvious. Mild or moderate pain account for 73.5% of patients, and pain was aggravated after physical labor or movement and could be relieved after rest. Joint pain had no influence on joint movement function for long time, leading to a limp due to the joint functional disorders at late stage. Physical examination illustrated the flexion contracture of the hip and limitation of internal and external rotation. The Harris scores were 86.5±17.1(left hip) and 86.3±17.2. 46 (right hip), and the excellent or good result was achieved in 46 patients, fair and poor results in 18 patients. The average HSS scores were 88.4±9.3(left knee) and 88.2±11.0(right knee). The excellent or good result was achieved in 61 patients, fair and poor results in 3 patients. The X-ray films showed degenerative disorders of hip joint such as narrowing of the joint space (47.6%),articular surface sclerosis and deformation (30.2%), shallow and increased density acetabulum, increased obliquity and insuffi cient coverage of the femoral head by the acetabulum, and increased femoral neck-shaft angles. Radiological features of knee joint were bony spur or bony bridge,osteoporosis,incomplete and thickening articular surface with sclerosis and deformation,degenerative disorders. Conclusion Main clinical manifestation of unknown osteoarthritic disease in Chongzhou city was fixed pain of bilateral knee joint or combined with hip joint pain at early stage,and functional limitation in hip joint at late stage. Main radiological feature was hip joint degeneration. To effectively control the osteoarthritic disease ofthis area, much more etiology researches should be done.

    Release date:2016-09-01 09:22 Export PDF Favorites Scan
  • 恶性颈动脉体瘤肺转移一例并文献复习

    目的 探讨恶性颈动脉体瘤(malignant carotid body tumor,MCBT)的发病机制、临床表现、影像学特点及治疗。方法 回顾 1 例确诊 MCBT 的患者资料并结合相关文献进行复习,以“颈动脉体瘤”、“肺转移”以及“carotid body tumor”、“lung metastasis”和“pulmonary metastasis”为检索词检索中国知网、万方、Pubmed 等数据库,对相关文献进行分析。结果 患者女,20 岁,以“头晕、伴咳嗽”为首发症状,胸部 CT 示两肺多发粟粒结节,在外院诊断“肺结核”,抗结核治疗 10 d 因出现胃肠道反应停用。入院查体发现左侧下颌角无痛性肿块,结合颈动脉 CT 血管成像(CT angiography,CTA)和正电子发射计算机体层显像联合计算机体层摄影检查结果,考虑 MCBT。文献复习共纳入 36 篇文献,合计 42 例患者。患者临床表现不典型。颈动脉CTA 病变征象呈“破杯征”,典型“抱球征”消失。手术是主要治疗方法,放射治疗、化学治疗作为辅助手段,基因检测和分子靶向治疗是近年来的研究方向。结论 MCBT 临床上缺乏特征性表现,当 CT 表现为粟粒结节样肺转移瘤时,易误诊为肺结核。应对入院患者进行细致查体,可疑患者行颈动脉 CTA 等检查,诊断后尽早彻底切除肿瘤以改善患者预后。

    Release date:2022-11-29 04:54 Export PDF Favorites Scan
  • Diagnosis and Treatment of Ectopic Pancreas

    目的 探讨异位胰腺的临床特点、诊断及外科处理原则。方法 对我院近8年病理确诊的16例异位胰腺患者的资料进行回顾性分析。结果 16例中男8例,女8例,年龄1~74岁,平均37.5岁。异位胰腺分布部位: 空肠5例,十二指肠4例,胃2例,胆总管2例,胆囊、纵膈和后腹膜各1例。术前仅1例确诊,5例误诊,10例漏诊。均行手术治疗,无一例出现术后并发症。结论 异位胰腺的临床表现和检查手段无特异性,易漏诊和误诊; 一旦发现,无论有无症状,均以早期手术治疗为宜,以明确诊断及避免出现严重的并发症。

    Release date:2016-08-28 04:47 Export PDF Favorites Scan
  • 神经梅毒横贯性脊髓炎一例

    Release date:2017-07-21 03:43 Export PDF Favorites Scan
  • Advance of Basic Research and Clinical Diagnosis and Treatment of Pleuropulmonary Blastoma

    Pleuropulmonary blastoma (PPB) is a kind of rare malignancy which often occurs in children and is related to dysplasia. It always involves in pleura and lung. PPB is misdiagnosed easily because of its special pathophysiological characters and complex biological behavior. Early detection and correct treatment are very important for thoracic surgeon to cure PPB. This paper reviews the advance of pathophysiological characters, molecular genetic characters, clinical manifestation, clinical diagnosis and differential diagnosis, and treatment and prognosis of PPB.

    Release date:2016-08-30 06:06 Export PDF Favorites Scan
  • 原发性十二指肠肿瘤118例临床分析

    目的总结原发性十二指肠肿瘤的临床特点,探讨其诊断及治疗方法。 方法回顾性分析徐州医学院附属医院2009年1月至2014年5月期间收治的118例原发性十二指肠肿瘤患者的临床资料,其中良性5例,恶性113例。 结果本组患者的临床表现缺乏特异性。各种检查方法的检出率胃十二指肠内镜为90.8%(69/76)、ERCP为92.3%(24/26)、MRCP为88.1%(37/42)、CT为68.7%(46/67)、B超为38.3%(41/107)。好发部位为十二指肠降部。良、恶性肿瘤的主要病理类型分别为腺瘤和腺癌。5例良性肿瘤均行手术切除,术后3年均健在。113例恶性肿瘤中,行手术治疗93例,术后3年生存率为45.2%(42/93);另外20例患者拒绝治疗,3年内患者均死亡。 结论对原发性十二指肠肿瘤,在临床工作中,需结合内镜、影像学和实验室检查,早发现、早诊断。综合考虑患者基础情况及肿瘤生长情况,选择最有利于患者的治疗方案,从而改善患者预后,提高生活质量。

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  • Progress of the diagnosis and treatment in nerve sheath tumors of the breast

    ObjectiveTo re-understand the nerve sheath tumors of the breast, to improve its diagnosis and cure rate.MethodSearched the relevant literatures of nerve sheath tumors of the breast, to analyze and summarize the origin, etiology, clinical manifestations, imaging characteristics, pathological characteristics, treatment, and prognosis of this disease.ResultsNerve sheath tumors of the breast was a very rare disease, which originated in the neuromembrane Snowwang cells. its specific cause was unknown and clinical manifestations were not specific, and other breast diseases were difficult to identify, such as leaf ybrilloma, mammary vascular epidermal cytoma, breast fibroids, and so on. Imaging data could provide some reference value, but the gold standard relied on pathology and immunohistochemical examination. Surgery could cure benign nerve sheath tumors of the breast, but there was a possibility of malignant changes that required follow-up after surgery. Malignant neuroblastoma was mainly surgically removed, supplemented by chemotherapy, which could effectively prevent the recurrence of tumor and distant metastasis. The prevention of nerve sheath tumors of the breast could be referred to breast cancer screening.ConclusionsDuring clinical practice, we need to understand the diagnosis and treatment of nerve sheath tumors of the breast to achieve early detection, early diagnosis, and early treatment, as well as improve the diagnosis rate and cure rate of the disease, in order to protect women’s physical and mental health.

    Release date:2020-02-24 05:09 Export PDF Favorites Scan
  • A Clinical Study of Spontaneous Pneumothorax in Elderly Patients

    目的:探讨老年人自发性气胸的临床特点、治疗及预后。方法:对本院在2005年11月至2008年4月间收治的79例老年人自发性气胸患者临床资料进行回顾性分析。结果:老年人自发性气胸大多有肺部基础疾病,临床表现缺乏特异性,本组误诊为慢性阻塞性肺病急性发作4例、左心衰2例、支气管哮喘1例。气胸类型: 张力性气胸47例(72.1%),闭合性气胸11例,交通性气胸21例。采用以肋间闭式引流的为主的治疗措施,效果好。结论:老年人自发性气胸大多有肺部基础疾病, 易误诊,气胸的类型以张力性气胸多见,治疗多需排气减压术,及早的排气减压可望缓解症状,缩短肺复张时间,减少患者住院天数, 降低死亡率,提高老年人生活质量。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
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