心肌梗死表现为急腹症症状的临床分析

目的分析心肌梗死的临床表现方法对收入院的11例心肌梗死患者的病例资料进行分析,总结心肌梗死的临床表现.结果经抢救治疗,10例患者病情稳定,1周后转入病房.1例抢救无效死亡.结论心肌梗死的临床表现与某些急腹症相似,在急诊中要考虑全面,迅速而准确的做出诊断,及时抢救治疗,使冠脉灌流量增加,挽救濒死的心肌.     

新生儿阵发性室上性心动过速21例临床分析

目的探讨新生儿阵发性室上性心动过速（SVT）早期临床表现、诱因及治疗方法。方法对我院2003年1月～2008年6月收治的新生儿SVT21例临床资料进行回顾性分析。结果临床表现以面色苍白,发绀及呼吸道症状为主,部分病人临床表现不典型。辅助检查部分心肌酶谱增高。发作诱因以感染为主。结论治疗上以心律平首选,辅以三磷酸腺苷（ATP）,西地兰,地高辛治疗。顽固上述药物治疗效果不佳者乙胺碘呋酮治疗有效。潜水反应不适合新生儿。     

痔病的认识及防治

痔疮是人们非常熟悉的病名，是影响人类健康最常见疾病之一，近年来，由于工作，生活节奏的加快，各种精神压力加大，以及饮食多精细，痔疮发病出现上升的趋势，所谓“十男九痔，十女十痔”。目前多数学者认为痔是“血管性肛垫”。是正常解剖的一部分，普遍存在于所有年龄，只有合并出血疼痛，脱     

非典型急性心肌梗死的临床表现及发病机理

急性心肌梗死是循环系统严重的疾病之一,临床表现错综复杂．了解其非典型性变化,对于本病的确诊及治疗至关重要     

对双股骨干骨折后脂肪栓塞病情之浅见

双股骨干骨折后,脂肪栓塞综合症时有发生。脂肪栓塞综合症是严重创伤,极易引起意识障碍,皮肤瘀斑,进行性低氧血症以及呼吸困难。脂肪栓塞诊断主要是看以下几个方面：皮下出血情况,呼吸系统状况,胸部透视检查结果以及无颅脑外伤的神经症状等等。而积极预防以及恰当的对症处理是十分必要的,比如在抢救中减少搬动,尽力减少组织的再次损伤,严重创伤后,应及时补充血容量,将脂肪栓塞控制在发生之前。     

Video-assisted thoracoscopic surgery （VATS） for bilateral primary spontaneous pneumothorax

Objective： To review our experience of the treatment of bilateral primary spontaneous pneumothorax （PSP） by video-assisted thoracoscopic surgery （VATS）. Materials and methods： Retrospective chart review was followed by an on-clinic or telephone interview. Patients were cared for by one thoracic surgeon in four medical centers or community hospitals in Northern and Central Taiwan. Thirteen patients with bilateral PSP underwent bilateral VATS simultaneously or sequentially from July 1994 to December 2005. Results： Twelve males and one female, with age ranging from 15 to 36 years （mean 23.1 years）, were treated with VATS for bilateral PSP, under the indications of bilateral pneumothoracis simultaneously （n=4） or sequentially （n=9）. The interval between the first and second contra-lateral VATS procedure for non-simultaneous PSP patients ranged from 7 d to 6 years. Eleven of 13 patients （84.6%） had prominent pulmonary bullae/blebs, and underwent bullae resection with mechanical or chemical pleurodesis. The mean operative time was （45.6±18.3） min （range 25-96 min） and （120.6±28.7） min （range 84-166 min） respectively for the non-simultaneous （second VATS for the recurrence of contralateral side after first VATS） and simultaneous （bilateral VATS in one operation） procedures. There was no postoperative mortality. However, prolonged air leakage （〉7 d） occurred in one patient （7.7%） who recovered after conservative treatment. The mean duration of chest tube drainage was 3.1 d and the median follow up period was 3.4 years. Conclusions： VATS is a safe and effective procedure in the treatment of bilateral PSP. Bilateral VATS is only recommended for patients with simultaneously bilateral PSP, because the incidence of recurrence, even with visible bullae, was not so high in my group and in some previous literature. Bilateral VATS in a supine position should only be used in selective cases, because of possible pleural adhesion or hidden bullae on the posterior si     

重症手足口病合并脑干脑炎52例临床分析

目的：总结重症手足口病合并脑干脑炎患儿的早期临床特点、救治经验和转归。方法：对52例重症HFMD合并脑干脑炎患儿的临床资料进行回顾性分析。结果：本组52例重症手足口病合并脑干脑炎患儿发热38例（73.08%）,精神萎靡40例（76.76%）,易惊46例（88.46%）,肢体抖动36例（69.23%）,步态不稳21例（40.38%）,嗜睡31例（59.61%）,膝反射亢进或消失25例（48.07%）。早期积极予甘露醇、甲泼尼龙、丙种球蛋白等治疗,52例患儿全部达到临床治愈,未遗留神经系统后遗症。发现肺水肿前兆者尽早给予机械通气。结论：EV71引起的HFMD发生重症脑干脑炎的机会高,持续高热、精神萎靡、易惊、肢体抖动、嗜睡、肢端凉是重症HFMD合并脑干脑炎的早期判断神经系统受损的主要指标,早发现,早干预可降低本病病死率及减少后遗症的发生。