目的 总结术后早期炎性肠梗阻的临床特点及诊治经验。方法 回顾性分析我院2004年1月至2010年12月期间收治的22例腹部手术后早期炎性肠梗阻患者的临床资料。结果 全组均行保守治疗,均治愈出院。肠梗阻解除时间平均6.5d。2例出院后再次出现慢性肠梗阻,经保守治疗好转。结论 术后早期炎性肠梗阻在腹腔严重感染性疾病术后多见,治疗以保守治疗为主,同时应动态观察腹部症状、体征变化,严防误诊、误治。
【摘要】目的探讨腹膜后血管滤泡增生症的临床特点及诊治方法。方法对我院收治的3例病例并结合相关文献做一回顾性分析。结果该疾病主要临床表现为腹部包块、贫血等症状,均经手术治疗。术中见包块直径为7~18 cm。2例手术完整切除全块,其中1例病理检查为透明血管型,随访至今(7个月)健在,无复发; 另1例为浆细胞型,随访2年后失访。余1例仅行剖腹探查术,取部分组织作病理检查,病理报告为浆细胞型,术后8个月死亡。结论本病缺乏特异性的临床表现和影像特点,术前难以诊断,确诊须依靠病理检查。手术完整切除肿瘤是治疗本病的最佳方法。
Diabetic kidney disease, as a common complication of diabetes, is one of the main causes of end-stage renal disease. Because of the rapid progress of its course and the limited means of treatment, it is of great clinical significance to seek biomarkers from early diagnosis for the treatment of diabetic kidney disease. At present, there are limited methods for early diagnosis of diabetic kidney disease. As a widely used research method, metabonomics can detect metabolites in diseases and provide biomarkers for disease diagnosis and prognosis. This article summarizes the changes of amino acids, lipids, organic acids and other metabolites in blood or urine of patients with diabetic kidney disease.
Objective To evaluate the correlation between retinal thickness (RT) at the macular area and the axial length (AL) in myopia. Mehtods Optical coherence tomography (OCT) was used to detect the RT at the macular fovea, and at the superior, nasal, inferior, and temporal side of the fovea and parafovea area. The AL of the examined eye was measured by IOL master measuring machine, and the correlation between RT at the macular area and the Al was evaluated. Results The minimum RT in the macular area in the eyes with myopia was (150.90plusmn;22.10)mu;m.The retina at the temporal side of parafovea was the thinnest. The average RT in the areas around the fovea was negatively correlated with the AL, and there was no correlation among the minimum RT, the mean RT at the fovea, and the AL of eye. Conclusions As the AL of eye increases, the RT at the parafovea decreases, while the minimum and the average RT at the fovea remain unchanged. (Chin J Ocul Fundus Dis, 2006, 22: 397-399)