Objective:Cervical adenocarcinoma(ECA)screening has low sensitivity and is prone to missed diagnoses.By analyzing a case of atypical glandular epithelium on TCT,this study aims to improve the clinical diagnosis and tr...Objective:Cervical adenocarcinoma(ECA)screening has low sensitivity and is prone to missed diagnoses.By analyzing a case of atypical glandular epithelium on TCT,this study aims to improve the clinical diagnosis and treatment of such diseases.Methods:The clinical examination findings,laboratory tests,and diagnostic process of a case with atypical glandular epithelium on TCT were analyzed.Results:The patient was diagnosed with cervical adenocarcinoma.Preoperative symptoms and imaging studies suggested the possibility of adenocarcinoma,and postoperative pathology confirmed the diagnosis of cervical adenocarcinoma(ECA).Conclusion:Through the analysis of this case,we aim to improve the clinical diagnosis and treatment of this condition.展开更多
To the Editor： Acute pancreatitis in pregnancy （APIP） is one of the acute abdomen in pregnancy. Once the disease deterio- rated rapidly, it could be a serious threat to gravida and fetus. Although the incidence of ...To the Editor： Acute pancreatitis in pregnancy （APIP） is one of the acute abdomen in pregnancy. Once the disease deterio- rated rapidly, it could be a serious threat to gravida and fetus. Although the incidence of APIP has been gradually increasing due to the life style change, it is still a rare disease and the mechanism is not clear. Patients with APIP were often misdiagnosed and not managed properly.展开更多
Seventy-three patients with spinal nerve sheath tumor who were surgically treated in our hospital during the years 2004-2010 were retrospectively reviewed with respect to recovery of neurological function, recurrence ...Seventy-three patients with spinal nerve sheath tumor who were surgically treated in our hospital during the years 2004-2010 were retrospectively reviewed with respect to recovery of neurological function, recurrence of the tumor and occurrence of kyphotic deformities. Preoperative clinical manifestations, imaging data, surgical records and follow-up results were comprehensively analyzed. The follow-up duration was 12-60 months with an average of 32.0 months. Out of the 73 cases enrolled, 69 had gradual recovery of sensation, motor and sphincter functions 1 week to 3 months after operation. Forty-six cases had incomplete paralysis, whose American Spinal Injury Association （ASIA） grades, however, were gradually increased during the follow-up period, 4 cases had no significant improvement of the clinical symptoms and no change in ASIA grades during the follow-up period. Two cases had postoperative recurrence of the tumor. There were no deaths, no spinal instability, and no kyphotic malformations fotmd in any cases. Our study indicated that complete removal of the tumor is important for good recovery, and an ideal surgical method may reduce the recurrence of the tumor or the occurrence of complications.展开更多
In order to better understand the clinical manifestation of systemic lupus erythematosus （SLE） with intracranial hypertension syndrome （IHS）, we analyzed the clinical features and treatment of a typical SLE patien...In order to better understand the clinical manifestation of systemic lupus erythematosus （SLE） with intracranial hypertension syndrome （IHS）, we analyzed the clinical features and treatment of a typical SLE patient with IHS. SLE is one of the most unpredictable autoimmune diseases involving multiple organ systems that is defined clinically and associated with antibodies directed against cell nuclei. IHS is an uncommon manifestation of neuropsychiatric SLE （NPSLE） and is characterized by an elevated intracranial pressure, papilledema, and headache with occasional abducens nerve paresis, absence of a space-occupying lesion or ventricular enlargement, and normal cerebrospinal fluid chemical and hematological constituents. IHS has been reported in a few sporadic cases in patients with SLE worldwide, but rarely has been reported in China. In this study, a 34-year-old female SLE patient with IHS was. reported and pertinent literature reviewed. The clinical presentation, image logical features, and investigatory findings were discussed.展开更多
Two hundred and sixty-seven cases of female laryngocarcinoma, treated in our hospital in the past 33 years, were analysed. It is suggested that a relating preponderance of male sex hormonal influence after menopause s...Two hundred and sixty-seven cases of female laryngocarcinoma, treated in our hospital in the past 33 years, were analysed. It is suggested that a relating preponderance of male sex hormonal influence after menopause should be a contributing factor responsible for the high prevalemce of laryngeal cancer in women. The other etiological factor was cigarette smoking. The pathological types and patterns of metastasis to cervical lymphnodes in the female laryngocarcinoma were similar to those observed in male patients but the superglottic cancer was more common than the flottic type. However, no significant difference in prognosis was observed between superglottic and glottic cancers. Provided indications are strictly adhered to, partial laryngectomy that can give therapeutic resulrs similar or even superior to total laryngocarcinoma.展开更多
Healthcare waste has now been increasingly studied in terms of the risks or dangers that can cause the environment and human health. Waste generated in clinical analysis laboratories (CALs) deserves attention, because...Healthcare waste has now been increasingly studied in terms of the risks or dangers that can cause the environment and human health. Waste generated in clinical analysis laboratories (CALs) deserves attention, because, due to the advent of the concept of emergent pollution, it is doubtful if the materials or reagents are disposed in the sewage by CALs, which are currently considered non-contaminated or with low risk potential, under current legislation, may actually impact the environment with actions not yet understood. This study was experimental and conducted at the Environmental Laboratory of the University of the Region of Joinville. It was used Euglena gracilis (primary trophic level) algae exposed to effluents from five sectors of a CAL: Biochemistry, Hematology, Viral Load, Tuberculosis and Immunochemistry. Samples were collected from the siphons attached to the wash sinks of the CAL materials. To verify changes in algae that denote environmental danger, behavioral changes were analyzed via NGTOX, and chlorophyll concentration was calculated by chlorophyll extraction according to Mendel’s method. Viral Load (VL) and Hematology (HT) sectors were the ones that most affected algae (Tukey test). In both sectors, there was inhibition of algae mobility and gravitaxy: in VL, due to the presence of chaotropic agents that denature organic structures;and in HT, due to the change in membrane permeability attributed to methylene blue. Also in HT, there was a search for algae adaptation by increasing the rise to the surface in order to overcome the lower luminosity due to the coloration of the environment, which also affects photosynthesis. Regarding the concentration of a-chlorophyll, the VL and HT were the most affected as well, being the first one the one that had more concentration reduction because of the presence of chaotropic agents. Considering new parameters evaluated, the discarded compounds need to be better evaluated for risk, as they affect algal photosynthesis. Procedures for removal of these compounds should be considered.展开更多
7878 patients with tumors in the head and neck were analyzed in a period of twenty years. All the diagnosis were confirmed by pathologic examination. There were 5485 cases (69.62%) of malignant tumors. Nearly an half ...7878 patients with tumors in the head and neck were analyzed in a period of twenty years. All the diagnosis were confirmed by pathologic examination. There were 5485 cases (69.62%) of malignant tumors. Nearly an half of malignant tumors were in the nasopharynx (49.32%). Among the malignant tumors of the nasopharynx, 2698 were carcinoma (99.34%) and only 18 (0.66%) sarcoma. Nine of them were under 10 years of age, the youngest patient was 3 years old, and this is rare in our county. The incidence of head and neck tumors was 37.66% and that of the head and neck malignancies was 26.22% of tumors in the whole body. This study indicates that incidence of malignant tumor in head and neck was rather higher, it is worth to improve ths procedure of treatment and prevention.展开更多
Objectives To investigate the clinical feature of acute pulmonary embolism. Methods Retrospective clinical analysis was performed according to the data of 38 cases of pulmonary embolism. Results There were ground dise...Objectives To investigate the clinical feature of acute pulmonary embolism. Methods Retrospective clinical analysis was performed according to the data of 38 cases of pulmonary embolism. Results There were ground diseases and predisposing factors in 36 cases of pulmonary embolism among 38 cases, the ratio was 94. 7%, among the total predisposing factors, tumor, cardiovascular disease, venous thrombosis of lower extremity, smoking and long-term bed were common. There was no specificity in clinical feature, physical sign and rout chest X ray, electrocardiography, and their appearances were diversified. There were specificity and sensitivity in echocardiogram （UCG） and D-dimer to some extent. But, the final diagnosis must depend on some special examinations, such as selective pulmonary arteriography, CTPA, MRA and so on. Conclusions The special examinations must be done to make a definite diagnosis to confirm pulmonary embolism when the high risk factors and ground diseases are existing. It is necessary to some cases when the clinical feature can not be explained by other diseases.展开更多
Objective: this paper aims to explore the adverse reactions caused by the combined use of cephalosporins and a variety of western drugs, record relevant data in detail, and draw a conclusion through comparative analys...Objective: this paper aims to explore the adverse reactions caused by the combined use of cephalosporins and a variety of western drugs, record relevant data in detail, and draw a conclusion through comparative analysis. Methods: a total of 800 patients who received cephalosporins combined with a variety of western drugs in our hospital from January 2020 to March 2021 were randomly selected as the subjects of this study. The types of drugs and their compatibility as well as the incidence of adverse reactions before and after use were observed and recorded. The clinical manifestations and distribution types were summarized and discussed. Summarize data and make summary reports. Results: the incidence of adverse reactions was significantly higher after the combination of drug use than before. Most of adverse reactions were distributed in nervous system and digestive system. Compared with renal function and allergy, the incidence of adverse reactions was relatively low. The statistical analysis was cited, and the significance was established (P < 0. 05). Conclusions: the treatment of cephalosporin combined with a variety of western medicine to use effect significantly, and it can significantly shorten the patients' recovery time, reduce the chance to visit. But relatively adverse reactions occurred situation is more common and the reasons are complex. According to the analysis, due to improper use of drugs, non-standard production of drug manufacturers and disordered contraindication of related drugs, which will seriously affect the nervous and digestive system functions of patients, corresponding clinical attention should be paid attention to reduce the occurrence of such harmful events and achieve the harmonious development of doctor-patient relationship.展开更多
Objective: to compare photodynamic therapy with clinical experiments in the surgical treatment of skin tumors. To analyze which curative effect is more effective, the currently adopted method is to select the relevant...Objective: to compare photodynamic therapy with clinical experiments in the surgical treatment of skin tumors. To analyze which curative effect is more effective, the currently adopted method is to select the relevant patients whose time of investigation is nearly two years after August 2019, and use the method of random classification to divide the patients into different groups, compare the operation combined treatment, and analyze certain difference effects. After treatment, it was found that the recurrence rate of surgery has a great impact on our patients, which is of significance in comparison with science. The recurrence rate of the first group is within 10% and that of the second group is higher than 20%. In terms of statistical significance, it conforms to the relevant data of statistics. At the same time, the operation treated by photodynamic therapy has obvious effect on the patients and can obviously reduce the recurrence rate of the operation, which is good for our operation. The experiment will implement photodynamic therapy combined with surgical treatment for patients with skin tumors. Compared with the clinical application effect, the experiment can reduce the recurrence rate, and reduce the depth and area of the surgical resection site, which is helpful to control the tumor development and has promotional value.展开更多
Objective: The experiment will implement evidence-based nursing for general surgery patients, and make statistical analysis of the actual effect after application. Methods: A total of 120 general surgery patients were...Objective: The experiment will implement evidence-based nursing for general surgery patients, and make statistical analysis of the actual effect after application. Methods: A total of 120 general surgery patients were selected from January 2018 to April 2019, and were divided into 2 groups according to the sequence. Observe the nursing effect. Results: The observation group achieved ideal results in nursing efficiency, patient pain relief, and nursing satisfaction, compared with the control group, the difference was statistically significant (P0.05). Conclusion: the application of the evidence-based nursing in general surgery nursing can effectively promote the patients physical and mental recovery, and is more effective to improve the quality of nursing care of general surgery, to improve the doctor-patient contradiction, improve patient satisfaction with nursing care has obvious effect, but also can make the incidence of postoperative complications in patients with decreased significantly, with strong clinical popularization value.展开更多
Objective: the acute attack of migraine will not only bring great pain and suffering to patients, but also endanger life and health in serious cases. Therefore, this paper mainly studies and analyzes the application o...Objective: the acute attack of migraine will not only bring great pain and suffering to patients, but also endanger life and health in serious cases. Therefore, this paper mainly studies and analyzes the application of mannitol personalized nursing in the acute attack of migraine. Methods: 82 migraine patients treated in our hospital from 2017 to 2018 were retrospectively analyzed. According to different nursing methods, the patients were randomly divided into control group and observation group, with 41 subjects in each group. The specific nursing effects were compared, observed, recorded and analyzed. Results: the nursing effect of patients with acute migraine attack in the observation group was better and more obvious, and was significantly better than that in the control group. Conclusion: the effect of traditional nursing for patients with acute migraine attack is not obvious, while the application of mannitol personalized nursing can significantly improve the nursing effect. It is very important for patients with acute migraine attack and is worthy of follow-up promotion and application.展开更多
Objective: to analyze the application effect of acupuncture in headache patients. Methods: 40 patients with headache admitted to our hospital from June 2020 to June 2021 were selected and treated with acupuncture and ...Objective: to analyze the application effect of acupuncture in headache patients. Methods: 40 patients with headache admitted to our hospital from June 2020 to June 2021 were selected and treated with acupuncture and symptomatic therapy to evaluate the specific clinical efficacy. Results: after 1-3 months of treatment, headache symptoms of all patients were significantly improved or disappeared, and the total clinical effective rate reached 100.00%. Conclusion: in the process of treating headache, organic diseases such as brain abscess, cerebrovascular disease, brain contusion and laceration, traumatic brain hematoma, etc. must be removed first, and acupuncture treatment can be implemented only after disease diagnosis is implemented. The whole treatment must strictly follow the principle of traditional Chinese medicine treatment, and adopt targeted labor plan for headache caused by different causes, for example, acupuncture, collateral puncture and other therapies can achieve the purposes of promoting blood circulation and dredging collaterals, removing blood stasis and relieving pain, with outstanding therapeutic effect and certain practical application significance.展开更多
Objective: To study the clinical analysis of 66 cases of personality change caused by epilepsy. Methods: 66 patients with epileptic mental disorders admitted to our hospital from January 2010 to January 2019 were revi...Objective: To study the clinical analysis of 66 cases of personality change caused by epilepsy. Methods: 66 patients with epileptic mental disorders admitted to our hospital from January 2010 to January 2019 were reviewed. The clinical manifestations were analyzed and the therapeutic effect was observed. Results: in this study, the personality change of epileptic mental disorder patients was prominent. All patients were discharged after drug treatment, psychological care, work and entertainment treatment. The discharge rate was 100%. Conclusion: patients with epileptic mental disorder have personality changes, and adopting systematic and diversified treatment methods can significantly control mental disorders, reduce the difficulty of treatment and nursing, and promote patients to recover quickly.展开更多
Objective: To explore the application value of Chaihu Guizhi Decoction in the treatment of patients with spleen and stomach disharmony disease. Methods: a total of 100 patients with hepato-gastric disharmony type of s...Objective: To explore the application value of Chaihu Guizhi Decoction in the treatment of patients with spleen and stomach disharmony disease. Methods: a total of 100 patients with hepato-gastric disharmony type of spleen and stomach disease received by our hospital from March 2020/3 to March 20203/3 were selected and divided into the observation group (motilidine and Chaihuguizhi decoction, n=50 cases) and the control group (motilidine, n=50 cases) according to the requirements of randomization method. The clinical efficacy and treatment satisfaction of the two groups were compared. Results: The clinical effective rate and clinical satisfaction of the observation group were far more than that of the control group, and the data of the two groups were significantly different (P < 0.05), and the results had statistical advantages. Conclusion: The use of Chaihu Guizhi decoction in the treatment of spleen and stomach diseases perceived as incompatible has a good therapeutic effect, patients have a higher degree of satisfaction with the treatment, which is worthy of further clinical promotion.展开更多
Objective: to analyze the condition of patients with ventricular arrhythmia after acute myocardial infarction, and then combined with amiodarone treatment measures, in order to improve the therapeutic effect and ensur...Objective: to analyze the condition of patients with ventricular arrhythmia after acute myocardial infarction, and then combined with amiodarone treatment measures, in order to improve the therapeutic effect and ensure the safety of medication for the overall purpose of treatment. Methods: in this experiment, 60 patients with ventricular arrhythmia after myocardial infarction who were treated in our hospital from January 2018 to January 2020 were selected as the research cases. The patients who participated voluntarily were selected to compare the control results of their condition under different treatment regimens. The control group was treated with routine treatment. After health examination, patients were treated with corresponding drugs and the patients with stable hemodynamic ventricular tachycardia were treated with lidocaine hydrochloride intravenously. The observation group was treated with amiodarone, and the effect was compared. Results: according to the experimental results, the total effective rate of the control group was 83.33%, the total effective rate of the observation group was 96.67%, and the difference was statistically significant (P < 0.05). At the same time, in the investigation of the incidence of adverse events, the incidence of the observation group was 6.67%, while that of the control group was 43.33%. The contrast was very clear, and the difference was statistically significant (P < 0.05). Conclusion: the patients with ventricular arrhythmia symptoms in acute myocardial infarction must be controlled by drugs. Amiodarone is a better treatment, which can control the occurrence of adverse events and has good application effect, which can be popularized and applied.展开更多
Objective To investigate the risk factors with lymph node metastatic recurrence in patients with N0 esophageal cancer after Ivor-Lewis Esophagectomy. Methods The subjects were 82 patients with pN0 esophagea cancer who...Objective To investigate the risk factors with lymph node metastatic recurrence in patients with N0 esophageal cancer after Ivor-Lewis Esophagectomy. Methods The subjects were 82 patients with pN0 esophagea cancer who underwent Ivor-Lewis esophagectomy from January 2001 to January 2005. By using RT-PCR,VEGF C mRNA was detected in tumor issues,and Mucin (MUC1) mRNA was detected in lymph nodes. The Kaplan-Meier method was used to calculate the survival展开更多
Objective To explore the therapeutic principles and prognostic factors of soft tissue sarcoma. Methods Two hundred and fifty-one patients with soft tissue sarcoma (STS) treated at Shanghai Cancer Hospital during 1986 ...Objective To explore the therapeutic principles and prognostic factors of soft tissue sarcoma. Methods Two hundred and fifty-one patients with soft tissue sarcoma (STS) treated at Shanghai Cancer Hospital during 1986 -1990 were reviewed retrospectively. Results The 1-, 3 - , 5 - , 10 - year tumor-free survival rates were 67. 74% , 57. 16% , 52, 41% , 38. 60% , respectively.The overall survival rates for 1,3,5 and 10 years were 81. 01 % ,67.75% ,60.79% ,and 49.23% respectively. Log-rank test showed that the patients with different pathological findings, histological grades,mass location and size, anatomical depth, and surgical margin showed different outcomes. Whether the sarcomas invaded the vessels or metastasized would influence the survival rates. The patients who underwent different interventions or operations also had different outcomes. The prognosis of STS was associated with age,histological type,histological grade, tumor size, surgical margin and metastasis according to the Cox regression展开更多
Objective To discuss the etiology,course of diseases and prognosis of symmetry peripheral entrapment enuropathies of upper extremity. Methods The etiology, clinical scale and resluts of 14 cases were analyzed betwen 1...Objective To discuss the etiology,course of diseases and prognosis of symmetry peripheral entrapment enuropathies of upper extremity. Methods The etiology, clinical scale and resluts of 14 cases were analyzed betwen 1999 and April 2002. Results In the bilateral tunnel syndrome, the excellent and good rate was 60% at the original side and 80% at the contralateral side occurred later. In the bilateral carpal tunnel syndrome, the excellent and good rate was 67% at the original side and 89% at the contralateral side occurred later. Conclusion The main etiological factor of the bilateral cubital tunnel syndrome was the elbow eversion deformity. The lesions of synovium contributed mainly to the symmetry carpal tunnel syndrome. The symmetry peripheral entrapment neuropathies of upper extremity should be operated on as soon as possible when diagnosis had been made for enhancement of treatment outcome. 5 refs,2 tabs.展开更多
文摘Objective:Cervical adenocarcinoma(ECA)screening has low sensitivity and is prone to missed diagnoses.By analyzing a case of atypical glandular epithelium on TCT,this study aims to improve the clinical diagnosis and treatment of such diseases.Methods:The clinical examination findings,laboratory tests,and diagnostic process of a case with atypical glandular epithelium on TCT were analyzed.Results:The patient was diagnosed with cervical adenocarcinoma.Preoperative symptoms and imaging studies suggested the possibility of adenocarcinoma,and postoperative pathology confirmed the diagnosis of cervical adenocarcinoma(ECA).Conclusion:Through the analysis of this case,we aim to improve the clinical diagnosis and treatment of this condition.
文摘To the Editor： Acute pancreatitis in pregnancy （APIP） is one of the acute abdomen in pregnancy. Once the disease deterio- rated rapidly, it could be a serious threat to gravida and fetus. Although the incidence of APIP has been gradually increasing due to the life style change, it is still a rare disease and the mechanism is not clear. Patients with APIP were often misdiagnosed and not managed properly.
文摘Seventy-three patients with spinal nerve sheath tumor who were surgically treated in our hospital during the years 2004-2010 were retrospectively reviewed with respect to recovery of neurological function, recurrence of the tumor and occurrence of kyphotic deformities. Preoperative clinical manifestations, imaging data, surgical records and follow-up results were comprehensively analyzed. The follow-up duration was 12-60 months with an average of 32.0 months. Out of the 73 cases enrolled, 69 had gradual recovery of sensation, motor and sphincter functions 1 week to 3 months after operation. Forty-six cases had incomplete paralysis, whose American Spinal Injury Association （ASIA） grades, however, were gradually increased during the follow-up period, 4 cases had no significant improvement of the clinical symptoms and no change in ASIA grades during the follow-up period. Two cases had postoperative recurrence of the tumor. There were no deaths, no spinal instability, and no kyphotic malformations fotmd in any cases. Our study indicated that complete removal of the tumor is important for good recovery, and an ideal surgical method may reduce the recurrence of the tumor or the occurrence of complications.
文摘In order to better understand the clinical manifestation of systemic lupus erythematosus （SLE） with intracranial hypertension syndrome （IHS）, we analyzed the clinical features and treatment of a typical SLE patient with IHS. SLE is one of the most unpredictable autoimmune diseases involving multiple organ systems that is defined clinically and associated with antibodies directed against cell nuclei. IHS is an uncommon manifestation of neuropsychiatric SLE （NPSLE） and is characterized by an elevated intracranial pressure, papilledema, and headache with occasional abducens nerve paresis, absence of a space-occupying lesion or ventricular enlargement, and normal cerebrospinal fluid chemical and hematological constituents. IHS has been reported in a few sporadic cases in patients with SLE worldwide, but rarely has been reported in China. In this study, a 34-year-old female SLE patient with IHS was. reported and pertinent literature reviewed. The clinical presentation, image logical features, and investigatory findings were discussed.
文摘Two hundred and sixty-seven cases of female laryngocarcinoma, treated in our hospital in the past 33 years, were analysed. It is suggested that a relating preponderance of male sex hormonal influence after menopause should be a contributing factor responsible for the high prevalemce of laryngeal cancer in women. The other etiological factor was cigarette smoking. The pathological types and patterns of metastasis to cervical lymphnodes in the female laryngocarcinoma were similar to those observed in male patients but the superglottic cancer was more common than the flottic type. However, no significant difference in prognosis was observed between superglottic and glottic cancers. Provided indications are strictly adhered to, partial laryngectomy that can give therapeutic resulrs similar or even superior to total laryngocarcinoma.
文摘Healthcare waste has now been increasingly studied in terms of the risks or dangers that can cause the environment and human health. Waste generated in clinical analysis laboratories (CALs) deserves attention, because, due to the advent of the concept of emergent pollution, it is doubtful if the materials or reagents are disposed in the sewage by CALs, which are currently considered non-contaminated or with low risk potential, under current legislation, may actually impact the environment with actions not yet understood. This study was experimental and conducted at the Environmental Laboratory of the University of the Region of Joinville. It was used Euglena gracilis (primary trophic level) algae exposed to effluents from five sectors of a CAL: Biochemistry, Hematology, Viral Load, Tuberculosis and Immunochemistry. Samples were collected from the siphons attached to the wash sinks of the CAL materials. To verify changes in algae that denote environmental danger, behavioral changes were analyzed via NGTOX, and chlorophyll concentration was calculated by chlorophyll extraction according to Mendel’s method. Viral Load (VL) and Hematology (HT) sectors were the ones that most affected algae (Tukey test). In both sectors, there was inhibition of algae mobility and gravitaxy: in VL, due to the presence of chaotropic agents that denature organic structures;and in HT, due to the change in membrane permeability attributed to methylene blue. Also in HT, there was a search for algae adaptation by increasing the rise to the surface in order to overcome the lower luminosity due to the coloration of the environment, which also affects photosynthesis. Regarding the concentration of a-chlorophyll, the VL and HT were the most affected as well, being the first one the one that had more concentration reduction because of the presence of chaotropic agents. Considering new parameters evaluated, the discarded compounds need to be better evaluated for risk, as they affect algal photosynthesis. Procedures for removal of these compounds should be considered.
文摘7878 patients with tumors in the head and neck were analyzed in a period of twenty years. All the diagnosis were confirmed by pathologic examination. There were 5485 cases (69.62%) of malignant tumors. Nearly an half of malignant tumors were in the nasopharynx (49.32%). Among the malignant tumors of the nasopharynx, 2698 were carcinoma (99.34%) and only 18 (0.66%) sarcoma. Nine of them were under 10 years of age, the youngest patient was 3 years old, and this is rare in our county. The incidence of head and neck tumors was 37.66% and that of the head and neck malignancies was 26.22% of tumors in the whole body. This study indicates that incidence of malignant tumor in head and neck was rather higher, it is worth to improve ths procedure of treatment and prevention.
文摘Objectives To investigate the clinical feature of acute pulmonary embolism. Methods Retrospective clinical analysis was performed according to the data of 38 cases of pulmonary embolism. Results There were ground diseases and predisposing factors in 36 cases of pulmonary embolism among 38 cases, the ratio was 94. 7%, among the total predisposing factors, tumor, cardiovascular disease, venous thrombosis of lower extremity, smoking and long-term bed were common. There was no specificity in clinical feature, physical sign and rout chest X ray, electrocardiography, and their appearances were diversified. There were specificity and sensitivity in echocardiogram （UCG） and D-dimer to some extent. But, the final diagnosis must depend on some special examinations, such as selective pulmonary arteriography, CTPA, MRA and so on. Conclusions The special examinations must be done to make a definite diagnosis to confirm pulmonary embolism when the high risk factors and ground diseases are existing. It is necessary to some cases when the clinical feature can not be explained by other diseases.
文摘Objective: this paper aims to explore the adverse reactions caused by the combined use of cephalosporins and a variety of western drugs, record relevant data in detail, and draw a conclusion through comparative analysis. Methods: a total of 800 patients who received cephalosporins combined with a variety of western drugs in our hospital from January 2020 to March 2021 were randomly selected as the subjects of this study. The types of drugs and their compatibility as well as the incidence of adverse reactions before and after use were observed and recorded. The clinical manifestations and distribution types were summarized and discussed. Summarize data and make summary reports. Results: the incidence of adverse reactions was significantly higher after the combination of drug use than before. Most of adverse reactions were distributed in nervous system and digestive system. Compared with renal function and allergy, the incidence of adverse reactions was relatively low. The statistical analysis was cited, and the significance was established (P < 0. 05). Conclusions: the treatment of cephalosporin combined with a variety of western medicine to use effect significantly, and it can significantly shorten the patients' recovery time, reduce the chance to visit. But relatively adverse reactions occurred situation is more common and the reasons are complex. According to the analysis, due to improper use of drugs, non-standard production of drug manufacturers and disordered contraindication of related drugs, which will seriously affect the nervous and digestive system functions of patients, corresponding clinical attention should be paid attention to reduce the occurrence of such harmful events and achieve the harmonious development of doctor-patient relationship.
文摘Objective: to compare photodynamic therapy with clinical experiments in the surgical treatment of skin tumors. To analyze which curative effect is more effective, the currently adopted method is to select the relevant patients whose time of investigation is nearly two years after August 2019, and use the method of random classification to divide the patients into different groups, compare the operation combined treatment, and analyze certain difference effects. After treatment, it was found that the recurrence rate of surgery has a great impact on our patients, which is of significance in comparison with science. The recurrence rate of the first group is within 10% and that of the second group is higher than 20%. In terms of statistical significance, it conforms to the relevant data of statistics. At the same time, the operation treated by photodynamic therapy has obvious effect on the patients and can obviously reduce the recurrence rate of the operation, which is good for our operation. The experiment will implement photodynamic therapy combined with surgical treatment for patients with skin tumors. Compared with the clinical application effect, the experiment can reduce the recurrence rate, and reduce the depth and area of the surgical resection site, which is helpful to control the tumor development and has promotional value.
文摘Objective: The experiment will implement evidence-based nursing for general surgery patients, and make statistical analysis of the actual effect after application. Methods: A total of 120 general surgery patients were selected from January 2018 to April 2019, and were divided into 2 groups according to the sequence. Observe the nursing effect. Results: The observation group achieved ideal results in nursing efficiency, patient pain relief, and nursing satisfaction, compared with the control group, the difference was statistically significant (P0.05). Conclusion: the application of the evidence-based nursing in general surgery nursing can effectively promote the patients physical and mental recovery, and is more effective to improve the quality of nursing care of general surgery, to improve the doctor-patient contradiction, improve patient satisfaction with nursing care has obvious effect, but also can make the incidence of postoperative complications in patients with decreased significantly, with strong clinical popularization value.
文摘Objective: the acute attack of migraine will not only bring great pain and suffering to patients, but also endanger life and health in serious cases. Therefore, this paper mainly studies and analyzes the application of mannitol personalized nursing in the acute attack of migraine. Methods: 82 migraine patients treated in our hospital from 2017 to 2018 were retrospectively analyzed. According to different nursing methods, the patients were randomly divided into control group and observation group, with 41 subjects in each group. The specific nursing effects were compared, observed, recorded and analyzed. Results: the nursing effect of patients with acute migraine attack in the observation group was better and more obvious, and was significantly better than that in the control group. Conclusion: the effect of traditional nursing for patients with acute migraine attack is not obvious, while the application of mannitol personalized nursing can significantly improve the nursing effect. It is very important for patients with acute migraine attack and is worthy of follow-up promotion and application.
文摘Objective: to analyze the application effect of acupuncture in headache patients. Methods: 40 patients with headache admitted to our hospital from June 2020 to June 2021 were selected and treated with acupuncture and symptomatic therapy to evaluate the specific clinical efficacy. Results: after 1-3 months of treatment, headache symptoms of all patients were significantly improved or disappeared, and the total clinical effective rate reached 100.00%. Conclusion: in the process of treating headache, organic diseases such as brain abscess, cerebrovascular disease, brain contusion and laceration, traumatic brain hematoma, etc. must be removed first, and acupuncture treatment can be implemented only after disease diagnosis is implemented. The whole treatment must strictly follow the principle of traditional Chinese medicine treatment, and adopt targeted labor plan for headache caused by different causes, for example, acupuncture, collateral puncture and other therapies can achieve the purposes of promoting blood circulation and dredging collaterals, removing blood stasis and relieving pain, with outstanding therapeutic effect and certain practical application significance.
文摘Objective: To study the clinical analysis of 66 cases of personality change caused by epilepsy. Methods: 66 patients with epileptic mental disorders admitted to our hospital from January 2010 to January 2019 were reviewed. The clinical manifestations were analyzed and the therapeutic effect was observed. Results: in this study, the personality change of epileptic mental disorder patients was prominent. All patients were discharged after drug treatment, psychological care, work and entertainment treatment. The discharge rate was 100%. Conclusion: patients with epileptic mental disorder have personality changes, and adopting systematic and diversified treatment methods can significantly control mental disorders, reduce the difficulty of treatment and nursing, and promote patients to recover quickly.
文摘Objective: To explore the application value of Chaihu Guizhi Decoction in the treatment of patients with spleen and stomach disharmony disease. Methods: a total of 100 patients with hepato-gastric disharmony type of spleen and stomach disease received by our hospital from March 2020/3 to March 20203/3 were selected and divided into the observation group (motilidine and Chaihuguizhi decoction, n=50 cases) and the control group (motilidine, n=50 cases) according to the requirements of randomization method. The clinical efficacy and treatment satisfaction of the two groups were compared. Results: The clinical effective rate and clinical satisfaction of the observation group were far more than that of the control group, and the data of the two groups were significantly different (P < 0.05), and the results had statistical advantages. Conclusion: The use of Chaihu Guizhi decoction in the treatment of spleen and stomach diseases perceived as incompatible has a good therapeutic effect, patients have a higher degree of satisfaction with the treatment, which is worthy of further clinical promotion.
文摘Objective: to analyze the condition of patients with ventricular arrhythmia after acute myocardial infarction, and then combined with amiodarone treatment measures, in order to improve the therapeutic effect and ensure the safety of medication for the overall purpose of treatment. Methods: in this experiment, 60 patients with ventricular arrhythmia after myocardial infarction who were treated in our hospital from January 2018 to January 2020 were selected as the research cases. The patients who participated voluntarily were selected to compare the control results of their condition under different treatment regimens. The control group was treated with routine treatment. After health examination, patients were treated with corresponding drugs and the patients with stable hemodynamic ventricular tachycardia were treated with lidocaine hydrochloride intravenously. The observation group was treated with amiodarone, and the effect was compared. Results: according to the experimental results, the total effective rate of the control group was 83.33%, the total effective rate of the observation group was 96.67%, and the difference was statistically significant (P < 0.05). At the same time, in the investigation of the incidence of adverse events, the incidence of the observation group was 6.67%, while that of the control group was 43.33%. The contrast was very clear, and the difference was statistically significant (P < 0.05). Conclusion: the patients with ventricular arrhythmia symptoms in acute myocardial infarction must be controlled by drugs. Amiodarone is a better treatment, which can control the occurrence of adverse events and has good application effect, which can be popularized and applied.
文摘Objective To investigate the risk factors with lymph node metastatic recurrence in patients with N0 esophageal cancer after Ivor-Lewis Esophagectomy. Methods The subjects were 82 patients with pN0 esophagea cancer who underwent Ivor-Lewis esophagectomy from January 2001 to January 2005. By using RT-PCR,VEGF C mRNA was detected in tumor issues,and Mucin (MUC1) mRNA was detected in lymph nodes. The Kaplan-Meier method was used to calculate the survival
文摘Objective To explore the therapeutic principles and prognostic factors of soft tissue sarcoma. Methods Two hundred and fifty-one patients with soft tissue sarcoma (STS) treated at Shanghai Cancer Hospital during 1986 -1990 were reviewed retrospectively. Results The 1-, 3 - , 5 - , 10 - year tumor-free survival rates were 67. 74% , 57. 16% , 52, 41% , 38. 60% , respectively.The overall survival rates for 1,3,5 and 10 years were 81. 01 % ,67.75% ,60.79% ,and 49.23% respectively. Log-rank test showed that the patients with different pathological findings, histological grades,mass location and size, anatomical depth, and surgical margin showed different outcomes. Whether the sarcomas invaded the vessels or metastasized would influence the survival rates. The patients who underwent different interventions or operations also had different outcomes. The prognosis of STS was associated with age,histological type,histological grade, tumor size, surgical margin and metastasis according to the Cox regression
文摘Objective To discuss the etiology,course of diseases and prognosis of symmetry peripheral entrapment enuropathies of upper extremity. Methods The etiology, clinical scale and resluts of 14 cases were analyzed betwen 1999 and April 2002. Results In the bilateral tunnel syndrome, the excellent and good rate was 60% at the original side and 80% at the contralateral side occurred later. In the bilateral carpal tunnel syndrome, the excellent and good rate was 67% at the original side and 89% at the contralateral side occurred later. Conclusion The main etiological factor of the bilateral cubital tunnel syndrome was the elbow eversion deformity. The lesions of synovium contributed mainly to the symmetry carpal tunnel syndrome. The symmetry peripheral entrapment neuropathies of upper extremity should be operated on as soon as possible when diagnosis had been made for enhancement of treatment outcome. 5 refs,2 tabs.
