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1.
长期以来,侧脑室引流作为解除急性脑积水的应急措施,以暂时缓解病情,争取时间进行定位诊断。后来,扩大到治疗某些脑出血。1996年以来,我科对5例侧脑室出血及丘脑出血破入侧脑室者行侧脑室引流术,术后严加护理,取得了较满意的效果,现报告如下: 1 临床资料 1.1 一般资料 5例中,男4例,女1例;年龄50~73步,平均58岁;单纯脑室出血2例,脑  相似文献   

2.
本文回顾性研究和分析1991年1月至1997年5月经CT平扫证实的42例无偏瘫型脑出血患者.其结果表示:在42例病例中,对例(78.6%)大于60岁活动中起病35例(83.3%).临床表现多种多样.38例入院时神志清醒,入院前与入院后CT平扫发现出血位于脑的不同部位,且量较少,约0.5~60ml(平均79±11.5ml,出血破入脑室10例(23.8%)本文显示:无偏瘫型脑出血临床症状多种多样,典型的症状不是很明显,所以给诊断带来困难.放对此类病人应尽早行头CT平扫,同时应详细采集病史和进行神经系统查体,以助确诊和避免误诊.  相似文献   

3.
1993~1998上半年间住院分娩总数5284例。其中产后出血166例。产后出血的原因主要有子宫收缩乏力性出血,胎盘、胎膜滞留及软产遭损伤。其中以子宫收缩乏力性出血为主。在分娩方式中,以手术产中产后出血发生率最高,产后出血量≥800ml时休克的发生率明显增高,提示:减少人工流产,减少前置胎盘的发生。加强围产期保健,积极纠正胎位异常,治疗妊娠高血压综合征,减低剖宫产率。  相似文献   

4.
目的:分析急性脑出血术后患者合并医院获得性肺炎(HAP)的相关危险因素,并探讨有效的预防措施.方法:回顾性分析我院的86例急性脑出血术后患者的临床资料,其中合并HAP患者34例.通过对年龄、有无糖尿病病史、有无饮水呛咳、GCS评分来分析脑出血术后患者与HAP发生率之间的关系.结果:脑出血术后患者HAP的相关危险因素有:年龄60岁、有糖尿病病史、有饮水呛咳、GCS8分等.结论:详细了解脑出血术后患者发生HAP的危险因素,根据相应危险因素采取有效地干预措施,加强防治,有效地减少HAP的发生.  相似文献   

5.
高血压危象是短时间内血压急剧升高引起的一种危及生命的临床综合征 ,在某种诱因作用下血压忽然升高超过 2 0 0 / 130mmHg ,同时伴有心、脑、肾急性器官损害。临床常见高血压急症有高血压脑病、蛛网膜下腔出血和脑出血 ,主动脉夹层瘤或急性心梗伴有严重的高血压等。高血压危象发病急、病情重、危险性大 ,护士细心、准确的病情观察为诊治提供了依据 ,精心的护理是患者早日康复的保障。  相似文献   

6.
目的:探讨自发性脑出血患者术后再次出血的可能原因及预防再出血的措施;方法:3例自发性脑出血患者行开颅血肿清除术,其中2例行小骨窗神经内镜血肿清除,1例常规大骨瓣开颅血肿清除并去骨瓣外减压;3例患者术前均行血管调查,CTA或者DSA均未见明显血管异常,其中一例术后6月临近部位再出血患者,术前再次行血管调查,DSA未见异常,再次行小骨窗内镜血肿清除手术.结果:1例接受再手术患者恢复良好,其他2例未再手术,放弃治疗后死亡.结论:脑血管调查结果阴性的脑出血患者,手术后仍有再出血的可能,再次出血后者预后差,无论患者有无高血压,术后均需控制血压水平.  相似文献   

7.
目的:讨论急性心急梗死(AMI)溶栓后1小时心电图ST段下降>50%对早期预后的评价.方法:将66例AMT患者按溶栓后1小时心电图分为ST段下降>50%组和ST段下降<50%两组,比较两组住院1个月内严重室性心律失常的发生及死亡率.结果:溶栓后1小时心电图ST段下降>50%组住院1个月内严重心律失常的发生率及死亡率均低于ST段低于下降<50%组,且两者间差异具显著性.结论:溶栓后1小时心电图ST段变化有助于评价患者早期预后及检查出高危患者.  相似文献   

8.
ARDS(急性呼吸窘迫综合症)是一组临床上常见的症候群,其发病率及死亡率均较高,本文通过对32例ARDS患者的综合分析,总结了ARDS合并MODS(多脏器功能不全综合症),后使死亡率由62.5%上升到90.9%,证明MODS是影响预后的关键因素.因而在治疗上密切监测呼吸和其它脏器的功能,以免发生MODS,才能提高ARDS的救治水平。  相似文献   

9.
目的:探讨如何降低经典入路人工髋关节置换术给患者尤其是老年患者所带来的损伤及风险.方法:采用改良式Moore切口,与Moore不同之处:切口在大转子最高点后侧1.5cm进入,前长6—8cm远离坐骨神经,外旋短肌群不切断,出血少,臀中肌用电刀作部分有限切开,确认转之间窝及髋关节囊后纵形切口直达髋关节.结果:本组手术切口平均长度7.5 cm,术中出血量平均350ml,术后12h平均引流量150ml,术后并发症相应减少,平均术后13天出院.按Harris关节评分,3个月内不低于72分,6个月内不低于80分,1年以上不低于90分,符合优良标准.结论:小切口行人工髋关节置换术,与经典入路相比减少了损伤及出血,降低了风险,值得推广.  相似文献   

10.
杨吉操 《考试周刊》2015,(20):128-129
目的 探讨不同剂量替罗非班治疗非ST段抬高型急性冠状动脉综合征(NSTE-ACS)的临床效果。方法 80例NSTE-ACS患者,随机分为全量组与半量组,每组40例,均实施常规给予抗凝抗栓及经皮冠状动脉介入治疗(PCI)术治疗,全量组患者应用量替罗非班剂量为10μg/kg,半量组则减半应用。观察两组疗效。结果 半量组心肌梗死溶栓治疗临床试验(TIMI)3级血流获得率、TIMI心肌灌注分级(TMPG)灌注2~3级获得率、主要不良心血管事件(MACE)发生率对比全量组,差异均无统计学意义(P>0.05);半量组轻度出血事件发生率低于全量组,差异有统计学意义(P<0.05)。结论 半剂量替罗非班应用于非ST段抬高型急性冠状动脉综合征的治疗可以明显改善冠状动脉血流和心肌灌注,近期预后良好,减少出血几率,具有较高安全性。  相似文献   

11.
汉字倒说     
汉字的六书,《说文》对“转注”一类,语焉不详。后世学者提及转注,也仅限于许慎所举出的例字。《汉字例说》一文,作者从转注的角度综合考虑,对部分现代常用字作了分析,跟传统的解释有所不同。希望能抛砖引玉,互相切磋,以推进学术研究。  相似文献   

12.
《海外英语》2007,(5):44-45
It is worthy of noting that, whilst Crookston Castle witnessed the earlier and happier portion of Mary's variegated life,  相似文献   

13.
一、吃和喝吃苹果 eat an apple, 吃药 take medicine,吃糖 have some sweets,吃饭 have one's meals,吃馆子 dine out,吃惊 be surprised/  相似文献   

14.
《海外英语》2007,(5):10-11
Many college freshmen arrive woefully unprepared to do college work, and as disadvantaged populations continue to grow, the share of the American work force that has made it through college is expected to plummet. Many experts blame that educational failure not just on high schools but also on colleges. School & College, a special report by The Chronicle, looks at efforts to fix the system. What reforms would better prepare students for college? What should schools and colleges be doing differently? How should state and federal officials help?  相似文献   

15.
钱生钱!     
我们绝大部分人都同意一件事情——我们喜欢金钱。但是你对金钱的喜欢之情足够到让你创立一份事业么?.财富通常被人忽视,主要在于人们不能真正了  相似文献   

16.
《海外英语》2007,(4):36
There are numbers of crossroads on our long and unpredictable life journey where we totally have no idea about which direction to choose. No matter what our decision is, we should not turn back, but face the music and go ahead instead. I am this kind of girl who always does try without regretting, one example is how I dealt with my love.  相似文献   

17.
The problem on the geometrc inequalities involving an n-dimensional simplex and its inscribed simplex is studied. Aninequality is established, which reveals that the difference between the squared circumradius of the n-dimensional simplex andthe squared distance between its circumcenter and barycenter times the squared circumradius of its inscribed simplex is not lessthan the 2(n-1)th power of n times its squared inradius, and is equal to when the simplex is regular and its inscribed siplex is atangent point one. Deduction from this inequality reaches a generalization of n-dimensional Euler inequality indicating that thecircumradius of the simplex is not less than the n-fold inradius. Another inequality is derived to present the relationship betweenthe circumradius of the n-dimensional simplex and the circumradius and inradius of its pedal simplex.  相似文献   

18.
王菲 《华章》2007,(12):273-273
Migration occurs behind a variety of reasons and has a great effect on the whole world. People may migrate in order to improve their economic situation, or in order to escape civil strife, persecution, and environmental disasters. The impact of migration is complex, bringing both benefits anddisadvantages. This paper briefly talks about the causes of migration, the allocation of benefits, and the ways in which individual countries and the international community deal with this important subject.  相似文献   

19.
现在,我们可以没有面包,没有钱,没有房子,没有车子……但我们唯独不能丢失的是高尚的情操,笃定的信念,还有,满满的希望!  相似文献   

20.
Using virtual reality for interactive design gives a designer an intuitive vision of a design and allows the designer to achieve a viable, optimal solution in a timely manner. The article discusses the process of making the Virtual Reality System of the Humble Administrator's Garden. Translating building data to the Virtual Reality Modeling Language (VRML) is by far unsatisfactory. This creates a challenge for computer designers to do optimization to meet requirements. Five different approaches to optimize models have been presented in this paper. The other methods are to optimize VRML and to reduce the file size. This is done by keeping polygon counts to a minimum and by applying such techniques as object culling and level-ofdetail switching.  相似文献   

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