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目的 探索以肺部超声为应用的多学科诊疗体系在高原性肺水肿诊疗中的价值。方法 选取
2018—2022年在甘孜州稻城县人民医院急诊科收治的 200例疑似高原性肺水肿患者为研究对象,将其中确诊的 115例患
者按照平衡序贯法随机分为试验组(采用以肺部超声为应用的多学科诊疗体系,n=56)和对照组(采用常规诊疗方式,
n=59),比较两组的诊疗效果。结果 在早期诊断高原性肺水肿中,肺部超声的灵敏度、正确指数及阴性预测值均高于X
线检查结果(P<0.05),而与CT检查结果比较差异无统计学意义(P>0.05)。试验组的诊疗时效性、抗生素使用率、心衰
发生率、无创呼吸机上机率、康复期恢复等方面优于对照组(P<0.05)。结论 以肺部超声为应用的多学科诊疗体系在
高原性肺水肿早期诊断中具有较高的灵敏度、正确指数及阴性预测值,可促进患者愈后及康复。 相似文献
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目的:为探讨重组人生长激素(rhGH)联合低热量肠外营养(PN)在肝炎后肝硬化门静脉高压低蛋白血症患者手术前应用的疗效情况。方法:笔者将符合手术要求的28例血清清蛋白含量低于30g/L的肝炎后肝硬化门静脉高压患者随机分为研究组及对照组各14例。2组术前均按体重给予等热量、等氮的PN治疗及相同的护肝治疗。研究组于术前9d开始皮下注射rhGH 4 IU,qd,对照组给予注射生理盐水安慰剂。测定2组治疗前和治疗的第3、6、9d的各项观察指标。结果:治疗后第6d始研究组血清清蛋白较治疗前及对照组明显升高(P〈0.05),且至第9d仍维持较高水平(P〈0.05)。对照组血清清蛋白、2组球蛋白及血糖无明显变化(P〉0.05)。结论:rhGH联合PN支持治疗能促进肝炎后肝硬化门静脉高压低蛋白血症患者的蛋白质合成,改善低蛋白血症状态。 相似文献
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目的:探讨肩胛骨骨折(scapular fracture,SF)的手术治疗效果。方法:采用切开复位、重建接骨钛板、螺钉内固定治疗SF25例。结果:25例SF患者均获随访,随访时间3—38个月,平均11.5个月,疗效优22例,良3例,无失败病例。全部SF都在12周内达到临床愈合。结论:对不稳定SF采用切开复位妒固定治疗,患者可早期进行功能锻炼,能最大限度的恢复肩关节功能。避免各种并发症的发生。 相似文献
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椎体后凸成形术治疗骨质疏松性椎体压缩性骨折 总被引:1,自引:2,他引:1
目的探讨经皮椎体后凸成形术治疗骨质疏松性椎体压缩性骨折的疗效。方法对11例患者在C形臂透视下行椎体后凸成形术,对术前术后的疼痛数字评分法(NRS)、椎体高度的恢复情况进行统计学分析。结果本组手术均成功,所有患者疼痛明显缓解,NRS术前5-8分降为术后48 h 0-1分,术后3个月0-1分,NRS评分与病椎前缘高度术前术后差异统计学意义有(P〈0.05)。结论经皮椎体后凸成形术可迅速缓解患者疼痛,是一种安全有效的方法。 相似文献
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目的 分析股骨颈动力交叉钉系统内固定治疗老年外展嵌插型股骨颈骨折的临床疗效。方法 回顾分析自2020-01—2021-12诊治的34例老年外展嵌插型股骨颈骨折,根据手术方式进行分组,观察组17例采用闭合复位联合股骨颈动力交叉钉系统内固定,对照组17例采用闭合复位联合空心钉内固定。比较两组手术时间、术中出血量、住院天数、髋关节功能Harris评分、股骨颈短缩长度、再手术情况。结果 34例均获得随访,随访时间13~26个月,平均19.7个月。两组手术时间、术中出血量、住院天数比较差异无统计学意义(P>0.05)。观察组术后1年髋关节功能Harris评分为(90.0±5.3)分,对照组为(83.3±5.0)分,观察组术后1年髋关节功能Harris评分高于对照组,差异有统计学意义(t=3.779,P=0.001)。观察组术后股骨颈短缩长度为1.9(0.0,4.1)mm,对照组为1.3(0.1,2.6)mm,两组术后股骨颈短缩长度比较差异无统计学意义(Z=-0.314,P=0.753)。观察组再手术1例,对照组2例;两组再手术情况比较差异无统计学意义(P=1.000)。结论 股骨颈动力交叉... 相似文献
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经皮椎体成形术(percutaneous vertebroplasty,PVP)与经皮椎体后凸成形术(percutaneous kyphoplasty,PKP)是一项新的脊柱微创技术,能明显缓解疼痛、维持脊柱稳定性、恢复椎体高度,但是也存在一些并发症.本文就PVP与PKP查阅近年来国内外的相关文献,分析和总结经PVP与PKP治疗老年骨质疏松性椎体骨折的进展. 相似文献
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目的:探讨重组人生长激素(rhGH)联合低热量肠外营养(PN)对肝炎后肝硬化门静脉高压低蛋白血症患者手术前应用的价值。方法:将28例血清白蛋白(Alb,A)含量低于30g/L的患者随机分为观察组及对照组,每组各14例。两组术前均按千克体重给予等热量、等氮的PN治疗及相同的护肝治疗。观察组于术前9d开始皮下注射rhGH4U/d,共9d;对照组给予注射等容量生理盐水。测定两组治疗前和治疗后3、6、9d的各项指标。结果:治疗后6d始观察组血清A较治疗前和对照组均明显升高(P〈0.05),且9d时仍维持较高水平(P〈0.05)。对照组血清A及两组球蛋白(G)和血糖治疗后无明显变化(P〉0.05)。结论:rhGH联合PN支持治疗能改善肝炎后肝硬化门静脉高压低蛋白血症患者的低蛋白状态。 相似文献
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目的:前瞻性、完全随机对比研究用隧道刀制作巩膜瓣在以穹窿部为基底结膜瓣小梁切除术的疗效及并发症。方法:完全随机方法将拟手术的青光眼病人分至两组,分别施行以穹窿部为基底结膜瓣,隧道刀制作巩膜瓣的小梁切除术(A组)及以角膜缘为基底结膜瓣,常规方法制作巩膜瓣的复合式小梁切除术(B组),术后观察6月,比较两组术后疗效及并发症。结果:两组的成功率分别为75%,70%,其差别没有显著性差异;两组均未出现严重并发症,其并发症发生率相近。结论:采用隧道刀制作巩膜瓣在以穹窿部为基底结膜瓣小梁切除术中可有效简化青光眼手术过程。 相似文献
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超声微泡介导增强型绿色荧光蛋白基因转染视网膜神经节细胞的体内实验 总被引:2,自引:0,他引:2
BACKGROUND: Studies have demonstrated that ultrasound-mediated microbubble destruction significantly improves transfection efficiency of enhanced green fluorescent protein (EGFP) in in vitro cultured retinal ganglial cells (RGCs). OBJECTIVE: To investigate the feasibility of ultrasound-mediated microbubble destruction for EGFP transfection in rat RGCs, and to compare efficiency and cell damage with traditional transfection methods. DESIGN, TIME AND SETTING: In vivo, gene engineering experiment. The study was performed at the Central Laboratory, Institute of Ultrasonic Imaging, Chongqing Medical University from March to July 2008. MATERIALS: Eukaryotic expression vector plasmid EGFP and microbubbles were prepared by the Institute of Ultrasonic Imaging, Chongqing Medical University. The microbubbles were produced at a concentration of 8.7 × 10^11/L, with a 2-4 μm diameter, and 10-hour half-life in vitro. METHODS: A total of 50 Sprague Dawley rats were randomly assigned to four groups. Normal controls (n = 5) were infused with 5 μL normal saline to the vitreous cavity; the naked plasmid group (n = 15) was infused with 5 pL EGFP plasmid to the vitreous cavity; in the plasmid with ultrasound group (n = 15), the eyes were irradiated with low-energy ultrasound wave (0.5 W/cm^2) for a total of 60 seconds (irradiated for 5 seconds, at 10-second intervals) immediately following infusion of EGFP plasmids to the vitreous cavities. In the microbubble-ultrasound group (n = 15), the eyes were irradiated with the same power of ultrasonic wave immediately following infusion of microbubbles containing EGFP plasmids to the vitreous cavities. MAIN OUTCOME MEASURES: After 7 days, retinal preparations and EGFP expression in RGCs were observed by fluorescence microscopy. RGC quantification in the retinal ganglion cell layer was performed. In addition, EGFP mRNA expression was semi-quantitatively determined by RT-PCR. RESULTS: The transfection efficiency of EGFP to RGCs by microbubbles with ultrasound was significantly greater than the other groups, and no obvious damage was detected in the RGCs. CONCLUSION: Under irradiation of low-frequency ultrasound waves, ultrasound-mediated microbubble destruction was effective and resulted in safe transfection of the EGFP gene to the RGCs. 相似文献