west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "黄建强" 5 results
  • Surgical diagnosis and treatment of carotid body tumor: a report of 27 cases

    Objective To sum up the diagnosis, treatment, and prevention of postoperative complications of carotid body tumor. Methods The clinical data of 27 patients (30 aneurysms) with carotid body tumor who treated in our hospital from June 2005 to June 2016 were analyzed retrospectively. Results Of the 27 patients, 24 patients had unilateral lesions and 3 patients had bilateral lesions, with a total of 30 aneurysms. Three patients received color Doppler ultrasound, 18 patients received computed tomography angiography, 3 patients received magnetic resonance angiography, and 6 patients received digital subtraction angiography. According to Shamblin classification: 10 aneurysms belonged to typeⅠ, 16 aneurysms belonged to typeⅡ, 4 aneurysms belonged to type Ⅲ. Twenty aneurysms were treated with simple stripping, 6 aneurysms were treated with tumor resection and external carotid artery resection, 2 aneurysms were resected by resection, partial carotid artery resection plus external-internal carotid artery anastomosis, 2 aneurysms were resected by resection, resection of internal carotid artery, external carotid artery, and common carotid artery, as well as internal carotid artery-common carotid artery bypass. All patients underwent a successful operation with no death. After surgery,1 patient suffered from hemiplegia, 2 patients suffered from hoarseness, and 1 patient suffered from cough. Of the 27 patients, 24 patients were followed-up from 3 months to 4 years, with a median time of 2.3 years. During the follow-up procedure, the 1 patient with hemiplegic recovered to more than three levels of muscle strength after 6 months after rehabilitation, the 2 patients with hoarseness and 1 patient with cough returned to normal after 2 months after symptomatic treatment. There was no recurrence during follow-up procedure, and no other complications occurred. Conclusion Computed tomography angiography and magnetic resonance angiography are propitious to the definitive diagnosis of carotid body tumor, and actively surgical treatment should be performed once diagnosis of carotid body tumor.

    Release date:2018-01-16 09:17 Export PDF Favorites Scan
  • The relationship of depression status with asthma control and quality of life in asthma patients before and after guided treatment including health care education

    Objective To investigate the depression status,score of asthma control test (ACT) and quality of life in asthma patients before and after health care education according to Global Initiative for Asthma guidelines.Methods 59 enrolled outpatients with asthma were asked to self-administer the CES-D (center for epidemiologic studies-depression) scale,ACT scale and the quality of life (QOL) questionnaire respectively.All the patients were educated and treated by health care professionals under the guidance of GINA 2004.After average of 2.5 months ± 15 days,they were asked to self-administer all the scales and questionnaire mentioned above once again on return visit.The data was collected and analyzed statistically based on whether or not the patient had depression according to the CES-D score and the data before and after the education was compared statistically.Results (A)40.7% (24/59) of the patients had depression emotion before guided treatment,and after that the percentage significantly decreased to 13.6% (8/59) (Plt;0.05).(B)Comparing the depressive and non-depressive groups,there was significant difference in 3 of 5 domains in QOL excluding limitation of activity and self concern about health (Plt;0.05) before guided treatment.While on return visit 3 domains in QOL excluding limitation of activity and psychologic status had shown a significant difference (Plt;0.05).There was no significant difference in ACT score before guided treatment,while wise versa after that (Plt;0.05).(C)Before guided treatment the depression status was inversely correlated with 3 in 5 domains of QOL (symptoms of asthma,psychologic status and response to irritant),as well as QOL as a whole (Plt;0.05),but not with the other two domains of QOL scale and ACT score.After guided treatment,the depression status had inverse correlation with QOL and 3 in 5 domains of QOL scale (excluding limitation of activity and psychologic status) (Plt;0.05),as well as ACT score (Plt;0.05).Conclusions The symptoms of asthma and response to irritants are common factors that influence the depressive emotion in asthma population.While psychologic status and self concern about health are both important factors that can not be overlooked.Health care education is important for asthma patients in view of appropriate treatment,symptom control and relief of depression emotion.

    Release date:2016-08-30 11:35 Export PDF Favorites Scan
  • Clinical effects of noninvasive positive pressure ventilation on patients with Cytomegaloviral pneumonia after kidney transplantation

    目的 研究无创通气(NIPPV)治疗对肾移植术后巨细胞病毒(CMV)肺炎患者的疗效。方法 1998年1月~2005年12月间入住中山大学附属第一医院内科重症监护病房(MICU)的78例肾移植术后CMV肺炎患者,根据是否接受无创通气治疗而分为非NIPPV组和NIPPV组,比较两组患者在接受有创机械通气比例、病死率、住院时间及并发症等方面的差异。对52例NIPPV组患者,比较无创通气治疗前后生命体征及血气分析指标的变化。结果 NIPPV组与非NIPPV组相比,接受有创机械通气比例(30.8% 比80.8%)、医院获得性肺炎发生率(32.7% 比61.5%)及病死率(30.8% 比57.7%)较低,两组比较均有显著性差异(P均lt;0.05);而住院时间、气压伤发生率无显著差异。NIPPV组患者无创通气治疗后患者呼吸频率有所减慢,动脉血pH值逐渐降低,PaCO2水平缓慢上升,PaO2、PaO2 /FiO2及SaO2明显升高,两组比较均有显著差异(P均lt;0.05)。而无创通气治疗前后心率、血压的变化则无明显规律。结论 NIPPV治疗能够改善肾移植术后CMV肺炎患者的低氧血症,缓解呼吸窘迫症状,降低有创机械通气治疗比例及医院获得性肺炎的发生率,从而降低病死率。用无创通气治疗巨细胞病毒肺炎值得在临床上推广使用。

    Release date:2016-09-14 11:57 Export PDF Favorites Scan
  • 布加综合征的MRI影像学表现

    目的总结MRI检查对布加综合征(BCS)的诊断价值。 方法回顾性分析2010年10月至2014年10月期间于昆明医科大学第一附属医院行MRI平扫及增强扫描的14例BCS患者的MRI图像资料。 结果14例BCS患者的MRI直接征象为肝静脉和(或)下腔静脉狭窄或阻塞,并据此分为Ⅰa型2例,Ⅰb型1例,Ⅱb型4例,Ⅲa型1例,Ⅳa型1例,Ⅳb型5例。8例急性BCS患者中,3例肝内静脉形成陈旧性血栓,1例下腔静脉内有血栓形成;8例肝脏呈弥漫性肿大,6例伴有腹水和脾肿大,1例伴有胆囊水肿;5例行MRI平扫示肝实质信号不均匀,增强后肝实质呈中心强化,周边强化减弱;2例出现肝外侧支循环,1例出现肝内侧支循环。6例慢性BCS患者中,3例肝脏体积缩小,1例尾状叶代偿性肥大,2例肝内出现多发再生结节;4例伴有腹水和脾肿大,1例伴有胆囊水肿;6例行MRI平扫示肝实质信号不均匀,增强后4例呈“地图样”强化,2例肝脏中央部分出现斑片状强化,而周边部分强化程度相对较低,延迟扫描时肝脏呈较均匀强化;6例出现肝外侧支循环,其中1例伴有肝内侧支循环。 结论MRI图像能够显示BCS的直接或间接征像,是诊断急、慢性BCS的重要的无创性检查方法。

    Release date: Export PDF Favorites Scan
  • 覆膜支架治疗医源性股动静脉内瘘的临床疗效分析(附9例报道)

    目的总结股动静脉内瘘的发生原因及处理策略,为临床诊治此类疾病提供诊疗经验。方法回顾性收集2013年9月至2023年5月期间中国人民解放军联勤保障部队第九〇〇医院普通外科收治的9例股动静脉内瘘患者的临床资料,分析其发生原因、手术方式及治疗效果。结果9例患者的动静脉内瘘形成均因血管穿刺所致,包括5例房颤患者行射频导管消融术、3例脑梗死患者行取栓术以及1例尿毒症患者行临时血液透析管置入术;9例患者均行覆膜支架隔绝术,经手术治疗均治愈,技术成功率为100%。手术时间60~150 min,中位数为90 min;术中出血量10~50 mL,中位数为20 mL;术后住院时间为8~12 d,中位数为10 d。所有患者术后均未闻及血管杂音、患肢肿胀消退。9例患者均获得随访,随访时间3~24个月,中位随访时间为16个月。随访期间均未出现心脑血管疾病等并发症,超声复查血管通畅无复发迹象。结论因创伤小、可远程接近损伤部位、术后感染风险低、住院时间短、失血少等优势,介入手术可应用于临床治疗股动静脉内瘘患者。

    Release date: Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content