Objective: To determine if there is any significant association between stroke and both hypoalbuminema and hypoproteinemia. Patients and Methods: Total serum proteins “T.S.P.” and serum albumin were measured for 65 ...Objective: To determine if there is any significant association between stroke and both hypoalbuminema and hypoproteinemia. Patients and Methods: Total serum proteins “T.S.P.” and serum albumin were measured for 65 patients with stroke who were admitted to the medical and neurological wards at Baghdad Teaching Hospital in the Medical City from November 2003 to October 2004. Careful history was obtained and proper clinical examinations were done. Serum albumin, T.S.P., blood sugar, renal function, liver function and general urine examination “G.U.E.” were tested within 48 - 72 hours of the start of patient symptoms. These patients with hepatic and renal dysfunction and those with diabetes mellitus were excluded. The results were compared with the results obtained from control group, which consisted of 40 persons of matched age and sex. By application pf chi square test “X” to see the association of serum albumin with cigarette smoking, age, hypertension and the presence of carotid bruit. Results: The mean serum level of T.S.P. and serum albumin of those with stroke was 6.42 ± 0.322 g/dl, 3.26 ± 0.251 g/dl respectively, which was significantly lower than T.S.P. and serum albumin of the control “mean = 7.8 ± 0.257 g/dl, 4.73 ± 0.206 g/dl respectively” [P X2 = 25.14, P X2 = 15.57, P Conclusion: Hypoalbuminemia and hypoproteinemia are significantly associated with stroke.展开更多
BACKGROUND While most complications of cervical surgery are reversible,some,such as symptomatic postoperative spinal epidural hematoma(SEH),which generally occurs within 24 h,are associated with increased morbidity an...BACKGROUND While most complications of cervical surgery are reversible,some,such as symptomatic postoperative spinal epidural hematoma(SEH),which generally occurs within 24 h,are associated with increased morbidity and mortality.Delayed neurological dysfunction is diagnosed in cases when symptoms present>3 d postoperatively.Owing to its rarity,the risk factors for delayed neurological dysfunction are unclear.Consequently,this condition can result in irreversible neurological deficits and serious consequences.In this paper,we present a case of postoperative SEH that developed three days after hematoma evacuation.CASE SUMMARY A 68-year-old man with an American Spinal Injury Association(ASIA)grade C injury was admitted to our hospital with neck pain and tetraplegia following a fall.The C3-C7 posterior laminectomy and the lateral mass screw fixation surgery were performed on the tenth day.Postoperatively,the patient showed no changes in muscle strength or ASIA grade.The patient experienced neck pain and subcutaneous swelling on the third day postoperatively,his muscle strength decreased,and his ASIA score was grade A.Magnetic resonance imaging showed hypointense signals on T1 weighted image(T1WI)and T2WI located behind the epidural space,with spinal cord compression.Emergency surgical intervention for the hematoma was performed 12 h after onset.Although hypoproteinemia and pleural effusion did not improve in the perioperative period,the patient recovered to ASIA grade C on day 30 after surgery,and was transferred to a functional rehabilitation exercise unit.CONCLUSION This case shows that amelioration of low blood albumin and pleural effusion is an important aspect of the perioperative management of cervical surgery.Surgery to relieve the pressure on the spinal cord should be performed as soon as possible to decrease neurological disabilities.展开更多
目的系统评价结直肠癌患者术后肺部感染的影响因素。方法检索中国知网、万方、维普、中国生物医学文献数据库(SinoMed)、PubMed、Web of Science、Embase、the Cochrane Library数据库,系统检索结直肠癌患者术后发生肺部感染影响因素的...目的系统评价结直肠癌患者术后肺部感染的影响因素。方法检索中国知网、万方、维普、中国生物医学文献数据库(SinoMed)、PubMed、Web of Science、Embase、the Cochrane Library数据库,系统检索结直肠癌患者术后发生肺部感染影响因素的相关文献,检索时间为建库至2024年6月28日。采用Stata 16.0软件进行数据分析。结果共纳入25篇文献,包含16043例结直肠癌患者、32个影响因素。Meta分析结果显示,年龄[OR=2.72,95%CI(2.04~3.61),P<0.001]、体重指数(body mass index,BMI)[OR=3.76,95%CI(2.10~6.75),P<0.001]、男性[OR=2.08,95%CI(1.49~2.91),P<0.001]、吸烟史[OR=2.78,95%CI(2.31~3.36),P<0.001]、合并慢性呼吸道疾病[OR=4.18,95%CI(2.70~6.47),P<0.001]、合并糖尿病[OR=2.59,95%CI(1.66~4.05),P<0.001]、合并低蛋白血症[OR=4.15,95%CI(1.95~8.83),P<0.001]、术前白蛋白<35 g/L[OR=2.29,95%CI(1.31~4.00),P=0.003]、手术时间[OR=2.75,95%CI(1.84~4.11),P<0.001]、开腹手术[OR=3.25,95%CI(2.42~4.38),P<0.001]、美国麻醉师协会(American Society of Anesthesiologists,ASA)评分[OR=2.26,95%CI(1.51~3.38),P<0.001]、术中输血[OR=3.51,95%CI(1.48~8.32),P=0.004]是结直肠癌患者术后并发肺部感染的主要影响因素。结论年龄、BMI、男性、吸烟史、合并慢性呼吸道疾病、合并糖尿病、合并低蛋白血症、术前白蛋白<35 g/L、手术时间、开腹手术、ASA评分、术中输血均为结直肠癌患者术后肺部感染的危险因素。有效防治慢性呼吸道疾病,积极指导患者戒烟、控制血糖和调整营养饮食,完善术前筛查、提高术者操作标准有助于预防和控制结直肠癌患者术后并发肺部感染。展开更多
文摘Objective: To determine if there is any significant association between stroke and both hypoalbuminema and hypoproteinemia. Patients and Methods: Total serum proteins “T.S.P.” and serum albumin were measured for 65 patients with stroke who were admitted to the medical and neurological wards at Baghdad Teaching Hospital in the Medical City from November 2003 to October 2004. Careful history was obtained and proper clinical examinations were done. Serum albumin, T.S.P., blood sugar, renal function, liver function and general urine examination “G.U.E.” were tested within 48 - 72 hours of the start of patient symptoms. These patients with hepatic and renal dysfunction and those with diabetes mellitus were excluded. The results were compared with the results obtained from control group, which consisted of 40 persons of matched age and sex. By application pf chi square test “X” to see the association of serum albumin with cigarette smoking, age, hypertension and the presence of carotid bruit. Results: The mean serum level of T.S.P. and serum albumin of those with stroke was 6.42 ± 0.322 g/dl, 3.26 ± 0.251 g/dl respectively, which was significantly lower than T.S.P. and serum albumin of the control “mean = 7.8 ± 0.257 g/dl, 4.73 ± 0.206 g/dl respectively” [P X2 = 25.14, P X2 = 15.57, P Conclusion: Hypoalbuminemia and hypoproteinemia are significantly associated with stroke.
文摘BACKGROUND While most complications of cervical surgery are reversible,some,such as symptomatic postoperative spinal epidural hematoma(SEH),which generally occurs within 24 h,are associated with increased morbidity and mortality.Delayed neurological dysfunction is diagnosed in cases when symptoms present>3 d postoperatively.Owing to its rarity,the risk factors for delayed neurological dysfunction are unclear.Consequently,this condition can result in irreversible neurological deficits and serious consequences.In this paper,we present a case of postoperative SEH that developed three days after hematoma evacuation.CASE SUMMARY A 68-year-old man with an American Spinal Injury Association(ASIA)grade C injury was admitted to our hospital with neck pain and tetraplegia following a fall.The C3-C7 posterior laminectomy and the lateral mass screw fixation surgery were performed on the tenth day.Postoperatively,the patient showed no changes in muscle strength or ASIA grade.The patient experienced neck pain and subcutaneous swelling on the third day postoperatively,his muscle strength decreased,and his ASIA score was grade A.Magnetic resonance imaging showed hypointense signals on T1 weighted image(T1WI)and T2WI located behind the epidural space,with spinal cord compression.Emergency surgical intervention for the hematoma was performed 12 h after onset.Although hypoproteinemia and pleural effusion did not improve in the perioperative period,the patient recovered to ASIA grade C on day 30 after surgery,and was transferred to a functional rehabilitation exercise unit.CONCLUSION This case shows that amelioration of low blood albumin and pleural effusion is an important aspect of the perioperative management of cervical surgery.Surgery to relieve the pressure on the spinal cord should be performed as soon as possible to decrease neurological disabilities.
文摘目的系统评价结直肠癌患者术后肺部感染的影响因素。方法检索中国知网、万方、维普、中国生物医学文献数据库(SinoMed)、PubMed、Web of Science、Embase、the Cochrane Library数据库,系统检索结直肠癌患者术后发生肺部感染影响因素的相关文献,检索时间为建库至2024年6月28日。采用Stata 16.0软件进行数据分析。结果共纳入25篇文献,包含16043例结直肠癌患者、32个影响因素。Meta分析结果显示,年龄[OR=2.72,95%CI(2.04~3.61),P<0.001]、体重指数(body mass index,BMI)[OR=3.76,95%CI(2.10~6.75),P<0.001]、男性[OR=2.08,95%CI(1.49~2.91),P<0.001]、吸烟史[OR=2.78,95%CI(2.31~3.36),P<0.001]、合并慢性呼吸道疾病[OR=4.18,95%CI(2.70~6.47),P<0.001]、合并糖尿病[OR=2.59,95%CI(1.66~4.05),P<0.001]、合并低蛋白血症[OR=4.15,95%CI(1.95~8.83),P<0.001]、术前白蛋白<35 g/L[OR=2.29,95%CI(1.31~4.00),P=0.003]、手术时间[OR=2.75,95%CI(1.84~4.11),P<0.001]、开腹手术[OR=3.25,95%CI(2.42~4.38),P<0.001]、美国麻醉师协会(American Society of Anesthesiologists,ASA)评分[OR=2.26,95%CI(1.51~3.38),P<0.001]、术中输血[OR=3.51,95%CI(1.48~8.32),P=0.004]是结直肠癌患者术后并发肺部感染的主要影响因素。结论年龄、BMI、男性、吸烟史、合并慢性呼吸道疾病、合并糖尿病、合并低蛋白血症、术前白蛋白<35 g/L、手术时间、开腹手术、ASA评分、术中输血均为结直肠癌患者术后肺部感染的危险因素。有效防治慢性呼吸道疾病,积极指导患者戒烟、控制血糖和调整营养饮食,完善术前筛查、提高术者操作标准有助于预防和控制结直肠癌患者术后并发肺部感染。
