Objective:To assess using the pelvic pressure pack as temporizing treatment for combined vaginal and broad ligament hematoma before selective arterial embolization could be undertaken.Methods:A 29-year-old woman was t...Objective:To assess using the pelvic pressure pack as temporizing treatment for combined vaginal and broad ligament hematoma before selective arterial embolization could be undertaken.Methods:A 29-year-old woman was transferred because of a 10cm right upper vaginal hematoma found shortly after the spontaneous delivery of a 3400g infant at term.Following evacuation of the clots,the patient’s condition deteriorated with the appearance of a painful right pelvic mass,displacing the uterus.At laparotomy,the hematoma extended between the folds of the broad ligament into the pelvic sidewall.After evacuation of the clots,hemostasis failed despite subtotal hysterectomy.Eventually a pressure pack created from joined gauze rolls was used to fill up the pelvic cavity and achieved hemostasis before abdominal closure.When the vaginal pack was removed 30 hours later,vaginal bleeding recurred,and bilateral hypogastric embolization was performed with Gianturco coils.Results:The patient was successfully treated by this way and discharged uneventfully.Conclusion:In combined vaginal and broad ligament hematoma,pelvic pressure pack can be used to ensure maternal survival until definitive treatment with angiographic embolization.展开更多
已有研究发现大气颗粒物污染与糖尿病的患病率存在统计学联系。为更好地了解这一关系,对探讨颗粒物污染(PM_(10)/PM_(2.5))与血糖水平相关性的研究展开系统综述。在中国知网、万方、Pub Med、Web of Science检索1997年1月至2017年12月...已有研究发现大气颗粒物污染与糖尿病的患病率存在统计学联系。为更好地了解这一关系,对探讨颗粒物污染(PM_(10)/PM_(2.5))与血糖水平相关性的研究展开系统综述。在中国知网、万方、Pub Med、Web of Science检索1997年1月至2017年12月国内外关于颗粒物污染与血糖水平关系的研究,同时对参考文献也进行了追溯。共纳入15项研究,多数显示颗粒物污染与血糖水平的升高存在统计学意义,在不同地区、不同人群中,具体的效应值有所不同。老年人群、女性人群和超重人群是可能的易感人群。目前关于颗粒物污染与血糖水平关系的研究数量仍较少,未来仍需大量研究基于个体水平的暴露数据,更精确地探索不同人群中颗粒物污染与血糖之间的关系。展开更多
文摘Objective:To assess using the pelvic pressure pack as temporizing treatment for combined vaginal and broad ligament hematoma before selective arterial embolization could be undertaken.Methods:A 29-year-old woman was transferred because of a 10cm right upper vaginal hematoma found shortly after the spontaneous delivery of a 3400g infant at term.Following evacuation of the clots,the patient’s condition deteriorated with the appearance of a painful right pelvic mass,displacing the uterus.At laparotomy,the hematoma extended between the folds of the broad ligament into the pelvic sidewall.After evacuation of the clots,hemostasis failed despite subtotal hysterectomy.Eventually a pressure pack created from joined gauze rolls was used to fill up the pelvic cavity and achieved hemostasis before abdominal closure.When the vaginal pack was removed 30 hours later,vaginal bleeding recurred,and bilateral hypogastric embolization was performed with Gianturco coils.Results:The patient was successfully treated by this way and discharged uneventfully.Conclusion:In combined vaginal and broad ligament hematoma,pelvic pressure pack can be used to ensure maternal survival until definitive treatment with angiographic embolization.
文摘已有研究发现大气颗粒物污染与糖尿病的患病率存在统计学联系。为更好地了解这一关系,对探讨颗粒物污染(PM_(10)/PM_(2.5))与血糖水平相关性的研究展开系统综述。在中国知网、万方、Pub Med、Web of Science检索1997年1月至2017年12月国内外关于颗粒物污染与血糖水平关系的研究,同时对参考文献也进行了追溯。共纳入15项研究,多数显示颗粒物污染与血糖水平的升高存在统计学意义,在不同地区、不同人群中,具体的效应值有所不同。老年人群、女性人群和超重人群是可能的易感人群。目前关于颗粒物污染与血糖水平关系的研究数量仍较少,未来仍需大量研究基于个体水平的暴露数据,更精确地探索不同人群中颗粒物污染与血糖之间的关系。
