Valsalva retinopathy is caused by a sudden increase in intra-thoracic or abdominal pressure, following forced expiration, with mouth and nose closed (Valsalva maneuver). We report a case of Valsalva retinopathy in a p...Valsalva retinopathy is caused by a sudden increase in intra-thoracic or abdominal pressure, following forced expiration, with mouth and nose closed (Valsalva maneuver). We report a case of Valsalva retinopathy in a pregnant woman. A 36 years old patient, pregnant at 24 weeks of amenorrhea, who consulted for sudden visual acuity decrease of the left eye, evolving since 24 hours after Valsalva maneuvers to calm down her panic and control her breathing. The refraction has demonstrated a decrease of visual acuity in the left eye to “can see a hand moving”, while the visual acuity remained normal in the right eye. Spontaneous evolution was marked by a fast and progressive reduction of hemorrhage and progressive recovery of vision in the left eye. Valsava retinopathy was first described in 1972 by Thomas Duane. Physical activity is usually found before it occurs. Many situations are usually associated to this occurrence among which: pregnancy, vomiting, weightlifting or trauma. Regression of this hemorrhage without sequelae is usual. But sometimes, we need a Nd:Yag laser treatment or surgery to evacuate the blood.展开更多
Dear editor,In July 2015,a 39-year-old gravida 2,para 0 lady at 35 weeks’gestation was found collapsed at home and sent to the emergency department(ED)by ambulance.She had a background of chronic hypertension on anti...Dear editor,In July 2015,a 39-year-old gravida 2,para 0 lady at 35 weeks’gestation was found collapsed at home and sent to the emergency department(ED)by ambulance.She had a background of chronic hypertension on antihypertensives and aspirin,but repeatedly refused inpatient treatment for her uncontrolled hypertension.展开更多
The basic rhythms of nature that left their imprint on the existence of all living organism on the Earth, arose under the influence of the Earth’s rotation relative to the Sun, the Moon and other planets and stars of...The basic rhythms of nature that left their imprint on the existence of all living organism on the Earth, arose under the influence of the Earth’s rotation relative to the Sun, the Moon and other planets and stars of the Universe. This periodicity gave rise to the rhythm that has become essential for their life. Life is a continual chemical process of building up and breaking down of organic substances, which results from the substance exchange between an organism and the environment. This makes it impossible for a living organism to exist without the external environment. Since 1978-1979 we have been carrying out a task-oriented research with the aim to approximate the moment when we are able to answer all these questions. Daily fluctuations of cardiac and motor activity of the fetus have been studied (uninterrupted daily recording of fetal ECG);polysomnography of nocturnal sleep was recorded;daily fluctuations of endocrine system activity in the pregnant were studied. A correlation was made between the functional state of maternal sleep-wakefulness biological rhythm, biological clock of the human fetus and the “light-darkness” cycle of a 24-hour solar day. In the process of the study we have developed an original method of day-to-day analysis of maternal and fetal ECGs. It has been established that a healthy fetus has distinct, diurnal variations of physiological functions. The fetal biorhythms coordinate with the status of the maternal organism being, however, in an opposite phase. The curve of the dynamics of fetal physiological system functioning shows a biphasic nature (one-phase in adults). “Active” and “quiet” (sleep-like) periods have been singled out in the human fetus. No reaction is observed in “quiet” periods. However, the “zero”-type fetal reaction recorded by us within the period from 2 p.m. to 9 p.m. does not indicate unsatisfactory condition of the fetus but rather is suggestive of a definite reduction of functional levels of the fetal physiological systems, which is necessary for vital activity. Although conventionally recognized as an indicator of poor state of the fetus, this type only calls for precise attention when recorded in fetal “active” hours. The present study has been the first in the world’s medicine and biorhythmology to detect and establish the daily rhythms of cardiac and motor activity in the human fetus.展开更多
Extraskeletal osteosarcoma (ESO) is a rare malignant mesenchymal neoplasm accounting for 1% - 2% of all soft tissue sarcomas that produce osteoid, bone, and/or chondroid material. Here we report the first case of a re...Extraskeletal osteosarcoma (ESO) is a rare malignant mesenchymal neoplasm accounting for 1% - 2% of all soft tissue sarcomas that produce osteoid, bone, and/or chondroid material. Here we report the first case of a retroperitoneal ESO in a 35-year-old pregnant woman. A retroperitoneal ESO was incidentally found at cesarean section. Despite treatment, she rapidly died from wide spread dissemination. We focus on histological characteristics including immunohistochemical results and differential diagnosis of ESO.展开更多
虽然妊娠期合并恶性肿瘤较为罕见,但随着女性妊娠期年龄的增大、头颈部癌症(head and neck cancer,HNC)患者的年轻化,妊娠期合并HNC的发病率略有增加。然而,目前临床尚缺乏关于妊娠期HNC的规范化诊疗标准。本研究通过系统检索PubMed数据...虽然妊娠期合并恶性肿瘤较为罕见,但随着女性妊娠期年龄的增大、头颈部癌症(head and neck cancer,HNC)患者的年轻化,妊娠期合并HNC的发病率略有增加。然而,目前临床尚缺乏关于妊娠期HNC的规范化诊疗标准。本研究通过系统检索PubMed数据库,评估孕妇(含围产期)患HNC的频率、肿瘤类型、相关因素和特异性生物标志物,并依据循证医学证据,对妊娠期合并HNC的研究进行综述,以期为临床工作提供指导。展开更多
背景子痫前期严重危及母儿生命安全,国内外指南推荐具有高危因素的孕妇使用阿司匹林预防子痫前期发生,但对有子痫前期高危因素的慢性乙型肝炎病毒(hepatitis B virus,HBV)感染孕妇临床研究较少。目的探讨小剂量阿司匹林预防慢性HBV感染...背景子痫前期严重危及母儿生命安全,国内外指南推荐具有高危因素的孕妇使用阿司匹林预防子痫前期发生,但对有子痫前期高危因素的慢性乙型肝炎病毒(hepatitis B virus,HBV)感染孕妇临床研究较少。目的探讨小剂量阿司匹林预防慢性HBV感染孕妇子痫前期的临床效果。方法选取2019年1月—2022年12月在解放军总医院第五医学中心妇产科早孕期建档、规律产检并完成分娩,且具有子痫前期高危因素的慢性HBV感染孕妇为研究对象。根据孕期是否使用阿司匹林分为用药组(孕12~16周每晚睡前服用阿司匹林,100 mg/d,至孕36周停药)和未用药组,比较两组孕妇在孕12周、孕20周、孕32周及分娩前的血压、肝功能、凝血功能及妊娠结局。结果共收集134例慢性HBV感染孕妇资料,用药组50例,平均年龄(34.38±3.95)岁;未用药组84例,平均年龄(34.59±4.58)岁,两组年龄差异无统计学意义(P>0.05)。用药组孕32周、分娩前收缩压和舒张压均低于未用药组(P<0.05),子痫前期发生率低于未用药组[2.00%(1/50)vs 14.29%(12/84),P=0.043]。两组肝功能各指标差异无统计学意义(P>0.05),凝血指标中只有凝血酶原时间用药组在分娩前高于未用药组[(11.18±0.76)s vs(10.71±0.65)s,P=0.018],差异有统计学意义。用药组分娩孕周大于未用药组[(38.76±1.22)周vs(35.64±1.63)周,P<0.001];新生儿窒息率[0 vs 8.3%,P=0.036]、早产率[4.00%vs 15.48%,P=0.042]均低于未用药组,差异均有统计学意义。结论在具有子痫前期高危的慢性HBV感染孕妇人群中,预防性使用小剂量阿司匹林可显著降低子痫前期发生率,改善凝血指标,降低妊娠不良结局的发生率。展开更多
文摘Valsalva retinopathy is caused by a sudden increase in intra-thoracic or abdominal pressure, following forced expiration, with mouth and nose closed (Valsalva maneuver). We report a case of Valsalva retinopathy in a pregnant woman. A 36 years old patient, pregnant at 24 weeks of amenorrhea, who consulted for sudden visual acuity decrease of the left eye, evolving since 24 hours after Valsalva maneuvers to calm down her panic and control her breathing. The refraction has demonstrated a decrease of visual acuity in the left eye to “can see a hand moving”, while the visual acuity remained normal in the right eye. Spontaneous evolution was marked by a fast and progressive reduction of hemorrhage and progressive recovery of vision in the left eye. Valsava retinopathy was first described in 1972 by Thomas Duane. Physical activity is usually found before it occurs. Many situations are usually associated to this occurrence among which: pregnancy, vomiting, weightlifting or trauma. Regression of this hemorrhage without sequelae is usual. But sometimes, we need a Nd:Yag laser treatment or surgery to evacuate the blood.
文摘Dear editor,In July 2015,a 39-year-old gravida 2,para 0 lady at 35 weeks’gestation was found collapsed at home and sent to the emergency department(ED)by ambulance.She had a background of chronic hypertension on antihypertensives and aspirin,but repeatedly refused inpatient treatment for her uncontrolled hypertension.
文摘The basic rhythms of nature that left their imprint on the existence of all living organism on the Earth, arose under the influence of the Earth’s rotation relative to the Sun, the Moon and other planets and stars of the Universe. This periodicity gave rise to the rhythm that has become essential for their life. Life is a continual chemical process of building up and breaking down of organic substances, which results from the substance exchange between an organism and the environment. This makes it impossible for a living organism to exist without the external environment. Since 1978-1979 we have been carrying out a task-oriented research with the aim to approximate the moment when we are able to answer all these questions. Daily fluctuations of cardiac and motor activity of the fetus have been studied (uninterrupted daily recording of fetal ECG);polysomnography of nocturnal sleep was recorded;daily fluctuations of endocrine system activity in the pregnant were studied. A correlation was made between the functional state of maternal sleep-wakefulness biological rhythm, biological clock of the human fetus and the “light-darkness” cycle of a 24-hour solar day. In the process of the study we have developed an original method of day-to-day analysis of maternal and fetal ECGs. It has been established that a healthy fetus has distinct, diurnal variations of physiological functions. The fetal biorhythms coordinate with the status of the maternal organism being, however, in an opposite phase. The curve of the dynamics of fetal physiological system functioning shows a biphasic nature (one-phase in adults). “Active” and “quiet” (sleep-like) periods have been singled out in the human fetus. No reaction is observed in “quiet” periods. However, the “zero”-type fetal reaction recorded by us within the period from 2 p.m. to 9 p.m. does not indicate unsatisfactory condition of the fetus but rather is suggestive of a definite reduction of functional levels of the fetal physiological systems, which is necessary for vital activity. Although conventionally recognized as an indicator of poor state of the fetus, this type only calls for precise attention when recorded in fetal “active” hours. The present study has been the first in the world’s medicine and biorhythmology to detect and establish the daily rhythms of cardiac and motor activity in the human fetus.
文摘Extraskeletal osteosarcoma (ESO) is a rare malignant mesenchymal neoplasm accounting for 1% - 2% of all soft tissue sarcomas that produce osteoid, bone, and/or chondroid material. Here we report the first case of a retroperitoneal ESO in a 35-year-old pregnant woman. A retroperitoneal ESO was incidentally found at cesarean section. Despite treatment, she rapidly died from wide spread dissemination. We focus on histological characteristics including immunohistochemical results and differential diagnosis of ESO.
文摘虽然妊娠期合并恶性肿瘤较为罕见,但随着女性妊娠期年龄的增大、头颈部癌症(head and neck cancer,HNC)患者的年轻化,妊娠期合并HNC的发病率略有增加。然而,目前临床尚缺乏关于妊娠期HNC的规范化诊疗标准。本研究通过系统检索PubMed数据库,评估孕妇(含围产期)患HNC的频率、肿瘤类型、相关因素和特异性生物标志物,并依据循证医学证据,对妊娠期合并HNC的研究进行综述,以期为临床工作提供指导。
文摘背景子痫前期严重危及母儿生命安全,国内外指南推荐具有高危因素的孕妇使用阿司匹林预防子痫前期发生,但对有子痫前期高危因素的慢性乙型肝炎病毒(hepatitis B virus,HBV)感染孕妇临床研究较少。目的探讨小剂量阿司匹林预防慢性HBV感染孕妇子痫前期的临床效果。方法选取2019年1月—2022年12月在解放军总医院第五医学中心妇产科早孕期建档、规律产检并完成分娩,且具有子痫前期高危因素的慢性HBV感染孕妇为研究对象。根据孕期是否使用阿司匹林分为用药组(孕12~16周每晚睡前服用阿司匹林,100 mg/d,至孕36周停药)和未用药组,比较两组孕妇在孕12周、孕20周、孕32周及分娩前的血压、肝功能、凝血功能及妊娠结局。结果共收集134例慢性HBV感染孕妇资料,用药组50例,平均年龄(34.38±3.95)岁;未用药组84例,平均年龄(34.59±4.58)岁,两组年龄差异无统计学意义(P>0.05)。用药组孕32周、分娩前收缩压和舒张压均低于未用药组(P<0.05),子痫前期发生率低于未用药组[2.00%(1/50)vs 14.29%(12/84),P=0.043]。两组肝功能各指标差异无统计学意义(P>0.05),凝血指标中只有凝血酶原时间用药组在分娩前高于未用药组[(11.18±0.76)s vs(10.71±0.65)s,P=0.018],差异有统计学意义。用药组分娩孕周大于未用药组[(38.76±1.22)周vs(35.64±1.63)周,P<0.001];新生儿窒息率[0 vs 8.3%,P=0.036]、早产率[4.00%vs 15.48%,P=0.042]均低于未用药组,差异均有统计学意义。结论在具有子痫前期高危的慢性HBV感染孕妇人群中,预防性使用小剂量阿司匹林可显著降低子痫前期发生率,改善凝血指标,降低妊娠不良结局的发生率。