[Objectives] To analyze the clinical treatment effect on oromaxillo-facial multi-space infection. [Methods] Based on the clinical data about 72 oromaxillo-facial multi-space infection cases from January 2016 to Decemb...[Objectives] To analyze the clinical treatment effect on oromaxillo-facial multi-space infection. [Methods] Based on the clinical data about 72 oromaxillo-facial multi-space infection cases from January 2016 to December 2016,the double-blind study was used to divide them into study group(36 cases) and control group(36 cases). As for the control group,36 patients with oromaxillo-facial multi-space infections were given the conventional treatment; as for the study group,36 patients were given the treatment of abscess incision and drainage combined with hyperbaric oxygen based on conventional treatment. The total effective rate and complication rate were compared between the two groups. [Results]The total effective rate and complication rate under the study group were higher than under the control group,and the difference was statistically significant( P < 0. 05). [Conclusions] The clinical treatment effect on oromaxillo-facial multi-space infection was very significant,and the treatment was worthy of promotion and application in clinical practice.展开更多
This report describes a case of a space-occupying lesion in the right liver in a 38-year-old man who was found to have peliosis hepatis. Clinical data of this patient were presented, including medical history, laborat...This report describes a case of a space-occupying lesion in the right liver in a 38-year-old man who was found to have peliosis hepatis. Clinical data of this patient were presented, including medical history, laboratory test and imaging results, and postoperative pathological findings (hematoxylin and eosin staining). Review of his medical history showed that the patient had been bitten by a dog three years earlier. B-mode ultrasonography revealed an uneven echo mass in the right hemiliver, and magnetic resonance imaging scans also showed a mass in the anterior segment of the right liver. Upon surgical removal, the mass was found to be 4.0 cm × 3.8 cm × 3.8 cm in size and located in segment Ⅵ. The mass had a dark and soft appearance, with an irregular edge on intraoperative ultrasonography. Postoperative pathological findings revealed many small capsules filled with blood cells. The patient was diagnosed with peliosis hepatis based on his medical history of having been bitten by a dog, presence of mild anemia, and lack of characteristic symptoms, including fever of unknown origin, abdominal pain, and hepatosplenomegaly, combined with intraoperative and postoperative pathologic findings. The operation was successful, and after being treated with anti-infection agents, the patient had a good recovery.展开更多
An outward-going intervertebral foramina puncture along the side of lumbar vertebra spinous process was used to avoid infusing drugs into the subarachnoid space. However, we still had an inadvertent malpractice. The p...An outward-going intervertebral foramina puncture along the side of lumbar vertebra spinous process was used to avoid infusing drugs into the subarachnoid space. However, we still had an inadvertent malpractice. The patient was diagnosed with lumbar discogenic lower back pain and was administrated an outward-going intervertebral foramina puncture through the side of lumbar vertebra spinous process (L5</sub>-S1</sub>). The drug mixture, containing triamcinolone acetonide suspension, cyanocobalamin and bupivacaine HCl, was injected. The patient had palpitations, chest tightness, dyspnea, bradycardia, and hypotension 3 min right after the injection. The vital signs gradually stabilized after treatment with atropine sulfate;however, he had complete sensorimotor loss below the level of distribution of the T2</sub> spinal nerve. The cerebrospinal fluid pressure was lower in the subarachnoid space and the cerebrospinal fluid was slightly turbid and light pink in color. Six hours later, the sensory, motor, defecation, and urination functions returned to normal level. The patient had follow-up evaluations at 1, 3, and 6 months. The lumbar and hip pain was mild-to-severe at times as usual, but there were no other neurologic sequelae. Conclusions: This case showed that there is a risk that drugs may stray into the subarachnoid space during an outward-going intervertebral foramina puncture through the side of lumbar vertebral spinous process. The complication may occur due to a distal nerve root cyst. The result of triamcinolone acetonide suspension and cyanocobalamin injection into the cerebrospinal fluid was not as serious as we imagined.展开更多
文摘[Objectives] To analyze the clinical treatment effect on oromaxillo-facial multi-space infection. [Methods] Based on the clinical data about 72 oromaxillo-facial multi-space infection cases from January 2016 to December 2016,the double-blind study was used to divide them into study group(36 cases) and control group(36 cases). As for the control group,36 patients with oromaxillo-facial multi-space infections were given the conventional treatment; as for the study group,36 patients were given the treatment of abscess incision and drainage combined with hyperbaric oxygen based on conventional treatment. The total effective rate and complication rate were compared between the two groups. [Results]The total effective rate and complication rate under the study group were higher than under the control group,and the difference was statistically significant( P < 0. 05). [Conclusions] The clinical treatment effect on oromaxillo-facial multi-space infection was very significant,and the treatment was worthy of promotion and application in clinical practice.
基金Supported by The National Natural Science Foundation of China, No. 81272373the Natural Science Foundation of Fujian Province, China, No. 2012J01358
文摘This report describes a case of a space-occupying lesion in the right liver in a 38-year-old man who was found to have peliosis hepatis. Clinical data of this patient were presented, including medical history, laboratory test and imaging results, and postoperative pathological findings (hematoxylin and eosin staining). Review of his medical history showed that the patient had been bitten by a dog three years earlier. B-mode ultrasonography revealed an uneven echo mass in the right hemiliver, and magnetic resonance imaging scans also showed a mass in the anterior segment of the right liver. Upon surgical removal, the mass was found to be 4.0 cm × 3.8 cm × 3.8 cm in size and located in segment Ⅵ. The mass had a dark and soft appearance, with an irregular edge on intraoperative ultrasonography. Postoperative pathological findings revealed many small capsules filled with blood cells. The patient was diagnosed with peliosis hepatis based on his medical history of having been bitten by a dog, presence of mild anemia, and lack of characteristic symptoms, including fever of unknown origin, abdominal pain, and hepatosplenomegaly, combined with intraoperative and postoperative pathologic findings. The operation was successful, and after being treated with anti-infection agents, the patient had a good recovery.
文摘An outward-going intervertebral foramina puncture along the side of lumbar vertebra spinous process was used to avoid infusing drugs into the subarachnoid space. However, we still had an inadvertent malpractice. The patient was diagnosed with lumbar discogenic lower back pain and was administrated an outward-going intervertebral foramina puncture through the side of lumbar vertebra spinous process (L5</sub>-S1</sub>). The drug mixture, containing triamcinolone acetonide suspension, cyanocobalamin and bupivacaine HCl, was injected. The patient had palpitations, chest tightness, dyspnea, bradycardia, and hypotension 3 min right after the injection. The vital signs gradually stabilized after treatment with atropine sulfate;however, he had complete sensorimotor loss below the level of distribution of the T2</sub> spinal nerve. The cerebrospinal fluid pressure was lower in the subarachnoid space and the cerebrospinal fluid was slightly turbid and light pink in color. Six hours later, the sensory, motor, defecation, and urination functions returned to normal level. The patient had follow-up evaluations at 1, 3, and 6 months. The lumbar and hip pain was mild-to-severe at times as usual, but there were no other neurologic sequelae. Conclusions: This case showed that there is a risk that drugs may stray into the subarachnoid space during an outward-going intervertebral foramina puncture through the side of lumbar vertebral spinous process. The complication may occur due to a distal nerve root cyst. The result of triamcinolone acetonide suspension and cyanocobalamin injection into the cerebrospinal fluid was not as serious as we imagined.
