Wireless capsule video endoscopy:Three years of experience

AIM:To review and summerize the current literatue regarding M2A wireless capsule endoscopy. METHODS:Peer reviewed publications regarding the use of capsule endoscopy as well as our personal experience were reviewed. RESULTS:Review of the literature dearly showed that capsule endoscopy was superior to enteroscopy,small bowel follow through and computerized tomography in patients with obscure gastrointestinal bleeding,iron deficiency anemia, or suspected Crohn's disease.It was very sensitive for the diagnosis of small bowel tumors and for survailance of small bowel pathology in patients with Gardner syndrome or familial adenomatous polyposis syndrome.Its role in celiac disease and in patients with known Crohn's disease was currently being investigated. CONCLUSION:Capsule video endoscopy is a superior and more sensitive diagnostic tool than barium follow through, enteroscopy and entero-CT in establishing the diagnosis of many small bowel pathologies.

肾综合征出血热合并脑出血25例临床分析

目的了解。肾综合征出血热（HFRS）并发脑出血的临床特点，为预防、诊断、治疗提供依据。方法对25例HFRS并发脑出血的临床病例的临床表现、实验室检查、CT扫描检查、治疗转归等资料进行总结分析。结果HFRS患者并发的脑出血可以发生在HFRS的整个病期，而以少尿期和多尿期最为多见，出血部位以壳核、丘脑和脑干为多，出血量〉30ml者预后不良。结论HFRS并发脑出血病情凶险，预后不良，应强调以预防为主，抢救宜采用综合措施，对症治疗的方法。