成人血尿与胡桃夹综合征的误诊、漏诊及诊断分析探讨

目的对成人单纯性血尿与胡桃夹综合征的误诊、漏诊情况进行分析,探讨2种疾病的鉴别诊断方法。方法选取13例成人单纯性血尿与胡桃夹综合征误诊、漏诊患者,并对所有患者的体征及误诊情况进行分析。结果 13例胡桃夹综合征患者均被误诊为单纯性血尿,无漏诊患者。所有患者在明确诊断后均及时调整治疗方式,其治疗效果如下:患者确诊前治疗效果均为无效,确诊后治疗痊愈的患者为7例(53.8%),治疗有效的为5例(38.5%),治疗无效的患者为1例(7.7%),治疗前和治疗后患者的临床症状对比具有统计学意义(P<0.05)。结论胡桃夹综合征在临床中很容易误诊为单纯性血尿,误诊后严重耽误患者的治疗,因此,医师在临床诊断中要准确把握本病的特征,降低误诊、漏诊的发生率。

二氧化碳气辅助膀胱镜在成人血尿患者诊断中的临床应用价值

目的:分析二氧化碳气辅助膀胱镜对成人血尿患者诊断的临床应用价值。方法:选取2018年1月-2020年1月接受成人血尿检查与治疗的患者62例,对肉眼血尿患者进行常规的生理盐水辅助膀胱镜检查,一旦由于出血导致视野受到影响造成膀胱镜检查失败,立即采用二氧化碳气辅助膀胱镜进行检查。观察所有患者的膀胱壁、前列腺以及尿道情况。结果:二氧化碳气辅助膀胱镜检查的有效率明显高于生理盐水辅助膀胱镜,差异有统计学意义(P<0.05);所有患者在检查过程中以及检查后均未出现并发症情况。结论:二氧化碳气辅助膀胱镜应用到成人血尿诊断中,具有更高的安全性与实用性,能够有效提升血尿患者的膀胱镜检查有效率,应在临床诊断中大范围推广使用。

TCM Treatment of Diabetic Hearing Loss——An Audiological and Rheological Observation

35 cases (48 ears) of diabetic hearing loss were randomly assigned to 2 groups: the treatment group of 19 cases (25 ears) treated with drugs for nourishing the kidney-yin, invigorating blood circulation and removing blood stasis based on differentiation of symptoms and signs, and the control group of 16 cases (23 ears) treated with euglucon and other routine drugs. The results showed that the total effective rate for audition elevation in the treatment group was 52.0%, and that in the control group, 26.1%. In the treatment group, the rheological indexes were improved after treatment, the difference being very significant in comparison with those before treatment (P<0.05 and P<0.01); while in the control group, except the whole blood low shearing specific viscosity, all the other 4 indexes were not statistically significant before and after treatment (P>0.05).

A Clinical Study on Treatment of Diabetic Peripheral Neuropathy with Tang Zhi Min Capsules

Self-comparison before and after treatment, P<0.01 △ Comparison between the 2 groups after treatment, P<0.