眼睑出血和非典型性淀粉样变性病例

Purpose To describe a case of atypical systemic amyloidosis in a patient who p resented with recurrent subcutaneous bleeding of the eyelids and auricles. Desig n Observational case report. Methods A 52 year old man with chronic cardiac fa ilure, hypertension, weight loss, and impotence presentedwith recurrent bleeding of the eyelids and auricles, and was investigated for suspected amyloidosis. Re sults Biopsy specimens taken from the bone marrow, salivary gland, abdominal sub cutaneous fat, and gastric mucosa, and eyelidswere all negative forCongo red. Re sults of a conjunctival biopsy, which were returned after the patient’s death, and cardiac muscle autopsy were positive for Congo red staining, indicating amyl oidosis. Conclusion The findings in this case show that the presentation of amyl oidosis may be atypical. Ophthalmologists should consider a diagnosis of amyloid osis in patients with periorbital bleeding, even if biopsies are negative for Co ngo red. A conjunctival biopsy may be useful in establishing a diagnosis of prim ary systemic amyloidosis.

眶颅联合木质异物伤一例

丁××,男,27岁,病案号193188。患者于1990年12月15日晚,酒后骑自行车摔倒,当时感右眼视物模糊、眼睑出血。约1小时后,右眼视物不见,未行任何治疗。次日晚,感右眼胀痛,来我院急诊。体检:T36.8℃,P72次/分,R16次/分,Bp16.0/10.7kPa(120/80mg)。

别让错误运动方式伤害你

老人在运动时，一定要选择适宜自己的运动项目和方式、强度，特别是患有某种病症的老人，以免加重病情或发生意外。患青光眼不宜倒悬 倒悬运动可缓解疲劳、增强记忆、缓解紧张情绪，降低膝关节、髋关节以及腰椎等的压力，收到强身健体效果。但有研究表明，青光眼患者在做倒悬运动后，眼压和视网膜动脉压增高，有的人会出现暂时性视野缩小和眼睑出血，严重者会造成眼睛永久性损害。

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幼儿身体的各器官、组织尚未发育成熟,有着许多和成年人不同的解剖生理特点,因此,有一些运动项目是不适合他们参加的。不宜长跑。第一,幼儿长跑,会使心肌壁厚度增加,限制心脏扩张,影响心肺功能发展。第二,幼儿时期体内水分占的比重较大,蛋白质及无机物的含量较少,肌肉力量薄弱,若参加能量消耗大的长跑运动,会使营养入不敷出,妨碍正常的生长发育。第三。