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不伴脑病症状的成人急性播散性脑脊髓炎一例 被引量:2
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作者 冀拓 张远锦 +2 位作者 寿艳红 鲁明 樊东升 《中国神经免疫学和神经病学杂志》 CAS 2016年第6期451-452,共2页
1病例报告 患者男,38岁,因"左上肢麻木1个月,加重伴双下肢无力、尿便障碍4d"于2016-05-12收入北京大学第三医院。入院前1个月出现左上肢及左半躯干麻木,就诊于外院骨科,考虑"颈椎病",未予进一步诊治。入院10d前出现左下肢麻木,入院7... 1病例报告 患者男,38岁,因"左上肢麻木1个月,加重伴双下肢无力、尿便障碍4d"于2016-05-12收入北京大学第三医院。入院前1个月出现左上肢及左半躯干麻木,就诊于外院骨科,考虑"颈椎病",未予进一步诊治。入院10d前出现左下肢麻木,入院7d前出现右手、右足针刺样麻木,入院4d前突发小便潴留,于外院留置尿管,入院3d前出现右侧躯干及右下肢麻木, 展开更多
关键词 脊髓炎 成人 脑病症状
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以脑病症状为首发表现的儿童颈深部脓肿一例
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作者 王湛 庞冲 +3 位作者 陆颖霞 林枫 高彦 陈金晓 《中华耳鼻咽喉头颈外科杂志》 CSCD 北大核心 2021年第4期387-389,共3页
本文报道首都儿科研究所附属儿童医院收治的1例颈深部脓肿患儿的诊疗经过。患儿女,2岁,家长诉"睡眠增多5 d,头痛伴发热4 d",初诊于神经内科,后经专科查体及影像学检查确诊为颈深部脓肿后转入耳鼻喉科治疗。予经咽后壁脓肿穿... 本文报道首都儿科研究所附属儿童医院收治的1例颈深部脓肿患儿的诊疗经过。患儿女,2岁,家长诉"睡眠增多5 d,头痛伴发热4 d",初诊于神经内科,后经专科查体及影像学检查确诊为颈深部脓肿后转入耳鼻喉科治疗。予经咽后壁脓肿穿刺引流手术联合敏感抗生素抗感染治疗后患儿痊愈出院。儿童颈深部感染有时早期临床表现不典型,易漏诊或误诊。 展开更多
关键词 颈深部脓肿 附属儿童医院 咽后壁脓肿 穿刺引流 影像学检查 敏感抗生素 神经内科 脑病症状
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急性一氧化碳中毒及迟发脑病与慢性二硫化碳中毒的诊断与机理的研究 被引量:1
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作者 张寿林 《医学研究杂志》 1993年第10期24-25,共2页
急性一氧化碳(CO)中毒及慢性二硫化碳(CS<sub>2</sub>)中毒为我国常见的职业性神经中毒。其中急性CO中毒发病人数居全国急性职业中毒的首位。现将本研究成果简介如下: (一)急性CO中毒及迟发脑病 1、对迟发脑病危险因... 急性一氧化碳(CO)中毒及慢性二硫化碳(CS<sub>2</sub>)中毒为我国常见的职业性神经中毒。其中急性CO中毒发病人数居全国急性职业中毒的首位。现将本研究成果简介如下: (一)急性CO中毒及迟发脑病 1、对迟发脑病危险因素的分析流行病学研究对223例急性CO中毒住院患者进行调查及随访3个月,将97个指标与迟发脑病的发病关系进行单因素分析及多因素分析,初步明确年龄大。 展开更多
关键词 迟发 病人数 急性职业中毒 中枢神经损害 多因素分析 脑病症状 成果简介 诱发电位 意识障碍程度 流行病学研究
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烧伤脑病早期治疗
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作者 尹国民 高佑宗 刘红 《西南国防医药》 CAS 1994年第1期25-25,共1页
烧伤脑病,系指严重烧伤后,出现烦躁,谵妄或精神错乱综合症状为主的早期脑病症状。我院1981年6月—1990年12月收治的特重烧伤伴脑病48例,治疗效果良好,现报道如下; 临床资料 本文48例,成人烧伤面积大于50%27例,小儿烧伤面积大于25%21... 烧伤脑病,系指严重烧伤后,出现烦躁,谵妄或精神错乱综合症状为主的早期脑病症状。我院1981年6月—1990年12月收治的特重烧伤伴脑病48例,治疗效果良好,现报道如下; 临床资料 本文48例,成人烧伤面积大于50%27例,小儿烧伤面积大于25%21例。男性32例,女性16例。年龄最大者46岁,最小者1 1/2岁。烦躁伴谵语17例,幻觉8例。症状缓解时间:24h15例,48h21例,72h9例,96h3例。48例中。 展开更多
关键词 烧伤 脑病症状 症状缓解时间 严重烧伤 特重烧伤 精神错乱 小儿烧伤 呼吸道烧伤 烧伤面积 综合症状
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低钠性低渗血症致严重脑并发症的救治(附3例报告)
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作者 甄孔博 《实用医学杂志》 CAS 1994年第8期717-718,共2页
低钠性低渗血症(血清钠【135mmol/L,血渗透压【280mmol/L),其临床表现轻者乏力、胃纳差、恶心、呕吐、嗜睡。重者有意识障碍,严重时则发生昏迷,甚至脑疝。一但诊断明确,尤其出现脑病症状应作为急危重症积极处理,若稍有迟疑会危及生命。... 低钠性低渗血症(血清钠【135mmol/L,血渗透压【280mmol/L),其临床表现轻者乏力、胃纳差、恶心、呕吐、嗜睡。重者有意识障碍,严重时则发生昏迷,甚至脑疝。一但诊断明确,尤其出现脑病症状应作为急危重症积极处理,若稍有迟疑会危及生命。现将3例典型病例报告如下: 例1 患者女性,22岁。头痛3个月,视物不清、月经不规则2个月。CT检查:垂体瘤。入院诊断:垂体瘤嫌色细胞型。入院后第8天全麻下右侧翼点入路,行垂体瘤切除术,术后第2天清醒。尿量5,500ml/天,考虑尿崩症,口服HCT 25mg,每日3次,并抗炎、脱水、支持疗法,补液以糖为主。术后第6天出现嗜睡后转昏迷,GCS9分。急查CT:脑肿胀,环池、 展开更多
关键词 低钠性 垂体瘤切除术 脑病症状 嫌色细胞 月经不规则 血渗透压 典型病例报告 肿胀 血清钠 环池
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可逆性胼胝体压部病变综合征24例病例分析 被引量:13
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作者 沈东辉 吴秀娟 刘亢丁 《中风与神经疾病杂志》 CAS 北大核心 2015年第6期547-548,共2页
可逆性胼胝体压部病变综合征(RESLES)既往又被称为"伴可逆性胼胝体压部病变临床轻微的脑炎/脑病(MERS)[1]"、"可逆性局灶性胼胝体压部病变"、"短暂性可逆性胼胝体压部病变"等。可逆性胼胝体压部病变综合征是Garcia-Monco等[2]... 可逆性胼胝体压部病变综合征(RESLES)既往又被称为"伴可逆性胼胝体压部病变临床轻微的脑炎/脑病(MERS)[1]"、"可逆性局灶性胼胝体压部病变"、"短暂性可逆性胼胝体压部病变"等。可逆性胼胝体压部病变综合征是Garcia-Monco等[2]在2011年提出的一个临床表现为脑炎或脑病症状,影像学检查发现胼胝体压部病变可在短时间内消失,临床经过及预后良好的临床与影像学综合征。1材料和方法1.1一般资料对国内报道的24例已确诊的RESLES患者资料进行整理统计. 展开更多
关键词 胼胝体压部 影像学检查 脑病症状 起病形式 预后良好 基础疾病 电图改变 整理统计 神经系统体征 意识障碍
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丹麦足月和接近足月儿极高胆红素血症研究 被引量:1
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作者 Ebbesen F. Andersson C. +1 位作者 Verder H. 李开 《世界核心医学期刊文摘(儿科学分册)》 2005年第6期8-8,共1页
Aim: To determine the incidence amongst infants born at term or near-term of extreme hyperbilirubinaemia, i. e. , with a serum concentration of unconjugated bilirubin exceeding the limit above which an exchange transf... Aim: To determine the incidence amongst infants born at term or near-term of extreme hyperbilirubinaemia, i. e. , with a serum concentration of unconjugated bilirubin exceeding the limit above which an exchange transfusion was indicated according to the authorized guidelines. Method: The investigation period covered 2 y, 1 January 2000 to 31 December 2001, and included all infants born alive at term or near-term in Denmark. All infants with extreme hyperbilirubinaemia admitted to paediatric departments were recorded. Results: Thirty-two infants developed extreme hyperbilirubinaemia, i. e. , an incidence of 25 per 100 000. The maximum total serum bilirubin concentration (TSB) was 492 (385-689) μmol/l (median (range)). The median value of the exchange transfusion limits was 450 μmol/l. Twelve infants had signs and symptoms of central nervous system involvement; 11 had acute bilirubin encephalopathy phase-1 symptoms; and one had phase-2 symptoms. Nineteen infants developed extreme hyperbilirubinaemia during primary admission to the maternity ward or neonatal department; the others after having been discharged. There was no difference in maximum TSB between those infants not discharged from hospital and those infants admitted to hospital from home. Maximum TSB appeared latest amongst those infants admitted from home (p < 0.01), and these more often had signs and symptoms of central nervous system involvement (p < 0.05). Ten infants were of non-Caucasian extraction. Less than half of all Danish mothers receive both verbal and written information after birth on jaundice in the infant. Conclusion: Twenty-five per 100 000 infants born at term or near-term developed extreme hyperbilirubinaemia, the majority of them whilst in hospital. Infants admitted from home more often had signs and symptoms of central system involvement. 展开更多
关键词 出生后 交换输血 脑病症状 出生婴儿 中枢神经系统 产科病房 指导原则 调查时间 高加索人 书面信息
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传染病
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《中国临床护理》 1992年第3期105-105,共1页
关键词 病人数 实用护理杂志 惊厥发作 脑病症状 中毒性 肠出血 化脓性膜炎 细菌本身 鼻饲给药 护理分析
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Benefits of combination of electroencephalography, short latency somatosensory evoked potentials, and transcranial Doppler techniques for confirming brain death 被引量:2
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作者 Kang WANG Yuan YUAN +2 位作者 Zi-qi XU Xiao-liang WU Ben-yan LUO 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2008年第11期916-920,共5页
Objective: Optimization of combining electroencephalography (EEG), short latency somatosensory evoked potentials (SLSEP) and transcranial Doppler (TCD) techniques to diagnose brain death. Methods: One hundred and elev... Objective: Optimization of combining electroencephalography (EEG), short latency somatosensory evoked potentials (SLSEP) and transcranial Doppler (TCD) techniques to diagnose brain death. Methods: One hundred and eleven patients (69 males, 42 females) from the major hospitals of Zhejiang Province were examined with portable EEG, SLSEP and TCD devices. Re-examinations occurred ≤12 h later. Results: The first examination revealed that the combination of SLSEP and EEG led to more sensitive diagnoses than the combination of SLSEP and TCD. Re-examination confirmed this and also revealed that the combination of TCD and EEG was the most sensitive. Conclusion: The results show that using multiple techniques to diagnose brain death is superior to using single method, and that the combination of SLSEP and EEG is better than other combinations. 展开更多
关键词 Brain death Electroencephalography (EEG) Short latency somatosensory evoked potentials (SLSEP) TranscranialDoppler (TCD)
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Supplementary tests for confirmation of brain death 被引量:1
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作者 Wei-lung CHENG Kao-chang LIN 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2008年第11期921-922,共2页
In 1959, the concept of brain death (BD) or irreversible coma was described by Mollaret and Goulon (1959). The first guideline (the Harvard criteria) for deciding BD was established in 1968 (Ad Hoc Committee of... In 1959, the concept of brain death (BD) or irreversible coma was described by Mollaret and Goulon (1959). The first guideline (the Harvard criteria) for deciding BD was established in 1968 (Ad Hoc Committee of the Harvard Medical School, 1968). This concept has been accepted worldwide although its fundamental meaning is not exactly globally uniform yet. Some countries (e.g., the US) view BD as "whole brain death", while others (e.g., the UK) as brain-stem death. The guidelines for the diagnosis of BD also differ among countries, even among hospitals in the same country. 展开更多
关键词 CLC numberR742
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Burr-hole craniotomy treating chronic subdural hematoma: a report of 398 cases 被引量:4
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作者 刘源 夏俊哲 +1 位作者 吴安华 王运杰 《Chinese Journal of Traumatology》 CAS 2010年第5期265-269,共5页
Objective: To investigate the treatment of chronic subdural hematoma (CSDH) with burr-hole craniotomy in our hospital. Methods: From January 2004 to December 2009, 398 patients with CSDH, 338 males and 60 females... Objective: To investigate the treatment of chronic subdural hematoma (CSDH) with burr-hole craniotomy in our hospital. Methods: From January 2004 to December 2009, 398 patients with CSDH, 338 males and 60 females (male/ female=5.63/1), received burr-hole craniotomy in our hospital. The median age was 60 years with the mean age of (58.1± 18.1) years, (65.0±14.5) years for females and (57.0± 8.2) years for males. Trauma history was determined in 275 patients (69.1%). Burr-hole craniotomy was performed under local anesthesia in 368 patients and general anesthesia in 30 patients. CSDH was classified into 3 groups according to the density on CT scan. Clinical data concerning etiologies, symptoms and signs, concomitant diseases, diagnosis, therapies and outcomes were investigated retrospectively. Patients' neu- rological status on admission and at discharge was also classified to judge the outcomes. Results: Generally, trauma history showed few dif- ferences between those over 60 years old and under 60 years old, but showed obvious differences when gender was taken into account. Totally 123 male patients (60.0% of 204 cases) suffering from head injuries were under 60 years, whereas 35 female patients (85.4% of 41 cases) with trauma histories were over 60 years. The duration from trauma to appearance of clinical symptoms was (84.0±61.7) days (range, 0-1493 days). Traumatic accident was the leading etiology, other accompanying diseases such as cerebral vascular disease, hypertension, etc, were also predisposing factors. Commonly, the elderly presented with hemiplegia/ hemidysesthesia/hemiataxia and the young with headache. Most CSDH patients (95.6%) treated with burr-hole cran- iotomy successfully recovered. However, postoperative complications occurred in 17 cases, including recurrence of CSDH in 15 cases, subdural abscess in 1 case and pneumonia in 3 cases. Conclusion: Burr-hole craniotomy is an easy, efficient and reliable way to treat CSDH. 展开更多
关键词 Hematoma subdural chronic CRANIOTOMY Tomography X-ray computed Risk factors Neuroiogic manifestations Brain injuries Age factors SEX
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