浅析脑肿瘤所致大脑中浅静脉梗塞与患者认知功能障碍的相关性

目的:探讨脑肿瘤所致大脑中浅静脉梗塞与患者认知功能障碍的相关性。方法:选取在我院就诊的60例脑肿瘤患者作为研究对象。根据这60例患者发生大脑中浅静脉梗塞的情况将其分为梗塞组(27例)和对照组(33例)。采用简易精神状态量表(MMSE)对这两组患者的认知功能进行测评。测评结束后,对比两组患者认知功能障碍的发生率、定向能力的评分、语言能力的评分、即刻记忆能力的评分、注意力及计算能力的评分、延迟记忆能力的评分和MMSE的总得分。结果:与对照组患者相比,梗塞组患者定向能力的评分更低,差异有统计学意义(P=0.009)。两组患者认知功能障碍的发生率、语言能力的评分、即刻记忆能力的评分、注意力及计算能力的评分、延迟记忆能力的评分和MMSE的总得分相比差异无统计学意义(P>0.05)。结论:脑肿瘤所致大脑中浅静脉梗塞患者易发生定向能力障碍。临床医生应对上述情况予以关注。

一例静脉滴注血塞通出现过敏反应的护理体会

本文简要介绍了血塞通的成份及功能,及对一例滴注血塞通出现过敏反应的护理体会。

激素替代治疗与静脉血栓栓塞

为了解HRT与原发性静脉血栓栓塞危险之间的关联,作者开展本项以人群为基础的病例一对照研究。队列为选入美国〈开业医生研究数据库〉的人群。共347253名妇女,年龄50～79岁,未查出静脉血栓栓塞危险。病例为住院的首次发作的肺梗塞或深静脉梗塞292例患者。

Hepatic venous outflow obstruction:Three similar syndromes

Our goal is to provide a detailed review of veno- occlusive disease (VOD), Budd-Chiari syndrome (BCS), and congestive hepatopathy (CH), all of which results in hepatic venous outflow obstruction. This is the first article in which all three syndromes have been reviewed, enabling the reader to compare the characteristics of these disorders. The histological findings in VOD, BCS, and CH are almost identical: sinusoidal congestion and cell necrosis mostly in perivenular areas of hepatic acini which eventually leads to bridging fibrosis between adjacent central veins. Tender hepatomegaly with jaundice and ascites is common to all three conditions. However, the clinical presentation depends mostly on the extent and rapidity of the outflow obstruction. Although the etiology and treatment are completely different in VOD, BCS, and CH; the similarities in clinical manifestations and liver histology may suggest a common mechanism of hepatic injury and adaptation in response to increased sinusoidal pressure.

动、静脉性脑梗塞经MRI检查的区别比较

目的：研究比较动、静脉性脑梗塞经MRI检查的区别。方法：回顾性分析我院2012年1月~2015年12月收治的动、静脉性脑梗塞患者各40例，分别对两组患者实施MRI检查，观察并比较两组诊断方式的价值情况。结果：动脉组诊断结果与病理结果相比无显著差异，静脉组诊断与病理结果相比同样无显著差异；对比两组患者诊断价值情况，发现采用MRI对动、静脉脑梗塞患者进行诊断均能取得较为理想的效果，无明显差异。结论：MRI检查对两种性质的脑梗塞均有较好的诊断价值，能够较为直观地反映出患者大脑内部缺血情况，对脑梗塞严重程度的判断以及预后的评估提供可靠的依据，对后续的治疗有较为明显的指导作用。