Importance of timely diagnosis and intervention in uterine artery pseudoaneurysm caused by hysteroscopic surgery

This manuscript explores the case on the occurrence of uterine artery pseudoaneurysm(UAP)during hysteroscopy endometrial polypectomy and the subsequent successful treatment via uterine artery embolization(UAE).Moreover,we focus on the management and treatment options for UAP in patients of advanced maternal age.A pseudoaneurysm is an extraluminal blood collection with a disrupted flow that communicates with the parent vessel via a defect in the arterial wall.The reported case involved a 48-year-old primiparous woman who developed a UAP after uterine polyp removal.The study enhances the understanding of UAP,a rare but potentially life-threatening condition,by providing a detailed and well-documented account of the comprehensive case presentation,effective use of medical imaging techniques for diagnosis,successful postoperative patient management following UAE,and practical clinical recommendations for clinicians managing similar cases.Overall,this study highlights the importance of considering UAP as a differential diagnosis in patients with abnormal vaginal bleeding following hysteroscopic surgery.Additionally,this manuscript recommends that clinicians with a high index of suspicion for UAP promptly request ultrasonography and computed tomography to facilitate early diagnosis.UAE is suggested as a primary treatment due to its effectiveness and safety,particularly in facilities capable of avoiding hysterectomy.

Delayed liver laceration following transjugular intrahepatic portosystemic shunt for portal hypertension

The transjugular intrahepatic portosystemic shunt(TIPS) is an acceptable procedure that has proven benefits in the treatment of patients who have complications from portal hypertension due to liver cirrhosis.Delayed liver laceration is a rare complication of the TIPS procedure.We describe a patient with portal hypertension due to liver cirrhosis,who suddenly presented with abdominal hemorrhage and liver laceration 8 d after TIPS.Few reports have described complications after TIPS placement.To the best of our knowledge,this is the first report describing delayed liver laceration.This potential and serious complication appears to be specific and fatal for TIPS in portal hypertension.We advocate careful attention to the technique to avoid this complication,and timely treatment is extremely important.

The Clinical and Experimental Studies of ChanLe Chongji for Reducing Bleeding after Abortion

ChanLe Chongji (ChanLe dissolvable granule preparation) is a mixed Chinese traditional medicine composed of Prunus persica Batsch, Carthamus tinctorius, Angelica sinensis Diels, Typha angustifolia Bory. et Chaub., Prunus mume Sieb. et Zucc., etc. which could clear fever and remove blood stasis. The bleeding days in vagina after abortion by drug and the complete abortion rate were observed. 100 cases were selected randomly from the treated group and the control group respectively. The results showed that the mean bleeding period in the treated group was 8.4 days, while 13.3 days in the control. Although the mean complete abortion rate had no distinct difference between these two groups, the absolute level was higher in the treated group. The results of animal experiments showed that ChanLe Chongji could increase the contraction of uterus, stop bleeding, resist bacteria and diminish inflammation, thus providing its potentiality for clinical application.

Therapeutic effect of taurine with hypertonic saline on rat hemorrhagic shock complicated with hypernatremia

Abstract Objective To investigate the therapeutic effect of hypertonic saline (HS) and hypertonic saline with taurine (HST) hemorrhagic shock and hemorrhagic shock with hypernatremia rats. Methods Hypernatremic dehydration and hemorrhagic shock models were produced by Trachtma's and Krausz's methods in Sprague Dawley rats. Hemorrhagic changes of mean arterial blood pressure (MABP), left ventricular end diastolic pressure (LVEDP), ±dp/dtmax and heart rate (HR) were registered on polygraph. Plasma Na +, urea lactate and taurine content were assayed. Results After treatment with HS, the hemodynamic changes of hemorrhagic shock rats were significantly alleviated, and tissue fluid redistributed. When the hemorrhagic shock animals were treated with HS containing taurine (HST), in comparison with HS treatment, the hemodynamic improvement and hemodilution were more obvious. When the hemorrhagic animals complicated with hypernatremia were treated with HS, the symptoms of dehydration and shock further deteriorated, when the hemorrhage with hypernatremia animals were treated with an infusion of HST, the symptoms of dehydration and shock were significantly ameliorated. Conclusion The therapeutic effect of HS with taurine is obviously better than HS alone. So when hemorrhagic shock was complicated with hypernatremia, HS with taurine is recommended in stead of HS alone.

Treatment of Cerebral Apoplectic Pseudobulbar Palsy with Consciousness-Restoring & Obstruction-Clearing Needling Technique: A Report of 300 Cases

Objective: To study the therapeutic effect of treating apoplectic pseudobulbar paralysis with acupuncture.Method: Consciousness-restoring & obstruction-clearing needling technique and points Fengchi (GB 20), Yifeng (TE 17), Wangu (GB 12), Neiguan (PC 6), Shuigou (GV 26), Sanyinjiao (SP 6), Shanglianquan (Ex-HN), Jinjin (Ex-HN 12), Yuye (Ex-HN 13) and Baihui (GV 20) were selected to treat 300 cases of apoplectic pseudobulbar paralysis.Result: Cure: 189 cases, marked effect: 71 cases, effective: 32 cases, no effect: 8 cases and the whole effective rate is 97.3%.Conclusion: Consciousness-restoring & obstruction-clearing needling technique is effective in treating apoplectic pseudobulbar paralysis. Key Words Cerebral Hemorrhage/complications - Hemiplegia - Acupuncture Therapy - Pseudobulbar Palsy - Cerebral Infarction/complications JIANG Ge-li, MD of acupuncture, senior consultant doctor, professor, engages in the theoretical study of psychosomatic medicine and clinical treatment method of hyperplastic spine arthrosis and apoplexy sequelae.Translator: HAN Chou-ping

Treatment of 30 Cases of Apoplectic Language Disorders by Electroacupuncture

Objective: To discuss the therapeutic method of apoplectic patients with language disorders.Methods: Sixty cases of apoplexy were classified into electroacupuncture group of 30 cases and acupuncture group of 30 cases. In electroacupuncture group, acupoints Lianquan (CV 23), Tongli (HT 5) and lower 2/5 part of motor area and sensory area were selected. In acupunc -ture group, acupoints Lianquan (CV 23) and Tongli (HT 5) were selected. Results and conclusions: After 2 courses of treatment, the total effective rate in electroacu -puncture group was 93.3% and that in acupuncture group was 76.6%. There was a significant difference in the therapeutic effect between the two groups (P＜0.05).

Clinical Observation on Acupuncture Treatment of Post-windstroke Pseudobulbar Palsy

In this research, X-ray photograph and kinescope were applied to observe the whole process of barium swallowing statically and dynamically before and after acupuncture treatment by the radiography of the upper alimentary tract (RART). The observation was made on the objective changes about the functional renovation of contractor muscle of pharynx and epiglottis muscle. Among 36 cases, function of speaking basically recovered in 3 cases, function of swallowing 16 cases,function of expectorating sputum 15 c ases, and for function of water drinking 13 cases. The total effective rate: 75.0% for function of speaking, 97.2% for function of swallowing, 75.0% for function of expectorating sputum, 97.2% for function of water drinking.

Treatment of Hemiplegia and Joint Contracture after Apoplexy by Acupuncture plus Cupping Therapy: A Report of 52 Cases

Objective: To study the treatment method of apoplectic joint contracture.Method: Fifty-two cases were treated with acupuncture plus cupping and thirty cases were treated with acupuncture alone as the control group.Result and conclusion: The effective rate of the former and later were 100% and 93.3% respectively, combined treatment of acupuncture and cupping was superior to acupuncture alone (P<0.05). Key Words Acupuncture Therapy - Cupping Therapy - Cerebral Hemorrhage/complications - Hemiplegia - Cerebral Infarction/complications Author: DING Bang-you (1966-), male, attending physician

Treatment of 114 Cases of Hemiplegia Following a Stroke with Acupuncture

According to the method of puncturing the twelve Jing (well) acupoints to treat hemiplegia following a stroke, recorded inWeishengbaojian compiled by LUO Tian-yi, the authors selected Yinbai (SP 1), Dadun (LR 1), Shangyang (LI 1) and Guanchong (TE 1), combining with selected acupoints according to the presenting syndromes, to treat 114 cases of hemiplegia following a stroke, the total effective rate was 91.1%. Key Words Acupuncture Therapy - Hemiplegia - Cerebral Hemorrhage/complications - Cerebral Infarction/complications Translator: ZHU Zhong-chun

Clinical Observation of Depression Following Cerebral Apoplexy Treated by Scalp-acupuncture

Objective: To observe the therapeutic effect of scalp-acupuncture on post-apoplectic depression.Methods: Twenty-nine patients with depression due to cerebral apoplexy were treated by scalp-acupuncture and compared with 28 cases of medicine group chosen randomly.Results: In scalp-acupuncture group, the total effective rate was 89. 6%. In medicine group (control group), the total effective rate was 71.4%.Conclusion: The result showed that the therapeutic effect in scalp-acupuncture group was obviously better than that in medicine group (P<0.05). Key Words Scalp Acupuncture - Depression - Cerebral Hemorrhage/complications - Cerebral Infarction/complications

Treatment of Pseudobulbar Paraly by Acupuncture plus Functional Training

Sixty cases of pseudobulbar palsy were treated by puncturing Shuigou (GV 26), Lianquan (GV 23), Fengchi (GB 20), Wangu (GB 12), Yifeng (TE 17), Tongli (HT 5), Neiguan (PC 6) and Fenglong (ST 40) with the needling technique to refresh mind and open orifice, and by puncturing the retropharyngeal wall and palatine arch, plus training of swallowing function, the total effective rate reached 95.0%. Key Words Acupuncture Therapy - Pseudobulbar Palsy - Cerebral Hemorrhage/complications - Cerebral Infarction/complications Author: WANG Li-qun (1966-), male, attending physicianTranslator: HUANG Guo-qi