BACKGROUND The late presentation of dural tears(LPDT)has a low incidence rate and hidden symptoms and is easily ignored in clinical practice.If the disease is not treated in time,a series of complications may occur,in...BACKGROUND The late presentation of dural tears(LPDT)has a low incidence rate and hidden symptoms and is easily ignored in clinical practice.If the disease is not treated in time,a series of complications may occur,including low intracranial pressure headache,infection,pseudodural cyst formation,and sinus formation.Here,we describe two cases of LPDT.CASE SUMMARY Two patients had sudden fever 1 wk after lumbar surgery.Physical examination showed obvious tenderness in the operation area.The patients were confirmed as having LPDT by lumbar magnetic resonance imaging and surgical exploration.One case was caused by continuous negative pressure suction and malnutrition,and the other was caused by decreased dural ductility and low postoperative nutritional status.The first symptom of both patients was fever,with occasional headache.Both patients underwent secondary surgery to treat the LPDT.Dural defects were observed and dural sealants were used to seal the dural defects,then drainage tubes were retained for drainage.After the operation,the patients were treated with antibiotics and the patients’surgical incisions healed well,without fever or incision tenderness.Both recovered and were discharged 1 wk after the operation.CONCLUSION LPDT is a rare complication of spinal surgery or neurosurgery that has hidden symptoms and can easily be overlooked.Since it may cause a series of complic-ations,LPDT needs to be actively addressed in clinical practice.展开更多
The Cretaceous is a typical period for studying the greenhouse climate and the earth system interactions, and the world’s most extensive terrestrial strata are mainly in East Asia, especially in China. Continental se...The Cretaceous is a typical period for studying the greenhouse climate and the earth system interactions, and the world’s most extensive terrestrial strata are mainly in East Asia, especially in China. Continental sediments can effectively reflect the paleo-climate change, but the previous studies of the Late Cretaceous paleo-climate, based on the combined characteristics of continental climate-sensitive sediments, were barely found in China. To obtain the Late Cretaceous paleo-climate characteristics of China, the distribution characteristics of different continental climate-sensitive sediment types in the early, middle and Late Cretaceous in China were studied in detail. According to the distribution and combination characteristics and types of continental climate-sensitive sediments, seven climate types can be divided: 1) warm-humid and warm-dry climate;2) hot and dry climate;3) hot-dry and arid climate;4) hot-dry and semiarid climate;5) hot-dry and hot-wet climate;6) hot-dry and warm-humid climate;7) hot-dry and warm-dry climate. The results show that in the early Late Cretaceous, the hot and dry climate was the most widespread, followed by warm-humid and warm-dry climate, but the climate was drier than the paleo-climate of the previous study of Early Cretaceous. Hot and dry climate zone became wider in the Coniacian and Maastrichtian;furthermore, it covered Xinjiang to the east of China from east to west after the Santonian Period. The hot-dry and semiarid climate zone was nearly latitudinally distributed from the northwest to the southeast and it shows a further increase in aridification. Global geological events, paleogeographic features and regional tectonic evolution had significant impacts on the paleoclimate of China in the Late Cretaceous, such as global eruptive events of volcanoes led to the temperature increase in China in the early Late Cretaceous;coastal mountain ranges in southeastern China led to the drying of the Late Cretaceous climate in southern China;Xuefeng Mountains, Wuling Mountains, Nanling Mountains and Tai-hang Mountains were the dividing line between the hot and dry climate zone and hot-dry and arid climate zone in the early Late Cretaceous, and Altun Mountains were the dividing line between the southeastern section of the hot and dry climate zone in western China in the middle Late Cretaceous.展开更多
基金Supported by Jilin Health Science and Technology Capability Improvement Project,No.2022C107.
文摘BACKGROUND The late presentation of dural tears(LPDT)has a low incidence rate and hidden symptoms and is easily ignored in clinical practice.If the disease is not treated in time,a series of complications may occur,including low intracranial pressure headache,infection,pseudodural cyst formation,and sinus formation.Here,we describe two cases of LPDT.CASE SUMMARY Two patients had sudden fever 1 wk after lumbar surgery.Physical examination showed obvious tenderness in the operation area.The patients were confirmed as having LPDT by lumbar magnetic resonance imaging and surgical exploration.One case was caused by continuous negative pressure suction and malnutrition,and the other was caused by decreased dural ductility and low postoperative nutritional status.The first symptom of both patients was fever,with occasional headache.Both patients underwent secondary surgery to treat the LPDT.Dural defects were observed and dural sealants were used to seal the dural defects,then drainage tubes were retained for drainage.After the operation,the patients were treated with antibiotics and the patients’surgical incisions healed well,without fever or incision tenderness.Both recovered and were discharged 1 wk after the operation.CONCLUSION LPDT is a rare complication of spinal surgery or neurosurgery that has hidden symptoms and can easily be overlooked.Since it may cause a series of complic-ations,LPDT needs to be actively addressed in clinical practice.
基金A project funded by National Natural Science Foundation of China(41572093)Central Young College Teachers Fund Project (3142020002)Supported by the Fundamental Research Funds for the Central Universities(3142021004)。
文摘The Cretaceous is a typical period for studying the greenhouse climate and the earth system interactions, and the world’s most extensive terrestrial strata are mainly in East Asia, especially in China. Continental sediments can effectively reflect the paleo-climate change, but the previous studies of the Late Cretaceous paleo-climate, based on the combined characteristics of continental climate-sensitive sediments, were barely found in China. To obtain the Late Cretaceous paleo-climate characteristics of China, the distribution characteristics of different continental climate-sensitive sediment types in the early, middle and Late Cretaceous in China were studied in detail. According to the distribution and combination characteristics and types of continental climate-sensitive sediments, seven climate types can be divided: 1) warm-humid and warm-dry climate;2) hot and dry climate;3) hot-dry and arid climate;4) hot-dry and semiarid climate;5) hot-dry and hot-wet climate;6) hot-dry and warm-humid climate;7) hot-dry and warm-dry climate. The results show that in the early Late Cretaceous, the hot and dry climate was the most widespread, followed by warm-humid and warm-dry climate, but the climate was drier than the paleo-climate of the previous study of Early Cretaceous. Hot and dry climate zone became wider in the Coniacian and Maastrichtian;furthermore, it covered Xinjiang to the east of China from east to west after the Santonian Period. The hot-dry and semiarid climate zone was nearly latitudinally distributed from the northwest to the southeast and it shows a further increase in aridification. Global geological events, paleogeographic features and regional tectonic evolution had significant impacts on the paleoclimate of China in the Late Cretaceous, such as global eruptive events of volcanoes led to the temperature increase in China in the early Late Cretaceous;coastal mountain ranges in southeastern China led to the drying of the Late Cretaceous climate in southern China;Xuefeng Mountains, Wuling Mountains, Nanling Mountains and Tai-hang Mountains were the dividing line between the hot and dry climate zone and hot-dry and arid climate zone in the early Late Cretaceous, and Altun Mountains were the dividing line between the southeastern section of the hot and dry climate zone in western China in the middle Late Cretaceous.