简介:NeedlingPointJiaji(Ex-B2),Dachangshu(BL25),Huantiao(GB30),Weizhong(BL40),andYanglingquan(GB34)etcwiththecooperationoftraction,treatedlumbarintervertebraldiskdisplacement.Theeffectiveratewas91.3%.
简介:Inthispaper,twosnowfallcasesunderdifferentweatherconditionsinnorthernChinaaresimulatedbyusingthemesoscalemodelMM5.Two-waynestingstructureofdomainsisdesignedforeachcase.AmongtheexplicitschemesofMM5,theReisnergraupelschemeisselectedtodescribethemicrophysicalprocess.Thesimulatedsnow-bandsoftwocasesarebasicallyconsistentwithobservations.Thesimulatedresultsofmicrophysicalprocessesaremainlydiscussed.Thehydrometeorsandtheirsourcesandsinksunderdifferentweatherbackgroundsaredescribed.Thefeedbackeffectsofmicrophysicalprocessesonthethermalanddynamicprocessesarealsodiscussed.Methodthatoutputstheaccumulativesourcesandsinksperhourisusedtoanalyzethedistributioncharacteristicsofhydrometeorsduringthestrongestsnowfallperiod.Twosensitivitytests(calledheattestanddragtest)areconductedtoexaminetheeffectsofmicrophysicalpro-cessesoncloudproducedbythelatentheatanddragforce.Resultshaveshownthatthedistributionofparticleshasacloserelationwithtemperature.Thetem-peratureofBeijingsnowfallisunder0℃andthereexistvaporandsolidphaseparticles,whileLiaoningsnowfallhasvapor,liquid,andsolidphaseparticlesduetothewarmtemperature.Thedistributionoftheseparticlesisnotthesameatdifferentdevelopmentstages.Fromtheanalysesofthecharacteristicsofsourcesandsinks,itisfoundthatsnowismainlyproducedbythedepositionandaccretionwithice.Cloudwateriscrucialtograupel.Themeltingofice-phaseparticlesenhancestherainproduction.Theresultsofheattestsanddragtestsrevealthatthemicrophysicalprocesseshaveinteractedwiththedynamicandthermalprocesses.Latentheatreleaseofhydrometeorsfeedsbackpositivelyonsnowfallwhilethedragforcenot.Atlast,comparisonsofsimulatedresultshavebeendonebetweenthetwodifferentkindsofsnowfallcases.ThemicrophysicalprocessesofLiaoningsnowfallcaseismorecomplicatedthanthoseofBe
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简介:AbstractPlacenta percreta with bladder bleeding can occur during gestation or postpartum, posing a great threat to both mother and fetus. But it is rare and lacks standard management strategies. We reported four cases suffering from bladder bleeding caused by placenta percreta even with hemorrhagic shock admitted between January 1st, 2011 and December 31th, 2020 in The First Affiliated Hospital of Zhengzhou University. Clinical information, including age, gravidity and parity, ultrasound and magnetic resonance imaging manifestations, onset gestational age, bladder bleeding volume, clinical manifestations under bleeding, diagnosis, hemostatic methods, hospital stay, treatment cost, and prognosis, are presented. Two cases had bladder bleeding during the second trimester, respectively on the 22+3 and 23+5 weeks. Pregnancy was terminated timely. The other two cases had bladder bleeding on the 2nd day post near-term cesarean section when activity. All the four cases achieved successful hemostasis following angiography and concomitant embolization for iliac vessels, and one of them received electrocoagulation hemostasis under cystoscopy, but failed. They all had favorable clinical outcomes and had no long-term complications. The neonatal outcome in the two cases that bladder hemorrhage occurred after near-term c-section was good. The newborns did not survive in two cases in which bladder hemorrhage occurred at the second trimester of pregnancy. Timely termination of pregnancy is recommended when such a condition develops during gestation. Diagnosis of bladder bleeding is relatively easy, for it is characterized by fast speed and large volume, with concomitant distension of the lower abdomen, blood discharge from the urethral orifice, or the indwelling catheter. Interventional embolization is an effective means to treat bladder bleeding caused by placenta percreta, while electrocoagulation hemostasis under cystoscopy must be applied with great caution. For the pregnant women with a high risk of placenta percreta, timely and accurate diagnosis should be achieved during the gestational age, and bladder bleeding should be concerned when placenta penetrates through the anterior wall of uterus.
简介:AbstractBackground:To explore central nervous system (CNS) involvement in this disease, from the perspectives of diagnosis, treatment, and misdiagnosisMethods:Twenty-eight patients with CNS echinococcosis were included in this retrospective study, including 18 males (64.3%) and 10 (35.7%) females. The average age of all the patients were 23.5 years (ranged 4-60 years). Twenty-three (23) patients (82.1%) received the first surgical resection in our hospital. Five (5) patients (17.9%) gave up surgical treatment for multiple-organ hydatidosis and previous surgery history at other hospitals, and albendazole was applied for a long-term (3-6 months) adjunct therapy for the 5 patients. The average follow-up time was 8 years.Results:For the 28 patients, 23 cases received surgical treatments, and the diagnosis was confirmed by pathological examinations. The diagnosis of 4 cases of brain echinococcosis and 2 cases of spinal cord echinococcosis could not be confirmed, resulting in a misdiagnosis rate of 21.4% (6/28). For the pathological examination, a total of 17 cases were infected with Echinococcus granulosus (including 2 cases of spinal cord echinococcosis), and 6 cases were infected with Echinococcus alveolaris.Conclusion:The diagnosis should be specifically considered in endemic regions. The clinical features of CNS hydatidosis were intracranial space-occupying lesions. For the treatment, the surgical removal of cysts should be necessary. In addition, the adjuvant therapy with drug and intraoperative prophylaxis is also suggested. The misdiagnosis may have resulted from atypical clinical features and radiographic manifestations, as well as the accuracy of hydatid immunologic test.
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简介:Breastmetastasisfromextra-mammarymalignancyisrare.Anincidenceof0.4%to1.3%hasbeenreportedinliterature.Theprimarymalignanciesthatmostcommonlymetastasizetothebreastareleukemia,lymphoma,andmalignantmelanoma.Inthisreport,twocasesofpulmonarymetastasistothebreastwerepresented.A40-year-oldfemalemanifestedarightbreastmassof2-monthduration.Afterphysicalexaminationwasperformed,apoorlydefinedmasswasnotedintheupperouterquadrantoftherightbreast.Another49-year-oldfemalemanifestedrightbreastmassof5-dayduration.Apoorlydefinedmasswasnotedinthelowerinnerquadrantoftherightbreast.Mammographyresultsalsorevealedbreastcancer.Thepatientsunderwentlocalexcision.Afterhistologicalandimmunohistochemicalanalyseswereconducted,aprimarylungcarcinomathatmetastasizedtothebreastwasdiagnosed.Anaccuratedifferentiationofmetastasistothebreastfromprimarybreastcancerisveryimportantbecausethetreatmentandprognosisofthetwodiffersignificantly.