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Dołączył: 03 Mar 2011
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 Wysłany: Pią 16:09, 04 Mar 2011 Temat postu: ghd italia slk cfy hxl pzz |
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Misdiagnosis of acute pulmonary abscess fish stabbed
Anatomical relations of [M]. Beijing: People's Medical Publishing House, 1986.163. (Received Time 2002-09.29) report of one case of ovarian ectopic thyroid Zhao Institute of Armed Police Hospital, Xi'an 710086, China Key words: R58l Document code: B Article ID: l002.3429 (2003) 02-0l59 · 0l 【 ],[link widoczny dla zalogowanych],[2l-year-old right lower abdominal pain continued for 48 hours were no special history of previous hospital. Normal menstruation. Physical examination: abdominal flat, right lower quadrant tenderness evident. Without muscle tension and rebound, does not touch mass. Diagnosed as acute appendicitis. Surgical treatment. See appendix surgery edema, intra-abdominal clear liquid leaking about 150ml, line appendectomy. Increased exploration right ovary was dumbbell-shaped, about 5cm × 6cm size, surface bruising, the left ovary is normal. Line on the right oophorectomy. Pathological diagnosis: the right ovary with corpus luteum thyroid hemorrhage, simple appendicitis. After determination of basal metabolic rate to normal. Normal thyroid. This is a special type of ovarian teratoma, the tumor constituted entirely of thyroid tissue,[link widoczny dla zalogowanych], clinically rare. Some patients with thyroid secretion, which can cause a small number of hyperthyroidism. It is reported that about 5% to 10% of malignant ovarian ectopic thyroid can occur, the formation of papillomas, and metastasis, so the discovery of such clinical disease. Attention should be paid. In this case emergency surgery for acute appendicitis when the unexpected discovery. It should be noted that such diseases in the differential diagnosis of acute appendicitis, if necessary, feasible and B-ultrasound, surgical exploration should be careful. '(Received Time 2002.10.15) cirrhotic liver degeneration misdiagnosed case of upper gastrointestinal bleeding caused by giant Hongwei Li People's Liberation Army 273 Hospital in the Nie Qingping Korla 841000, China Key words: R575.24 Document code: B Article ID :1002 -3429 (2003) 02-0159-02 【Case】 male, 8 years old, Uygur. 1 day ago in perceived abdominal discomfort after exercise, followed by vomit dark red ribbon of blood clots. A total of 3 times, each about 50ml, side by side, tarry black stool 1, about 50g, with dizziness, weakness, at 18 June 2002 in our hospital emergency room people. Past physical health, denied Heating, acid reflux, stomach pain, liver disease and familial history. Examination: a clear consciousness. Appearance of anemia, skin, sclera without jaundice, body superficial lymph node enlargement, the bilateral pupils and other large and round, light response, and lung breath sounds clear, no 哕 tone, heart rate 120/min. Law Qi, and the noise is not known; belly full, and no abdominal varicose veins,[link widoczny dla zalogowanych], liver ribs untouched, splenomegaly umbilical level, under left rib cage hit 6cm, medium texture, smooth surface, no tenderness,[link widoczny dla zalogowanych], abdominal percussion with mobility dullness, limb muscle strength, normal muscle tone, joint activities freely, without tremor. Laboratory examination: WBC 3.9 × 10 '/ L, neutrophils 0.70, RBC 2.89 × 10 / L, Hb 73g / L, platelets 87 × 10' / L. Emergency fiberoptic gastroscopy showed esophageal and gastric varicose veins and severe, with an sheets variceal bleeding, diagnosis of cirrhosis and upper gastrointestinal bleeding. Immediately to the blood transfusion, bleeding and other symptomatic treatment, bleeding stopped. Line B-day spot check showed enlarged liver, the distribution less uniform, smooth liver surface due to portal vein diameter of 9mm, splenomegaly, suggesting cirrhosis. Normal urine routine and microscopic examination,[link widoczny dla zalogowanych], the eye slit lamp examination revealed corneal limbus in the shallow double. In particular, see the bottom edge of the green brown pigmentation, consistent with Keyser. Fleischer ring. Diagnosis of liver cirrhosis caused by degeneration of hypersplenism. I Penicillamine 10mg · kg ~ · d drive copper treatment, 2 weeks after discharge, Nursing and long-term use of penicillamine maintenance therapy, after the lost. Liver degeneration in 1911 reported first by Wilson. It is also known as Wilson disease. It is a youth-oriented autosomal recessive disease of copper metabolism defect. Population prevalence rate of 5 / 100 case 1 / 3 million. Half of those in family history. The prevalence rate of consanguineous marriage. Its pathogenesis may be: ① combination of bile in patients with copper deficiency leads to the normal secretion of bile substances (excretion) of copper barriers. Reduction of copper excretion from the bile; ② Abnormal hepatic copper binding protein synthesis. Lead to increased affinity for copper protein; ③ liver cell lysosomes involved in copper metabolism. Wilson patients as the content of liver cell lysosomes 4O-fold higher than the control group, and this defective interfering with the liver cell lysosomes 159 *
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