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 Wysłany: Sob 12:11, 19 Mar 2011 Temat postu: On the CT diagnosis of lacunar infarction _11051 |
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On the CT diagnosis of lacunar infarction
Chu,[link widoczny dla zalogowanych], 3%, not only to feel any symptoms of dizziness, drowsiness, clear the mind, memory decline 4%. 52 cases of male and female in 44 cases. CT scan showed basal ganglia infarct in the side of the 52 cases of single lesion, single lesion on both sides of the basal ganglia in 8 cases, the side of the basal ganglia and the other side of the single 8 cases of multiple basal ganglia, bilateral basal ganglia 5 cases of multiple areas, thalamus 8 cases, 1 case of brain stem, internal capsule and corona radiata area in 14 cases, in these cases, the diameters measured, the largest infarct diameter of 23mm, the smallest diameter of about 2mm, no mass effect, mass effect of negative in 5 cases with widened lateral ventricles, in these cases, the youngest 36 years old, but has obvious clinical symptoms and signs, and staggering walk, in the age group, the incidence of high, and most with varying degrees of brain atrophy changes. Summing up the cases, resulting in lacunar infarction is the main reason for high blood pressure, cerebral arteriosclerosis, insufficient blood supply to the brain caused by long-term, the other major factor is the long-term heavy smoking and drinking a high degree of wine, so that a long period of spastic cerebral , due to deep brain perforating arteries fine, in the event of hardening, the wall stiffness, intima rough, lumen loss of elasticity and thinner and prone to infarction, infarction performance of clinical symptoms and signs, determine the infarct frj human small f1i Kwong bit, if not in function of position, may not have clinical symptoms and fear. Therefore,[link widoczny dla zalogowanych], clinical manifestations alone is difficult to make a correct diagnosis of lacunar infarction. CT scan is to determine the most convenient lacunar brain, the most direct and most significant way to check a diagnosis,[link widoczny dla zalogowanych], but also from the small majority of patients with one of the consumer, it is differentiated from other diseases with the brain's main tool to find any CT In the basal ganglia, internal capsule, corona radiata mound organs and areas below the diameter of less than 20mm, to reduce the shadow density, no mass effect, and clinical performance, should make the diagnosis of lacunar infarction. In addition, MIR also check the main tool for brain diseases, its effect is far more expensive than CT, however, if (I 'checks can be identified to more and greater consumption of unnecessary expense, so the age of 48 years of age, that is to have high blood pressure, atherosclerosis, long-term tobacco, alcohol addiction, even if no specific clinical symptoms and signs, should be the head (vI check, in order to facilitate early detection, early treatment, the disease nipped in the bud, the prognosis is certain to receive very good results. (Received :2006-07-10) duodenogastric reflux leap clear clinical and imaging manifestations were Xiaoling Zhao Ailing Laizhou City People's Hospital (261400) 2005 8960 sections of people to do gastrointestinal barium meal, duodenal reflux found 554, the following method of examination and x-ray position to talk about the view to improve the detection rate of the disease. I. Materials and Methods 1. Equipment: Philips digital machines with gastrointestinal, El the Konica laser camera, printer, 2.. Method: Imaging of three days prior to gastrointestinal function to stop taking the drugs, imaging when El fasting, the morning line departments gastrointestinal barium meal, the Sichuan Chemical Co.,[link widoczny dla zalogowanych], Ltd. Qingdao Dongfeng double contrast X ray. (n-type) dry mixed suspension, the concentration of 140 - 160W / V, gas powder 1 packet (3g). so that the patient position and the suspension dose of powder gas barium, with the advice to place the bed horizontal position, so turn coating the stomach of patients, the right bit of barium into ball, then supine position, 45 degrees in the supine position and orthostatic sinus pressure device to be placed on barium agent immediately after the loose ball into the pressure. uptake reflux like. Second, the results of reflux, as we will be divided into clear three levels of general and mild. 1. obvious regurgitation: the ball was in the barium column device with the compression decompression immediately reflux back to the sinus, total 215 cases, more than pyloric 1.0cm wide; 2. General reflux: loose pressure after compression devices or 45 degrees semi-recumbent position with the sinus peristaltic contraction was intermittent ball-shaped part of the barium Back sinus, total 256. pyloric width 0.6 --- 0, 8cm; 3. minor reflux: lying does not show, only in the semi supine and standing position can be seen that the ball was linear within the barium is less return by pyloric antrum, and most enter the fall or segments, namely 83 cases, pyloric width and normal: three to discuss the duodenogastric reflux (I) ucxteno a (taatme, Reflux referred IX; R) caused by bile reflux is an important cause of gastritis, one of the role of fat by bile salts,[link widoczny dla zalogowanych], damage the gastric mucosal barrier, thereby changing the physical and chemical properties r normal gastric mucosa, acid will penetrate the cell membrane, mucosal layer damage from the bow I series of pathological changes, with the endoscopic biopsy in the reflux of those, 450 cases of gastric inflammation, gastric ulcer in 27 cases, 45 cases of ulcer ball, the ball inflammation in 20 cases, 12 cases of gastric cancer. Since the cause of disease caused by pyloric disorders, muscle wall relaxation, leading to
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