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 Wysłany: Pią 0:10, 18 Mar 2011 Temat postu: ugg boots italia Gallstone pancreatitis operation |
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Gallstone pancreatitis operation of the timing and extent of surgery
dyeffusionfoundinabdominalpuntture, withhibamylaseleve1. d. Biliarystonedetectedordilatationofthecommonbileductandenlarged mouth a Ⅱ creasshownbyB-ultrasound. Incisionofthe ~ pancreaticcaDsuleanddecompre ~ sionwithmultipledrainageofthepa ~ creaticbedandabdominalcavitywassatisfactoryintreatingpatientswithhemorrhagicandnecroticpanerea-titis. Hemophilia B thrombocytopenia purpura a case report in the Hematology Institute of Medical Sciences and dried blood, who are competing Pandora hospitals Tetsuo Lei Zhang Ai male patient, 37 years old. Found in March 1988 under the chunks of skin vessels purpura, in the local extra blood test platelets in 50 ~ 70 × 1O. / L, clotting time to time extended by Guchuan diagnosed as × 10. / L, but the clotting time remains prolonged,[link widoczny dla zalogowanych], in April 9th our hospital. Physical examination: development of normal, no anemia, jaundice buildings appearance, the soft skin of the limbs are too few blocks of the old House of purpura, liver neck lymph nodes is not, spring no abnormal laboratory hemoglobin 155g / L, WBC 6.1 × 1O / L, platelets 74 × 10 / L. Myeloproliferative active, see the entire film is a total of 1 + immature megakaryocytes, mature non-platelet formation in 4 ten,[link widoczny dla zalogowanych], naked nuclei 1 +. HBsAg, liver function, antinuclear antibodies, erythrocyte sedimentation rate and other tests were normal. Platelet antibodies PAIgG156gg/10 * PL, PIgA4.9} lg/10PL, PAq2500 ~ g/10. PL platelet volume (MPV) 9.2} lm. , Fools 28.6 platelet function tarsal Arrow = adenosine diphosphate (ADP) 31.25, 33.8 collagen, thrombin 62.5, Reese Su stare off mold. B, stimulus-type anti-platelet monoclonal antibody HIP228.8. Vitro clotting time of 25 minutes hanging, prothrombin time in patients with normal prothrombin time l Health Qi extended, hoe sulfate adsorption is not normal plasma corrected, normal blood pump that can be corrected, suggesting that coagulation factor Ⅸ (PTC) deficiency. Pedigree investigation of their parents, three siblings and l0 were abled ten maternal cousin brother and sister. Discussion. Bong patients with mucocutaneous bleeding,[link widoczny dla zalogowanych], and thrombocytopenia. Edge of bone marrow cells form giant platelet disorder Qi, PxtgG, PAIgM, PC. Increased, except by the liver and other tests may be from the bow 【thrombocytopenia secondary disease,[link widoczny dla zalogowanych], prothrombin PTC students show a lack of Qi tests, it can be diagnosed with hemophilia have combined immune thrombocytopenic purpura. Hemophilia and platelet glass units reported less purpura less solitary, not the domestic literature is not reported, but Eyster and other reports - ~ 518 cases of hemophilia combined probability of ITP is 0 (26 down), showing that = are not uncommon concurrent hemophilia reported abroad who often co-exist with the ITP issued a blood disease, and many have clotting Tian Zha to the history of solid preparations. Most scholars who found that the coexistence of hemophilia with ITP often have acquired immune disorder in which inhibition of T helper cell and T were leaching was lower than 8 cells, LAV / HTLV-I (+),( reversed too kind T lymphoblastic leukemia recorded virus), similar changes in AIDS patients, but patients infected with non-island tendencies. Ratnoff et al (1983) reported consolidated 5 lame side of ITP patients with hemophilia, 4 side PIgG (+). The inverted PaIgG, PAlgM, PAC: are higher,[link widoczny dla zalogowanych], but the difference is reported in the literature, the rate of patients without bleeding tendency since childhood, family history negative, no history of blood transfusion and blood products transfusion, and the PTC deficiency. On the incidence of blood units and the treatment of ITP, Zeitlhuher Bodhisattva that the dose of immune globulin intravenous therapy husband i hit better, and make inverted T lymphocyte subsets to improve. Also useful for class drunk hormone and splenectomy week reported rate of patients treated by prednisone, the platelet count returned to normal, still under observation. (Qian Li Xian test omitted) · 1gg0 on Ephesians 4 2
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