160 cases of mumps encephalitis complicated by cli

yxfbbiedtj · Wysłany: Pią 18:09, 25 Mar 2011

Mumps complicated by clinical analysis of 160 cases of encephalitis

With 3, JL Neurology [M]. Zhengzhou: Henan Medical University Publishing DU ,1997.332-333 [3] Wu Ruiping. Hu Yamei, Jiang Fang set. Practical Pediatrics [M] s Kang edition Beijing: People's Medical Publishing House, 1998.751 blood examination in the diagnosis of abdominal hemorrhage reference value Guhe Zhong, Wang Guanhua, Du Xiang Yuan (Shanghai Construction Surgical Hospital, Shanghai 200083, China) [Key words blood check; abdominal hemorrhage; diagnosis [in the ring CLC] R446.111 [Document ID thrush] B 【Article ID] 1006-7655 (2001) 04-0490-02 abdominal bleeding is a common and II pottery bed difficult issues, If not early diagnosis, subsequent treatment often leads to the complexity of even leads to death. If the patient is not killed in the initial hemorrhage, the general went to the emergency room, the prognosis is directly dependent on the attending physician the first time in this wide and this gold is to have sufficient knowledge and vigilance, and only have a correct understanding of this can be take appropriate and effective screening measures, and make the right according to the analysis of test results. Thus the domestic Professor Wu Yantao make two points ... First, for any patient with acute abdomen, abdominal bleeding should be taken into account, the second is no history of trauma and acute anemia, can not be found in other parts of the bleeding, we must consider to the possibility of abdominal bleeding. And we found that for both acute abdomen patients, physicians, usually for blood test. This gave us the following information provides a basis for analysis. The clinical data of 1 176 cases of this group of patients, 117 patients were male, female 59, aged l6 ~ 58 years old, average 45.7 years old. There were 104 cases of definite history of trauma, injury and 72 patients without a clear, people's homes with only dizziness, 46 patients with nausea and dizziness, lightheadedness, dizziness, pale, heart palpitations,[link widoczny dla zalogowanych], palpitation 108 patients with abdominal pain, early shock performance in 21 cases, these patients had no significant heat. First of all emergency department history taking, examination of patients, routine blood examination. The results are as follows: RBC greater than 4.0 × 10 / L with 69 cases, (3.04.0) × 1O 7O cases of children with less than 3.0 × 10 ', L were 27 cases; Hb greater than 11313g , L were 56 cases, 70 ~ 100g, L were 99 cases, less than 70g, L were 21 cases: HCT greater than 40% of 23 cases, 28% to 40% of 78 cases, less than 28 % of 75 patients; WBC less than 10 × 1 / L were 9 cases, (10-20) × 1 Mine / L, with 78 cases. Than 20x1o9 / L were 75 cases. For a clear history of trauma and highly suspected abdominal bleeding, abdominal cavity puncture, B ultrasound or CT examination of 130 cases were able to confirm. Received Date】 2001-03-09 【... for the other 46 cases, according to history, signs and blood, as shown by examination of acute leukemia class of self-reaction and cases, negative l9 cases, but which later appeared to decrease blood pressure, so these cases are conducted laparotomy. Intraoperative findings were as follows: 97 cases of splenic rupture, 7 cases of traumatic rupture of liver, liver rupture in 3 cases, renal rupture in 3 cases, 21 cases of ruptured ectopic pregnancy, ruptured corpus luteum 3 sides. Strangulated bowel obstruction in 9 cases, acute necrotizing pancreatitis in l7 cases. I6 cases of retroperitoneal hematoma. In which the amount of bleeding were less than 800lIIl 56 cases, 800 were a I600ml 99 patients who had more than l600ml 2I cases. Other than the above cases died because of intraoperative rupture of hepatocellular carcinoma in 3 cases, the other through the corresponding positive complement surgery and blood volume, correct water and electrolyte, acid-base balance disorders and a series of effective measures to recover from illness poultry are discharged, prior to discharge review blood, leukemoid reaction and WBC】. 2h after acute blood loss after I see a significant increase in white blood cells. Bleeding when the reaction mechanism of acute type of leukemia: acute blood loss when the edge of the body to mobilize to the peripheral blood granulocytes, the white blood cells can be increased exponentially. White blood cells in blood vessels through the capillaries into the tissues or organs, perform phagocytosis. Therefore, neutrophils increased significantly. In addition, the stress state of bone marrow to produce granulocytes increased, the rate of increase in the release of human blood. Can make leukocytosis. A lot of bleeding into the blood when the chest, abdominal cavity and the third asked the militaristic, resulting in effective circulating blood caused by the decline in red blood cells and hemoglobin