Diabetic bladder lesions of 60 cases _1648

ncycgdxhl · Wysłany: Nie 22:22, 27 Mar 2011

Diabetic lesions of 60 cases of bladder

33%. Mainly affected the normal function of the bladder of spinal nerve and parasympathetic regulation. According to the current study, diabetes was the main changes in the bladder prevertebral ganglia and paravertebral ganglia, sympathetic support and large neural stem the pathological changes. Fearman axons was observed in beads or spindle-shaped thickening, nerve fibers break. Bladder muscle and neural stem decreased acetylcholine, Angeline and other observations to the bladder wall has many small neurons in the pathological swelling of the axons. An early manifestation of diabetic bladder mainly decreased bladder sensation, without motor dysfunction. Normal when the bladder urine output was 200ml of urine that is intended to feel uncomfortable, the lack of early stage patients are feeling. Therefore, the early morning urine usually> 350ml, the formation of large-capacity bladder with low tension, the motor function of accessibility are still capable of completely empty, with the coordination of detrusor and sphincter dysfunction, can not empty the bladder, residual urine Slowly the occurrence and development, patients have prolonged voiding interval and urination, urination difficulty, drops of urine after urination, urine dripping and so on. Completely paralyzed bladder completely when urinary retention, ureteral expansion of hydronephrosis. 2 patients in this group of patients with large residual urine that is the performance. As well as long-term retention of urine bladder residual urine easy way with Urinary infections, severe renal insufficiency appeared. Frimodt that: diabetic peripheral neuropathy and diabetic bladder is closely related to bladder lesions, 75% to 100% of peripheral neuropathy. The group of 60 patients, 54 cases of peripheral nerve conduction velocity, accounting for 90%. The treatment of diabetic bladder, the most basic treatment is a positive control of blood sugar, to correct metabolic disorders, to promote bladder emptying, and promote functional recovery of the bladder muscle contraction. The treatment of patients in this group, we adopted a comprehensive treatment of some refractory cases plus the cholinergic drugs pyridostigmine, a cholinesterase inhibitor, can increase bladder muscle leaving the level of acetylcholine contraction of the bladder to promote bladder emptying. However, excessive doses are prone to cause smooth muscle spasm and abdominal pain symptoms. The group 1 patients have the symptoms, abdominal pain disappeared after reduction. The group of 60 patients, except 2 patients bladder large residual urine, bladder residual urine respectively 950ml, 1700rnl reduced to <150ml, 8 例 dropped to <100ml, the other had no residual urine or <50rnl, therefore, further explanation of the early lesion of diabetic bladder disease is functional, reversible, so the emphasis on early diagnosis, early treatment will achieve better results. [Received】 2003 O5 a l3 a malignant fibrous histiocytoma of the larynx in 1 case report of Ding Suling, high-Kui Wen (Department of Pathology, Central Hospital of Jinzhou, Jinzhou, Liaoning 121000) patients, male, 59 years old, month, No significant incentive to a hoarse voice, were not attended to, 1 month ago sounds dumb aggravated by anti-inflammatory treatment ineffective. No hemoptysis, cough, sore throat and swallowing pain-free. Examination: pharyngeal mucosal smooth. Double Almond not enlarged. T: 36.3 ℃, P: 72 times / min, R: 18 times / min, BP: 17/12l. Indirect laryngoscopy: epiglottis form as usual, right before the vocal cords 1 / 2 peanut size of the tumor can be seen, the surface is not smooth, at the depression corresponds to the contralateral vocal cord, and bilateral vocal cord movement can still be. Surgical resection sent to pathology. General pathological findings: a large organization peanuts. No clear coated, cut gray red, slightly harder quality, light microscopy findings: squamous epithelial lining,[link widoczny dla zalogowanych], the spindle cells seen under obesity, and showed obvious pleomorphism and spoke wheel-like structure, multi-shaped area, see giant cells, this giant cells, eosinophilic cytoplasm, cytoplasmic vacuoles, nuclear fission is easy to see. Tumor cells with scattered or focal lymphocytic infiltration. Immunohistochemistry: lysozyme (+), a-1 a Act (+), virnentin (+), CEA (a), EMA (a) .... Pathologic Diagnosis: Malignant fibrous histiocytoma Ai Pi - ■ Bin Xi tumor. Discussion: Malignant fibrous histiocytoma, also known as fibrous tissue sarcoma, occur in middle-aged body's soft tissues, especially in the lower extremities more than the other, such as the chest wall and lungs, bones can also occur. But the primary in the vocal cords are extremely rare [2] 2. This showed a dip of tumor growth. Net is not easy cutting operation, easy to relapse. After six months follow-up, the patient alive, but the particle size of the submandibular lymph nodes peanuts. Refused medical treatment. [
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