mbt shoes italia yxc qbp lur xxi

yxfbbiedtj · Wysłany: Pon 13:41, 14 Mar 2011

Primary hyperparathyroidism and clinical preoperative diagnosis of complicated ...: analysis of 60 cases

semllaandhperca1ciuria. ThePlasmaAKPlevelincreasedonlyinthepresenceofOSteitisfibrosaorinassociation-with0therbonechangesnotab1vOsteoma1acia. TheurinaryP. H0P, cAMPandsert / mCI / Pratiowereustlallyhigh. whereasTRPWas1OW. SerumBGP, PTHalmosta1waysincreased. Hypefparathyro Perot is111mightbeassociatedwithmanycllnicalconditions. Theseincludedbonediseasesin41. 17bonediseaseswithrenalStones, renalstonesin2, duodena1ulcerin7, acatepancreatitlsin3, dcagesofcrisis, 6ofhypertension, 6ofheartdiseases, etc. Fourpatientswithhyperpara pumping yroidismdied (6.6). Theresultofthisdiseasewassatisfactoryaftersurgery. KeyWords: hyperparathyr0idismmclinicaltypesofhyperparathyreidismdiag-nosisofhyperparathyroidlsmBGPoneGlaprotein) PTH (parathyroidhormone) calcification of the whole spleen A case report Surgery, First Hospital, Zhejiang Province Jia Hui Hou-splenic calcification in clinical compared with base step See, I have come across one in the back surgery,[link widoczny dla zalogowanych], the report below. Female patient,[link widoczny dla zalogowanych], 59 years old. Echinococcosis risk of blood has been established over 30 years, has received 5 times original treatment of schistosomiasis. Hepatosplenomegaly years, but no history of nearly three years left upper quadrant pain, ascites and repeated upper gastrointestinal bleeding. February 24, 1982 because of acute hematemesis admitted to internal medicine. Has had with the three-cavity tube compression 6 Zi, were temporarily stop the bleeding. Denied hepatitis,[link widoczny dla zalogowanych], history of ulcer disease and chronic abdominal pain. Physical examination; generally poor, weight loss,[link widoczny dla zalogowanych], severe anemia appearance. No yellow sclera and skin infection. Abdomen a little cliff, liver sword 4cm1, Youlei under 2cm, hard, no tenderness. Spleen just palpable under the left rib cage, quality hard, no tenderness, range of difference. Laboratory tests; no significant performance hypersplenism, immune globulin, complement Ca measured in the normal range. T clinical diagnosis of advanced schistosomiasis liver cirrhosis, portal hypertension Mi, upper gastrointestinal bleeding. On May 18 into the surgery. Found a small amount of ascites surgery, liver hard, the surface was dark purple, large nodular degeneration, marginal and large Ke membrane multiple vascular adhesions. Stomach and duodenal ulcer was not found. Spleen surface was brown, palm-sized, no abnormal adhesion, quality hard as stone, weighing about 300g. Splenic artery pulsatility exists, splenic vein is normal. Splenectomy and portal azygous devascularization. Successfully discharged from hospital after recovery. Pathology; schistosomiasis of the liver was changed, portal area of connective tissue hyperplasia, vacuolar degeneration of liver cells. Spleen sections were sand-like, microscopic examination of blood of chronic sulfur, base spleen calcification. Discussion; door dirty hypertension in the barrier mechanism of splenic calcification is unknown, considering the potential and spleen of chronic bleeding, infection related, which makes the provision of fibrosis and thus calcification. In this case, according to medical records, splenomegaly has been for many years, recorded three years ago, fat was left under the 5cml, but barely touched on under the left rib cage to prove that there are ten spleen calcification process of progressive development. An upper gastrointestinal bleeding,[link widoczny dla zalogowanych], the total loss of splenic calcification of the spleen and blood storage buffer function, similar to the risk of upper gastrointestinal bleeding after splenectomy. From the theoretical analysis, B-may contribute to the diagnosis of calcified spleen, but unfortunately the rate of disease before surgery beam considered, not off the check. Calcification of the spleen of immune function is still there, still silicon conclusion, although the patients with a preoperative determination of immunoglobulin, complement cs normal, and not pursuant to permit on their function H. Thus in the treatment of upper gastrointestinal bleeding, while the situation is subject to splenectomy may be. (January 1991 Received 99 days) 454 * Tianjin Medical