ObjectiveTo review the diagnosis, clinical characteristics and treatment of Arachnoid cyst rupture associated with epilepsy. MethodsThe clinical data of one patient with arachnoid cyst rupture associated with epilepsy was reported and diagnosis, clinical characteristics, the treatment options were discussed with literature reviewed. ResultsWe arranged the operation:arachnoid cyst resection and the left anterior temporal lobe resection and colostomy, the patient recovered well postoperatively, without special discomfort, epilepsy did not attack again. ConclusionsArachnoid cyst rupture associated with epilepsy is extremely rare, postoperative effect is good through strict preoperative assessment.
隨著外科技術和圍手術期治療水平日益提高，腹主動脈瘤擇期手術治療死亡率已控制在5%以內［1，2］，但破裂腹主動脈瘤（ruptured abdominal aortic aneurysm,RAAA）的死亡率一直在40%～70%，如果包括尚未到達醫院的RAAA患者，死亡率可達80%～90%，RAAA被美國列為第13位死亡原因［2~4］。目前，及時準確的診斷和快速有效的外科治療仍是降低RAAA死亡率的關鍵。......
Objective To explore the diagnosis and treatment for spontaneous rhexis hemorrhage of liver cancer. Methods Clinical data of thirty patients who suffered from spontaneous rhexis hemorrhage of liver cancer from January 1995 to March 2009 were collected and analyzed retrospectively. Results Twenty-six cases were stanched by surgical therapy, in which 14 cases underwent liver cancer resection, 10 cases underwent bleeding transfixion and hepatic artery ligation (or intubation), and 2 cases underwent omentum stuff transfixion. Four cases died one week after surgery, one died after 15 d, 9 cases died 1 to 3 months after operation, 5 cases survived after 4 to 6 months, 3 cases survived after 7 to 12 months, and in 4 cases survival time was longer than 12 months (in which one patient’s survival time was 16 months, one was 5 years and two patients were still alive with survival time of 3 and 13 years respectively). Four patiens went through the non-surgical therapy and survival time was 3 to 14 d. Conclusion The spontaneous rhexis hemorrhage of the liver cancer is not the telephase of the liver cancer. Early diagnosis and operation can stanch bleeding effectively. The surgical therapy is better than the non-surgical therapy. Resection of liver neoplasms in time can raise long-term survival time.
【摘要】目的探討肝切除術治療原發性肝細胞癌自發性破裂（SRHCC）的效果。方法回顧性分析19例肝切除術治療SRHCC患者的效果。結果肝切除19例，1個月存活率為94.7%，1年、3年及5年存活率分別為63.2%、16.7%及8.3%,平均存活時間為30.8個月(4 d～25年零9個月)，最長1例存活超過25年零9個月，目前仍健在。１８例肝功能屬ChildPugh A級患者安全度過圍手術期； 1例肝功能ChildPugh B級者術后4 d死于肝功能衰竭。結論SRHCC并非均為晚期病變，對早期肝癌破裂肝功能良好者應采取急診手術切肝； 如患者情況或醫療條件不允許，可行延期或二期手術治療。
目的報告32例膈肌破裂與創傷性膈疝的診治體會。方法對該院收治的32例創傷性膈肌破裂進行回顧性分析。結果該32例中，開放性損傷12例，閉合性損傷20例，26例并發創傷性膈疝。經X線檢查，18例有陽性發現； 16例行CT檢查，結果均為陽性； 術前確診24例（75%），治愈28例，死亡4例（12.5%）。結論CT和X線檢查是診斷膈肌破裂和創傷性膈疝的主要依據。早期診斷、及時手術治療是提高治愈率、降低死亡率的關鍵。