Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders     

Colak T  Akca T  Turkmenoglu O  Canbaz H  Ustunsoy B  Kanik A  Aydin S 《Journal of Zhejiang University. Science. B》2008,9(4):319-323

Objective: This prospective randomized clinical trial was conducted to evaluate the necessity of drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. Methods: A total of 116 patients who underwent total thyroidectomy or lobectomy for benign thyroidal disorders were randomly allocated to be drained or not. Operative and postoperative outcomes including operating time, postoperative pain assessed by visual analogue scale (VAS), total amount of intramuscular analgesic administration, hospital stay, complications, necessity for re-operation and satisfaction of patients were all assessed. Results: The mean operating time was similar between two groups (the drained and non-drained groups). The mean VAS score was found to be significantly low in the non-drained group patients in postoperative day (POD) 0 and POD 1. The mean amount of intramuscular analgesic requirement was significantly less in the non-drained group. One case of hematoma, two cases of seroma and three cases of transient hypoparathyroidism occurred in the non-drained group, whereas one case of hematoma, two cases of seroma, two cases of wound infections and two cases of transient hypoparathyroidism occurred in the drained group. No patient needed re-operation for any complication. The mean hospital stay was significantly shorter and the satisfaction of patients was superior in the non-drained group. Conclusion: These findings suggest that postoperative complications cannot be prevented by using drains after total thyroidectomy or lobectomy for benign thyroid disorders. Furthermore, the use of drains may increase postoperative pain and the analgesic requirement, and prolong the hospital stay. In the light of these findings, the routine use of drains might not be necessary after thyroid surgery for benign disorders.  相似文献   

更年期综合征的中医辨证疗法举隅     

高莉萍 《泰州职业技术学院学报》2004,4(1):63-64

更年期是人生的重要阶段，是生命之秋，也是多病多难之时。更年期综合征的临床常见证型有：肝肾阴虚型，脾肾阳虚型，心脾两虚型，肝郁脾虚型。准确的辨证是治疗本病的关键，治以“绝经后着重在脾”为要点，  相似文献   

慢性疲劳综合症的神经内分泌免疫研究进展   总被引：1，自引：0，他引：1  

徐建芬 《浙江教育学院学报》2007,(2):59-61,72

慢性疲劳综合症是现代医学新认识的疾病,发病机制复杂.最近研究发现,细胞免疫功能和细胞因子表达的异常、内分泌功能的紊乱以及神经系统功能的异常可能参与该病的病理机制,因此神经内分泌免疫系统的失调是引发慢性疲劳综合症的重要因素.  相似文献   

生理学“线粒体DNA突变”研究的新进展     

高成香  刘晓云 《潍坊教育学院学报》2001,14(2):21-21,23

生理学中“线粒体DNA(mtDNA)”研究近年来取得重大进展 ,学者们十分关注它的突变与人类疾病的关系。本文综述了mtDNA的结构 ,遗传特点 ,突变类型和几种常见的综合症及临床症状 ,力求展示出研究的新进展  相似文献   

唐氏综合症儿童语言发展研究的现状分析     

吴剑飞  陈云英 《中国特殊教育》2005,(11):7-13

从前语言阶段、语音和词汇发展、形态句法习得和语用发展这四个方面对以英语为母语的唐氏儿童语言发展研究的现状和成果作了分析,并在此基础上提出今后的研究趋势以及在我国开展唐氏综合症儿童语言发展研究的意义和紧迫性。  相似文献   

Educating students with FASD: linking policy,research and practice          下载免费PDF全文

Julie A. Millar  Janet Thompson  Dorothy Schwab  Ana Hanlon‐Dearman  Deborah Goodman  Gal Koren  Paul Masotti 《Journal of Research in Special Educational Needs》2017,17(1):3-17

Fetal alcohol spectrum disorder (FASD ) is a prevalent neurodevelopmental disability with significant implications for learning and behaviour. International research suggests that the prevalence of FASD in school‐aged children is 2.3–6.3%. In this paper, we address the questions: (1) what is FASD ; (2) what is the prevalence of FASD in schools; (3) what is the impact of FASD ; and (4) why develop special FASD education strategies and programmes? We summarise the 18‐year history of W innipeg S chool D ivision's development of its FASD P rogramme of services, describe the specialised FASD classrooms and then present the results from a consensus‐generating workshop comprised of 36 FASD education professionals, with over 209 years of collective FASD education programme experience, who were asked to identify and reach consensus on best strategies and lessons learned in FASD education programmes. We then suggest that effectively educating children with FASD is critical to get right if positive educational outcomes are to be realised.  相似文献   

严重呼吸综合征的胸部影像表现     

侯惠敏  杨志峰  刘晓燕  韩建勇  任辉  张志华  邹玉安 《河北北方学院学报(医学版)》2003,20(6):5-7

目的 :总结严重急性呼吸综合征 (SARS)的胸部X线表现及变化规律。方法 :分析 5 1例经临床确诊的SARS患者一系列胸部X线进行统计分析。结果 :患者均以发热为最早发病症状 ,10 0 %患者在发病后 1周内X线胸片出现局灶性斑片状模糊阴影 ,2周内达到高峰 ,15 .6 %患者为双肺多肺炎性病变 ,5 2 .9%患者为左肺 ,右肺为 31.4 % ,大部分肺野受累 ,病情重 ,98%患者在 4周内肺部阴影逐渐消散。结论 :肺部病变越早 ,范围越广 ,发展越迅速 ,临床症状越重。  相似文献   

Can individuals with Down syndrome acquire alphabetic literacy skills in the absence of phoneme awareness?     

Cardoso-Martins  Cláudia  Frith  Uta 《Reading and writing》2001,14(3-4):361-375

Two studies investigating the relationship betweenphoneme awareness and word reading ability in Downsyndrome (DS) are reported. The first study included33 Brazilian individuals with DS (mean age = 23years). They all had begun to read and all showedclear signs of phonological recoding skills. Thirty-three normal children (mean age = 7 years),matched with the individuals with DS for readingability, participated as controls. The second studyincluded individuals with DS with a wider range ofreading ability: a group of 46 readers (mean age = 22years) and a group of 47 nonreaders (mean age = 18years). The results question Cossu, Rossini, andMarshall's (1993a) claim that phoneme awareness is notrelated to alphabetic reading acquisition in DS.Although the individuals with DS who participated inthe first study performed rather poorly on a task thatpresupposes the ability to explicitly manipulatephonological representations, they performed quitewell on a task assessing the ability to detectphonemic similarities in words. We suggest that it wasthis ability that enabled them to acquire phonologicalrecoding skills as well as they did, despite theircognitive limitations. The results of the second studywere consistent with this interpretation. The abilityto detect phonemic similarities in wordssignificantly differentiated between the readers andthe nonreaders, even after we controlled forvariations in letter knowledge, intelligence, andchronological age.  相似文献   

Three Cases of Lead Toxicity Associated with Consumption of Ayurvedic Medicines     

Raviraja A  Vishal Babu GN  Sehgal A  Saper RB  Jayawardene I  Amarasiriwardena CJ  Venkatesh T 《Indian journal of clinical biochemistry : IJCB》2010,25(3):326-329

Ayurveda is a traditional form of medicine used by majority of the Indians. Here we report three cases of lead toxicity, following intake of Ayurvedic medicines. Three patients presented with blood lead levels (BLLs) of 122.4, 115 and 42.8 μg/dl respectively at the time of hospitalization. The first case was chelated with D- penicillamine, the second with calcium disodium ethylene diamino tetra acetate (EDTA) and the third with environmental intervention and education. Associated Ayurvedic products were collected from patients and analyzed for metallic concentration. Cessation of Ayurvedic medication along with chelation, nutritional intervention and education, reduced the BLL to 27.4 μg/dl in the first case after 1 year, 21.1 μg/dl after 9 months in the second and 18.2 μg/dl after 6 months in the third case.  相似文献   

PRRSV弱毒疫苗鼻腔接种对母猪子宫黏膜内淋巴细胞的影响     

金光明  王珏  宁康健  吕锦芳  李升和  应如海 《安徽科技学院学报》2005,19(6):1-4

试验研究了猪繁殖与呼吸综合征病毒(PRRSV)弱毒疫苗鼻腔接种对母猪子宫黏膜内淋巴细胞分布的影响.试验选用4月龄长白×大约克夏二元杂交母猪12头.结果表明:鼻腔接种可使猪子宫角、体和颈黏膜上皮内淋巴细胞的数量较对照组增加,差异显著(P＜0.01).经鼻腔接种时,子宫黏膜固有层中多见淋巴细胞聚集成群,并向黏膜腔表面排放.说明PRRSV弱毒疫苗鼻腔接种对母猪子宫黏膜及上皮内淋巴细胞的分布具有显著影响.  相似文献