ABSTRACT
Seventy two patients with tension type headache (TTH) were divided randomly into two groups: massage group was treated with massage on the trigger points of neck muscles, and control group was treated with drugs.The frequency, duration, severity of TTH, use of painkiller and electromyography of pericranial muscle (temporalis muscle and masseter muscle ) were recorded before and after treatment.The frequency, duration and severity of TTH, the frequency of painkiller use, and amplitude and frequency on electromyography of pericranial muscles in massage groups after treatment were reduced significantly (P ＜0.05 ) .In summary, massage on the trigger points in neck muscles has significant therapeutic effects for TTH.
ABSTRACT
Objective To improve the accuracy of early diagnosis and choose suitable management for duodenal injury. Methods Clinical experience was summerized during recent 25 years. Results Of the 19 patierts, 14(74%) had multiple injuries. All patients were treated by operations, including 10 with primary repair , 3 with repair plus duodenumcele, and 3 with Roux-en-y duodeno-jejunostomy, 1 with pancreatoduodenectomy, 2 with modified Cogbill's method. Seventeen patients were cured successfully,and 2 died of multiple organs injuries, septic shock and multiple organ failure. Conclusions Correct treatment and appropriate operation are essential for duodenal rupture in severe multiple injuries.
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Objective To evaluate surgical mangement of femoral pseudoaneurysm caused by injection of addictive drugs. Methods The clinical data of 13 cases with femoral pseudoaneurysm resulted from drugs injection were retrospectively analyzed. All cases underwent operation treatment. 1 case received aneurysmectomy and lacerative repair, and 13 cases received aneurysmctomy and vascular grafting. The grafts included autogenous saphenous vein, artificial blood vessel and so on. Results The postoperative color ultrasound Doppler detection showed that all of the vascular grafts were patent, and the limbs of all the 13 patients were salvaged. Conclusion Complete debridement,vascular reconstruction and proper treatment of complications were the key factors of treating successfully the femoral pseudoaneurysm resulted from drugs injection.
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Objective To investigate the feasible safty of the subtotal thyroidectomy on the condition that hyperthroidism is accompanied with cardiothyotoxicosis. Methods In 138 hyperthroidism cases accompanied with cardiothrotoxicosis, the operation tolerance was evaluated preoperatively with a dagrous index of hyperthroidism accompanied cardiothrotoxicosis for operation. These patients were monitored and the dangerous factors were treated preoperatively, to make the operation safely. Results The cure rate that hyperthyroidism with subtotal thyroidectomy was 100%. The cardiothrotoxicosis cure rate was 89.2%. The cardiac insufficiency and operative complication didn't occur in any patient. Conclusions Hyperthroidism accompanied with caridiothrotoxicosis isn't of intraindaction to subtotal thyroidectomy. The operation is safe and effective after controlled the dangerous index.