ABSTRACT
<p><b>AIM</b>To discuss the merits of "tubes treatment" for esophageal fistula (EF).</p><p><b>METHODS</b>A 66-year-old female who suffered from a bronchoesophageal and esophagothoratic fistula underwent a successful "three tubes treatment" (close chest drainage, negative pressure suction at the leak, and nasojejunal feeding tube), combination of antibiotics, antacid drugs and nutritional support. Another 55-year-old male patient developed an esophagopleural fistula (EPF) after esophageal carcinoma operation. He too was treated conservatively with the three tubes strategy as mentioned above towards a favorable outcome.</p><p><b>RESULTS</b>The two patients recovered with the tubes treatment, felt well and became able to eat and drink, presenting no complaint.</p><p><b>CONCLUSION</b>Tubes treatment is an effective basic way for EF. It may be an alternative treatment option.</p>
Subject(s)
Aged , Female , Humans , Male , Middle Aged , Chest Tubes , Combined Modality Therapy , Drainage , Methods , Enteral Nutrition , Methods , Esophageal Fistula , Intubation, Intratracheal , Methods , Suction , Methods , Treatment OutcomeABSTRACT
Objective To investigate the medical cost of 72 patients with panic disorder and efficacy of paroxetine(SSRIs)in the treatment.Methods The course,medical cost,types and times of main examination of all 72 patients were reviewed and analyzed.The effect of paroxetine on the patients was studied in terms of anxiety and depression scale.Results The 72 patients had long course,high medical cost and received many unnecessary medical examinations.Paroxerine was effective on patients with panic disorder in light of anxiety and depression scale.Con- clusion Patients with panic disorder had long course and spent much unnecessany money before final diagnosis. Paroxetine was useful and safe in the treatment of panic disorder.
ABSTRACT
<p><b>OBJECTIVE</b>To describe the brief survey of alcohol intake and the incidence of alcohol liver disease in Zhejiang province.</p><p><b>METHODS</b>18,237 requested persons aged over 18 years were selected by multi-stage stratified cluster sampling in Zhejiang province. Questionnaire about alcohol consumption, hepatic ultrasonic scan and detection of hepatic enzymes and markers of HBV and HCV were carried out. Daily alcohol intake more than 40g (including equal to 40g/d) was essential for the diagnosis of alcoholic liver disease.</p><p><b>RESULTS</b>Among the 18,237 persons (male 12,042, female 6195), the average daily alcohol intake was (17.7 +/- 27.2) g. The incidence of alcoholic liver disease in Zhejiang province was 4.34% (male 6.36%, female 0.36%) in the whole population. Four subtypes were separated as alcoholic cirrhosis, alcoholic fat liver, alcoholic hepatitis and mild alcoholic injury in liver with the corresponding incidence of 0.68%, 0.94%, 1.51% and 1.21% separately.</p><p><b>CONCLUSION</b>Alcoholic liver disease is found to be a common disease in Zhejiang province, indicating an urgent need for the public education on alcohol abuse and the treatment on related health problems</p>