Status analysis on clinical features and drug treatment of the geriatric depression / 中华老年医学杂志

Objective To explore clinical features and the drug treatment of the geriatric depression.Methods The clinical data of 520 patients with depressive symptoms admitted to our hospital from January 2014 to December 2017 were retrospectively analyzed.Patients were divided into elderly group(aged ≥60 years,n =320) and non-elderly group(aged＜ 60 years,n=200).Differences in clinical characteristics and the drug treatment were compared between the two groups.Results The incidences of somatic diseases and anxiety symptoms were significantly higher in the elderly group than in non-elderly group(75.0％ vs.44.5％,and 76.9％ vs.62.0％,x2 =49.267 and 13.268,respectively,both P =0.000).While the incidence of life events was lower in the elderly group than in non elderly group(62.5％ vs.77.5％,x2 =12.784,P =0.000).The incidences of somatic symptoms,emotional changes and suicidal ideation were higher in the elderly group than in non-elderly group (68.8％ vs.47.0％,78.4％ vs.60.0％,and 45.3％ vs.18.0％,x2 =24.339,20.466 and 40.460,respectively,all P =0.000).Conclusions The incidence rates of somatic diseases-induced depression are significantly higher in elderly group than in non-elderly group.The elderly group versus non-elderly group is more likely to combine with anxiety symptoms.

Clinical characteristics and treatment of esophageal injury caused by button battery in children / 中国内镜杂志

Objective To study the clinical characteristics and treatment of esophageal injury caused by button battery foreign bodies in children, then improve the diagnosis and management level of this hazardous problem of children. Methods 15 patients with esophageal injury caused by button battery foreign bodies were retrospectively analyzed the clinical characteristics, treatment and prognosis. Results 12 button battery foreign bodies were removed successfully with rigid esophagoscope, 3 with electronic gastroscope. 12 cases occurred serious esophageal lesions, 10 patients were fully recovered after nasal feeding, anti-inflammatory and supporting therapy. Serious complication such as esophageal perforation occurred in 2 cases, one of them occurred tracheo-esophageal fistula. Conclusion Button battery embedded in the esophagus is easy to cause serious esophagus injury, early detection is the key of the management, and its prompt removal is mandatory. Button battery have a distinctive appearance on radiography, chest radiographs can be used as the first choice of diagnosis. The reasonable treatment can obtain better curative results and avoid serious complications according to the course of the disease and esophageal damage degree. Physicians must recognize the hazardous potential and serious implications such as esophageal perforation and tracheo-esophageal fistula.