RESUMO
Neuropsychiatric systemic lupus erythematosus(NPSLE)of children is a serious complication of children with systemic lupus erythematosus (SLE),and the incidence is even up to 95 ％.The pathogenic pathogenesis of NPSLE maybe result from participation of many factors including the blood-brain barrier damage,blood clots,neuroendocrine disorders,autoantibody production and inflammatory mediators.Its clinical manifestations are complexity and diversity.Headache,epilepsy,mental disorders are comom in children with NPSLE.There is no unified diagnosis for NPSLE,which must be evaluated by the general methods including immunoserological testing,cerebrospinal fluid testing,neuroimaging and neuropsychological assessments.The management of patients with NPSLE consists of immunosuppressive,biotherapy and symptomatic therapies.Early diagnosis and standard treatment may improve the prognosis of children with NPSLE.
RESUMO
ObjectiveTo investigate effects of the arterial blood collection from radial artery,brachial artery,femoral artery and orsalis pedis artery for gas analysis of infants.Methods Three hundred and fifty two infants receiving blood collection were divided into four groups radial artery (n=92),brachial artery (n=94),femoral artery (n=73) and dorsal artery (n=53).Comparisons were done between them in terms of one-time success rate of puncturing and rate of complications from puncturing.Result The radial artery group had lowest rates of hematoma and mistaken puncturing into veins (P<0.05) and higher rate of one-time successful puncturing (P<0.001).Conclusion The radial artery is the first choice for infants undergoing arterial puncturing.
RESUMO
OBJECTIVE@#To explore the effect of surgical treatment for compound fracture of nasal bone and frontal process of maxilla with endoscopy and small local incision.@*METHOD@#Twenty-two cases with compound fracture of nasal bone and frontal process of maxilla were treated with surgery, and the postoperative effect were analysed.@*RESULT@#Twenty-two cases healed well.@*CONCLUSION@#CT scan and 3D reconstruction before operation can help the diagnosis. Corresponding incision and assisted endoscopy can make good surgical field and achieve surgical success. Rigid internal fixation is also the key for surgical success.