Laryngeal interarytenoid neurilemmoma excised via microlaryngeal endoscopy: two case reports / 临床耳鼻咽喉头颈外科杂志

Laryngeal interarytenoid neurilemmomas (LIN) is a benign encapsulated tumor originating from the schwann cells lining nerve fibers. Even though LINs are extremely rare in incidence, they could present with potential threat to the airway and thus requiring prompt diagnosis and treatment. Here, we report two cases of LINs. Both patients underwent excision of the tumor via microlaryngeal endoscopic procedures and recovered well postoperatively without complications. No recurrence was observed postoperatively on routine follow-up after 14 months.

The significance of anastomosing the recurrent laryngeal nerve in the thyroidectomy / 临床耳鼻咽喉头颈外科杂志

OBJECTIVE@#To study the significance of exposure of the recurrent laryngeal nerve (RLN ) in thyroid gland surgery.@*METHOD@#Three hundred and thirty-two thyroidectomy cases were studied from January 2008 to June 2011. All patients had general anesthesia, and RLN were exposed during operation. One hundred and thirty-one cases were operated with total lobectomies, 138 cases with subtotal thyroidectomy, 51 cases with total lobectomies and contralateral subtotal thyroidectomy, 12 cases with total thyroidectomy.@*RESULT@#Five hundred and thirty-three RLNs were exposed, 4 cases came with hoarseness postoperatively, All cases recovered within 3 months.@*CONCLUSION@#Exposure the recurrent laryngeal nerve in the thyroidectomy was available and could protect RLN.

Influence of different dialysis frequence on infection of maintenance hemodialysis patients / 中国医师进修杂志

Objective To study the influence of different dialysis frequence on infection and prognosis of maintenance hemedialysis patients. Methods Fifty-three maintenance hemodialysis patients with chronic kidney disease were divided into 3 groups. Groups A, B, C dialysed thrice per week (19 cases),twice per week (15 cases) and thrice per two weeks (19 cases), respectively. All the patients were dialysed for 1 year. The rate of infection, death number and death reason were recorded. Results All the cases were infected 62 times (17 times in group A, 18 times in group B and 27 times in group C). Pulmonary infection,blood vessels infection, urinary tract infection and digestive tract infection happened 35 times(56.45% ), 14 times (22.58%), 8 times (12.90%) and 5 times (8.06%) respectively. Eight cases died in three groups,and the total death rate was 15.09%, with 1 case in group A,1 case in group B and 6 cases in group C.There was significant difference in prognosis among three groups (χ2 =6.293,P <0.05). Conclusions Patients who dialysis less than twice per week have higher rate of infection and death. Dialysis program should be adjusted and dialysis frequence should be increased.

Observation effect of levocarnitine combined with shuxuetong in treatment of the patients with chronic renal failure / 中国基层医药

Objective To study the effects and safety of levocarnitine and shuxuetong in treatment of the patients with chronic renal failure.Methods 94 patients with chronic renal failure were selected as research object,and they were randomly divided into group A(levocarnitine and shuxuetong group) 47 cases and group B(shuxuetong group) 47 cases.Group A were treated with levocarnitine oral solution and shuxuetong,and group B were treated with shuxuetong,then the percentage of effectiveness,incidence of adverse reactions of group A and group B and serum BUN,Scr,Hcy were analyzed.Results The percentage of effectiveness of group A was higher than that of group B,but the incidence of adverse reactions of the two groups had no difference,and the serum BUN,Scr,Hcy of group A and group B before the treatment had no differences(P＞0.05),those of group A and group B after treatment were compared there were significant differences(all P＜0.05).Conclusion The effects of levocarnitine oral solution and shuxuetong in treatment of patients with chronic renal failure were better.

Therapeutic effect of iron sucrose and human erythropoietin on renal anemia / 中国医师进修杂志

Objective To determine the efficacy and safety of intravenous iron sucrose and oral iron dextran in renal anemia patients. Methods Sixty renal anemia patients were randomized into two groups:intravenous iron group(IV group, 100 mg iron sucrose twice a week) and oral iron group(oral group, 150 mg iron dextran every day). The changes in hemoglobin (Hb),hematocrit (Hct),serum ferritin (SF),and transferrin saturation (TSAT) were assessed on week 4,8, and 12 after treatment. The maintenance dosages of erythropoietin (EPO) after reaching treatment target and the adverse events were also observed. Results Hb increased after treatment in IV group [(79.87 ± 13.19) g/L to (106.11 ± 12.38) g/L] and oral group [(85.41 ± 11.49) g/L to (94.68 ± 10.06) g/L],and compared with that before treatment, there was significant difference in each group(P< 0.01 ). Also significant difference showed in Hb levels after treatment between two groups(P< 0.01 ). SF and TSAT levels were higher after treatment in IV group than those in oral group (P < 0.01 ). The adverse event was lower in IV group (0) than that in oral group (16.7%,5/30).Conclusions Oral iron dextran which has more adverse events and poor efficacy in curing anemia, can not correct anemia ideally. Meanwhile intravenous iron sucrose has positive effects on renal anemia with low adverse events, and it can be used as a long term iron supplementation in hemodialysis patients.

A Study on Preventing the Recurrence of Hepatocellular Carcinoma By Hepatectomy with HACE and PVCE / 中国医师杂志

Objective To study an effective pathway in preventing the recurrence of hepatocellular carcinoma(H.C.C) and improve the long-term curative effects.Methods 103 resectable cases of H.C.C were randomly divided into treatment group,hepatectomy plus hepatoarteria-and portal chemotherapeutics embalizations with subcutaneous pump(HACE and PVCE) group and control group(Only hepatectomy).Based on changes of ?-fetoprotein(AFP) for pre-and post operation and results of"B" ultrasound and CT,hepatic artery portography,the difference of 1,3,5-year recurrence rates and survival rates between the two groups were compared.Results ⑴The recurrence rates of treatment group and control group for 1,3,5-year were 13.5%,46.2%,67.3% and 19.6%,60.8%,86.2% respectively,there was an obviously difference (P

Early Comprehensive Intervention on Post-Stroke Depression / 中国心理卫生杂志

Objective:To investigate therapeutic effects of early onset of comprehensive intervention (psychotherapy plus antidepressant) in treatment of depression after stroke and its effect on functional outcome.Methods:A controlled prospective design was applied in this study of 114 patients with depression after stroke. Several scales were used for functional measure.Results:All cases were observed. 57 patients (study group) received comprehensive therapy and routine treatment of post stroke, 57patients (control) received routine only. At the 5th week after treatment and 3,6 or 12 months after stroke, study group were significantly shown more effective than control group by reduction in 17-item Hamilton Depression Rating Scales (HAMD-17) and by increased Barthel Index (BI).The study group had significant differences than control group by reduction in Neurological Functional Deficit Scores (NFDS) at the 5th week after therapy. In all patients'NFDS, there was no difference between study group and control group at 3,6 or 12 months after stroke. In study group, the effective rate of antidepressant therapy was 100% and the cure rate was 89.5%. These results were significantly better than the counter parts of control group (12.3% and 3.5% respectively, P