Objective To explore particularity of the diagnosis and treatment with massive bilateral chronic subdural hematoma (BCSDH) in elders.Method The clinical data of 25 elders with BCSDH treated in our hospital from 2007 to 2011 were analyzed retrospectively.All patients were examined with computerized tomography (CT) of 25 patients through the bilateral trephined hole.Results Twenty-four patients recovered better,the symptom significantly improved.After operative 1 month,14 patients? hematoma disappear,6 patents only had little bilateral subdural effusion,4 patents only had little unilateral subdural effusion.One patient appeared massive subdural effusion on the second day after operation,the familiality gave up therapy,and the patient was dead.Conclusion CT scanning should be taken before you make correct diagnisis.Bilateral single twist-drill craniostomy with irrigation and drainage is a chief method to massive BCSDH.

Biomedical Research ; Humans ; Integrative Medicine ; Medicine, Chinese Traditional

Aged ; Apraxias ; physiopathology ; Gait Apraxia ; physiopathology ; Humans ; Parkinson Disease ; diagnosis ; physiopathology

Humans ; Rectal Fistula ; surgery ; therapy

0.2).The lymphocyte counts of the KD area grain group and the group of the KD area grain supplemented with Se were lower than that of the non-KD area grain group, and the CIC level and the hepatic Se content were much lower in the group of the KD area grain than in the other groups (p

OBJECTIVE:To investigate the role of clinical pharmacists in the therapy for patient with pulmonary aspergillosis complicated with rhabdomyolysis(RM). METHODS:Clinical pharmacists participated in the therapy for RM patients with pulmo-nary aspergillosis,and assisted physicians to optimize and improve therapy plan from RM therapy,anti-infection and liver protec-tion:stop taking Bicyclol tablet,continue Micafungin for injection 50 mg,ivgtt,qd for anti-infection;suspend liver-protective drug Compound glycyrrhizin;closely monitor therapeutic efficacy and ADR. RESULTS:Physicians adopted the suggestions of clini-cal pharmacists,and the situation of RM were improved. The patient were discharged from hospital 24 d later. CONCLUSIONS:Clinical pharmacists participate in therapy for RM patient with pulmonary aspergillosis and assist physicians to improve therapy plan,which contribute to rational drug use and the safety of drug use.

Objective To observe the effect of cupping plus Chinese medicinal fumigation on expectoration in patients with chronic obstructive pulmonary disease (COPD) due to phlegm-heat obstructing the lung. Method Eighty-two patients with COPD due to phlegm-heat obstructing the lung were randomized into a treatment group and a control group, 41 cases in each group. The control group was given regular Western medications, while the treatment group was intervened by cupping plus Chinese medicinal fumigation in addition to the treatment given to the control group, once a day, 5 d as a treatment course. The therapeutic efficacies were observed after 2 treatment courses. Result The clinical effective rate of the treatment group was higher than that of the control group, with a statistical significance (P<0.05). Conclusion Cupping plus Chinese medicinal fumigation can enhance the expectoration in patients with COPD due to phlegm-heat obstructing the lung.

Rhizome anemarrhena,sweet and bitter to taste,cold,in the lung,stomach and kidney meridian,has the function clearing away heat and purging pathogenic fire,nourishing Yin and moistening dryness.Zhang Zhong Jin in "Essential Prescriptions of the Golden Chamber "with a different combination of herbs and Rhizome anemarrhenae,reflects the multiple efficacies of TCM and compatibility.

According to the concept of sagittal spinal balance, the alternating curves of cervical and lumbar lordosis and thoracic and sacral kyphosis enable the head to be positioned over the trunk and pelvis. But the sagittal imbalance represents departure from this ideal form. Cervical kyphosis may represent the most disabling of these imbalances, for it can cause pain, postural difficulties, or neurologic deficit. A summary and discussion is reviewed regarding the anatomy, biomechanics, etiology, clinical presentation, laboratory examination and treatment of this condition.

The in-stent restenosis is one of the main complications in coronary artherosclerotic heart disease patients after PTCA and PCI.How to prevent it remains one of the most important projects in intervention therapy.In this paper,the preventive role of intravenous ultrasound and drug eluting stent were reviewed.