A retrospective study involved 110 patients (72 males, 38 females, aged from 1 - 76 years) who underwent surgery for brain abscesses at ViÖt -§øc Hospital from January 1990 to December 1993. 79 patients with brain abscesses were found bacteria in culture. The bacteria were not identified in 31 patients. Results: Rate of bacterial isolation in brain abscesses is quite high. Among these, streptococci make up 37.7%, staphylococci 23.8%, and anaerobic bacteria 17.5%. Streptococci and staphylococci are cause of more than 90% of secondary brain abscesses due to localized infection. Postoperative antibiotics reduced significantly the bacterial isolation rate, comparison with that rate of 87.5% on patients who have not used antibiotics before operation. Rate of recurrence is 7.6% in the patients who were isolated bacteria and 25.8% in the patients who were not identified bacteria.
Brain Abscess ; Central Nervous System Bacterial Infections ; Bacterial Infections

The records of 75 patients with brain abscesses treated over 7 years were analysed. Congenital cardiopathies were the most frequent causes of abscess. Organisms were identified in 74.07% of the cultures from abcesses speciment. The patients were grouped according to the treatment received: excision (n=42) aspiration (n=33). There were no significant differences is the mortality rates between the two groups. Patients treated by aspiration had a significantly less morbidity than patients treated by excision. Early and aggeressive treatment can result in an excellent outcome in the large majority of patients.
Brain Abscess ; Therapeutics ; Suction

An analysis of 26 patients with brain abscesses treated by abscess ablation has shown that the morbidity rate, complications, relapsed brain abscess, repeated surgery and duration of antibiotic using. The bacteria were isolated in 42% of samples. The abscess ablation was indicated for cases of brain abscess with foreign bodies, brain abscess occurred after cerebrocranial surgery or cerebrocranial injuries. The needle aspiration indicated for cases of brain multiabscess, patients with thalamic perception impairment received needle aspiration in the first stage and abscess ablation in the second stage.
Brain Abscess ; Therapeutics ; Surgery

A study on the clinical and paraclinical features and results of treatment of brain multiabscess among 190 patients in Vietduc Hospital during 1992-2002 has shown that the brain multiabscess accounted for 30%. This rate did not depend on the species and bacterial resources. The frequent clinical features were headache, vomiting, fever, hemiplexia and leukocytosis. The effective treatment involved the needle aspiration. The removal operation indicated for located abscesses and meninggeal adjacent abscess.
brain iabscess ; diagnosis ; therapeutics

Objective: To assess the value of MRI and single photon emission computed tomography (SPECT) in detecting myocardial ischemia and necrosis. Methods: Coronary angiography (CAG), MRI and SPECT were performed in 28 patients with coronary artery disease one week before revascularization operation. The stenosis criterion was a more than 70% stenosis by CAG; the sensitivity, specificity and accuracy of both MRI and SPECT were calculated according to the criterion. Results: CAG revealed 39 positive arteries and 45 negative arteries. According to the CAG results, the sensitivity, specificity and accuracy of MRI for detecting myocardial ischemia were 92.31%, 80.00% and 85.71%, respectively; and for detecting myocardial necrosis were 66.67%, 91.11%, and 79.76%, respectively. The sensitivity, specificity and accuracy of SPECT for detecting myocardial ischemia were 94.87%, 82.22% and 88.10%, respectively; and for detecting myocardial necrosis were 61.54%, 86.67%, and 75.00%, respectively. Conclusion: MRI and SPECT have high accuracy in detecting myocardial ischemia and necrosis and the results of the 2 methods accord well with each other.

A picture of great market potential and mismatch of supply and demand in Anhui was drawn in the paper,with five challenges analyzed for the industry in general.The authors proposed to integrate medical resources and aging care resources,to build a diversified and tiered health care and aging care supply system,an integrated administrative coordination mechanism,and enhance fiscal support among other policy suggestions.These proposals were designed to encourage the development of the aging care industry featuring a combination of medical resources and aging care.

Microteachingisthescientifictrainingsystemtoimprovetheteachingskills.Therea-sonable application of microteaching in training of the clinic teaching may effectively boost their clinic teaching techniques and dramatically promote the overall construction of medical college teachers.

Objective To explore the application of serum dust mite specific IgE detection in the diagnosis and treatment of child asthma .Methods 52 children cases of asthma in this hospital from February 2008 to April 2010 were selected as the observation group ,11 cases were <3 years old ,18 cases were 3- < 7 years old and 23 cases were 7- <12 years old ;44 healthy children were taken as the control group ,8 cases were <3 years old ,16 cases were 3- < 7 years old and 20 cases were 7- <12 years old .The two groups were detected the serum dust mite specific Ig E .Results The serum dust mite specific Ig E was (152 .78 ± 48 .95) U/mL in the observation group and (25 .62 ± 6 .49) U/mL in the control group ,the serum dust mite specific Ig E concentration in the observation group was significantly higher than that in the control group ,the difference showed the statistical significance (P<0 .05) .Conclusion The positive rate of serum dust mite specific IgE in child asthma is very high ,especially the children patients of 7- <12 years old have the highest positive rate .Therefore ,the dust mite allergen is the important factor inducing child asthma .The detection of serum dust mite specific IgE is conducive to find the dust mite allergen ,which is an important measure for preventing and treating child asthma induced by the dust mite allergen and is worthy of being promoted in clinic .

Urinary calculus is a common disease of urinary system.With the improvement of people's living standard,the incidence rate of urinary calculus increased year by year.Compared with other methods,spiral CT has a great advantage in the diagnosis of urinary calculus.The current commonly used examinations including spiral CT plain scan,low dose spiral CT scan,CT urography,and dual source dual energy CT imaging.The advantages and characteristics of different types of CT are analyzed and compared,which is helpful for clinicians to choose the most proper examination,to make the most of the advantages of various checks,so as to improve the accuracy of diagnosis and effectiveness of treatment.

Acute leukemia is a common malignancy tumor in children. Hemorrhage is one of the common symptoms and causes of death. The abnormality of platelet count, quality and function can cause bleeding. The understanding of platelet function and platelet parameters can provide an important clinical information for children with acute leukemia in evaluating the effect of treatment,the function of bone mar-row and the prevention of bleeding and so on.