This paper reports one case of elderly patients with bronchial foreign body, and analyzes the causes of misdiagnosis. And the best choice of removing larger foreign body is operating under rigid bronchoscopy.
Aged, 80 and over ; Bronchi ; Foreign Bodies ; Humans ; Male

AIM:To observe the effect of Tianbing Tiaodu Capsule on learning and memory,and expression of BDNF in brains of picrotoxin-kindled epilepsy rats. METHODS: The epilepsy rat model was established by picrotoxin in jection.The effects of Tianbing Tiaodu Capsule were observed on the model groups and compared with sodium valproate group and piracetam group.The behavior and emotion of epilepsy rats were observed by Action Observing Box.Its reactions were assessed by snatching rats with the gloves.The learning and memory abilities were tested after Morris water maze training.The brains were made into paraffin sections,processed for HE staining and Nissl staining.The expression levels of BDNF were measured by immunohistochemical S-P techniques. RESULTS: Taking Tianbing Tiaodu Capsule,the behavior and emotion of epilepsy rats were markedly improved.The escape latency of searching the platform were shortened and times of rats acrossing the original platform were increased.Tianbing Tiaodu Capsule could reduce neuron impairment and necrosis on the cordex and Hippocampus of epilepsy rats,improve the loss of Nissl bodies,increase BDNF positive remarks. CONCLUSION: Tianbing Tiaodu Capsule can markedly improve impairment of learning and memory in picrotoxin-kindle epilepsy rats,which might be the result of increaseing BDNF expression,the protection of Nissl bodies,making protein synthesize,improving neuron function.

OBJECTIVE: To investigate the indication, efficacy and influencing factors of velopharyngoplasty for treating of obstructive sleep apnea hypopnea syndrome (OSAHS). METHOD: Thirty OSAHS patients were included in this study, all cases had velopharyngoplasty. The follow-up period was between 6 to 11 months; and a series of measurements parameters was analysed for thirty cases. RESULT: When compared preoperatively and postoperatively, Apnea and hypopnea index (AHI) decreased from 54.6+/-18.3 to 25.3+/-9.5; and the Epworth sleep scale decreased from 16.5+/-4.8 to 5.2+/-4.1. According to related criterion in China, the effective rate was 70.0%. CONCLUSION Velopharyngoplasty can upgrade the venlopalate and enlarge the space of the oropharynx by remodeling of soft palate, contraction of scar and removal of the tonsils.
Adult ; Female ; Humans ; Male ; Middle Aged ; Otorhinolaryngologic Surgical Procedures ; methods ; Palate, Soft ; surgery ; Sleep Apnea, Obstructive ; surgery