Sigmoid sinus thrombophlebitis(SST) as a severe complication of otogenic infections in children, its early diagnosis and treatment are crucial for improving prognosis. This study reports three cases (aged 2 years, 9 months to 4 years) of otogenic SST in children diagnosed by imaging, all secondary to acute otitis media. The clinical features mainly included recurrent high fever, ear pain, and postauricular swelling, with one case complicated by abducens nerve palsy and otorrhea. Imaging characteristics revealed: HRCT of the temporal bone showed destruction of the anterior wall of the sigmoid sinus; characteristic MRI findings of the ear included high T2WI signal in the sigmoid sinus area, ring enhancement post-contrast, and restricted diffusion on DWI; MRV of the ear clearly displayed the extent of venous sinus thrombosis. Treatment involved a comprehensive approach of surgical drainage combined with sensitive antibiotics and anticoagulant therapy, and all children achieved clinical cure. Through literature review, it was found that SST in children has an insidious onset, and high vigilance is required when otogenic infection patients present with the "otitis media triad" (fever, ear pain, headache) accompanied by neurological symptoms. Imaging examination is crucial for early diagnosis, and standardized treatment (clearance of infection foci and adequate course of anti-infection and anticoagulation) can significantly improve prognosis, providing a reference for the clinical management of SST in children.

Sigmoid sinus thrombophlebitis(SST) as a severe complication of otogenic infections in children, its early diagnosis and treatment are crucial for improving prognosis. This study reports three cases (aged 2 years, 9 months to 4 years) of otogenic SST in children diagnosed by imaging, all secondary to acute otitis media. The clinical features mainly included recurrent high fever, ear pain, and postauricular swelling, with one case complicated by abducens nerve palsy and otorrhea. Imaging characteristics revealed: HRCT of the temporal bone showed destruction of the anterior wall of the sigmoid sinus; characteristic MRI findings of the ear included high T2WI signal in the sigmoid sinus area, ring enhancement post-contrast, and restricted diffusion on DWI; MRV of the ear clearly displayed the extent of venous sinus thrombosis. Treatment involved a comprehensive approach of surgical drainage combined with sensitive antibiotics and anticoagulant therapy, and all children achieved clinical cure. Through literature review, it was found that SST in children has an insidious onset, and high vigilance is required when otogenic infection patients present with the "otitis media triad" (fever, ear pain, headache) accompanied by neurological symptoms. Imaging examination is crucial for early diagnosis, and standardized treatment (clearance of infection foci and adequate course of anti-infection and anticoagulation) can significantly improve prognosis, providing a reference for the clinical management of SST in children.

Objective To observe the effects of dredging collaterals and activating blood worm Chinese materia medica on angiogenesis related factors of lung cancer in hypoxic environment. Methods The lung cancer A549 cells were cultured in vitro to simulate tumor hypoxia microenvironment by the hypoxia workstation, and different concentrations of Scorpio, Scolopendra and Gecko medicated serum were added. MTT method was used to detect cell proliferation and screen the best medicine concentration and duration of action. Lung cancer A549 cells were administrated by the three kinds of medicated serum, and cells were collected and supernatant was cultured. Contents of VEGF, TGF-β1, and bFGF were detected by ELISA. Results Three kinds of medicated serum had the inhibitory effect on both added normoxia and hypoxia in cultured A549 lung cancer cells. 7.5% concentration of medicated serum was selected, and 24 h later were used in later experiments. Scorpio, Scolopendra and Gecko medicated serum can more reduce the contents of VEGF, TGF-β1 and bFGF in the supernatant of A549 cell compared with the control group (P<0.05, P<0.01). Conclusion Dredging collaterals and activating blood worm Chinese materia medica had inhibitory effect on cancer cells and the regulation of angiogenesis related cytokines in the condition of normoxia and hypoxia.

BACKGROUND: CD58 is a glycoprotein, belongs to immune protein superfamily members, widely expresses in various human immunocytes and erythrocytes, and is the key immune substance of regulating T cell immune function by erythrocytes.OBJECTIVE: To explore the influence of moxibustion on the acupoints of Shenque (CV8) and Guanyuan (CV4) on erythrocyte CD58 expression in healthy people.DESIGN, TIME AND SETTING: A randomized, controlled experiment was performed at the Central Laboratory, Shanxi College of Traditional Chinese Medicine from March to December 2008.PARTICIPANTS: A total of 40 healthy undergraduates, 20 males and 20 females, aged mean 21.08 years, admitted in Shanxi College of Traditional Chinese Medicine were selected. Informed consents were obtained from each participant.METHODS: Putting the medicinal cakes on the acupoints, Shenque (CV8), Guanyuan (CV4), Zusanli (ST36), Pishu (BL20),Shenshu (BL21), and then lighted moxa every other day, totally for 10 times. Different quantities were compared before and after applying moxibustion.MAIN OUTCOME MEASURES: Hemocyte routine examination was performed before and after moxibustion. Positive percentage and mean fluorescent strength of CD58 molecule on erythrocyte surface were determined by flow cytometry.RESULTS: The quantities of erythrocytes and leukocytes were increased significantly following moxibustion (P < 0.01). Positive percentage and mean fluorescent strength of CD58 molecule on erythrocyte surface were significantly greater following moxibustion (P < 0.01), especially fluorescent strength of CD58 molecule on erythrocyte surface following moxibustion.CONCLUSION: There are close relationships between CD58 expression and moxibustion. Moxibustion with medicinal cake plays an important role in the immune function of a body.