Lin C.-L.,Xinjiang Yili Friendship Hospital |
Ye E.-A.,Xinjiang Yili Friendship Hospital |
Yang L.-X.,Xinjiang Yili Friendship Hospital
Journal of Clinical Neurology (China) | Year: 2012
Objective: To explore the clinical features of cerebral venous thrombosis (CVT). Methods: The clinical data of 27 CVT patients were retrospectively analyzed. Results: There were 25 cases having inducement including pregnancy and puerperum in 18 cases, fever and diarrhea in 5 cases, etc. The average age was (29.7 ± 9.3) years old. Most of them onset was acute (7 cases, 25.9%) and subacute (19 cases, 70.4%). The onset symptom was headache in 23 cases (91.7%), and combined with vomiting in 21 cases. There was disturbance of consciousness in 12 cases. There was neurologic impairment in the different part in all the cases. There were 21 cases with high CSF pressure. Blood routine in 22 cases (81.5%) and blood clotting in 13 cases (48.2%) were abnormal. The imaging examination [(CT, MRI, MR venography (MRV)] showed that intracranial venous or venous sinus were involved in different degree, and the mostly of them was superior longitudinal sinus (77.8%). Twenty-four cases received heparin anticoagulant therapy, and 2 cases received thrombolytic therapy. Seventeen cases were cured, 4 cases were improved, and 6 cases were died (including 4 cases complicated with hemorrhagic brain infarction and 2 cases complicated with cerebral great vein thrombosis). Conclusions: CVT is often secondary to insufficient circulating blood volume and high blood coagulation state. The onset is acute or subacute mostly. The main manifestations is increased intracranial pressure syndrome. The mortality is higher. MRI and MRV are sensitive and efficient methods for the early diagnosis. Early application of heparin may acquire better curative effect.
Honglin Y.,Xinjiang Yili Friendship Hospital |
Kaisong H.,Xinjiang Yili Friendship Hospital |
Mulati D.,Xinjiang Yili Friendship Hospital
Chinese Journal of Andrology | Year: 2014
Objective To investigate the diagnosis and treatment of closed rupture of corpus cavernosum penis.Methods Clinical data of 26 cases withclosed fracture of penis were reviewed retrospectively. Results Average age of the patients was 35.6 (22~55) years old was. There were 8 cases with right corpus cavernosum rupture, 12 cases with left corpus cavernosum rupture, 4 cases with both sides corpus cavernosum rupture, and 4 cases incoperation with urethrae corpora cavernosum rupture. 24 cases with closed fracture of penis were operated as blood clot removing, suturingthe split of penis white film by gut suture. All the patients recovered. 1 case of pain following erection and 1 erection dysfunction. 26 cases were followedup for 12~24 months. Conclusion The confirmed diagnosis of closed fracture of penis can be made according to the medical history and physical sign.Operation is the first choice with quick recovering, better effect and less complication. ©, 2014. Shanghai Jiaotong University School of Medicine. All rights reserved.