Cerebral vascular accident, and deep vein thrombos -

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Cerebral vascular accident, and deep vein thrombosis diagnosis and treatment

spirCritCaremed, 1999; 159:1 ~ 142. Ho. Deep vein thrombosis by ultrasound, the Chinese Medical Journal, 2003; 85:615-6l63. Yang Gang, Lvhou Shan, Gao Jian,[link widoczny dla zalogowanych], et al. Low molecular weight heparin in preventing hip and knee replacement surgery deep vein thrombosis research. Surgery. 200:38:25 27 clinical analysis of 223 cases of senile pneumonia Zibo City, Shandong Province Economic Development Zone Health Centers (255100) Zhong love old pneumonia and pneumonia in young adults is different from the general, it is to our hospital from January 1988 to 1998 l2 months older than 223 cases of pneumonia, aged 6O clinical data were analyzed to investigate the characteristics of senile pneumonia, the strengthening of prevention and treatment of senile pneumonia has a certain significance. 1 General Information 1.1 Case Selection This article from the January 1983 to 1991 Section l2 month I treated 347 cases of nosocomial pneumonia, select 6O pneumonia aged over 223, accounting for 64.2% of patients with pneumonia over the same period, 113 patients were male , 110 cases of female, male to female ratio was 1:0.97. Aged 6O ~ 69 years 118 cases, accounting for 52.9%, 77 cases of 70 to 79 years. 37.5%. 28 patients aged over 80, accounting for 12.6%,[link widoczny dla zalogowanych], the oldest was 92 years old. 1.2 The incidence and diagnosis of disease mainly in winter and spring seasons in late fall, 1-April 65 patients. 9 ~ Dec. 69 cases, a total of 134 cases, accounting for 60.5%. Predisposing factors are mostly cold and upper respiratory tract infection. Incidence of hospitalized repeatedly for more than l5 secondary cases, accounting for 6.72%. 223 Old swelling of diagnosis based on clinical manifestations and chest x-ray examination. 1.3 Clinical manifestations of 223 cases in our hospital according to clinical observation of senile pneumonia; cough, chest tightness, shortness of breath,[link widoczny dla zalogowanych], anorexia is more common, a few may appear mild lip cyanosis, chest pain, bloody sputum. Moist rale pulmonary signs to the main, more than the bottom of the lung can be heard; 5 patients without symptoms of respiratory tract infection, of which 3 cases of abdominal pain,[link widoczny dla zalogowanych], 2 cases of acute gastroenteritis symptoms. 109 cases of abnormal body temperature, 48.7%. More clinical symptoms; pulmonary signs, body temperature, is shown in Table 1. 1.4 The chest x-ray findings of pneumonia in aged group x ray showed the shadow of a small sheet of 156 cases, accounting for 69.9%, was the shadow of a large sheet 2l cases, accounting for 9. 4%, dot-like shadow of 37 cases, accounting for 16.6%, mesh shadow in 9 cases, 4.0%, lower lobe distribution of the main parts of the right lung, 121 cases, accounting for 54.2%,[link widoczny dla zalogowanych], left lower leaves 34 cases, accounting for 15.2% of 36 cases of lower lobes of both lungs. 16.1%. The other 32 cases, accounting for 14.3%. In addition to 20 cases in this group of patients discharged from hospital, 3 patients died, pneumonia x ray shadows fade time of 2-3 weeks, 50 cases, 22.4%; 3-4 weeks in 47 cases, accounting for 21.1%; January more than 36 cases, accounting for 16.1%; fundamental absorption discharged from hospital 67 cases, accounting for 30%. Table 1.223 cases of clinical symptoms of senile pneumonia, pulmonary signs and temperature conditions I. 5, this group of elderly pneumonia in laboratory tests white blood cell 3 ~ 5 × 10 / L following 12 cases, accounting for 5.4%; 5 ~ 10 × 10 / L account for the following 107 cases 47.9%; 10-20 × 10 / L The following 83 cases, accounting for 37.2%; 20-30 × 10 / L the following l7 cases, accounting for 7.6%; 30 × 10 / L above 4 cases, accounting for 1.8%. Of which a minimum of 3.3 × 10 / L, up to 37.2 × 10 / L; liver function and kidney function tests in 87 cases, including cases of abnormal liver function l2, 24 patients with abnormal renal function, liver and kidney function were abnormal in 3 cases of bacterial culture of sputum examination, 37 cases were detected 4 cases of Klebsiella pneumoniae, Escherichia coli in 2 cases, D group hammer seedlings in 1 case, 1 case of Pseudomonas aeruginosa. 1.6 complications and complications of this group were 37 cases of pneumonia, accounting for 16.6%, while there are 186 cases with complications, 83.4%, of which 110 cases of bronchitis, steamed bread, 29 cases of hypertension, heart rate l8 cases of disorder, coronary heart disease in 16 cases, 15 cases of pulmonary heart disease, liver cirrhosis in 4 cases, 2 cases of diabetes, gallstones gallbladder carbon in 2 cases, 1 case of bronchial stones, 1 case of esophageal cancer, glaucoma in 1 case, which the two diseases more than 13 cases. 40 cases of complications occurred, accounting for 17.9%, of which l6 cases of urinary tract infection, 6 cases of water and electrolyte disturbance. Shock in 4 cases. Respiratory failure in 4 cases. 3 cases of pulmonary encephalopathy, upper gastrointestinal bleeding in 3 cases, 2 cases of pleural effusion, pneumothorax. 1 case. Cerebral vascular accident in 1 case. 1.7 Treatment and prognosis of this group of patients comprehensive treatment measures, but still anti-

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