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2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Cov ua ntawm spontaneous, nontraumatic tus txha nqaj qaum qaum hematoma suav nrog vascular malformations ntawm cov tus txha nqaj qaum qaum (feem ntau), mob ntshav txhaws, inflammatory myelitis, tus txha nqaj qaum cov qog nqaij hlav, mob hauv plab, syringomyelia, thiab tsis paub etiologies.
Ua kom pom qhov no, puas yog tus txha caj qaum hematoma txaus ntshai?
Taw qhia. Txawm hais tias qhov tshwm sim ntawm postoperative tus txha nqaj qaum epidural hematoma (POSEH) tsis siab, nws suav tias yog qhov nyuaj loj, muaj peev xwm ua rau muaj kev puas hlwb loj thiab xav tau kev kho mob sai sai [1, 2, 3].
Qhov thib ob, vim li cas epidural hematomas txaus ntshai? Ib epidural hematoma tshwm sim thaum muaj ntshav ntau nyob hauv qhov chaw nruab nrab ntawm koj pob txha taub hau thiab npog npog ntawm koj lub hlwb. Kev raug mob lossis lwm yam raug mob rau koj lub taub hau tuaj yeem ua rau koj lub paj hlwb tawm tsam sab hauv ntawm koj pob txha taub hau. Yog tias tsis kho, ib epidural hematoma tuaj yeem ua rau lub hlwb puas tsuaj tas mus li thiab tuag taus.
Tom qab ntawd, ib tus tseem tuaj yeem nug, dab tsi yog epidural hematoma ntawm tus txha nraub qaum?
A tus txha nqaj qaum subdural lub epidural hematoma yog qhov txuam nrog cov ntshav hauv subdural lossis epidural qhov chaw uas tuaj yeem kho qhov siab tus txha nqaj qaum qaum. Kev kuaj mob yog los ntawm MRI lossis, yog tias tsis muaj tam sim ntawd, los ntawm CT myelography. Kev kho yog nrog kev phais tam sim. (Saib Txheej txheem cej luam ntawm qaum Cord Disorders.)
Dab tsi ua rau hematoma tom qab phais?
qaum epidural hematoma Nws tuaj yeem yog qhov tshwm sim ntawm coagulopathy, raug mob, vascular anomalies, spontaneous laj thawj, anticoagulation therapy, tus txha nqaj qaum catheterization, thiab (tsis tshua muaj) txha caj qaum [1, 2, 4, 9-13]. Hauv cov ntawv nyeem, qhov xwm txheej tshwm sim ntawm SEHs tom qab xav tau kev phais tshem tawm ntau ntawm 0.1 % mus rau 0.2 % [1-4].
Pom zoo:
Dab tsi yog lub hauv paus ntawm lub cev rau amenorrhoea tom qab xeeb menyuam thiab lwm yam dab tsi uas tuaj yeem ua rau amenorrhoea?
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Amenorrhea cov lus tseeb Genetic los yog yug hauv tsev yog qhov ua rau pom thawj zaug ntawm tus mob amenorrhea. Amenorrhea tuaj yeem tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm zes qe menyuam, pituitary caj pas, hypothalamus, lossis lub tsev menyuam. Kev qoj ib ce hnyav, hnyav hnyav, mob lub cev, thiab kev nyuab siab tuaj yeem ua rau muaj kev tsis txaus ntseeg
Dab tsi yog qhov txiaj ntsig ib txwm rau PaO 2 Dab tsi yog qhov txiaj ntsig rau kev txiav txim siab qhov hnyav ntawm hypoxemia?
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Zoo li feem ntau qhov kev kho mob ib txwm muaj txiaj ntsig thiab ntau yam, lub ntsiab lus tuaj yeem sib txawv me ntsis, tab sis feem ntau cov ntsiab lus hauv qab no siv: Ua rau me me hypoxemia: PaO2 = 60 txog 79 mmHg. Qhov nruab nrab hypoxemia: PaO2 = 40 txog 59 mmHg. Hypoxemia hnyav: PaO2 <40 mmHg
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Ua rau Subdural Hematoma Subdural hematoma feem ntau yog tshwm sim los ntawm kev raug mob taub hau, xws li los ntawm lub caij nplooj zeeg, lub tsheb sib tsoo, lossis kev ua phem. Lub tshuab sai sai rau lub taub hau kua muag cov hlab ntshav uas ntws raws lub paj hlwb. Qhov no yog hu ua mob subdural hematoma
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Ua. Perianal hematoma yog tshwm sim los ntawm kev tawg ntawm cov hlab ntsha me me uas tso ntshav tawm ntawm qhov quav. Qhov tawg no tuaj yeem yog tshwm sim los ntawm kev siv lub zog tawm dag zog hauv lub plab, sib deev los yog tshwm sim los ntawm kev nqa hnyav, hnoos lossis nruj
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Ib tug txha caj qaum subdural los yog epidural hematoma yog ib qho tsub zuj zuj ntawm cov ntshav nyob rau hauv lub subdural los yog epidural qhov chaw uas mechanically compress tus txha caj qaum. Kev kuaj mob yog los ntawm MRI lossis, yog tias tsis muaj tam sim ntawd, los ntawm CT myelography. Kev kho yog nrog kev phais tam sim