Baidu
map

BMJ:小腿突发疼痛,红斑和肿胀——病例报道

2016-05-25 MedSci MedSci原创

男性患者,62岁,右侧小腿突发疼痛、肿胀和红斑。超声检查证实为腘窝囊肿破裂,排除了深静脉血栓形成(DVT)。治疗:超声引导下穿刺。腘窝囊肿是位于腓肠肌内侧头和半膜肌肌肉之间的囊肿。囊肿破裂后囊液外漏至这里并可导致小腿内侧肿胀。患者站立时,其膝关节和踝关节弯曲以使腓肠肌舒张(如下图所示)。囊液外漏引起周围组织发生炎症。排除DVT可避免不必要的抗凝治疗,从而避免了出血和后骨筋膜室综合征的发生。腘窝囊肿

男性患者,62岁,右侧小腿突发疼痛、肿胀和红斑。

超声检查证实为腘窝囊肿破裂,排除了深静脉血栓形成(DVT)。

治疗:超声引导下穿刺。

腘窝囊肿是位于腓肠肌内侧头和半膜肌肌肉之间的囊肿。囊肿破裂后囊液外漏至这里并可导致小腿内侧肿胀。患者站立时,其膝关节和踝关节弯曲以使腓肠肌舒张(如下图所示)。囊液外漏引起周围组织发生炎症。排除DVT可避免不必要的抗凝治疗,从而避免了出血和后骨筋膜室综合征的发生。


腘窝囊肿的治疗通常需要患者抬高腿部,局部加热,并使用非甾体抗炎药。

补充:

腘窝囊肿又叫“Baker's囊肿”,是腓肠肌内侧头的滑膜囊肿。可分为先天和后天两种,前者多见于儿童,后者可由滑囊本身的疾病如慢性损伤等引起,但有一部分患者是并发于慢性膝关节病变。

老年人发病则多与膝关节病变和增生性关节炎有关。

最常见的腘窝囊肿系膨胀的腓肠肌、半膜肌肌腱滑囊,该滑囊经常与后关节囊相通,临床上多见于中年以上发病率最高,男性多于女性,导致机械性伸膝和屈膝受限,疼痛较轻,紧张膨胀感明显。患者主诉往往以腘窝区逐渐发生肿胀为特点,伴膝后疼痛。偶尔囊肿可以压迫阻碍静脉回流,引起小腿水肿。

体格检查:在腘窝部可触及有弹性的波动性肿物,表面光滑,质地较软,压痛不明显,而且和皮肤或其他组织不粘连。

X线检查:将空气注入囊内拍摄X线片,可发现滑囊与关节相通,以此则可确定诊断。

原始出处:


Tun Hing Lui, Ruptured Baker’s cyst. BMJ 2016; 353 doi: http://dx.doi.org/10.1136/bmj.i2929.

版权声明:
本网站所有内容来源注明为“梅斯医学”或“MedSci原创”的文字、图片和音视频资料,版权均属于梅斯医学所有。非经授权,任何媒体、网站或个人不得转载,授权转载时须注明来源为“梅斯医学”。其它来源的文章系转载文章,或“梅斯号”自媒体发布的文章,仅系出于传递更多信息之目的,本站仅负责审核内容合规,其内容不代表本站立场,本站不负责内容的准确性和版权。如果存在侵权、或不希望被转载的媒体或个人可与我们联系,我们将立即进行删除处理。
在此留言
评论区 (5)
#插入话题
  1. [GetPortalCommentsPageByObjectIdResponse(id=1848007, encodeId=bbdd184800eda, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Mar 03 14:57:00 CST 2017, time=2017-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=129437, encodeId=05a712943e7b, content=不错哦,会学到很多,喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:48:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=128523, encodeId=436e12852381, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 09:43:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108475, encodeId=a5891084e5e2, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:37:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1436078, encodeId=ef3d14360e8d9, content=<a href='/topic/show?id=22f8e71238d' target=_blank style='color:#2F92EE;'>#红斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77123, encryptionId=22f8e71238d, topicName=红斑)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri May 27 11:57:00 CST 2016, time=2016-05-27, status=1, ipAttribution=)]
    2017-03-03 gaoxiaoe
  2. [GetPortalCommentsPageByObjectIdResponse(id=1848007, encodeId=bbdd184800eda, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Mar 03 14:57:00 CST 2017, time=2017-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=129437, encodeId=05a712943e7b, content=不错哦,会学到很多,喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:48:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=128523, encodeId=436e12852381, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 09:43:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108475, encodeId=a5891084e5e2, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:37:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1436078, encodeId=ef3d14360e8d9, content=<a href='/topic/show?id=22f8e71238d' target=_blank style='color:#2F92EE;'>#红斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77123, encryptionId=22f8e71238d, topicName=红斑)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri May 27 11:57:00 CST 2016, time=2016-05-27, status=1, ipAttribution=)]
    2016-09-17 1e10c84am36(暂无匿称)

    不错哦,会学到很多,喜欢梅斯医学文章

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1848007, encodeId=bbdd184800eda, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Mar 03 14:57:00 CST 2017, time=2017-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=129437, encodeId=05a712943e7b, content=不错哦,会学到很多,喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:48:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=128523, encodeId=436e12852381, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 09:43:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108475, encodeId=a5891084e5e2, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:37:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1436078, encodeId=ef3d14360e8d9, content=<a href='/topic/show?id=22f8e71238d' target=_blank style='color:#2F92EE;'>#红斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77123, encryptionId=22f8e71238d, topicName=红斑)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri May 27 11:57:00 CST 2016, time=2016-05-27, status=1, ipAttribution=)]
    2016-09-16 1e10c84am36(暂无匿称)

    不错哦,会学到很多

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1848007, encodeId=bbdd184800eda, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Mar 03 14:57:00 CST 2017, time=2017-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=129437, encodeId=05a712943e7b, content=不错哦,会学到很多,喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:48:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=128523, encodeId=436e12852381, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 09:43:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108475, encodeId=a5891084e5e2, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:37:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1436078, encodeId=ef3d14360e8d9, content=<a href='/topic/show?id=22f8e71238d' target=_blank style='color:#2F92EE;'>#红斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77123, encryptionId=22f8e71238d, topicName=红斑)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri May 27 11:57:00 CST 2016, time=2016-05-27, status=1, ipAttribution=)]
    2016-08-31 ylzr123

    好文,值得学习,赞!

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1848007, encodeId=bbdd184800eda, content=<a href='/topic/show?id=2977356edc' target=_blank style='color:#2F92EE;'>#BMJ#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=3567, encryptionId=2977356edc, topicName=BMJ)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=148754, createdName=gaoxiaoe, createdTime=Fri Mar 03 14:57:00 CST 2017, time=2017-03-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=129437, encodeId=05a712943e7b, content=不错哦,会学到很多,喜欢梅斯医学文章, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Sat Sep 17 11:48:00 CST 2016, time=2016-09-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=128523, encodeId=436e12852381, content=不错哦,会学到很多, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/jW482SpianMayicTRbRZ5RzdAIB7UwTkHt6fQkBP8ictliaXtc5gCUmYdAW1sAETC2nhO3q6YjRHkUibyOCtP8ibmXNObTyd63A076/0, createdBy=d4111948983, createdName=1e10c84am36(暂无匿称), createdTime=Fri Sep 16 09:43:00 CST 2016, time=2016-09-16, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=108475, encodeId=a5891084e5e2, content=好文,值得学习,赞!, beContent=null, objectType=article, channel=null, level=null, likeNumber=123, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo7s7ZCKOmmbBTD6nE7gcd5OZpvyGEzkxBP3S275k5ZJVrsPkotZhBglRHM9rKvcj1OgkssqhcnoPw8zIaMZTF8c/0, createdBy=4c441942088, createdName=ylzr123, createdTime=Wed Aug 31 16:37:00 CST 2016, time=2016-08-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1436078, encodeId=ef3d14360e8d9, content=<a href='/topic/show?id=22f8e71238d' target=_blank style='color:#2F92EE;'>#红斑#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=77123, encryptionId=22f8e71238d, topicName=红斑)], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/aLGWoFXAyMbIu3qymFOyheQLjPSX3OUs5GmkyBlcCOwTPIeq3why9NGibxxUqYo6hcx8qZLHZFgNPnBK1yzWeOFpyg2OnWOt0/0, createdBy=fa4716, createdName=zhouqu_8, createdTime=Fri May 27 11:57:00 CST 2016, time=2016-05-27, status=1, ipAttribution=)]
    2016-05-27 zhouqu_8

相关资讯

病例报道:新生儿枫糖尿症一例

患儿 男,1天,生后半天因“呕吐”入院,诊断为“咽下综合征”,住院治疗2天后出院。生后第5 天因“发热、腹泻,伴反应差、吃奶差”再次入院。患儿系第1 胎第1 产,胎龄38+5周自然分娩,出生体重3 240 g,无宫内窘迫,Apgar评分1、5、10 min均为10分,其母胎膜早破>18 h。 入院查体: 反应欠佳,哭声小,前囟饱满,张力不高,皮肤轻度黄染,双肺呼吸音粗,腹软,肝脾肋下未

SABCS 2015:不一样的国际多学科病例讨论

  朱丽教授在大会现场今天下午1点,SABCS上重要环节——病例讨论(Case Discussion)吸引了众多参会者到场。原本以为,这个环节会像国内病例讨论那样,有预先准备的病例展示,并以PPT的形式进行介绍。出乎意料的是台下参会者即兴汇报病史,没有任何PPT,完全靠听力记笔记,之后由台上著名国际专家给予建议和点评,对听力和专业能力绝对是巨大的挑战!这次参加国际多学科病例讨论,相当于一次严格意义

病例讨论:浮肿伴尿检异常2月余1例

者男性,55岁,因“浮肿伴尿检异常2月余”于2014年10月9日入院。患者2014年8月初无诱因出现双下肢间断浮肿,未予重视。2014年9月查血压为140/89mmHg,尿蛋白定量6.56g/24h,血清白蛋白18.1g/L,血清肌酐(SCr)156μmol/L,9月12日于外院行肾活检诊断“纤维样肾小球病改变伴硬化”,予保肾、利尿、抗血小板、改善微循环等处理,症状及实验室检查无明显改善,为进一步

病例讨论:体检发现左肾下极占位1周

病史 男 ,39 ,因“体检发现左肾下极占位1周”入院,无发热、血尿、腰酸腰痛等症状。实验室检查:肾功能和肿瘤指标均正常。 肾脏CT和MRI平扫检查如下: 答案往下 {nextpage} CT和MRI表现 左肾下极可见一不规则软组织肿块影,平扫呈稍高密度,其右侧缘可见斑点状更低密度影(箭头,少量脂肪成分),增强后皮髓质交界期中等程度均匀强化,其右侧缘可见明显强化血管影(

BMJ:枕部脑膨出的完整病例报道及分析

1岁患儿因枕部出现囊样突起而就诊于神经外科诊所,此囊样突起自患儿出生一直维持到现在。患儿为足月剖腹产,并没有出现神经系统症状,囊样突起自出生以来也没有继续增长。体格检查发现患儿的头围正常。囊样突起的大小为2.5 × 2.5 cm,易哭闹。系统检查并未发现相关的异常。头部磁共振成像结果如下(图1⇓)。

广东已通报8例输入性寨卡病例

广东省卫生和计划生育委员会3月11日通报,我省新增1例输入性寨卡病毒感染病例,截至目前,广东已经通报了8例输入性寨卡病毒感染病例。 省卫计委通报,患者为来自委内瑞拉(该国为寨卡病毒疫情发生国)的华侨(男,19岁),在广东省的住址为江门恩平市。2月29日从委内瑞拉回国抵粤,3月9日,当地医疗机构在对发生疫情国家返乡人员进行健康随访时发现患者有皮疹,立即将其进行隔离治疗。经省疾控中心复核检测,患者标

Baidu
map
Baidu
map
Baidu
map