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PREOPERATIVE SERUM ALBUMIN LEVEL AS A PREDICTOR OF ABDOMINAL WOUND-RELATED COMPLICATIONS AFTER EMERGENCY EXPLORATORY LAPAROTOMY 术前血清白蛋白水平作为急诊开腹手术后腹部伤口相关并发症的预测指标
Pub Date : 2024-05-01 DOI: 10.36106/ijar/2503856
Apoorva Vardhan, Narra Sandeep Kumar, Vinayaka S, Deepthi. R
Introduction: A plethora of factors are involved in the process of wound healing; amongst them nutritional status of thepatient is highly considered for fast recovery in the postoperative period. Literature shows that preoperative serumalbumin levels can determine & impact postoperative complications in patients undergoing emergency laparotomy. Therefore, early detection &intervention is highly recommended. A retrospective study data consisting of 69 patients collected o Methods: ver 8 months amongst those whounderwent emergency exploratory laparotomy due to perforation and small and large bowel obstruction was collected. Preoperative serumalbumin levels & postoperative complications such as delayed wound healing (>7 days), surgical site infections on 5th day, anastomotic leak,enterocutaneous stula (>7 days), wound dehiscence and prolonged hospital stay (>5 days) were noted & analysed statistically. (P<0.001)Results: Majority of the subjects were in the age group of 18-29 years accounting for 30.4% with 63.8% being males. Also, 68.1% patients hadalbumin levels >3.5g/dl. The mean duration of hospital stay & duration of surgery was found to be 14.11 days & 175.51 mins respectively. Themost common procedures performed were primary closure (32%) & resection anastomosis (52.2%). Patients with <3.5g/dl reportedcomplications such as death (4), surgical site infection (21), anastomic leak (2), enterocutaneous stula (2), and increased hospital stay (1).Conclusion: Preoperative serum albumin levels can be used to determine & reduce complications in the postoperative period while reducing themorbidity and mortality levels by early intervention
导言:伤口愈合过程涉及众多因素,其中患者的营养状况是术后快速恢复的重要因素。文献显示,术前血清白蛋白水平可决定并影响急诊开腹手术患者的术后并发症。因此,强烈建议及早发现和干预。一项回顾性研究收集了 69 名患者的数据,这些患者因肠穿孔、小肠和大肠梗阻而接受了紧急开腹探查术,为期 8 个月。注意术前血清白蛋白水平和术后并发症,如伤口愈合延迟(>7 天)、第 5 天手术部位感染、吻合口漏、肠皮 stula(>7 天)、伤口裂开和住院时间延长(>5 天),并进行统计分析。(P3.5g/dl)。平均住院时间和手术时间分别为 14.11 天和 175.51 分钟。最常见的手术是原发性闭合术(32%)和切除吻合术(52.2%)。血清白蛋白<3.5g/dl的患者报告的并发症包括死亡(4例)、手术部位感染(21例)、吻合口漏(2例)、肠皮stula(2例)和住院时间延长(1例):结论:术前血清白蛋白水平可用于确定和减少术后并发症,同时通过早期干预降低发病率和死亡率。
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引用次数: 0
PRE-OPERATIVE NEUTROPHIL-LYMPHOCYTE RATIO TO PREDICT OUTCOMES IN ELECTIVE LAPAROSCOPIC CHOLECYSTECTOMY 预测择期腹腔镜胆囊切除术预后的术前中性粒细胞-淋巴细胞比值
Pub Date : 2024-05-01 DOI: 10.36106/ijar/9201015
Srikanth K. Aithal, Kadambari Ramani
Background: Many scoring systems exist to predict operative difculty and outcomes of laparoscopic cholecystectomyin acute cholecystitis. In elective laparoscopy where ambulatory/ outpatient surgery is considered, few studies areavailable. Neutrophil-lymphocyte ratio (NLR) can be used as an effective pre-operative predictive marker in elective laparoscopiccholecystectomy. A single center prospective observational study was done over a period of one year Materials and Methods: in 72 patientsundergoing elective laparoscopic cholecystectomy. Only those patients with predicted easy/ moderate laparoscopic cholecystectomy wereincluded. NLR ≥ 3 was considered high. Intraoperative and postoperative outcomes were studied in normal and high NLR patients. Results:Normal neutrophil-lymphocyte ratio (NLR) was noted in 46 patients (63.9%) and high NLR (≥ 3) in 26 patients (36.1%). Rates of previouscholecystitis/ cholangitis and ERCP with stenting were similar in both groups. Mean G10 intra-operative score was 1.98 (easy group) in normalNLR group vs 3 (moderate group) in high NLR group (p <0.05). None of the patients who participated in the study needed conversion to openprocedure or had adverse intra-operative outcomes. Post-operatively, patients with normal NLR had signicantly low pain score at day 1compared to high NLR group (1.91 vs 4.5; p <0.001). Patients with high NLR also had signicantly increased length of hospital stay (1.19 days innormal NLR vs 2.77 days in high NLR, p <0.001). Positive predictive value (PPV) of high NLR in estimating hospitalization post-surgery ofmore than 1 day is 92.3%. Pre-operative NLR can be used as a cost-effective and useful tool in pred Conclusion: icting outcomes in electivelaparoscopic cholecystectomy, even in carefully selected group of patients. In settings of outpatient cholecystectomy, this will help in decisionmaking and patient selection.
背景:有许多评分系统可以预测急性胆囊炎腹腔镜胆囊切除术的手术难度culty 和结果。在考虑非住院/门诊手术的择期腹腔镜手术中,可用的研究很少。在择期腹腔镜胆囊切除术中,中性粒细胞-淋巴细胞比值(NLR)可作为有效的术前预测指标。一项为期一年的单中心前瞻性观察研究在 72 名接受择期腹腔镜胆囊切除术的患者中展开。只有那些预测腹腔镜胆囊切除术容易/中等难度的患者才包括在内。NLR≥3为高。研究了NLR正常和NLR偏高患者的术中和术后结果。结果:46 名患者(63.9%)的中性粒细胞-淋巴细胞比率(NLR)正常,26 名患者(36.1%)的 NLR 偏高(≥ 3)。两组患者既往患胆囊炎/胆管炎和ERCP加支架治疗的比例相似。正常 NLR 组术中 G10 平均评分为 1.98(简单组),而高 NLR 组为 3(中等组)(P <0.05)。参与研究的患者中没有人需要转为开放手术,也没有人在术中出现不良后果。术后第1天,NLR正常组患者的疼痛评分明显,低于NLR高组(1.91 vs 4.5;p <0.001)。高 NLR 组患者的住院时间也明显(正常 NLR 组为 1.19 天,高 NLR 组为 2.77 天,P <0.001)。高 NLR 对估计术后住院超过 1 天的阳性预测值(PPV)为 92.3%。术前 NLR 可作为预测选择性腹腔镜胆囊切除术预后的一种经济有效的实用工具,即使是在精心挑选的患者群体中也是如此。在门诊胆囊切除术中,这将有助于决策和患者选择。
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引用次数: 0
STUDY OF ORGAN SYSTEM INVOLVEMENT IN SEVERE DENGUE FEVER CASES ADMITTED TO A TERTIARY HEALTH CARE CENTRE 研究一家三级医疗保健中心收治的严重登革热病例的器官系统受累情况
Pub Date : 2024-05-01 DOI: 10.36106/ijar/2604163
Rahul Siwach, Aditi Arora, Karan Beniwal
Objective:1. To study the clinical prole & laboratory diagnostic ndings in severe Dengue fever cases.2. To compare the pattern of organ involvement with severe Dengue Fever (DF) cases admitted in 2023-2024.Materials and Methods: This Descriptive Longitudinal Study, conducted at a tertiary care center in India, focused on severe dengue casesadmitted between January 2023 and May 2024. Group A comprised 54 patients, where detailed history-taking and clinical examinations wereperformed to evaluate severity and complications. Data analysis encompassed the period from January 2023 to May 2024 for Group A.Comparison was made with Group B, consisting of 53 severe dengue cases from 2021-2022, to assess the pattern of organ involvement usingidentical inclusion and exclusion criteria. Informed consent was obtained from patients or relatives, with data collection conducted viastructured clinical Performa. Routine and special investigations were carried out, including NS1Ag and IgM Dengue detection usinggovernment-supplied kits. Both Group A and Group B showed a male predominance (61% and 68% respectiv Results: ely) and were primarilyaged 18 to 30 years (70% and 60% respectively). While presenting symptoms were similar, Group A exhibited higher prevalence of cough,difculty breathing, convulsions, and petechiae. Hemorrhagic manifestations were more frequent in Group A (40%). Thrombocytopenia wasuniversal, with 72% of Group A and 78% of Group B cases having platelet counts below 50,000 /cu mm. Elevated SGOT and SGPT levels wereseen in 13% and 6% of Group A cases respectively. Pleural effusion and acute respiratory distress syndrome (ARDS) were more common inGroup A on chest X-ray. Dengue hemorrhagic fever (DHF) I was more prevalent in Group B (72%), while DHF II-IV were more common inGroup A. Complications such as coagulopathy, acute renal failure, ARDS, and hepatitis were more frequent in Group A. The mortality rate washigher in Group A (9%) compared to Group B (6%). In summary, our study underscores the wide range of Conclusions: symptoms andcomplications seen in severe dengue cases, from mild fever to life-threatening organ failure. We noted a higher occurrence among young adultmales aged 18-30. Between 2023-2024, there was a rise in severe complications such as serositis, thrombocytopenia, and hepatic, respiratory,renal, and neurological issues. Dengue shock syndrome and hemorrhagic fever had notably higher mortality rates during this period,emphasizing the importance of vigilant management to address severe dengue infections effectively
目的:1.研究重症登革热病例的临床le 和实验室诊断ndings。2.比较2023-2024年收治的重症登革热(DF)病例的器官受累模式。材料与方法:这项描述性纵向研究在印度的一家三级医疗中心进行,主要针对 2023 年 1 月至 2024 年 5 月期间收治的重症登革热病例。A 组包括 54 名患者,对他们进行了详细的病史采集和临床检查,以评估病情严重程度和并发症。数据分析涵盖了 A 组 2023 年 1 月至 2024 年 5 月期间的情况,并与 B 组(包括 2021-2022 年期间的 53 例严重登革热病例)进行了比较,采用相同的纳入和排除标准来评估器官受累的模式。在获得患者或其亲属的知情同意后,采用结构化临床表格进行数据收集。进行了常规和特殊检查,包括使用政府提供的试剂盒检测登革热 NS1Ag 和 IgM。A 组和 B 组均以男性为主(分别占 61% 和 68% 结果:男性占多数),年龄主要在 18 至 30 岁之间(分别占 70% 和 60%)。虽然出现的症状相似,但 A 组出现咳嗽、呼吸困难、抽搐和瘀斑的比例较高。出血性表现在 A 组更常见(40%)。血小板减少是普遍现象,72% 的 A 组和 78% 的 B 组病例的血小板计数低于 50,000 / 立方毫米。分别有 13% 和 6% 的 A 组病例出现 SGOT 和 SGPT 水平升高。胸部 X 光检查显示,胸腔积液和急性呼吸窘迫综合征(ARDS)在 A 组病例中更为常见。并发症如凝血功能障碍、急性肾功能衰竭、急性呼吸窘迫综合征和肝炎在 A 组更常见。总之,我们的研究强调了严重登革热病例的各种结论:症状和并发症,从轻度发热到危及生命的器官衰竭。我们注意到 18-30 岁的年轻男性发病率较高。2023-2024 年间,血清炎、血小板减少症、肝脏、呼吸系统、肾脏和神经系统问题等严重并发症的发病率有所上升。在此期间,登革休克综合征和出血热的死亡率明显升高,这强调了警惕性管理对有效解决严重登革热感染的重要性。
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引用次数: 0
PREDICTION OF RELIGIOSITY ON DEPRESSION AND SUICIDAL IDEATION AMONG SCHOOL STUDENTS 宗教信仰对在校学生抑郁和自杀倾向的预测
Pub Date : 2024-05-01 DOI: 10.36106/ijar/0109251
Margaret Lalruatfeli Fanai, Lalhriatpuii Lalhriatpuii, Zokaitluangi Zokaitluangi
Religiosity is a formal institutional, and has been considered asfacilitating personality development. Research evinced a positive rolethat religion plays in mental health relating to depression (Pearce,Little, & Perez, 2003), preventing suicide and helping recovery fromsuicidal thoughts (Morriss et al., 2005) with lower suicide rates (Stack1983) among adolescents. Researchers have brought evidence for thepositive and negative role that religion plays in health relating to mooddisorders, personality disorders, and psychiatric disorders. Religiousbeliefs are increasingly being considered in psychotherapy to improveservice and the effectiveness of treatment. Psychotherapists utilizereligious practices and principles in therapy, such as prayer,forgiveness, and grace. Brown suggests that "our biases can only besuspended to the extent to which they are no longer our biases"(Brown, 2017). Women are more religious than men (Walter & Davie1998; Trzebiatowska & Bruce 2012). Understanding the function ofreligiosity is much needed for clinical practice in relieving sufferingand helping people to live more fullling lives (Moreira-Almeida etal., 2006).
宗教信仰是一种正式的制度,一直被认为是促进人格发展的因素。研究表明,宗教在心理健康方面发挥着积极作用,如抑郁症(Pearce、Little 和 Perez,2003 年)、预防自杀和帮助从自杀念头中恢复(Morriss 等人,2005 年)以及降低青少年自杀率(Stack,1983 年)。研究人员已提出证据,证明宗教在情绪障碍、人格障碍和精神障碍方面对健康所起的积极和消极作用。在心理治疗中,人们越来越多地考虑到宗教信仰,以改善服务和提高治疗效果。心理治疗师在治疗中利用宗教实践和原则,如祈祷、宽恕和恩典。布朗认为,"我们的偏见只有在它们不再是我们的偏见时才能被搁置"(Brown,2017)。女性比男性更虔诚(Walter & Davie 1998; Trzebiatowska & Bruce 2012)。了解宗教信仰的功能对于临床实践中缓解痛苦和帮助人们过上更充实lling 的生活十分必要(Moreira-Almeida etal.,2006)。
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引用次数: 0
OVARIAN HYDATID CYST- A RARE ENTITY: A CASE REPORT 卵巢水瘤囊肿--罕见病例:病例报告
Pub Date : 2024-05-01 DOI: 10.36106/ijar/7202728
Samia Mohammed, Idrees Akhtar Afroze
Hydatid disease is a zoonosis caused by the transmission of the larval stage of Echinococcus granulosus (dog tapeworm)either by consuming contaminated food and water or due to hand to mouth transmission from infested animals or partiallycooked meat. Humans are the accidental host. Hydatid cyst of ovary is an extremely rare presentation accounting for 0.2-1% of all cases. A 47-year-old woman presented to the surgery department of Owaisi Group of Hospitals (PEH) with a chief complaint of abdominal pain for 1 week.USG examination revealed bilateral simple ovarian cysts and CT scan ndings showed bilateral complex ovarian cysts. Routine investigationswere normal. Surgery was performed for suspected ovarian cyst. The cysts were extracted and sent for HPE which conrmed the diagnosis ofhydatid ovarian cyst. The incidence of hydatid cyst in the female reproductive system is less than 0.5% of all cases. The clinician must have a highindex of suspicion whenever cystic lesions of pelvis are found as any spillage while operating may lead to anaphylactic shock and recurrence.
包虫病是一种人畜共患疾病,由棘球蚴幼虫(狗绦虫)传播引起,传播途径包括食用受污染的食物和水,或从受感染的动物或半熟肉类经口传播。人类是意外宿主。卵巢水瘤囊肿是一种极为罕见的病症,占所有病例的 0.2-1%。一名47岁的女性因主诉腹痛1周而到欧瓦西医院集团(PEH)外科就诊。USG检查显示双侧单纯性卵巢囊肿,CT扫描ndings显示双侧复杂性卵巢囊肿。常规检查结果正常。手术治疗疑似卵巢囊肿。提取囊肿后送去做HPE检查,结果,确诊为水瘤性卵巢囊肿。女性生殖系统水瘤囊肿的发病率不到所有病例的 0.5%。临床医生在发现盆腔囊性病变时必须高度怀疑,因为手术时的任何溢出都可能导致过敏性休克和复发。
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引用次数: 0
BEYOND THE BLADDER: UNEXPECTED DISCOVERY OF INTESTINAL MALROTATION DURING RADICAL CYSTECTOMY WITH ILEAL CONDUIT – A UROLOGIST'S PREDICAMENT 膀胱之外:回肠导管根治性膀胱切除术中意外发现肠旋转不良--泌尿科医生的困境
Pub Date : 2024-05-01 DOI: 10.36106/ijar/8201269
Rohit Sanjay Deshpande, Ravimohan Mavuduru, Aditya Prakash Sharma
The unanticipated and incidental discovery of intestinal malrotation during radical cystectomy can generate few queriesregarding the anatomic construction of the urinary diversion and can be a dilemma for the operating urologist. We describesuch a case in which we navigated this anatomic surprise with simplicity and avoided unnecessary additional surgical manoeuvres, thus provingthe feasibility of conventional anatomic approach to conduit creation in such an unforeseen situation.
在根治性膀胱切除术中意外发现肠旋转不良,可能会对尿流改道的解剖结构产生一些疑问,这对泌尿外科医生来说是一个难题。我们描述了一个病例,在这个病例中,我们简单地处理了这种解剖上的意外,避免了不必要的额外手术操作,从而证明了在这种意外情况下采用常规解剖方法建立导尿管的可行性。
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引用次数: 0
A REVIEW ARTICLE ON DRAVA SWEDANA AND ITS CLINICAL APPLICATION 一篇关于 Drava Swedana 及其临床应用的评论文章
Pub Date : 2024-05-01 DOI: 10.36106/ijar/2802632
Ruchi Juyal, Ketan Mahajan, A. Agrawal, Sneha Joshi
Drava Sweda is a sudation procedure carried out with hot liquid. In this procedure, medicated water should be lled into apot, jug with spout, or a tube and poured comfortably over the painful parts covered with cloth. It is considered asBahirparimarjan Chikitsa and it comes under Shadaupakrama (Six treatment modalities), Swedana Karma is not just providing heat to the body,but the amount of heat is mentioned in the management of various diseases caused by Vata-Kapha Doshas. Parisheka Sweda is a type of DravaSweda. Acharya Charak mentioned it in Sagni Sweda, which can be applied as Ekanga (over a body part) or Sarvanga (whole body). Avabahuka1(Frozen shoulder) due to vitiated Vata, Swedana helps to relieve the pain and stiffness. Avagaha Sweda is one such important Swedana practice2 which is mentioned in Sagni Sweda by Acharya Charak. The word 'Avagaha' means dipping, immerse. Swedana means -sudation, steaming,sweating, of body parts in warm medicated Kwath or Tail, Ghrita, Sneha, etc kept in a large tub is called as 'Avagaha Sweda. It is more benecial inthe condition like complication of Basti , Haemorrhoids, ssure in Ano etc.
Drava Sweda 是一种用热液体进行的抽吸法。在此过程中,,将药水倒入壶中、带壶嘴的壶中或管中,然后用布盖住疼痛部位,使其舒适。它被认为是Bahirparimarjan Chikitsa,属于Shadaupakrama(六种治疗方式),Swedana Karma不仅仅是为身体提供热量,而且在治疗由吠陀-卡帕(Vata-Kapha Doshas)引起的各种疾病时也会提到热量的多少。Parisheka Sweda 是 DravaSweda 的一种。阿查里亚-查拉克(Acharya Charak)在《Sagni Sweda》中提到了它,它可以作为 Ekanga(身体某个部位)或 Sarvanga(全身)来使用。Avabahuka1(肩周炎)是由虚弱的瓦塔(Vata)引起的,Swedana 有助于缓解疼痛和僵硬。Avagaha Sweda 是 Acharya Charak 在《Sagni Sweda》中提到的一种重要的Swedana疗法2。Avagaha "一词的意思是浸渍、浸泡。Swedana的意思是--将身体部位浸泡在大浴盆中温热的药物Kwath或Tail、Ghrita、Sneha等中,并进行蒸煮、出汗,这就是所谓的 "Avagaha Sweda"。它对 Basti、痔疮、ssure in Ano 等并发症更为有效cial。
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引用次数: 0
MILK CONSUMPTION PATTERNS AMONG ADULTS FROM MUMBAI METROPOLITAN REGION 孟买大都会地区成年人的牛奶消费模式
Pub Date : 2024-05-01 DOI: 10.36106/ijar/9408981
Aditi Goyal, Varsha Thakker, Neha Palhade, S. Desai, Shobha A Udipi, Rama Vaidya, Ashok Vaidya
This study aims to understand the consumption patterns of milk and selected milk products in the Mumbai Metropolitanregion. 1060 participants were interviewed about their milk consumption patterns including type of milk, frequency ofconsumption, amount consumed per day, attitudes towards milk products, and awareness and opinions regarding A1/A2 milk. 94.2% ofparticipants were milk consumers, their average daily intake being 220±91ml. Only 5.8% of participants did not consume milk, primarily due topersonal dislike. Among consumers, 57.3% consumed cow milk and 27.1% consumed buffalo milk. 88.7% of participants opined that milk ishealthy. However, some consumers expressed concerns about milk adulteration. Of all, only 21.8% knew about A1/A2 milk but most could notprovide details. These ndings indicate an overall positive attitude of consumers towards milk and its continued inclusion in diets. Further studiesand denitive steps are needed to resolve consumers' concerns about A1/A2 milk and milk adulteration.
本研究旨在了解孟买大都会地区的牛奶和部分牛奶产品的消费模式。研究访问了 1060 名参与者,了解他们的牛奶消费模式,包括牛奶类型、消费频率、每日消费数量、对奶制品的态度以及对 A1/A2 牛奶的认识和看法。94.2%的参与者是牛奶消费者,他们的平均日摄入量为220±91毫升。只有 5.8% 的参与者不饮用牛奶,主要原因是个人不喜欢。在消费者中,57.3%饮用牛奶,27.1%饮用水牛奶。88.7%的参与者认为牛奶有益健康。然而,一些消费者对牛奶掺假表示担忧。其中,只有 21.8% 的人知道 A1/A2 牛奶,但大多数人无法提供详细信息。这些 ndings 表明,消费者总体上对牛奶持积极态度,并继续将其纳入膳食。要解决消费者对A1/A2牛奶和牛奶掺假的担忧,还需要进一步的研究和采取nitive steps。
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引用次数: 0
FUNGAL DIVERSITY IN CHEMICALLY FERTILIZED PADDY CROP FIELDS OF BASAJHAL VILLAGE KOTA REGION OF BILASPUR DISTRICT 比拉斯普尔县巴萨哈尔村科塔地区施过化肥的稻田中真菌的多样性
Pub Date : 2024-05-01 DOI: 10.36106/ijar/0709521
Vijay Shankar Patre, S. Pahare
The Chhattisgarh state is considered as the “Rice Bowl of India” and the crop rice is a part of an ancient plant of agronomicimportance globally. Around one-third of the global population relies on rice. The soil of the paddy eld is an inhabitant ofseveral microbial biomes due to the richness of organic matter and minerals. The nutritional enrichment of the soil system is directly correlatedwith microbial growth, especially mycoora. The present study revealed that the dominant fungal species were Neosartorya fischeri, Aspergillusniger, Aspergillus fumigatus, Aspergillus oryzae, and Penicillium notatum were observed in the rice crop elds of Basajhal, Kota, Bilaspur,Chhattisgarh. This research could further be extended to explore the importance of each fungal strain in nutrient recycling in the soil system.
恰蒂斯加尔邦被认为是 "印度的稻米碗",而作物水稻则是全球农艺学上重要的古老植物的一部分。全球约有三分之一的人口以水稻为生。由于富含有机物和矿物质,水稻eld 的土壤中栖息着多种微生物生物群落。土壤系统的营养丰富程度与微生物的生长直接相关,尤其是微生物ora。本研究发现,在恰蒂斯加尔邦比拉斯布尔的巴萨哈尔、科塔的水稻作物  中观察到的主要真菌种类有 Neosartorya fischeri、Aspergillusniger、Aspergillus fumigatus、Aspergillus oryzae 和 Penicillium notatum。这项研究可以进一步扩展,以探索每种真菌菌株在土壤系统中养分循环的重要性。
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引用次数: 0
CASE REPORT : A RARE CASE OF BILATERAL PERITONSILLAR ABSCESS 病例报告:一例罕见的双侧腹腔周围脓肿病例
Pub Date : 2024-05-01 DOI: 10.36106/ijar/3501820
D. J. Datta, Deepak Kumar S, P. Abhishek
Peritonsillar Abscess occurs due to accumulution of pus in Peritonsillar space, between the pharyngeal tonsil and theSuperior Constrictor muscle. Although it is known to occur unilaterally, a bilateral presentation may occur. Patient maypresent with a mufed voice, medial displacement of uvula, Trismus, Odynophagia or Upper airway obstruction. Although it is diagnosedclinically, a Contrast Enhanced CT scan of neck remains a gold standard imaging modality for an accurate diagnosis. The disease is managed byIncision and Drainage of the abscess along with administration of Systemic Antibiotics. In recurrent cases, the patient may need IntervalTonsillectomy after conservative management of 6 weeks.
扁桃体周围脓肿是由于脓液积聚在咽扁桃体和收缩上肌之间的扁桃体周围间隙而引起的。虽然这种脓肿通常发生在单侧,但也可能发生在双侧。患者可能表现为嗓音低沉、悬雍垂内侧移位、三凹症、吞咽困难或上气道阻塞。虽然可以通过临床诊断,但颈部对比增强 CT 扫描仍是准确诊断的金标准成像方式。该病的治疗方法是切开和引流脓肿,同时使用全身抗生素。对于复发病例,在保守治疗 6 周后,患者可能需要进行间隔性扁桃体切除术。
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引用次数: 0
期刊
Indian journal of applied research
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