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Effect of Aqueous Extract of Alstonia Boonei on Liver Enzymes and Its Anti-Inflammatory Activity on Formalin- Induced Arthritic Wistar Rats 苦参水提物对福尔马林致关节炎大鼠肝酶及抗炎活性的影响
Pub Date : 2022-10-01 DOI: 10.18535/ijmsci/v9i09.06
Eseoghene Valentine Egho, Mr Fidelis Oyakhire, E. Ogie, Harrison Nnamdi Obi, Promise Bassey Ochannah, Irabonosa Asiriuwa, Chinedu Emmanuel Okafor
The anti-inflammatory effect of the aqueous extract of Alstonia boonei on the level of liver biomarker in the plasma of normal and arthritic rats was evaluated using the formalin-induced arthritis inflammation tests. Thirty (30) adult female Wister rats were divided into six groups of five rats each. Group 1  as control, group 2(formalin induced group) while groups 3, 4 and 5 were respectively gavage with 150mg/kg, 300mg/kg  and 600mg/kg body weight of the extract daily while group 6 was given reference drug( 5mg/kg body weight of indomethacin for 5 days). After formalin treatment, the paw thickness in formalin-induced group was increased compared with control group. The levels of TNF-alpha, CRP, liver enzymes were increased with severe chronic inflammation sign at histopathologically observation. The animals were sacrificed 24hours after the end of treatments, the skin sample of the right paw was taken for TNF alpha  evaluation and blood samples  were obtained for assay of the levels of ALT, AST, ALP and C-reactive protein(CRP). Liver enzymes were determined using colorimetric methods while TNFalpha and CRP was determined using ELISA technique. Oral administration of the extract produced significant anti-edematogenic, anti-inflammatory activity and dramatic reduction in liver enzymes, TNF alpha and CRP with a dose of 150mg/kg and 300 mg/kg throughout the period of the experiment. This effect of A.boonei at 300mg/kg was  similar to  indomethacin group which showed a highly significant (p<0.05) inhibition compared to control group.The result of this study suggests that aqueous extract of A. boonei possesses chronic anti-inflammatory activity which may be mediated by either inhibition or by blocking the release of prostaglandins, histamine and pro-inflammatory cytokine (TNF alpha),which suggest that  Alstonia boonei is an alternatve approach for treatment of chronic inflammatory disease, thus supporting its usage for anti- inflammatory treatment and  potential effect to resuscitate the hepatocytes.
采用福尔马林诱导的关节炎炎症试验,评价白藤水提物对正常大鼠和关节炎大鼠血浆中肝脏生物标志物水平的抗炎作用。将30只成年雌性Wister大鼠分为6组,每组5只。第1组为对照组,第2组(福尔马林诱导组),第3、4、5组分别灌胃提取物150mg/kg、300mg/kg、600mg/kg体重,第6组给予对照药物(吲哚美辛5mg/kg体重,连续5 d)。经福尔马林处理后,福尔马林诱导组大鼠足跖厚度较对照组增加。组织病理学观察tnf - α、CRP、肝酶水平升高,伴有重度慢性炎症征象。治疗结束后24h处死动物,取右爪皮肤标本进行TNF - α评价,取血检测ALT、AST、ALP和c反应蛋白(CRP)水平。采用比色法测定肝酶,ELISA法测定TNFalpha和CRP。在整个实验期间,口服150mg/kg和300mg /kg剂量的提取物具有显著的抗水肿、抗炎活性,并显著降低肝酶、TNF - α和CRP。在300mg/kg剂量下,其抑制作用与吲哚美辛组相似,与对照组相比具有极显著(p<0.05)的抑制作用。本研究结果提示,木耳水提物具有慢性抗炎活性,其作用机制可能是抑制或阻断前列腺素、组胺和促炎细胞因子(TNF - α)的释放,提示木耳水提物是治疗慢性炎症性疾病的另一种途径,具有抗炎治疗和肝细胞复苏的潜在作用。
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引用次数: 0
The Use of Scent Within the Changing Landscape of Theatre and Its Application to Long-Term Rehabilitation 剧院变化景观中气味的运用及其在长期康复中的应用
Pub Date : 2022-09-30 DOI: 10.18535/ijmsci/v9i09.05
Nicholas Saldivar, Thomas Varkey, B. J. Rafidi, Jack B. Ding, Taydan Tran, Kartik Akkihal
The intentional and unintentional use of scents have long been implemented in the arts. As an element of design, the use of fragrances may increase audience immersion by engaging the sense of smell through the olfactory receptors, in addition to becoming a tool for the performers. Since the COVID-19 pandemic began, most performing companies have been forced to shift the showcasing of work primarily online. Many of the subtle effects produced by both the cast and the design team that one may appreciate in-person are inevitably lost in virtual theatre, falling secondary to the screen. One potential solution for ensuring that digital productions can continue traditions of theatre while considering the safety of guests would be through the utilization of strategically crafted scents that support the performance’s story and the overall direction of the production. In virtual performances, the use of scent can be useful to ground both the audience and performers within the same world by linking the play to old memories or creating new ones. The paper finally looks at ways that this linkage can be utilized in longterm care facilities for the betterment of patients.
在艺术中有意无意地使用气味早已成为现实。作为一种设计元素,香水的使用除了成为表演者的工具外,还可以通过嗅觉感受器吸引观众的嗅觉,从而增加观众的沉浸感。自新冠肺炎疫情开始以来,大多数演出公司被迫将作品展示主要转移到网上。演员和设计团队制作的许多微妙效果,人们可能会亲自欣赏,但在虚拟剧院中不可避免地会消失,成为屏幕的次要因素。在考虑到观众安全的同时,确保数字制作能够延续剧院传统的一个潜在解决方案是,利用精心制作的气味来支持表演的故事和制作的总体方向。在虚拟表演中,通过将戏剧与旧的记忆联系起来或创造新的记忆,气味的使用可以帮助观众和表演者在同一个世界中扎根。本文最后着眼于这种联系可以在长期护理设施中用于改善患者的方式。
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引用次数: 0
Memory and Cognitive Impairment in Myasthenia Gravis 重症肌无力患者的记忆和认知障碍
Pub Date : 2022-09-25 DOI: 10.18535/ijmsci/v9i09.04
L. Susanti
Myasthenia gravis (MG) is an autoimmune disease in the neuromuscular junction. This is a relatively uncommon disorder characterized by fluctuating muscle weakness, worst with exertion and improves with rest. This disease is treatable but can result in significant morbidity and mortality. The etiology of  MG is commonly acquired autoimmune but, in some case, result from genetic abnormalities in the neuromuscular junction.1 The incidence of  MG  is about 4.1-30 points million per year, and the prevalence rate ranges from 150-200 cases per million.2  It is believed that MG incidence has increased worldwide over the past seven decades. The majority of MG was estimated at 1 in 200,000 from 1915 to 1934, grew to 1 per 20,000 after the introduction of anticholinesterase drugs in 1934, and rose to 1 per 17,000 population after the discovery of AChR antibodies in 1969.3 Sex and age appear to influence the occurrence of myasthenia gravis. Below 40 years of age, the female: male ratio is about 3: 1; however, between 40 and 50 years, as well as during puberty, it is roughly equal. Over 50 years, it occurs more commonly in males.3             Cognitive impairment in patients with myasthenia gravis is still a matter of debate. There is some evidence that central nervous system involvement in myasthenia gravis contributes to cognitive impairment—nearly 60% of individuals with MG report memory difficulties.4 Mao et al. reported in their metanalysis study that patients with suspected MG performed worse than healthy controls regarding verbal learning and memory.5 Research by Klaus et al., 2022 on myasthenia gravis showed structural and functional changes in the patient's brain. Structural changes were seen in the form of a significant decrease in the volume of gray matter in the cingulate gyrus, inferior parietal lobe, and fusiform gyrus. Functional changes are characterized by decreased performance in cognitive function, working memory, and somatosensory-related spatial orientation.6
重症肌无力(MG)是一种发生在神经肌肉交界处的自身免疫性疾病。这是一种相对罕见的疾病,其特征是波动性肌肉无力,在用力时最严重,休息后好转。这种疾病是可以治疗的,但可导致显著的发病率和死亡率。MG的病因通常是获得性自身免疫,但在某些情况下,由神经肌肉连接处的遗传异常引起MG的发病率约为4.1-30万/年,患病率为150-200 /百万人据信,在过去的70年里,MG的发病率在全球范围内有所增加。1915年至1934年,MG的发病率估计为20万分之一,1934年抗胆碱酯酶药物问世后,MG的发病率上升到2万分之一,1969年发现AChR抗体后,MG的发病率上升到1.7万分之一。性别和年龄似乎影响重症肌无力的发生。40岁以下,男女比例约为3:1;然而,在40到50岁之间,以及在青春期,这是大致相等的。50岁以上,多见于男性重症肌无力患者的认知障碍仍然是一个有争议的问题。有证据表明重症肌无力涉及中枢神经系统,导致认知障碍——近60%的重症肌无力患者报告有记忆困难Klaus et al., 2022对重症肌无力的研究表明,患者的大脑结构和功能发生了变化。结构变化表现为扣带回、下顶叶和梭状回灰质体积显著减少。功能改变的特征是认知功能、工作记忆和体感相关的空间定向能力下降
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引用次数: 0
Intrapancreatic Peristaltic Duodenal Duplication Cyst; Presenting with Acute Pancreatitis and Intraabdominal Bleeding 胰内蠕动性十二指肠重复囊肿;表现为急性胰腺炎和腹腔出血
Pub Date : 2022-09-24 DOI: 10.18535/ijmsci/v9i09.03
Sevinç Kalın, Zeliha Akış Yıldız, C. Hasbal Akkuş, Seher Erdoğan, G. Atay, I. Tosun, Z. İlçe, B. Sözeri
Congenital anomalies and variations should be kept in mind when evaluating diseases in the pediatric patient group. A 12 years old girl presented with findings of acut abdomen. Clinical and laboratory data were consistent with acute pancreatitis. Imaging findings showed a peristaltic cystic tissue with a thick wall and central lumen in the head of the pancreas. In the operation, it was shown that this cystic lesion was associated with the accessory pancreatic duct and had no duodenal connection. In the pathology report, the presence of duodenal intestinal tissue compatible with a duplication cyst located in the head of the pancreas was proven. By sharing this rare case, keeping in mind the underlying congenital anomalies in any pathology in children and emphasizing the importance of ultrasonographic dynamic real-time examination in abdominal imaging.
在评估儿科患者群体的疾病时,应牢记先天性异常和变异。一个12岁的女孩提出了发现的腹部切割。临床和实验室数据与急性胰腺炎一致。影像学显示胰腺头部有一厚壁和中央管腔的蠕动囊性组织。在手术中,我们发现这个囊性病变与副胰管有关,而没有十二指肠连接。在病理报告中,证实存在与位于胰腺头部的重复囊肿相容的十二指肠肠组织。通过分享这一罕见的病例,牢记儿童任何病理的潜在先天性异常,并强调超声动态实时检查在腹部成像中的重要性。
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引用次数: 0
Factor V Gene Polymorphism (G1691A) Among Sudanese Patients with Intracerebral Hemorrhage, Khartoum State, 2022 苏丹脑出血患者的因子V基因多态性(G1691A),喀土土州,2022
Pub Date : 2022-09-18 DOI: 10.18535/ijmsci/v9i09.02
Abubker Alsiddig Abd Algader, T. Alabid, Esraa Kamal Almahy Abdallah, Manasik Siddig hasssan, W. Ibrahim, Sawsan A. Hamed, Alsadig Gassoum, Maye M. Merghani, Nihad alsadig Babiker
Background Intracranial hemorrhage refers to any bleeding within the intracranial vault, including the brain parenchyma and surrounding meningeal spaces. In Sudan, there is no published data regarding factor V Leiden mutation. Therefore this study was designed to detect the possible present of factor V polymorphism (G1691A) among Sudanese patients with intercereberal hemorrhage.Material and methodThis study was a cross sectional hospital-based study, conducted at the research laboratory of the national center of neurological sciences (NCNS), Khartoum, Sudan during the period June 2022 to August 2022.It included all patients attended with Intracerebral hemorrhage, DNA extraction was done from blood of all patients and controls.PCR for factor V gene was done and thus Sanger sequencing.ResultsThe PCR results showed; 100% were positive for factor V gene. Sequencing results revealed single based exchange in factor V geneG to A (G1691A).ConclusionFactor V gene polymorphism (G1691A) was detected and might be in association with intercereberal hemorrhage among Sudanese patients
背景颅内出血是指颅内穹窿内的任何出血,包括脑实质和周围的脑膜间隙。在苏丹,没有关于因子V Leiden突变的公开数据。因此,本研究旨在检测苏丹脑出血患者中可能存在的因子V多态性(G1691A)。材料与方法本研究是一项基于医院的横断面研究,于2022年6月至2022年8月在苏丹喀土穆国家神经科学中心(NCNS)研究实验室进行。包括所有脑出血患者,提取所有患者和对照组的血液DNA。对因子V基因进行PCR,进行Sanger测序。结果PCR结果显示;因子V基因100%阳性。测序结果显示因子V基因与A (G1691A)的单碱基交换。结论在苏丹脑出血患者中检测到因子V基因多态性(G1691A),该基因可能与脑出血有关
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引用次数: 0
Demographic and Clinical Characteristics of Endometrial Cancer in Northwestern Iran, Urmia: A Ten-Year Cross-Sectional Study 伊朗西北部尿毒症地区子宫内膜癌的人口学和临床特征:一项为期十年的横断面研究
Pub Date : 2022-09-10 DOI: 10.18535/ijmsci/v9i09.01
H. Ayatollahi, Elham Rajabi, R. Razavi, Samira Jahangard
Background: endometrial cancer is the most frequent genital cancer in women  in the developing nation. The purpose of this study was to investigate on  the demographic and clinical aspects of endometrial cancer, or to explain its epidemiology in patients admitted to Urmia's Kosar Hospital. Methods: From 2006 to 2016, the medical records of 179 hospitalized women with an initial diagnosis of endometrial cancer were analyzed in this cross-sectional research. The patients’ clinical and demographic information, including age, menstrual age, first visit reason, number of deliveries, menstrual pattern, history of previous disease in patients and their relatives, disease stage, clinical parameters (including WBC, Hb, and MCV), pathology type, and the presence or absence of metastasis was extracted from their medical records and analyzed. Results: The patients in our research had a mean age of more than 50 years. Nearly 80% of the patients were menopausal, and approximately 90% of the patients presented with bleeding complaints. Patients with endometrioid type adenocarcinoma had the highest frequency of pathology. Conclusion: Our findings show a high proportion of bleeding complaints among the patients evaluated, which might reflect the importance of this finding and help to guide the disease’s diagnosis and therapy. However, further research is needed to establish the epidemiology of this condition in the country.
背景:子宫内膜癌是发展中国家女性中最常见的生殖器癌。本研究的目的是调查子宫内膜癌的人口统计学和临床方面,或解释其在Urmia的Kosar医院入院患者中的流行病学。方法:对2006 - 2016年首次诊断为子宫内膜癌的179例住院妇女的病历进行横断面分析。从患者的病历中提取患者的临床和人口学信息,包括年龄、月经年龄、初诊原因、分娩次数、月经方式、患者及其亲属既往病史、疾病分期、临床参数(包括WBC、Hb、MCV)、病理类型、有无转移等,并进行分析。结果:本组患者平均年龄大于50岁。近80%的患者已绝经,约90%的患者出现出血主诉。子宫内膜样腺癌的病理发生率最高。结论:我们的研究结果显示,在评估的患者中出血主诉的比例很高,这可能反映了这一发现的重要性,并有助于指导疾病的诊断和治疗。然而,需要进一步研究以确定该国该病的流行病学。
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引用次数: 0
Déterminants of the Use of Modern Contraceptive Methods by Women in the Commune of Ruashi 若石公社妇女使用现代避孕方法的影响因素
Pub Date : 2022-08-31 DOI: 10.18535/ijmsci/v9i08.04
Mungende Ndaienen Marie Thérèse, Luboya Numbi Oscar, Mwembo Tambwe A Nkoy
La planification familiale permet aux personnes et aux couples d’anticiper et d’atteindre le nombre d’enfants désiré, ainsi que l’espacement et le moment de leur naissance. Il est réalisé par l’utilisation de méthodes contraceptives et le traitement de l’infertilité involontaire. La capacité d’une femme à espacer et à limiter ses grossesses a un impact direct sur sa santé et son bien-être ainsi que sur l’issue de chaque grossesse.
计划生育使个人和夫妇能够预测和实现他们想要的孩子数量、间隔和出生时间。它是通过使用避孕方法和治疗非自愿不孕来实现的。妇女间隔和限制怀孕的能力直接影响到她的健康和幸福以及每次怀孕的结果。
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引用次数: 0
Potential of Strawberry (Fragaria x annanasea) Extract as Whitening Agent for Discolored Teeth 草莓提取物作为牙齿变色增白剂的潜力
Pub Date : 2022-08-06 DOI: 10.18535/ijmsci/v9i08.02
E. Rachmawati, M. Febriani
The Bleaching technique has long been applied in dentistry. Strawberry (Fragaria x annanasea) is a non-dental material that can be used for natural bleaching. The strawberries contain ellagic acid and malic acid which can whiten teeth. Other ingredients found in strawberries also have a low pH so they can whiten teeth better when compared to other fruits. Strawberries also give bad side effects, namely increased tooth sensitivity. This research aims to explain the potential of strawberry (Fragaria x annanasea) extract as a whitening agent against discolored teeth. Based on reference sources obtained from journals, textbooks, and websites accessed through the databases of Google Scholar, Science Direct, EBSCO, and PubMed (National Library of Medicine, Bethesda, MD, USA) and searched for the keywords “Bleaching, Strawberries (Fragaria x annanasea), and Discoloration.” The types of journals taken are scientific and descriptive journals published from 2010 – 2020 and dental material textbooks from 2010 – 2020. The research concludes that the use of strawberry (Fragaria x annanasea) fruit extract can provide a whitening effect on teeth that have changed color and is the best solution compared to synthetic tooth whiteners. In addition, strawberries also provide side effects, namely increased tooth sensitivity.
漂白技术在牙科中应用已久。草莓(Fragaria x annanasea)是一种非牙科材料,可用于自然漂白。草莓含有鞣花酸和苹果酸,可以美白牙齿。草莓中的其他成分也具有较低的pH值,因此与其他水果相比,它们可以更好地美白牙齿。草莓也有不好的副作用,即增加牙齿敏感性。本研究旨在解释草莓(Fragaria x annanasea)提取物作为牙齿变色增白剂的潜力。基于通过Google Scholar、Science Direct、EBSCO和PubMed(美国国家医学图书馆,Bethesda, MD, USA)数据库访问的期刊、教科书和网站的参考资料,搜索关键词“漂白、草莓(Fragaria x annanasea)和变色”。选取的期刊类型为2010 - 2020年出版的科学和描述性期刊以及2010 - 2020年出版的牙科材料教科书。研究得出结论,使用草莓(Fragaria x annanasea)水果提取物可以对变色的牙齿提供美白效果,是与合成牙齿增白剂相比的最佳解决方案。此外,草莓也有副作用,即增加牙齿敏感性。
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引用次数: 0
Effects of Conventional Therapy on Quality Of Life in CMT Disease. Review and Meta-Analysis 常规治疗对CMT患者生活质量的影响。回顾与荟萃分析
Pub Date : 2022-07-30 DOI: 10.18535/ijmsci/v9i07.04
Dr. Andrea Dincher, Lena Michelle Dincher
Objectives: Up to now, only symptoms of Charcot-Marie-Tooth disease can be treated. This work investigates which therapy is the most effective in Quality of Life in Charcot-Marie-Tooth.Methods: A literature research was conducted (search terms “Whole Body Vibration” or “WBV” or “Exercise” or “Rehabilitation” and “Charcot Marie Tooth” or “CMT” or “Hereditary Neuropathy” or “HMSN”) in five online databases. Inclusion: Publications from January 1990 to April 2022. Exclusion: No conventional treatment or Charcot-Marie-Tooth. Methodological quality: assessed by PEDro score. Effect sizes: calculated by Standardized Mean Differences and 95 % Confidence Intervals.Results: Of the 5,941 publications found, 17 focused conventional treatment for Charcot-Marie-Tooth disease of whom four had a good quality and investigated Quality of Life. No study investigates Whole Body Vibration. There is no effect (SMD = .29) in health related Quality of Life, a low effect (SMD = -.42) in Activities of Daily Living favoring experimental groups and no effect (SMD = .13) in Disability favoring control groups.Conclusions: These interventions cannot improve Quality of Life in Charcot-Marie-Tooth. Since no studies investigated "Whole Body Vibration" in Charcot-Marie-Tooth, this should be done as well as a motor ability training program. Such studies are in planning.
目的:到目前为止,只能治疗腓骨肌萎缩症的症状。这项工作调查了哪种治疗方法对Charcot-Marie-Tooth的生活质量最有效。方法:以“全身振动”或“WBV”或“运动”或“康复”、“Charcot Marie Tooth”或“CMT”或“遗传性神经病变”或“HMSN”为检索词,在5个在线数据库中进行文献研究。收录:1990年1月至2022年4月的出版物。排除:没有常规治疗或沙克-玛丽-图斯。方法学质量:以PEDro评分评定。效应量:通过标准化平均差和95%置信区间计算。结果:在发现的5941份出版物中,17份集中于沙科-玛丽-图斯病的常规治疗,其中4份质量良好,并调查了生活质量。没有研究调查全身振动。在健康相关的生活质量方面没有影响(SMD = 0.29),在日常生活活动方面有低影响(SMD = - 0.42),而在残疾相关的对照组没有影响(SMD = 0.13)。结论:这些干预措施不能改善Charcot-Marie-Tooth患者的生活质量。由于没有研究调查过“全身振动”在Charcot-Marie-Tooth,这应该和运动能力训练计划一起做。这些研究正在计划中。
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引用次数: 0
Right Sided Infective Endocarditis and Mycotic Pulmonary Artery Aneurysm- A Brief Review of Important Literature 右侧感染性心内膜炎和真菌性肺动脉动脉瘤——重要文献综述
Pub Date : 2022-07-18 DOI: 10.18535/ijmsci/v9i07.03
Arshan Khan, H. Asif, Abdul Wasay, Sanaullah Khan, C. Agyingi, Muhammad Haseeb
Right-sided infective endocarditis (IE) involves the infection of the endocardial surface of either the tricuspid or pulmonary valve. The tricuspid valve is involved in almost 90% of cases. Isolated right-sided infective endocarditis can present with multiple complications; the most common of which include valvular insufficiency, abscess formation, and septic pulmonary embolism. Other complications include pulmonary infarcts, pleural effusion, empyema, and pneumothorax. Mycotic pulmonary artery aneurysm is a rare complication of right-sided infective endocarditis. Staphylococcus and Streptococcus species are the most common culprits for mycotic pulmonary artery aneurysms. IV drug use and bacterial endocarditis are the two major known risk factors for mycotic aneurysm. Computerized tomography angiography is the mainstay of imaging modalities to diagnose mycotic pulmonary artery aneurysms. MRI angiography can also be used to diagnose mycotic pulmonary aneurysms, but this imaging modality is not available widely.  The mycotic pulmonary aneurysm is treated both surgically and conservatively depending on the symptoms and clinical status of the patient. The surgical approach includes emergent arterial embolization, lobectomy, resection, banding, and aneurysmectomy.
右侧感染性心内膜炎(IE)包括三尖瓣或肺动脉瓣的心内膜表面感染。几乎90%的病例涉及三尖瓣。孤立性右侧感染性心内膜炎可出现多种并发症;其中最常见的包括瓣膜功能不全、脓肿形成和脓毒性肺栓塞。其他并发症包括肺梗死、胸腔积液、脓肿和气胸。摘要真菌性肺动脉动脉瘤是右侧感染性心内膜炎的罕见并发症。葡萄球菌和链球菌是真菌性肺动脉动脉瘤最常见的罪魁祸首。静脉用药和细菌性心内膜炎是已知的真菌性动脉瘤的两个主要危险因素。计算机断层血管造影是诊断真菌性肺动脉动脉瘤的主要影像学方法。MRI血管造影也可用于诊断真菌性肺动脉瘤,但这种成像方式并不广泛使用。根据患者的症状和临床状态,对真菌性肺动脉瘤进行手术和保守治疗。手术方法包括紧急动脉栓塞、肺叶切除术、切除术、捆扎术和动脉瘤切除术。
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引用次数: 0
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International Journal Of Medical Science And Clinical Invention
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