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Apendiks'in Karsinoid tümörü: 3769 Ardişik Acil Apendektomi
Pub Date : 2014-10-01 DOI: 10.5222/OTD.2014.135
Seracettin Eğin, Semih Hot, Metin Yeşiltaş, Sedat Kamali, Berk Gökçek, Erdem Yilmaz, Hakan Tezer, Servet Karahan
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引用次数: 2
Spontaneous Complete Resolution of Spinal Epidural Hematoma Localized in Thoracic Region: Case Report 胸段脊髓硬膜外血肿自发性完全消退1例
Pub Date : 2014-10-01 DOI: 10.5222/OTD.2014.169
K. Tufan, F. Sarica, O. Kardes, Fatih Aydemir, M. Çekinmez
SUMMARY Spontaneously occurring spinal epidural hematoma (SEH) is a relatively rare disease. It is frequently observed in cervicothoracic and thoracolumbar regions. They require emergency surgical intervention as they may lead to serious and permanent neurological damage. On the other hand, rare cases with mild neurological findings, which resolve without surgical intervention have also been reported in the literature. In this paper, spontaneous resolution of SEH in day 20 was reported which was observed in a 72-year old male patient with history of hypertension.
自发性脊髓硬膜外血肿(SEH)是一种相对罕见的疾病。常见于颈胸和胸腰椎。他们需要紧急手术干预,因为他们可能导致严重和永久性的神经损伤。另一方面,文献中也报道了一些罕见的病例,这些病例有轻微的神经学症状,无需手术干预即可解决。本文报道一例有高血压病史的72岁男性患者SEH在第20天自行消退。
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引用次数: 0
HELLP Sendromunda Bilateral Seröz Retina Dekolmani
Pub Date : 2014-10-01 DOI: 10.5222/OTD.2014.161
M. Kurt, Özlem Kuru, Ferhat Evliyaoglu, Cetin Akpolat, Mustafa Nuri Elçioğlu
Agir preeklampsi ve eklampsi hastalarinda gorulen HELLP (Hemolysis, Elevated Liver Enzyms, Low Platelet Count) sendromu hemoliz, yukselmis karaciger enzimleri ve trombositopeni ile karakterizedir. Preeklampside gorulebilen seroz retina dekolmani (SRD) ender gorulen bir gorme kaybi nedenidir. Bu calismada 25 yasinda HELLP sendromu ile birlikte gorulen iki tarafli SRD olan bir hasta sunulmustur. Dogum sonrasi takiplerde SRD yaygin retina pigment epitel (RPE) degisiklikleri birakarak duzelmistir.
重度子痫前期和子痫患者的 HELLP(溶血、肝酶升高、血小板计数低)综合征以溶血、肝酶升高和血小板减少为特征。浆液性视网膜脱离(SRD)是先兆子痫患者视力丧失的罕见原因。在本研究中,我们报告了一名 25 岁的双侧 SRD 患者,其病因与 HELLP 综合征有关。在产后随访中,SRD 因弥漫性视网膜色素上皮(RPE)改变而缓解。
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引用次数: 0
Sezaryenlerde Genel ve Spinal Anestezinin Maternal Etkileri
Pub Date : 2014-10-01 DOI: 10.5222/OTD.2014.146
Hasene Ozcam, Gonul Cimen, Altan Var, Ahmet Guldas, Cihangir Uzunçakmak, Beysim Ozcan, Ramazan Ozyurt
SUMMARY Maternal Effects of General and Spinal Anesthesia in Cesarean Sections Objective: The choice of anesthesia method in cesarean section is important. The most appropriate method for the maintenance of the health of the mother and the fetus must be selected. In our clinic, both spinal anesthesia (SA) and general anesthesia (GA) have been applied and in this paper we aimed to evaluate the maternal effects of the two methods retrospectively. Material and Methods: In this study, 100 patients who underwent cesarean delivery between 2012-2013, ( 50 spinal, 50 general anesthesia,) had no surgery and systemic disease were included. Demographic data, duration of surgery, time to the birth of the fetus, preoperative and postoperative complete blood count, duration of hospitalization and postoperative complications were recorded. Results: Among patients who underwent general anesthesia and spinal anesthesia, there was not any statistically significant difference in terms of age, gravida, parity, time to expulsion of the fetus, the duration of hospitalization and complication rate. Various complications occurred in 20% of patients in the postoperative period. Complication rate was not significantly different between patients who under went general anesthesia and spinal anesthesia. Duration of surgery in patients who underwent general anesthesia was statistically significantly higher than in other patients. Pre operative and postoperative decrease in maternal hemoglobin and hematocrit levels were statistically significantly higher in general anesthesia than in spinal anesthesia. Conclusion: General and spinal anesthesia in cesarean section have no superiority to each other, in terms of time to expulsion of the fetus, the number of hospitalized days and postoperative complications. However, the use of spinal anesthesia gives rise to less blood loss and shorter operative times. Spinal anesthesia should be preferred, especially in cases where maternal anemia and uterine atony risk is high.
目的:剖宫产术中麻醉方式的选择至关重要。必须选择最合适的方法来维持母亲和胎儿的健康。在我们的临床中,脊髓麻醉(SA)和全身麻醉(GA)都被应用,本文旨在回顾性评价这两种方法对产妇的影响。材料与方法:本研究纳入2012-2013年间行剖宫产术的100例患者,其中50例为脊柱麻醉,50例为全身麻醉,无手术且有全身性疾病。记录人口学资料、手术时间、胎儿出生时间、术前术后全血细胞计数、住院时间及术后并发症。结果:全身麻醉与脊髓麻醉患者在年龄、妊娠、胎次、排胎时间、住院时间、并发症发生率等方面差异无统计学意义。20%的患者术后出现各种并发症。全身麻醉与脊髓麻醉患者的并发症发生率无显著差异。接受全身麻醉的患者手术时间明显高于其他患者。全麻组术前和术后产妇血红蛋白和红细胞压积水平的下降明显高于脊髓麻醉组。结论:剖宫产术中全身麻醉与脊髓麻醉在排胎时间、住院天数、术后并发症等方面均无优势。然而,使用脊髓麻醉可以减少出血量和缩短手术时间。应首选脊髓麻醉,特别是在产妇贫血和子宫张力风险高的情况下。
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引用次数: 0
The Effects of Mobility on Bone Mineral Density in Cerebral Palsy 活动对脑瘫患者骨密度的影响
Pub Date : 2014-08-25 DOI: 10.5222/OTD.2014.091
Ihsan Kafadar, İ. Çağlar, K. Yalçın
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引用次数: 0
Relationship Between Iron Deficiency Anemia and Helicobacter Pylori 缺铁性贫血与幽门螺杆菌的关系
Pub Date : 2014-08-25 DOI: 10.5222/otd.2014.082
Muhammet Emin Erdem, Semih Kecici, Seydahmet Akin, E. Cetin, S. Kılıç, S. Kazan, M. Aliustaoğlu
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引用次数: 0
Obesity in Childhood 儿童肥胖
Pub Date : 2014-08-25 DOI: 10.5222/OTD.SUPP1.2014.039
Zerrin Önal, E. Adal
 Childhood obesity is a serious medical condition that effects children and adolescent  Childhood obesity has more than doubled in children and tripled in adolescents in the past 30 yrs. 1-2  Nowadays more than one third of children and adolescents were overweight or obese 1  Children and adolescents are considered overweight or obese if the Body Mass Index exceeds the 85 or the 95 percentiles on curves or exceeds 30kg/m at any age 3  Overweight and obesity are the result of “caloric” imbalance”too few calories expended for the amount of calories consumed – and are affected by various genetic, behavioral, and environmental factors 4-5
儿童肥胖是影响儿童和青少年的一种严重疾病。在过去30年里,儿童肥胖增加了一倍多,青少年肥胖增加了两倍。1-2·现在超过三分之一的儿童和青少年超重或肥胖1·如果身体质量指数超过曲线上的85或95百分位数,或在任何年龄超过30公斤/米,儿童和青少年就被认为超重或肥胖3·超重和肥胖是“热量”不平衡的结果,即消耗的卡路里太少,并受到各种遗传、行为和环境因素的影响4-5
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引用次数: 2
The Comparison of General Anesthesia Combined with Epidural Levobupivacaine+Morphine and Levobupivacaine+Fenthanyl Anesthesia and Analgesia 全麻硬膜外联合左布比卡因+吗啡与左布比卡因+芬太尼麻醉镇痛的比较
Pub Date : 2014-08-25 DOI: 10.5222/otd.2014.068
M. Akkaya, Ü. A. Türkmen, A. Altan, S. Kesi̇ci̇, D. G. Moralar, Zekeriya Ervatan, U. Kesici
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引用次数: 0
Postbariatric Body Contouring 减肥后的身体轮廓
Pub Date : 2014-08-25 DOI: 10.5222/otd.supp1.2014.072
O. Mutlu, Çağdaş Orman, Derya Bilgol
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引用次数: 0
Primary Ureteral Carcinoma: Case Report 原发性输尿管癌1例报告
Pub Date : 2014-08-25 DOI: 10.5222/OTD.2014.108
L. Verim, A. Akbaş
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引用次数: 0
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The Medical Journal of Okmeydanı Training and Research Hospital
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