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Caring for the Hospitalized Child最新文献

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Informed Consent 知情同意
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part07-ch31
Kevin T. Powell, S. Berkowitz
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引用次数: 0
Acute Respiratory Failure 急性呼吸衰竭
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part23-ch89
Jerry McLaughlin
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引用次数: 0
Mastoiditis Mastoiditis
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part04-ch16
Stephanie R. Lichten
n engl j med 368;21 nejm.org may 23, 2013 2014 A 60-year-old man presented with a 10-year history of intermittent otorrhea of the right ear and a 2-month history of swelling of the right postauricular area. Physical examination revealed postauricular swelling with an erythematous skin change behind the right ear (Panel A, arrow). Otoscopic examination revealed a perforation in the lower part of the tympanic membrane, with discharge (Panel B, arrow). Audiometry revealed conductive hearing loss in the right ear. High-resolution computed tomography of the temporal bone (axial view) revealed high soft-tissue density lesions in the right tympanic cavity and in the mastoid air cells. Multifocal cortical defects were noted on the outer surface of the temporal bone and on the inner aspect facing the sigmoid sinus (Panel C, arrows). A diagnosis of chronic suppurative otitis media complicated by acute mastoiditis was made. This should be differentiated from other infections, such as parotitis, postauricular cellulitis, and lymphadenitis. The patient underwent tympanoplasty with mastoidectomy. During surgery, abundant granulation tissues filling the mastoid air cells and tympanic cavity were found and removed. The postauricular swelling and tenderness subsided gradually after treatment. His hearing also improved.
男,60岁,右耳间歇性耳漏10年病史,右侧耳后肿胀2个月。体格检查显示耳后肿胀伴右耳后皮肤红斑改变(A组,箭头)。耳镜检查显示鼓膜下部穿孔,有分泌物(B组,箭头)。听力学显示右耳传导性听力丧失。颞骨高分辨率计算机断层扫描(轴位视图)显示右侧鼓室和乳突空气细胞软组织密度高。颞骨外表面和面向乙状窦的内侧面可见多灶性皮质缺损(图C,箭头)。诊断为慢性化脓性中耳炎并发急性乳突炎。这应与其他感染,如腮腺炎、耳后蜂窝织炎和淋巴结炎相鉴别。患者行鼓室成形术及乳突切除术。术中发现大量肉芽组织填充乳突空气细胞和鼓室,并切除。治疗后耳后肿胀、压痛逐渐消退。他的听力也有所改善。
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引用次数: 0
Esophageal Foreign Body 食道异物
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part13-ch47
H. J. Rhim
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引用次数: 0
Erythema Multiforme and Stevens-Johnson Syndrome 多形性红斑和史蒂文斯-约翰逊综合征
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part03-ch10
L. B. Stover
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引用次数: 0
Lumbar Puncture 腰椎穿刺
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part06-ch25
J. Percelay
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引用次数: 0
Urinary Tract Infection 尿路感染
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part16-ch64
D. Coghlin, B. Alverson
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引用次数: 0
Osteomyelitis 骨髓炎
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part20-ch82
G. Buser, Samir S Shah
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引用次数: 0
Altered Mental Status 精神状态改变
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part17-ch68
Meaghan E. Mungekar, Edward E. Conway
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引用次数: 0
Fluids and Electrolytes 液体和电解质
Pub Date : 2013-02-01 DOI: 10.1542/9781581108101-part18-ch74
Nora Esteban Cruciani
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引用次数: 0
期刊
Caring for the Hospitalized Child
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