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Post radiofrequency ablation management of complications of osteoid osteoma with Ayurveda 阿育吠陀治疗类骨瘤术后并发症的射频消融治疗
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-21 DOI: 10.53730/ijhs.v7ns1.14567
Himani Sharma, Kalpana Satputte, Ishan Mittal, Shivapal Khandizod, Prachi Dhananjay Patwari, Neena Damle
Osteoid osteoma is a benign bone tumour that usually develops in the long bones of the body such as femur & tibia. It causes continuous, deep and severe pain at night, Swelling, joint stiffness. Modalities of management in modern medicine are limited and many patients suffer from post RFA complication like pain, general debility, gait disorder etc. Hence, there is a need of more efficient methods to treat this. Our present study comprises of one such way of dealing post radiofrequency management of Osteoid Osteoma through Ayurveda. A single case study of 18 year old male patient, diagnosed with Osteoid Osteoma of right hip joint who underwent RFA for same but did not get relief. Patient came to us with the complaint of severe pain in right hip joint with muscle lag associated with difficulty in doing daily activities such as walking, cross leg sitting, squatting & Gait disorder from last two years.
骨样骨瘤是一种良性骨肿瘤,通常发生在人体的长骨,如股骨;胫骨。它会在夜间引起持续、深度和剧烈的疼痛,肿胀,关节僵硬。现代医学的治疗方式有限,许多患者出现RFA后并发症,如疼痛、全身虚弱、步态障碍等。因此,需要更有效的方法来治疗这种情况。我们目前的研究包括通过阿育吠陀治疗骨样骨瘤的射频治疗后的一种方法。一例18岁男性患者,诊断为右髋关节骨样骨瘤,接受RFA治疗,但未得到缓解。患者来就诊时主诉右髋关节剧烈疼痛并伴有肌肉迟滞,难以进行日常活动,如行走、盘腿坐、下蹲等。近两年的步态障碍。
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引用次数: 0
The Effect of Providing Cognitive Support (Information) on Coping Congestive Heart Failure Patients 提供认知支持(信息)对应对充血性心力衰竭患者的影响
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-20 DOI: 10.59585/ijhs.v1i3.150
Dito Anurogo, Asbath Said, Harmanto Harmanto, Rina Inda Sari, Solehudin Solehudin, A. Nursinah
Coping is the way it is done individual in finish problem, adjust self with change, response to threatening situation. Behavior coping formed through change method thinking (cognitive), change behavior or purposeful environment for resolve the stress faced. Behavior coping is also formed through the process of learning, remembering and relaxing. Learn here is ability adapt self (adaptation) to influences internal and external factors. Cognitive is acquisition, arrangement and use encompassing knowledge every related mental behavior with understanding, consideration, processing information, solving problems, gaps and beliefs. Cognitive support (Information) is information or announcement or news. Function information that is as material standard for take decisions, where everyone is in every moment will take right decision need information that is relevant, useful, appropriate, and correct. Change formation cognitive generally started with changes in wishes and information. That information newly acquired somebody can happen change in his thinking. This something beginning for understand deed cognitive.
应对是个体在解决问题、用变化调整自我、应对威胁情况时所采取的方式。行为应对通过改变方法思维(认知)形成,改变行为或有目的的环境来化解所面临的压力。行为应对也是通过学习、记忆和放松的过程形成的。这里学习的是自我适应(适应)内外部因素影响的能力。 认知是对知识的获取、安排和使用,包括理解、考虑、处理信息、解决问题、差距和信念等相关的心理行为。认知支持(Information)是指信息或公告或新闻。功能信息是作为决策的物质标准,每个人在任何时刻都会做出正确的决策,需要相关的、有用的、适当的和正确的信息。 变化形态认知通常始于愿望和信息的变化。新获得的信息可能会改变一个人的想法。这是为了开始理解行为认知。
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 Cognitive is acquisition, arrangement and use encompassing knowledge every related mental behavior with understanding, consideration, processing information, solving problems, gaps and beliefs. Cognitive support (Information) is information or announcement or news. Function information that is as material standard for take decisions, where everyone is in every moment will take right decision need information that is relevant, useful, appropriate, and correct.
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引用次数: 0
Corruption as a Barrier to Health Service Delivery in Lira District, Uganda 腐败是乌干达里拉地区提供保健服务的障碍
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-19 DOI: 10.47941/ijhs.1440
Tonny Okori, Gilbert Obici, David Mwesigwa
Purpose: This study set to investigate the relationship between corruption and health service delivery in the Lira district. Four objectives were targeted: determining the effect of corruption on health service delivery, examining corrupt actions, mechanisms of fighting corruption and challenges faced by the public in fighting corruption in Lira district. Methodology: The study adopted a cross-sectional study design that employed a mixed-methods approach of both quantitative and qualitative methods. The study population consisted of 120 people, which comprised patients, in-charges of Ogur and Amach Health Center IV, village health teams, and some community leaders. The researcher used self-administered questionnaires to collect data, an interview guide, and a focus group discussion checklist for qualitative. The descriptive statistics (mean, frequency, and standard deviation) and the regression statistics were used to determine the effect of corruption on health service delivery. Findings: The study found that corruption is associated with poor health service delivery in government health facilities. The regression coefficient of 0.97 and R-square of 0.97 reveal a strong correlation, which affects health service delivery by 38.2 percentage points. There are numerous corruption actions in health facilities, such as the selling of government drugs to patients; bribery, especially in the outpatient department; theft of health commodities; nepotism; favoritism; segregation at all service points in health facilities; and poor accountability. The mechanisms of fighting corruption in the health sector were community empowerment, community campaigns against corruption, reporting of suspected cases of corruption, tight supervision of government employees, and others. The challenges faced by the public in fighting against corruption were lack of community empowerment, a lack of information, unclear reporting channels for corrupt perpetrators, community ignorance, and fears of being mistreated by health workers, a weak political system, and bribery. Unique contribution to theory, policy and practice: It was recommended that the government of Uganda should increase health worker salaries; tighten supervision of health workers at least weekly for effective monitoring; and a contract for fighting corruption be awarded to a private company because it worked well with the Apac anti-corruption coalition (TACC). This study contributes to the re-awakening of stakeholders on the depth of corruption in basic service delivery in Uganda.
目的:本研究旨在调查里拉地区腐败与卫生服务提供之间的关系。确定了四个目标:确定腐败对提供保健服务的影响、审查腐败行为、反腐败机制以及里拉区公众在反腐败方面面临的挑战。研究方法:本研究采用横断面研究设计,采用定量和定性相结合的方法。研究人群由120人组成,包括患者、奥格尔和阿玛赫第四卫生中心的负责人、村卫生队和一些社区领导人。研究人员使用自我管理的问卷收集数据,访谈指南和焦点小组讨论清单进行定性。使用描述性统计(平均值、频率和标准差)和回归统计来确定腐败对卫生服务提供的影响。调查结果:研究发现,腐败与政府卫生机构提供的卫生服务质量差有关。回归系数为0.97,r平方为0.97,相关性强,影响卫生服务提供38.2个百分点。卫生设施中存在许多腐败行为,例如向患者出售政府药品;贿赂,特别是在门诊部;盗窃卫生商品;裙带关系;偏袒的;在卫生设施的所有服务点实行隔离;问责制也很差。在卫生部门打击腐败的机制包括社区赋权、社区反腐败运动、举报涉嫌腐败案件、严格监督政府雇员等。公众在打击腐败方面面临的挑战是:缺乏社区赋权、缺乏信息、对腐败行为人的举报渠道不明确、社区无知、担心被卫生工作者虐待、政治制度薄弱以及贿赂。对理论、政策和实践的独特贡献:建议乌干达政府提高卫生工作者的工资;至少每周加强对卫生工作者的监督,以便进行有效监测;并将一份反腐败合同授予一家私营公司,因为该公司与亚太地区反腐败联盟(TACC)合作良好。这项研究有助于利益相关者重新认识乌干达基本服务提供中的腐败程度。
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引用次数: 0
The Effect of Discharge Planning on Ability of Parents to Care for Children After Diarrhea At Labuang Baji General Hospital 出院计划对拉黄巴吉总医院腹泻患儿父母照顾能力的影响
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-19 DOI: 10.59585/ijhs.v1i3.149
Nur Rahmah Awaliah, Anggi Aryadi, Rendi Randika, Djusmadi Rasyid, Sri Ariyanti, Tri Wahyuni, Islaeli Islaeli
Systematic nursing services need to focus on identifying and solving problems, and it is hoped that nurses play a role in helping families in providing care at home through the necessary health education for clients. This activity will run more effectively with early planning and health education, with the hope that client care can continue. So discharge planning is very necessary. This study aims to determine the effect of discharge planning on parents' ability to care for children after diarrhea at RSUD Labuang Baji Makassar. This research is a quantitative research with a Quasi Experimental design. The population studied were parents with children suffering from diarrhea who were treated at Labuang Baji Hospital, Makassar. With a sample size of 60 respondents. The sampling technique is purposive sampling. The sample was divided into two groups, namely the control group and the treatment group. After both groups were observed regarding knowledge, attitudes and skills. The treatment group was given the dischaege planning intervention, while the control group was not given the intervention. Data were collected using observation sheets and questionnaires with assessments according to the Gutman and Likert scales. Data analysis used t-test, Chi-Square, and Odds Ratio, with a significance level of α = 5% (0.05). Analysis of results in the treatment group using t-test. It was found that there was a significant influence between discharge planning on parents' ability to care for their children after diarrhea. with the expected value (p = 0.00) smaller than the value (0.005). and in the Chi-Square (Fisher's Exact Test) the value P = 0.00 < 0.05 is obtained which can be concluded that there is a relationship between discharge planning and the ability of parents to care for children after diarrhea, whereas in the analysis using the Odds Ratio of the value is 7.5, meaning . Parents who were given discharge planning intervention were 7 times more likely to have greater knowledge, skills and attitudes compared to parents who were not given discharge planning intervention. Meanwhile, in the control group, no influence or relationship was found with the expected t-test value p=0.32 > 0.05 and Chi-Square p=1,000 > 0.05. The conclusion is that there is an influence of discharge planning on parents' ability to care for children after diarrhea.
系统的护理服务需要注重发现和解决问题,希望护士通过对来访者进行必要的健康教育,帮助家庭提供居家护理。通过早期规划和健康教育,这项活动将更有效地开展,希望客户关怀能够继续下去。所以出院计划是非常必要的。本研究旨在探讨出院计划对拉旺巴吉望加锡RSUD腹泻患儿父母照顾能力的影响。本研究为准实验设计的定量研究。研究对象是在望加锡Labuang Baji医院接受治疗的腹泻患儿的父母。样本量为60名受访者。抽样技术是有目的的抽样。将样本分为两组,即对照组和治疗组。之后观察两组的知识,态度和技能。治疗组给予出院计划干预,对照组不给予干预。使用观察表和问卷收集数据,并根据Gutman和Likert量表进行评估。数据分析采用t检验、卡方检验和比值比,显著性水平为α = 5%(0.05)。治疗组结果采用t检验分析。出院计划对父母照顾腹泻患儿的能力有显著影响。期望值(p = 0.00)小于实际值(0.005)。在卡方检验中,P = 0.00 <得到0.05,可以得出出院计划与父母照顾腹泻后儿童的能力之间存在关系,而在使用比值比进行分析时,该值为7.5,意味着。与未接受出院计划干预的父母相比,接受出院计划干预的父母拥有更多知识、技能和态度的可能性要高出7倍。同时,在对照组中,没有发现影响或关系,期望t检验值p=0.32 >0.05,卡方p= 1000 >0.05. 结论:出院计划对父母对腹泻患儿的护理能力有影响。
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引用次数: 0
impact of implementing the health transformation strategy on health services delivery from employee’s point of view 从雇员的角度看,实施保健转型战略对提供保健服务的影响
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-17 DOI: 10.53730/ijhs.v7ns1.14560
Hassan Al-Shehri, Saleh Abdullah Aloyuni
The study aimed to assess the impact of the health transformation strategy on the provision of healthcare services from the perspective of employees in the Kingdom. The descriptive and analytical methodology was used, along with a questionnaire, to collect data from administrative staff in hospitals and healthcare centers. After analyzing the data, the study found that there is a high level of health transformation in the Kingdom across its three dimensions, and there is also a high level of healthcare service provision. The study also found a statistically significant positive correlation between the level of health transformation across its three dimensions and the level of healthcare service provision in the Kingdom. Important findings from the study include the need to improve the level of healthcare staff and provide a supportive and stimulating environment for their work, as well as improving communication with beneficiaries of healthcare services. The study recommended maintaining the Kingdom's excellent level of healthcare services by providing all the necessary resources and requirements to achieve the goals of Vision 2030.
该研究旨在从沙特王国雇员的角度评估保健转型战略对提供保健服务的影响。使用描述性和分析性方法以及问卷调查,从医院和医疗保健中心的行政人员那里收集数据。在对数据进行分析后,该研究发现,沙特王国在其三个维度上的健康转型水平很高,医疗保健服务提供水平也很高。该研究还发现,在三个维度上的健康转型水平与沙特王国的医疗保健服务水平之间存在统计学上显著的正相关。这项研究的重要发现包括需要提高保健人员的水平,为他们的工作提供一个支持性和激励性的环境,以及改善与保健服务受益者的沟通。该研究建议通过提供实现《2030年愿景》目标所需的一切必要资源和要求,维持沙特王国卓越的医疗保健服务水平。
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引用次数: 0
Self-Efficacy and Anxiety Level of Third-Trimester Primigravida 孕晚期初孕患者的自我效能感与焦虑水平
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-16 DOI: 10.59585/ijhs.v1i3.143
Susanti Susanti, Hafizah Che Hassan, Musheer Abdulwahid Aljaberi
Childbirth anxiety causes changes in a woman's mind during the third trimester. Prolonged worry can make it difficult for pregnant women to focus and cause them to lose confidence. Purpose: This study determines the relationship between self-efficacy and anxiety levels of third-trimester primigravida pregnant women. Methods: This study used cross-sectional data and correlation analysis. The purposive sampling method selected 82 third-trimester pregnant women as the study population. The study sample included 57 third-trimester pregnant women per the inclusion criteria. This study used two questionnaires: the self-confidence scale and the Revised Pregnancy-Related Anxiety Questionnaire (PRAQ-R2). The research results on self-efficacy obtained 63.2% with moderate self-efficacy, while anxiety levels obtained the majority with moderate anxiety at 49.1%. Data analysis using the Spearman Rank correlation test formula obtained a correlation coefficient of 0.645 with a significance of 0.000 (p <0, 05). Conclusion: There is a significant relationship in the self-efficacy of third-trimester primigravida pregnant women with anxiety levels with a strong correlation coefficient.
分娩焦虑会导致女性在妊娠晚期的心理变化。长时间的担忧会使孕妇难以集中注意力,导致她们失去信心。目的:研究初孕晚期孕妇自我效能感与焦虑水平的关系。方法:采用横断面资料和相关分析。目的抽样方法选取82例妊娠晚期孕妇作为研究人群。根据纳入标准,研究样本包括57名妊娠晚期孕妇。本研究采用两份问卷:自信量表和修订妊娠相关焦虑问卷(PRAQ-R2)。自我效能感的研究结果为63.2%,自我效能感为中度,焦虑水平占多数,焦虑水平为中度,为49.1%。采用Spearman秩相关检验公式进行数据分析,相关系数为0.645,显著性为0.000 (p < 0.05)。结论:初孕晚期孕妇自我效能感与焦虑水平有显著相关,且有较强的相关系数。
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引用次数: 0
Implication of inflammatory markers in post COVID syndrome 炎症标志物在COVID后综合征中的意义
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-15 DOI: 10.53730/ijhs.v7ns1.14558
Rohit Rohit, Manvi Sharma, Mayank Nangru, Ankit Gulia
Post-COVID syndrome was described in the context of a survey of prolonged COVID-19 symptoms for the first time in 2020, run by the Patient-Led Research Collaborative, citizen’s scientist group. Symptoms persisting for more than three weeks after the diagnosis of COVID-19 fall into the category of post-COVID syndrome. The most common post-COVID symptoms include fatigue, dyspnea, olfactory and gustatory dysfunction, chest pain, myalgia, and sleep and mental disorders. The pathogenesis of post-COVID syndrome is multi-factorial. Underlying chronic, low grade inflammation has been theorized for pathogenesis. Available data shows conflicting results regarding the implication of inflammatory markers in full clinical spectrum and its long-term outcome.
“后covid综合征”是在2020年首次对COVID-19长期症状进行调查的背景下描述的,该调查由公民科学家组织“患者主导的研究协作组织”开展。新冠肺炎确诊后持续3周以上的症状属于后冠综合征。新冠肺炎后最常见的症状包括疲劳、呼吸困难、嗅觉和味觉功能障碍、胸痛、肌痛、睡眠和精神障碍。新冠肺炎后综合征的发病机制是多因素的。潜在的慢性、低度炎症已被认为是发病机制。现有数据显示,关于炎症标志物在全临床谱中的含义及其长期预后的结果相互矛盾。
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引用次数: 0
Importance of microbiology in autopsy procedure 微生物学在尸检过程中的重要性
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-14 DOI: 10.53730/ijhs.v7ns1.14556
Gitanjali Dass, Tamanna Wara, Annwesha Mazumdar
The importance of bacterial cultures in autopsy has been controversial since Filippo Pacini and Robert Koch's early investigation into the etiology of cholera. Death-war and / or post-mortem invasion by the patient's native flora poses a problem with respect to post-mortem intervals, selection of anatomical location of cultures containing blood, CSF, and number of specimens required to be bought and collected in Microbial Laboratory for processing. Additionally, importance of postmortem virus research is significant. An increasingly important aspect of occupational safety is involved in handling of patient samples by laboratory staff. During the AIDS epidemic, regulatory bodies were urged to reconsider the importance of postmortem microbiological tests. This editorial is used to determine the exact cause of death without sacrificing the logistical and human resources of the Institute of Microbiology Practical sampling guidelines. The American University of Pathologists (CAP) are known to have developed a general checklist item for performing autopsy, but there are no specific guidelines, recommendations, or checklist items to address performance criteria for postmortem microbial culture studies. This review provides a brief historical perspective on autopsy microbiology, including a discussion of concerns about the postmortem spread of microorganisms, followed by a description of how to sample.
自从Filippo Pacini和Robert Koch对霍乱病原学的早期调查以来,细菌培养在尸检中的重要性一直存在争议。死亡之战和/或死后患者原生菌群的入侵,在死亡间隔、含血、脑脊液培养物解剖位置的选择以及需要购买并在微生物实验室收集进行处理的标本数量等方面造成了问题。此外,死后病毒研究的重要性是显著的。职业安全日益重要的一个方面是实验室工作人员处理病人样本。在艾滋病流行期间,监管机构被敦促重新考虑死后微生物检测的重要性。这篇社论用于确定确切的死亡原因,而不牺牲微生物研究所实用抽样准则的后勤和人力资源。众所周知,美国病理学家大学(CAP)已经为进行尸检制定了一个通用的检查清单项目,但没有具体的指导方针、建议或检查清单项目来解决死后微生物培养研究的性能标准。这篇综述提供了尸检微生物学的简要历史观点,包括对微生物死后传播的关注的讨论,随后描述了如何取样。
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引用次数: 0
Analysis of Factors Associated with Endemicity of Dengue Hemorrhagic Fever in Two Villages of Baranti District 巴兰提区两村登革出血热流行相关因素分析
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-14 DOI: 10.59585/ijhs.v1i3.148
Dito Anurogo, Albertus Ata Maran, Albina Bare Telan, Muslimin B, Siti Juwariyah, Sulfiani Sulfiani
Dengue Hemorrhagic Fever cases in Indonesia reported from 2000 to 2004 fluctuated, in 2000 there were 45,710 cases with a total of 472 deaths, in 2001 it increased to 46,790 cases with a total of 493 deaths, in 2002 there were 40,377 cases, and in 2003 the number of dengue cases there were 50,131 cases, the number of deaths was 289 cases, most recently in March 2004 the number of dengue fever cases was 26,015 cases with the number of deaths being 389 cases. The aim of the research is to analyze factors related to the endemicity of Dengue Hemorrhagic Fever in two sub-districts of Baranti District. This research method is Observational research with a Cross Sectional Study design looking at the relationship between endemic and non-endemic factors causing the incidence of Dengue Hemorrhagic Fever in two sub-districts of Baranti District. The population and sample in this study are houses and heads of families who are located or domiciled in endemic and non-endemic sub-district areas. Data collection was carried out by interviewing residents' activities using questionnaires. Observations were carried out to obtain data on larval density, number of containers, waste management using observation sheets. How to check for larvae in water. The container was shaken after a few minutes. The presence of larvae was checked using a flashlight and Calculation of larval density for House index, Container Index and Breteau index. The results of the research showed that in endemic areas the percentage of larvae found in containers in houses was 42 houses (68.9%), and no larvae were found in 205 houses (46.9%), in non-endemic areas the number of larvae found in containers in houses was 19 houses (31, 1 %) and containers were not found in 232 houses (53.1 %). Probability (p) < 0.05 indicates a relationship between containers in the house and larval density in dengue endemic and non-endemic areas.
登革出血热病例从2000年到2004年在印度尼西亚报道起伏不定,在2000年有45710例,共472例死亡,2001年增加到46790例共有493人死亡,2002年有40377例,2003年登革热病例有50131例,死亡人数289例,最近一次是在2004年3月登革热病例数26015例,死亡人数389例。本研究旨在分析巴兰提区两个街道登革热出血热流行的相关因素。本研究方法为观察性研究,采用横断面研究设计,探讨巴兰提区两个街道登革热出血热发病的地方性和非地方性因素之间的关系。本研究的人口和样本是位于或居住在流行和非流行街道地区的房屋和户主。数据收集采用问卷法对居民活动进行访谈。进行了观察,以获取有关幼虫密度、容器数量和使用观察单进行废物管理的数据。如何检查水中的幼虫。容器几分钟后摇晃了一下。采用手电法检查幼虫是否存在,并计算幼虫密度,分别为House指数、Container指数和Breteau指数。研究结果表明:疫区房屋集装箱内发现幼虫42只(68.9%),未发现幼虫205只(46.9%);非疫区房屋集装箱内发现幼虫19只(31.1%),未发现幼虫232只(53.1%)。概率(p) <0.05表示登革热流行地区和非流行地区室内容器与幼虫密度之间的关系。
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引用次数: 0
Case Report: Non traumatic Cerebellar Hemorrhage in a Young Man 病例报告:一例青年非外伤性小脑出血
Q2 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-09-12 DOI: 10.47941/ijhs.1435
Khawand Saeed Perdawd
Intracerebral hemorrhage (ICH) is a seldom-seen event, occurring in around 10% of cases within the cerebellum. These incidents are more common among older adults and are frequently linked to hypertension. However, instances have also been documented in younger individuals, particularly those with arteriovenous malformations and angiomas. The occurrence of spontaneous cerebellar hemorrhages, unrelated to trauma or known risk factors, is exceptionally rare and has a mortality rate ranging from 25% to 57%. This case involved a 29-year-old male who experienced a spontaneous cerebellar hemorrhage. Despite being a healthy young adult without common risk factors for cerebrovascular accidents (CVAs), even not smoking.
脑出血(ICH)是一种罕见的事件,大约10%的病例发生在小脑内。这些事件在老年人中更为常见,并且经常与高血压有关。然而,在年轻人中也有记录,特别是那些有动静脉畸形和血管瘤的人。与创伤或已知危险因素无关的自发性小脑出血极为罕见,死亡率在25%至57%之间。本病例涉及一名29岁男性,他经历了自发性小脑出血。尽管是一个健康的年轻人,没有常见的脑血管事故(CVAs)危险因素,甚至不吸烟。
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引用次数: 0
期刊
International Journal of Health Sciences-IJHS
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