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diagnosis
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  diagnosis
Rotor broken-bar fault diagnosis of induction motor based on HHT of the startup electromagnetic torque
      
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Right heart catheterization was performed 120 times in 112 cardiac cases admitted into Chung-Shan Hospital of Shanghai First Medical College in a period of 13 months from September 1957 to September 1958. Catheterization was done in this series of cases chiefly for the purpose of studying the hemodynamic changes in the lesser circulation and as an aid to diagnosis in congenital heart diseases and rheumatic mitral valvular disease, when cardiac surgery was considered for treatment. In 8 of them catheterization...

Right heart catheterization was performed 120 times in 112 cardiac cases admitted into Chung-Shan Hospital of Shanghai First Medical College in a period of 13 months from September 1957 to September 1958. Catheterization was done in this series of cases chiefly for the purpose of studying the hemodynamic changes in the lesser circulation and as an aid to diagnosis in congenital heart diseases and rheumatic mitral valvular disease, when cardiac surgery was considered for treatment. In 8 of them catheterization was repeated 6 weeks after surgical repair of an interauricular septal defect or valvotomy of a stenotic pulmonic valve. In this paper the entire procedure of catheterization has been described in detail, particuhrly with regard to some technics of manipulation of the catheter in order to let it get through the tricuspid and pulmonic orifice, and to wedge it into the "pulmonary capillary". Indications, contraindications, complications and results of catheterization in our cases have been dicussed. Among the complications, cardiac arrhythmia was the most common but it was seldom serious. Electrocardiographic observation during the procedure showed that premature beats especially of ventricular origin occured nearly in every case. Two patients developed pulmonary edema shortly after catheterization. One of them survived, while the other unfortunately died in spite of energetic treatment. Both were cases of mitral stenosis with marked pulmonary hypertension. In the entire series of 112 cases, catheterization helped us to establish the diagnosis in 107 of them, among which 68 patients were operated upon after catheterization, and in 66 of them the preoperative diagnoses proved to be correct. According to the material presented, right heart catheterization appears to be a comparatively safe and useful procedure in the diagnosis of cardiac diseases.

一、本文分析报告112例住院心脏病病人,120次右心导管檢查的結果。二、本组病例檢查的指征主要是对先天性心脏病及二尖瓣病的診断和外科治疗的选擇。三、对檢查方法加以描述,对影响檢查成敗的因素加以討論。四、分析檢查的結果,认为右心导管檢查对上述心脏病的診断有重大的价值,而危險性不大,但檢查时仍应提高警惕,掌握禁忌証并注意安全防止严重并发症的发生。

The author analysed a series of 57 cases with cysticercosis of posterior fossa in this study. The cardinal clinical features are as tollows, intermittent destructive attacks of intracranial hypertension; less neurological deficit by involvement of cerebellum and brain stem and meningo-encephalitis like change of the cerebrospinal fluid. Cysticercosis of the posterior fossa may be classified as follows: ventricle type (fourth ventricle or aqueduct) pia mater type (cisterna Magna or cerebello pontine angle), cerebellar...

The author analysed a series of 57 cases with cysticercosis of posterior fossa in this study. The cardinal clinical features are as tollows, intermittent destructive attacks of intracranial hypertension; less neurological deficit by involvement of cerebellum and brain stem and meningo-encephalitis like change of the cerebrospinal fluid. Cysticercosis of the posterior fossa may be classified as follows: ventricle type (fourth ventricle or aqueduct) pia mater type (cisterna Magna or cerebello pontine angle), cerebellar cortex type, and mixed type; end among them there are strikingly different clinical manifestations, treatments, and prognosis. The complement fixation reaction with the cerebrospinal fluid and the Conray Ventriculography are still effective examination methods in diagnosis of cystecercosis of posterior fossa. The surgical method was discussed for cysticercosis of posterior fossa. In this series, all of 57 cases were treated by operation. Its results were fairly good, the mortality of 3.5% was obtained.

本文对57例颅后窝脑囊虫病进行分析,其主要临床特点如下:颅内压增高呈间歇性梗阻性发作,小脑及脑干受损神经体征较少;脑脊液呈脑膜脑炎性变化。颅后窝脑囊虫病可分脑室型(第四脑室或导水管),软脑膜型(枕大池或桥脑小脑角),小脑皮质型和混合型,其临床表现、治疗和予后各有不同。脑脊液囊虫补体结合试验和脑室碘水造影仍是诊断颅后窝脑囊虫病有效检查方法。对颅后窝脑囊虫病的手术方法进行讨论,本组57例均行手术,手术效果较好,手术死亡率3.5%。

According to clinical and autopsy materials, we recommend the diagnostic criteria of hepatic duct stenosis, and give our conception of the real stenosis and relative stenosis, The real stenosis is subject to the diameter of stricture less than 4mm. whereas the relative stenosis is applied to that the constricting ring may even be big enough to allow insertion of index finger, but there is cystic dilatation above the stricture. The therapeutic effects of various operative technic compared between presence and...

According to clinical and autopsy materials, we recommend the diagnostic criteria of hepatic duct stenosis, and give our conception of the real stenosis and relative stenosis, The real stenosis is subject to the diameter of stricture less than 4mm. whereas the relative stenosis is applied to that the constricting ring may even be big enough to allow insertion of index finger, but there is cystic dilatation above the stricture. The therapeutic effects of various operative technic compared between presence and absence of hepatic duct stenosis reveal that hepatic duct stenosis is responsible for lower curability and higher recurrence rate, contributing the most important factor for the therapeutic result. It is of clinically importance in various aspects, in which the incidence is rather high, hapatic damage is severe, reoperability is high, response to therapy is poor, and mortality rate is high. Finally, sereral viewpoints for diagnosis and treatment of hepatic duct stenosis have been suggested, and the causes of stricture formation and its relation with intrahepatic calculi are discussed briefly.

根据临床和尸检材料,介绍了诊断肝胆管狭窄的标准,并提出了真性狭窄和相对狭窄的概念。将65例肝胆管狭窄与50例无狭窄病案对各种手术疗效进行对比,可以看出,存在肝胆管狭窄合併肝内结石是影响疗效的重要因素。从发病率高、肝损害严重、再次手术率高、疗效差和病死率高五个方面说明肝胆管狭窄的临床重要性。最后,对肝胆管狭窄的诊断和治疗提出了几点意见,并对狭窄的成因和结石的关系作了简短讨论。

 
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