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Register a new userالنفث الدموي.. تشخيص و علاج دراسة على 266 مريضاً
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تيسير صالح( باحث )
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النفث الدموي هو سعال كمية من الدم مصدره الطرق التنفسية السفلية ، و قد تم في هذا البحث دراسة حالة / 266 / مريضاً قدموا إلى الشعبة الصدرية في مشفى دمشق و مشفى الأندلس و عيادات خاصة بين 6\1\2013 و حتى 25\4\2015 كان لديهم سعال مع نفث دموي كسبب رئيسي للاستشارة الطبية.
Hemoptysis is the expectoration of blood that originates from the lower respiratory tract. In this study: hemoptysis was performed on /266/ patients who came to Damascus and Alandalus Hospitals and to private clinics from 6/1/2013 to 25/4/2015.
References used
jeady j.khan AR . Mohammed TL, etal. ACR Appro priatencss Criteria hemoptysis The – rad Imaging 2010,25.w 67-69
Ibrahim. WH Massive haemoptysis. The definition should be revised Eur Respir J 2008,23; 1131
Lordan Jl. Goscoigne A,corris PA. The pulmonary physician in critical care Iilostrative Thorax 2003, 58;814-819
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The main aim of this study is to analyze all cases of pericardial effusions - except post
cardiac procedures - who were admitted to surgical department in Al-Assad and Tichreen
University Hospital in the period between 2007-2016.
(63) cases of Per
icardial effusions were analyzed, (38) male and (25) female, their ages
were ranging between (17-67) years.
The most important two causes of pericardial effusions were renal failure (50.7%) and
Malignancies (34.9%). lung cancer was the leading cause of Malignancies accounting
17.4% of whole cases and 50% of Malignancies.
Pericardial window via left mini thoracotomy was the preferred procedure in our study.
68.2% of the patients under went this procedure, recurrent rate was 4.6%, and the amount
of recurrent pericardial effusion was minimal and didn’t need any management.
Pericardiocentesis was performed in 39.6% of our patients, recurrent rate was very high
80%, therefore it was abondend as a method of treatment and its role was considered only
in hemodynamically unstable patients or as a first step of preparation for pericardial window.
Pericardial window via subxyhoid under local anesthesia was performed in 11.11%;
recurrent rate was high 28.6%.We consider this approach only in patients who are not fit to
undergo other approaches or when the expected survival is very limited.
Pericardial window via thoracoscopic approach was performed in 15.8% of our patients;
recurrent rate was 10% with encouraging results. During performance of pericardial
window via minithoracotomy or thoracoscopically we were able to perform in (19) patients
many other diagnostic and therapeutic procedures such as pleurectomy, Biopsies from the
lungs, mediastinal tumors, and mediastinal lymph nodes as well.
The histopathological examination of the resected pericardial window and concurrent
procedures played an important diagnostic role in 23.8% of idiopathic pericardial
effusions.
Uremic Pruritus is one of the most common and frustrating symptom experience by patients with end-stage renal disease. Approximately 60% of dialysis patients experience pruritis, sometimes worse during the dialysis session.
The aim of this study w
as to determine the effect of gabapentin, 200 mg twice a week (after each hemodialysis session), on uremic pruritus.
Patients older than 18 years who have undergone hemodialysis for more than three months will be enrolled in this double-blind clinical trial.
The patients will be assigned to receive Gabapentin 200 mg following hemodialysis
( twice a week) for a period of four weeks, and after a washout week, they will receive the antihistamines for another four weeks.
The patients will be asked to evaluate the severity of their pruritus using a visual analogue scale (VAS).
Our results assured the efficacy of Gabapentin in the treatment of uremic pruritus, in comparison with Loratadine.
Research was conducted on a sample of 45 patients in the Department of hemodialysis in Alssad University Hospital in Latakia, It was implemented two policies nursing care included each policy applied on two experimental groups I and II for a period o
f 3 months, and the patients were monitored patients using the form author 3 parts of a demographic data and the activities of nursing care and monitoring the occurrence of complications. Results: The results showed the effectiveness of the application of the policy of nursing care, including exercise program in the prevention of the occurrence of complications during hemodialysis, effectiveness of exercise in the prevention of complications during hemodialysis, regardless of the activities of the sports program applied.
Conclusions: conclude from the study that the application of the policy of nursing care, including exercise program contributes to the prevention of the occurrence of complications (high / low blood pressure, nausea and vomiting, muscle spasm) during a session of hemodialysis.
The objective of this study was to model the Blood Flow into human arm’s
arteries in order to define velocity profile. All steps were based on
computational fluid dynamics .Simplified model for arm’s most important
arteries were made, while primar
y data such as length, diameter, and
velocity were collected for a healthy 40 years old, male , weight 64 Kg with
pulse rate 62 bpm ,and his arteries ranges from 1.6 to 2.6 mm by using
Doppler measurement.Bio dynami
الإدمان هو حالة جسدية و عقلية ناتجة من التفاعل بين العضوية و المخدر. و هذا يتجلى بتعديلات في التصرفات، و التزام باستهلاك المخدر بشكل مستمر أو بين فترة و أخرى لكي يحصل على التأثيرات العقلية و يتجنب خطر الحرمان.
يوصف الميتادون علاجاً بديلاً بديلة للهر
وئين و ذلك في محاولة لشفاء المريض من إدمانه، و هذا يتضمن إلى جانب المعالجة الدوائية باستخدام الميتادون المتابعة النفسية و الاجتماعية للمريض.
عدم التمكن من تحديد الحد الأدنى من الجرعة العلاجية المطلوبة يؤدي إلى عدم جدوى المعالجة و إلى استمرار المريض باستعمال المخدرات و ترك العلاج مما يؤدي إلى خطر الجرعة الزائدة بالحقن الوريدي.
بجميع الحالات فإن الدعم النفسي – الاجتماعي يجب أن يرافق المريض من أجل وضعه في أفضل شروط للعلاج.
إن التوقف عن استعمال الهيروئين يخفض من الإصابة بالأمراض الإنتانية المرتبطة بالتعاطي عن طريق الحقن الوريدي, و كذلك انخفاض نسبة الموت بجرعة زائدة.
من الناحية الاجتماعية فإن معالجة الإدمان تخفض حوادث الإجرام و تعيد انخراط المريض بالمجتمع و الحياة العملية.
هذه المعطيات الرقمية للبحث تظهر بشكل خاص أهمية العناية و المتابعة الطويلة ضمن برنامج محدد, و هذا مستلزم وصف الميتادون لفترة طويلة بالتوازي و الترافق مع متابعة نفسية و طبية و اجتماعية.
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