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Bronchial artery infusion of advanced lung cancer in 1 case of paraplegia


Hospital. Inpatient examination: body temperature 36.5 ℃, blood pressure 16/10kPa, Ming Shen Qing language, such as Datong bilateral pupil round, light reflex normal, nasolabial fold symmetry, the tongue extension without deflection, neck soft, no abnormal heart and lung, abdomen normal, normal limb muscle strength, limb freedom of movement, two have 4 bar's sign (a). Laboratory tests were normal, ECG normal. CT examination: in anl +4 O ~ 8O level, showing the top of occipital group sheet,[link widoczny dla zalogowanych], high density hemorrhage, about 5cm × 2.5cmCT value 58Hn, edge of the clear, low-density edema can be seen, the left lateral side, we can see more a lacunar lesions. Impression: right parietooccipital cerebral hemorrhage. Admission by the use of hemostatic agents reptilase, 20 mannitol reduce intracranial pressure, nutrition, drugs such as brain cells 1 month of treatment, were discharged. Example 2: male. Aged 46, October 22, 1996 because of headache,[link widoczny dla zalogowanych], vomiting, hospitalization. Physical examination: body temperature 37.4 ℃, blood pressure 24/12kPa, language Ming Shen Qing, and other common ground on both sides of a round pupil, light reflex good, neck soft,, CB * without exception, abdomen normal, normal limb muscle strength, freedom of movement , ECG normal, pathological reflex was not elicited, admission diagnosis of hypertension. The use of antihypertensive, anti-inflammatory treatment did not improve, blood pressure fluctuations in between 24 ~ 20/18 ~ 14kPa,[link widoczny dla zalogowanych], headache intensified, and sometimes fever,[link widoczny dla zalogowanych], hospital 10 days turn higher hospital CT. CT findings: Cm20 ~ 5mm round level of the left frontal lobe see high density, the size of about 3, Ocm × 1.5cm, CT value of the diameter of 5o ~ 70Hn, low-density edema around the ring with the left anterior horn of lateral ventricle slightly compressed, other aspects were normal. Diagnosed with left frontal cerebral hemorrhage (bleeding 7m1). The use of legislation to stop bleeding, intravenous 2O% mannitol, and other drugs cure cerebrolysin ~ degrees better, preparation for discharge. Sudden severe headache 19 days hospitalization, nausea, vomiting, coma, ranging from large on both sides of the pupil, light reflex, 2 hours after the anonymous re-cerebral hemorrhage, she died. * 41 * discussion: CT since the advent of greatly improved the diagnosis rate of cerebral hemorrhage, but no dysfunction of the rare reports of cerebral hemorrhage. According to Niu Shi and other reports, 2757 cases of Japanese scholars have 3747 times the line cerebrovascular disease MR examination, the results show. Saw 17 cases of asymptomatic cerebral hemorrhage, cerebral hemorrhage accounted for 9.5%. No dysfunction is a static cerebral hemorrhage stroke, more common clinical signs, symptoms of focal slow and incomplete. Common site of bleeding in the occipital and frontal roof, quiet area, said the symptoms. No functional disability of cerebral hemorrhage, mainly due to high blood pressure, cerebral atherosclerosis, mainly in middle-aged. Quiet Zone cerebral hemorrhage and high mortality. In short, no dysfunction of the cerebral hemorrhage, clinical studies should further make full use of advantages of CT and MR for early diagnosis and to give timely treatment to reduce mortality of cerebral hemorrhage has an important significance.
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