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1 case of pregnancy complicated with spontaneous pneumothorax


The pneumothorax. ⑤ infection, cancer, and familial pneumothorax. Pneumothorax occurs more in physical activity, but in the normal circadian rhythm or no physical activity, may also occur, where the increase intrathoracic pressure, especially those with lung disease, the lesion can induce alveolar pressure changes in the incidence of pneumothorax in this case for the 6 months of pregnancy, due to increased abdominal pressure, so that increased intrathoracic pressure, so that alveolar or bullous lesions ruptured pneumothorax. Patients after termination of pregnancy should be a comprehensive examination, chest X ray or pulmonary integrated CT and other checks to clear thoracoscopic cause of morbidity, timely diagnosis and treatment to prevent recurrence of pneumothorax. (Fan series: He Zhiyuan) 1 case of choroidal malignant melanoma on January 11 21.1999 right eye, glaucoma and cataract surgery line, open the iris and sclera general population see where new blood vessels, extensive adhesions of iris lens, a light yellow vitreous and vitreous spill large amounts of old, the family agreed to be diverted to the content of the right eye removed with intraoperative see the ball 4 to 5 point rupture the wall, remove the silicone ring tie a piece lcmX0.5cm postoperative conjunctival wound a healing, 18 were discharged. Patients after surgery to remove the contents of the ball that found a lower edge of the right orbital sclerosis, since that is the result of many local drug injection, after the full orbital gradually, almost 2.5 months longer in orbit since the mass and bulge under the eyelid about surface tissue encapsulated, smooth, base wide,[link widoczny dla zalogowanych], was gourd-shaped. The pathology report. Choroidal malignant melanoma. 2 to discuss the lessons of the case is serious. ① elderly patients with retinal detachment, must be strictly off with the identification of rhegmatogenous network. ② clinically can not be used: possible, pathological examination. ④ in the future should be followed up with or without visceral metastasis. (fan series: He Zhiyuan) 1 case of diabetic ophthalmoplegia Mount Liang Tong also Spring Garden Tian Chunmei Feng Limin Wang Zhenjiang, Jilin, Jilin City Central Hospital, Chinese University of North High Ying Mu Liqun Jin Liping Jilin City Central Hospital of pigment films Malignant melanoma is the most common adult eye tumor, 1 case after the author of the typical three phases: The quiet period, glaucoma of the ball outside the spread of the cases reported below. a case report Female patient, 74 years old on August 23 I2001 right eye due to orbital tumor biopsy taken 7 months was diagnosed. choroidal malignant melanoma. the fall of 1997 because of right eye in patients with decreased visual acuity, visual distortion to a hospital staff, diagnostic was. retinal detachment, line cerclage surgery. 7P reset after the retinal is not satisfactory, re-operation, poor visual acuity at discharge. there nearly a year after his right eye red, pain symptoms with headache, nausea, and in the hospital for further diagnosis of secondary glaucoma, given drug treatment, symptoms of intermittent relief for 5 months. January 6, 1999 due to the above symptoms then medication-free remission, turn our hospital, diagnosed as freedom of movement, mixed conjunctival hyperemia, corneal without edema, shallow anterior chamber, the nasal is more obvious, iris atrophy, and its thick surface neovascularization see mydriasis, the part of adhesion, crystal brown, cloudy, no swelling, intraocular pressure after admission T +1, to give lower intraocular pressure, and local injection of gentamicin and dexamethasone treatment, male patient described in case l, aged 71, I 3 days because of double vision while in the December 9, 2001 admission. the course of headache-free , dizziness, and nausea, vomiting, limb movement and flexible, patients with diabetes more than 10 years. examination. BP16/9kPa, heart, lungs, abdomen were normal, dorsalis pedis artery pulse is good. ophthalmology consultation. abducens nerve palsy. supplementary examination; Mm no abnormal head (without brainstem infarction). fasting and postprandial blood glucose on admission were: 11.6mmol / L, 13.7mmol/LI discharge reduced to: 7.3mmol / L, 8.4mmol / L. hypoglycemic therapy, intramuscular vitamin BhBI:, intravenous infusion of ATP, coenzyme A, citicoline, nutrition, nerve, giving vasodilators, symptoms improved 10 days, 1 month the symptoms disappeared. 2 to discuss diabetes with diabetic neuropathy is the most common complication, and clinical extraocular muscle paralysis is very rare, the incidence rate of diabetes loA 'main symptoms of diplopia. peripheral nerve involved most, followed by the spinal cord, autonomic nerves and cranial nerves are rare, cranial nerve involvement only diabetes nervous system 0.7OA ~ 1%, occurred in the side of the lateral rectus, followed by the side of the oculomotor nerve