中华放射学杂志
2018年 · 第52卷第03期
中华放射学杂志
Small bowel obstruction is the most common surgically related small bowel disease, which seriously affects the health and quality of life of patients. Conservative treatment is not effective. About 90% of patients with intestinal obstruction can be completely or partially relieved by the placement of an intestinal obstruction catheter[
Male, 64 years old. The right shoulder mass was found for more than 2 months and went to the orthopedic department of our hospital on May 18, 2016. Specialist physical examination: A mass of 5.0 cm ×6.0 cm ×7.0 cm was seen in the scapular area of the right shoulder. There was no redness, swelling and ulcer on the local skin, and the skin temperature was high. The mass was tough in quality, poor in mobility, and the boundary with the surrounding area was not clear. With persistent pain in the right shoulder. The mass tenderness was obvious, accompanied by limited functions such as abduction and lifting of the right shoulder joint, and the sensation, movement and blood circulation of the affected limb were acceptable. There was no history of trauma or surgery. Admission diagnosis: tumor in the right scapular region.
Male, 26 years old, suffered from right knee pain with limited movement caused by trauma 4 years ago. X-ray examination in the local hospital showed no obvious signs of fracture, and the surrounding soft tissue was swollen. It was not treated at that time, and the symptoms were relieved after resting at home (local imaging data was lost). One year ago, I had intermittent pain in my right knee joint and medial side of my right foot, which was severe and unbearable. I was admitted to the local hospital for examination. The results showed that uric acid was significantly higher than normal, and the diagnosis was gout. Colchicine was given orally for more than half a month, and the pain was significantly relieved. Now the patient sees a doctor because of the aggravation of intermittent pain in the medial side of his right knee and right foot; Admission to the hospital for physical examination, consciousness, mental state, diet and sleep, normal urine and defecation, no significant weight gain or loss recently. Specialist examination: swelling of the right knee joint, no abnormal skin, no abnormal sensation, tenderness of the upper and lateral patella (+), pain of the right knee joint aggravated when the right knee joint was straightened by 0°, flexed by 130°, and flexed by 90°, floating patella test (+), tenderness of the medial edge of the right foot (+). The patient did not have any relevant imaging examination of the right foot. After patella surgery, he was transferred to rheumatology department for diagnosis and treatment. After examination, no rheumatoid arthritis manifestations were found, and standardized gout treatment was performed. Follow-up by telephone after 1 month: The patient controlled his diet according to the doctor's advice, the pain was basically relieved, and the treatment of gout-related drugs was stopped. At present, everything is normal. Laboratory tests: uric acid 619 umol/L (normal value 237-356 umol/L), CRP 32 mg/L (normal value 0-5 mg/L).
Female, 31 years old. The visual acuity in the left eye was found to be reduced for more than 6 months and was admitted to hospital. More than 6 months ago, the patient had no visual loss in the left eye, no eye pain, redness and swelling, no dizziness, headache, nausea, vomiting, etc. Specialist examination: clearly speaking, answering questions, obeying instructions, symmetrical head and facial features without deformity. Both pupils are equal in size, about 3 mm in diameter, sensitive to light reflection, and the visual acuity of the left eye is reduced in rough measurement, but the visual acuity of the right eye is normal, without visual field defect; There was no abnormal secretion from the ear and nose, the tongue was extended in the center, and the nasolabial fold did not become shallow; The spine and limbs can be moved, muscle strength and muscle tone are normal, and there is no paresthesia. No significant thickening of the phalanges was observed. It is difficult to establish a negative sign with eyes closed. Physiological reflexes were present, pathological signs were negative, and meningeal irritation signs were negative.
Differentiation between benign and malignant pulmonary nodules and masses has always been a difficult and important point in chest imaging diagnosis. At present, there are many reports on CT, PET, CT perfusion and dynamic contrast enhanced (DCE) -MRI in the differentiation of benign and malignant pulmonary nodules and masses[
On October 13, 2017, the 6th Academician Liu Yuqing's Outstanding Paper Award Ceremony was held at the opening ceremony of the 24th National Radiology Academic Conference of Chinese Medical Association in Shanghai World Expo Center. The selection of outstanding papers of Academician Liu Yuqing is sponsored by the editorial department of this journal, named after Professor Liu Yuqing, the only academician in radiology in China. At present, it has been held for five sessions, aiming at selecting and commending outstanding scientific research papers published in our journal.
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