Volume 96  ·   Issue 04  ·  1983

To the medical literature on mixed parotid tumor one more case in a woman aged 46 is added. The tumor measured 30×28×18.5 cm in size and weighed 7 kg.

A young female worker developed typical clinical manifestations of botulism on March 5, 1980, the 12th day after an open head injury, diagnosed as brain concussion with scalp laceration and depressive skull fracture. Wound botulism was confirmed bacteriologically by the demonstration of Type A botulinus toxin both in the serum and in the wound discharge, and Cl botulinum was isolated from the infected wound which was capable of producing Type A toxin on anaerobic cultivation. The possibility of food intoxication was excluded. She recovered completely with antitoxin therapy and long term assisted ventilation. Hers is considered the first confirmed case of wound botulism reported in Xinjiang and in all China and is probably the first case of wound botulism complicating a head injury reported in the literature.

Three cases of rare hemorrhage from ruptured uterine veins during pregnancy are reported. All were treated in time with no deaths. The mechanism, diagnosis and treatment of this type hemorrhage are discussed.

A 58-year-old woman with ectopic meningioma of the lung is reported. A round opaque shadow was found in her left upper lung field 17 years previously. It was excised and pathologically proved to be an ectopic meningioma. Computerized skull tomography 3 months postoperatively showed nothing abnormal. She Was followed up for one and half years and remained well. The authors consider that this ectopic extracranial meningioma was a primary tumor probably originating in the lung nerve sheath arachnoid cells.

A rare case of pulmonary infection caused by Emericella nidulans and Aspergillus flavus is reported for the first time in our country. This diagnosis is of significance mycologically. Direct microscopic examination and histopathologic cross section of expectorated mass show numerolus cleistoithecia of varying size, filled by asci and ascospores. Outside the cleistothecia were numerous thickwalled Hulle cells. The patient was treated satisfactorily with antimycotics.

25 children with acute nonlymphocytic leukemia (ANLL) were treated by combined chemotherapy, harringtonine or homoharringtonine, oncovin and prednisone (HOP) and HO in our hospital from July 1977 to May 1980. 15/25 cases achieved complete remission (CR), 15/22 given HOP attained CR. CR was attained in 4/4 acute promyelocytic leukemia (APC) cases on HOP.

This paper reports a case of hysterical amaurosis with both eyes blind and paroxysmal headache of 18 years' duration. The patient is subsequently cured by D'arsoval electrotherapy in only 18 treatments.

Pentagastrin-stimulation acid secretion studies in Chinese elderly gastric ulcer patients are investigated and the results are compared. The data are analyzed and a brief comment is presented.

The incidence of tracheoesophageal fistula after tracheostomy is on the increase since the introduction of mechanical ventilation, yet its management still remains a complicated problem. A newly designed conservative surgical procedure with clinically satisfactory results is reported. It entails esophageal transection just below the tracheoesophageal fistula through a right anterolateral thoracotomy; esophageal transection above the tracheoesophageal fistula through a cervical incision; reestablishment of esophageal continuity with a colon substitute. The advantages of this procedure are discussed in comparison with other surgical operations.

This paper deals with the clinical application of ear tissues preserved in the Wuhan Medical College Type I Ear Bank, including homograft of tympano-ossicular chain and tympanic membrane. The results of 15 operations performed with these allografts were encouraging.