简介：Epigastricpain,alsoknownasstomachpain,ispresentedwithfrequentlyrecurrentpainintheupperabdomenorstomacharea,whichismainlycausedbyexogenouspathogen,improperdietorinternalinjuriesduetosevenemotions.All45caseswithepigastricpaincausedbyvariousfactorsweretreatedwithmainlyneedlingHegu(LI4)betweenNovember2010andNovember2012,andthereportisgivenasfollows.

简介：AbstractBackground:Invasive sphenoid sinus aspergillosis is a rare but life-threatening condition usually found in immunocompromised patients. When involving cavernous sinus and surrounding structures, patients are frequently misdiagnosed with a neoplasm or sellar abscess. Timely diagnosis and intervention are crucial to patients’ outcomes. The objective of this study is to review cases of invasive sphenoid sinus aspergillosis to describe disease manifestations, imaging features, treatment, and outcome.Case presentation:We describe four patients with invasive sphenoid sinus aspergillosis misdiagnosed as sellar tumors preoperatively. The mass was completely removed in three patients and partially removed in one patient microscopically. Pathological examinations confirmed Aspergillus in all cases. All four patients received anti-fungal agents postoperatively. There was no recurrence at the time of each patient’s follow-up date. One patient with complete resection was lost to follow-up while the other three patients’ neurologic function improved. Additionally, we performed a systematic review regarding invasive sphenoid sinus aspergillosis of existing English literature.Conclusion:With regard to clinical symptoms, headache, vision impairment, and ophthalmoplegia were observed in over half of the patients in the literature. A sellar mass with bone destruction on CT and involvement of cavernous sinus is highly suggestive of invasive fungal sphenoid sinusitis. Immediate surgical removal of the lesion is recommended for invasive sphenoid sinus aspergillosis to preserve nerve function and increase the likelihood of survival.

简介：AbstractBackground:Invasive sphenoid sinus aspergillosis is a rare but life-threatening condition usually found in immunocompromised patients. When involving cavernous sinus and surrounding structures, patients are frequently misdiagnosed with a neoplasm or sellar abscess. Timely diagnosis and intervention are crucial to patients’ outcomes. The objective of this study is to review cases of invasive sphenoid sinus aspergillosis to describe disease manifestations, imaging features, treatment, and outcome.Case presentation:We describe four patients with invasive sphenoid sinus aspergillosis misdiagnosed as sellar tumors preoperatively. The mass was completely removed in three patients and partially removed in one patient microscopically. Pathological examinations confirmed Aspergillus in all cases. All four patients received anti-fungal agents postoperatively. There was no recurrence at the time of each patient’s follow-up date. One patient with complete resection was lost to follow-up while the other three patients’ neurologic function improved. Additionally, we performed a systematic review regarding invasive sphenoid sinus aspergillosis of existing English literature.Conclusion:With regard to clinical symptoms, headache, vision impairment, and ophthalmoplegia were observed in over half of the patients in the literature. A sellar mass with bone destruction on CT and involvement of cavernous sinus is highly suggestive of invasive fungal sphenoid sinusitis. Immediate surgical removal of the lesion is recommended for invasive sphenoid sinus aspergillosis to preserve nerve function and increase the likelihood of survival.

简介：AbstractBackground:IgG4-related hypertrophic pachymeningitis is a relative newly recognized and rare manifestation of IgG4-related disease, an immune-mediated fibroinflammatory tumefactive disorder. Fewer than 80 patients have been reported in the literature, and it can mimic common neurosurgical conditions. We describe the clinical presentation of two patients that were initially considered to have a subdural collection, tuberculous meningitis, and a cervical spinal meningioma, but were eventually diagnosed with this disease.Case presentation:Two ethnic Chinese men, 86 and 62 years old, experienced a 4-week history of headache. Both patients had a history of autoimmune disease, namely glomerulonephritis and Grave's disease, respectively. Magnetic resonance brain imaging revealed diffuse dural thickening with the latter patient exhibiting homogeneous and intense gadolinium-contrast enhancement. Since the 86-year-old patient also had progressive bilateral visual loss, giant cell arteritis was suspected and a 2-week course of glucocorticoid therapy was prescribed, but his symptoms failed to improve. The 62-year-old patient also had accompanying low-grade fever and was treated empirically as having tuberculous meningitis although there were no confirmatory microbiological findings. This patient further developed right hemiparesis, and additional imaging revealed a C4/5 intradural-extramedullary contrast-enhancing lesion resembling a meningioma causing cord compression. Both patients underwent neurosurgical intervention with the former undergoing a dural biopsy and the latter having the cervical lesion resected. The final diagnosis was IgG4-related hypertrophic pachymeningitis with the hallmark histological features of lymphoplasmacytic infiltration of IgG4+ plasma cells, storiform fibrosis, and obliterative phlebitis. In addition, their serum IgG4 levels were elevated (i.e., > 135 mg/dL). Both patients received at least 6 months of glucocorticoid therapy while the latter also had azathioprine. Their symptoms improved significantly and recurrent lesions were not detected on follow-up imaging.Conclusions:A high index of suspicion for this condition is suggested when a male patient with a history of autoimmune disease and compatible radiological findings, experiences subacute headache that is disproportionate to the degree of dural involvement. Neurosurgeons should consider early meningeal biopsy to establish a definitive histological diagnosis in order for early effective immunosuppressive treatment to be initiated and to avoid unnecessary morbidity.

简介：AbstractBackground:IgG4-related hypertrophic pachymeningitis is a relative newly recognized and rare manifestation of IgG4-related disease, an immune-mediated fibroinflammatory tumefactive disorder. Fewer than 80 patients have been reported in the literature, and it can mimic common neurosurgical conditions. We describe the clinical presentation of two patients that were initially considered to have a subdural collection, tuberculous meningitis, and a cervical spinal meningioma, but were eventually diagnosed with this disease.Case presentation:Two ethnic Chinese men, 86 and 62 years old, experienced a 4-week history of headache. Both patients had a history of autoimmune disease, namely glomerulonephritis and Grave's disease, respectively. Magnetic resonance brain imaging revealed diffuse dural thickening with the latter patient exhibiting homogeneous and intense gadolinium-contrast enhancement. Since the 86-year-old patient also had progressive bilateral visual loss, giant cell arteritis was suspected and a 2-week course of glucocorticoid therapy was prescribed, but his symptoms failed to improve. The 62-year-old patient also had accompanying low-grade fever and was treated empirically as having tuberculous meningitis although there were no confirmatory microbiological findings. This patient further developed right hemiparesis, and additional imaging revealed a C4/5 intradural-extramedullary contrast-enhancing lesion resembling a meningioma causing cord compression. Both patients underwent neurosurgical intervention with the former undergoing a dural biopsy and the latter having the cervical lesion resected. The final diagnosis was IgG4-related hypertrophic pachymeningitis with the hallmark histological features of lymphoplasmacytic infiltration of IgG4+ plasma cells, storiform fibrosis, and obliterative phlebitis. In addition, their serum IgG4 levels were elevated (i.e., > 135 mg/dL). Both patients received at least 6 months of glucocorticoid therapy while the latter also had azathioprine. Their symptoms improved significantly and recurrent lesions were not detected on follow-up imaging.Conclusions:A high index of suspicion for this condition is suggested when a male patient with a history of autoimmune disease and compatible radiological findings, experiences subacute headache that is disproportionate to the degree of dural involvement. Neurosurgeons should consider early meningeal biopsy to establish a definitive histological diagnosis in order for early effective immunosuppressive treatment to be initiated and to avoid unnecessary morbidity.

简介：很多时候，在用英语交流时会出现有点儿搞不太懂原意的情况。即使是本族使用者也常常会感到棘手，原因往往在于他们最初在某个语境中学习一个词汇时（错误地）认定它有着特定的用法，而且他们从未直接碰到过一个能够证明其理解有误的情况。有特殊复数形式的单词尤其容易出现这种情况，还有一些因发音或拼写相似或者其意仅有轻微差异的易混淆单词亦是如此。

简介：Hiccupisasymptomcharacterizedbyashort,repeatedinvoluntarysoundfromthelarynxduetoreversedupwardflowofqitostimulatethediaphragm(spasmofthediaphragm),followedbysuddenclosureoftheglottis,whichcheckstheinflowofair.Itmayoccuralongorappearinthedevelopmentalprocessofsomeacuteorchronicdiseases,andisoftenasignofdeteriorationofthedisease.From2000to2004,theauthorofthepresentpapertreated56casesofhiccupwithacu-moxibustionofGuanyuan(关元CV4)andQihai(气海CV6)andachievedsatisfiedresults.Followingisthesummary.

简介：

简介：Male,ageof27years.Historyofthepresentdisease:Intherecentthreeweeks,thepatienthasthesymptomsincludingtiredness,difficultfallinginsleepevensleeplessnessduringwholenight,accompaniedwithrestlessness,palpitation,poorappetite,amnesia.

简介：关键词针灸艾灸治疗-疲劳症候群，长期-关节炎，风湿病-大肠炎，Ulcerative-医药记录鍏抽敭璇？?堢伕鐤楁硶-鐤插姵缁煎悎寰？鎱㈡€?-鍏宠妭鐐？绫婚婀?-缁撹偁鐐？婧冪枴鎬?-鐥呮CLC数字R246.1资金项目：上海领先的学术纪律工程(S30304)作者：朱毅(1971鈥?，女、出席医生

简介：FANGXX,female,ageof49years.HerfirstvisitwasonJune21,2001.

简介：Thesethreecasesofreinfectionsyphilisallhadcompletemedicalhistories,clinicalsymptoms,andlaboratoryrecordsofpriorprimaryorsecondarysyphilisinfection.Theauthorheldthatthemainreasonforreinfectionwasfailureofdiagnosisandtreatmentofsexpartners.

简介：ZhouXX,female,17yearsold,astudent.HerfirstvisitwasonJune16,1998.

简介：From1990to2001,theauthortreated31casesofurinaryretentionofposthemorrhoidectomyorcesareansectionwithacupunctureofHegu(LI4)(reinforcingmethod)andSanyinjiao(SP6)(reducingmethod).Thetherapeuticeffectofthetreatmentwassatisfactory,thetotaleffectiveratewas96.7%.Followingisthereportofthetreatment.

简介：Case1TANGXX,female,ateacher,aged51,visitedourclinicinNovemberof2003.Chiefcomplaints:Shecomplainedofhavinggotheadache,nausea,blurredvision,stiffnessofneck,painattheleftshoulder,andnumbnessofthemiddle,thirdandthelittlefingersfor5yearswhichaggravatedinrecentdaysatthattreatmenttime.

简介：Theauthorhastreated48casesofpsoriasisusinglongneedlecombinedwithcup-ping.of48cases,32cases（67％）werecured,10（21％）markedlyeffective,6（12％）effective.Thetotaleffectiveratewas100％.

简介：目的：观察针刺治疗失眠症的临床疗效。方法：86例失眠症患者，采用针刺为主治疗。每日1次，5天为1疗程，疗程间休息2d，4个疗程后统计疗效，并用匹兹堡睡眠质量指数（PittsburghSleepQualityIndex，PSQI）观察治疗前后的总积分。结果：总有效率为9514％，PSQI总积分治疗前后比较差异有统计学意义（P〈0．01）。结论：针剌治疗失眠症疗效确切，方法安全，可改善患者的生活质量和身体功能。

简介：　　Inordertoenhancethegeneralpublic'sawarenessonintellectualpropertyprotectionandshowcaseChina'seffortsinIPRprotection,theOfficeoftheNationalWorkingGrouponIPRProtectionhasjoinedtheMinistryofPublicSecurity,theMinistryofCulture,theGeneralCustomsAdministration,theStateIntellectualPropertyOffice,theSupremePeople'sCourtandtheSupremePeople'sProcuratorateinlaunchinganonlineselectionof"thetoptencasesofIPRinfringement,2005"oversuchwebportalsasSohu.Theselectionlastedfrom13thofFebruarytothe13thofMarch.……

简介：锁骨下的脉管的损害说明所有脉管的损害的1%-5%。如果没及时发现或迅速设法，锁骨下的脉管的损害是可能的引起出血性的吃惊甚至死亡。从通过2003的8月的1998的三月，有锁骨下的脉管的损害的15个盒子的一个总数在我们的部门被对待。细节在这份报告的redescribed。

简介：AbstractIntroduction:Eruptive cutaneous collagenoma is non familial connective tissue nevi of unknown etiology presented with an abrupt onset. To date, the literatures on eruptive cutaneous collagenoma are extremely rare in china.Here, we report two women with eruptive cutaneous collagenoma.Case present:Two women presented with multiple asymptomatic, skin-colored papules and nodules on the trunk and extremities with no systemic involvement. Histopathology revealed dense, coarse collagen fibers by hematoxylin-esoin stain and decreased, fragmented elastic fibers by Elastic stain compared with the normal skin. Basing on these findings, the diagnosis of eruptive cutaneous collagenoma was made. No specific treatment was given.Discussion:Eruptive cutaneous collagenoma is a very rare dermatosis that is often misdiagnosed as other connective tissue nevi. The pathogenesis is unclear, and also no efficient treatment is available. It is usually diagnosed based on clinical and histopathological findings.Conclusion:The present cases are relatively rare type of eruptive cutaneous collagenoma that provide more experience for clinician, and may be helpful for them to make correct diagnosis for suspicious cases.