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Dołączył: 26 Paź 2010
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| Temat postu: Mbt Schuhe Günstig 2984 premarital youth of HBsAg |
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2984 premarital youth of HBsAg carriage and intervention
Orders received hepatitis B vaccination; found HBsAg-positive woman, after further examination of five hepatitis B, for HBsAg, HBeAg anti-HBc three of a positive (HBeAg), 7,8,9 in the woman's pregnancy to the injection of hepatitis B immune months globulin 400U (Wuhan Institute of Biological Products products),[link widoczny dla zalogowanych], their newborns within 24 hours of birth and birth on the 15th day of the injection of hepatitis B immune globulin 2OOU, to block the spread of hepatitis B virus; for HBsAg,[link widoczny dla zalogowanych], anti-a HBe, anti-a HBc three positive (three positive), in 7,8,9 months pregnant woman was injected hepatitis B immune globulin 2OOU, their newborns within 24 hours of birth and birth on the 15th day of the injection of hepatitis B immune globulin lOOU to stop off the spread of hepatitis B virus. (Received: 2003 a O4-23 Editor: Luo far more than) medical records (1 analysis was significant as Zhang Jie Wang Guoru 3 Case analysis (1) clinical course of patients on admission by the dilation of the ball and after the injection of dexamethasone with systemic glucocorticoid treatment, about one month after the visual disturbance gradually reduced, anterior segment inflammation dissipated, retinal edema subsided. After two months the gradual emergence of white hair, skin and see the flaky white trunk. Visual acuity three months after the review: 0.6 left, 0.8 right eye. (2) clinical characteristics ① young men, acute onset. ② the first symptom to general malaise, headache, vision loss, with mild dizziness. Followed by progressive visual loss, eyes pain, tinnitus, hearing loss. Headache gradually increased. ③ The main symptoms: meningeal irritation. No focal neurological signs positioning. First, diffuse choroiditis fundus performance, followed by anterior segment inflammation. After months of white hair and white skin. ④ increased cerebrospinal fluid pressure, slightly increased cell number to cell-based, protein slightly increased. ⑤ head CT scan were normal. (3) diagnosis and diagnosis is based on diagnosis: color film of a meningitis syndrome (also known as the uveal a large encephalitis syndrome, a brain one ear and one eye skin syndrome, Vogt-Koyanagi-Harada syndrome.) Diagnosis is based on: ① eyes exudative uveitis performance. ② The signs and symptoms of meningitis. ⑧ accompanied by dizziness, tinnitus and hearing loss. ④ increased cerebrospinal fluid pressure, cell count and protein slightly increased. ⑤ after months of white hair and white skin. (4) color film of a meningitis syndrome Vogt (1906 years) and Koyanagi (1941 years) has reported an associated with white hair, hair loss, skin, white eyes and hearing impairment with chronic uveitis. A 1926 report associated with retinal Harada Author: 024,500 from the Inner Mongolia Autonomous Region Hospital Wengniute exudative uveitis eyes, before the onset of meningeal irritation. Been based on clinical observation, that no definite boundary between the two, in fact, both of which are diffuse exudative uveitis, only the severity of damage and the main body sooner or later onset of symptoms is different. The disease occurs in young adults, yellow common, occur in the spring, easy to relapse. Etiology is inconclusive, there is endocrine theory, theory of virus infection and immunity doctrine. Generally believed that viral infection and autoimmune is a combination of factors. Those who support the theory that the virus may be associated with pro-pigment cells in viral infection. However, the virus has not yet been isolated. According to systemic manifestations of skin, suggesting that the pigment cells in systemic disease. The disease is a disease of two types: Vogt-Koyanagi syndrome, slow onset, early retinal edema and vitreous opacities,[link widoczny dla zalogowanych], associated with exudative iridocyclitis, after the eyes appear diffuse exudative choroiditis. But before the eye to change the weight. Hair, skin changes common. About 5O have signs and symptoms of meningitis. Harada progressive disease often sudden vision loss, symptoms of mild anterior segment to exudative chorioretinopathy, retinitis obvious, often accompanied by retinal detachment. About 9O have signs and symptoms of meningitis. Changes in hair and skin is less common,[link widoczny dla zalogowanych], the prognosis is good. Two types of migration to each other, and sometimes symptoms can range between two types for intermediate. Type II patients had cerebrospinal fluid pressure can be increased, slightly increased lymphocytes and protein. Apart from a small number of serious cases of meningitis symptoms can still have hemiplegia, aphasia, cranial nerve palsy and other manifestations of meningoencephalitis. (5) The principle of treatment ① fully dilated. ② Early enough corticosteroids (systemic and (or) the ball after the injection). Bigot to try immunosuppressants. ③ were significantly increased intracranial pressure can be applied to 2O mannitol dehydration. ④ vitreous opacity injectable iodine, hyaluronic acid enzymes. ⑤ symptomatic and supportive treatment. ⑥ possible cause of treatment: anti-inflammatory, anti-virus. ⑦ TCM syndrome differentiation.
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