[Gynecological acute abdomen in patients age under 18: an analysis of 237 cases].

Objective: To investigate the constituent ratio, clinical manifestation, diagnosis and treatment of gynecologic acute abdomen in patients age under 18. Methods: A retrospective study was conducted on 237 patients under 18 years old who had been admitted in Rizhao People's Hospital from June 2013 to November 2016. The patients were divided into two groups: groupⅠ (under ten years old, 49 cases) and group Ⅱ (ten to eighteen years old, 188 cases) . The first visit departments, constituent ratio, clinical manifestations and treatment methods of the two groups were summarized and analyzed. Results: The proportion of first visit department was gynecology department in the group Ⅰwas lower than that in group Ⅱ [18.4% (9/49) versus 69.1% (130/188) , P<0.01]. The proportion of diseases in the two groups was different; the proportion of ovarian tumors (59.2%, 29/49) , genital malformations (10.2%, 5/49) and ovarian torsions (10.2%, 5/49) in group Ⅰ were significantly higher than those in group Ⅱ, while the pregnancy related diseases in group Ⅱ (37.2%, 70/188) was significantly higher than that in group Ⅰ (P<0.01) . Conclusions: Clinicians should pay enough attention to the acute abdomen caused by gynecological factors in childhood and adolescence. The differential diagnosis of acute abdomen should pay attention to. In the choice of treatment methods, we should give full consideration to the special age, and try to maintain their normal growth and physiological function.

Clinical measurement of antibodies against acetylcholine receptor (AchR), SOD and LPO in patients with myasthenia gravis (MG) before and after thymectomy.

The antibodies against acetylcholine receptor AchR and levels of SOD and LPO were measured in 11 patients with myasthenia gravis (MG), and the results were compared with normal controls and patients with diseases other than MG. The results showed that the antibodies against AchR were higher as compared with other groups before and after operation. The post-operative level of antibodies was obviously lower than the pre-operative value. An slight increase in SOD and significant decrease in mean value of LPO after surgery were noted. The possible mechanism was discussed.

Rupture of thoracic aortic aneurysm into the lung with formation of pseudoaneurysm: diagnosis and treatment.

Three patients with rupture of thoracic aortic aneurysm into the lung with formation of pseudoaneurysm were admitted to our hospital in 1991, of whom, 2 had ascending aortic aneurysms which ruptured into the right upper pulmonary lobe, and another one had descending aortic aneurysm rupturing into the left upper lobe. All 3 cases were misdiagnosed as having pulmonary carcinoma or mediastinal tumor by the other hospital as well as by us. Correct diagnosis was made by aortography or at exploratory thoracotomy. Our preliminary experiences in the diagnosis and treatment of the disease are presented in this paper.