ABSTRACT
Objective To study the findings of not common adrenal space occupying lesion with spi- ral CT scanning.Methods The spiral CT scan datum of 10 patients pathologically proved uncommon adrenal occupying lesion were analyzed retrospectively.Results In all 10 cases of uncommon adrenal occupying le- sion,including 2 cases of primary adrenocortical carcinoma at right adrenal gland,1 case of right adrenal schwannoma,1 case of left adrenal ganglioneuroma,1 case of multiple endocrine neoplasiaⅠ,1 case of Castleman disease in the area of left adrenal gland,3 cases of adrenal myelolipoma with 4 lesions,1 case of fight adrenal gland cyst.Adrenal myelolipoma and cyst were diagnosed easily.CT manifestations of primary a- drenocortical carcinoma were usually malignant cues.To determine the nature of other uncommon adrenal oc- cupying lesion was difficult.Conclusion There are some characteristics with different values at different un- common adrenal space occupying lesions with spiral CT scanning,and dynamic SCT scans are very valuable.
ABSTRACT
The ICU cost analysis and the evaluation of the medical effect have come to be a break- through in the task of bringing the medical cost hike under control.The author makes a statistical anal- ysis of the medical cost of 184 cardio-surgical patients in 3 hospitals with the help of TISS and finds that the main compononts causing the rocketing of medical cost are successivdly:materials that are used only once and then thrown away(51.43% of the total cost),drugs(13.49%),blood and blood products(12. 56%),nursing service(5.36%).with the increase of TISS value comes the rising mdeical cost and the proportional rise of the four components mentioned above.