RESUMO
The article described a female patient with high-grade arterial hypertension diagnosed at her young age. Congenital abdominal aortic hyperplasia and conformity with criteria for Takayasu arteritis were diagnosed at 10 years following the clinical manifestation.
Assuntos
Arterite de Takayasu , Feminino , Humanos , HipertensãoRESUMO
OBJECTIVE: to morphometrically estimate normal variations in the sizes of lacrimal sacs on the basis of computed tomography findings to optimize the choice of endoscopic surgical intervention tactics for dacryocystitis. MATERIAL AND METHODS: Preoperative orbital computed tomography data were comparatively morphometrically processed in two groups of patients with or without clinically verified dacryo- cystitis. RESULTS: Data on the typical variants of the sizes of the lacrimal sac in health and in clinically manifested dacryocystitis were obtained and statistically processed. The advantages of using the design volume of the lacrimal sac over other measurements were shown. A method for the morphometry of lacrimal sacs was proposed on the strength of computed tomography data. CONCLUSION: The obtained new refined data on the holotopy of the lacrimal sac in health and clinically verified dacryocystitis can simplify the choice of an approach to planning endonasal dacryocystorhinostomy.
Assuntos
Dacriocistite , Dacriocistorinostomia/métodos , Ducto Nasolacrimal , Adulto , Idoso , Dacriocistite/diagnóstico por imagem , Dacriocistite/cirurgia , Endoscopia/métodos , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Ducto Nasolacrimal/anatomia & histologia , Ducto Nasolacrimal/patologia , Ducto Nasolacrimal/cirurgia , Seleção de Pacientes , Cuidados Pré-Operatórios/métodos , Valores de Referência , Tomografia Computadorizada por Raios X/métodosRESUMO
Basic physiological position that metabolic requirements of brain determine perfusion characteristics of cerebral blood flow underlies the definition of syndrome of acute cerebral insufficiency. So there is a perfusion-metabolic interaction (PMI) in brain tissue at every moment. Based on this paradigm we should synchronize measurement of these components in intensive care practice. The goal of ACIPS study (Acute Cerebral Injury Protection System) is creating methodology of monitoring PMI and treatment algorithm based on this monitoring. In this article we present data that volume cerebral blood flow can be assessed by summing volume bloodflows on brachiocephalic vessels measured with triplex ultrasound. Such results are comparable with CT-perfusion results. Both methods can be used interchangeably if difference in -0.6-11.8 ml/kg/min isn't clinical significant.
