糖尿病已成为目前临床上最常见的内分泌疾病,见于各个年龄段,主要见于中老年肥胖人群,因胰岛素的水平绝对或相对缺乏,血糖水平升高,引发一系列的血管并发症,进一步损害肾脏及神经,引起周围神经病变,对患者的健康水平及心理健康带来极大的威胁,临床上以往对于糖尿病周围神经病变缺乏明确的诊断方式,在临床上遗漏较多,有研究者提出可以将肌电图应用在糖尿病周围神经病变的诊断之中.故为了解决此问题,促进诊疗效果的进一步发展,笔者特进行本次研究,现报告如下.

目的 总结脑淀粉样血管病相关炎症(CAA-RI)患者的临床表现及辅助检查的特点,探讨临床诊断的要点.方法 本研究纳入2016-07—2018-07在河南省人民医院诊治的10例CAA-RI患者,总结其临床表现、诊治经过及随访情况.分析头颅MRI上白质病变和CAA相关出血病变的特点及分布情况.结果 本组CAA-RI患者临床症状上以认知障碍最为常见,头痛发生率较国外高,临床表现多样化,无诊断特异性.头颅M RI显示,脑白质病变特征均符合血管源性水肿,以FL A IR序列显示最佳,皮质下白质(U型纤维)均受累.CAA相关出血影像,以脑微出血发生率最高(100％),SWI序列对诊断非常重要.结论 CAA-RI临床表现多样化,无诊断特异性.头颅MRI特征性白质病变合并CAA相关出血影像特征为诊断核心.

AIM: To discuss the clinical effect of chronic obstructive pulmonary disease combined with Type Ⅱ respiratory failure treated by noninvasive positive pressure ventilation therapy. METHODS:A total of 80 cases of chronic obstructive pulmonary disease combined with Type Ⅱ respiratory failure admitted into the Second People’s Hospital of Nanyang City were chosen as study objects and divided into control group ( n=40) and observa-tion group ( n=40) . The patients in the control group were given conventional therapy for chronic pulmonary disease combined with Type Ⅱ respiratory failure, while the patients in the observation group were treated with noninvasive positive pressure ventilation therapy. The clinical effects of both groups were compared. RESULTS: According to the records of all indicators of both groups, the pH, PaO2 , PaCO2 in the observation group were better than those in the control group, with statistically significant differences ( P<0.05) . CONCLUSION:As for chronic pulmona-ry disease combined with Type Ⅱ respiratory failure, in spite of the conventional therapy, noninvasive positive pressure ventilation therapy has shown a better effect in helping patients recover, as a result, worth promoting.