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Biomedical subjects

N D Li

Publications and source records attributed to N D Li.

9 recordsLinked to original sources

[Intravenous thrombolysis with domestic urokinase in 40 cases of acute myocardial infarction].

Thrombolytic therapy with intravenous domestic urokinase was carried out within 6 hours after onset in 40 cases of acute myocardial infarction from Feb. 1991 to Dec. 1992, the age of patients being 52.5 +/- 8.4 (37-74) years. The overall reperfusion rate was 65.0%; the reperfusion rate within 3 hours was 78.3% (18/23) and from 3 to 6 hours 47.1% (8/17) (P < 0.05). The incidence of reperfusion arrhythmia was 73.1%. Reinfarction occurred in 3 and acute allergy in 2 cases. 3 other cases developed ventricular fibrillation within 2 hours after onset. After prompt successful defibrillation, thrombolytic therapy was instituted and 2 cases had reperfusion. No marked bleeding and mortality were observed in all of our cases.

Adult↗

[Posterior cranial fossa arteriovenous malformations].

24 cases of AVMs posterior cranial fossa are reported. All these cases were confirmed by pathological examination or vertebral angiogram. There are 17 cases located in cerebellar hemisphere, 4 in vermis, 2 spread to brain stem, and 1 in fourth ventricle. Most of these patients are young adults, the mean age below 40 years. The most clinical manifestations were acute subarachnoid hemorrhage, increased intracranial pressure, ataxia, and cranial nerves palsy. 22 cases underwent surgical intervention, with 17 total, 3 subtotal, 2 partial resection of AVMs. After operation, 16 cases were good recovery, 3 free of symptom, and 3 death. In this article, the evaluation of some special clinical examinations and the operative approach for AVMs were discussed.

Adolescent↗

[Cryptococcal granuloma of the brain. Report of 7 cases].

7 cases of cryptococcal granuloma of the brain are reported. All were confirmed pathologically by autopsy or operation. The granuloma involved not only cerebral hemisphere but also the basal ganglion, hypothalamus, cerebellum and brain stem. It's clinical character and CSF examination are closely similar to the findings of tuberculous meningitis, and the larger toruloma is easy to be mistaken as brain tumor. The authors introduced several valuable methods of diagnosis of these patients. The indications of operation as well as medication are discussed also.

Adult↗