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Analysis of Nine Cases of Acute Thallium Poisoning

Journal of Huazhong University of Science and Technology(Medical Sciences) 2007年第2期27卷 213-216页

作者：王琦玮黄晓江刘良 Department of Forensic Medicine Tongji Medical College Huazhong University of Science and Technology Department of Neurology Tongji Hospital Tongji Medical College Huazhong University of Science and Technology

In this study nine cases of thallium poisoning in a series of homicidal poisoning were analyzed in order to provide more information concerning thallium poisoning. It was found that the most common clinical feature of thallium poisoning was peripheral neuropathy and paraesthesia was more common than amyasthenia. Understanding of these clinical characteristics of thallium poisoning was helpful to early identification and differential diagnosis. Since the early administration of Prussian Blue, as a specific antidote for thallium poisoning, can substantially improve the prognosis, it is of great importance to establish a correct and early diagnosis.

关键词： thallium poisoning forensic toxicology preliminary diagnosis initial symptom differential diagnosis

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Clinical evaluation of testicular torsion presenting with acute abdominal pain in young males

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Asian Journal of Urology 2019年第4期6卷 368-372页

作者： Fujun Wang Zengnan Mo Center for Genomic and Personalized Medicine Guangxi Medical UniversityNanningGuangxiChina Department of Urology Heze Municipal HospitalHezeShandongChina

Objective:To evaluate the features of testicular torsion presenting with acute abdominal pain and to raise awareness of testicular torsion with specific symptoms.Methods:From October 2005 to June 2016,nine patients with testicular torsion who presented with isolated acute abdominal pain rather than scrotal pain as their primary symptom were retrospectively reviewed.Data,including the age of patients,season at admission,initial medical history,external genital examination,emergency ultrasound findings,operative findings,duration of abdominal pain,complications,and follow-up results,were collected.Results:The average age of patients was 14 years(range 10-17 years).Seven patients whose genitals were not initially examined externally were misdiagnosed as having ordinary abdominal diseases.Surgical exploration revealed that all the involved testes necrotized,and orchidectomy was performed.In the other two patients,scrotal and testicular abnormalities were detected immediately on admission,and emergency surgical exploration determined that the involved testis remained vital,so orchiopexy was performed.The mean duration from symptom onset to diagnosis was 4 h(3-5 h)in the orchiopexy group and 37 h(18-72 h)in the orchidectomy group.Six patients were psychologically affected during postoperative follow-up.Neither recurrence of testicular torsion nor testicular atrophy was recorded.Conclusion:Acute abdominal pain can be the initial and sole symptom of testicular torsion in young males.Physicians should pay close attention to the specific clinical presentation of testicular torsion.

关键词： Acute abdominal pain Testicular torsion Young males initial symptom Retrospective analysis

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