BACKGROUND Cesarean scar pregnancy(CSP)is rare but may result in uterine rupture during pregnancy or massive hemorrhage during abortion procedures.Awareness of this condition is increasing,and most patients with CSP a...BACKGROUND Cesarean scar pregnancy(CSP)is rare but may result in uterine rupture during pregnancy or massive hemorrhage during abortion procedures.Awareness of this condition is increasing,and most patients with CSP are now diagnosed early and can be managed safely.However,some atypical patients are misdiagnosed,and their surgical risks are underestimated,increasing the risk of fatal hemorrhage.CASE SUMMARY A 27-year-old Asian woman visited our institution because of abnormal pregnancy,and she was diagnosed with a hydatidiform mole through transvaginal ultrasound(TVS).Under hysteroscopy,a large amount of placental tissue was found in the scar of the lower uterine segment,and a sudden massive hemorrhage occurred during the removal process.The bilateral internal iliac arteries were temporarily blocked under laparoscopy,and scar resection and repair were rapidly performed.She was discharged in good condition 5 d after the operation.CONCLUSION Although TVS is widely used in the diagnosis of CSP,delays in the diagnosis of atypical CSP remain.Surgical treatment following internal iliac artery temporary occlusion may be an appropriate management method for unanticipated massive hemorrhage during CSP surgery.展开更多
目的:基于CiteSpace和VOSviewer可视化软件对饮食限制(DR)调控炎症文献进行定量可视化分析,探索DR调控炎症领域的研究热点和趋势。方法:检索2010年1月1日至2022年9月29日Web of Science核心数据库中收录的DR调控炎症相关文献共1678篇,...目的:基于CiteSpace和VOSviewer可视化软件对饮食限制(DR)调控炎症文献进行定量可视化分析,探索DR调控炎症领域的研究热点和趋势。方法:检索2010年1月1日至2022年9月29日Web of Science核心数据库中收录的DR调控炎症相关文献共1678篇,经筛查最终获得1344篇,使用CiteSpace和VOSviewer可视化软件对检索到的文献数据进行年发文量、国家、机构、作者、被引频次和关键词的定量和可视化分析。结果:最终获得的1344篇文献年发文量总体呈上升趋势,文献最高被引频次为1676次,美国(481篇)是出产文献数量最多的国家,中国(181篇)位居第二。DR调控炎症领域研究热点集中在热量限制(CR)、生酮饮食、衰老、代谢性疾病、脂肪组织及肠道菌群等方面。结论:DR调控炎症愈来愈受到国际和国内研究者青睐,未来研究热点可能是CR模拟物(CRM)、肠道菌群、神经退行性疾病和心血管疾病,总体研究趋势为进一步明确DR的抗炎机制,寻找新的治疗靶点,将更多经过体外和动物模型证实的有效方案进行更严格的临床试验。展开更多
基金Supported by Medical Health Science and Technology Project of Zhejiang Province,China,No.2020ZH003。
文摘BACKGROUND Cesarean scar pregnancy(CSP)is rare but may result in uterine rupture during pregnancy or massive hemorrhage during abortion procedures.Awareness of this condition is increasing,and most patients with CSP are now diagnosed early and can be managed safely.However,some atypical patients are misdiagnosed,and their surgical risks are underestimated,increasing the risk of fatal hemorrhage.CASE SUMMARY A 27-year-old Asian woman visited our institution because of abnormal pregnancy,and she was diagnosed with a hydatidiform mole through transvaginal ultrasound(TVS).Under hysteroscopy,a large amount of placental tissue was found in the scar of the lower uterine segment,and a sudden massive hemorrhage occurred during the removal process.The bilateral internal iliac arteries were temporarily blocked under laparoscopy,and scar resection and repair were rapidly performed.She was discharged in good condition 5 d after the operation.CONCLUSION Although TVS is widely used in the diagnosis of CSP,delays in the diagnosis of atypical CSP remain.Surgical treatment following internal iliac artery temporary occlusion may be an appropriate management method for unanticipated massive hemorrhage during CSP surgery.
文摘目的:基于CiteSpace和VOSviewer可视化软件对饮食限制(DR)调控炎症文献进行定量可视化分析,探索DR调控炎症领域的研究热点和趋势。方法:检索2010年1月1日至2022年9月29日Web of Science核心数据库中收录的DR调控炎症相关文献共1678篇,经筛查最终获得1344篇,使用CiteSpace和VOSviewer可视化软件对检索到的文献数据进行年发文量、国家、机构、作者、被引频次和关键词的定量和可视化分析。结果:最终获得的1344篇文献年发文量总体呈上升趋势,文献最高被引频次为1676次,美国(481篇)是出产文献数量最多的国家,中国(181篇)位居第二。DR调控炎症领域研究热点集中在热量限制(CR)、生酮饮食、衰老、代谢性疾病、脂肪组织及肠道菌群等方面。结论:DR调控炎症愈来愈受到国际和国内研究者青睐,未来研究热点可能是CR模拟物(CRM)、肠道菌群、神经退行性疾病和心血管疾病,总体研究趋势为进一步明确DR的抗炎机制,寻找新的治疗靶点,将更多经过体外和动物模型证实的有效方案进行更严格的临床试验。
基金云南省万人计划“云岭学者”项目(YNWR-YLXZ-2018-018)国际原子能机构(International Atomic Energy Agency)项目“An IntegrativeApproach to Enhance Disease Resistance Against Fusarium Wilt(Foc TR4)in Banana–Phase II”(D23033-26673)。
