RESUMEN
A man in his sixties presented to our hospital with obstructive jaundice and was diagnosed with inoperable pancreatic cancer. Chemoradiotherapy was initiated, and an expandable metallic stent was inserted endoscopically to drain the biliary system. Six months later, he was referred to our hospital with 1-week history of epigastric pain and obstructive jaundice. On admission for further evaluation, he experienced hematemesis and went into severe shock. Upper gastrointestinal endoscopy and endoscopic retrograde cholangiopancreatography showed active bleeding from the duodenal papilla. Therefore, we performed endoscopic nasobiliary drainage (ENBD). On day 4, blood was detected in the ENBD tube, and the patient again experienced hematemesis. Emergent enhanced computed tomography revealed a right hepatic arterial aneurysm that had likely ruptured and caused the hemobilia. The aneurysm was successfully embolized, and the patient was discharged on hospital day 21.
Asunto(s)
Adenocarcinoma/terapia , Aneurisma Falso/etiología , Arteria Hepática , Neoplasias Pancreáticas/terapia , Stents/efectos adversos , Aneurisma Falso/terapia , Embolización Terapéutica , Humanos , Masculino , Persona de Mediana Edad , RoturaRESUMEN
A simple flow injection analysis (FIA) method is described for the sequential determination of iron and copper. The detection method for iron and copper is based on their catalytic activities in the oxidation reaction of N,N-dimethyl-p-phenylenediamine (DPD) with hydrogen peroxide. The sequential determination of iron and copper can be carried out by injecting two sample plugs into the FIA system, sequentially. One injection does not contain triethylenetetramine (TETA), and is used for the sum of iron and copper concentration; the other which contains TETA is used only for the iron concentration. For iron determination, TETA is used as a masking agent of copper. The difference in peak height can be used for the calculation of copper concentration. Under the optimal conditions, the detection limits (3sigma) of 0.01 and 0.07 microg L(-1) were obtained for iron and copper, respectively. The proposed method can be applied to the determination of iron and copper in tap water and bottled-drinking mineral water samples. Good recoveries of the method, 98-103% for iron and 98-106% for copper, were achieved.
Asunto(s)
Cobre/análisis , Hierro/análisis , Calibración , Catálisis , Análisis de Inyección de Flujo/instrumentación , Análisis de Inyección de Flujo/métodos , Peróxido de Hidrógeno/química , Oxidación-Reducción , Fenilendiaminas/química , Sensibilidad y Especificidad , Espectrofotometría/instrumentación , Espectrofotometría/métodos , Factores de Tiempo , Agua/químicaRESUMEN
The sensitivity improvement of a flow-injection spectrophotometric method for the determination of ammonia was examined based on an indophenol blue coloration reaction with salicylate and hypochlorite in the presence of manganese(II) as a reaction promotion catalyst. The optimal conditions for achieving higher sensitivity of ammonia determination were examined using a three-line flow system. The limit of detection corresponding to a signal-to-noise ratio (S/N) of 3 was 0.005 mg l(-1) (approximately equal to 5 ppb) of NH4+. A calibration graph was linear in the range from 5 ppb to 1,000 ppb of ammonium ion. The relative standard deviations (n = 9) for 50 ppb and 100 ppb of ammonium ion were 6.4% and 2.2%, respectively. The proposed method was applied to the determination of ammonia in the exhaust gas of a thermal power plant. Prior to the FIA determination, ammonia in the exhaust gas was absorbed into a boric acid solution; the absorption solution was then analyzed by the proposed FIA.