表面角膜镜片治疗儿童无晶体眼12例临床分析

采用计算机数据处理和自制冷冻车床加工角膜组织镜片，为１２例７－１４岁的单眼外伤性白内障患儿行表面角膜镜片术。经８－０３２个月随访，平均屈光度增加１１．２１Ｄ；８例裸眼视力达４．２－４．４，≥４．５者４例，矫正视力达４．７者３例，≥４．８者９例，均较术前提高。一次手术成功率为９１．６７％（１１／１２），术后散光度平均增加２．５Ｄ。     

放射状角膜切开术疗效分析

采用ＲＫ手术设备和器械，对５１例１０１只近视眼施行了该手术，术前屈光度主－２．００～－１１．００Ｄ，平均角膜屈光度为４３．４０Ｄ，裸眼视力０．０１～０．４；术后屈光度平均降低４．５８Ｄ，角膜屈光度平均降低３．８０Ｄ，裸眼视力≥０．５者占７６．７％，≥１．０者占５５．４４％，并发症中角膜微穿孔占５．８８％，视力波动占１５％，欠矫≥－２．００Ｄ占１５．４５％，过矫１１眼，平均＋０．６８Ｄ，占１０．８７     

放射状角膜切开术89例疗效观察

应用现代国际通用的放射状角膜切开术标准器械和设备，对１７７只眼进行手术治疗和随访。术前平均屈光度－６．２３Ｄ，裸眼视力最低０．０２，最高０．４。术后６～１２个月平均屈光度下降４．２７Ｄ，裸眼视力最低０．１，最高１．５。不同近视组平均屈光度下降为：低度近视组２．１４Ｄ、中度近视组４．３５Ｄ、高度近视组５．１２Ｄ、超高度近视组５．４６Ｄ。裸眼视力上升分别为：低度近视组≥１．０者８２．３５％，≥０．５者１００％；中度近视组≥１．０者５１．４６％，≥０．５者８３．５０％；高度近视组≥１．０者１１．３６％，≥０．５者５２．２７％；超高度近视组≥１．０者７．６９％，≥０．５者２３．０８％。其中－６．００Ｄ以下近视组术后裸眼视力≥１．０者达５５．８３％。放射状角膜切开术治疗近视疗效肯定，尤其对轻、中度近视效果更佳。     

放射状角膜切开术治疗近视眼139例疗效评价

采用放射状角膜切开术器械及设备治疗１３９例近视眼（２７２只眼）并于术后随访６～１８个月（平均１１．２２个月）进行疗效统计分析。术前平均屈光度为－５．３０Ｄ、裸视力平均为０．１２。术后屈光度平均下降３～４．４３Ｄ。－１．５０Ｄ～－７．００Ｄ的近视术后视力≥１．０占５９．２％，若以≥０．５为脱镜标准，其脱镜率为８５．３％     

放射状角膜切开术疗效分析

采用ＲＫ手术设备和器械，对５１例１０１只近视眼施行了该手术。术前屈光度为－２００～－１１００Ｄ，平均角膜屈光度为４３４０Ｄ，裸眼视力００１～０４；术后屈光度平均降低４５８Ｄ，角膜屈光度平均降低３８０Ｄ，裸眼视力≥０５者占７６７％，≥１０者占５５４４％；并发症中角膜微穿孔占５８８％，视力波动占１５％，欠矫≥－２００Ｄ占１５４５％，过矫１１眼，平均＋０６８Ｄ，占１０８７％。本文对手术要点，手术原理及影响手术效果的主要因素作了简要介绍和讨论     

角膜定量放射状切开术治疗近视临床观察

作者对平均屈光度为－６．１２Ｄ的１９５只近视眼行角膜放射状切开术，中心视区保留在３～４ｍｍ，分别作４、６、８、１０和１２条切口，切口深度达角膜厚度的９０％～９５％。其中对１４２只眼进行了６个月以上的随访，平均矫正度数为５．１２Ｄ；手术并发症包括角膜微切穿占５．１２％，角膜新生血管占２．１％，过度矫正占４．２％，矫正不足２１％。     

双连吴萸散外治儿科外感风热临床观察

１临床资料治疗组住院病人２５例，门诊病人３５例。对照组住院病人７例，门诊病人９例。治疗组男３７例，女２３例。对照组男９例，女７例。治疗组年龄４个月～１２岁；对照组年龄４个月～１３岁。治疗组起病时间１／２天者１８例，１天者１２例，２天者５例；对照组分别为９例、５例、２例。治疗组体温３７．５～３８．５℃者１２例，３８．５～３９．５℃者２８例，３９．５℃以上２０例；对照组分别为２例、１０例、４例。治疗组患儿周围白细胞总数（１１～１５）×１０９／Ｌ８例，（４～１０）×１０９／Ｌ４８例，＜４×１０９／Ｌ４…     

放射状角膜切开术疗效观察

对放射状角膜切开术后病人３２例６０眼连续随访半年以上（平均８．９个月）。术前平均等效球面镜屈光度为－５．５１Ｄ，术后８．９月等效球面镜于均降低－５．３２Ｄ，术后裸眼视力≥１．０者７１．４％，≥０．５者９２．０６％。     

准分子激光角膜切削术治疗近视临床观察

应用准分子激光光学角膜切削术对近视眼患者进行光学角膜切消术治疗，近视度在－１６．００Ｄ以内，平均（－５．６９±１．６２）Ｄ。对随诊半年以上的７０１眼进行观察，术后半年，裸眼视力≥０．５，≥０．８和≥１．０者轻度近视分别是１００％、９８．２％和９７．３％；中度近视分别是９８．５％、９６．８％和９５．９％；高度近视分别是９２．３％、８７．５％和８２．５％；超高度近视分别是８５％、６９．４％和５１．７％。提示此手术治疗对轻、中度近视是一种安全有效、稳定性好、预测性强的方法，值得推广应用。     

放射状角膜切开术矫正近视性屈光参差3例报告

本文报道应用放射状角膜切开术矫正近视性屈光参差３例。术前近视屈光度为－４．５０－５．００Ｄ，平均－４．６７Ｄ，另一眼为正视，屈光参数－４．５０－－５．００Ｄ，裸眼视力０．０８－０．３，矫正视力≥０．８。术后随访３个月，裸眼视力０．８－１．２，平均１．１０，视力平均提高０．８２，屈光不正完全矫正。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.     

安心颗粒对急诊经皮冠状动脉介入术后生活质量影响的研究

目的：评价使用安心颗粒对急诊经皮冠状动脉介入术（PPCI）术后生活质量的影响.方法：将160例接受PPCI的急性ST段抬高型心肌梗死患者随机分为安心颗粒组（术前顿服安心颗粒8.8g,术后安心颗粒4.4 g/次,每日2次）和对照组（仅接受基础药物治疗）.所有患者均服用阿司匹林、氯吡格雷和阿托伐他汀.分别在入院时、出院前1d、出院后180 d时,应用心肌梗死多维度量表（MIDAS）、中文版SF-36评价量表对患者生活质量评分.并观察术后30 d以内的出血并发症、血小板减少症发生情况.结果：入院时和出院前1d,两组患者的心肌梗死MIDAS、SF-36量表评分比较无差异（P＞0.05）;出院后180 d时,与对照组比较,安心颗粒组MIDAS、SF-36评分明显减低（P＜0.05）;组内与入院时比较,两组出院前1d、出院后180 d时,MIDAS、SF-36评分均降低（P＜0.05）.两组患者在随访期间均无大量出血、少量出血、重度和极重度血小板减少症发生,安心颗粒组有4例、对照组有7例发生不明显出血（P＞0.05）.两组发生轻度血小板减少症的患者数比较无差异（P＞0.05）.结论：PPCI使用安心颗粒,能改善急性ST段抬高型心肌梗死患者的生活质量,且不增加出血风险.     

The comparative studies of the influences of Urapidil and Nicardipine on sino-atrial node function, atrio-ventricular node function and hemodynamics

Objective:To investigate the influences of urapidil and nicardipine on rabbit sinus function,atrio-ventricular node function and hemodynamics.Methods:Thirty-two Angora's rabbits were selected and randomly divided into four groups.U1 group:urapidil 0.25 mg/kg;U2 group:urapidil 0.5 mg/kg;N1 group:nicardipine 10 μg/kg;N2 group:nicardipine 20 μg/kg.All these medicine were administrated within 30 seconds.Measurements were taken before and after the administration of urapidil or nicardipine for the following data:mean blood pressure(MAP),heart rate(HR),sino-atrial conduction time(SACT),maximal sinoatrial recovery time(SNRTmax)corrected sinus node recovery time(CSNRT),index of sinus node recovery time(SNRTI),Wenckebach A-V conduction frequency (WB),and P-R interval.Results:Significant MAP and HR changes were identified in all of the four groups before and after administration of both urapidil and nicardipine.No significant changes could be found in the rest of the parameters.Intergroup analysis showed that SACT and CSNRT of N1 and N2 groups were shorter than those of the U2 group(P＜0.01);the MAP decreased(P＜0.01)and the HR increased drastically(P＜0.01).Conclusions:Neither urapidil(0.25 mg/kg,0.5 mg/kg)nor nicardipine(10μg/kg,20μg/kg)has any significant influence on rabbit sinus function or rabbit atrio-ventricular node function.Nicardipine could be a better choice than urapidil for parafunctional sinus node patients.