眩晕症106例鉴别诊断

眩晕症是临床上常见的病症,引起眩晕症的疾病很多,我们自1994年收集106例以主诉眩晕为主要症状的病人,在传统鉴别诊断的同时,借助90年代一种新的鉴别诊断方法“眩晕症诊断流程图”(简称流程图),对106例病人进行鉴别诊断,取得     

急诊眩晕症的临床特征及治疗体会

目的探讨急诊眩晕症的临床特征及治疗体会。方法采用病史询问、颅脑CT和MRI、听力图等检查，对其各自临床特征进行研究。结果无论是内耳、前庭功能所致眩晕症还足颈椎病、脑干、小脑病变所致眩晕症在临床发病上均有视物眩晕、恶心、呕吐的共性症状，但其发病率、发病群体，诱因及伴随症状均有不同，相应治疗亦有不同。结论急诊眩晕症临床表现复杂多样，涉及多种学科，虽有某些共同临床特征，但应详细询问病史，明确诊断及鉴别诊断，对症治疗。     

眩晕引颈试验在颈性眩晕诊断中的运用研究

目的:通过观察自研眩晕引颈试验在临床鉴别诊断颈性眩晕与良性阵发性位置性眩晕(BPPV)时的效果差异,研发一种具有特异性的颈性眩晕诊断方法.方法:收集2017年12月—2019年7月江西中医药大学附属医院神经内科门诊和住院部符合颈性眩晕或BPPV常规诊断标准的眩晕患者各50例.眩晕引颈试验前两组患者行眩晕残障量表评分(DHI),结果显示两组眩晕程度无显著性差异.再对试验前后两组患者进行视觉模拟评分(VAS),根据患者在试验中的反应及VAS评分判定诊断结果,对评分进行统计学分析.结果:(1)试验前后颈性眩晕组VAS评分及试验后两组VAS评分有显著差异(P<0.01).(2)眩晕引颈试验与常规诊断方法对眩晕患者的诊断具有可比性(P>0.05).结论:自研眩晕引颈试验作为一种简便的体检方法,在颈性眩晕的诊断和鉴别诊断中具有较高的临床价值.作为颈性眩晕的一种诊断及鉴别诊断试验,适于在临床推广,应用前景较好.     

眼震电图600例分析

目的探讨眼震电图(ENG)对伴眩晕性疾病的鉴别诊断价值.方法对575例眩晕患者进行眼震电图检查(包括自发性眼震,凝视性眼震试验,视动性眼震试验,位置性眼震试验及变温试验等).结果梅尼埃病、特发性突聋、椎一基底动脉供血不足、脑病等伴眩晕的疾病的ENG均出现相应的特征检查结果.结论ENG检查是临床上一种全面的前庭功能检查法,对伴眩晕症状疾病的鉴别诊断具有重要的价值.     

应用模糊数学建立甲状腺疾病鉴别诊断系统的研究

在统计大量有关甲状腺疾病的临床资料以及有关临床医生经验的基础上、应用模糊数学方法建立甲状腺疾病鉴别诊断系统。数学模型采用模糊关系方程。算子为归一化后有界求和与Ｚａｄｅｈ算子的结合。这样可起到互补作用，提高诊断水平。然后根据最大隶属度原则进行鉴别诊断。有些症状或指标能决定思维方向，此时采用判别树的方法进行鉴别诊断。当仅根据症状及体征作甲状腺功能分类时，符合率为９１．１％，在取得必要的理化检验结果后，进行临床诊断时，符合率为９７．２％。     

眩晕型癫痫13例脑电图分析

眩晕是临床常见症状,病因复杂.眩晕型癫痫是眩晕的病因之一,在临床上很少见,由于其症状不典型易被误诊误治.现将我科近两年收治的13例眩晕症中被诊断眩晕型癫痫的脑电图特点,分析如下:     

眼震电图600例分析

目的：探讨眼震电图（ENG）对伴眩晕性疾病的鉴别诊断价值。方法：对575例眩晕患进行眼震电图检查（包括自发性眼震,凝视性眼震试验,视动性眼震试验,位置性眼震试验及变温试验等）。结果：梅尼埃病,特发性突聋,椎一基底动脉供血不足,脑病等伴眩晕的疾病的ENG均出现相应的特征检查结果：结论：ENG检查是临床上一种全面的前庭功能检查法,对伴眩晕症状疾病的鉴别诊断具有重要的价值。     

前庭神经炎的诊疗研究新进展

前庭神经炎(VN)为临床中常见的外周性眩晕疾病,典型临床症状表现为突发持续的重度旋转性眩晕,头动或体位改变时眩晕症状加重,伴有平衡障碍、自发性眼震等,无听力障碍和中枢神经系统疾病。在较长的时间里,VN的诊断与治疗方法相对滞后,本文结合相关文献,整理近年对VN的研究,重点在诊断新方法、治疗新方案等方面。     

以腰臀腿痛为首发症状的血管瘤病1例

本文以鉴别多发性脊椎体血管瘤与腰椎间盘突出症为目的,旨在引起临床工作者的注意,避免出现误诊误治,给患者带来不必要的精神和身体的损害。通过对本病例症状、体征及辅助检查等临床资料分析,阐明了两种不同疾病的鉴别要点。使我们明确两种疾病在临床表现、诊断和治疗的区别,提高这一类疾病的确诊率。     

青少年眩晕症的常见病因及临床特征(附124例报告)

眩晕为临床常见病状.是机体对空间关系的定向或平衡感觉障碍时,产生的一系列运动幻觉.常以头重脚轻、自体或周围物象的旋转、漂忽、晃动及迷离为特征.据统计,以眩晕为主诉者,在内科门诊约占2%～4%,神经内科门诊约占3%～10%,耳鼻喉科门诊约占5%～7%;住院患者中约占6.7%.[1,2]表现形式不一,合并症状多,体征交互;可发生于任何年龄.在临床诊断与鉴别诊断上仍常为其准确界定所困扰.为此,我们收集了1996年4月～2006年4月门诊青少年眩晕症124例,旨在探讨眩晕症的年龄及病因特征.     

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…     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

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.     

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.     

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.