血液紫外线照射充氧输入法对烧伤病人血气的影响

我科自1989年将血液紫外线照射充氧输入法用于21例重度烧伤病人,以纠正低氧血症,临床效果良好。资料与方法血液紫外线照射充氧输入法组(治疗组)和输供体未照射血组(对照组)临床资料见表1。两组其它治疗措施基本相同。治疗组共实施照射充氧血液输入124人次,其中采用供体血103人次,自体血21人次,平均     

综合性医院神经内科建立神经康复中心的价值

综合性医院神经内科建立神经康复中心的价值王东钢，陈丽君，张晶脑血管病是严重危害人们健康的三大常见疾病之一，其发病率、患病率、死亡率和致残率均较高。随着现代医学的发展和各种诊疗技术的提高，脑血管病的死亡率有所下降。但由于恢复期康复医学发展较慢，国内绝大...     

经阴道超声对无症状宫外孕的诊断价值

目的:探讨经阴道超声对无症状宫外孕的诊断价值.材料和方法:根据临床症状与体征,将24例经外科手术证实的宫外孕患者分为无症状组和有显著临床症状组,回顾性分析其声像图特征及临床资料.结果:无症状宫外孕组中,TVUS可清晰显示患者(11/13)的输卵管环征,以输卵管环征诊断宫外孕符合率为84.6%;有显著症状宫外孕组中,所有患者(11/11)未显示输卵管环征,此组宫外孕的诊断须结合临床资料.结论:TVUS对无症状宫外孕的诊断有较大的临床应用价值.     

大鼠脂肪干细胞复合胶原-壳聚糖-硫酸软骨素三维支架构建组织工程软骨

Objective To evaluate the character of the collagen-chitosan-chondroitin sulfate scaffold seeded with rat adipose tissue-derived stromal cells. Methods A dipose tissue were harvested from 6 weeks old Wistar rats and the stromal cells were harvested by type Ⅰ collagenase and then cultured in vitro. Type Ⅰ collagen was fully mixed with chitosan, freeze-dried and cross-linked with chondroitin sulfate, then freeze-dried again and sterilized by ethylene oxide. The pore diameter, water content, porosity of the scaffold were tested. The adipose tissue-derived stromal cells were digested, seeded into the plates, scaffold, and cen-trifuged into pellet, and then induced into cartilage. MTT detection for cell proliferation was done. After 3 weeks, the cell morphology, and cell proliferation and adhesion were observed, and chondrngenic differenti-ation was also analyzed. Results The pore diameter, water content, porosity tested for the scaffold showed an appropriate form. Cell proliferation showed faster in the scaffold and pellet culture system after 5 day, there was still cell proliferation in the scaffold system after 14 days but no obvious changes in the pellet cul-ture system; ceils on the scaffold proliferated densely showed by histological staining, but there was a scaf-fold structure residues in the inner layer. The finding of type Ⅱ immunohistochemistry stain showed that cells express strong positive for type Ⅱ collagen in the scaffold and pellet culture system whereas it was weakly positive in the plate culture system; the specific mRNA for cartilage, type Ⅱ collagen, aggrecan and SOX-9 were expressed in all three systems showed by RT-PCR, but type X collagen was expressed continu-ously in the plate culture system and expressed after 21 days in the pellet culture system, whereas it was not detected in the collagen-chitosan-chondroitin sulfate scaffold system. Conclusion The parameters of the collagen-chitosan-chondroitin sulfate scaffold were suitable in our study. The results suggested that it can promote the adipose tissue-derived stromal cells proliferation and chondrogenic differentiation better than the plate and pellet culture systems and maintain the phenotype of chondrocytes well; it is the optimal choice for cartilage tissue engineering in the future.     

上海市区一级幼儿园膳食管理分析

为了解上海市一级幼儿园营养室、营养工作基本现状 ,探讨进一步改进措施。新世纪初 ,作者对上海市 10个市区 70所一级幼儿园进行了营养室现状调查。1　对象和方法1.1　对象　取上海市原城区即 10个市区、70所一级幼儿园作为调查对象 ,其中公办 61所 ,民办 9所 ;日托 60所 ,寄宿 10所。1.2　方法　采用自行设计的问卷调查 ,内容涉及幼儿园营养室的设施、营养员的基本情况、营养工作落实情况、膳食管理机构等 ,由各所保健老师填写。1.3　统计　数据采用Excel录入 ,单项剔卡法 ,计算构成比。2　结　果2 .1　营养室基本情况　营养室条件参差不…     

APLD联合推拿治疗腰椎间盘突出症

经皮穿刺腰椎间盘切除术(Auto Percutaneous Lumbar Diskectomy,简称APLD)是目前广泛应用于治疗腰椎间盘突出症的一项介入放射学新技术。我们采用APLD联合推拿治疗腰椎间盘突出症，以观察推拿疗法对APLD术后患者的作用，现报告如下。     

颗粒脂肪注射移植操作体会

颗粒脂肪注射移植操作体会戚可名，张晶由于颗粒脂肪注射移植较整块脂肪手术移植存活率大大提高，且操作简便，受到整形美容外科医师及患音的青睐。我们自１９９１年起应用颗粒脂肪注射术为５０例患者进行了治疗，其中包括各种额面部皱纹、硬皮症、眼睑内陷、上睑重睑术后...     

视盘血管袢的临床特征

目的：了解视盘血管袢的临床特征。方法：回顾分析我院自开展荧光素眼底血管造影以来的诊断为视盘血管袢的14例(16眼)临床资料。结果：视盘血管袢62．5％的分布于视盘上方；动脉袢10眼，静脉袢6眼；合并玻璃体积血8眼；视力在0．5以下者占78．5％。结论：视盘血管袢动脉居多，多于视盘上方，影响视力的主要原因为合并症。     

过氧乙酸对静脉输液器除热原效果

过氧乙酸对静脉输液器除热原效果张维滨，张晶（山东省邹城市人民医院邹城２７３５００）为选择简易、有效的去除输液器热原方法，对过氧乙酸处理法与现用的石炭酸及碳酸钠－石炭酸处理法的除热原效果，进行了试验比较。用石炭酸处理时，先将输液器用自来水冲洗２０分钟，...