双黄连粉针和三氮唑核苷注射液对治疗小儿支气管肺炎的疗效比较

<正> 双黄连粉针对呼吸道合胞病毒、流感病毒等有明显地抑制作用。三氮唑核苷注射液能抑制许多RNA和DNA病毒,具有独特的广谱抗病毒能力。为缩短混合感染的小儿支气管肺炎患儿的病程,减少并发症,对双黄连粉针(60mg/Kg/日)加头孢唑啉(50mg/Kg/日)和三氮唑核苷(15mg/Kg/日)加头孢唑啉(同上),两组治疗方案进行了对比治疗。一般资料:84例患儿;男55人;女33人;年龄3个月—5岁,随机分成二组。临床痊愈指标:体温恢复正常;肺部听诊阳性体征消失;无咳嗽,呼吸平稳;再继续治疗三天无反复为痊愈。     

显微外科技术及带蒂包皮岛状皮瓣法在尿道下裂治疗中的应用

目的总结应用显微外科及带蒂包皮皮瓣一期修复尿道下裂的经验,提高手术成功率。方法回顾性分析38例一期尿道下裂修复手术及术后并发症。患儿年龄3～22岁,平均7．5岁。阴茎头冠状沟型12例,阴茎体型19例,阴茎根部型7例,其中6例曾在院外行阴茎下屈矫正术。应用显微外科技术,单纯选择带蒂包皮岛状皮瓣法一期修复尿道下裂32例,联合应用Duplay术式6例。结果随访3个月～2年,35例患儿术后阴茎外观满意,排尿通畅,无明显并发症:术后发生尿瘘2例,再次手术后治愈。1例术后3月出现尿道外口狭窄,经尿道扩张治愈。手术成功率为94．7％。结论应用显微外科及带蒂包皮岛状皮瓣一期修复尿道下裂,成功率高,并发症少,是治疗尿道下裂的良好方法。     

兔孤束核（NTS）在接受腹部迷走伤害性传入冲动及其在针刺抑制内脏—躯体反射中的作用

实验在164只家兔身上进行。目的在于了解腹部迷走神经(AVN)的冲动如何从外周传向延髓；在延髓内投射分布的特征；由AVN涛发的内脏—躯体肌反射(VSR）的性质以及针刺对它的影响。     

论产科人性化服务

开展人性化服务对于患者特别是产科患者（孕产妇）能否顺利分娩起着至关重要的作用，可减少护患矛盾的发生，并能降低剖宫产、滞产及产后大出血的发生率。     

复杂中足损伤的临床治疗

Objective To evaluate the features and key points of clinical treatment of the complex midfoot injury retrospectively.Methods Twenty-two cases of complex midfoot injury were admitted to our hospital from June 2003 to June 2008, including 8 cases of open fracture and 5 cases of complicated soft tissue defects.Thirteen were emergency cases and the other 9 chronic ones were referred from other hospitals.In the emergency cases, only 1 underwent arthrodesis of the navicular and middle and lateral cuneiform and the others had reduction and internal fixation.In the referred cases, 2 received talar-navicular arthrodesis, 3 Lisfranc arthrndesis (accompanied by distal hallux amputation in 1), 1 navicular-cuneiform arthrudesis and 1 Chopart arthrndesis, 1 medial column amputation and 1 lateral column reconstruction.In the cases of soft tissue defects, 4 underwent free serratus anterior transfer, and 1 had transfer of distally-based sural fas-eio-cutaneous flap.The American Orthopaedic Foot & Ankle Society (AOFAS) scoring was used to evaluate the results.Results All the patients were followed up for 5 to 44 (average, 17.5) months.The main sequelae of the emergency cases were pain after long time waking, which was relieved following local injection of steroid and NIADs in 2 cases.Of the referred cases, pain and fatigue after walking were reported in 2, callus and pain under the 4th and 5th metatarsal heads in 2, and the whole foot rigidity and atrophy of the intrinsic muscle with severe pain while walking in 1.The case of medial column amputation developed medial arch collapse and valgus of hind foot.The mean AOFAS score for the emergency cases was 80.3± 8.7 and for the chronic ones was 60.1±16.3.Conclusion For complex midfoot injury, good results can only be obtained by early operation, anatomic reduction and stable fixation on the basis of enough understanding of the functional anatomy and traumatic pathology.