乳腺积乳囊肿22例分析

乳腺积乳囊肿是生育后妇女一种较为少见的乳腺良性疾病。我科自1990年-2003年经手术治疗，病理确诊该病22例，现总结分析如下。     

更正

HBsAg检测是临床及体检必检项目，标本的不同是否影响测定结果，以下分别用血清及两种抗凝血浆进行测试观察。     

丙戊酸镁与苯噻啶对偏头痛的疗效比较

目的：比较丙戊酸镁与苯噻啶对偏头痛的疗效，方法：偏头痛病人６９例，分为内戊酸镁组４１例（男性１８例，女性２３例，年龄３４±ｓ８ａ）用丙戊酸镁０．２～０．４ｇ，ｏ，ｂｉｄ或ｔｉｄ，苯噻啶组２８例（男性１２列，女性１６例，年龄３３±１１ａ）用苯噻啶０．５～１．０ｍｇ，ｐｏ，ｔｉｄ，疗程均为１２ｗｋ，结果：２组总有效率差别不显（Ｐ〉０．０５），但２组基本控制率差别非常显（Ｐ〈０．０１）。２组不良反应     

抑郁发作自杀未遂患者脑源性神经营养因子水平及其相关因素研究

Objective To investigate the possible role of brain-derived neurotrophic factor(BDNF)in the pathophysiology of attempted suicide in depressive episode patients.Methods The subjects were 23 depressive episode patients who had recently attempted suicide.24 depressive episode patients without suicide attempt.and 30 sex-age-and education matched healthy controls.The Hamihon Depression Rating Scale-24 items(HAMD24),Beck Helpless Rating Scale(BHS)and Self-rating Idea of Suicide Scale (SIOSS)was used to evaluate the severitv of symptoms.The seruln level of BDNF was detected with sandwich ELISA.Pearson correlation coefficients wag used to measure the correlations between serum BDNF and the related illness variables.Results There were significant difierences in the serum level of BDNF between patients with attempted suicide,pailents without suicide attempt and normal controls(F=21.927,P＜0.05).Post hoc analysis showed the serum BDNF levels in patients with attempted suicide [(57 ±16)ng/L]were lower than that in patients without[(75±28)ns/L;P＜0.05],and were lower in patients without suicide attempt[(75 ±28)ng/L]than that in normal controls[(111 ±39)ng/L;P＜0.01].In patients with attempted suicide,the serum BDNF was negatively correlated to the duration of depressive episode(r=-0.541,P=0.008),the mean BHS score(r=-0.494,P=0.017)and the mean SIOSSscore(r=-0.754.P=0.000).Conclusion The results suggest that the decreased serum brain-derived neurotrophic factor is related to the pathophysiology of attempted suicide in depressive episode patients.     

运用精神分析学有关理论促进解决心理治疗师的“枯竭”

本旨在从精神分析学说的角度，从捕捉无意识内容、倾听的原则、病人自身的力量、建立界限的必要性、自由联想方法的运用、个人分析的重要性、如何对待移情等7个方面出发，来探讨如何促进解决心理治疗师的枯竭问题。     

蒙医药治疗神经性皮炎临床观察

神经性皮炎蒙医称莫德日伦·奇嫩泰·阿日顺额布钦,是一种以瘙痒和苔藓样变为特征的常见多发,反复发作的慢性皮肤炎症。本人根据该病临床特征分为局限型和泛发型,辨证施治,采取内服蒙药的同时再配合外用蒙药,标本兼治,取得了比较满意的疗效。1临床资料86例神经性皮炎患者均诊断     

合并法乐四联症行右枕脓肿切除成功麻醉1例

患者 ,男 ,33岁。因皮肤粘膜发绀 33年 ,阵发性头痛 7年 ,加重伴呕吐半月入院。查体 :神清精神差 ,言语不清 ,皮肤粘膜发绀 ,杵状指、趾 ,SPO2 75 % ,Hb 2 30 g/L。双肺听诊呼吸音稍粗糙 ,未闻及干、湿音。心脏听诊胸骨左缘 2～ 3肋间闻及喷射样杂音。肝肋下未扪及 ,叩击痛可疑阳性。辅助检查 :心电图示右房右室极度长大 ,增厚 ;超声心动图示 :肺动脉狭窄 ,室间隔缺损 ,主动脉骑跨 ,心室心房长大。术前诊断 :1法乐四联症 ,心功 ～ 级。 2右枕叶脓肿。患者经短期营养支持治疗后 ,在静吸复合麻醉下行右枕脓肿切除术。术前给予东莨菪碱 0…     

冷水浴是血管体操

俗话说：“要想身体好．洗洗冷水澡。”很多人洗过冷水澡之后都觉得神清气爽．于是一年四季坚持洗。的确．对于大部分人来说。如果洗冷水澡的方法正确．是有利于健康的。     

介绍自制阑尾把持器

目前最常用的腹腔镜阑尾切除术(LA)的术式是三孔法和二孔法[1].在施行LA过程中,处理阑尾系膜、结扎阑尾根部时,有时感觉阑尾的位置无法固定,缺乏牵拉张力,钳夹时容易滑脱.为此,我们自制了阑尾把持器,将其应用于临床后,收到了良好的效果.