头痛、呕吐、昏迷、双目失明一例

病历摘要高××,女,20岁,未婚,农民,新安县人。因间发性剧烈头痛、呕吐、视力障碍10个月,昏迷两小时而入院。现病史:患者于1978年6月开始有剧烈头痛,多出现在两额部,伴有呕吐。曾于本地就医,诊断不清,用药不详,头痛持续20     

挑治、刮痧疗法

挑治疗法它是用粗针(缝衣针也可)挑断一定部位皮下的白色纤维样物以治疗疾病。适应范围:痔疮、肛裂、肛门瘙痒、脱肛、月经过多、急慢性前列腺炎、急性结膜炎、麦粒肿、食道静脉曲胀、甲状腺机能亢进、颈淋巴结核、疔疮等。部位选择:多采取背部,一般可分为三种:(1)选点挑:从第七颈椎开始至第二骶椎之间的腰背部找挑点,点的特征是形如丘疹,稍起于皮面,形状如大头针之帽,有光泽,颜色可分为红、棕褐、灰白不等,压     

抗菌素和磺胺药的合理使用

1972年5月,全国磺胺,抗菌素性能疗效调查组来我省检查指导工作,戴自英教授作了“磺胺、抗菌素的合理使用及其对它们的评价”的报告,深受到会医药卫生工作者的欢迎。现结合我省具体情况,选摘其报告中的部分内容刊出,供学习参考。     

敬告作者

本刊所引用的参考文献书写要求如下：如文献的作者不多于3人,应全部列出;如为4人以上,只列出前3人,后加"等"（中文）、"他"（日文）、"etal"（西文）。其格式如下：［期刊］序号作者．文题．刊名,年份,卷：起页～迄页． 　　［书籍］序号作者．书名．版次．出版地：出版社,年份．起页～止页．或：序号章节作者．文题．见［In］：主编姓名,主编．书名．版次．出版地：出版社,年份．起页～止页． 　　本刊编辑部     

儿童弥漫性血管内凝血研究进展

弥漫性血管内凝血(DIC)是由多种疾病和致病因素引起的临床综合征,以凝血因子和血小板被激活,大量促凝物质入血,凝血酶增加,进而微循环中形成广泛微血栓为特点.     

H5N1亚型人禽流感性肺炎一例

患者女,24岁.因"畏寒、发热6 d,咳嗽3 d,呼吸困难1 d"于2005年11月7日入院.发病前2周家中饲养的鸡、鸭陆续死亡,曾多次参与宰杀并食用.6 d前在无明显诱因下出现畏寒、低热,3 d后体温渐升至38～39 ℃,伴干咳和全身肌肉酸痛.因抗感染3 d无效,出现呼吸困难及发绀来本院就诊.     

Comparison of hemodynamic changes after endotracheal intubation by using the lighted stylet and the laryngoscope in patients

Objective To compared the effects of the lighted stylet technique on hemodynamic responses, time- to- intubation, number of attempts, and complications during tracheal intubation with those of direct- vision laryngoscopy in patients. Methods Forty patients were randomly assigned to one of the following two groups: 1) patients intubated by using the laryngoscope (A group, n = 20); 2) patients intubated by using the lighted stylet( B group, n= 20). Lighted styletor laryngoscopic oral endotracheal in- tubation was performed after the induction of anesthesia with fentanyl and propofol and muscle relaxation. Systolic blood pressure, diastolic blood pressure, and heart rate were recorded, and the change from "be- fore intubation"to "immediately after intubation"in each variable was calculated. Results In two groups , SBP and DBP were significantly decreased from the baseline level by the induction of anesthesia (P< 0.05). In Bgroup, SBP and DBP were increased transiently to the level of baseline by intubation. Heart rate (HR) increased transiently after intubation in both A and B groups. Significantly higher changes from "before intubation"to "immediately after intubation"in SBP were observed in the A group compared with the B group (P<0.05). Values of SBP and DBP were significantly greater in the A group than in the B group, respectively, in immediately after tracheal intubation and 1min after tracheal intubation . Conclu- sions We conclude that the lighted stylet technique required significantly a longer time to intubation than the laryngoscopic technique in patients. However, the lighted style ttechnique significantly attenuated hemodynamic changes tointubation in comparison with the laryngoscopic technique in patients.