论教学医院后勤管理创新

教学医院后勤工作是教学医院系统中的支持系统。旨在对医院医疗、科研及教学设备和设施的保障。医院后勤社会化的展开与发展,将使其中相当多的工作纳入社会的经营。然而,后勤作为医院工作的重要内容,仍应是一个有机的系统。教学医院后勤管理,就是围绕医院的任务和工作目标,对这     

声导抗检查鉴别诊断分泌性中耳炎

目的探讨用声导抗检测仪(声导抗)检查鉴别分泌性中耳炎临床意义,减少耳鼻咽喉工作中分泌性中耳炎的误诊率。方法采用中耳分析仪对初诊为感音-神经性耳聋的患者进行声导抗检测仪检查。结果126例初诊为感音-神经性耳聋患者中有12例(9．5％)被鉴别为分泌性中耳炎。结论声导抗检查是减少分泌性中耳炎误诊的有效措施。     

先天性马蹄内翻足动物模型胚胎后肢(芽)评分系统的建立

Objective Quantification of the severity of congenital clubfoot is essential for its re-search and treatment. Up to date, no scoring system is available for hind limb bud development. In this study,a scoring system was established based on a murine model Methods Sixty female Wistar rats weighing 220～250 g were randomized into the six control groups and six experimental groups. Vaginal sperm plug detection day was considered to be day 0 of gestation. Hind limb buds from fetuses of E13, 14, 15,16,17 and 18 days were removed and processed. Results Morphogenetic differentiation changes were detected in the experimental groups. According the new scoring system, clubfoot-like deformity was present in 80.9% of the experimental fetuses. We were able to quantify the extent morphogenetic diffcrentiation of the hind limb accordingly. Conclusions Congenital clubfoot deformities begin at early developmental stage and become exaggerated as the fetuses mature. The scoring system can quantify the extent of congenital clubfoot deformity and facilitate its management.     

带蒂上唇黏膜瓣行鼻腔缩窄术治疗萎缩性鼻炎12例分析

目的：探讨治疗萎缩性鼻炎的有效方法。方法：使用带蒂上唇黏膜瓣行鼻腔缩窄术。结果：治疗12例24侧,近期疗效达100％。结论：带蒂上唇黏膜瓣行鼻腔缩窄术治疗萎缩性鼻炎操作简便易行,手术成功率高,效果显著。     

妇女良恶性肿瘤患者血清三种肿瘤标志物检测

选择１２５例正常健康妇女、８２例妇女良性肿瘤、７８例乳腺癌、６８例子宫颈癌和子宫体癌、５０例卵巢恶性肿瘤患者，用酶联免疫吸附法（ＥＬＩＳＡ）检测血清中癌胚抗原（ＣＥＡ）和铁蛋白。用聚丙烯酰胺凝胶电泳法分析血清乳酸脱氢酶（ＬＤＨ）同工酶。结果：单项检测ＣＥＡ、铁蛋白和ＬＤＨ比值的阳性率分别为乳腺癌４５％、６２％和５８％；子宫颈癌和子宫体癌５０％、５８％和６１％；卵巢恶性肿瘤６７％、６８％和７９％。３种肿瘤标志物联检的综合阳性率乳癌的诊断符合率为９３％，子宫颈癌和子宫体癌诊断符合率为９０％、卵巢恶性肿瘤诊断的符合率为９６％。结果提示：３种肿瘤标志物联合检测可提高妇女恶性肿瘤的阳性诊断率     

先天性马蹄内翻足动物模型胚胎后肢(芽)评分系统的建立

Objective Quantification of the severity of congenital clubfoot is essential for its re-search and treatment. Up to date, no scoring system is available for hind limb bud development. In this study,a scoring system was established based on a murine model Methods Sixty female Wistar rats weighing 220～250 g were randomized into the six control groups and six experimental groups. Vaginal sperm plug detection day was considered to be day 0 of gestation. Hind limb buds from fetuses of E13, 14, 15,16,17 and 18 days were removed and processed. Results Morphogenetic differentiation changes were detected in the experimental groups. According the new scoring system, clubfoot-like deformity was present in 80.9% of the experimental fetuses. We were able to quantify the extent morphogenetic diffcrentiation of the hind limb accordingly. Conclusions Congenital clubfoot deformities begin at early developmental stage and become exaggerated as the fetuses mature. The scoring system can quantify the extent of congenital clubfoot deformity and facilitate its management.     

磺胺嘧啶银加皮维碘软膏治疗Ⅱ度烧伤创面的临床评价

目的通过观察使用磺胺嘧啶银（SSD）加皮维碘软膏（PVP—Ⅰ）治疗Ⅱ度烧伤创面的临床疗效，探讨其应用的可行性。方法将160例烧伤患者随机分为2组，每组80例，治疗组外用5％磺胺嘧啶银皮维碘软膏，对照组外用10%皮维碘软膏，观察疼痛反应、创面愈合及功能恢复情况。结果SSD加PVP-Ⅰ用于Ⅱ度烧伤创面的治疗中，在各项观察指标方面均优于单用PVP—Ⅰ组（P〈0．05）。结论SSD与PVP—Ⅰ合用能减轻烧伤疼痛、缩短愈合时间、改善预后。     

延安大学附属医院的"创评"与科学发展

延安大学附属医院在创建三级甲等医院和迎接教学评估工作中,以科学发展观统领医院发展全局,以医疗、教学、科研为中心,以创建三级甲等医院、迎接教学医院评估为重点,以医疗质量为主题,加强医院管理,改善服务态度,规范医疗行为,确保医疗安全,努力实现医院管理、人才开发、服务流程、预防保健和治疗手段的自主创新,保证医院内涵建设水平稳步快速提高。积极构建学习型、节约型、环境美好     

皮肤坏死剥脱性重症皮肤病患者的外科治疗探讨

目的提高皮肤坏死剥脱性重症皮肤病患者的治疗护理水平。方法总结19例自身免疫性疱病和剥脱性皮炎患者外科治疗及护理的疗效。结果19例患者经施行糖皮质激素联合外科治疗护理,皮损10d～35d(平均17d)得到控制出院。在门诊随访最短5个月,最长2年。3例患者仍在泼尼松维持量用药治疗。出院后均无复发。结论皮肤坏死剥脱性重症皮肤病患者采用糖皮质激素联合外科治疗方法治疗加之有效护理,能使病情得到尽快控制,减少激素使用时间及剂量。     

先天性马蹄内翻足动物模型胚胎后肢(芽)评分系统的建立

Objective Quantification of the severity of congenital clubfoot is essential for its re-search and treatment. Up to date, no scoring system is available for hind limb bud development. In this study,a scoring system was established based on a murine model Methods Sixty female Wistar rats weighing 220～250 g were randomized into the six control groups and six experimental groups. Vaginal sperm plug detection day was considered to be day 0 of gestation. Hind limb buds from fetuses of E13, 14, 15,16,17 and 18 days were removed and processed. Results Morphogenetic differentiation changes were detected in the experimental groups. According the new scoring system, clubfoot-like deformity was present in 80.9% of the experimental fetuses. We were able to quantify the extent morphogenetic diffcrentiation of the hind limb accordingly. Conclusions Congenital clubfoot deformities begin at early developmental stage and become exaggerated as the fetuses mature. The scoring system can quantify the extent of congenital clubfoot deformity and facilitate its management.