国内外电子健康信息共享调阅现状与思考

介绍国内外电子健康信息共享调阅发展现状,分析我国目前存在的问题并提出针对性建议,包括加大政府财政资金支持力度、开展考核指标体系研究、保障信息安全,以实现更大范围的电子健康信息共享调阅。     

高频电圈子宫颈锥形切除术

我院于2002年开始,应用高频电圈对子宫颈疾病进行宫颈锥形切除,替代价格昂贵的电波电圈,收到了良好的效果. 1临床资料 1.1资料来源:2002年我院门诊诊断为宫颈炎病人,自愿接受手术者225例,均为已婚已育者,年龄29～53岁间.未育者12例,仅行电圈活检,未列入本资料内.     

新生儿面神经麻痹1例

新生儿面神经麻痹１例承德市医院儿科张世红，沈南平承德医学院基础部杨振江关键词新生儿；面神经麻痹患儿男，２０大，因口角歪斜半天于１９９４年３月２１日就诊。半天前家属在患儿哭闹时发现口角歪斜，吸奶无力，无发热、呕吐及抽搐。患儿系第一胎第一产，足月顺产，生...     

结膜炎缘何久治不愈

笔者接诊了一位结膜炎患者,病人自述前后已经在好几家医院,诊断、治疗了近3个月,不适症状未减。笔者从其病历上查看,诊断、用药无误,然而为什么疾病迁延不愈呢?仔细询问病史,方知病人近3个月来小便黄赤,大便干硬且2—3天才解一次。证属三焦实热,大便燥结(中医所谓“自身中毒”)。于是处方中加服清热解毒、通便润肺的中药。7日后,患者双眼外视正常,自觉眼部不适症状悉失,病告痊愈。 结膜炎占结膜病首位,是眼科的常见病和多发病。结膜与外界直接接触,易受风、尘、烟、热等刺激,也容易受到感染及外伤。同时,结膜富     

眼科圣药空青石

一块很普通的石头,是那样的不起眼,但如果你拿起来晃一晃,便会听到哗哗的水响声,这便是传说中价值连城的石水胆(空青石)。最令人惊奇的是——封闭在空青石中的那坨水有成千上万年的历史呢!空青石因中间空洞颜色青绿而得名,又有“会唱歌的中药”之美称。     

远程医疗的利用及发展

远程医疗是目前国际上一个十分热门的话题。远程医疗可以大幅度降低医疗费用、使边远地区享受高水平的医疗服务、实现医学信息共享等许多优越性。本文就远程医疗的产生、发展和现状,目前主要使用的领域及今后发展的方向等方面进行阐述。     

唇腭裂病人气管内插管麻醉术后喉头水肿的预防

气管插管麻醉是小儿手术常用的麻醉方式之一，但由于小儿生理特点，气管插管对呼吸道的刺激及麻醉药物的影响，术后并发症较多，尤其是喉头水肿，如发现不及时，护理不得当，易造成严重后果。我科自2002年12月-2004年12月，对90例气管内插管麻醉术后的唇腭裂病人实施预见性护理，无一例发生喉头水肿，现将护理体会报告如下。     

Incidence and risk factors of cognitive impairment 3 months after first-ever stroke: A cross-sectional study of 5 geographic areas of China

This study examined the incidence, neuropsychological characteristics and risk factors of cognitive impairment 3 months after stroke in China. Five regions that differed in geography and economy in China were selected. Patients from the hospitals located in the five regions were prescreened at admission, and the demographic data, vascular risk factors and clinical characteristics of stroke were obtained. A battery of cognitive-specific domain tests was performed in the patients who failed to pass cognitive screening 3 months post stroke. Patients were diagnosed as having post-stroke cognitive impairment (PSCI) or no cognitive impairment (NCI) based on the results of the neuropsy-chological tests. Univariate analysis was performed for suspect risk factors, and significant variables were entered in multivariable logistic regression analysis. Our results showed that a total of 633 patients were recruited 3 months after stroke; complete cognitive tests were performed in 577 of the stroke pa-tients. The incidence of PSCI in these Chinese patients was 30.7%. There were 129 (22.4%) patients with visuospatial impairment, 67 (11.6%) with executive impairment, 60 (10.4%) with memory impairment and 18 (3.1%) with attention impairment. The risk factors associated with PSCI were older age (odds ratio [OR] 1.76, 95% confidence interval [CI] 1.20-2.58), low education level (OR 2.45, 95% CI 1.65-3.64), depressive symptom (OR 1.69, 95% CI 1.09-2.61), obesity (OR 2.57, 95% CI 1.41-4.71), stroke severity 3 months post stroke (OR 1.62, 95%CI 1.10-2.37) and cortex lesion (OR 1.55, 95% CI 1.04-2.31). It was concluded that PSCI occurs commonly 3 months after first-ever stroke in Chinese patients. Visuospatial ability may be the most frequently impaired cognitive domain for the patients with stroke. The critical risk factors of PSCI are older age, low education level, depressive symptom, obesity, stroke severity 3 months post stroke and cortex lesion.     

伊尹创制汤液

伊尹,商代人。出身于奴隶,善烹调技术。汤王用为厨师,后起用为宰相。他在辅佐汤王夺取天下时,常与汤王谈论调味药物和延年益寿的道理。     

循经感传的外周神经机制

循经感传主要是一种感觉过程,它必然与感觉神经及其信息传递物质有着密切的关系。当穴位受到刺激后,引起感觉神经冲动的双向传导,通过轴突反射产生本节段内感觉信息的传布。神经元外周轴突末梢之间,由肥大细胞和各种生物活性物质介导,激活相邻节段的神经末梢,而产生跨节段信息传递。在外周的循经信息传递和在脊髓背角神经元之间的兴奋传递同步进行。外周和中枢的双向性信息传递过程相互联系,相互影响,不断延伸,就形成了循经感传。