十二指肠憩室的诊断与治疗

目的 探讨十二指肠憩室的临床表现,诊断和治疗.方法 回顾性分析2年7个月期间收治的105例患者的临床资料.结果 全组患者症状以腹痛多见(54例),其次是以返酸、恶心、呕吐等症状(21例),主要经消化道造影检查和内镜检查诊断.68例行保守治疗,其中1例出现病情反复,行憩室旷置术(胃大部切除、胃肠吻合术,Billroth Ⅱ).37例经外科治疗,其中22例因合并胆道系统疾病行相关手术；11例反复发作憩室炎行憩室旷置手术(5例)或切除手术(6例)；4例行其他手术.105例均随访1年,未见明显不适.结论 十二指肠憩室的症状以腹痛为主,多经消化内镜和消化道造影诊断,多数可以保守治疗,外科治疗需严格掌握手术适应证.     

维丁胶性钙穴位注射治疗喘息性支气管炎178例疗效观察

目的观察维丁胶性钙穴位注射治疗小儿喘息性支气管炎的效果。方法选择3周岁以内喘息性支气管炎患儿300例,分治疗组178例和对照组122例,在常规止咳、抗炎药物控制气道炎症的基础上,治疗组加用维丁胶性钙在双侧定喘穴、膻中穴进行穴位注射,并与加用氨茶碱的对照组进行比较。结果治疗组总有效率96.07%,对照组总有效率84.43%,2组比较有非常显著性差异(P<0.01)。结论本疗法具有疗效确切、安全、方便等优点,值得临床推广应用。     

食管裂孔疝修补术应用腹腔镜的价值分析

目的:探究腹腔镜在食管裂孔疝修补术中的应用疗效以及安全性.方法:将我院收治的34例食管裂孔疝的患者给予腹腔镜食管裂孔疝修补术,分析其疗效.结果:34例食管裂孔疝患者的食管裂孔疝修补术均成功,无术中中转开履,无并发症出现.平均手术时间为124.5±1.4分钟,平均出血量41.3±2.4ml,平均住院时间4.0±0.6天,平均末后29.5±0.5小时可以进流食,平均术后27.4±0.7天临床病征完全消失,术后无1例并发症.结论:腹腔镜下实施食管裂孔疝侈补术疗效显著,安全性高,出血量小,值得临床推广.     

类风湿因子检测的临床应用

类风湿关节炎是一种常见病,同时也是一种常见的多发病,病人随着病情的进展可致关节畸形,重者甚至导致致残.探讨类风湿因子(RF)分型定量检测对类风湿关节炎(RA)诊断、治疗以及预后的意义.文中分别采用了散射比浊法与ELISA方法来定量检测RA患者组以及其他风湿病组血清中IgG、RF、IgM、RF、IgA、RF的含量.     

外用川百止痒洗剂联合0.1%糠酸莫米松乳膏治疗湿疹临床研究

目的观察川百止痒洗剂联合0.1%糠酸莫米松乳膏治疗湿疹的有效性与安全性。方法采用随机、单盲、平行对照的方法对63例湿疹患者应用川百止痒洗剂联合0.1%糠酸莫米松乳膏外用治疗,同时设立对照组64例单独外用0.1%糠酸莫米松乳膏,治疗12天后评价疗效,并进行皮肤病生活质量指数(dermatology life quality index,DLQI)问卷调查。结果试验组总有效率为87.30%,与对照组70.31%相比有统计学差异(P<0.01);DLQI总分两组均下降,但无统计学差异(P=0.8775);试验组和对照组发生局部刺激反应分别为6.3%和7.8%,无统计学差异(Fisher校正χ2检验P=1.0000)。结论川百止痒洗剂联合0.1%糠酸莫米松乳膏治疗湿疹较为有效、安全。     

特异性免疫治疗新进展

特异性免疫治疗(SIT)作为目前唯一可能根治变应性疾病的治疗方法,不仅可以减轻过敏症状,减少用药,还可阻止自然病程的进展,预防新变应原的产生.近年来舌下SIT因其良好的安全性、有效性和易操作性已在欧洲各国广泛开展.标准化的变应原制剂在国内外逐步应用,已取代非标准化制剂.然而无论是皮下注射还是舌下含服方法,其具体有效剂量、治疗方案、治疗疗程尚待规范统一.随着对其作用机制的不断深入研究,以及以重组变应原为主的新制剂的研发,SIT的应用范围将会进一步扩大,更好地用于变应性疾病的治疗.     

全麻术后并发吸入性肺炎患者的护理(附1例报告)

结合1例全麻术后并发吸人性肺炎年轻患者的护理,并复习相关参考文献,对全麻术后并发吸人性肺炎的围手术期护理要点进行总结分析,包括加强术前健康教育和呼吸功能锻炼,完善肠道准备,术后重视病情观察和呼吸道管理,积极做好心理护理.     

尘肺继发气胸的临床观察

目的 总结尘肺继发气胸患者的临床特点.方法 分析54例尘肺继发气胸患者的70次住院病例特点.结果 54例患者中43例（79.6%）为尘肺叁期患者,17例（24.3%）无明显病情加重期,21例（30.0%）入院时未发现明显阳性体征.其中合并肺气肿39例（72.2%）,合并肺大泡20例（37.0%）,合并肺部感染28例（51.9%）.14.8%的患者有气胸复发史.结论 1.气胸的发生率随着尘肺期别的增加而增加;2.尘肺继发气胸易漏诊;3.尘肺继发气胸的患者并发症多,恢复时间长,复发率高.     

神经外科新护士科内培训的实践与效果分析

目的：探讨神经外科新护士培训的方法与实践。方法：通过对20名新护士结合专科特点采取灵活、系统、形式多样的培训方式,并进行效果评价。结果：培训后新护士的各项能力均得到明显提高,并能胜任临床工作。结论：在进行灵活、形式多样的培训过程中,提高了新护士的学习兴趣,培养了临床思维能力,提高综合应用能力及急救水平,加速了新护士的成长。     

Disease distribution and medical resoureces during the Beijing 2008 Olympic and Paralympic Games

Background Appropriate planning and staffing for medical services at large-scale athletic events is essential to provide for a safe and successful competition. There are few well-documented accounts describing the demand for such services.The present study provided the data from the Beijing 2008 Olympics and Paralympics,with a view to provide the guidance for planning future events.Methods A total of 22 029 and 8046 patients,who received medical care from a physician at an Olympic or Paralympic medical station,were included. The patient proportion among different personnel,various disease proportions at different kinds of venues,and the disease spectrum at specified venues at the Olympics and Paralympics were analyzed.Results At both games,the patient proportion varied by accreditation status. The staff accounted for the largest number of visits at the Olympics (44.83%) and Paralympics (36.95%),with respiratory diseases the most common. Various disease spectrums were discovered at the different kinds of venues. Surgical diseases were the most frequently listed reason for visits,both at competition and non-competition venues,especially during the Paralympics. The sport-related injuries accounted for a majority of the surgical cases during both games. At training venues,ear nose and throat diseases accounted for the greatest number of visits during both games.Conclusions During both games,people contracted different diseases at different venues. Adequate surgeons should be designated to offer assistance mostly in trauma situations. Appropriate numbers of physicians in respiratory diseases and otorhinolaryngology is of great importance.