缬沙坦治疗顽固性心力衰竭的疗效观察

顽固性心力衰竭（心衰）是临床上的难题，是指经过各种治疗措施均无明显改善的心衰。我们应用缬沙坦治疗19例顽固性心衰患，取得了预期的效果，报道如下。[第一段]     

医学微生物实验课的设计与管理

为了培养医学生解决实际问题的能力，训练学生树立创新的意识和严谨的科学作风以及团结协作的精神品德，本文提出了几条关于医学微生物实验课的设计原则，并且提出了几条医学微生物实验室的管理建议，以防止实验室微生物感染事件的发生。     

右肾巨大透明细胞肉瘤影像学诊断一例

患者女．50岁。腹胀、纳差2个月余，发现右上腹包块20d。体检：腹部隆起，剑突下约8cm、右肋缘下约5cm可触及一包块，质硬，有压痛。     

Dual Exposure to Sevoflurane Improves Anesthetic Preconditioning in Intact Hearts

Background: Anesthetic preconditioning (APC) with sevoflurane reduces myocardial ischemia-reperfusion injury. The authors tested whether two brief exposures to sevoflurane would lead to a better preconditioning state than would a single longer exposure and whether dual exposure to a lower (L) concentration of sevoflurane would achieve an outcome similar to that associated with a single exposure to a higher (H) concentration.

Methods: Langendorff-prepared guinea pig hearts were exposed to 0.4 mm sevoflurane once for 15 min (H1-15; n = 8) or 0.4 mm (H2-5; n = 8) or 0.2 mm sevoflurane (L2-5; n = 8) twice for 5 min, with a 5-min washout period interspersed. Sevoflurane was then washed out for 20 min before 30 min of global no-flow ischemia and 120 min of reperfusion. Control hearts (n = 8) were not subjected to APC. Left ventricular pressure was measured isovolumetrically. Ventricular infarct size was determined by tetrazolium staining and cumulative planimetry. Values are expressed as mean +/- SD.

Results: The authors found a better functional return and a lesser percentage of infarction on reperfusion in H2-5 (28 +/- 9%) than in H1-15 (36 +/- 8%; P < 0.05), L2-5 (43 +/- 6%; P < 0.05), or control hearts (52 +/- 7%; P < 0.05).     

da蒲公英复方霜剂治疗Ⅰ、Ⅱ度冻伤的临床观察

目的:使用蒲公英复方霜剂治疗Ⅰ、Ⅱ度冻伤,观察其临床疗效.方法:随机分对照组、观察组,比较是否具有统计学差异.结果:利用统计学分析,P＜0.005,有极显著性差别.结论:并通过临床观察其有确切疗效.     

一种自制牙本质粘接剂的粘接性能研究(摘要)

作者研制了一种含30～40％甲基丙烯酸-β-羟乙酯和3～8％戊二醛混合物的粘接剂。现就其对牙本质的粘接性能,摘要报道如下: 材料与方法 取新鲜离体人磨牙制备成平滑的牙本质表面,水洗吹干后分别用:①37％磷酸;②10％柠檬酸与3％三氯化铁混合液(简称10-3溶液);③18％乙二胺四乙酸二钠     

Effect of water restrictions on the physiological parameters,psychological behavior and brain c-Fos expression in rat

1 Introduction Exposure to hostile stressors causes a series of coor- dinated responses in the body, such as alterations of neu- roendocrine secretion, immune reaction and behavioral manifestation to maintain homeostasis stability and sur-vival of the organisms. Stressors are divided into two main categories: physical, or systemic, and psychological, or emotional / processive. Each stressor might activate a spe- cific central pathway to induce a special neuroendocrine response, even cause stre…     

肾移植术后并发大腿感觉功能障碍(附28例报告)

目的 提高对肾移植术后并发大腿感觉功能障碍的认识水平。方法 对179例肾移植术后患者进行问诊和大腿皮肤针刺检查。结果 179例中发现28例存在手术侧大腿感觉功能障碍。其中78例移植肾动脉与髂内动脉吻合的患者中有11例，分别为大腿前面7例、外侧面2例、前面和外侧面2例：101例移植肾动脉与髂外动脉吻合的患者中有17例，分别为大腿前面13例、外侧面1例、前面和外侧面3例。除1例为持续性感觉功能障碍外，其余27例均在术后半年内自愈。结论 肾移植术后出现手术侧大腿皮肤感觉功能障碍是较常见的并发症。肾移植术前应告知患者可能出现这种并发症。     

急性鼠药中毒38例救治体会

目前农村集市上销售的鼠药很多，有些是国家禁止使用的毒鼠灵、氧碳乙碳胺，如“一步倒”、“三步亡”，“全杀光”等，灭鼠力强，但对人类的健康也造成了很大危害，现就我院近年收治的急性鼠药中毒38例报道如下。