颅内动脉瘤术中破裂临床分析

目的：探讨颅内动脉瘤手术中破裂的原因和防治。方法：对69例（74个动脉瘤）在手术中10例（10个动脉瘤）破裂及其处理进行分析。结果：74个动脉瘤在手术中破裂10个（13.51％）：其中5个为复杂形态前交通动脉动脉瘤在分离瘤体时破裂；4个为蛛网膜广泛粘连在解剖时破裂；1个为后交通动脉动脉瘤在夹闭时破裂。除其中1例因广泛紧密粘连无法暴露而失败外，余经紧急处理均成功夹闭或包裹。结论：术中适当的暴露和主动阻断载瘤动脉能减少破裂机率。     

CLINICAL OBSERVATION ON EFFICACY OF ELECTRO-ACUPUNCTURE THERAPY IN HYPERPLASIA OF MAMMARY GLANDS AND ITS EFFECT ON IMMUNOLOGICAL FUNCTION

Based on our work on electro-acupuncture therapy of hyperplasia of mammary glands and in order to observe further the relationship between immunological function and E2 in hyperplasia of mammary glands, we determined the change not only in immunological function before and after electro-acupuncture in 44 in-patients with hyperplasia of mammary glands and having the same menstruation date, but also in electro-acupuncture treated rat hyperplasia of mammary glands model. We found that there was decrease of immunological function in hyperplasia of mammary glands and this function could be remarkably enhanced by electro-acupuncture both in hyperplasia of mammary glands patients and in rat hyperplasia of mammary glands model. The mechanism implies it might be that the inhibitory effect on immunological function exerted by high concentration of E2 was lowered by electro-acupuncture, hence the immunological function was reinforced. The results of this study are important in exploration of both the pathogenesis of this disease and the mechanism of electro-acupuncture, and in reducing the incidence of breast carcinoma.     

穴位注射结合推拿手法治疗椎动脉型颈椎病

目的：观察电池、阿是等穴注射VB12、丹参注射液，结合推拿手法治疗椎椎病3周，随访3个月的临床疗效。结果：观察组64例中痊愈52例，占81．25％，明显优于对照组的56．25％（P＜0．05），而总有效率两组间无差别（P＞0．05）；观察组有症状明显减轻和症状消失快的优势；不同性别、年龄、病程之间疗效无差异（P＞0．05）     

EFFECT OF ACUPUNCTURE TREATMENT IN 500 PATIENTS OF MAMMARY GLAND HYPERPLASIA

Hyperplasia of mammary glands often oc-cuffs in middle-aged women(30-45 years old).The main pathogenetic factor was depression ofLiver Energy which resulted in disturbances of the Stomach,Kidney,vital Energy and Blood.According to differentiation of symptoms andsigns by traditional Chinese medicine,the diseasewas divided into 4 types:depression of LiverEnergy,Fire syndrome of Liver,deficiency ofLiver and Kidney Yin,and deficiency ofboth vital Energy and Blood,with depression ofLiver Energy as the most common type.Theaction of acupuncture was to relax Liver Energythereby regulating vital Energy and smoothingthe Energy of the Stomach coUateral.Acupunc-ture produced good immediate and long-termcurative results with little side effects comparedwith other therapies.The mechanism was pro-bably related to the improvement of cellular im-munological function and the correction of en-docrinological disturbances.The treatment ofmammary gland hyperplasia with acupuncturemay prove an important means for reducing theincidence of breast carcinoma.     

消白冲剂治疗白癜风50例

<正> 治疗方药:补骨脂、当归、丹皮各100克,陈皮,白蒺藜、赤芍、茜草、鸡血藤、沙参各200克,甘草120克,灵磁石600克,白糖1200克,取补骨脂、当归、丹皮、陈皮共研末,其余7味药加水煎煮,取汁浓缩至稀膏状,与上述药末及白糖混匀、制粒、干燥、整粒、分装成每包10克备用。每次1包,每日3次冲入温开水中(搅匀,勿使药末沉淀)口服,2个月为1疗程。治疗结果:白斑消退,肤色恢复正常为痊愈,共12例,白斑消退或缩小,恢复正常肤色总面积(?)60%为显效,共17例;白斑消退或缩小,恢复正常肤色总面积<60%为有效,共18例;治疗前后皮损无明显改变为无效,共3例。总有效率94%。所有病例治疗均在2个月以上,痊愈和显效的病例中,一般1周左右白斑转红,2～3周白斑范围开始缩小,白斑处出现点状色素沉着点。痊愈病例中,疗程最短者2个半月,最长者13个月,平均为5个半月。病案举例:黄某,女,25岁,1987年5月20日初诊.患者1年前患感冒后,头、颈部出现大小不等的光亮白斑,多方求治不效,心情郁闷,皮损日趋增多、扩大。遂来本科诊治,检查:头面、颈项、胸、     

腰大池灌注林格液加脑室外引流治疗脑室出血

目的探讨腰大池恒压灌注林格液加侧脑室外引流治疗脑室内出血的疗效。方法应用腰大池恒压灌注林格液加侧脑室外引流的方法治疗脑室内出血9例。结果死亡1例，存活8例。脑室引流管留置时间分别为：3d4例，5d4例。结论腰大池恒压灌注林格液加侧脑室外引流治疗脑室内出血的方法安全可行，能更快地消除脑室内积血对脑室周围结构的刺激，改善预后。     

浅谈十二经别的循行特点

<正> 十二经别简称经别(下同)是由十二经脉分出的,以离、入、出、合为主要循行特点的经脉,是十二经脉别行的支脉。《灵枢·经别篇》记载了经别的循行路线,离、入、出、合的部位和“六合”形成的过程。经别是经络系统的主要组成部分,在针灸临床的辨证、治疗方面具有重要意义,因而有必要对其进行深