活性炭纤维在地方性氟中毒方面的应用展望

介绍了活性炭纤维（ＡＣＦｓ）的制造，特性及其应用。它具有优异的结耕与性能特征。含碳量高，比表面积大，微孔丰富，从而吸附力强，而且活性炭纤维还可制成纱、布、毡等形状，它可用于去除燃煤氟中毒区室内空气中氟化氢、二氧化硫、氧化氮、氨等污染物，利用它的高吸附性能还可较好的去除饮水中的氟化物及其他有害物质。活性炭纤维是一种新型高效吸附材料。在氟中毒防治方面有广阔的前途。     

保定地区首次证实为流行性出血热疫源地

保定地区1934年首次经血清学证实有EHF病例发生,并从疫区鼠类中查到EHF抗原,其阳性率分别为:褐家鼠4.85%,黑线姬鼠1.95%,大仓鼠0.79%,小家鼠0.51%,褐家鼠可能是我区的主要传染源。疫区健康人群血清EHF抗体阳性率为1.37%,女性显著高于男性。     

Non-invasive variant of Gorlin formula can be used to identify severe aortic stenosis

Summary. In recent years the continuity equation has been established as a valuable non-invasive method for calculating aortic valve area. The continuity equation cannot be used if there is calcification or sub-valvular stenosis in the left ventricle-outflow tract, because the area of the outflow trace is not circular in those cases. The authors have tested the value of a non-invasive variant of the Gorlin formula, as an alternative method of identifying severe aortic stenosis. They examined 32 consecutive patients with aortic stenosis with both methods. Seventeen patients had severe stenosis (valve area^0–7 cm²), calculated by the continuity equation. The other 15 patients had moderate stenosis (valve area 0–7–1–0 cm²). Using the non-invasive variant of the Gorlin formula, the authors were able to identify 16 of the 17 cases with severe stenosis, thus showing that the method is useful for identifying severe aortic stenosis. (P<0–001 by x²-test).     

对AF系统整复压缩爆裂骨折椎体高度及椎管横截面的观测

目的 :量化评价AF系统恢复胸腰段压缩爆裂椎体高度椎管截面积的效果。方法 :测量AF系统治疗的 72例胸腰段压缩爆裂骨折术前后影像。统计椎体前后缘高度、Cobb角、椎管截面积资料。结果 :术后伤椎前缘高度恢复至 ( 96.5± 2 .3 ) %后缘高度恢复至 ( 98.2± 0 .9) % ,Cobb角恢复至 ( 5 .4± 1.5 )° ,椎管截面积恢复至 ( 97.2± 2 .1% ) ,各项指标与术前比较有非常显著性差异 (P <0 .0 0 1)。术后随访 0 .5～ 3 .5年 ,神经功能按Frankel评定 :60例提高 1～ 3级。结论 :AF系统能恢复或基本恢复胸腰段压缩爆裂骨折椎体的前后缘高度、Cobb角、椎管容积 ,为脊髓神经功能的恢复提供一个良好的环境。是治疗脊柱胸腰段压缩爆裂骨折较好的内固定器。     

立体定向技术治疗癫痫性精神病的体会

目的：探讨多靶点组合对癫痫性精神病的治疗效果。方法：采用立体定向技术，运用多元化定位和多靶点组合，射频热凝脑内核(团)治疗癫痫性精神病53例。术前、术后均进行总疗效评定量表(GAS)和癫痫的国际疗效评价进行疗效评定。结果：53例中显效37例，进步16例。结论：双侧胼胝体、杏仁核、内侧隔区及单侧红核前区多靶点组合治疗，对癫痫性精神病的治疗有明显作用。     

Fluctuations in Tumor Blood Flow under Normotension and the Effect of Angiotensin II-induced Hypertension

To elucidate the significance of angiotensin II (AID-induced hypertension chemotherapy, changes of tissue blood flow both in normal subcutis and in tumors (AH109A, LY80) were measured with the hydrogen gas clearance method. A newly-developed anesthetic machine was used to keep the animals' condition constant. Tissue blood flow in normal subcutis and tumors always fluctuated with time under normotension. The nature and the rate of fluctuation in tumor Wood flow were almost identical in two different types of tumors. However, the fluctuation of blood flow in tumor and that in normal subcutis were almost always inversely related when blood flows in these different tissues were measured simultaneously, i.e., when tissue blood flow in normal subcutis decreased, tumor blood flow increased, and vice versa. The findings supported the idea that the connection mode between the tumor vascular bed and normal vascular bed is a parallel circuit. Vascular resistance in the normal vascular bed under All-induced hypertension seemed to be greater than that under normotension, because the All-increased tumor blood flow always exceeded the maximum tumor blood flow under normotension. Due to the fluctuations of tumor blood flow, no-flow or low-flow areas, resistant to delivery of anti-cancer drugs, moved sporadically within the tumor under the normotensive condition. However, good conditions for drug delivery to tumor tissue were induced by All-induced hypertension.     

鼻内镜下激光凝固中鼻甲前端治疗变应性鼻炎

（1）目的 探讨鼻内窥镜下Nd:YAG激光治疗变应性鼻炎的方法。（2）方法 应用鼻内镜下Nd:YAG激光凝固中务甲前1／3端治疗变应性鼻炎126例。（3） 结果 随访1年，显效109例（86．5％），有效13例（10．3％），无效4例（3．2％），总有效率96．8％。（4）结论 鼻内镜下Nd:YAG激光凝固中鼻甲前1．3端治疗变应性鼻炎，具有视野清楚，操作简便，疗效好等优点，值得临床应用。     

云南省中缅边境地区疟疾血清流行病学调查分析

目的 了解中缅边境一线县、二线县、及一线三个县的一线自然村、二线自然村的疟疾流行情况,为制定边境地区疟疾防治措施提供科学依据。方法 采用IFAT对中缅边境沧源、耿马及孟连一线县与双江县、永德县二线县,边境线3县一线自然村和二线自然村进行疟血清流行病学调查,用电脑软件EPI6X2检验法进行数据分析。结果一线县抗体阳性率23.88％（568/2379）,二线县抗体阳性率1.40％（10/712）,一线县显著高于二线县（x2=180.54;P<0.01）。一线县的一线自然村抗体阳性率33.05％（467/1413）,二线自然村抗体阳性率10.46％（101/966）,一线自然村显著高于二线自然村（x2=159.92;P<0.01）。结论IFAT抗体阳性率和阳性GMRT说明靠近边境地带比远离边境的地带疟疾流行更为严重。应加强出入境人员的防治工作,才能控制边境疟病流行。     

Variability in hand surface representations in areas 3b and 1 in adult owl and squirrel monkeys

Detailed microelectrode maps of the hand representation were derived in cortical areas 3b and 1 from a series of normal adult owl and squirrel monkeys. While overlap relationships were maintained, and all maps were internally topographic, many map features varied significantly when examined in detail. Variable features of the hand representations among different monkeys included a) the overall shapes and sizes of hand surface representations; b) the actual and proportional areas of representations of different skin surfaces and the cortical magnifications of representations of specific skin surfaces, which commonly varied severalfold in area 3b and manyfold in area 1; c) the topographic relationships among skin surface representations, with skin surfaces that were represented adjacently in some monkeys represented in locations many hundreds of microns apart in others; d) the internal orderliness of representations; e) the completeness of representations of the dorsal hand surfaces; and f) the skin surfaces represented along the borders of the hand representation. Owl monkey maps were, in general, internally more strictly topographic than squirrel monkey maps. In both species, area 3b was more strictly topographic and less variable than was area 1. The degree of individual variability revealed in these experiments is difficult to reconcile with the hypothesis that details of cortical maps are ontogenetically specified during a period in early life. Instead, we propose that differences in the details of cortical map structure are the consequence of individual differences in lifelong use of the hands. This conclusion is consistent with earlier studies of the consequences of peripheral nerve transection and digital amputation, which revealed that cortical maps are dynamically maintained and are alterable as a function of use or nerve injury in these monkeys (Merzenich et al., '83a,b, '84a; Merzenich, '86; Jenkins et al., '84; Jenkins and Merzenich, '87).     

江苏省不同经济地区社区居民健康状况调查

目的　了解不同经济地区社区居民常见病的患病情况 ,分析其健康状况。方法　对江苏省不同经济地区 4城市用整群随机抽样法 ,对 2 82 45名居民进行入户询问调查。结果　社区居民慢性病患病率南京市为 44 9%、徐州市为 37 0 %、昆山市为 2 8 4 %、濉宁市为 2 3 9%,4者间差别有显著性意义 (P <0 0 5 )。 5 5岁以上居民患 2种及以上疾病的患病率为 35 0 %,患 1种为 30 1%,高血压患病率为 10 3%。结论　经济发展水平不同的地区中慢性病的病种及患病率也有所不同 ,应在开展社区卫生服务时有所侧重 ,老年人仍是社区卫生服务的重点。