葡萄酒色斑的治疗进展

葡萄酒色斑（port wine stains，PWS）又称鲜红斑痣，是一种常见的先天性毛细血管畸形。组织学上，PWS位于真皮浅层，由许多异常扩张的成熟毛细血管组成，不伴有明显的内皮细胞增殖。由于PWS没有自发消退迹象，因此给患者和家庭带来巨大的社会心理压力。[第一段]     

肾功能损伤分级系统在成人心脏术后的应用

Objective The aim of this study was to evaluate of adilty of two acute renal failure-specific scoring systenms (the classification by Bellome et al and the AKIN criteria) for predicting hospital mortality after cardiac surgery in adult patients. Methods Between October 1 st 2006 to Decemjber 31 st 2006, 509 adult patients who ungerwent coronary artery bypass grafting (CABG) and/ or valve operation were enrolled in this study. The medical data collection included gender, age, types of operation, perioperative he- modynamic parameters, urine output, biochemical parameters and outcome. Renal function was assessed daily according to the classi- ficatinn by Bellomo and the AKIN criteria, respectively. As references, Acure Physiology and Chronic Health Evaluation(APACHE) Ⅱ and Sepsis-related Organ Failure Assessment (SOFA) score were also calculated. Resuits Three hundred and forty-one patients were male (67.0%), and 168 were female (33.0%), mean age was (56.2±12.0) years old. Tnree hundred and nine patieats un- derwent CABG, 182 underwent valve operation and 18 underwent CABG plus valve operation, Mean duration of ventilation support was (20.4±17.7) houra, and the ICU stay was (1.4±1.0) days. Postoperative hospital stay was (13.8±9.1) days. According to the classification by Bellomo., the highest in-hospital mortality was 52.9% in ARFS group. Mahiplicatinn of in-hospital morality rate was abserved (X2 for trend, P<0.01) in 0.4% (non-ARF), 1.2% (stage 1), 12.0% (stal～ 2) and 32.4% (stage 3) of pa- tients based on the AKIN criteria. By applying the area under the receiver operating characteristic ourve, the classification by Bellomo and the AKIN criteria had good discriminative power. Furthering, multivariate logistic regression analysis verified that the Odds Ratio of the AKIN criteria was 5.478 (P =0.028, 95% Confidence Interval 1.027- 24.856), after adjusting for gender and age. Con- clusion Analytical data confinned good discriminative power of both the AKIN criteria and the classification by Bellomo for predicting hospital mortality of adult postoperative patient with ARF.     

充分理解分级护理制度管理 提高医院护理质量

分级护理制度是一项基本的医院管理制度，是确定临床护理人员编制、合理安排护理人力资源的重要依据。我国的分级护理始于1956年，由北京协和医院的张开秀、黎秀芳所倡导。这项制度实施以来，在提高护理质量、规范护理行为、促进患者康复方面发挥了极大作用，     

斑壳放疗葡萄膜恶性黑色素瘤后渗出性视网膜脱离的消退率

目的：确定渗出性视网膜脱离(ERD)与斑壳放疗后部葡萄膜恶性黑色素瘤后ERD消退率的临床关系。     

肝硬化Child分级与骨密度及钙磷代谢关系的研究

目的 研究肝硬化Child分级与骨密度及钙磷代谢的关系。方法 采用NM－300单光子骨密度仪对40例肝硬化患者和31例健康人群的骨密度进行检测，同时测定其血清Ca、P、1，25（OH）2D3值，对结果采用方差分析及直线相关分析。结果 随肝硬化肝损害程度的加重，骨密度、Ca、P、1，25（OH）2D3均降低，且骨密度与Ca、P、1，25（OH）2D3呈正相关。结论 动态监测骨密度、Ca、P、1，25（OH）2D3，对肝硬化病情的评估有重要的意义。     

夫妻做爱“四步曲”

人类正常的性反应包括四个阶段．即唤起期．高原期．高潮期和消退期。夫妻性生活是双方情感交融的体现．而不是一种简单的瞬间的生理实现。近年来似乎对“性高潮”宣传较多，有些夫妻把注意力全部集中到如何达到性高潮上去了，或为妻子的性高潮到来太慢而焦虑．或为自己的“高潮体验”不够充分而失望。这种焦虑和失望感．又大大影响了夫妻性生活的积极性。     

一种新的口腔鳞状细胞癌恶性程度分级法

一种新的口腔鳞状细胞癌恶性程度分级法郭传滨，张毅颖综述马大权校阅多年来，口腔鳞癌的治疗设计及预后评价主要依据ＴＮＭ临床分期系统；但不少病例尽管ＴＮＭ分期一样，它们的生长型及预后却大相径庭［１，２］。因此，在预测预后及制定治疗方案时，有必要考虑到肿瘤的...     

中医保守治疗旁中央型腰椎间盘突出症的临床观察

腰椎间盘突出症是骨科的常见病之一,临床医生在治疗本病时,常因观点不同,在治疗方案的早期选择上分歧很大.笔者运用手法、中药、牵引、热敷等综合治疗方法对87例本病患者进行了分期分级治疗观察,现将观察结果报道如下.