针刺人体足三里上巨虚穴对胃经其他腧穴处Ca2+浓度影响的试验观察

[目的]观察针刺足三里、上巨虚对胃经其他腧穴处Ca^2 浓度的影响。[方法]以Ca^2 选择性塑料针型电极，刺入足三里、解溪、阴市及其旁开点，测试Ca^2 浓度，然后将针刺入上巨虚、足三里，动态观察测试点Ca^2 浓度。[结果]针刺上巨虚、足三里，可提高胃经其他腧穴处Ca^2 浓度。[结论]针刺调气与调节经脉线上的Ca^2 浓度可能存在相关性。     

推拿配合点穴治疗小儿厌食症70例疗效观察

目的:观察推拿配合点穴治疗小儿厌食症的疗效。方法:将140例患儿按就诊顺序随机分为2组各70例。治疗组以捏脊、点穴治疗;对照组以锌钙特口服治疗。观察2组临床疗效及治疗前后实验室相关指标变化情况。结果:总有效率治疗组为92.84％,对照组为49.85％,2组比较,差异有非常显著性意义(P<0.01);2组实验室相关指标比较,差异有显著性或非常显著性意义(P<0.05,P<0.01),治疗组均优于对照组。结论:推拿配合点穴治疗小儿厌食症疗效好,且无创伤、无副作用,操作方便,是小儿厌食症理想的治疗方法。     

电超导中药经皮外治药物性白细胞减少症162例疗效观察

目的:探讨电超导中药经皮外治药物性白细胞减少症的疗效。方法:将212例患者分为2组,治疗组162例,对照组50例。治疗组用中药外治法,对照组用口服西药升白细胞治疗,10天为1疗程。2组患者均在治疗后3、7、10天进行疗效观察。结果:治疗3、7、10天后,2组疗效比较,经统计学处理,差异有非常显著性意义(P<0.01)。结论:中药外治法可作为药物性白细胞减少症的一种治疗途径应用于临床。     

Yellow nail syndrome in infancy

Abstract: This report describes an infant with clinical features consistent with the yellow nail syndrome (YNS), a rare autosomal dominant disorder. He presented at birth with congenital lymphoedema and was referred at 6 months of age for investigation of recurrent cough and wheeze. He had clinical and radiological evidence of bilateral pleural effusions and a pericardial effusion. Following a lung biopsy and pericardial window these were shown to be manifestations of his lymphatic abnormality. He also had persisting middle ear effusions causing conductive deafness requiring hearing aids and secondary immunodeficiency requiring regular immunoglobulin infusions.     

盐酸洛美沙星滴耳剂稳定性研究

 目的:预测盐酸洛美沙星滴耳剂有效期，用以扩大洛美沙星的临床应用，增加耳科用药。方法:采用紫外分光光度法剧定制剂含重.用经典恒温法和Weibull概率法探讨其德定性。结果:紫外分光光度法测定制剂含量平均回收率为99.80% ,RSD为0.66%。经典恒温法预测本制剂在pH为5～6, 25 ℃ 贮存时有效期为5.16年，Weibull概率法预测其有效期为4.98年。结论:紫外分光光度法测定盐酸洛美沙星滴耳剂快速简便，精密度好，可靠性高。在无阳光直射条件下室温贮存本制剂稳定性好。     

小鼠自然老化过程中耳蜗的糖代谢障碍

应用定量组织化学技术分析了ＣＢＡ和Ｃ５７ＢＬ小鼠耳蜗中糖元代谢的改变，发现１８个月和３６个月龄ＣＢＡ小鼠的毛细胞和血管纹中，糖元含量比６周龄ＣＢＡ正常小鼠明显增高，说明在自然老化ＣＢＡ小鼠耳蜗中存在糖元储积现象。     

Bilateral stapedotomy in patients with otosclerosis: a disability-orientated evaluation of the benefit of second ear surgery

This study reports the evaluation of the results of 80 stapedotomies in patients with bilateral otosclerosis. All pre- and postoperative audiological data, together with all relevant information of the operations, were stored in a database and analysed retrospectively. A new approach has been developed in order to evaluate the benefit of second ear stapes surgery in a more disability-orientated way using the AMA-criteria in the Guides to the Evaluation of Permanent Impairment. In all patients the percentage of Binaural Hearing Impairment (BHI) and the percentage of Impairment of the Whole Person (IWP) were determined according to the AMA-criteria. In patients who had both operations at the Academic Medical Centre it was found after the first operation that there was an important decrease in the BHI-percentage (from 26% to 10%) as well as for the IWP-percentage (from 9% to 4%). In addition, the percentages dropped significantly after the second operation (from 11% to 7% and from 4% to 2%, respectively). During follow-up there were no serious complications. It is concluded that bilateral stapedotomy is a safe procedure with good results.     

Eureka-project: ‘totally implantable artificial larynx’: progress report

Objective. The European Eureka project ‘Artificial larynx’ aims at realizing an implantable artificial larynx, consisting of artificial vocal folds, artificial epiglottis, tissue connector for tracheal fixation and valve mechanism to switch between breathing and speaking. The last part has been realized. Because its functioning is identical to a tracheostomal valve, it was tested as such. Materials and methods. The device consists of two valves: a speech valve, that will be open during normal breathing and closed by strong expiration and a cough valve that opens during coughing and closes automatically during inhalation. Magnets keep the valves in the breathing position. The magnetic force can be varied. Several prototypes have been tested in vitro and in situ. Results. The prototypes showed good in vitro behaviour. The range of adjustability of speech and cough was wide enough, flow resistance acceptable. This was confirmed by preliminary in vivo experiments. Patients were enthusiastic; hands-free speaking and coughing is possible. Conclusion. Numerous problems have to be solved to produce an artificial larynx. Each solution generated up till now, however, can already be applied to improve the existing rehabilitation process of laryngectomized patients.     

Ocular torsion induced by static visual stimulation and static whole body roll

Objective. This study was aimed to improve the reliability of clinical statolith testing by quantifying the influence of visual orientation and stimulation on the statolith-ocular reflex. Materials and methods. Ocular torsion was induced in 12 healthy adults by visual stimulation and by static whole body roll with and without simultaneous visual orientation. Visual stimulation was achieved by a horizontal grating oscillating sinusoidally in a frontal plane. Visual orientation during whole body roll was established by mounting an illuminated horizontal grating either on a tilting device (head-fixed) or on the wall in the frontal plane (earth-fixed). Results. No eye torsion was observed in static visual tilts of the grating. Dynamic visual stimulation elicited substantial eye torsion. Static whole body roll in the dark induced static ocular counter-rolling. Visual orientation either head- or earth-fixed did not affect the amplitude or gain of the body roll induced ocular counter-rolling. Conclusion. Dynamic visually induced torsional eye movements can be used to test the ability of the oculomotor system to generate torsional eye movements prior to quantifying the statolith-ocular reflex. Simultaneously visual information does not affect the gain of the static statolith-ocular reflex.     

中耳癌诊治15例报告

 本文分析了15例中耳癌的临床资料。结果显示：中耳癌的预后差与其病期较晚治疗困难有关。早期诊断和手术加放射疗法的综合治疗可能提高生存率。慢性化脓性中耳炎可能是诱发中耳癌的原因之一，预防中耳炎可能减少中耳癌的发病率。