太原地区174例道路交通事故伤残评定分析

目的 探讨太原地区道路交通事故受伤人员伤残发生特点、损伤部位与伤残程度的关系及合理鉴定时限。方法 对174例道路交通事故的鉴定材料进行回顾性分析。结果 174例交通事故受伤人员中，男性124例（71．3％），女性50例（28．7％）；年龄以31—50岁为主，占59．2％；损伤部位多见于颅脑损伤和四肢损伤，占56．4％；伤残程度评定中Ⅸ-Ⅹ级伤残评定率为55．9％；鉴定时间多在伤后6—12月内进行，占46％。结论 太原地区交通事故多由汽车肇事引起，受伤人员以男性青壮年为主，伤残程度Ⅸ-Ⅹ级最多，Ⅰ一Ⅱ级伤残仅见于颅脑和脊柱损伤，伤残中以颅脑损伤和四肢多见，鉴定时限应具体情况具体分析。     

武汉市城区10例晚期血吸虫病分析

目的了解武汉市城区晚期血吸虫病患者状况。方法对根据国家标准诊断的10例城区现症晚血患者进行个案调查。结果患者平均年龄为56.4岁,均在20年前有疫水接触史,近5年内诊断为晚血,其中腹水型7人,巨脾伴腹水2人,结肠增殖型1人。结论患者均不属于新感染者,系既往感染,因未得到及时有效治疗发展而成。     

Submucosal adenoma of the esophagus: case report and review of the literature

A 60-year-old woman complaining of abdominal discomfort was found at endoscopy to have a dome-shaped esophageal polyp, located 22cm from the incisor teeth and covered by normal epithelium. Histologic examination after endoscopic removal showed a submucosal esophageal gland adenoma. This is the ninth reported case of this entity. Eleven years later, the patient remains well with no evidence of esophageal disease. We review all nine reported cases of submucosal adenoma of the esophagus.     

Selective Category and Modality Effects in Deep Dyslexia

We report a patient (FBI) in whom a category specific deep dyslexia was demonstrated. The patient was globally dysphasic with dyslexia and dysgraphia, and his dyslexic syndrome was characterised by a dramatic loss of phonological processing together with a partial loss of whole word reading. In the context of an overall poor level of reading accuracy, concrete words were read better than abstract words. Within this concrete word vocabulary, living items were read more accurately that non-living items. Perhaps most strikingly, he also had a remarkably preserved written proper noun vocabulary. A series of experiments explored the relationship between FBI's comprehension of the spoken and written word, and in each a significant category-by-modality interaction was demonstrated. His comprehension of the written word was impaired significantly more than his comprehension of the spoken word, but only for the impaired semantic category. This pattern of performance is interpreted as evidence for a degree of autonomy for the semantic processing of written words.     

谈如何认识医院规模适度

规模适度是军队医院建设过程中需要研究的重要课题,盲目扩大规模会带来很多问题和风险。医院应根据外部环境因素和自身能力确定各自的最优规模,军队中小医院以展开600～800张为宜。规模建设要考虑资金、市场、内涵质量和政策因素。     

用监护仪监护心电需注意的问题

通过阐述心电监护仪的原理与应用,说明了如何用监护仪监护到准确的心电图和心律,指出了在临床心电监护实际中需注意的问题。     

Investigation of proper hepatic artery and gastroduodenal artery variations by multidetector computed tomography angiography method

Abstract

Purpose: The purpose of this study is to evaluate the clinical anatomic variations of the proper hepatic artery (PHA) and the gastroduodenal artery (GDA). For this purpose, angiographic images of patients were evaluated.

Materials and methods: We retrospectively reviewed the multiple-detector computed tomography angiography images of 671 patients.

Results: In this retrospective study, 35 different types were identified as associated with PHA and GDA. There were 292 patients (43.52%; 175 females and 117 males) included in normal anatomical classification. Different anatomic variations were detected in 300 patients (44.71%; 129 females and 171 males). In 79 patients, arterial branch follow-up failed. These patients were evaluated as an unidentified group.

Conclusion: We described different vascular variations in the PHAs and GDAs of our patients.     

柴胡注射液制备工艺研究

目的:优选柴胡注射液的制备工艺。方法:通过正交试验对煎煮水的PH值,加水量,浸泡温度,浸泡时间,聚山梨酯-80的溶解温度,弱碱调PH值,冲高纯氮气抗氧化等进行因素考察,验证工艺路线的可行性。结果:采用水蒸汽蒸馏法,条件为加水11倍量、煎煮水的PH值1、浸泡温度为70℃、浸泡时间为8h、用10%枸橼酸钠调PH值、冲高纯氮气防止氧化等,使含量及澄明度都得到提高,保证质量。结论:新工艺充分考虑经济性、可操作性,达到提高含量及澄明度的目的,适用于柴胡注射液的大生产。