超微剂量低分子肝素钙治疗婴幼儿喘憋性肺炎临床观察

我院2004—10～2006-01收治婴幼儿喘憋性肺炎96例，常规资料基础上辅以超微剂量低分子肝索钙皮下注射治疗，取得较好疗效，现报告如下。     

SPM5软件分析癫痫患者脑PET图像的应用研究

Objective To investigate the value of statistical parametric mapping 5 (SPM5) and its parameter settings in analysis of PET imaging for epilepsy patients. Methods Seventeen epilepsy patients and seventeen controls were scanned with PET. The datns were analyzed using PET and SPM5 with qualitative and semiquantitative analysis, statistical analysis of the percentage (numbers of agent distribution decreasing in focus to brain) for different parameters combinations, which were value adjustment to contral-p and voxels-k. Results There was decreasing of agent distribution at temporal lobe in epilepsy patients detecting with PET; the T/NT of focus to cerebellum was 1.07±0.24, the T/NT of normal tissue in opposite side to cerebellum was 1.27±0.18, there was a significant difference (t=1.87, P<0.05). Dealing with SPM5, there was more significant decreasing of agent in regions 19, 21, 39 of temporal lobe, regions 7, 19, 31, 40, 47 of parietal lobe and occipital lobe in epilepsy patients. With different value of k, the percentage was (27±22)%, (29±24)%, (32±23)%, (35±27)%, (39±31)%respectively, there was not significant difference (F=0.59, P>0.05) ; for different value of p, the percentage was (42±30) %, (29±25) %, (26±21) % respectively, with a significant difference (F=3.60, P<0.05); there was linear regression in value adjustment to contral-p and the percentage(b=-18.24, t=2.57, P<0.05). Conclusions Semiquantitative analysis by SPM5, the setting of value adjustment to contral-p would affect the results, the smaller of value adjustment to contral-p, the better of the result. SPM5 would be more objective and accurate to locate the focuses.     

苯甲醚制备方法的研究

苯甲醚为一基本有机化工原料。它的制备方法很多,其中最常用的制备方法是将苯酚与硫酸甲酯在氢氧化钠的作用下,发生反应,这种方法中,硫酸二甲酯的毒性很大,给苯甲醚的制备带来很大的不便。为找到一种较为方便的制备方法,本教研室对苯甲醚的制备方法进行了研究,将苯酚与碘甲烷作用,得到了较好的收率。其中碘甲烷的价格较贵,本教研室通过甲醇与碘、在红磷的催化下相作用。将所得的碘甲烷甲醇溶液直接与苯酚相作用,使反应步骤简捷,即方便于实验室中的操作,也有可能推广于工业生产,此法与前法相比较,具有降低反应物毒性和提高收率等优点。 1 碘甲烷的制备:取碘105g(0.86mol)于125ml滴液漏斗中,装入250ml的三颈瓶中。瓶内加入红磷12.8g(0.33mol),再在漏斗中和三颈瓶中分别加入甲醇液,共120ml,装上恒压装置和回流冷凝管,加热回流,将溶解的碘不断地     

Effect comparison between sacral blocking and massage combined with traction on protrusion of lumbar intervertebral disc

Background:Epiduralinjectionisanimportantmethodintreatmentofprotrusionoflumbarintervertebraldisc.Especiallyintherecentdecadesacralinjectionisadoptedmoreandmoreoften.Objecive:Tocomparetheclinicaleffectsofsacralblockingandmassagecombinedwithtraction.Unit:YinheHospitalofBeijing.Subjects:290outpatientswithgradeIIofASAIwereselectedfromMay,1994toJuly,2000.Patientswererandomlydividedintoobservationgroup(n=145)andcontrolgroup(n=145).Sacralblockingwasadoptedinobservationgroupand80malesand65female…     

脊柱良性成骨细胞瘤引起疼痛性脊柱侧凸畸形的临床诊治

目的：探讨脊柱良性成骨细胞瘤所致疼痛性脊柱侧凸的诊断与外科治疗。方法：对临床诊治的3例脊柱良性成骨细胞瘤合并疼痛性脊柱侧凸畸形病例的症状学、影像学表现、治疗效果及随访资料进行回顾和总结，并复习相关文献。结果：所有患者术后腰背痛症状消失，随访6～24个月，平均14个月，无一例肿瘤复发，继发的脊柱侧凸都得到了良好的矫形。结论：脊柱良性成骨细胞瘤引起疼痛性脊柱侧凸一旦确诊，应立即手术切除，无需术后化疗与放疗，继发的脊柱侧凸多为功能性侧凸，不需额外矫形，若为结构性脊柱侧凸，可按脊柱侧凸的矫形原理进行侧凸矫形术。     

膀胱恶性纤维组织细胞瘤一例

恶性纤维组织细胞瘤(malignant fibrous histiocytoma，MFH)是较少见的恶性肿瘤，好发于四肢深部软组织及腹膜后等处，而原发于内脏器官如肝脏、肾脏、膀胱者十分罕见。现将我院经手术病理证实的1例膀胱恶性纤维组织细胞瘤报告如下。     

乳腺癌病因学研究及外科治疗进展

随着分子生物学时代的到来，乳腺外科进入了根据乳腺疾病的生物学特性指导治疗方式的时代。乳腺外科的发展呈现两大趋势，即外科分子生物学的进展和乳腺微创外科概念的普及，这也是当今外科的总体方向。     

住院生活指南的建立与应用

住院指导手册作为健康教育、入院指导的补充形式,已经越来越多的应用于临床护理工作中.手册的内容多为规章制度与医学专业知识,内容枯燥、抽象,形式单一,致使患者阅读兴趣不高,达不到应有的住院指导的目的.针对这种情况,我院护理部本着“以病人为中心,以人性化护理服务为主线”的管理理念,设计了内容丰富,形式新颖的住院生活指南,对住院病人的生活给予全方位的指导,取得了满意的效果.     

猪苓多糖致四肢中小关节刺痛1例

猪苓多糖致四肢中小关节刺痛１例杨美莲，李晶（包头医学院一附院保健科，包头０１４０１０）１临床资料患者男性，５７岁，患慢性乙肝５年，自述乏力，无其它不适感，查乙肝五项：ＨＢｓＡｇ（＋）、ＨＢｅＡｇ（＋）、抗－ＨＢｅ（＋）。肝功：ＴＴＴ１０ｕ，其余正常，...