军队医院机动卫勤分队分类工作流程研究

我们应用工作流程理论与方法，以机动卫勤分队展开分类后送组的工作为研究对象，描述和规范分类后送组对批量伤员到达后的工作流程。     

PSA≤4．0ng／ml美国老年人前列腺癌15％高检出率的问题与思考

上个世纪七十年代末(1979年)，美国人最早报道，前列腺特异性抗原(PSA)被视为是前列腺癌患者疗效评估和随访的一项有用标志物。在一系列根据PSA检查结果决定是否需要做前列腺活检的研究报告发表后，人们认识到可以将PSA值作为筛选前列腺癌的工具。进一步研究的结果使人们达成了一个共识，即PSA≥4．0ng／ml对诊断前列腺癌具有预测价值。其结果是，前列腺癌的检出率大量增加。中国人指出：前列腺癌患者绝对人数的增加，不仅是由于寿命的延长，     

腹腔镜辅助小切口甲状腺结节手术的临床应用

Objective To study the feasibility, superiority and experience of minimally invasive laparoscopic-assisted surgery of the thyroid using ultrosonic scalpel. Methods In a period from January, 2006-August, 2008, 56 patients of the department of general surgery, the hospital of Heilongjiang Province were diagnosed as thyroid node. The size of the nodes ranged from 5.0 cm×4.2 cm to 3.5 cm×2.0 cm in uhrosonography. An incision of about 1.5-2.0 cm was made 1.0 cm above the suprasternal notch and the operation was performed with ultrosonic scalpel assisted with laparoscope. Partial thyroideetomy of lateral thyroid was performed in 20 cases, subtotal thyroidectomy in 25 cases, subtotal thyroidectomy of unilateral thyroid and partial thyroidectomy of contralateral thyroid respectively in 1 case, partial thyroidectomy of bilateral thyroid in 10 cases. Results All 56 cases have undergone minimally invasive laparoscopic-assisted surgery successfully in 50-146 min and no complications occurred. Fifty five cases were confirmed to be benign lesion pathologically. Conclusion Laparoscopic-assisted surgery of the thyroid is an effective with a good cosmetic result.     

神经干细胞移植延缓失神经肌萎的作用机制

Objective To study the effect and mechanism of transplanting spinal fetal neural stem cells (NSCs) into the peripheral nerve for delaying muscle denervation atrophy. Methods Spinal. fetal NSCs were separated from spinal cord of enceinte 10 to 12 days SD rats, cultured and purified. After three passages, the formed NSC spheres were blew into single cell suspension ( 106/μl×5 μl) and transplanted into the distal part of the transected tibial nerve. 5 μl of cell culture medium was injected into the distal tibial nerve in the control group. Three and 5 months after the transplantation, the distal part of the tibial nerve and the triceps suraes were harvested and identified with specific markers, by means of indirect immunofluorescent staining to evaluate survival and differentiation of transplanted NSCs in the nerve, and to observe the neuromuscular junctions.Results Compare to the control group, atrophy of the triceps suraes muscle was less severe 3 and 5 months after NSCs transplantation. Postsynaptic membrane was also better preserved in NSCs transplanted group. Five months after NSCs transplantation, new synapses (neuromuscular junction) formed in the denervated muscle.Conclusion NSCs transplantation can delay atrophy denervated muscles. NSCs transplantation can not only maintain the structure of postsynaptic membrane, but also form new synapse with the denervated muscle.     

高龄患者急性胆囊炎手术治疗66例临床分析

目的　探讨老年人急性胆囊炎的临床特点和手术问题。方法　对我院 1996～ 2 0 0 2年经手术治疗的 6 6例高龄患者急性胆囊炎的临床表现及治疗进行回顾性分析。结果　 6 6例中治愈 6 2例 ,好转 3例 ,死亡 1例。术后切口感染、电解质紊乱、肺感染并发症高达 9.1%～ 10 .6 %。结论　高龄患者对急性胆囊炎手术一般都能耐受 ,早期手术及防治术后并发症可降低死亡率。     

皮瓣加足趾组织组合移植Ⅰ期修复全手皮肤撕脱性损伤

1985-1997年作者应用显微外科技术游离秽植皮瓣、趾甲皮瓣、第二足趾等组织，急诊Ⅰ期修复全手撕脱性损伤18例，取得较好疗效。文中对修复全手撕脱性损伤的手术指征和基本术式，特别是手术设计和技术要点作了论述。     

预防胰腺周围脓肿的原则

1临床资料我院自1986－01－1998－05共收治急性胰腺炎52例,重症胰腺炎手术治疗刀例,其中并发胰腺周围脓肿7例,其发生率为25．9％（占全例的13．5％）,其中死亡2例,死亡率为28．6％,从发生时间看,最早者在术后第7d,最晚者在术后1个月左右。其中男性4例,女性3例;年龄24－67岁,平均49．l岁。2胰腺周围脓肿形成的原因无菌性脂肪坏死;胰腺坏死组织脱落后形成胰疾,胰周引流不畅;继发细菌感染。3细菌团染的途径急性胰腺炎时常伴有不同程度的肠麻痹,肠壁细菌的漏出直接感染;肠道细菌经门脉入血引起胰腺感染;胆源性胰腺炎时,胆胰间…     

瑞氏-姬姆萨复合染色法在分泌物涂片中的应用价值

在日常工作中 ,分泌物涂片细菌检查 ,我们体会用瑞氏 姬姆萨复合染色法代替革兰染色法 ,有如下优点 :简便、快速。革兰阴性双球菌被染成深紫色 ,颜色鲜明 ,利于观察。因为 ,瑞氏染液对胞浆着色好 ,姬姆萨染液对胞核着色好 ,两法合并 ,可以兼得两者之优点 ,使其相互补充 ,有利于显微镜下细胞的辨别。革兰染色 ,如加热温度过高 ,会使细胞破裂 ,淋病奈瑟菌逸出 ,造成错判细胞外 ,涂片过厚时 ,易将革兰阴性染成革兰阳性。乙醇脱色不彻底或过度 ,会给识别带来困难 ,影响结果判断。病情较长者 ,尤其是女性阴道分泌物 ,因杂菌多 ,特异性与敏感性均…