64排螺旋CTA早期诊断颅内动脉瘤的临床探讨

目的 探讨64排螺旋CT血管造影(CTA)对颅内动脉瘤早期诊断的临床意义. 方法 选取疑似颅内动脉瘤的蛛网膜下腔出血患者42例,在病情允许条件下首先进行64排螺旋CTA检查,随后进行DSA检查,采用自身配对四格表卡方检验,分析CTA与DSA检查结果的差异性. 结果 39例患者经CTA检查证实为颅内动脉瘤(瘤体直径2～26mm),1例患者CTA检查疑似动脉瘤,1例患者CTA检查阴性.41例患者经DSA检查发现动脉瘤,1例患者DSA检查阴性.CTA与DSA动脉瘤检出率比较差异无统计学意义(X2=0.263,P=0.608). 结论 CTA对于直径不小于2 mm动脉瘤的早期诊断较准确.     

催眠术治疗癔症性失音症

1988年来,笔者用催眠术治疗癔症性失音症患者4例(其中1例伴吞咽困难)均获成功,现介绍如下。资料与方法4例中女性3例,男性1例;年龄211～24岁,病程1周1例,2周2例,4周1例,均经多种治疗无效。选择一个安静、昏暗的环境,首先向患者讲清道理,消除顾虑,然后让患者平卧,采用凝视法催眠。施术者立于患者身边,将一钢笔斜指患者眉心的上方,令患者斜向上方凝视笔杆。几分钟后患者觉双眼发沉,此时让其轻闭双眼,然后用坚定、肯定的语气引导其逐步放松,加深催眠深度,催眠的深度一般分为3度。①浅度催眠:被催眠者全身放松、嗜睡、眼睑微颤而不能睁、双臂僵直、呼吸较深、     

Auricular-Plaster Therapy Plus Acupuncture at Zusanli for Postoperative Recovery of Intestinal Function

In order to relieve the abdominal distension and other discomforts due to gastrointestinal dysfunctionafter abdominal operations,the patients were treated by auricular-plaster therapy plus acupuncture atZusanli(ST 36).12(92.4%)of the 13 cases in the treatment group showed recovery of normalperistalsis within 72 hours after operations,while that in 13 cases of the control group was 46.1%,indicating that auricular-plaster therapy plus acupuncture at Zusanli(ST 36)may promotepostoperative recovery of the intestinal function.     

Treatment of neurofibromatosis with Chinese herbal drugs.

Neurofibromatosis is a dominantly inheriteddefect of the ectoderm,characterized by cafe au laitspots since the childhood and multiple tumorsderived from elements of peripheral and cranialnerves.Hernia-like tumors of various sizes can oftenbe felt under the skin and serve as a valuablecharacteristic in making diagnosis.However,theycan also affect brain,vegetative nerve system or othertissues and lead to bony abnormalities,mentaldisturbances and sometimes,endocrine abnormalities,     

Twenty one cases of vertebral-artery-type cervical spondylosis treated with acupuncture and moxibustion.

The vertebral-artery-type cervical spondylosis iscommonly encountered in the middle aged and oldpeople.The author has treated 21 cases of vertebral-artery-type cervical spondylosis by acupuncture andmoxibustion,with the other 19 cases treated only byacupuncture as the controls.The results are reportedas follows.Clinical Data     

Treatment of Protrusion of the Lumbar Intervertebral Disc by Intravertebral Blocking and Massotherapy——A Report of 62 Cases

Protrusion of the lumbar intervertebral disc is adisease commonly encountered in orthopedics andtraumatology clinic.At present removal of thenucleus pulposus to relieve the compression on thenerve root is usually adopted in the treatment of thedisease.From April,1990 to October,1997,theauthor treated 62 cases of protrusion of the lumbarintervertebral disc by massotherapy afterintravertebral blocking,with satisfactory therapeutic     

两组老年人群血压和寿命关系16年纵向观察

对长沙市区１００例９０岁以上长寿老人,及长沙市社会福利院１５０例６０岁以上老人,在调查体检基础上,采用每年复查一次血压等方式,进行了１６年纵向观察。结果发现,不同血压者死亡平均终年相近;福利院老人中活过８０岁者,高血压者占４５．２％,正常血压者只占３７．９％;１００例长寿老人１１例活过百岁,其中９例有高血压史。     

“近代以降的历史教学与历史教科书问题”会议综述

2015年4月18-19日,"近代以降的历史教学与历史教科书问题"学术研讨会在复旦大学召开。此次会议由复旦大学上海市历史教育教学研究基地主办,二十余位学者就近代以来世界范围内的历史教学与历史教科书问题开展学术研讨,以期为上海历史基础教育的教科书编撰及教学提供学术支持与域外经验。教科书是历史教学开展的重要载体,其自身的生产史、传播史与接受史,学术与教科书的知识呈现是几位学者共同关注的问题。20世纪20年代初,顾颉刚所编初中历史教科书《本国史》因"非圣无王"遭禁,李帆的研究《个体     

长沙市区和湖南边远山区长寿老人流行病学的比较研究(一)

本文报道了长沙市区及湘西自治州等山区90岁以上长寿老人344例和60～69岁老年人256例流行病学比较结果。描述其人口特征、家庭情况、居住环境、营养条件、职业、劳动和机体功能状况等特征。经过资料对比分析后笔者认为,先天的遗传因素和后期长期坚持适量体力活动是影响健康与寿命的决定性因素。生活水平、家庭结构、职业、营养等因素与健康和寿命的关系尚有不同看法,如山区作为长寿因素必须与其优越的自然环境条件相结合才有意义。     

胼胝体压部可逆性局灶性病变的MRI表现与随访分析

目的：分析总结胼胝体压部可逆性局灶性病变的临床及MRI特征,探讨其发病机制。方法：对21例胼胝体压部可逆性局灶性病变患者的临床表现、影像学资料及随访结果进行回顾性分析。结果：21例临床症状及实验室检查均无特异性,典型MRI特征为胼胝体压部中央类圆形、边界清楚的孤立结节,T₂WI及FLAIR呈高信号;16例DWI呈明显高信号而相应ADC图呈明显低信号;7例增强扫描病灶无明显强化,其信号特点与病程相关;3例DTI FA值未见明显降低,胼胝体压部白质纤维束完整。临床治疗后MRI复查1例出现其他部位新发病灶。结论：胼胝体压部可逆性局灶性病变是有共同MRI特征的一组不同疾病,有典型MRI特征,信号特点与病程相关,DTI特征提示病变的可复性,临床治疗后的MRI复查十分重要。