近红外线与高频超声对乳腺肿块的诊断价值

目的探讨近红外线及高频超声对乳腺肿块的诊断价值。方法67例乳腺肿块经高频超声了解其形态、边界、内部回声,有无后方衰减及侧方声影,然后采用近红外线扫描观察,肿块周围浅表血管影的类型。结果良性肿块53例,恶性肿块14例。结论高频超声与近红外线扫描相结合对于鉴别乳腺肿块的良恶性具有极大的临床价值。     

国外从事药物释放系统(DDS)研究的主要机构及其技术平台和产品

通过对全球10家杰出的从事药物释放系统研究的制药公司，包括公司主要技术平台、专利技术、已上市药物和研发中的新药等进行分析，总结国外DDS的研究现状及研究开发热点。     

胰岛素肺部吸入制剂的研究进展

随着胰岛素吸入装置和剂型技术的发展，肺部吸入给药已引起广泛关注。胰岛素经肺全身性给药可减少胰岛素依赖型糖尿病所需的多次注射，并可使非胰岛素依赖型糖尿病的胰岛素治疗更易接受。本文综述了近年来国内外肺部吸入胰岛素的研究进展，提示肺部吸入胰岛素长期治疗的有效性和安全性如果得到确认，它将成为第一个最有希望替代注射的给药途径。     

成人体外心肺复苏的现状及展望

体外心肺复苏是难治性心脏骤停（CA）患者重要的治疗手段，能够改善心脏骤停患者的预后，近年来发展迅速， 然而国内外体外心肺复苏技术发展不均衡，大部分医疗机构仍处于起步阶段。体外心肺复苏技术需要多学科协作完 成。随着体外心肺复苏技术的发展，妊娠、创伤、主动脉夹层的CA患者使用体外心肺复苏技术也可能获得良好预 后。成人体外心肺复苏技术的应用前景广阔。     

肾移植术后感染新型冠状病毒1例

The novel coronavirus is a newly discovered pathogen in late December 2019, and its source is currently unknown, which can lead to asymptomatic infection, new coronavirus pneumonia or serious complications, such as acute respiratory failure. Corona virus disease 2019 (COVID-19) is a new type of respiratory disease that is currently spreading all over the world and caused by this coronavirus. Its common symptoms are highly similar to those of other viruses, such as fever, cough and dyspnea. There is currently no vaccine or treatment for COVID-19. Everyone is susceptible to infection with this disease, and owing to the long-term use of immunosuppressants, the immunity of kidney transplant recipients is suppressed, and it is more likely to be infected with the disease. At present, its impact on kidney transplant recipients is unclear. This article reports the clinical features and therapeutic course of novel coronavirus infection in a patient after renal transplantation. A 37-year-old female patient who received a kidney transplant 6 months before was diagnosed with novel coronavirus pneumonia. The patient’s symptoms (such as fever, chills, dry cough, muscle aches), laboratory tests (such as decreased white blood cell count, elevated liver enzymes and D-dimer, positive viral nucleic acid test), and chest CT (multiple left lower lung plaque ground glass shadow) were similar to those of non-transplanted novel coronavirus pneumonia patients. In terms of treatment, because the immunity of kidney transplant recipients has been suppressed for a long time, it is a very common strategy to suspend the use of immunosuppressive agents. Therefore, the patient immediately discontinued the immunosuppressive agent after admission, so that she could restore immunity against infection in a short time. At the same time, the use of glucocorticoids was also very important. Its immunosuppressive and anti-inflammatory effects played a large role in the treatment process.In addition, prophylactic antibiotics was needed, and nephrotoxic drugs should be used with caution. Finally, following discounting the use of immunosuppressant and a low-dose glucocorticoid-based treatment regimen, COVID-19 in this renal transplant recipient was successfully cured. The cure of this case was of great significance, and this adjuvant nonspecific antiviral therapy could provide a template for the treatment of other such patients.     

军队健康管理的内涵演化与现实意义

通过分析美军健康管理思想的演变路径,探究军队健康管理思想的形成动因。在阐述军队健康管理的定义、任务和目标的基础上,强调了当前加强军队健康管理的现实意义。     

中药相须配伍治疗中风体会

中风又名卒中,症见多端,变化迅速.轻者仅表现为单侧肢体麻木不仁,口眼歪斜或肢体活动障碍.重则突然昏扑,甚则在几个小时或几天内死亡.笔者应用中药相须配伍治疗中风,效果确切,介绍如下.     

澳大利亚军人职业健康和安全战略及其启示

文章介绍了澳大利亚<军人职业健康和安全战略>出台的背景、战略愿景、主要措施和计划,在此基础上总结澳大利亚军人职业健康和安全战略的基本特点与经验,并结合我军的实际情况提出初步设想.     

1996-2006年我国军事训练医学文献计量分析

以《中国生物医学光盘文献数据库(CBMdisc)》为数据源,对国内各医药卫生类期刊1996-2006年发表的军事训练医学类文献进行统计。1996-2006年中国军事训练医学文献分布呈缓慢增长趋势,2000年开始增长速度加快,著者分布相对分散,期刊分布相对集中,医学院校和研究所文献发表量相对较多,所涉研究获得国家或军队方面的资助比重不高。文献研究的主题多与军事训练伤的防治、病因学及流行病学调查、心理学研究密切相关,与军事训练伤的实验室技术和方法、诊断学、生物力学、环境医学等方面的相关性较低。     

军队综合性医学期刊的网络化现状与办刊模式

通过对军队综合性医药卫生类期刊的网络化情况进行调查,分析军队综合性医学期刊的网络化现状及办刊模式,探讨军队综合性医学期刊的定位与发展趋势。