成人大骨节病膝关节间隙的X线观察

Objective To observe and scale knee joint space of the patients who suffered adults' Kaschin-Beck disease (KBD) in Shangzhi City of Heilongjiang Province in order to acquire basic knowledge for upcoming intervention trial. Methods Clinical test was proceeded in adults aged above 40 in Guanghui Village of Shangzhi City in 2007. In typical patients, bilateral knee X-ray was taken and knee joint space was scaled. Three points were chosen on inner and outer epicondyle of each knee and results were recorded. Results There were 307 peoples over the age of 40 in the village. Two hundred eighty-two accepted clinical test, in a rate of 91.9%. Eighty out of 282 suffered KBD, accounting for 28.4%. When the patients' condition became more serious, measurements from flank, middle, inside points on outer epicondyle of joint space presented a narrowing trend [degree Ⅰ: (5.85±0.17), (4.84±0.17), (4.36±0.18)mm; degree Ⅱ: (5.11±0.43), (4.24±0.34), (3.48±0.28)nun; degree Ⅲ: (3.59± 0.78), (3.10±0.56), (2.14±0.62)mm; Fflank,middle,inside= 6.547,5.372,10.302, all P < 0.05], but those on inner epicondyle of joint space did not[degree Ⅰ:(3.66±0.17), (3.47±0.17), (3.73±0.18)mm; degree Ⅱ:(3.55± 0.34), (3.54±0.29), (4.35±0.35)mm; degree Ⅲ: (3.19±0.72), (3.92±0.66), (4.51±0.72)ram; Finside,middle,flank= 0.351,0.356,1.883, all P > 0.05]. Joint space < 5.00 mm were found in 618, among which 363 were measured on inner epieondyle, obviously greater than those measured on outer epicondyle of joint space(255), the difference being statistically signifieant(χ2=9.59, P<0.05). Conclusions Adult cases of KBD occur in Guanghui Village. Knee joint space of adult patients narrows obviously, the more serious, the narrower, especially occurring more obviously on outer epicondyle, but frequently on inner epicondyle.     

成人大骨节病膝关节间隙的X线观察

Objective To observe and scale knee joint space of the patients who suffered adults' Kaschin-Beck disease (KBD) in Shangzhi City of Heilongjiang Province in order to acquire basic knowledge for upcoming intervention trial. Methods Clinical test was proceeded in adults aged above 40 in Guanghui Village of Shangzhi City in 2007. In typical patients, bilateral knee X-ray was taken and knee joint space was scaled. Three points were chosen on inner and outer epicondyle of each knee and results were recorded. Results There were 307 peoples over the age of 40 in the village. Two hundred eighty-two accepted clinical test, in a rate of 91.9%. Eighty out of 282 suffered KBD, accounting for 28.4%. When the patients' condition became more serious, measurements from flank, middle, inside points on outer epicondyle of joint space presented a narrowing trend [degree Ⅰ: (5.85±0.17), (4.84±0.17), (4.36±0.18)mm; degree Ⅱ: (5.11±0.43), (4.24±0.34), (3.48±0.28)nun; degree Ⅲ: (3.59± 0.78), (3.10±0.56), (2.14±0.62)mm; Fflank,middle,inside= 6.547,5.372,10.302, all P < 0.05], but those on inner epicondyle of joint space did not[degree Ⅰ:(3.66±0.17), (3.47±0.17), (3.73±0.18)mm; degree Ⅱ:(3.55± 0.34), (3.54±0.29), (4.35±0.35)mm; degree Ⅲ: (3.19±0.72), (3.92±0.66), (4.51±0.72)ram; Finside,middle,flank= 0.351,0.356,1.883, all P > 0.05]. Joint space < 5.00 mm were found in 618, among which 363 were measured on inner epieondyle, obviously greater than those measured on outer epicondyle of joint space(255), the difference being statistically signifieant(χ2=9.59, P<0.05). Conclusions Adult cases of KBD occur in Guanghui Village. Knee joint space of adult patients narrows obviously, the more serious, the narrower, especially occurring more obviously on outer epicondyle, but frequently on inner epicondyle.     

火焰原子吸收法测定人发中锌铁铜钙镁5种元素

研究了人发中锌、铁、铜、钙、镁５种元素的原子吸收测定方法。采用混合酸（１１∶１）ＨＮＯ３：ＨＣｌＯ３消化样品。在０．１ＮＨＣｌ介质中进行测定。锌、铁、铜、钙、镁的平均回收率分别为９９．５％，９９．２％，９７．６％，９７．２％，１００．８％。本方法的精密度在１．２％～５．０％之间。     

分型治疗跟痛症的体会

跟痛症临床常见,治疗上方法很多,但效果多不满意。自１９９５年以来,我科共收治跟痛症５８例,根据其发病、症状、体征及检查结果分为囊性类跟痛症和骨性类跟痛症两种类型,分别采用不同方法治疗,取得了满意效果。现总结报告如下。１　临床资料１．１　一般资料　本组５８例中,男２３例,女３５例。年龄１４～７２岁;发病时间１５天～６年,平均１．５年;单足４７例（左足２１例,右足２６例）,双足１１例,共６９足。急性发病者１３例,慢性发病者４５例。就诊前在家自服抗炎止痛药物或外敷镇痛膏者３７例,在外院行封闭及推拿针灸…     

隐性骶骨裂致尿失禁尿毒症一例

患者男,23岁。因尿失禁20余年,发热、恶心、呕吐1月,于1990年4月25日入院。入院前曾在某县医院治疗近1月,经用大量抗生素、激素及退热药物,体温仍达38～40℃,小便失禁,尿道口溢出浑浊尿液,滴沥不断。伴有纳差、呕吐,身体逐渐消瘦,既往无外伤史及类似疾患家族史。入院检查:T39℃,P108次/min,R24次/min,BP16/10kpa,体重36.5kg。神志恍惚,心肺(-),舟状腹,未扪及包块。腰骶部有-5×4cm~2疤痕,表面有毛发生长。骶部扪之有裂隙感。两下肢肌力尚正常,鞍区感觉障碍。尿道外口有黄浑尿液溢出。     

改良术式修复手指屈伸肌腱附丽处断裂

手指屈伸肌腱附丽处断裂,主要指位于Ⅰ区的肌腱断裂,且断端距止点小于1 cm的损伤.以往主要采用断腱远段切除,近段断端前移,行拉出钢丝缝合法.但存在限制了早期活动而影响效果的缺点.笔者于1999年7月～2005年6月,对32例手指屈伸肌腱附丽处断裂行改良术式修复,并给予康复护理,经随访,效果满意.     

成人大骨节病膝关节间隙的X线观察

Objective To observe and scale knee joint space of the patients who suffered adults' Kaschin-Beck disease (KBD) in Shangzhi City of Heilongjiang Province in order to acquire basic knowledge for upcoming intervention trial. Methods Clinical test was proceeded in adults aged above 40 in Guanghui Village of Shangzhi City in 2007. In typical patients, bilateral knee X-ray was taken and knee joint space was scaled. Three points were chosen on inner and outer epicondyle of each knee and results were recorded. Results There were 307 peoples over the age of 40 in the village. Two hundred eighty-two accepted clinical test, in a rate of 91.9%. Eighty out of 282 suffered KBD, accounting for 28.4%. When the patients' condition became more serious, measurements from flank, middle, inside points on outer epicondyle of joint space presented a narrowing trend [degree Ⅰ: (5.85±0.17), (4.84±0.17), (4.36±0.18)mm; degree Ⅱ: (5.11±0.43), (4.24±0.34), (3.48±0.28)nun; degree Ⅲ: (3.59± 0.78), (3.10±0.56), (2.14±0.62)mm; Fflank,middle,inside= 6.547,5.372,10.302, all P < 0.05], but those on inner epicondyle of joint space did not[degree Ⅰ:(3.66±0.17), (3.47±0.17), (3.73±0.18)mm; degree Ⅱ:(3.55± 0.34), (3.54±0.29), (4.35±0.35)mm; degree Ⅲ: (3.19±0.72), (3.92±0.66), (4.51±0.72)ram; Finside,middle,flank= 0.351,0.356,1.883, all P > 0.05]. Joint space < 5.00 mm were found in 618, among which 363 were measured on inner epieondyle, obviously greater than those measured on outer epicondyle of joint space(255), the difference being statistically signifieant(χ2=9.59, P<0.05). Conclusions Adult cases of KBD occur in Guanghui Village. Knee joint space of adult patients narrows obviously, the more serious, the narrower, especially occurring more obviously on outer epicondyle, but frequently on inner epicondyle.     

超声诊断胎儿脑积水及胸腹水1例

患者女，27岁，妊娠6月就医：超声检查示：子宫明显增大，宫内可见胎儿回声．双顶径8．2cm(大于同孕周58cm)，颅骨光环光滑完整，脑中线居中．双侧侧脑室呈“蝶状”对称增宽(图1B)．双侧脑室率均为0.71．探头稍向胎头顶部方向平行移动．可见双侧侧脑室对称呈现“半球”状增宽(图1A)；脊柱呈双排串珠状排列完整，双侧胸腔均可见大片无回声区，纵隔居中，     

黑龙江省13个县的市售粮食中黄绿青霉素污染水平的调查

目的检测黑龙江省县级市场销售粮食中黄绿青霉素(CIT)污染水平，为克山病病因研究提供新的参考数据。方法从黑龙江省尚志、林口、密山、铁力、富裕、依兰、孙吴、肇东、巴彦、呼兰、双城、宾县、五常等13个县城的主要市场，采集面粉、大米和玉米面粮样共390份。采样后2周内，按30％比例随机抽取3种粮样各39份，采用HPLC法检测CIT水平。结果大米与面粉均为O检出；玉米面检出频率为12／39，阳性样品检出量范围为4．9—13．8μg/kg，平均值7．1μg/kg。结论目前黑龙江省的市售粮食中的CIT污染程度很轻。今后要继续扩大检查范围，取得CIT对粮食污染情况更深入的了解。     

高效液相色谱柱后衍生荧光法测定尿液中硫酸软骨素分解产生的不饱和双糖

目的 探讨高效液相色谱柱后衍生荧光法测定尿液中硫酸软骨素(CS)分解产生的不饱和双糖的效果.方法 分别用离心过滤法和常规沉淀法进行尿液的预处理,处理后的样品加CS裂解酶消化,用高效液相色谱柱后衍生荧光法测定分解产生的不饱和双糖(ADi-0S、△Di-4S、ADi-6S)的量,比较两种预处理方法中CS标准品回收率的差别.结果 高效液相色谱柱后衍生荧光检测系统运转效果良好,该法对于双糖的最低检出量为10 ng.尿样经离心过滤法处理后,CS标准品分解产生的△Di-0S、△Di-4S、△Di-6S的回收率分别为86.93%、87.28%、85.03%;而在常规沉淀法中,3种双糖的回收率仅为75.09%、72.96%、77.70%.结论 高效液相色谱柱后衍生荧光法较为灵敏,可用于测定CS分解产生的不饱和双糖.在尿液样品的预处理方法中,离心过滤法优于常规沉淀法,可应用于尿液中CS的微量测定.