满洲里市传染病漏报调查

满洲里市传染病漏报调查卓娟，王兴华，朱桂华，庞怀德（满洲里市卫生防疫站，满洲里０２１４００）报告传染病是中华人民共和国传染病防治法的法定要求，自实行传染病报告制度以来，我市在传染病管理和疫情报告工作中均取得了一定成绩，为预测、预报和控制各类传染病起到...     

张谷才老师诊治消化系统疾病经验

<正> 我院金匮教研室主任张谷才副教授,数十年来一直从事医疗,教学、科研工作,对《金匿要略》的研究尤深,善用仲景方治疗疑难杂证,屡起沉疴痼疾,颇受病家拥戴和同仁敬重。兹择其诊治消化系统疾病经验数则,略作介绍。一、泻心汤证治泻心汤由大黄、黄芩、黄连组成,具有清热泻火、解毒凉血、化瘀止血的功效,凡火热内盛引起的痞证、痛证、血证等,张老多用该方化裁治疗,如流行性出血热、肠伤寒、胃肠炎、细菌性痢疾、消化性溃     

A new method for early diagnosis of carcinoma in bile duct-sonography of common bile duct before and after injection of ceosunin.

42 cases of dilatation (7-15 mm) of extrahepatic bile duct after ceosunin injection (cholagogic method) were observed ultrasonographically. Among the 18 cases of testified obstructive lesions of the bile duct, 13 (72%) showed widening of the bile duct with an increase of calibre from 9.8 mm to 11.7 mm, 3 (16%) had no obvious change, and 2 (12%) shrank. Among the 24 cases of non-obstruction 22 (92%) shrank with a decrease calibre from 9.6 mm to 6.3 mm, and 2 (8%) showed no obvious change. After receiving cholagogue, 9 cases of periampullary carcinoma in the obstructive group were confronted with widening of the bile duct calibre. After longitudinal and transverse rotation scanning method was used, 8 of the 9 cases had their tumor mass visualized. Combined cholagogic and rotation scanning methods raised the lesion manifestation rate of lower bile duct from 41% to 88%. A dilated bile duct unable to show shrinkage of calibre after cholagogue injection is believed to be a criterion for judging the presence of     

雌二醇对慢性脑缺血去卵巢大鼠脑病理改变的影响

目的：探讨苯甲酸雌二醇对大鼠额部皮质和海马CA1区细胞形态和数量的影响，初步研究雌激素对血管性痴呆（Vascular dementia,VD)大鼠的神经保护作用。方法：利用双侧颈总动脉持久性结扎及卵巢切除大鼠模型，利用光镜，电镜结合图像分析，观察大鼠额叶皮质和海马CA1区的病理和超微结构变化。结果：手术组较治疗组大鼠额部皮质和海马CA1区细胞形态改变明显，数量减少，统计学分析呈显著差异，结论：雌激素具有一定的神经保护作用，可以为缓解血管性痴呆的症状提供结构基础。     

包头市东河区196例中、老年干部、知识分子健康检查

包头市东河区１９６例中、老年干部、知识分子健康检查郭和平，王兴华关键词：健康；检查我们对区同事业单位的中、老年干部和知识分子进行了全面检查，随时掌握他们的健康状况，以便对各种慢性病和传染病得到早期发现，早期治疗。１资料与方法区属各单位，包括区属文教知...     

超声引导下肿瘤内注射^90钇玻璃微球的肝癌综合治疗

超声引导下对２８例肝癌病人进行了肿瘤内注射＾９０钇玻璃微球（Ｙ－９０ＧＴ ＭＳ）为主的综合性治疗（部分病人配合肿块周边注射无水酒精及门静脉穿刺化疗）。随访２～１６个月（平均７．９个月），病人全健在。肿瘤缩小率为９１％，其中显著缩小达７５％；肿块回声呈致密增强，少数呈混合型或等回声型；肿瘤内及周边血流信号显著减少；原甲胎蛋白升高者１３例，１１例显著下降，其中６例降至正常；病人症状减轻，全身情况改善。     

Transcutaneous ultrasound of the cervical esophagus in patients with esophageal carcinoma.

Transcutaneous ultrasound of the cervical esophagus was performed in 46 patients with esophageal carcinoma and in 35 controls. The former had 24 upper segmental lesions and 22 lower segmental lesions. The level of the sternoclavicular joint was used to divide the esophagus into the upper segmental (USE) and lower segmental esophagus (LSE). The anterior esophageal wall thickness and luminal dimensions were measured before and immediately after phonation. The mean wall thickness in the controls was 1.8 mm before phonation and 2.1 mm after phonation, with a significant difference (t test,P<0.05). The mean wall thickness in the USE carcinoma group was 4.3 mm and 4.4 mm before and after phonation respectively. There was a significant difference between the controis and USE carcinoma groups (t test, P<0.05). The cross sectional area, which was calculated as the product of anteroposterior and lateral diameters, averaged 28 mm~2 before phonation in the controls and increased to 44 mm~2 after phonation (t test, P     

第七届国际介入性超声大会简介

第七届国际介入性超声大会于1996年9月3日～6日在丹麦首都哥本哈根举行。来自42个国家的300多名代表参加了大会，其中特邀代表22名。我国出席会议共5名医师，其中2名为特邀代表。会议录用论文124篇，大会报告论文72篇。本次会议反映了近年来国际介入性超声在诊断和治疗方面的新进展，现简要介绍如下。1．超声引导下活检自1969年首次超声引导下活极以来，一直强调应用细针、目前倾向于用较粗的针，即18G针。瑞典学者TorbjonAnderson报告用1．2mm的切割针进行14000例活俭的结果，其并发症并不高于细针活检，近期的许多研究亦支持该观点。然…     

开创人生第二个春天的理论与实践

开创人生第二个春天的理论与实践王兴华（黑龙江省老年学学会，哈尔滨１５０００１）近些年来，＂开创人生第二个春天＂的口号和理论（二春论）已逐渐为人们所接受。一个振奋人心的口号，一个足以鼓舞千百万人奋进的理论，就是一面旗帜，往往可以在人类社会发展中起很大的...     

微针刀治疗肩周炎患者的疗效及对肩关节疼痛、功能的影响

目的 探讨微针刀治疗肩周炎患者的疗效及对肩关节疼痛、功能的影响。方法 选取2020年1月至2022年1月在江山市人民医院治疗的肩周炎患者180例,采用随机数字表法分为对照组（n=90）和治疗组（n=90）,对照组给予普通针刺治疗,治疗组给予微针刀治疗,比较两组临床疗效、疼痛程度、肩关节功能、肩关节活动度。结果 治疗组的治疗总有效率高于对照组,差异有统计学意义（P<0.05）。治疗后,两组视觉模拟评分（visual analogue scale,VAS）、现时疼痛强度（present pain intensity,PPI）、疼痛评定指数（pain rating index,PRI）评分均降低,且治疗组低于对照组,差异均有统计学意义（P<0.05）;治疗后,两组Constant-Murley肩功能评分法评分均提高,且治疗组高于对照组,差异均有统计学意义（P<0.05）;治疗后,两组肩关节活动度均提高,且治疗组高于对照组,差异均有统计学意义（P<0.05）。结论 肩周炎患者采用微针刀治疗的临床疗效较高,可有效降低疼痛程度,改善肩关节功能及肩关节活动度。