奥美拉唑钠联合血凝酶治疗消化道溃疡并出血80例分析

目的观察消化道溃疡合并出血患者采用奥美拉唑、血凝酶联合进行治疗的效果。方法随机抽取我院2011年3月~2013年10月收治的80例消化道溃疡合并出血患者,征求患者治疗意愿后,分成观察组与对照组,对照组采用奥美拉唑钠给予临床治疗,观察组在对照组治疗基础上联合血凝酶进行治疗。结果观察组总有效率为95%,对照组总有效率为75%,观察组治疗效果明显优于对照组,组间数据对比差异明显(P<0.05)。结论消化道溃疡并出血患者采用血凝酶进行治疗,能够获得较为明显的效果,值得临床推广。     

2008年宿迁市泗洪县企业退休人员健康检查结果分析

目的了解宿迁市泗洪县企业退休人员的健康状况,提出预防措施。方法2008年11～12月,对泗洪县企业退休人员进行健康检查。结果企业退休人员体检异常的发生率为67．2％,脂肪肝、高血脂、高血压等8种疾病检出率男性组均明显高于女性组。结论企业退休人员的健康状况不容乐观,有关部门应开展多种形式的健康教育活动．提高对企业退休人员健康的认识。     

富血小板纤维蛋白新生诱导骨的组织学观察

BACKGROUND: In previous experiments, we have confirmed that platelet rich fibrin has the ability of osteoinduction, and have conducted a preliminary study on its microstructure and biomechanics. However, little is reported on its histology research. OBJECTIVE: To compare the histological changes after implanting platelet-rich fibrin, Bio-Oss and autologous bone and to analyze the pros and cons of platelet-rich fibrin implantation for repair of bone defects. METHODS: As previously reported, animal models of critical bone defects were established respectively on the bilateral femoral condyles of 12 beagle dogs. Then, platelet-rich fibrin, Bio-Oss+collagen membrane (Bio-Oss group) and autologous bone (autologous bone group)+collagen membrane were respectively implanted. At 3, 6, 8 and 12 months, one experimental dog from each group was killed, respectively, and histological observation was performed. Another beagle dog as blank control was enrolled to establish the animal model of critical bone defects, with no implantation. RESULTS AND CONCLUSION: At 3, 6, 8 and 12 months after implantation, there were significant differences in the new bone formation speed and amount between the platelet-rich fibrin group, Bio-Oss group and autologous bone group. These three kinds of bone grafts all had osteoinductive ability to different extents. In the platelet-rich fibrin group, the osteogenic effects were better at 3 and 6 months, and the new bone was similar to natural one; in the autologuos bone group, bone necrosis was noticeable at 3 and 6 months, but the osteogenic effects became better at 8 months, and the new bone was similar to natural one at 12 months; in the Bio-oss group, the osteogenic effects were similar to those in the platelet-rich fibrin group, but the residual of Bio-oss was visible at 12 months; in the blank control group, no bone formed at 3 months, indicating the animal model of critical bone defects was made successfully. In brief, the platelet-rich fibrin has good osteoinductive ability, with shorter time and better quality.       

非脱垂大子宫经阴道切除术120例分析

目的探讨非脱垂大子宫经阴道切除术的临床价值。方法选择2007年2月至2009年2月在广东省博罗县人民医院行经阴道子宫切除(TVH)120例作为观察组,经腹子宫切除(TAH)136例作为对照组,观察术中、术后情况。结果TVH组手术成功率98.33%,膀胱副损伤发生率0.008%。观察组与对照组比较,手术时间分别为(93.1±21.6)min,(88.3±14.8)min;出血量分别为(90.0±25.5)mL,(98.7±30.6)mL,差异无显著性,P>0.05。术后肠功能恢复时间分别为(24.9±7.8)h,(50.3±8.6)h;术后平均住院日分别为(5.3±1.2)d,(8.7±1.6)d;术后镇痛率分别为30.5%、97.1%;术后阴道残端息肉发生率分别为9.3%、1.5%,均P<0.05。结论非脱垂大子宫阴式切除术创伤小,术后康复快,手术安全可行。     

出血性急性输卵管炎误诊5例分析

出血性急性输卵管炎误诊５例分析东平县人民医院（２７１５００）王素文，付冬梅瞿静我院１９７８年以来收治出血性急性输卵管炎５例，不前均误诊为宫外孕，现报告如下。临床资料：患者年龄２２～３８岁。２例有阴道不规则流血史，均无明显附件炎病史。查体：均有下腹部压...     

胸壁严重放射性损伤成功修复治疗1例

患者女,42岁。于1997-05-09因“右侧乳腺癌”根治术后行Ｘ射线放射治疗25次×200ｒａｐ,放射治疗至第21次时,右前胸放射野感觉麻木,搔痒、灼痛,继之出现红、肿,范围上界至右侧锁骨水平,下界至右侧第四肋水平,内界至胸右胸骨旁线,外界至右腋前线,一周后局部皮肤破溃3ｃｍ×...     

严重烧伤病人周围静脉高营养126例分析

严重烧伤病人周围静脉高营养１２６例分析山东省兖州市９１医院烧伤科（２７２０００）张志华，陈存富，刘介甫，王永武，原峰，付冬梅，曹静超高代谢为严重烧伤后的重要特点之一。烧伤面积超过４０％时，其代谢率可为正常人的２～２．５倍。烧伤后的胃肠功能紊乱加重了营...     

康丽烧伤膏对小面积Ⅱ度烧(烫)伤创面的治疗作用

应用中草药治疗烧伤历史悠久 ,方法较多。许多中草药确有较好的疗效 ,但鉴于各种技术设备条件和研究水平的限制 ,一些行之有效的中药未能充分挖掘[1] 。为了探索和研究一种比较理想的烧伤创面外用药 ,我们从 1 993年开始 ,在原单味中药紫草油治疗烧伤创面的基础上 ,参阅多种资料 ,筛选多个单验方研制成康丽烧伤膏 ,在动物实验的基础上 ,临床治疗烧伤病人 1 52例 ,现报告如下。1　组方及制法本方选用黄连、虎杖、紫草、红花等 1 0余味中药组成 ,用香油作辅料 ,将香油加热至一定温度后投入中药 ,提取有效成分后用蜂蜡作基质配成软膏 [96济制Ｆ…     

93例吸入性损伤病人的救治分析

对 1 994 -1 0～ 1 999-1 0收治的 93例吸入性损伤病人的治疗进行了回顾分析 ,经及时建立人工气道 ,维持呼吸道通畅 ,在水肿高峰前即给予气管切开 ,结合气道湿化、雾化、灌洗 ,配合氧疗、抗氧化剂治疗及有效的液体复苏 ,治愈 78例。吸入性损伤所致的呼吸道梗阻具有渐进性、迟发性、突出性、复杂性等特点 ,建立人工气道以气管切开为主 ,并应放宽气管切开指征 ,并对吸入性损伤的气道管理、气管切开术中、术后的并发症进行了分析