制作医学影像学教学多媒体课件的体会

随着医院信息化的发展，医学影像多媒体教学将很快成为医学影像教育的主流教学模式，本文作者结合医学影像多媒体教学改革的实践，讨论医学影像多媒体课件的制作体会。认为多媒体教学较传统教学方法有明显的优势，制作多媒体教学课件主要注意总体设计，脚本撰写和选择不同类型的制作工具，借助优秀的工具软件，使作者可以简单直观地编制程序，调度各种多媒体信息、起到事半功倍之效。     

Clinical study on treatment of infantile cytomegalovirus hepatitis with integrated Chinese and Western medicine

<正>Objective:To evaluate the efficacy and safety of Chinese medicine(CM) in treating infantile cytomegalovirus hepatitis(ICH).Methods:A total of 100 infant ICH patients were randomly assigned to two groups,60 in the treatment group and 40 in the control group.Ganciclovir was administered to all patients via intravenous dripping at dose of 5 mg/kg every 12 h for 2 weeks,followed by 5 mg/kg once a day for 5 days every week;the whole treatment course lasted 8 weeks.Besides,the patients in the treatment group were treated with CM of Qinggan Lidan Decoction(清肝利胆汤,QLD) during icteric stage,and Yigan Jiangmei Decoction(益肝降酶汤,YJD) in non-icteric hyper-aminotransferase stage by oral medication,while for those in the control group,glucurolactone 50 mg was given three times per day.The efficacy of treatment was evaluated at the ends of 2nd,4th and 8th weeks,respectively.And a follow-up study was carried out for 6-24 months.Results: The total effective rate was 95.0%(57/60) in the treatment group and 77.5%(31/40) in the control group;the overall curative effect in the former was superior to that in the later,showing a significant difference(P=0.021). Cholestasis and liver function were Improved in both groups,and the effect of reducing serum bilirubin level in the treatment group was more rapid and extensive than that in the control group,which could reduce the post-hepatitis cirrhotic risk caused by long-term cholestasis and liver cell damage.Conclusion:The therapeutic efficacy of integrated CM and Western medical drug therapy,by using QLD during icteric stage and YJD in nonicteric hyper-aminotransferase stage,was significantly higher than that of routine Western medical treatment alone;it was an ideal project for the treatment of infantile cytomegalovirus hepatitis.     

刘韵远治疗小儿佝偻病验案

刘韵远治疗小儿佝偻病验案北京儿童医院（１０００４５）李桂茹，闫惠敏关键词小儿佝偻病，医案张××男３．５岁１９８９年３月６日初诊。患儿因２年来鸡胸、驼背、双下肢弯曲呈“Ｏ”型，不会行走。追问病史，患儿在一岁内母乳喂养到５～６个月时，母乳不足，其母忙于劳...