骨水泥球结状外固定治疗股骨转子部骨折术后康复

目的：防止发生髋内翻畸形，有效预防并发症的发生及早期恢复正常的功能。方法：采用经皮穿针骨水泥球结状外固定治疗。结果：经过早、中、晚三个阶段的康复治疗效果满意。结论：采用经皮穿针骨水泥球结状外固定治疗５０岁以上的股骨转子部骨折７２例患者，经过三个阶段的康复治疗，临床效果满意     

气道管理在急诊科心肺复苏患者维持治疗中的应用

目的:探讨气道管理在急诊科心肺复苏患者维持治疗中的应用效果。方法:选取2012年1月1日~2020年5月1日接受维持治疗的急诊科心肺复苏患者300例作为研究对象,采用随机数字表法将其分为观察组和对照组各150例。对照组给予常规护理干预,观察组在对照组基础上给予气道管理;比较两组抢救时间、插管时间、入住ICU时间、血气指标[包括动脉血氧分压(PaO2)、动脉血二氧化碳分压(PaCO2)]、不良反应发生情况、护理满意度。结果:观察组抢救时间、插管时间、入住ICU时间均短于对照组(P<0.05,P<0.01);干预1个月后,观察组PaO2高于对照组(P<0.05),PaCO2低于对照组(P<0.01);观察组不良反应发生率低于对照组(P<0.05);观察组护理满意度高于对照组(P<0.05)。结论:将气道管理应用于急诊科心肺复苏患者维持治疗中,可缩短患者插管时间,争取患者抢救时间,且有利于改善患者的血气指标、降低不良反应发生率,从而提高其护理满意度。     

中西医结合治疗再生障碍性贫血157例临床观察

目的探讨黄芪注射液、及黄芪注射液加多抗甲素配伍应用治疗再生障碍性贫血(AA)的疗效。方法黄芪组61例,黄芪注射液加多抗甲素组33例,对照组63例,治疗组在中西医结合治疗基础上加用黄芪注射液或黄芪注射液加多抗甲素,对照组采用中西医常规治疗,三组均经系统治疗6个月以上。结果黄芪组总有效率86.8%,黄芪注射液加多抗甲素组总有效率90.9%,对照组总有效率65.1%,黄芪组、黄芪注射液加多抗甲素组与对照组比较均有显著性差异(P<0.05);黄芪组与黄芪加多抗甲素组比较有显著性差异(P<0.05)。结论黄芪注射液、黄芪加多抗甲素治疗再生障碍性贫血均是通过调节机体免疫功能起效。     

Clinical study on effect of Astragalus Injection (黄芪注射液) and its immuno-regulation action in treating chronic aplastic anemia

Objective:To observe the clinical effect of Astragalus Injection(黄芪注射液,AI) and its immuno-regulatory action in treating chronic aplastic anemia(CAA).Methods:Sixty patients with CAA were randomly assigned to two groups equally,both were treated with Stanozolol three times a day,2 mg each time through oral intake,but AI was given additionally to the patients in the treated group once a day via intravenous dripping.All were treated for 15 days as one therapeutic course and the whole medication lasted for more than 4 months totally,with follow-up adopted.The clinical effi cacy was estimated and the changes of T-lymphocyte subsets in peripheral blood as well as the serum levels of tumor necrosis factor-α(TNF-α) and interleukin-2(IL-2) were observed.Results:The total effective rate in the treated group was 83.3%(25/30),which was higher than that in the control group 66.7%(20/30),showing significant difference between them(P<0.05).Levels of hemoglobin,WBC,reticular cell and platelet were elevated in both groups after treatment,but the improvement was signif icantly better in the treated group than that in the control group with respect to the former three indexes(P<0.05).The level of CD4 increased and that of CD8 decreased signifi cantly after treatment in the treated group(P<0.05),which showed significant difference as compared with those in the control group(P<0.05).Levels of serum TNF-α and IL-2 lowered after treatment in both groups,but signifi cance only showed in the treated group(P<0.05).The degree of proliferation in bone marrow got raised signifi cantly and the percentage of non-hemopoietic cells reduced signifi cantly in the treated group after treatment,also showing significant difference to those in the control group(P<0.05).Conclusion:AI could promote the recovery of hemopoietic function,which might be through improving T-lymphocyte subsets and reducing the release of negative regulatory factors such as TNF-α and IL-2 to alleviate the inhibition on hemopoietic function.     

大剂量复方丹参注射液治疗急性白血病并发弥散性血管内凝血24例

弥散性血管内凝血（ＤＩＣ）是急性白血病（ＡＬ）严重并发症之一。临床以出血、溶血、栓塞、休克为主要特征，如不及时治疗，常常导致内脏出血而死亡，与ＡＬ的预后密切相关。自１９９１年７月～１９９８年１０月，我院应用大剂量复方丹参注射液治疗 ＡＬ并发 ＤＩＣ ２４例，疗效满意，现报告如下。 临床资料 １　　病例选择　２４例均为住院患者，其中男８例，女１６例，年龄１６～４６岁，平均２１．９岁；ＡＬ亚型各为Ｍ２ａ２例，Ｍ３　１７例，Ｍ４１例，急性淋巴性白血病（ＡＬＬ）３例，白血病前期１例。临 床表现：均有严重的皮肤…     

类桁架型多针内固定治疗老年股骨颈骨折及康复

股骨颈骨折为老年人常见的一种损伤．其特点是愈合缓慢及股骨头坏死率较高，并发症多。目前治疗方法很多，但尚无一种方法被公认是最理想的。类桁架型多针内固定模式是我院自行设计并于1986年投入临床应用，至1997年初已治疗了老年病人85例，我们认为这项技术具有无创性和可靠性，符合老年人的特点，如再配合恰当的康复治疗，则临床效果会更令人满意，现报告如下，供同道们参考。     

类桁架型多针内固定治疗老年股骨颈骨折及康复

股骨颈骨折为老年人常见的一种损伤，其特点是愈合缓慢及股骨头坏死率较高，并发症多。目前治疗方法很多，但尚无一种方法被公认是最理想的。类桁架型多针内固定模式是我院自行设计并于１９８６年投入临床应用，至１９９７年初已治疗了老年病人８５例，我们认为这项技术具...