右肾放线菌病一例

患者男，４６岁。右腰部阵发性隐痛１０天入院。疼痛无规律性，无放射痛，无血尿和膀胱刺激症状。实验室检查：白细胞２１×１０９／Ｌ，中性粒细胞０．９２，淋巴细胞０．０８，尿常规化验正常。Ｂ超检查：右肾形态欠规则，中极内可探及４．８ｃｍ×９．０ｃｍ大小低回声...     

桥脑免疫性血管炎1例报告

桥脑免疫性血管炎１例报告黄力１病例介绍患者女性，６岁，因头痛，呕吐伴视力模糊１个月，进行性加重入院。１．１体格检查：发育良好，体温，脉搏及呼吸正常。胸腹部无特殊发现。实验室检查：白细胞总数：９．６×１０９／Ｌ，中性粒细胞：０．７１，嗜酸粒细胞：０．０...     

腹膜后巨淋巴结增生症1例报告

腹膜后巨淋巴结增生症１例报告福建省泉州市第一医院放射科洪添吾患者女，４６岁。腰部酸痛半年。体检：腹部平软，脐周们左压痛，肝肋下２ｃｍ，脾脏无肿大；血象化验：红细胞４．５５×１０９／Ｌ、白细胞７．０×１０９／Ｌ、血红蛋白６．０ｇ／Ｌ、血沉５０ｍｍ／ｈ。...     

耻骨尤文瘤1例报告

患者男，２１岁，右下腹股沟包块２月余伴疼痛，右下肢活动时加重，夜间疼痛尤甚。近月加重来院就诊。查体：右下腹股沟处可触及约８ｃｍ×１０ｃｍ包块，质硬，表面凹凸不平，压痛明显。化验：血红蛋白１０８ｇ／Ｌ，白细胞：３．４×１０９／Ｌ，中性：６３％、淋巴：３...     

读片窗

患者　女,６岁５个月。以腹痛伴呕吐、发热４ｄ,无排便排气２ｄ入院。体检：Ｔ３８．４℃,腹部稍膨隆,脐周及左上腹压痛明显,无反跳痛及肌紧张,未们及包块,未见肠型及蠕动波,肠鸣音存在,肝脾未触及。肛诊直肠内有少许粪便。血常规：Ｈｂ１１６ｇ／Ｌ,ＲＢＣ ３．８６ｘ１０１２／Ｌ,ＷＢＣ２６．０ｘ１０９／Ｌ,Ｎ０．８９,Ｌ０．１１。 ＣＴ所见：上腹偏左见一约１１．４ｃｍ ｘ９．３ｃｍ ｘ ９．６ｃｍ大小类圆形气囊腔,囊壁较光整,羹内无气液平,胃体受压上抬,肝内可见弥漫树枝状积气影,胰腺受压轮廓显示欠清楚,降结…     

经阴道超声诊断盆腔炎性包块一例

患者，女性，４１岁。因下腹疼痛伴发热４天于１９９６年７月１６日入院。无停经史。查体：体温：３８．４℃，脉搏９６次／ｍｉｎ，下腹压痛明显，以右侧为著，移动性浊音阴性。妇科检查：宫颈光滑，子宫后位，大小形态正常，右附件区可触及一大小为７ｃｍ×６ｃｍ×６ｃｍ的包块，压痛明显，左附件区增厚。血常规：白细胞２０．６×１０９／Ｌ，中性０．８９。尿妊免试验（－）。临床诊断：腹痛原因待查，右侧卵巢囊肿蒂扭转不除外。７月１８日经腹超声检查，可见：子宫后位，大小形态未见异常，子宫右侧可见一大小为６．９ｃｍ×５．１ｃ…     

石骨症合并佝偻病1例报告

病人　女,９个月,面色苍白７月,发现腹部包块入院。体格检查：贫血外貌,生长发育欠佳,心肺（－）,肝肋下４ｃｍ,脾肋下９ｃｍ,斜径１１ｃｍ。化验：血色素６８ｇ／Ｌ,网织红细胞０．０７,血磷１．０９ｍｍｏｌ／Ｌ,血钙１．８０ｍｍｏｌ／Ｌ,碱性磷酸酶１０８．４ｕ／Ｌ,红细胞２．８×１０１２／Ｌ,白细胞１０．８×１０９／Ｌ,血小板４７×１０９／Ｌ,骨穿：骨质坚硬,有干抽现象。骨髓相：可见大量的成骨细胞和破骨细胞。１　Ｘ线检查全身骨骼密度均增高,肋骨远端膨大呈“串珠样”改变。肱骨及尺桡骨中心密度高,周边密…     

上臂软组织血管内皮肉瘤1例报告

血管内皮肉瘤是一种少见的恶性肿瘤,多发生于头颅、面部、乳腺、大腿等软组织内和肝脾及骨等非软组织处。发生于上臂的血管内皮肉瘤罕见。我院收住１例,经手术病理证实,报告如下。 患者　女,７１岁。发现左上臂包块１年余,迅速增大伴疼痛４月余。查体：左上臂见１３ｃｍ ｘ８ｃｍｘ８ｃｍ大小包块,皮肤发亮,静脉曲张,质软,有囊性感,局部无红热。实验室检查：ＷＢＣ５．８ ｘ １０９／Ｌ, ＲＢＣ ３．７９ ｘ １０１２／Ｌ, Ｈｂ７８ｇ／Ｌ,血钾 ３．８９ｍｍｏｌ／Ｌ,血钠１３６．９ ｍｍｏｌ／Ｌ,血钙１．１５ｍｍｏｌ／Ｌ…     

孤立性骨髓瘤伴病理骨折一例

患者男,５８岁。因左大腿隐痛２个月加重伴活动受限２天入院。查体：左大腿呈轻度外旋状,局部肿胀、畸形。纵向叩击痛阳性。实验室检查：血红蛋白１２４ｇ／Ｌ,白细胞７．５×１０９／Ｌ,中性７８％,淋巴２０％,单核２％,血小板１２８×１０１２／Ｌ,血沉１８ｍｍ...     

腹腔脓肿二例

例１男,４１岁。发热、左上腹疼痛２０天。２个月前左上腹曾被摩托车撞伤。实验室检查：ＷＢＣ９．７×１０９／Ｌ,中性０．８２,淋巴０．１６,嗜酸性０．０２。Ｂ超诊断：左上腹实性占位,脾脓肿不能除外。ＣＴ扫描：左上腹腔胃脾隐窝见一低密度区,最大径线为５．４...     

Optimization of the system of medical service of students of Cadet Schools of the Ministry of Defense of the Russian Federation

One of the factors of the successful military career guidance Cadet schools students is preserving and promoting their health. Medical support of children and adolescents aged 10-17 years should include the full range of medical and preventive measures defined for this group. The state of providing outpatient care for pupils at the Cadet School in St. Petersburg was studied. These results show that full medical care in accordance with the standards can be based only on children's health clinics. It is important that the organization of medical support pupils cadet schools should be cooperate with civilian health care.     

带状疱疹83例误诊原因分析

带状疱疹是由水痘—带状疱疾病毒引起的皮肤科常见疾病。其主要的病理损害,一是受累神经的严重炎症性浸润,继而导致受侵犯神经节内神经细胞变性、坏死;二是皮肤的水泡。迅速抑制神经节和相应的感觉神经纤维的充血、水肿和坏死,防止粘连形成,达到迅速镇痛、改善皮损,缩短病程及防止后遗症的发生是治疗的关键。因而,尽早明确诊断,     

Estimation of accumulated dose of radiation by method of ESR-spectrometry of dental enamel of mammals

ESR-spectrometry was used to investigate radiation-induced paramagnetic centers in enamel of mammals: carnivores (polar bear and fox), ungulates (reindeer, European bison, moose), and man. Values at half the microwave power saturation of the radiation signal, P_1/2, evaluated at room temperature, was found to range from 16 to 26 mW for animals and man. A new approach to discrimination of the radiation induced signal from the total ESR spectrum of reindeer enamel is proposed. ‘Dose-response’ dependencies of enamel of different species mammals were measured within the dose range from 0.48 up to 10.08 Gy. Estimations of ‘radiosensitivity’ enamel of carnivores and ungulates showed good agreement with radiosensitivity enamel of man by ESR method.     

Analysis of the results of the international comparison of activity measurements of a solution of Fe

The results of an international comparison of activity measurements of a solution of ⁵⁵Fe organized by the BIPM in 2005 are reported and analysed. This exercise, which follows the procedures of the CIPM mutual recognition arrangement to update older comparisons, is a renewal of the comparison organized by the BIPM that took place in 1978. A EUROMET comparison was organized in 1996 specifically to compare activity measurements of a ⁵⁵Fe solution by means of liquid-scintillation techniques. Results of these three comparisons are presented and discussed in this paper.

The radionuclide solution was provided by the NPL, which also distributed the samples to the participants. The activity of the ampoules was measured by 16 laboratories using 12 methods producing 25 results. Some general considerations on uncertainty assessments pertaining to the different techniques used are drawn. The outcome of four different estimators is compared from which the presence of at least one outlier can be confirmed. Further measurements should be made to try to reduce the discrepancy between the results. To date the outcome of the present comparison does not show an improvement to that of the 1996 comparison.     

Evaluation of the results of various technics of non-surgical therapy of varicocele

A new method of non-surgical treatment of varicocele syndrome is described: it consists in sclerotherapy of spermatic vein by trans-femoral percutaneous catheterization with balloon-catheters. In 8 cases venous thrombosis has been induced by direct electric clotting. The techniques and a 6 months follow-up are discussed. It is pointed out that this procedure should be considered as the method of choice for tubular lesions and sub-fertility prophylaxis in young people and in childhood.     

延迟性脾破裂误漏诊原因分析

目的探讨延迟性脾破裂误漏诊原因和预防措施.方法回顾性分析总结12例延迟性脾破裂中的诊断和误漏诊的经验与教训.结果本组延迟性脾破裂的误漏诊5例(41.66%).对多发伤与脾破裂并存可能认识不足,外伤史轻微或伤员隐瞒外伤史,缺乏腹痛-缓解-突然再腹痛的典型病史,缺乏“对冲性脾破裂”力学分析和整体化诊断思路等为其误漏诊的主要原因.结论详细的外伤史和全面系统检查,重视腹以外多发伤掩盖腹内脏器伤及延迟性脾破裂可能.确立外伤-腹内脏器伤-脾破裂整体化诊断思路.不间断地辅以B超检查脾形态学变化和腹内有无积液,腹腔穿刺确定有无血腹、X线胸腹部检查观察左侧胸肋角和膈肌运动情况、必要时CT检查以尽早发现脾包膜下血肿,降低延迟性脾破裂误漏诊率.