恶性淋巴瘤侵犯支气管壁一例

病例资料患者,男,18岁,因间断性发热1个月,右髋关节疼痛15天,加重3天入院。查体:T 37.6℃,神清合作,全身皮肤巩膜无黄染、皮疹、出血点,周身浅表淋巴结未触及肿大,胸骨无压痛,双肺未闻及干湿性啰音,律齐,腹平软,肝脾未触及,双     

先天性巨大肾囊肿病一例

病例资料患者,男,20岁,入院前1周出现腹部胀满,与进食无关,腹胀逐渐加剧,无恶心呕吐,大便正常,查体生命体征平稳,上腹部隆起,右下腹凹陷,全腹软,无明显压痛,移动性浊音阴性,肠鸣音正常,血尿常规、肝肾功能检查无异常发现。CT扫描:腹腔偏左侧可见巨大囊性占位病变,大小约35cm×2     

健康长寿的“仙果”——核桃

核桃的营养成分丰富,每100克核桃仁中约含蛋白质14.9克,脂肪58.8克,碳水化合物9.6克,膳食纤维9.6克,胡萝卜素30微克,维生素E 43.21毫克,钾385毫克,锰3.44毫克,钙56毫克,磷294毫克,铁2.7毫克,硒4.62微克,锌2.17毫克,且含有硫胺素、核黄素、抗坏血酸等多种营养素.     

术前介入性栓塞治疗罕见巨大子宫肌瘤一例

患者女,40岁.因"腹痛,B超检出盆腔包块1 d"于2006年8月19日入院.入院体检:腹膨隆,张力大,腹部可扪及一巨大肿块,质较硬,活动差.专科检查:子宫如孕36周,上至剑突下,质较硬,边界清,活动差,轻压痛.     

急性重度有机磷农药中毒致急性心肌梗塞1例

1 临床资料 患者为女性,53岁,自服"乐果"150 ml,于服药约30 min后被送往当地医院,给予清水20 000 ml洗胃,用阿托品、氯解磷定等药物治疗,但病情逐渐加重,于服药后19 h转送至我院.入院时,患者呈浅昏迷状态,简易呼吸器辅助通气,血压152/100 mmHg,双侧瞳孔等大等圆,直径约6 mm,对光反射迟钝,脉搏113次/min,体温38.5°C.     

咯血、多发肺囊肿和左下肺球形肿块

1病例摘要患者男,47岁。因咯血、发热1天,晕厥1次,于2006年9月4日19:00入院,第二天7:51死亡,住院至死亡不足13h。现病史:9月4日上午,无诱因咯血,色鲜红,每次约5ml,伴左侧胸痛、发热。14:00来我院就诊,摄X线胸片示左下肺占位性病变。拒绝住院,回家后频繁咯血,晕厥1次,18:00入我院急诊科,血压70/50mmHg,少尿,以“咯血原因待查”住院。患者无胸闷憋气;无恶心、呕吐;无腹痛、腹泻;无黑便,无反酸、嗳气及腹部烧灼感。既往史:20年前有咯血史,曾诊断过“左肺囊肿”,两次建议手术,均拒绝。20年中无反复咯血、咳脓痰史。有8年乙肝病毒携带史。否认胃炎、消化性溃疡、肝硬化病等病史。入院查体:体温36.1℃,脉搏133/min,血压65/50mmHg,面色苍白,呼吸稍快,表情淡漠,意识清楚,问答切题,四肢湿冷。左下肺语颤减弱、叩浊、呼吸音低,未闻及干湿性啰音,心率136/min,律齐。肝脾未触及。血常规检查:血红蛋白115g/L,白细胞17.8×109/L,中性0.92,淋巴0.05,血小板241g/L;入院后,血红蛋白109g/L,白细胞15.3×109/L,中性0.93,淋巴0.05,...     

善养静气

读到一句古训: “天地间真滋味,惟静者能尝得出;天地间真机括,惟静者看得透.”感到颇耐人寻味.细思量,静气与养心,如鸟之双翼、车之双轮、人之唇齿,养生重在养心,养心在于养静气. 何为静气?即意敛于心,心收于内.仰望星空,将烦恼抛掷以九霄云外,唯有星月与人之境为静气;滋润万物,不与山争,不图回报,无忧无虑之水性为静气;有荣淡然,有辱泰然,是非转头空,都付笑谈中,这种豁达之心胸为静气.静气,不是归隐避世,不是消沉无奈,而是洞察人性、洞悉人事后的淡定,是冷静观察、理性思索、蓄势待发的沉着,是精神充实、幸福满足、专心致志的一种心态,也是养心的不二法门.     

跑步注意姿势 防止肚子突出

不少中老年人选择跑步来锻炼身体,体格强壮了,可是肚子却凸出起来了。这时人们通常认为是肥胖发福的表现,其实长跑动作不当也是导致肚子凸出的原因。若长跑时两肩下沉,两臂弯曲得小而下垂得太厉害,太松,腿抬不起来,步幅小,无腾空,无弹性,呼吸节奏不均匀,每跑一步,肚子上下颠动一下。这样以来,严重得影响了腹肌的控制     

黄阿婆的“三不”养生法

家住辽南石碣村、现已86岁的黄阿婆在生命旅程中,总结出了"三不"养生法,即:不闲着,不忌口,不抱怨。不闲着黄阿婆一生务农,即便到了晚年,依然手脚不闲。老人说,树老怕空,人老怕松,人一闲下来,疾病就找上门来了,一忙退百病啊!基于这种理念,黄阿婆从早到晚、从春到冬,从不闲手,种菜、养鸡、喂狗、做家务……空闲时,她还常常到村中的活动广场上,和乡亲们一起扭秧歌、做游戏。黄阿婆还常常用记住晚辈们的生日的方法     

『文体结合』更健身

以前,我总觉得自己年轻,吃嘛嘛香,身体倍棒,没有把健身放在心上.身边的一些朋友有的参加户外运动,有的去健身房,有的早晨跑步,还有的参加自行车俱乐部,都建议我积极行动起来,参与其中.可我以一个“忙”字为理由,始终没有把健身提到日程上来.     

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.