漳州市梅毒人群的分布调查

目的为了解福建省漳州市近年来梅毒患者群的分布规律，为今后梅毒的管理防治工作提供依据，进而为全国防治梅毒提供一些科学依据。方法本文对1999～2007．年的梅毒登记资料进行回顾性调查分析。结果发病人群从职业分布来看，农民所占比例最高，占79．4％；从年龄来看，以青壮年为主，18～50岁占64．8％；从性别来看，男性多于女性，占57．2％。显性梅毒占8．6％，学生及儿童基本是胎传梅毒。结论梅毒是典型的社会病，特别要注意对农民性传播疾病知识的教育，控制梅毒流行仍然是一项艰巨而复杂的任务。     

164例梅毒初诊患者检测报告

近几年来，梅毒的发病率迅速增长，目前已经成为皮肤性病门诊常见病之一。为了解梅毒初诊患者在本地的发病流行状况，现将１６４例梅毒患者均经临床及实验室检测确诊，其情况报告如下。１６４例梅毒患者均为１９９６～１９９８年３年间来本站性病门诊就诊患者，有完整的病历记录，均为初诊患者，其中男性９２例，女性７２１　山东省德州市卫生防疫站（２５３０１４）２　德州粮食技工学校例，男女之比为１－２７∶１。年龄１８～６４岁；平均２６－６２岁。１９９６年发病１３例，１９９７年３６例，１９９８年１１５例。以中学文化程度占较…     

中药直流电穴区导入治疗乳腺增生症

中药直流电穴区导入治疗乳腺增生症孙治民女性乳腺增生症患者１９２例，年龄２６～６２岁，平均３８岁；病程１～１８年，平均２年；病变位于外上象限占８６％，伴乳腺疼痛及压痛占９４％。分为中药直流电穴区导人组（Ａ）１１６例，病程平均２．５年，疼痛及压痛占９２％...     

唐山市以乡为单位OPV强化免疫覆盖率的监测

本文报告用批质量保证抽样方法对唐山市所辖１５个县３０个乡１５０个村，４岁以下儿童３４８０人两次四轮口服脊灰疫苗强化免疫覆盖率进行了监测。在１９９２年１１－１２月的强化免疫活动中，各年龄组平均覆盖率为９２．２％－９２．７％，各年龄组平均覆盖率达８５％以上的乡占６４．４％；在１９９３年１２月到１９９４丰１月的强化免疫活动中，各年龄组平均覆盖率为９９．３％－９９．４％，各年龄组平均覆盖率达８５％以上的乡占９５％以上。     

1992～1996年新加坡疟疾流行病学监测

新加坡疟疾的平均发病数从１９８２～１９８６年的２０８例上升到１９８７～１９９１年的２７７例和１９９２～１９９６年的３０６例。１９９２～１９９６年间报告的总共１５３２例病人中，有９２％是输入的。病例按寄生的种类分布如下：间日疟原虫感染占８０．９％，恶性...     

78例经产妇产后出血原因分析

1998年1月至2002年12月我院分娩的经产妇为2680例，其中产后出血者78例．年龄20～40岁．平均31．40岁。78例产后出血经产妇职业、文化程度及产前检查情况如下：职业：无业40例，占51．28％；个体17例，占21.80T,农民12例，15．33％；工人6例，占7．69％；干部3例。占3．80％；文化程度：初中以下47例，60．26％；高中15例,19．23％；中     

1997-2007年广西壮族自治区梅毒流行病学回顾性分析

目的　分析广西壮族自治区（广西）11年来（1997-2007年）梅毒流行病学特征,探讨影响梅毒流行的诸多因素。方法　对1997-2007年梅毒流行病学资料进行回顾性分析。结果　1997-2007年广西共报告梅毒病例92 179例，年平均报告发病率为17.80/10万，1997年报告发病率最低为2.88/10万，2007年最高为48.20/10万；梅毒病例Ⅰ期42 827例，占46.46%，Ⅱ期23 481例，占25.47%，Ⅲ期364例，占0.39%；胎传梅毒3747例，占4.07%；隐性梅毒21 760例，占23.61%。发病年龄以20～39岁年龄组居多,占62.54%。结论　广西是梅毒和艾滋病的高发地区，梅毒发病女性略高于男性，低年龄组女性病例远高于男性病例，梅毒已由城市向农村扩散。     

原发性双侧乳腺癌患者临床分析

1 临床资料 1．1 一般资料 本组53例乳腺癌患者均为女性，其中双侧原发性同时性乳腺癌18例，双侧原发性异时性乳腺癌35例。发病年龄双侧异时性乳腺癌19～67岁；平均49．2岁；双侧原发性同时性乳腺癌年龄为25～56岁，平均43．7岁。首发癌确诊时患者年龄为19～67岁，平均年龄45．9岁，其中≤40岁患者占40％，41～50岁患者占34．3％，〉50岁患者占25．7％。双侧原发性异时性乳腺癌发病时间间隔1～8年。本组有7例乳腺癌家族史。     

心房粘液瘤30例临床分析

本文就我院近10年收治的心房粘液瘤30例临床特点进行分析。1临床资料1．1一般资料30例中男10例，女20例。发病时间2～10年，平均为3．8年。误诊时间最短2年，最长达9年。左房粘液瘤20例，占66．7％，均为女性；右房粘液瘤10例．占33．3％。左房粘液瘤发病年龄为46～48岁，平均4     

农民工肺尘埃沉着病住院233例临床分析

目的通过对233例农民工肺尘埃沉着病住院患者的发病工龄、发病年龄、期别分布、合并结核情况、肺功能等临床特点进行分析，为肺尘埃沉着病防治研究提供依据。方法选取2004～2005年我院住院的已确诊的农民工肺尘埃沉着病患者233例进行统计分析。结果233例农民工肺尘埃沉着病患者中一期硅沉着病112人，占48，06％，二期硅沉着病94人，占40．34％，三期硅沉着病27人，占11．58％；合并肺结核71人，占30．47％；平均发病年龄43．05岁，平均工龄7．24年，平均发病工龄3．59年，肺功能异常130人，占55．79％，与1986年全国肺尘埃沉着病流行病学调查资料及2003年全国肺尘埃沉着病报告统计资料对比，平均发病年龄、平均发病工龄缩短，肺结核合并率增加。结论提示农民工肺尘埃沉着病发病情况严重，农民工的职业健康问题是目前急需关注的问题。     

Endovascular treatment of tentorial dural arteriovenous fistulae

Tentorial dural arteriovenous fistula (DAVF) is a rare vascular disease, which accounts for less than 4% of all cases of intracranial DAVF. Because of the high risk of intracranial hemorrhage, patients with tentorial DAVF need aggressive treatment. Management approaches are still controversial, and endovascular treatment has emerged as an effective alternative. In the current work, we describe our experience with the endovascular approach in the treatment of these deep and complex DAVF of the tentorium. Eight patients were treated between January 2006 and July 2009. Six patients (75%) presented with intracranial hemorrhage related to the DAVF rupture. Four patients (50%) had subarachnoid bleeding and two had intraparenchymal hematoma. Endovascular treatment was performed via the transarterial route alone in five cases (62.5%), by the transvenous approach in two cases (25.0%) and in a combined procedure using both arterial and venous routes in one patient (12.5%). Complete obliteration of the fistula was achieved in all cases. The outcome at 15 months was favorable (modified Rankin scale 0-3) in seven (87.5%) patients. Complete cure of the lesion was confirmed in these cases. This paper reports on the effectiveness of endovascular treatment in tentorial DAVF management. The choice of the venous versus the arterial approach is determined by regarding different anatomical dispositions.     

口腔并发症患者口腔pH值变化及护理探讨

目的：探索重危病人口腔并发症与口腔PH值的关系及有效的护理方法。方法：观察内科重危病人口腔并发症，并用精密试纸测量口腔PH值，将PH值异常的口腔并发症患者随机分为对照组和实验组，分别给予常规口腔护理和常规口腔护理加PH纠正液含漱。结果：无口腔并发症患者63例中，口腔PH值异常4例（6．35％）；有口腔并发症的176例病人中，口腔PH值异常84例（42．73％），P＜0．05，92例PH值正常口腔溃疡12例（13．04％），84例口腔PH值异常有口腔溃疡33例（39．28％），P＜0．05。对照组治愈率74．71％，实验组为88．76％，P＜0．05。平均治愈天数，对照组为9．14天，实验组为5．91天，结论：重危病人口腔并发症与口腔PH值异常密切相关，对口腔PH值异常者加用PH纠正液含漱较单纯用常规口腔护理效果好。     

Ingestion of caustic substances by adults

Caustic products are responsible for the most serious cases of poisoning, which are always emergency cases. In this paper, we review demographic features and endoscopic results of the patients admitted to a university emergency department with a history of caustic substance ingestion between January 2000 and June 2003. Thirty-seven patients were included in this study. Twenty-one of the patients were female and 16 were male. The mean age of the patients was 30.9 +/- 14.7 years. The agents included sodium hypochlorite in 24 patients and hydrochloric acid in 13 patients. All the patients ingested these agents orally. The mean interval time of admission to emergency department after ingestion of caustic agent was 5.4 +/- 5.6 hours. Endoscopy was attempted in 37 patients. Endoscopic results were as follows: grade 0 in 8 (21.6%) patients, grade 1 in 17 (45.9%) patients, grade 2a in 5 (13.5%) patients, and grade 2b in 7 (18.9%) patients. We believe that early signs and symptoms after caustic substance ingestion are not consistent with the extent of damage, and endoscopy is the only reliable method to assess injury. It is important that efforts should be made to educate the public about the dangers of caustic substances so that their threat may be diminished.     

Triage tool inter-rater reliability: a comparison of live versus paper case scenarios.

BACKGROUND: Published studies of triage scale inter-rater reliability assessment have been conducted mostly using paper case scenarios. OBJECTIVE: To determine if this method of inter-rater reliability assessment generated significantly different measures from those generated from live triage cases. METHODS: This was a multicenter, prospective, observational cohort study of a population-based random sample of patients triaged at 2 emergency departments during a period of 4 months. All patients presenting to the emergency department within the study periods were simultaneously and independently triaged using a 5-level triage acuity scale by 2 to 3 research triage nurses blinded to each other's assessment and to the study objective. After 6 months, the same nurses were asked to assign triage scores to paper case scenarios of the same patients that they had each previously triaged. RESULTS: Each of the 9 research nurses triaged approximately 90 cases. The inter-rater reliabilities as measured by an intraclass correlation coefficient were 0.9 (95% CI = 0.87 to 93) for the live triage assessments and 0.76 (95% CI = 0.73 to 0.79) for the paper case scenarios. The mean triage score assigned to the live cases was significantly less than that assigned to the paper-based cases (3.17; 95% CI = 3.08 to 3.26) (p < 0.001). CONCLUSIONS: There is moderate to high agreement between live cases and paper case scenarios, and the inter-rater reliabilities, although significantly different, are acceptable in both cases. It is impossible to determine which triage setting provides a more accurate triage score but paper case scenarios generally receive lower triage scores than live cases.     

The rehabilitation effect of blood therapy after laser magnetization on patients with stroke

There are lots of methods for curing stroke now but the effect of function al rehabilitation is different.This paper deals with the rehabilitation effect of blood therapy after laser magnetization on patients with stroke.OBJECTIVE:To investigate the rehabilitation effect of blood therapy after laser magnetization on patients with stroke.UNIT:Department of Internal Medicine,Central Hospital of Jinzhou City.RESULTS:In treatment group,62 cases achieved recovery (64.6%),10cases achieved obvious effect(10.4%),18 cases achieved effect(18%) and 6 cases achieved no effect(6.3).The total effective rate was 93.8%;In control group,38 cases achieved recovery(39.6%),19 cases achieved obvious effect(20.0%),27 cases achieved effect(28.1%) cases achieved no effect(12.5%).The total effective rate was 87.5%.There were obvious differences between two groups(P&;lt;0.01).DISCUSSION:The blood therapy after laser magnetization can accelerate erythropoiesis,quickly improve saturation of blood oxygen and partial pressure of oxygen and improve state of anoxia of brain and factilitate recovery of cerebral function.     

伽玛刀治疗肺癌患者49例报告

目的对伽玛刀治疗肺癌的CT与临床资料进行分析,评价其近期临床治疗效果。方法采用MASEP—SRRS型立体定向伽玛射线体部治疗系统治疗49例肺癌,伽玛刀治疗以50％～80％等剂量曲线包绕靶区,肿瘤边缘剂量1．6～3．6Gy／次,5～8次,累计剂量13-30Gy。比较治疗前后的CT片中病灶的大小和临床症状,统计有效率、控制率和生存率,评价伽玛刀治疗效果。结果49例患者伽玛刀治疗的总有效率为87．8％（其中CR19例,PR24例,SB4例,PD2例）,1、2、3年局部控制率分别为75．5％（37／49）、69．4％（34／49）、61．2％（30／49）,1、2、3年总体生存率分别为59．6％、38．5％、31．3％。治疗中6例出现胃肠道反应,15例稍感疲乏无力。结论伽玛刀治疗肺癌有显著的近期疗效,不良反应较轻,特别适用于年老体弱、不能承受手术的患者,是一种有效的治疗手段。     

Acute myeloblastic leukemia

Myelodysplastic syndromes (MDS) are a group of clonal cell disorders characterized by maturation defects, resulting in ineffective hematopoiesis. They often transform to acute myeloblastic leukemia (AML), which is difficult to treat and carries a dismal prognosis. Azacitidine is a hypomethylating agent approved for the treatment of patients with MDS, including AML with 20% to 30% bone marrow blasts, according to World Health Organization classification. The three patient cases presented in this paper exemplify the spectrum of antitumor activity and toxicity of azactidine in patients where MDS transformed to AML.     

Fever of unknown origin: a report from China of 208 cases

Fever of unknown origin (FUO) is a clinical dilemma in western countries and in China. To investigate the causes and prognosis of FUO, 208 patients with FUO admitted to a large university hospital in China were investigated. The final diagnoses established in 158 cases (75.96%) were: infectious disease in 66 cases (31.73%), collagen vascular disease in 46 patients (22.11%), neoplasm in 35 cases (16.83%), and other disease in 11 patients (5.29%). In 66 cases with infectious disease, tuberculosis, septicaemia and typhoid fever were the principal causes. SLE and adult Still's disease were the most important causes among collagen vascular disease. Lymphoma and malignant histiocytosis were mostly associated with FUO among neoplasms. In 50 cases (24.04%), the cause of fever was not found. On discharge from hospital, fever had subsided in 133 cases (63.94%), and had persisted in 63 cases (30.29%); 12 patients (5.87%) died. In China, infectious disease, collagen vascular disease and neoplasm are the main causes of FUO. While most patients recover, there are some differences in the distribution of causes between the West and China, and there are relatively more deaths than in previous reports.     

Acute myeloblastic leukemia

Myelodysplastic syndromes (MDS) are a group of clonal cell disorders characterized by maturation defects, resulting in ineffective hematopoiesis. They often transform to acute myeloblastic leukemia (AML), which is difficult to treat and carries a dismal prognosis. Azacitidine is a hypomethylating agent approved for the treatment of patients with MDS, including AML with 20% to 30% bone marrow blasts, according to World Health Organization classification. The three patient cases presented in this paper exemplify the spectrum of antitumor activity and toxicity of azactidine in patients where MDS transformed to AML.     

老年痴呆患者发生医院感染的相关因素及护理对策

目的总结分析老年痴呆患者医院感染的相关因素和护理对策.方法回顾调查352例老年痴呆患者资料.结果 352例老年痴呆患者中,发生医院感染133例,医院感染发生率为37.8%;医院感染159例次,医院感染例次发生率为45.2%;前3位感染部位为下呼吸道71例次、泌尿道36例次和上呼吸道19例次;病原体前3位为真菌感染31例次、大肠埃希菌感染30例次、肺炎克雷伯菌24例次;抗生素使用一联28%、二联60%、三联12%.结论老年痴呆患者是医院感染的高发人群,要采取有效的护理对策,以降低医院感染的发生率.