自血光量子疗法治疗CO中毒性心肌损害20例观察

自血光量子疗法治疗ＣＯ中毒性心肌损害２０例观察沂水县人民医院（２７６４００）刘玉淑，宋传明我们采用自血光量子疗法治疗ＣＯ中毒性心肌损害患者２０例，经与对照组比较，疗效较好。临床资料：本文３８例ＣＯ中毒患者，均排除心脏疾患史；心电图检查ＳＴ－Ｔ均异常（...     

进大量甜饮料导致糖尿病性高渗性昏迷1例

进大量甜饮料导致糖尿病性高渗性昏迷１例广东惠州市人民医院杨立宪，倪少华惠州５１６００２高渗性昏迷（ＨＯＣ）是糖尿病的严重并发症之一，也是当前造成糖尿病患者死亡的主要原因。本文报告糖尿病患者因长期饮大量甜饮料导致ＨＯＣ死亡１例，希望引起重视，并引以为戒...     

急性一氧化碳中毒多脏器受损及其氧治疗探讨

急性一氧化碳中毒多脏器受损及其氧治疗探讨黄建群，任晓东一氧化碳（ＣＯ）毒性效应虽然已引起广泛的重视，但急性ＣＯ中毒的发病率、死亡率在急性中毒中仍居首位［工业卫生与职业病，１９９１，１７：２８］。急性ＣＯ中毒导致中枢神经损害早为人熟知，而脑外脏器受损尚...     

脑卒中患者病变中血钠、血浆皮质醇及醛固酮水平的变化及其意义

目的 探讨血钠、血浆皮质醇（ＣＯＲ）、醛固酮（ＡＬＤ）水平变化在脑卒中发病及演变中的意义。方法 测定单纯脑卒中组、并发高渗性昏迷组及正常人的血钠、ＣＯＲ、ＡＬＤ水平的变化。结果 并发高渗性昏迷（ＨＤＣ）死亡组与存活组、单纯脑卒中组三者间及与正常对照组间血钠、ＣＯＲ、ＡＬＤ水平比较均有显著性差异（Ｐ〈０．０５～０．００１）;随着病情的好转,ＣＯＲ、ＡＬＤ也逐渐恢复至正常水平。结论 血钠、ＣＯＲ、ＡＬ     

并发于糖尿病高渗性昏迷的多器官衰竭

并发于糖尿病高渗性昏迷的多器官衰竭浙江省乐清市人民医院林宏献乐清３２５６００高渗性非酮症糖尿病昏迷（ＨＮＤＣ）是糖尿病严重的急性并发症。多见于老年患者，因其临床表现复杂多变，易被误诊或漏诊。不少ＨＮＤＣ病例发生多器官衰竭（ＭＯＦ），而ＭＯＦ又是ＨＮＤ...     

急性重度一氧化碳中毒并发筋膜间隙综合征四例

急性重度一氧化碳中毒并发筋膜间隙综合征四例余猛进，康舟军，施雅芳，杨瑞和一氧化碳（ＣＯ）中毒是内科常见急症之一，但并发筋膜间隙综合征（ＣＳ）未引起内科医生重视，诊断治疗不及时，易致肢体坏死或功能障碍，甚至截肢、急性肾衰乃至死亡。我院１９８２～１９９３...     

慢性肾功能衰竭透析患者铝中毒的原因和诊断及治疗

为研究慢性肾功能衰竭（肾衰）患者铝中毒的原因，诊断和治疗，测定了２７例正常人，２８例不同类型的肾脏病肾功能正常者，６５例慢性肾衰血液透析患者，１６例慢性肾衰非透析患者的血铝和４１例骨铝浓度。１７例患者作了祛铁胺（ＤＦＯ）试验，其中１０例作了ＤＦＯ治疗。结果显示，尿毒症透析患者铝中毒的主要原因是铝制剂的应用与透析用水处理不当。铝中毒可以引起贫血、脑病和骨病，但临床表现无特异性。铝中毒的诊断需作多次血铝的测定或ＤＦＯ试验。ＤＦＯ能螯合各种组织中的铝，而后释放入血循环，其能反映骨组织中铝的实际负荷，静脉输入ＤＦＯ后血铝浓度的改变与骨铝水平呈正相关，提示ＤＦＯ试验有助于铝中毒的诊断。ＤＦＯ治疗的指征：（１）尿毒症患者应用了水处理不当的透析用水治疗或摄入了含铝制剂；（２）血铝浓度高于２００μｇ／Ｌ和ＤＦＯ试验阳性；（３）骨铝浓度大于正常人的１０倍以上。本组中用ＤＦＯ２０～４０ｍｇ／ｋｇ缓慢静脉点滴，无严重副作用，治疗３～６个月后获得满意疗效     

维生素C对实验性氟中毒大鼠血清氟及骨氟含量的影响

为研究维生素Ｃ对氟中毒的影响，以Ｗｉｓｔａｒ大鼠７２只随机分为３组，第１组为阴性对照组：２４只，自由饮用自来水（氟含量＜１ｍｇ／Ｌ）；第２组为氟中毒＋维生素Ｃ组：２４只．自由饮用５０ｍｇ／Ｌ含氟水１２０ｄ后，加用ＶＣ１ｇ／ｋｇ·ｄ灌胃治疗；第３组为氟中毒后脱离氟源＋维生素Ｃ组：２４只，自由饮用５０ｍｇ／Ｌ含氟水１２０ｄ，然后去除含氟水，自由饮用自来水，同时用ＶＣ１ｇ／ｋｇ·ｄ灌胃治疗。实验第１２０ｄ及ＶＣ治疗第１周、３周、６周末分别检查体重、血清氟及骨氟含量。结果显示；实验第１２Ｏｄ，氟中毒大鼠血清氟及骨氟含量均明显高于阴性对照组，差异有显著性（Ｐ＜０．０５）。氟中毒＋ＶＣ组第１周、３周、６周后，血清氟明显降低，体重明显增加，与氟中毒大鼠相比，差异有显著性（Ｐ＜０．０５）。脱离氟源＋ＶＣ治疗第１、３、６周后，血清氟明显降低，体重明显增加，第３周、６周后，骨氟有明显降低，与氟中毒大鼠相比，差异均有显著性（Ｐ＜０．０５）。实验结果表明；ＶＣ具有明显降低血清氟、骨氟及增加体重的作用。     

血浆及乙状结肠粘膜中CCK、MOT的含量与肠易激综合征的关系

应用放射免疫分析法检测正常对照组２４例及肠易综合征组（ＩＢＳ）２６例受检者血浆及乙状结肠粘膜中胆囊收缩素（ＣＣＫ）和胃动素（ＭＯＴ）的含量，旨在探讨ＩＢＳ患者血浆及乙状结肠粘膜中ＣＣＫ和ＭＯＴ有无变化，以及它们在ＩＢＳ疾病过程中的可能作用和临床意义。结果：ＩＢＳ组血浆中ＣＣＫ、ＭＯＴ的含量明显高于正常对照组（Ｐ＜０．０５）；乙状结肠粘膜中ＣＣＫ的含量两组无显著差别（Ｐ＞０．２），ＭＯＴ的含量两组均为零。提示血浆中ＣＣＫ和ＭＯＴ可能在ＩＢＳ的疾病过程中起有一定作用，建议在临床实验诊断中验证它们作为ＩＢＳ诊断标志的可能性。     

急性CO中毒患者的脑电地形图CT的比较

脑电地形图（ＢＥＡＭ）目前已广泛应用于颅脑疾患的诊断，但对急性ＣＯ中毒的脑电地形图改变报道较少，为此我们对６８例急性ＣＯ中毒病人进行ＢＥＡＭ观察并与ＣＴ对比分析。结果表明：ＢＥＡＭ能够判断病情，观察疗效，推测预后，与ＣＴ相比，异常率高，出现时间早，持续时间长，恢复时间晚，对指导临床治疗及预防迟发性脑病的一定意义，尤其适用于基层单位。     

State of knowledge of helminth fauna of freshwater fishes of Poland

A total 89 fish and lamprey species has been recorded from Polish freshwater habitats. Twenty-seven of them (30.3%) have not been surveyed for parasitic helminthes. Some of the latter fishes are either rare or not easily accessible. Other live only in specific habitats in scattered localities. An important obstacle for studying parasite faunas of some fishes may be their status on an endangered species. Among the non-surveyed fishes, are those which have been relatively recently introduced to Poland or migrated there on their own. The present paper attempts to review all hitherto not studied helminthologically fish species, their habitats, localities and current protection status.     

Inhibition of intimal thickening of the carotid artery of rabbits and of outgrowth of explants of aorta by probucol.

The effect of administration of probucol in preventing intimal thickening of rabbit carotid artery after balloon catheter injury and the mechanism of action of the drug were studied. Groups of 6 male New Zealand-White rabbits were given normal diet (Group I), high cholesterol diet (Group II) or high cholesterol diet plus probucol (Group III) for 4 weeks. Balloon catheter injury was made in week 2 and animals were killed in week 4. No significant differences in the total cholesterol levels in Groups II and III were found in week 4. The medians of areas of the intimal layer in cross-sections of the carotid arteries of Groups I, II and III were 0.237, 0.475 and 0.309 mm2, respectively. Thus high-cholesterol diet increased the thickness of the intimal layer and probucol reduced its effect. There were no significant differences in the areas of the medial layers in these 3 groups. For the examination of the mechanism of the effect of probucol, rabbits were given chow containing 0.5% cholesterol with and without 0.5% probucol (7 rabbits each) and then the numbers of explants from their aortas showing outgrowth were compared. The plasma total cholesterol levels of these two groups were the same. The probucol concentrations in the plasma and aorta of the former group were 18.6 +/- 13.2 micrograms/ml and 7.3 +/- 5.4 micrograms/g wet tissue, respectively. The number of explants showing outgrowth on day 14 was suppressed by 34% in the probucol-treated group.(ABSTRACT TRUNCATED AT 250 WORDS)