1999～2002年成都地区军队离休干部体检胸部疾病分析

随着社会的发展，文化生活水平的提高，以及环境污染的加重．糖尿病、肺部疾病、心血管疾病、恶性肿瘤等非传染性疾病已成为危害人们健康的主要原因，特别是在老年人群。我国慢性疾病患病率达25．0％，老年疾病已成为严重危害老年人群健康的公共卫生问题，胸部疾病是主要危害的因素之一。我们回顾性分析了1999年以来成都地区军队离休干部在我院的健康体检资料，对老年人群胸部疾病的发病率进行分析。     

浅谈门诊健康教育的特点与策略

健康教育是指导人们建立科学的生活方式，通过教育手段，把与身体健康密切相关的卫生科学知识普及到人群中去，提高自我保健能力，对疾病做到早发现、早治疗、采取措施早预防。门诊是医院面向社会的窗口，病人流量大，是直接对人民群众进行健康教育的良好场所。     

健康体验后对指标异常人员加强健康管理的效果分析

随着社会的进步,人们的生活方式出现明显改变,慢性非传染性疾病发病率迅速上升。可喜的是人们的健康意识不断增强,参加健康体检的人们越来越多,但是体检后的健康管理工作却未跟上。本研究对2008～2009年某单位体检职工进行健康管理,取得一定效果,报道如下。     

浅谈影响体检中心发展的因素及对策

<正>在国家经济发展,国力强大,人们生活水平逐年提高的同时,人们开始更多的关注自己及家人的身体健康,注重身体检查,注重健康文明的生活方式。定期健康体检已经成为对疾病早预防、早发现、早诊断、早治疗的一个重要手段。因此,不同层次、不同级别、不同条件的体检中心应运而生,甚至所有医疗卫生机构相继成立了体检中心,开展“健康体检服务以满足人们的需求,并获得较好的经济利益。但也在一定程度上造成了无序的体检市场的竞争,使得健康体检中心成为各医院质量管理薄弱环节,存在着诸多问题,健康体检中心将如何为受检者提供快捷、高效、舒适、满意、温馨的服务,将其做强、做精,做规范是一个值得深思的问题。本文就当前体检中心常见的环节与解决对策进行探讨。     

加强健康管理,搞好体检中心信息资源整合

随着生活水平的提高,人们的自我保健意识逐渐增强,由过去的有病才去医院的思想模式转变为定期去体检,无病防病、早预防、早诊断、早治疗的科学、先进的保健理念。健康管理是对个人或人群健康危险因素进行全面检测、分析、评估以及预防的全过程。体检中心作为顺应这一形势产生的医疗新兴产业,其发展前景甚为可观。     

MRI在老年脑疾病预警中的应用进展

我国已进入中度老龄化社会,老年脑疾病给健康带来的威胁与日俱增。以脑血管病、阿尔茨海默病、帕金森病为代表的重大脑疾病具有长期慢性发展、神经损害不可逆的特点,早发现、早干预是减轻其危害的关键策略。MRI具有无创性、多模式的优点,适于在社区人群开展大规模筛查,有望在老年脑疾病预警中发挥重要作用。结合快速成像技术、人工智能定量分析方法,可进一步提高筛查效率和准确性。概述MRI在重大脑疾病预警中的研究进展,为脑健康体检体系的建立提供思路。     

以个体需求为导向做好健康体检工作

随着社会的发展和进步、人们生活水平质量的不断提高,对健康的需求和疾病的防范意识不断增强,促使民众对预防保健的意识越来越高。健康体检是预防疾病、早期诊断、早期治疗、保护身体健康的重要手段之一〔1〕,     

搞好部队官兵健康体检工作的主要做法

随着社会经济的发展和人们生活水平的不断提高,人们身体健康状况越来越受到关注。军队是一个特殊群体,更强调军人健康水平的保持和军事作业能力的提升,而健康体检不仅是了解和掌握部队官兵健康水平,及早发现、预防和治疗疾病,降低疾病发生率、     

空勤人员如何科学营养饮食

20世纪60、70年代，我国民众的饮食结构以碳水化合物为主，蛋白质摄入极少，因此营养不良性的疾病多见，如贫血、水肿、肝炎、结核病。20世纪80年代后，由于改革开放，人们的生活水平普遍提高，饮食结构发生了变化，以高糖、高脂肪、高蛋白为主，出现了人们所说的富贵病，如肥胖、高血压、高血脂、糖尿病、冠心病。这些疾病同样也在威胁着飞行员的身体健康。值得注意的是，人群中这些疾病的发生正呈逐步年轻化，成为严重威胁人类健康的心血管事件的“无声杀手”。为了预防心血管疾病，保证飞行员的健康体魄，提供一个科学、规范的营养饮食和健康的生活方式是很必要的。     

我院体检中心的管理及工作体会

随着社会的发展和进步，人们对健康的需求也在不断增加，健康体检作为防患于未然的主动措施已得到充分重视。我院体检中心在不断规范健康管理的同时，根据本地区的特点，以及年龄、性别的不同，制定出个性化、周期性的体检套餐，并在健康评估、健康干预、体检后效应上日趋完善，使体检在人们追求高质量生活中更加科学合理。     

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.