~（99m）Tc－Q_3和~（201）Tl诊断冠心病的效果比较

~（９９ｍ）Ｔｃ－Ｑ＿３和￣（２０１）Ｔｌ诊断冠心病的效果比较［英］／ＧｅｒｓｏｎＭＣ…∥ＪＮｕｃｌＭｅｄ．－１９９４，３５（４）．－５８０～５８６￣（９９ｍ）Ｔｃ－Ｑ＿３可由Ｈ＿２ａｃａｃ＿２ｅｎ与￣（９９ｍ）Ｔｃ－过锝酸钠在不接触空气条件下加氯化...     

~（99m）Tc－DTPA和~（99m）Tc－HMPAO诊断脑死亡的效

~（９９ｍ）Ｔｃ－ＤＴＰＡ和~（９９ｍ）Ｔｃ－ＨＭＰＡＯ诊断脑死亡的效果比较［英］／ＳｐｉｅｔｈＭＥ…∥ＣｌｉｎＮｕｃｌＭｅｄ．－１９９４，１９（１０）．－８６７～８７２回顾分析同一天做￣（９９ｍ）Ｔｃ标记的ＤＴＰＡ和ＨＭＰＡＯ脑灌注显像诊断脑死亡的效...     

小剂量溶栓结合PTA和支架治疗外周动脉慢性阻塞性病变

本文报告５例６支动脉阻塞经导管使用微量泵持续灌注尿激酶（５６，０００单位／小时）溶栓治疗，灌注时间５．５￣５８（平均２６）小时。阻塞位于髂外动脉２例，其中１例伴同侧股动脉阻塞；髂总和髂外动脉联合受累１例，Ｇｕｏ动脉１例；股Ｇｕｏ动脉１例。病程１￣２４（平均９．４）个月，阻塞长度８￣２５ｃｍ（平均１５．３ｃｍ），开通率达１００％。对溶栓后残存狭窄实施ＰＴＡ３例、血管内放置支架１例；随访２￣９（平均５     

5-氨基酮戊酸光动力学疗法治疗Bowen病

目的探讨５－氨基酮戊酸（ＡＬＡ）光动力学疗法（ＰＤＴ）治疗Ｂｏｗｅｎ病的疗效。方法５例Ｂｏｗｅｎ病患者皮损发生于腹部及股部，面积３．２ｃｍ×３０ｃｍ至４．５ｃｍ×３０ｃｍ，均经病理组织学检查确诊。局部外用新鲜配制的２０％ＡＬＡ霜，３ｈ后用波长６３２．８ｎｍ的ＨｅＮｅ激光照射，激光机输出功率为１００ｍＷ，每次光剂量６０～１００Ｊ／ｃｍ２，照射时间８～１５ｍｉｎ。结果经１次（１例）和４次（４例）治疗后，患者皮损完全消退，恢复正常皮纹。随访６～１６个月，未见复发。结论ＡＬＡ－ＰＤＴ治疗Ｂｏｗｅｎ病简单、有效、耐受性好，为大面积Ｂｏｗｅｎ病的治疗提供了新思路     

电影磁共振对正常人左心功能的测定

笔者通过对１６例健康成年人进行电影磁共振成像，测定其左心室各项运动指标，其中包括左室容积、重量、射血分数及左室舒张期血液充盈曲线。测定结果：左室舒张末期容积（ＥＤＶ）为８１．１２±１４．７１（ｃｍ￣３）、左室收缩末期容积（ＥＳＶ）为２６．６０±８．６８（ｃｍ￣３）、射血分数（ＥＮ）为６７．４８±６．９２（％）、左室心肌壁重量为１６７．１４±５６．７８（ｇ）。左室舒张期充血率于３个时相分别为６２％、２１％、１７％。以上结果与超声及文献相比较具有较好的相关性。由此可见，电影磁共振左室成像可作为左心功能测定无创法的另一个重要检测方法。     

CT导引下同轴穿刺针胸部病变穿刺活检(附48例分析)

目的：探讨同轴穿刺针在胸部病变检中的应用。材料与方法：应用仿Ｇｒｅｅｎ针改制的２０Ｇ同轴穿刺针对４８例胸部病变患者在ＣＴ导向下穿刺活检。其中３８例结节或肿块性病变大小为１．５￣４．２ｃｍ×２．８￣１０．５ｃｍ,平均２．６ｃｍ×５．８ｃｍ;肺实变１０例。结果：４８例病灶共取材１１０次,平均２．３次。组织学标本获取率９３．８％（４５／４８）,恶性病变诊断准确率１００％（２１／２１）,良性病变诊断准确率     

肝腺瘤性增生一例报告

笔者遇见一例经手术病理证实的肝腺瘤性增生结节（ＡＨＮ），影像学表现比较特殊，现报告如下： 患者男，５６岁。体检发现肝脏肿物二个月。既往慢性乙肝史，体检无异常。化验检查：ＨＢｓＡｇ（＋），ＨＢｅＡｇ（＋），抗ＨＢＣ－ｌｇＧ（＋）ＡＦＰ＜４０ｎｇ／Ｌ。超声检查：肝轮廓不整，实质内普遍散在小光团，肝左叶局部显隆起，回声减弱。ＣＴ检查：平扫肝左叶见边缘模糊低密度灶，增强后病灶呈不均匀强化，其内可见囊性变，ＣＦ值为１５．６ＨＵ（图１）。ＭＲＩ检查：肝左叶可见大小约 ３．５ｃｍ× ３． ８ｃｍ× ３．９ｃｍ肿物…     

多普勒超声对紫绀型先天性心脏病合并动脉导管未闭与主肺？…

目的：探讨多普勒超声心动图对紫绀型先天性心脏病（ＣＣＨＤ）合并动脉导管未闭（ＰＤＡ）／主动脉肺动脉侧支血管分流（ＡＰＣＡ）的诊断与鉴别诊断价值。资料与方法：应用彩色多普勒超声心动图探查３２例ＣＣＨＤ合并ＰＤＡ／ＡＰＣＡ，将探查结果与手术或造影资料对照分析。结果：多普勒超声心动图对ＣＣＨＤ合并ＰＤＡ／ＡＰＣＡ的确诊率分别为ＰＤＡ１０／１３、ＡＰＣＡ９／１２、ＡＰＣＡ与ＰＤＡ并存者６／７。ＰＤＡ和ＡＰ     

~（99m）Tc直接法标记抗CEA单克隆抗体：质量控制和临床前研究

￣（９９ｍ）Ｔｃ直接法标记抗ＣＥＡ单克隆抗体：质量控制和临床前研究［英］ＣａｓｔｉｇｌｉａＳＧＤ／／ＮｕｃｌＭｅｄＢｉｏｌ．－１９９５，２２（３）．－３６７～３７２抗ＣＥＡ单克隆抗体（ＭｃＡｂＢ２Ｃ１１４）由鼠骨髓瘤纯化的ＣＥＡ免疫鼠得到的脾细胞融合...     

非开胸经皮动脉导管未闭栓塞术

目的：研究非开胸经皮动脉导管未闭（ＰＤＡ）栓塞术。材料和方法：对１４例动脉导管未闭行此手术。操作方法；（１）主、股动脉造影、超声心动图或直接用带管测量。确定上及形态。（２）制备适用ＰＤＡ大小的塞子。（３）建立股动脉－ＰＤＡ－股静脉钢丝绳轨道，由动脉端送入塞子，关闭ＰＤＡ。结果：我院作１４例手术均获得成功，随访１０．５年恢复正常工作，结论：本法地治疗ＰＤＡ是一种安全、可靠、有效的方法，并发症最常见的     

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.