多枚7.0mm空心螺丝钉治疗股骨颈骨折23例

总结多枚７．０ｍｍ空心螺丝钉治疗股骨颈骨折的效果,并分析其特点。方法治疗２３例,其中男１６例,女７例;平均年龄４３．６（１８－６４）岁。闭合复位２０例,切开复位３例,在“Ｃ”形臂Ｘ线机监视下,将３枚空心螺丝钉呈等腰在角形平行打入。结果平均随访２３．１（５－５６）个月,２３例全部愈合,平均愈合时间３．８（２－６）个月。     

胸椎无骨折脱位型脊髓损伤

报告１２例胸椎无骨折脱位型脊髓损伤。男８例，女４例，２．５－１１岁７例，２３－２５岁５例。伤因：绞伤１例，辗压伤８例，坠落伤２例，砸伤１例。１０例伤后立即瘫痪，２例伤后２－３天延迟瘫痪。瘫痪特点：弛缓性，大小便失禁。Ｘ线及ＣＴ照片胸椎无骨折脱位；ＭＲＩ：损伤平面早期脊髓水肿，晚期伤段以下脊髓普遍变细，脊髓选择性血管造影脊髓前动脉不显影。术中检查见胸６－８以下脊髓普遍变细，脊髓占椎管１／３，脊髓苍白     

创伤性心脏压塞八例

我院１９９５年３月－１９９８年１０月救治８例心脏压塞病人，报告如下。临床资料本组均为男性，年龄２３～３６岁。伤后至手术时间４２～１２８分钟，平均６０分钟。伤因：闭合伤３例（汽车摇把、卷扬机钢索断裂和石块击伤）Ｚ开放伤５例（刀伤３例，子弹穿透伤和大块玻璃插伤并存留各１例）。部位：左右心室前壁破裂各２例，右心房穿透伤１例，左心室前壁心肌切割伤２例，单纯心包破裂１例。心包内积血１２０～５１０ｍｌ，平均２６０ｍｌ。方法：７例气管插管在静脉复台麻醉下开胸，１例在急诊室直接开胸后再行气管插管。１例取正中切口…     

脾切除加联合断流术治疗食管胃底静脉曲张破裂急性大出血17例疗效观察

我院自１９８５年２月－１９９８年１２月采用脾切除加联合 断流术治疗门脉高压食管胃底静脉曲张破裂急性大出血 １７例。 １临床资料１．１ 一般资料 本组１７例中,年龄最大５８岁,最小２６岁,平均４２岁,出血前均行Ｘ线及纤维内窥镜检查皆有食管及胃底静脉曲张。１．２ 术前肝功能代偿情况 按３级分级标准,Ⅰ级１０例（５．８２％）,Ⅱ级４例（２３．５３％）,Ⅲ级３例（１７．６４％）。１７例术中取肝组织活检结果肝硬化１４例,肝硬化合并迁延性肝炎３例。１．３ 手术时机 病人入院后经有效的综合治疗包括三腔两囊管压迫止血,…     

儿童支原体肺炎临床和 X 线表现(附23例报告)

儿童支原体肺炎临床和Ｘ线表现（附２３例报告）王天松李文选支原体肺炎发病率近年来有逐渐增多趋势。现将我院１９９６－０１～０６临床资料较全的２３例报告如下。１资料和方法共２３例，其中男１５例，女８例。年龄１～８岁、平均３岁７个月。本组病例均有不同程度的咳...     

输卵管梗阻的介入治疗

我院用自制输送器从１９９７－０７～１９９８－０２月对４０例输卵管梗阻不孕症患者行再通术。现报告如下：１资料与方法１．１临床资料：４０例，年龄２３～３５岁，平均２９岁。其中原发不孕３１例占７８％，继发不孕９例占２２％，术前均用７６％泛影葡胺造影，证实为...     

双Ender钉在胫骨干骨折中临床应用78例

我院自１９９０年３月～１９９７年６月利用Ｅｎｄｅｒ钉固定四肢长管骨骨折１１２例,其中胫骨干骨折７８例,取得较满意疗效。１临床资料１１一般资料本组７８例中男５９例,女１９例,年龄最小１６岁,最大６２岁;车祸伤６０例,摔伤、砸伤１７例,枪弹伤１例;开放...     

56例腹部损伤合并失血性休克的救治

１９８８年１月～１９９８年１月,我院共收治腹部损伤合并失血性休克病人５６例。现就其救治体会报告如下。临床资料本组男４６例,女１０例;年龄１３～５７岁,平均３２．１岁。闭合伤５４例。开放伤２例。致伤原因：车祸伤２３例,坠落伤１３例,钝击伤１３例,挤压伤４例,刀刺伤２例,自发性肾破裂１例。其中脾破裂３３例,肝破裂１５例,肠破裂７例和肾破裂１例。合并脑震荡、脑挫裂伤、颅内血肿６例,创伤性湿肺２例,肋骨骨折、肺破裂、血气胸１４例,膈肌破裂５例（其中伴有心包裂伤、创伤性膈疝各１例）,胰腺挫伤５例,肾挫伤、…     

火器性颅脑穿透伤85例报告

１９６２年５月～１９９１年２月，我院共收治火器性颅脑穿透伤８５例。现就救治体会进行讨论。临床资料１．一般资料：男７８例，女７例。１５岁以下１９例；１６～２０岁２１例；２１～３０岁２６例；３１～５０岁１８例；５１～６０岁１例。伤型：平时火器伤６７例，战...     

冷冻治疗白癜风78例

白殿风的常规治疗方法有人工紫外线照射疗法和外涂激素软膏法等~［１－４］,但疗效欠佳。近年来我们采用液氮冷冻治疗白癜风其方法简便,疗效明显,现简要介绍如下。１ 资料和方法１．１ 临床资料 ７８例均为门诊患者,其中男４７例,女３１例,年龄５个月－６８岁;病程６个月－８ａ。分型：泛发型１１例,散发型３０例,局限型２３例,节段型１４例。分期：稳定期４８例,进展期３０例。皮损１－７枚;皮损部位：头面部３１例,四肢躯干部位 ４７例;皮损面积 １．０－８．５ ｃｍ~2。分组：将７８例白癜风愚者随机分为冷冻治疗组（冷冻…     

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.