Treatment of carbuncles

The active aspiration of the wound is a method of mechanical antiseptics responsible for the removal of pyo-necrotic masses and accelerates the process of the wound cleaning. The method was used for the treatment of 90 patients, in 84 of them the carbuncles were opened. The results were good.     

眼睑痉挛的诊断及治疗

目的　观察原发性眼睑痉挛 30例的临床表现特点和A型肉毒毒素对原发性眼睑痉挛的治疗效果。方法　采用Cohen′s诊断标准对原发性眼睑痉挛进行分型 ,并在肌电图仪的引导下使用A型肉毒毒素对眼轮匝肌进行多点注射。结果　 3～ 6天症状出现缓解 ,1周症状明显缓解 ,2周症状缓解最明显 ,有效率 10 0 %。原发性眼睑痉挛有效作用时间是 10～ 35周 ,平均为 17.7周。结论　A型肉毒毒素局部注射是治疗眼睑痉挛的一种安全、有效、简便的方法     

胃泌素瘤的诊断与治疗现状

1955年Zollinger和Ellison首先报告了2例胃酸分泌亢进伴有严重消化性溃疡的患者,实质是患有产生非胰岛素的胰岛非B细胞瘤.1960年Gregory报道从患者手术切除的胰头组织中检测到胃泌素活性物质,故命名为胃泌素瘤,也称为ZollingerEllison综合征(ZES),亦称胰源性溃疡.     

The prevention and treatment of eclampsia

The gain in weight per week in normal pregnancy should not exceed 300 Gm. A greater gain should suggest too large an intake of food or an abnormality in the water balance, and a gain greater than 600 Gm. should be regarded as being due to retained water. Appropriate treatment should be instituted early.A systolic blood pressure of 130 to 139 is considered abnormal and a systolic of 140 or more is indicative of pre-eclampsia, essential hypertension, vascular-renal disease, or glomerulonephritis.Proteinuria in pregnancy is abnormal and should always suggest toxemia. A persistent twenty-four hour excretion of 5 Gm. or more warrants interruption of the pregnancy in the interest of both fetus and mother.The occurrence of toxemia of pregnancy cannot be prevented, but the proper interpretation and treatment of the above signs will usually prevent the onset of the various cerebral, visual, gastrointestinal, and renal symptoms and signs and thus lessen the possibility of eclampsia.The obstetric treatment of eclampsia yields the lowest mortality. It comprises the control of the convulsions, the promotion of an adequate urinary output, and the securing of a normal temperature, pulse and respiratory rate, a conscious patient, and an early delivery.     

The treatment of felons and paronychias

Infections of the distal finger have a varied presentation, course, and treatment. As in other hand infections, initial treatment should always include elevation of the extremity and the avoidance of snug clothing or constricting jewelry. Immunosuppressive states and systemic diseases such as diabetes must be considered, for they will alter the action of the causative organisms as well as the intensity of treatment that a patient will require. Appropriate, specific antibiotic treatment can be part of the initial treatment of acute felons and paronychias, but it should never replace adequate incision and drainage. Finally, "minor" finger infections are only minor when diagnosed and treated properly. If mistreated, their consequences can have long-term implications for both the individual and for society. It is important to understand the natural history, bacteriology, and anatomy of the distal finger if we are to return patients to their jobs with expedience and minimal long-term sequelae.