急性重症病毒性心肌炎合并6脏器功能衰竭救治成功的探讨

目的 报道成功救治1例急性重症病毒性心肌炎并发多脏器功能衰竭(MOF)患者。方法 在救治过程中，对脏器功能和内环境进行了严密监测，联合应用了多种正性肌力和血管活性药物，使用临时起搏器和主动脉内球囊反搏，建立人工通气，应用持续静脉血液滤过(CVVH)技术，予以保肝降酶药，有效控制全身严重感染，进行肠外和肠内营养支持。结果 患者多脏器功能恢复正常，康复出院。结论 强调了在严密监测下早期支持脏器功能，控制感染和全身营养对MOF患者转归的重要作用。     

黄褐斑的微创美容治疗进展

黄褐斑是一种获得性色素增加性疾病,主要发生于中青年女性的面部,皮损表现为对称分布的淡褐色至深褐色不规则斑疹、斑片,与白人相比,本病较易影响拉丁美洲人、黑人及亚洲人。通常在青春期后起病,妊娠期发病率增高,故又被称为“妊娠斑”,在美国大约影响50％--70％的怀孕妇女。本病虽无自觉症状,但影响美观,对患者的生活质量有巨大影响,带来较大的精神及心理压力。大多数患者在接受治疗后取得不同程度的改善,但是没有任何一种单独疗法可治愈黄褐斑,两种或三种方法联合使用通常取得满意疗效。     

Successful treatment of patellofemoral dysfunction in a dancer

This case study presents results of the treatment of patellofemoral dysfunction in a dancer. The patient, a 29-year-old female, came to the authors' clinic with patellofemoral pain. Isokinetic objective data was used to determine strength deficits. From the objective data, isokinetic protocols were adjusted specifically to reach the goal of 80% peak torque to body weight at 60 degrees /sec and 70% or lower for total work flexion/extension ratio at 180 degrees /sec. Once these goals were met, the patient was asymptomatic and able to return to normal dance activities. J Orthop Sports Phys Ther 1989;10(7):270-273.     

Successful delayed surgical treatment of a scaphocapitate fracture

The scaphocapitate fracture syndrome is a rare entity of a perilunate fracture-dislocation. The diagnosis is frequently missed at initial presentation to a physician. Usually, a CT scan is required to reveal the extent of the lesion. Operative treatment consists of open reduction and internal fixation with screws (e.g. headless compression screw) or Kirschner wires. We report on a case of a 19-year-old man who presented to our hospital 2 months after he fell on his left wrist. He complained about persistent pain and a decreased range of motion after conservative treatment in a short arm cast. The diagnosis was finally made by a CT scan and the patient was treated operatively using headless compression screws in both the capitate and the scaphoid. After 12 weeks, fractures were completely healed radiographically and the patient returned to work. At follow-up 16 months after trauma, the patient had no further complaints. Range of motion increased and no avascular necrosis could be observed.