氯化钾静脉推注误治癔病1例分析

对氯化钾静脉推注误治癔病1例分析如下. 1 病历摘要 男.54岁.平素健康,因家务纠纷,气恼过度,突然倒地,肢体不规则抖动、僵直、两眼上翻、颈部僵硬、神志不清、屏气,经在村卫生室做针刺人中穴、合谷等穴治疗20 min后无好转,与2008-07-19T10:00急诊入院.患者既往有类似发病史2次,但病情轻微.经针刺人中穴治疗后均缓解.查体:T 36.4℃,P 102次/min,R 12次/min,BP 12/8 kPa,神志清,呼吸屏气.眼球上下转动.颈僵直,口舌无咬破,双肺听诊均正常,HR 102次/min,心脏无杂音,腹部检查无异常,无大小便失禁,神经系统检查无病理反射.诊断:癔病性惊厥.处理:(1)留观察室观察;(2)先缓慢静脉推注100 g/L葡萄糖酸钙10 ml治疗;(3)其他治疗后续.治疗过程:患者家属到药房取药时,药房医生错把100 g/L的氯化钾注射液10 ml/支,当作100 g/L的葡萄糖酸钙10 ml/支交给了患者.     

Therapeutic effect of hyperbaric oxygen on 32 cases of magraine

Background:Clinical manifestation of magraine is periodical onset of fluctuating headache caused by dysfunction of nerve-vessel,which mechanism is still unclear.Objective: To evaluate therapeutic effect of hyperbaric oxygen on magraine.Unit:Central Hospital of Jinzhou City.Subjects: According to diagnosis standards formulated by 1998 International Headache association,64 cases magraine in neural department of central hospital of Jinzhou city were randomly divided into 2 groups.Treatment group:12 males,20 females,aged 18-50 (mean:34)years old with disease course 4 months to 20 years (mean:4.5 years).Control group:13 males,19 females,aged 16-48(mean:33)years old with disease course 3 months to 18 years(mean:5 years).There was no obvious difference at sex,age,conditon between 2 groups.Intervention:Control group:Buflomedil was used,0.1g,once a day,venous injection and 14 days as a therapeutic course.Control group:On base of drug therapy,hyperbaric oxygen chamber therapy was adopted,raising pressure for 30-35min,stabilized pressure for 40 min,reducing pressure for 20 min,therapy pressure 0.2 MPa,once a day,10 days as a therapeutic course.Main prognosis index:Control:no relapse of headache when treating;Marked:Headache alleviated,continuing time shortened obviously,onset times reduced over 60%;Effective:Headache alleveated and continuing time shortened,onset times reduced over 50%;Ineffective:above standards couldn‘t be achieved.Result: Comparison of therapeutic effects between two groups see table 1.Conclusion: Both combination of hyperbaric oxygen with drug and simple drug therapy could reduce onset frequency of magraine,but combination therapy was more effective,and could shorten effect-producing time.     

小儿脑外伤的康复治疗

小儿脑外伤并不少见 . 由于小儿神经组织尚未发育完善 , 加上小儿活动多 , 自身保护能力较差 , 较易发生脑外伤 . 但小儿神经组织的可塑性较强 , 脑外伤后经过积极有效的外科治疗和合理的药物治疗 , 配合早期高压氧治疗和功能性康复训练 , 常可获得较为满意的功能恢复和较好的生存质量 .     

氦氖激光照射加祛腐生肌膏外涂治疗重度外阴溃疡1例分析

对氦氖激光照射加祛腐生肌膏外涂治疗重度外阴溃疡1例分析如下.1病历摘要女,34岁.患者因左肾癌手术治疗后3个月,发现外阴皮肤转移1月余.于2010-10-12行外阴赘生物活检.病检报告提示:镜下见呈转移性低分化癌图像,结合临床资料,多为乳头状肾细胞癌转移.在肿瘤科行放化疗治疗.外照射三次后,诉外阴疼痛难忍、坐立不安、行走困难.用洁尔阴清洗后无好转,出现脓血样分泌物.于2010-11-24以转移性外阴癌外阴溃疡收住我科.体检:生命体征正常.全身浅表淋巴节未及肿大,心肺听诊正常;腹部平软;肝、脾肋下未触及,无压痛、反跳痛.     

复方甘草酸苷片联合He-Ne激光治疗斑秃疗效观察

目的:观察复方甘草酸苷片联合He-Ne激光治疗斑秃的临床疗效.方法 治疗组使用复方甘草酸苷片50mg,3次/d,加用He-Ne激光照射1次/d.对照组单用He-Ne激光照射1次/d.结果 治疗组36例,治愈率55.56％,有效率94.44％;对照组30例,治愈率33,33％,有效率73.33％.两组有效率比较差异有统计学意义(x2=5.672 8,P＜0.05).结论 使用复方甘草酸苷片联合He-Ne激光治疗斑秃效果好,无明显不良反应,值得推广应用.     

IMMPACT推荐的慢性痛临床治疗转归的测量方法

1.概述 许多慢性痛病人并没有从现有治疗中得到适当的缓解,甚至还要承受药物副作用的折磨.当临床治疗宣布正性转归时,这些治疗措施是否真的具有长远利益也并不知晓.因此,努力开创更好的治疗手段以获得更佳的治疗效果乃是疼痛研究者的当务之急.由于不同的临床过程采用不同的预后评测指标,因而妨碍了对治疗效果的评价.针对这一情况,IMMPACT(Initiative on Methods,Measurement,and Pain Assessment in Clinical Trials)最近推荐了六项评价治疗转归的核心内容,包括:(1)疼痛状况;(2)躯体功能;(3)情绪状态;(4)被试者对治疗效果和满意度的评分;(5)异常症状和意外事件;(6)被试者的选择和安排.     

微波治疗宫颈糜烂470例分析

目的 探讨宫颈糜烂治疗的方法,观察微波治疗宫颈糜烂的临床效果.方法 对470例宫颈糜烂患者采用微波治疗,1个月、2个月、3个月分别进行观察分析.结果 中度宫颈糜烂306例治愈,有效率100％;重度宫颈糜烂中162例治愈.2例好转,有效率98.5％.结论 微波治疗宫颈糜烂操作简单,视野清晰,不良反应小,疗效好,适宜推广.     

糖尿病足32例临床治疗分析

目的:研究综合治疗方法对糖尿病足的治疗效果.方法:将糖尿病足病人随机分为两组,综合治疗组、对照组各16例,应用营养神经治疗、改善微循环治疗、局部换药、支持疗法;对照组应用常规治疗法.结果:治疗组效果较好,溃疡完全愈合时间与对照组相比治疗组缩短.两组痊愈率比较差异有显著意义(P＜0.05).结论:综合治疗方法对糖尿病足病人溃疡愈合具有显著的疗效.     

Traction combined with manual therapy on 70 cases of cervical spondylopathy

Background:Traction of cervical vertebrae is an effective method in treatment of cervical spondlopathy.Manual therapy can correct dysfunction,has the effects of function exercises and has an active significance to the rehabilitation of mixed cervical spondylopathy.Combination of these two methods could enhance therapeutic effects and do good to functional recovery.Objective:To observe effects of traction combined with nanual therapy on mixed cervical spondylopathy.Subjects:70 cases of mixed cervical spondylopathy from January 2000 to January 2001 were investigated including 49 males and 21 females,aged 21-48(mean:34.8)years old with disease course 1 week t 6 months.All cases were treated by non-operative therapy.Among these patients,numbness of upper limbs,22 cases,pain at neck,shoulder,back,40 cases.Pressure measurement by compression of neck was positive in 10 cases,brachial plexus pulling test was positive in 5 cases and lowering head test was positive in 11 cases.X-ray and CT examination showed abnormal curvature,hypertrophy of front and back edges of vertebrae,narrow intervertebral fossa in 51 cases,protrusion of intervertebral disc in 35 cases,prolapse in 25 cases,calcification of posterior langitudinal ligament in 48 cases.All cases were randomly divided into treatment group(n=36) and control group(n=34).there was comparability between two groups at age,sex,disease condition.brae:Traction began with 6 kg and 1 kg was increased every day.Maximal weight to male was 17 kg and female was 15 kg.Intermittent traction was wadopted,relaxing for 5 seconds after 5 seconds of traction.(2)Manual therapy:relaxing neck,pulling neck,lifting neck.Corresponding acupoints were compressed with thumb along brachial nerve.If the acupoint were selected correctly and “De qi” was felt,the patient,might feel comfortable after manual therapy.In the end.rolling and rotating manipulation,beating were adopted at neck,back and relaxing manipulation was adopted to upper libs 2 weeks was 1 therapeutic course.Simple manual therapy was adopted in control group.Main evaluation indexes:Marked:Clinical symptons disappeared,nedk could move freely and function recovered;Effective:Clinical symptoms disappeared basically and neck could take basic movement freely;Ineffective:no obvious alternation after treatment.Result:Marked:33 cases(92%)in treatment and 29 cases (85%)in control group;Effective:3 cases(8%)in treatment group and 4 cases(12%)in control group,Inefective:0 case in treatment group and 1 case(3%)in control group.Therapeutic effect in treatment group were superior to that in control group.Conclusion:Traction of cervical vertoebrae combined with manual therapy had an obvious effect on mixed cervical spondylopathy in relieving spasm of neck muscle and restoring of articular tunction.     

臭氧治疗腰椎间盘突出症疗效不佳8例原因分析

目的 探讨臭氧治疗腰椎间盘突出症疗效不佳的原因.方法 在CT引导下对60例腰椎间盘突出症患者实施臭氧盘内外注射,并进行近、远期随访.结果 60例患者,疗效不佳者8例,占总例数的13.3%.疗效不佳的主要原因为适应证的选择及术后的康复.结论 适应证的选择、术者的技术水平、术后的康复是影响疗效的主要因素.     

The role of microwave physiotherapy for patients undergoing mastectomy

Objective:To evaluate the role of physiotherapy in surgical oncology,Methods:A clinical trial was carried out in which chosen physiotherapy‘s microwave was used to treat patients who underwent radical mastectomy.Besides chemotherapy,which were given to all cases,the microwave thermotherapy was given to the test group during the postoperative period as ewll.Results:The result showed that the microwave therapy wa convenient for patients bound up by dressing after the operation.It could relieve the pain and lymphedema of the upper,limb,promote wound ealing,as ewll as resumption of upper extremity function.Conclusions:The authors believe that there should be synergetic actions between thermotherapy and chemotherapy,and microwave physiotherapy is beneficial to breast cancer patients after radical operations.     

锌制剂在婴幼儿腹泻治疗中的应用

目的 观察锌制剂治疗婴幼儿腹泻的临床疗效,探讨其作用原理.方法 将284例腹泻病患儿随机分成治疗组和对照组.在给予常规治疗包括补液、对症疗法等的基础上,治疗组加用锌制剂观察其疗效.结果 治疗组163例治愈时间(49.78±3.21)h,对照组121例治愈时间(98.79±4.6)h.且两组在随后的3个月内腹泻的再次发病率观察组为10.01％,对照组为52％,两组差异有统计学意义.结论 补锌可以缩短婴幼儿腹泻病程,控制症状,有利于肠道功能的恢复.     

高压氧与电针结合治疗面神经炎的临床价值

2006年1月～2008年12月,我们对35例面神经炎患者在电针治疗的基础上予以高压氧治疗,取得了满意的疗效.现报告如下. 1 资料与方法 1.1 临床资料同期选择急性面神经炎患者70例,均符合周围性面神经炎诊断标准[1],采用随机法分为实验组与对照组各35例.实验组男16例、女19例,年龄24～78岁,病程1～28 d,平均18 d;其中轻度12例,中度14例,重度9例.对照组男14例、女21例,年龄27～76岁,病程1～31 d,平均25 d;其中轻度14例,中度11例,重度10例.两组年龄、性别、病情严重程度无显著性差异(P＞0.05),具有可比性.     

手术治疗足舟骨体部骨折12例分析

我院1998-02-2010-08采用手术内固定方式治疗足舟骨体部骨折12例,治疗效果满意,现报告如下. 1临床资料 1.1一般资料 本组男9例,女3例,年龄18～51(平均32)岁.开放伤10例,闭合伤2例.致伤原因:车祸伤10例,压砸伤2例.根据Sangeorzan分型:Ⅰ型骨折2例,Ⅱ型骨折6例,Ⅲ型骨折4例.1.2手术方法 术前准备:首先拍摄距骨正斜位X线片,必要时CT扫描及三维重建,充分了解骨折情况.     

哮喘病的现代治疗方案

哮喘病的病程主要分为慢性期(亦称缓解期)和急性发作期,因此哮喘病的现代治疗通常分为急性期治疗和缓解期治疗2个阶段,2个阶段的治疗原则是不同的,因此治疗方案也应分别描述.应当注意的是,无论任何方案,均应把预防措施放在首要位置.     

产时宫颈水肿的治疗观察及体会

目的 观察地西泮静脉缓慢注射以及阿托品与盐酸利多卡因联合宫颈封闭治疗产时宫颈水肿的效果.方法 选取2008-04-2011-03发生宫颈水肿的初产妇共106例,随机分为观察组和对照组,每组53例.观察组给予地西泮10 mg缓慢静脉注射,宫颈用阿托品与盐酸利多卡因联合多点封闭注射.对照组不做任何处理.对观察组和对照组的水肿消退情况,宫颈扩张速度,分娩方式,宫颈裂伤情况,新生儿窒息率,及产后出血情况进行临床效果观察.结果 观察组与对照组的水肿消退率、宫颈扩张速度、阴道分娩的百分比的统计结果有统计学意义,P＜0.05.结论 静脉缓慢注射地西泮加阿托品与盐酸利多卡因联合宫颈封闭对治疗产时宫颈水肿效果良好,方法简单,不良反应少,可以在临床实践中广泛推广.     

胆囊息肉样病变43例治疗分析

目的 对近年来我科所收治胆囊息肉,尤其是合并有胆囊病变患者进行临床分析、探讨和总结,胆囊息肉病变的诊断和治疗.方法 回顾性分析房县人民医院2007-01-2010-12经彩超检查和腹腔镜术后及病检的相关临床资料.结果 该息肉病变大小≥10 mm,有单发病变,无蒂息肉,也有多发病变和炎性息肉.伴随临床症状,合并有胆囊炎、胆囊结石.结论 胆囊息肉样病变恶变的危险因素,主要是息肉较大、多发的和炎性息肉,伴随有临床症状的应及时认真检查和相应处理.     

鼻内镜下治疗真菌性鼻窦炎12例报告

目的 探讨经鼻内镜治疗真菌性鼻窦炎的手术方法、疗效及适应证.方法 回顾性分析该科1999～2004年收治的12例真菌性鼻窦炎病人的临床资料.结果 术后全部病人自觉症状缓解或消失.随访6个月～4年,仅2例复发,再次行手术治疗,现仍在随访中,其余10例未复发,无1例并发症发生.结论 鼻内镜下治疗真菌性鼻窦炎具有许多优点,但在处理严重病例时,仍不能取代传统的Gldwell Luc手术.     

糖尿病血糖监测记录与胰岛素治疗单的设计与应用

糖尿病病人进行胰岛素强化治疗,是目前临床重要的治疗手段.而糖尿病与血糖是息息相关的,监测血糖可了解病人糖尿病治疗现状,从而及时调整治疗措施.而目前因没有规范的血糖监测与胰岛素治疗单,不能直观地观察病人的血糖变化及体现谁执行、谁签名的原则.为此,我们设计出一种方便、实用的糖尿病血糖监测与胰岛素治疗单,经临床应用,效果很好.现介绍如下.     

He-Ne激光加抗生素治疗麦粒肿疗效观察

目的 探讨应用He-Ne激光加抗生素治疗麦粒肿的临床疗效.方法 将206例麦粒肿患者,随机分为两组,He-Ne激光加抗生素组103例,采用He-Ne激光加抗生素滴眼治疗;对照组103例,单纯应用抗生素滴眼治疗.结果 He-Ne激光加抗生素组疗效明显优于对照组(P＜0.01),差异有统计学意义(P＜0.01).结论 应用He-Ne激光加抗生素滴眼治疗麦粒肿可明显提高临床疗效且治愈时间明显短于对照组.