消癖汤治疗乳腺增生的临床观察

目的 观察消癖汤治疗乳腺增生的疗效,以探求治疗乳腺增生更好的治疗方法.方法 对采用中医补肾、疏肝理气、活血化瘀、化痰散结药方治疗的112例乳腺增生病例进行临床分析.结果 总有效率为95.5%.结论 消癖汤治疗乳腺增生具有较好的止痛消癖作用.     

消癖透入液直流电导入治疗乳腺小叶增生123例

乳腺小叶增生(乳腺腺病)常见于25～40岁的女性,它与体内雌激素的水平有关,目前尚无公认有效的治疗方法。既往,多用口服中药及雌性激素治疗,但均无巩固的疗效。1992年1月至6月,我科用消癖透入液行直流电导入治疗乳腺小叶增生123例,疗效较为满意,报告如下。     

高原地区乳腺小叶增生病的中医疗法

笔者在高原根据中医理论从气虚痰瘀着手 ,内服外敷同行 ,自拟消增汤与消增散应用于治疗乳腺小叶增生 ,疗效满意 ,介绍如下。资料与方法1　临床资料　　 1 3例患者全部为门诊病例 ,均已婚 ,移居汉族。年龄 2 5岁～ 43岁 ,平均 32岁。病程最短 7个月 ,最长 3年 ,平均 1 3个月。 9例经红外线扫描仪确诊 ,4例经超声波确诊。其中双乳腺增生 6例 ,左侧增生 3例 ,右侧增生 4例。乳腺增生最小 1 .0ｃｍ× 1 .0ｃｍ ,最大 1 .7ｃｍ× 2 .5ｃｍ ,平均 1 .3ｃｍ× 2 .1ｃｍ。硬度Ⅰ°2例、Ⅱ°8例、Ⅲ°3例。 1 3例患者乳腺增生包块活动度可 ,边界清楚…     

疏肝补肾法治疗乳腺增生症100例

目的:观察疏肝补肾法治疗乳腺增生的临床疗效.方法:根据疏肝补肾治疗原则,拟以增生方加减(仙茅15 g、仙灵脾30 g、巴戟天15 g、苁蓉15 g、丹参30 g、莪术15 g、桃仁12 g、郁金12 g、元胡12 g、香附9 g、海藻30 g),対100例乳腺增生患者进行治疗,1剂/d,早晚分服,经期停药,2月为一个疗程.结果:临床治愈35%;有效和显效占63%;无效占2%.总有效率为98%.结论:运用疏肝补肾法,治以增生方加减,经临床实践疗效显著,且无不良副作用.     

中医治疗乳腺增生病后的临床表现及X线影像改变观察

目的:探讨中医在治疗乳腺增生病中的意义。方法:观察及对比200例乳腺增生病经中医治疗半年或1年前后的临床表现及X线影像改变情况。结果:200例乳腺增生病经中医治疗后,疼痛减轻或消失196例,占98.0%;肿块缩小或消失167例,占94.9%;触及结节减少或消失193例,占96.5%;溢液减少或消失40例,占93.0%。X线影像:腺体密度减低172例,占86.0%;结节影减少或消失192例,占96.0%;团块影缩小或消失157例,占89.2%;导管影变细或消失117例,占92.9%;腺体结构变清晰173例,占86.5%。结论:中医治疗乳腺增生病的疗效是肯定的,乳腺钼钯X线摄片是乳腺增生病疗效观察的有效检查方法。     

康复新液湿敷与安普贴外敷治疗压疮的疗效观察

目的 比较康复新液湿敷与安普贴外敷治疗压疮的疗效,观察康复新液湿敷治疗压疮的临床效果.方法 76例压疮患者分为康复新液组和安普贴组.康复新液组采用康复新液湿敷法,每天换药2～3次;安普贴组采用安普贴外敷法,每周更换敷料2次.两组3周后观察疗效.结果 两组治疗均能促进压疮愈合,治疗21天后,康复新组:压疮分泌物消失44例(70.97%),结痂38例(61.29%),总有效率95.16%;安普贴组:压疮分泌物消失27例(51.92%),结痂21例(40.36%),总有效率73.08%.两组疗效有显著差异(P＜0.05).结论 康复新液湿敷法能促进压疮的创面愈合,缩短创面愈合时间,疗效更佳.     

麝甲消痛膏治疗乳腺增生症疗效观察

目的观察外用贴敷麝甲消痛膏治疗乳腺增生的临床疗效。方法将76例乳腺增生症患者随机分为两组,麝甲消痛膏组40例（观察组）,口服乳癖消对照组36例。结果观察组痊愈18例,显效15例,有效7例,总有效率为100％;对照组痊愈2例,显效3例,有效26例,无效5例,总有效率为86．2％;两组差异有显著性（P〈0．05）。结论麝甲消痛膏治疗乳腺增生症疗效好于口服乳癖消组。     

乳腺增生新疗法

乳腺增生以乳房肿块、乳房胀痛为主要临床表现，是妇女多发病，占乳腺专科就诊者的９５％以上。因此病与乳腺癌的发生有一定关系，因此有人称其为癌前期病变。中医称此症为“乳癖”、“乳痞”等，多从肝郁痰凝血淤，冲任不调论治。现代医学认为乳腺增生主要是内分泌功能紊乱引起雌二醇浓度过高所致。笔者近两年用脉冲中频电流配合中药“乳结平”口服液治疗乳腺增生，取得了良好疗效。具体方法是：采用南京某厂生产的ＹＳ－Ⅰ型多系统电脑治疗仪，输出调制中频１～２千赫，电极涂导电剂，耳穴电极直径０．８厘米，夹在双耳胸椎穴。患者取平卧…     

54例乳腺恶性肿瘤钼靶X线误诊原因分析及FNA检查的诊断价值

目的:探讨乳腺恶性肿瘤的不典型影像学征象及更经济、简便的检查手段,提高诊断准确率。方法:回顾性分析54例经乳腺钼靶X线误诊的乳腺恶性肿瘤患者的临床、病理资料及钼靶X线检查结果,所有患者均可触及肿块并行数字化钼靶X线检查,其中34例行细针吸取细胞学检查(FNA),1月内行手术切除治疗,术后病理证实为恶性肿瘤。结果:54例误诊病例中误诊纤维腺瘤18例(33.3%),囊性增生或增生结节2例(3.7%)、良性肿瘤可能性大26例(48.1%),乳头状瘤或乳头状瘤病5例(9.3%),低度恶性或交界性肿瘤3例(5.6%)。34例行FNA检查,找到癌细胞28例(敏感度82.4%,漏诊率17.6%)。结论:部分乳腺恶性肿瘤影像表现缺少特征性,诊断具良性征象的恶性肿瘤时应结合各种影像资料及临床资料,必要时行FNA检查,其可操作性强,诊断恶性肿瘤敏感度高,能最大限度地减少患者手术创伤及良性病变的手术概率。     

红金消结胶囊治疗乳腺增生126例分析

乳腺增生是一种乳腺组织良性增生性疾病，病理形态学上分为慢性囊性增生和小叶增生两类，其发生与卵巢内分泌水平有关。根据文献报道，我国乳腺增生发病率占全部乳腺疾病的80％以上。近年来，我们采用红金消结胶囊治疗乳腺增生126例，疗效满意。现分析报告如下。     

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.