辨证分期治疗过敏性紫癜的临床研究

 目的 观察以活血化瘀法辨证分期治疗过敏性紫癜的疗效.方法 298例过敏性紫癜患者按西医诊断各型分别随机分为两组:治疗组(149例)采用中医辨证分期紫癜清片治疗;对照组(149例),用泼尼松、维生素C治疗.两组均经两个疗程(28 d)治疗.观察两组治疗前后变形红细胞计数(Tk)、全血粘度(ηb)、便潜血平均消失时间.结果 总有效率治疗组为96%,对照组为80.5%,便潜血平均消失时间治疗组9.8 d,对照组18 d.两组比较,差异有统计学意义(P＜0.01).结论 应用辨证分期活血化瘀法,自拟紫癜清片(汤)治疗过敏紫癜疗效肯定.     

中医自拟中药槐花祛紫汤治疗小儿过敏性紫癜疗效观察

目的:探讨应用自拟中药槐花祛紫汤治疗小儿过敏性紫癜的临床疗效.方法:将76例患儿随机分成两组,治疗组根据中医临床分型、辨证加减使用自拟槐花祛紫汤治疗,对照组采用常规西药治疗.2周后观察两组患者的疗效.结果:治疗组40例中,治愈37例,有效2倒,无效1例;对照组36例中,治愈30例,有效5例,无效1例.两组综合疗效比较,治疗组治愈率明显优于对照组.结论:自拟中药槐花祛紫汤治疗小儿过敏性紫癜有较好的疗效.     

雷公藤多甙并潘生丁治疗小儿过敏性紫癜性肾炎临床观察

目的:观察口服雷公藤多甙加潘生丁对治疗过敏性紫癜性肾炎的疗效。方法:回顾性调查并随访2003—2006年用雷公藤多甙加潘生丁治疗50例小儿过敏性紫癜性肾炎为治疗组,并随机选择同期患儿口服单剂雷公藤多甙30例作为对照。结果治疗组治愈44例(88%),有效6例(12%),对照组治愈18例(60%),有效12例(40%),两组间差异显著(P<0.05),对蛋白尿、血尿、高血压及水肿疗效亦差异显著(均为P<0.01)。结论:提示雷公藤多甙加潘生丁治疗小儿过敏性紫癜性肾炎优于单剂雷公藤多甙,值得临床应用。     

甲氰咪胍佐治小儿过敏性紫癜疗效观察

目的观察甲氰咪胍治疗小儿过敏性紫癜的疗效。方法55例过敏性紫癜患儿随机分为两组,治疗组(28例)在对照组(27例)常规治疗基础上加用甲氰咪胍10~20mg/(kg.d),分两次静滴,连续2周。结果治疗组显效率78.6%,总有效率92.9%,对照组显效率51.9%,总有效率70.4%,两组之间显效率及总有效率比较,P<0.05,有显著性差异。结论甲氰咪胍治疗小儿过敏性紫癜疗效确切,不良反应小,值得临床推广。     

清燥救肺汤治疗过敏性紫癜30疗效观察

目的:观察中药清燥救肺汤治疗过敏性紫癜的疗效.方法:用清燥救肺汤治疗30例.结果:治愈率 83.3%,总有效率96.7%.结论:清燥救肺汤可显著改善过敏性紫癜患者,皮疹症状和肾损害造成尿常规改变,及消化道出血致大便潜血阳性体征的改善.     

阿托品治疗紫癜性肾炎疗效观察

过敏性紫癜肾炎(紫癜性肾炎)是指过敏性紫癜的肾脏损害而言,见于约1/3的过敏性紫癜病例。紫癜性肾炎是决定过敏性紫癜远期预后的重要因素,其治疗方法目前还没有统一的意见。我们采用阿托品联合糖皮质激素(泼尼松)、免疫抑制剂(硫唑嘌呤)及抗血小板凝聚剂双嘧达莫(潘生丁)治疗紫癜性肾炎29例,疗效较好。1　对象和方法1.1　对象　选择1989～1996年住院的紫癜性肾炎58例,按住院的先后次序随机分为对照组与治疗组。诊断标准见参考文献〔1〕。其临床分类按黄庆元的分类方法〔2〕。治疗组:29例,男20例,女9例;年龄8～24岁,平均14岁。病程1周～2年3…     

辨证论治过敏性紫癜45例临床观察

目的：根据中医学辨证论治的原则,观察中医辨证治疗过敏性紫癜的临床疗效。方法：将81例过敏性紫癜患者按随机数字表法分为两组,试验组45例,对照组36例。试验组按照中医辨证分型标准,分为血热妄行型、阴虚火旺型和气不摄血型三种证型,分别给予犀角地黄汤、六味地黄汤和归脾汤加减进行治疗,并配合常规西药。对照组给予强的松和常规西药治疗,比较两组在临床疗效和改善临床症状、血尿及蛋白尿方面的差异。结果：①试验组的总有效率为97.7%,对照组的总有效率为97.3%,两组疗效相当,相比无显著性差异（P〉0.05）;②试验组在改善过敏性紫癜患者的皮肤紫癜、关节疼痛和腹痛方面能够取得与对照组相近的效果,与对照组相比无显著性差异（P〉0.05）;③在缩短血尿和蛋白尿转阴时间方面明显优于对照组,相比有显著性差异（P〈0.05）。结论：中医辨证论治过敏性紫癜疗效确切,在改善临床症状和肾脏损伤方面具有明显的优势。     

儿童过敏性紫癜肾损害54例相关因素分析

目的探讨儿童过敏性紫癜肾损害的相关因素。方法对2008年6月—2009年6月本院儿科收住的54例过敏性紫癜患儿临床表现及肾损害相关因素进行回顾性分析。结果 54例过敏性紫癜患儿首发症状主要为单纯紫癜者11例(20.37%),肾损害发生于紫癜复发者(76.92%)的比例高于初发者(60.71%)。表现为单纯紫癜、紫癜加关节症状、紫癜加消化道症状、紫癜加消化道加关节症状者肾损害发生率分别为45.45%、54.55%、75%、85%。结论过敏性紫癜复发患儿肾损害发生率较高;早期出现较多肾外症状尤其是消化道症状者,易发生肾损害。     

潘生丁预防过敏性紫癜肾脏并发病的临床观察

过敏性紫癜临床常见，由于过敏物质多一时查不清过敏原因，这样就给临床诊断和治疗带来一定的困难，也时常因此而导致并发病的发生，对过敏性紫癜诊治方法虽然很多，但效果不甚满意，部分病例常有复发，为此，预防过敏性紫癜并发病的发生和控制其复发成为治疗本病的关键，近年来应用潘生丁预防肾脏并发病收到满意效果。1临床资料与方法1．1一般资料自1993年各月～1996年3月，三年间共收治40例过敏性紫癜病人，年龄17～28岁，男28例，女12例，住院时间最长八周，治疗前尿常规检查镜下红细胞10～15个／视野，15例，尿旦白17例，透明管型1-2个…     

大剂量激素治疗过敏性紫癜34例

目的　探讨大剂量激素对过敏性紫癜的疗效。方法　对 3 4例过敏性紫瘢患者 ,均给予大剂量激素序贯治疗 ,并随访观察 1～ 3年。结果　 3 4例均治愈 ,1例未遵嘱服用激素者短时复发后再次治愈 ,余 3 3例均无复发。结论　大剂量激素治疗过敏性紫癜疗效较好     

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.