朝阳医院和Nijmegen大学医院医师对前列腺增生性疾病病理诊断差异的比较

由朝阳医院和荷兰Nijmegen大学医院的医师 ,分别对朝阳医院 1 996年 1至 8月连续 1 0 4例前列腺增生性疾病的组织病理标本 ,应用Gleason国际分期标准进行诊断 ,并比较双方诊断结果。结果 94例诊断相符 ( 90 .4 % ) ;1 0例有一定程度差异 ( 9.6 % ) ,其中 6例有轻微差异 ( 5 .8% ) ,4例差异较大 ( 3.8% )。结果表明对相同的病理标本双方的诊断结果没有显著性差异 ,为双方进一步合作探讨中国与西方国家前列腺疾病发病率差异的原因奠定了基础。     

冠心病和非冠心病者心理状况、行为类型及个性特征的对比分析

目的了解冠状动脉造影诊断为冠心病和非冠心病者心理状况及影响因素。方法131例患者行冠状动脉造影术前采用症状自评量表（SCL-90）、A型行为问卷（TABP）、艾森克个性问卷（EPQ）进行问卷调查。结果诊断冠心病87例，其中A型行为41例，占47．12％，非冠心病44例，A型行为22例，占50％，两者比较差异无显著性（P〉0．05）。非冠心病组个性情绪不稳定者占52．27％，明显高于冠心病组的27．58％，差异有显著性（P〈0．05）；EPQ神经质分明显高于冠心病组；SCL-90人际关系、抑郁、焦虑、敌对、恐怖、偏执、精神病性因子分均明显高于冠心病组，差异有显著性（P〈0．01）。A型行为CH因子与SCL-90强迫、抑郁、焦虑、恐怖因子呈显著正相关；EPQ神经质因子与SCL-90强迫、抑郁、焦虑、恐怖、偏执因子呈正相关。结论冠状动脉造影正常的非冠心病者心理症状较冠心病者严重，A型行为的CH行为特征和个性情绪稳定性是影响心理健康的重要因素。     

Two cases of severe falciparum malaria in KMCTH

Malaria is the most important parasitic disease of man. It is the protozoan infection of RBCs transmitted by bite of blood feeding female anopheline mosquito. Until the 19th century malaria was found throughout Europe, North America and Russia. Since then, it has been eradicated from these areas but in tropics though initial efforts of eradication had been successful, there has been resurgence of disease accompanied by increasing resistance of the anopheline vector to insecticide and of the parasite to antimalarial drugs. We report two cases of falciparum malaria in which there was co-existent vivax malarial infection. These two cases were both exposed to highly endemic zone for malaria.     

AIDS: the second wave

Over two decades ago, the first cases of a new disease now known as AIDS were described in the literature. Since then, remarkable advances have been made, a new retrovirus has been discovered, promising antiviral agents have been developed and affordable and effective preventive interventions exists. Yet the AIDS pandemic continues largely unabated. AIDS is the world's leading infectious disease cause of death and threatens to devastate the economic systems of resource-poor nations. Over the next decade the HIV epidemic is expected to continue to grow with an increasing proportion of infected persons residing in developing countries and increasingly affecting young women. However, reducing the burden of HIV/AIDS is achievable, and there is some cause for cautious optimism.     

脱水脐带治疗视网膜脱离53例五年疗效观察

本文报告了我科五年多来用脱水脐带作视网膜填充材料治疗53例(56眼)患者,手术成功47例(88.6％)。统计表明手术成败与病程长短有关,与脱离范围、裂孔大小、裂孔多少、近视眼之间无密切关系。文章还对材料的优缺点作了简要的分析讨论。     

肺心病阴离子隙与混合型酸硷失衡的临床分析

本文分析23例有酸硷失衡肺心病患者的阴离了隙(Anion Gap.AG)。其中“二重型”酸硷失衡12例,“三重型”酸硷失衡5例,仅有一种酸硷失衡的6例。全部病例都计算AG值,除呼酸或呼硷以及例“二重型”酸硷失衡(呼酸+代硷)的AG值正常外,其余的AG值均明显高于正常。AG值升高可诊断患者有代谢性酸中毒存住,这对肺心病并混合型酸硷失衡的治疗具有一定的临床价值。     

腹腔镜在妇科疑难病症诊断中的应用

目的:探讨腹腔镜在妇科疑难病症诊断中的应用价值。方法:电视腹腔镜探查盆腔。结果:22例妇科疑难病症经腹腔镜检查均及时明确诊断,其中子宫内膜异位症7例,慢性盆腔炎8例,盆腔静脉瘀血症和其它疾病各3例,正常盆腔1例。镜下对主要病变进行了分期或分度,对慢性盆腔炎还做了病原学检查。结论:腹腔镜诊断具有安全、简便、迅速、准确等优点。     

肺黏膜相关型淋巴瘤的临床研究(附5例报告)

目的 为提高对肺黏膜相关型淋巴型(MALT淋巴瘤)临床特征的认识。方法 经我院确诊的肺MALT淋巴瘤5例，进行回顾性的临床分析研究。结果 ①本组5例均为肺低度恶性MALT型淋巴瘤。②临床上5例病人均有吸烟、反复肺部感染等慢性免疫系统刺激因素存在。③肺MALT型淋巴瘤与肺炎性假瘤关系密切．临床症状缺乏特异性。结论 肺MALT淋巴瘤是非霍奇金淋巴瘤的一种独特亚型，而且容易误诊，疗效和预后较好。     

REITER''S DISEASE WITH PSORIASIFORM SKIN LESIONS REPORT OF 2 CASES AND A NEW METHOD OF DIFFERENTIATION

The 3 major symptoms of Reiter's disease are urethritis, conjunctivitis and arthritis. Some cases are associated with psoriasis-like mucocutaneous 1esions. Reiter's disease with psoriasiform dermatosis is quite rare and has never been reported in China. This article reports 2 cases with mild and transient symptoms of urethritis and conjunctivitis whicb disappeared before hospitalization. The differentia tion of such cases from psoriasis arthropathica is difficult because the clinical and histopathological pictures and X-ray findings of the two disorders arc similar and both have "seronegative" arthritis witb no theumatoid factors and high incidence of HLA B 27 antigens. However, the authors found that the skin microcirculation features were quite different in the two diseases and might be taken as one of the criteria for differential diagnosis.     

A rare case of isolated non-compaction right ventricular myocardium

Isolated right ventricular noncompaction （IRNC） is a rare congenital cardiomyopathy resulting from an arrest in normal endomyocardial embryogenesis. The clinical syndrome includes systolic and diastolic dysfunction： some cases may have ventricular arrhythmias. We report a case of a female with the diagnosis of right ventricular non-compaction myocardium （RVNC） with normal left ventricular systolic function. To the best of our knowledge, there have been no reports of isolated ventricular non-compaction involving only the right ventricular before 2008. and there have only been described in very few cases of newborns and adult patients.     

EVALUATION OF NON-CARDIAC CHEST PAIN

A series of five cases of non-cardiac chest pain is being reported. In all cases, a detailed cardiac work up excluded coronary artery disease (CAD). Upper gastro-intestinal endoscopy was found to be useful. Gastro esophageal reflux disease (GERD) was diagnosed in three cases. The diagnosis of esophageal disease was clinical in the other two. All patients responded well to further treatment and have been followed up for six months to two years.KEY WORDS: Non-cardiac chest pain, Angina like pain     

ISOLATION OF A VIRUS FROM A CASE OF ACUTE POLIOMYELITIS IN PEIPING WITH HISTOPATHOLOGICAL STUDIES

In contrast to American and European medical literature, reports on the acute poliomyelitis in China is strikingly scarce. An earIy account of disease occurring in China is found in the Customs Surgeon''s report (1) in 1913 stating the occurrence of sporadic cases of comma and pyrexia among foreign soldiers in North China with symptoms pointing: to the diagnosis of acute poliomyelitis. This report mentioned that sections of the spinal cord and brain on two of them which occurred among the British Legation Guards were forwarded to the Royal Army Medical College, London, and the diagnosis of poliomyelitis was con- firmed histologically. Zia (2) iu 1930 in a clinical report of two ~ cases in the acute stage of the disease mentioned that only one diagnosis of the disease was found in the past eight years among 25,000 admissions to the P.U.M.C. Hospital. New (3) in 1934 in a brief note on the epidemiology of the disease in China stated that he had seen 150 cases of poliomyelitis mostly chronic and the earliest being 2 months after onset of the disease. He further gave the im- pression that the disease is in rapid extension. He, however, gave no details of data or records. Scott (4) in 1938 in reviewing the litera ture on the subject and hospital reports available, came to the conclu sion that poliomyelitis had been reported from 14 provinces of China. and gave an additional report of 23 cases from the Pediatric Clinic of     

FETAL CARTILAGE GRAFT IN PERIODONTAL DISEASE.

Periodontal disease is frequently seen in clinics. To treat this disease there are various operative procedures. Among them the utiliza- tion of biograft is the most noticeable. However, the application of human embryo cartilage grafts has so far not been reported in the literature. We have used these grafts in 34 cases (73 teeth). The results are reported.     

甲亢性肝病

本文报告确诊的甲状腺机能亢进症１２０例，发现合并发无其他原因可解释的肝脏肿大，肝功能异常甚至黄疸，肝硬变者６１例，占５０％。其肝脏损害与性别、年龄、病情及病有密切关系，即甲亢合并肝损害以男性为主，３０岁以上，且病程愈长，病愈重发病率愈高。     

Impact of a hospital-based register on the management of familial adenomatous polyposis

Colorectal cancer in familial adenomatous polyposis is a preventable disease in at-risk relatives of patients with primary cases. Until the recent establishment of a register in Western Australia, there has been no registration of pedigrees or central organization of surveillance in Australia. In the present study, the experience of 20 such families who were associated with The Royal Melbourne Hospital was documented, with an analysis of the reasons for any failure of management. The impact of a hospital-based register on the management of the disease was studied. In each family, results were categorized according to whether "at-risk" relatives had been diagnosed at surveillance examinations, and whether the Hospital register were involved. Before involvement with the register, 24 family members presented with symptomatic polyposis after the first affected case had been diagnosed. Eighteen of these had colorectal cancer at diagnosis, and 16 subjects now are dead. Identifiable reasons for the failure of surveillance were family communication failure (two cases), family denial (two cases), failure of the hospital clinic (two cases) and a failure to cover extended branches of families who were living locally (nine cases), interstate (four cases) or overseas (three cases). In contrast, only two (6%) of 33 affected cases that were identified at a planned surveillance endoscopy had colorectal cancer at diagnosis. Without the active surveillance of at-risk family members, lethal delays in diagnosis are likely to occur. Most reasons for failure potentially are correctable by a dedicated registry that is responsible for notifying clinicians and patients about the timing of surveillance procedures.     

Treatment of Motor Neuron Disease with Qi-invigorating Herbs—— A Report of 31 Cases

The motor neuron disease (MND) refers to a group of progressive diseases with unknown reasons, which attacks the cells of the anterior horn of the spinal cord, the motor nuclei of the brain stem cranial nerves and the pyramidal cells of the cerebral motor cortex. It is characterized in clinic by atrophy of the muscles, myasthenia and even death due to paralysis of the respiratory muscle. Currently, there is still no any effective cure for this illness. 50-70% of the victims will die in 3 to 5 years, and the survival time for those with brain stem injuries is no more than two years.1 Since 1996, the authors have treated 31 cases of motor neuron disease with large dosage of qi-invigorating drugs in accordance with Prof. Liu Mocai's experience, and obtained certain therapeutic effects. A report follows.     

心内膜心肌活检诊断价值的临床研究

对90例心脏病患者进行心内膜心肌活检(EMB)95例次,成功率96.8%,临床诊断原因不明心律失常44例,各型心肌病24例,疑诊心肌炎10例,先心并心律失常4例,缩窄性心包炎5例,二尖瓣脱垂3例,经光、电镜检查确定诊断72例(80%)。其中心肌炎44例,扩张型心肌病19例、肥厚型1例,限制型4例,炎性心肌病4例。排除诊断3例(3.4%),无助于诊断15例(16.6%)。全组均无严重并发症,作者认为EMB对心肌疾病(尤其对心内膜心肌纤维化病)及心肌炎有较大诊断价值的新技术,值得推广。     

银杏叶胶囊与通心络胶囊治疗老年冠心病心绞痛疗效比较

目的探讨银杏叶胶囊与通心络胶囊对老年冠心病心绞痛疗效.方法按冠心病心绞痛标准,随机抽取122例,分两组对照.银杏叶胶囊组63例,通心络胶囊组59例.结果两药均可改变冠心病心绞痛症状,总有效率分别为90.48%和86.44%,差异无显著性;对心电图的改变总有效率分别为71.43%和72.89%,差异无显著性;对血脂降低总有效率分别为93.65%和89.83%,两组均无显著性差异.结论两组在治疗心绞痛、心电图改善及血脂影响方面对比无明显差异.     

Subacute sclerosing panencephalitis in Northern Ireland: twenty years'' experience

Subacute sclerosing panencephalitis (SSPE) is a rare degenerative disease of the central nervous system that affects primarily children and adolescents. It is a late manifestation of measles virus infection. In a 20-year period (1965-85) there have been 26 cases of SSPE in Northern Ireland, a frequency of approximately one case per 1.2 million population per year. Males were affected more frequently than females. In other parts of the world the incidence of this disease has been dramatically reduced following effective measles immunisation programmes. The vaccination rate in Northern Ireland probably remains too low to have a similar effect.