小儿病毒性心肌炎临床治疗效果分析

目的对小儿病毒性心肌炎临床治疗效果进行研究和分析。方法选择45例于2012年5月～2013年9月进行病毒性心肌炎治疗的患儿资料进行研究和分析,将患儿分为对照组和治疗组两组,对照组20例,治疗组25例,对对照组患儿进行基础治疗,在此治疗基础上对治疗组患儿应用维生素C联合磷酸肌酸钠治疗,对两组患儿的临床治疗效果进行比较和分析。结果对照组9例患儿治疗显效,7例患儿治疗有效,4例患儿治疗无效,治疗总有效率为80％,治疗组15例患儿治疗显效,10例患儿治疗有效,没有治疗无效患儿,治疗总有效率为100％,两组患儿临床治疗效果差异具有统计学意义（P〈0．05）。结论对病毒性心肌炎小儿进行维生素c联合磷酸肌酸钠治疗,取得满意效果。     

肝病治疗的细胞学进展

细胞治疗是一个快速发展的领域,根据细胞治疗的机制和目的不同,细胞治疗可分为肝细胞替代治疗、免疫细胞过继治疗、基因修饰的细胞治疗。其中肝病治疗的热点包括胚胎干细胞治疗、成体干细胞治疗及治疗性克隆研究。     

肝病治疗的细胞学进展

细胞治疗是一个快速发展的领域,根据细胞治疗的机制和目的不同,细胞治疗可分为肝细胞替代治疗、免疫细胞过继治疗、基因修饰的细胞治疗。其中肝病治疗的热点包括胚胎干细胞治疗、成体干细胞治疗及治疗性克隆研究。     

如意金黄散辅助治疗阑尾周围脓肿的疗效比较简

目的观察如意金黄散在阑尾周围脓肿的手术与保守治疗过程中的辅助治疗效果。方法收集山西农业大学医院308例阑尾周围脓肿患者的临床资料,采取回顾性分析的研究方法,比较手术治疗、保守治疗以及中成药辅助治疗对脓肿治疗的治愈率、住院时间的差异。结果总有效率比较,手术治疗组均明显高于保守治疗组（P〈0．05）,保守治疗组中,抗生素加中成药外敷辅助治疗组的总有效率86．5％,显著高于单纯抗生素治疗组的75．5％（P〈0．05）,但是在手术治疗组中,中药外敷辅助治疗未明显改善总有效率;平均住院天数比较,手术治疗组平均住院天数缩短（P〈0．05）,无论在手术治疗组还是保守治疗组,利用如意金黄散外敷辅助治疗,均可以显著缩短住院时间（P〈0．05）。结论对于阑尾周围脓肿的治疗,手术治疗与保守治疗相比,治愈率提高,住院时间缩短,如意金黄散外敷辅助治疗,能够明显改善保守治疗的治愈率,并能够明显缩短手术或者保守治疗患者的住院时间。     

强脉冲光联合脉冲染料激光治疗鲜红斑痣的临床疗效观察

<正>目的:评价强脉冲光(IPL)联合脉冲染料激光(PDL)治疗紫红型和增厚型鲜红斑痣(PWS)的疗效。方法:紫红型和增厚型PWS患者120例,随机分为治疗组60例,对照组60例。治疗组采用IPL联合PDL治疗,先用IPL治疗2～5次,再用PDL治疗,PDL治疗每次间隔2～3个月,共治疗5～8次。对照组直接用PDL治疗,治疗方法及间隔时间同治疗组。对治疗结果进行分析,总结治疗方案、治疗次数、皮损改善情况及不良反应。结果:治疗后继续随访两组患者3个月,     

慢性稳定性冠心病诊治进展——药物治疗

治疗慢性稳定性冠心病的目的,是为了改善症状、提高生活质量及延长生存期。其治疗措施主要包括：治疗性生活方式改善、药物治疗、介入治疗和外科治疗。治疗性生活方式改善是慢性稳定性冠心病治疗的基础;药物治疗是慢性稳定性冠心病治疗的支柱,包括抗血小板抗栓治疗、调脂治疗、抗缺血治疗,以及血管紧张素转换酶抑制药的应用等。现对药物治疗情况介绍如下。     

连续性肾替代治疗感染性休克的临床效果分析

目的：了解连续性肾替代治疗（CRRT）治疗感染性休克的效果。方法将61例感染性休克患者分为对照组（41例）和治疗组（20例）,对照组给予一般的综合治疗,治疗组在一般综合治疗的基础上联合CRRT治疗,比较两组治疗前和治疗3天后降钙素原（PCT）,pH,国际标准化比值（PT-INR）,白细胞（WBC）,肌酐（CREA）等各项指标的变化及治疗的有效率。结果治疗后两组的指标都有好转（P〈0.01）,但是治疗组指标好转更明显,有效率更高（χ2＝6.297,P＝0.012）。结论 CRRT治疗感染性休克效果优于传统治疗方法。     

米非司酮对子宫肌瘤患者的疗效分析

目的 探讨采用米非司酮治疗子宫肌瘤的治疗疗效.方法 选取收治134例子宫肌瘤患者,根据治疗方案差异性将其分为A组与B组,两组均为67人.B组采用常规治疗方案进行治疗,A组则在常规治疗基础上,采用米非司酮进行干预治疗,治疗结束后,分析对比两组治疗疗效.结果 通过采用不同治疗方案,A组治疗疗效优于B组,两组对比具有较大差异性(P<0.05).结论 采用米非司酮治疗子宫肌瘤可起到较好疗效,可有效减少不良症状,提升治疗疗效,具备临床意义与价值.     

养正消积胶囊联合XELOX方案治疗晚期结肠的癌临床研究

目的 观察养正消积胶囊联合XELOX方案治疗晚期结肠癌的临床研究.方法 选取2014年2月1日-2016年1月30日,就诊于肿瘤科晚期结肠癌患者98例.随机分为对照组和治疗组,两组均采用XELOX方案化疗,治疗组联合口服养正消积胶囊治疗,治疗2周期.观察两组方案治疗疗效、治疗前后生存质量(KPS评分)及治疗前后外周血免疫指标、肿瘤标记物的变化.结果 治疗组治疗有效率为48.97%,对照组治疗有效率为30.61%,临床总获益率治疗组为81.63%,对照组为63.26%,治疗组优于对照组(P<0.05).治疗组KPS评分改善优于对照组,差异有统计学意义(P<0.05).治疗组治疗后免疫指标及肿瘤标记物表达水平的变化均较治疗前有统计学差异(P<0.05),且与对照组治疗后比较也有统计学差异(P<0.05).结论 养正消积胶囊联合XELOX方案治疗晚期结肠癌可提高治疗疗效及生存质量,还能够增强抗肿瘤免疫应答和降低肿瘤瘤负荷.     

重症胰腺炎临床治疗方式的选择(附75例分析)

目的:通过对重症胰腺炎(SAP)患者的临床治疗与观察,总结出治疗胰腺炎的有效经验.方法:将75例患者分为手术治疗与非手术治疗两组,手术治疗40例,非手术治疗35例.结果:非手术治疗组,治愈35例,死亡5例,死亡率14.3%.手术治疗组,治愈26例,死亡9例,死亡率25.7%.结论:非手术治疗和手术治疗都有着各自的治疗优势,应依据患者病情选择合适的治疗方式,才能取得满意的治疗效果.     

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.