恙虫病21例骨髓象分析

为探讨恙虫病骨髓象特征，我们分析了２１例恙虫病患者骨髓象，同时查找戒指样组织细胞。临床资料一、病例来源我院１９８４年６月～１９８８年５月恙虫病住院病例。其中男１４例，女７例；年龄１０～５５岁，平均３１．６岁。均来自农村，发病于春夏秋季，计４月份２例，５月份６例，７月份４例，８月份５例，９月份４例。诊断依据参照王季午主编《传染病学》标准［１］。发病前２周内均去过流行区，有野外作业史及野外草丛接触史，均有突然高热，特异性溃疡与焦痂，皮疹，淋巴结肿大，肝脾肿大，外斐反应ＯＸｋ１∶１６０～１∶６４０，取…     

便通胶囊治疗便秘70例

我科于１９９７年１１月～１９９８年３月应用便通胶囊治疗便秘７０例,对其疗效及毒、副作用进行了观察,现将结果报告如下。１　资料与方法１．１　临床资料：所选病例为本院门诊及住院患者,均符合文献［１］诊断标准。７０例病例中男３３例,女３７例;年龄１８～６５岁,病程＜０．５年３例,０．５～１年１２例,１～３年１５例,＞３年４０例;原发性习惯性便秘５２例,有肛周疾患者１２例,强制性卧床１例,有其他伴随症状者５例。按文献［２］将病例分为脾肾不足型１５例,脾肾不足兼气滞型２３例,其他类型３２例。１．２　治疗方…     

术中内镜诊断小肠出血7例

小肠出血约占整个消化道出血的１％～５％［１］。尽管内镜和影像诊断水平不断提高,但小肠出血诊断仍是一个很棘手的问题。作者自１９９５～１９９９年采用术中内镜诊断小肠出血７例,全部获得阳性发现,现报告如下：１　临床资料一般资料及病例选择：本组男５例,女２例。年龄１６～５７岁,平均４６－８岁。病程１０小时至１５年,其中反复黑便或持续黑便伴慢性贫血６例,急性大出血伴有明显血容量不足１例。血色素（Ｈｂ）≤５０ｇ／Ｌ４例,最低者３２ｇ／Ｌ,平均７３－６ｇ／Ｌ。择期术中内镜检查６例,急症检查１例。全部病例均经胃…     

38例早期胃癌的胃镜诊断与临床分析

１９８４年５月至１９９６年１２月，我院胃镜室共做胃镜检查２２６８０例，发现早期胃癌３８例，全部为手术切除标本病理证实，诊断符合我国胃癌病理标准，报告分析如下。１．临床资料：年龄与性别：３８例早期胃癌中，男２５例，女１３例，男女之比１．９：１。平均年龄为４９．５岁，其中４０岁以上３０例，占７８．９５％。病程：１个月内３例（７．８９％），～６个月２６例（６８．４２％），～１２个月６例（１５．７９％），～３年２例（５．２６％），３年以上１例（２．６３％）。预后：全部病例手术治疗并行随访，术后５年生存率…     

甲状腺机能亢进性周期性麻痹5例分析

甲状腺机能亢进性周期性麻痹较多见于我国和日本［１］。临床表现与周期性麻痹无明显差异，容易漏诊。现将我科１９９２～１９９７年６年间所见５例报道如下。１临床资料５例均为我科住院患者，男３例，女２例，年龄４０～５５岁。２例发病前有饱餐史，２例有受凉史，另１...     

高血压急症舌下含服硝苯地平致严重并发症7例

我们自１９９５年４月～１９９８年４月采用舌下含服硝苯地平治疗高血压急症１１５例,其中发生严重并发症７例,发生率６．１％,现报告如下。临床资料本组男５例,女２例。年龄６５岁～７８岁,平均７１．４岁。高血压病史２０年～３６年,平均２７．８年。临床诊断［１］：恶性高血压１例、高血压危象４例、高血压脑病２例。７例均在０．５ｈ～３ｈ内血压升高至２００～２６５ｍｍＨｇ／１１０～１３５ｍｍＨｇ。确诊后给予硝苯地平１０ｍｇ～２０ｍｇ舌下含服,其中３例用１０ｍｇ,４例用２０ｍｇ。严重并发症均于含服药后０．５ｈ～１…     

恙虫病并发肝损害的临床观察与研究

为探讨恙虫病与肝损害的临床关系,作者从１９８４年６月以来,对本院所收治的恙虫病病例中有肝损害的进行了临床观察研究,现将有肝损害的３７例回顾性分析总结报道如下。１　临床资料１１　病例选择　诊断参照传文献［１］,对①有野外接触史;②突然发热并发现特异性焦痂或溃疡;③淋巴结肿大、皮疹、肝脾肿大;④外斐氏反应ＯＸｋ１∶８０以上;⑤查恙虫病立克次体阳性者,具备这５项中的３项可为恙虫病诊断;⑥在恙虫病诊断成立同时有肝损害表现,ＨＢｓＡｇ、抗ＨＢｃ－ＩｇＭ和ＨＡＶ－ＩｇＭ均呈阴性,以观察对象的３７例中排除病…     

溃疡消治疗活动期消化性溃疡91例

笔者从１９９５年６月～１９９７年６月,运用自拟溃疡消治疗活动期消化性溃疡９１例,收到满意疗效,现报告如下。１　资料与方法１．１　临床资料：９１例均有胃脘部反复疼痛史,且病程在１年以上,经电子胃镜检查证实为溃疡活动期。其中男６３例,女２８例;年龄１５～３０岁者１８例,３１～５０岁者４３例,５０岁以上者３０例;病程１～５年者３４例,６～１０年者５０例,１０年以上者７例;胃溃疡２１例,十二指肠溃疡５９例,复合性溃疡１１例。排除胃癌或上消化道出血病例。１．２　治疗方法：溃疡消由丹参、大黄、白芨以３∶５∶…     

恙虫病多脏器损害的临床特征(附30例分析)

恙虫病是一种自然疫源性疾病,我国主要流行于东南沿海及西南地区。浙江南部尤为严重＼［１］。为了探讨恙虫病脏器损害的临床特征,我们对１９８６的５月～１９９７年１２月收治的恙虫病合并有脏器损害的３０例分析如下。１临床资料１．１诊断标准参照有关文献的标准＼［...     

右侧间隔及右后侧壁旁路体表12导联心电图定位鉴别诊断

显性心室预激的体表心电图与旁路定位的相关关系已有多篇报道［１～３］，回顾性分析手术治愈病例各种诊断标准的诊断准确率有所不同［４］，左侧壁旁路定位诊断准确率可达９８％，与心内膜电生理标测相近［５］，右侧游离壁及右间隔旁路定位准确率不及左侧壁高，其主要原因是右前、右后、右中间隔及右后侧壁旁路定位常不易鉴别。根据手术及射频消融术结果，寻找体表１２导联心电图对右侧间隔及右后侧壁旁路定位鉴别诊断标准。　　临床资料　选自１９８９年１月至１９９７年１２月，４３例显性预激旁路患者全部经手术及射频消融治愈［６］。…     

State of knowledge of helminth fauna of freshwater fishes of Poland

A total 89 fish and lamprey species has been recorded from Polish freshwater habitats. Twenty-seven of them (30.3%) have not been surveyed for parasitic helminthes. Some of the latter fishes are either rare or not easily accessible. Other live only in specific habitats in scattered localities. An important obstacle for studying parasite faunas of some fishes may be their status on an endangered species. Among the non-surveyed fishes, are those which have been relatively recently introduced to Poland or migrated there on their own. The present paper attempts to review all hitherto not studied helminthologically fish species, their habitats, localities and current protection status.     

Inhibition of intimal thickening of the carotid artery of rabbits and of outgrowth of explants of aorta by probucol.

The effect of administration of probucol in preventing intimal thickening of rabbit carotid artery after balloon catheter injury and the mechanism of action of the drug were studied. Groups of 6 male New Zealand-White rabbits were given normal diet (Group I), high cholesterol diet (Group II) or high cholesterol diet plus probucol (Group III) for 4 weeks. Balloon catheter injury was made in week 2 and animals were killed in week 4. No significant differences in the total cholesterol levels in Groups II and III were found in week 4. The medians of areas of the intimal layer in cross-sections of the carotid arteries of Groups I, II and III were 0.237, 0.475 and 0.309 mm2, respectively. Thus high-cholesterol diet increased the thickness of the intimal layer and probucol reduced its effect. There were no significant differences in the areas of the medial layers in these 3 groups. For the examination of the mechanism of the effect of probucol, rabbits were given chow containing 0.5% cholesterol with and without 0.5% probucol (7 rabbits each) and then the numbers of explants from their aortas showing outgrowth were compared. The plasma total cholesterol levels of these two groups were the same. The probucol concentrations in the plasma and aorta of the former group were 18.6 +/- 13.2 micrograms/ml and 7.3 +/- 5.4 micrograms/g wet tissue, respectively. The number of explants showing outgrowth on day 14 was suppressed by 34% in the probucol-treated group.(ABSTRACT TRUNCATED AT 250 WORDS)