131I-6-IODOCHOLESTEROL, AN AGENT FOR IMAGING THE ADRENAL GLAND

irll_6_iodocholesterol, a comparatively new agent first used in this country for adrenal gland imagintg, is effective in animal experiments and clinical use. In comparison with 131I-19-iodo- cholesterol, 131I_6_iodocholesterol has the follow- ing advantages: Synthesis is simpler and less time-consum- ing. Its chemical properties are stable and it can be stored at room temperature for several months without dccomposing areid deiodinating and is easily transportcd. The labcling technic is easier, it is more adrenophilic and it images the adrenal gland more clearly than 131I-19-iodo- cholesterol.     

IMAGING OF ADRENAL MEDULLA WITH I-131-MIBGCLINICAL EXPERIENCE IN 208 CASES

From November 1983 to December 1986, adrenalmedullary imaging was carried out in 208 cascs of clinically suspected pheochromocytoma by using I一 131-mIBG. The sensitivity was 88.4% and the specificity 98.5.To The negative predictive accuracy was 94.5To and the positive one 96.7To. We conclude that pheochromocytomas either intraadrenal or ex traadrenal can be localized correctly by l-1331-mIBG adrenal medullary imaging even neuroendocrinal tumors such as neuroblastoma.     

羊水过少131例临床分析

通过对131例羊水过少临床资料分析,表明羊水过少并非少见。病因虽不十分清楚,但与过期妊娠、妊高征、胎儿宫内发育迟缓及胎儿畸形等因素有关。B超检查是产前诊断羊水过少的重要手段。羊水过少通常伴有胎儿缺氧,导致新生儿窒息或死亡,应注意监护,对合并妊高征、羊水污染、过期妊娠、胎盘功能不良之一者,及时剖宫产是降低围产儿死亡率的关键。     

脑动脉硬化症131例临床分析

本文对１３１例脑动脉硬化症的临床资料进行分析。结果发现：本病早期临床表现以神经衰弱症状群或伴有精神障碍为主的病例，约有３０％的病例被诊断为神经衰弱或精神病。作者针对本病的早期诊断、鉴别诊断及治疗问题进行讨论，以提供临床参考。     

卡肌宁在临床麻醉中的初步应用

本文报道新型肌松剂卡肌宁在107例普鲁卡因静脉复合麻醉中的应用。结果表明使用卡肌宁90%以上气管插管条件满意,心血管反应小,肌松满意,苏醒快;肝、肾功能不全、年龄和手术时间对卡肌宁的作用及恢复时间无明显影响     

肾上腺皮质腺瘤和皮质癌的临床与病理研究

本文研究 32例肾上腺皮质腺瘤 ,8例皮质癌的临床及病理学特征 ,其中功能性肿瘤 34例 ,非功能性肿瘤 6例 ,肾上腺皮质肿块 ,瘤体较小 ,切片中泡沫细胞为主者 ,以腺瘤多见。肾上腺皮质癌病理特征表现为肿瘤体积大 ,包膜不完整 ,明显出血、坏死。肿瘤多由暗细胞构成、弥漫、小梁状排列 ,细胞和核的异形性常见。核分裂≥ 1/10HP。     

直肠吻合器临床应用30例报告

本文报道30例直肠疾病(直肠癌28例、直肠绒毛乳头状腺癌2例)前切除术后,用直肠吻合器行结直肠吻合的体会。一次吻合成功者27例(90％);首次失败再次吻合成功者2例;失败后改手法吻合者1例。本组有并发症者3例。本文还讨论了前切除术的适应证和并发症。作者认为直肠吻合器使用方便、并发症少,且可扩大前切除术至某些直肠中下段疾病,故在临床上有其实用价值     

CLINICAL USE OF HEMATOPORPHYRIN DERIVATIVE IN MALIGNANT TUMORS

It has been shown by many investigators that hematoporphyrin derivative (HpD) when infused intravenously is perferentially retained by malignant cells. Clinical trials both for the detection and treatment of malignant tumo;rs have been carried out. If localized HpD is acti- vated by visible light, particularly 625-630 nm in the wave length of the spectrum red region cytotoxic singlet oxygen is elicited.. Since 1981 a. study gro.up on HpD-photora- 41iation therapy (HpD_PR'D has been set up in the Cancer Institutei, Chinese Academy of Me- dical Sciences (CAMS), Beijing. PRT technic and procedure used in this group are essentially the same as first described by Dougherty and his associates, exceipt that all the medical facilities including the HpD and laser system used are China made. 47 patients with cancers treated by PRT are presented with promising short-term results.     

PHARMACOLOGICAL ACTIONS AND CLINICAL USE OF FRUCTUS SCHIZANDRAE

Fructus Schizandrae (FS) is a well – known Chinese herb which has been widely used in ancient China. During recent decades, it has been found to be effective in viral and chemical induced hepatitis. In this paper, we report the studies on the chemical constituents and pharmacological actions of FS on mice liver. The results indicated that FS and its several components can mainly protect liver from injury induced by toxic substances such as CCl4; they have anti-oxidant activities against oxygen free radicals; FS and four components have inducing action on liver cytochrome P-450; they also promote certain anabolic metabolism such as serum protein biosynthesis and glycogenesis. All these activities would be of importance in the protection and repair of the injuried liver cells. The clinical use of FS is also presented.     

脑室腹腔引流术的临床应用及改进

报告用脑室腹腔引流水（V－P）治疗各型脑积水18例。文中对本组的手术方式、手术步骤、并发症及疗效进行了介绍。V－P与V－A（脑室心房引流术）比较，作者更偏爱于V－P。对V－P技术上的改进也进行了介绍。     

下肢静脉上行性和下行性造影的临床应用

本文就1980～1984年行上行性静脉造影37次，下行性静脉造影18次，造影前常规行Doppler超声检查，上行性静脉造影的37肢体中，35肢体有深浅静脉交通支机能不全，18肢体下行性静脉造影中，15肢体有Ⅰ～Ⅲ度深静脉瓣膜机能不全，对造影结果及临床应用进行了讨论。     

产科出血性休克131例临床分析

目的：探讨产科出血性休克发生的原因和防治措施。方法：对20年产科出血性休克131例进行回顾性分析。结果：产科出血性休克发生率为0．47％，宫缩乏力仍是出血性休克的首要原因；主要危险因素是好高征、剖宫产。结论：加强产程观察，严格掌握剖宫产适应证，降低剖宫产率，提高产科各种手术质量，可有效地预防产科出血性休克的发生；同时还表明，剖宫产术中肌瘤剔除术不是出血性休克的原因，但肌瘤可影响产后子宫收缩而导致出血。     

宫腔镜临床应用100例分析

目的：应用宫腔镜检查及治疗１００例（异常子宫出血９０例，其它表现异常１００例），查明其病因，提高诊断准确率。方法：根据宫腔镜检查，结果病理检查及手术结果作出诊断并做相应治疗。结果。本组异常子宫检出率９３％。宫腔镜手术２４例。绝经后子宫出血中，子宫内膜萎缩占５０％，是绝经后子宫出血的首位原因，子宫内膜癌占７１４％，也是绝经后子宫出血的原因。非绝经期异常子宫出血中，子宫内膜增生，子宫肌瘤（粘膜下，内突壁间），子宫内膜息肉，宫颈管息肉依次为３１７２％，２４３９％，１４９３％和９７６％。结论∶宫腔镜是一种很好的检查宫腔的方法，它直视宫腔、定位取材、诊断准确率高。异常子宫出血是宫腔镜检查的首要适应证，明确地诊断子宫内膜功能性疾病，早期发现子宫内膜癌。宫腔镜手术不开腹、损伤小、恢复快，保留子宫及卵巢功能，是值得推广的新技术