军事训练致下肢神经卡压综合征18例

军事训练所致各种损伤比较常见,但因过劳性损伤引起的神经卡压综合征则少见。1995年以来,我们共诊治军事训练致神经卡压综合征18例。现报告如下。1临床资料1·1一般情况18例均为男性;年龄18~22岁,平均19·4岁;左侧5例,右侧13例。其中第1年兵10例,第2年兵6例,第3年兵2例。有膝部     

闭合性睾丸损伤12例临床分析

我院1988～1994年共收治闭合性睾丸损伤12例，占同期睾丸损伤的66．6％。现分析如下。1临床资料本组年龄10～53岁，平均28．5岁。均为单侧睾丸损伤，主要伤因为踢伤、拳击伤、骑跨伤及挤压伤。受伤至就诊时间为30min～5h。全部病例均有程度不等的疼痛、阴囊淤斑、肿胀及恶心。5例伤侧睾丸肿大、质硬、压痛明显，7例睾丸触诊不清。12例均于入院后行B超检查，其中5例见睾丸白膜中断，3例见星丸实质内有出血灶。此8例均急诊手术证实为睾丸挫裂伤。另4例仅见睾丸增大，行保守治疗。结果：手术治疗的8例，1例单丸切除，7例治愈；保守治疗的4例，…     

空降训练致股骨骨折原因分析

笔者就我部1993～2001年度空降训练中发生的股骨骨折进行分析,供空降训练卫勤保障人员参考。1 临床资料本组患者均为男性空降兵,共23例。其中战士20人,干部3人。年龄18～32岁。第1次跳伞4人,第3～5次15人,10次以上4人。着陆时股骨骨折8人,空中被伞绳挂断15人。股骨横行骨折16人,斜行骨折5人,粉碎性骨折2人。     

一起伤寒疫情的调查

2004年7月7~15日,驻滇某部集训队相继发生了一批以发热、头痛为主要症状的病人。经流行病学调查、临床诊断和实验室检查,证实为一起交叉感染所致的伤寒疫情。1发病情况7月7日,该集训队3班与5班各出现1例头痛、发热的学员,9日,6班又出现相同症状患者1例,至15日,3班又出现1例同样症状患者。所有患者均为男性,年龄18~20 d,其中新兵3例,二年度兵1例。患者均以发热、头痛、纳差、乏力及相对缓脉为主,无严重并发症。4例患者体温38~40℃,热型不规则,热程5~7 d,最长者11 d。实验室检查:白细胞总数1例正常,3例在5×109·L-1以下。血培养4例均为阳性(…     

睾丸损伤的CT表现及临床意义

睾丸损伤临床较常见 ,其包括单纯睾丸挫伤水肿、挫裂伤出血、睾丸破裂及鞘膜积血 ,另外还有精索和附睾的损伤等。对泌尿科医师来说 ,区别以上病变是困难的[1 ] 。本文根据对 1 5例睾丸损伤患者ＣＴ扫描结果 ,总结睾丸损伤的ＣＴ征象 ,为临床医师准确评估其损伤程度、范围及处理和预后提供帮助。材料与方法　 1 995年 3月～ 2 0 0 0年 6月对 1 5例睾丸损伤的患者进行ＣＴ扫描 ,年龄 8～ 54岁 ,平均 30岁。患者于伤后 2～1 7ｈ作ＣＴ检查。受伤者均无阴囊疾患既往史 ,砸伤 3例 ,踢伤 7例、挤压伤 2例、骑跨伤 3例。双侧睾丸损伤 1例、右侧 2例…     

睾丸外伤36例

198 3年 1月～ 1998年 1月我院共收治 36例睾丸外伤 ,其中手术治疗 2 6例。笔者就诊治情况报告如下。一、临床资料1.一般情况 :本组年龄 15～ 5 3岁 ,平均 32岁。受伤至就诊时间 0 .5～96ｈ ,平均 2 0 .5ｈ。受伤侧别 :右侧睾丸2 0例 ;左侧 15例 ,双侧 1例。闭合性损伤 34例 ;开放性损伤 2例。损伤原因 :交通伤 14例 ,直接外伤 (踢伤、拳击伤、钝器击伤、骑跨伤 ) 2 2例。2 .Ｂ超检查 :2 0例于伤后 2 4ｈ内行阴囊Ｂ超检查。其中睾丸实质内血肿 5例 ,白膜破裂 8例 (双侧 1例 ) ;睾丸断裂2例。 15例均被手术所证实。另 5例睾丸声像图未见异常…     

六例闭合性输尿管损伤的诊断

腹部钝性伤所致闭合性输尿管损伤临床上罕见 ,且因早期缺乏典型症状和体征 ,常易误诊[1] ,造成严重后果。我科1990～ 1998年间收治该类患者 6例。现就其诊断体会报告如下。临　床　资　料本组 6例腹部钝性损伤所致闭合性输尿管损伤 ,其中右侧 4例 ,左侧 2例 ;5例为肾盂输尿管连接部损伤 ,1例为中段损伤。男 5例 ,女 1例 ;年龄 3～ 36岁。 4例为撞伤、压伤 ,2例为坠落伤。 2例合并肾损伤 ,1例合并骨盆骨折、右骶髂关节分离、尿道损伤。6例均无典型的输尿管损伤症状及体征 ,1例甚至无血尿。 4例早期在电视屏幕动态观察下行大剂量的静脉肾盂造…     

急性力竭性训练致心肌损伤8例

2001年5月—2006年5月,我院收治急性力竭性训练致心肌损伤8例,现报告如下。1临床资料1.1一般情况本组8例为男性士兵,年龄18~22岁,平均(19.1±0.25)岁;一年度兵4例,二年度兵2例,三年度和四年度兵各1例。查阅《应征公民入伍体检表》及询问病史,既往均无心脏疾患。致伤运动项目:5     

睾丸交通伤24例临床分析

目的：总结睾丸交通伤的诊治体会。方法：24例睾丸交通伤，年龄18－61岁。其中20例合并其他部位损伤；10例行阴囊B超检查；11例立即手术治疗，13例保守治疗。同时，与同期睾丸非交通伤30例进行对照分析。结果；手术治疗11例中，3例发现睾丸破裂行睾丸切除术，其余8例采用血肿清除术；保守治疗13例中，5例延期手术。睾丸交通伤的主要特点：（1）睾丸损伤程度重；（2）合并伤多；（3）容易漏误诊；（4）临床表现严重而复杂。结论：睾丸交通伤应早期手术，但当合并其他部位损伤时，应根据患者伤情程度及局部情况等决定。早期诊断，及时治疗是治愈本病的关键。     

51例阴囊及其内容物损伤的超声检查分析

阴囊及其内容物损伤临床上并不少见 ,常因得不到早期诊断和治疗导致睾丸切除。我院近 10年共收治 5 1例闭合性阴囊及其内容物损伤患者 ,诊断过程中均采用超声检查。现就超声检查在此类伤情中的诊断价值探讨如下。临　床　资　料一、一般资料与临床表现本组 5 1例 ;年龄 16～ 6 7岁 ,平均32 .2岁。左侧 2 8例 ,右侧 19例 ,双侧 4例。致伤原因 :踢伤 37例 ,钝物撞伤 5例 ,交通伤 9例。受伤时间 1ｈ～ 9ｄ ,平均 9.2ｈ。主要表现为阴囊瘀血肿胀、睾丸肿大 ,其中 18例睾丸轮廓不规则 ,临床诊断为睾丸破裂 ,5例睾丸轮廓清楚诊断为睾丸挫伤 ,5例患…     

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.