脑血通片显微及薄层鉴别方法研究

目的：建立脑血通片质量标准。方法采用显微镜检查法对需粉碎入药的白芷、丹参、蜈蚣、蝎子进行显微鉴别；采用TLC法对制剂中的丹参、川芎、当归进行定性鉴别。结果显微鉴别中相应药材组织特征均易察见，方法专属性好；薄层鉴别色谱斑点清晰，专属性强，阴性样品无干扰。结论白芷、丹参、全蝎和蜈蚣运用显微鉴别取得了理想的鉴别效果，可作为脑血通片质量控制标准的参考依据；薄层鉴别可以作为脑血通片有效定性的鉴别方法。     

鞍区颅脑枪击伤的救治

目的 探讨鞍区颅脑枪击伤急性期的救治及晚期鞍区金属异物摘除的方法。方法 对7例鞍区颅脑枪击伤患者行早期清创术，3例患者同时摘除金属异物；4例患者晚期采用显微手术摘除下丘脑、垂体内金属弹丸。所有患者均获随访，随访时间3－11年。结果 全部患者均康复，无下丘脑或垂体功能障碍。恢复良好3例，轻残3例，重残1例。结论 鞍区颅服枪击伤患者，应早期行清创术，尽可能摘除金属异物，修补颅底服膜防止脑脊液漏。术后加强抗感染、抗脑水肿治疗。重症患者需及时治疗继发性脑损害，积极治疗内分泌紊乱等并发症，在全身情况稳定后，采用显微手术摘除异物。显微手术对摘除脑深部重要部位的金属异物是一安全可靠的方法。     

用剃须刀片切割胚胎新法

用剃须刀片切割胚胎新法陈静波，丁红，郭志勤（新疆畜牧科学院畜牧研究所）胚胎分割技术提高了胚胎的利用率和胚胎移植技术的效益，但一般都需要费用昂贵的显微操作仪和拉针仪、熔锻仪等，即使是简易分割法多数也需其中之一，为了满足生产条件下胚胎分割操作的需要，我们...     

显微手术治疗高血压脑出血的临床观察

目的:报道高血压脑出血显微手术治疗的临床疗效。方法:小骨窗显微手术治疗高血压性脑出血。结果:术后3个月(ADL)评定神经功能:能够正常生活(Ⅰ级)21例,基本生活自理(Ⅱ级)48例,,需他人协助,扶拐能行走(Ⅲ级)22例,卧床但有意识(Ⅳ级)18例,植物生存(Ⅴ级)1例,死亡9例(7.6.0%)。结论:显微手术治疗高血压脑出血效果确切,显著提高了患者生存率及生存质量。     

眼科显微器械消毒的对比观察

眼科显微手术成套的器械要求精细锋利，在消毒过程中不得有锈点，锈斑。否则，会影响显微器械的锋利，及手术使用的灵活，也是决定手术质量的重要环节。因此，必须注意消毒过程的保养方法，我科针对内眼显微手术的特点，进行了三种消毒方法的对比观察：甲醛熏蒸1h，2％戊二醛浸泡40min，专用容器打包高压灭菌，其中高压灭菌的方法最     

喉部良性病变显微支撑喉镜下治疗43例分析

目的：探讨显微支撑喉镜术对不同类型的喉部良性病变的治疗及并发症。方法：对43例喉部良性病变者行显微支撑喉镜术。结果：治愈35例，好转6例，无效2例。术中、术后并发症情况：上切牙松动2例，咽部擦伤1例，喉头水肿1例，声带前联合粘连2例，舌体麻木3例。结论：显微支撑喉镜术是治疗喉部良性病变的首选术式。     

改良翼点入路显微直视手术切除海绵窦肿瘤

为总结海绵窦肿瘤显微神经外科治疗的经验，作者对1990年1月－2001年6月收治的26例海绵窦肿瘤病例进行了回顾性分析。手术均采用改良翼点入路，显微直视手术，其中6例在神经导航辅助下进行。结果全切19例（73.1%)部分切除7例（26.9%)。术后14例（53.8%)颅神经症状逐渐改善，6例（23.1%)出现新的颅神经损害症状，无死亡。对部分切除的病人，术后加立体定向放射外科治疗。随访8个月－12年，未见肿瘤复发。作者认为，熟悉海绵窦区的显微解剖并具备熟练的显微神经外科技术，可使该类手术取得良好效果。     

显微手术切除枕骨大孔区神经鞘瘤18例报告

显微手术切除枕骨大孔区神经鞘瘤１８例报告武警总医院神经外科杜长生张蕴增刘勇刘雪飞唐红李钟铬（北京１０００３９）关键词显微手术枕骨大孔神经鞘瘤我院自１９９２年２月～１９９６年２月共收治枕骨大孔区神经鞘瘤１８例，经显微手术切除并经病理诊断，治疗效果满意。...     

显微神经外科手术体位的选择与摆放

显微神经外科手术体位的选择与摆放刘英，吴怀兰，陈英男，刘磊，王丽萍手术体位的正确选择与摆放是手术配合过程中至关重要的一个环节，而神精外科手术的体位较之其它科手术又有其独有的特点和难度，特别是近几年来，随着神经外科手术的显微化，手术人路和精度的不断改进...     

高压氧治疗断指再植术后血管危象疗效分析

我院自１９８９年１月～１９９８年７月应用显微技术断指再植术１２０例共计１３８指，术后发生血管危象２４例，其中动脉危象１４例，静脉危象１０例，其中１０例采用ＨＢＯ治疗，获得较好的效果，现报告如下。１临床资料１．１对象：应用显微技术断指再植１２０例，共计...     

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.