131例病人死亡时间调查分析

１３１例病人死亡时间调查分析徐掌珠临床观察病人病情多日轻夜重，死亡又多在夜间，但未有准确比例数说明．从１３１例病人死亡时间调查．经方差分析法．调查结果表明，夜问死亡占多，ｍ示广大ｖ’理工作者加强＆ｒｌｕ巡视工作。ｌ一般资料选择死亡病人１３１例．其中包...     

一起水净化系统失效致伤寒局部暴发的卫生学分析

驻粤某部在1993年5月3日至6月22日期间，营区范围先后出现一批原因不明的发热、肌肉酸痛、腹泻等症状的病人共42人。经流行病学调查和血细菌培养，证明为伤寒局部暴发，并查明是水净化系统失效所致。现将卫生学分析结果报告如下。部队概况和发病特点某部驻扎于粤中某地，营区包括两个单位，分别为某汽车独立团545人和共野战陆军团948人。生活饮用水除个别连队取用井水外，均为自制自来水。病人于5月3日开始陆续出现，分布广、散，无明显连排聚集世，但均在营区自来水供水范围内。经对水净化系统进行处理后，无续发病人出现。病人分布见表1。…     

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(…     

腮腺炎13例发病调查

2004年1月3日-2月18日，驻辽东半岛地区某部相继出现13例发热、倦怠：头痛、单侧或双侧腮腺肿大、咀嚼疼痛受限及睾丸肿痛等为主要症状的病人。现将调查结果报告如下。     

肝移植术后移植物抗宿主病的诊治

目的总结肝移植术后移植物抗宿主病的诊断及治疗经验。方法分析总结3例原位肝移植患者治疗急性移植物抗宿主病的临床经过及实验室检查结果，临床表现、皮肤活检及骨髓穿刺结果作为诊断依据，确诊后停止使用免疫抑制剂。结果例1术后12d出现溶血性贫血，术后3～5周出现不明原因发热、皮疹、全血细胞减少，其间肝功能接近正常，患者最后痊愈出院。例2术后出现腹泻、全血细胞减少、消化道出血，于术后25d死亡，死亡原因为感染、消化道出血。例3术后出现发热、慢性腹泻、皮疹和全血细胞减少，最终死于感染、多器官功能衰竭。结论不明原因发热、皮疹和胃肠道症状应警惕移植物抗宿主病发生。停止使用免疫抑制剂，提高机体免疫力可能为更好的治疗方法。     

重症烧伤病人的早期肾功能损害

我科自一九九三年一月至一九九四年九月一日，共收治烧伤病人２５０人，其中重度以上的病人２５人。我们对２５人中的１６人进行了早期肾功损害监测与防治。结果：有１０人出现不同程度的肾功能损害，其中２人急性肾衰死亡。肾功损害发生率为４．％，肾衰发生率为０．８％，该组病人均给予了相应防治措施，结果：６例未发生肾功损害，１０例发生者，８例治愈，２例肾衰者死亡。     

门诊成年发热病人的心理状态分析和心理干预体会

目的:观察发热病人的心理状况及心理干预对其影响。方法:针对42例发热病人的心理状况给予心理干预治疗。结果:病人经心理干预后能均能消除恐惧心理并积极配合治疗,无一例发生并发症。结论:对发热病人的心理干预,能改善患者的心理状况,促进患者早日康复。     

血栓性血小板减少性紫癜治疗效果分析

目的分析血栓性血小板减少性紫癜的临床特点和疗效。方法对住院确诊为TTP的7例病人的临床资料进行分析。结果7例病人均有贫血、血小板减少，肾损害、破碎红细胞、神经精神症状，发热等表现，均无胛及APTT延长，纤维蛋白原减少等症状。作血浆置换3例治愈，未作血浆置换4例（1例治愈，2例好转后复发死亡，1例治疗无效死亡）。结论 TTP是多系统损伤的疾病，主要表现是五联征，一般无PT、APTT异常，无纤维蛋白原下降。血浆置换是有效的治疗方法。     

传染性单核细胞增多症误诊1例

病人，男，27岁。于2005年6月1日始无明显诱因出现干咳，夜间及清晨为著，无发热、胸闷胸痛、气促，未治疗。7月14日起受凉后出现发热，下午及夜间体温可达37．5～38.5气，清晨体温正常，伴有全身酸痛、多汗。曾多次在当地诊所就诊，均诊断为“急性支气管炎”。给予抗感染、镇咳等药物治疗（具体不详），病情无好转。     

庆大霉素等保留灌肠治愈细菌性痢疾

患者男11岁：因腹痛，腹泻，发热2天就诊。病人2天前，出现脐周为著的阵发性腹痛，有里急后重感，为脓血便，量少，日达20余次，伴发热。查体：左下腹压痛，肠呜音亢进、粪便检查：脓血便。镜检有大量的脓细胞和红细胞，并有大量的臣噬细胞。给予抗生素氨苄青霉素静滴和黄连素口服及补液等其他治疗，5天后，     

Presentation of an unusual complication of an ovarian cyst

I report a patient with chronic torsion of an ovarian cyst detected in utero and describe the ultrasonographic findings.     

Computed tomographic diagnosis of an ileocolic invagination in an adult

Intussusception is an uncommon cause of intestinal obstruction in adults. Unlike children, the diagnosis of intussusception in adults is often difficult due to its usually chronic history. A case of adult ileocolic intussusception secondary to metastatic melanoma is presented to discuss the efficiency of ultrasonography, characteristic CT features and the etiology of this disease.     

From an employee to an associate.

The role of the healthcare employee in the decision-making process is greatly influenced by our industry's human resource departments. At the Methodist Hospitals of Memphis, in Memphis, Tennessee, the shift is toward participative decision-making. This article discusses the implementation of this new philosophy and discusses why this style of management is becoming the most effective technique for today's radiology manager.     

Investigation of an alleged mechanism of finger injury in an automobile crash

This investigation centers on the case of an adult male whose finger was allegedly amputated by the steering wheel of his car during a crash. The subject claimed to have been driving with his left index finger inserted through a hole in the spoke of his steering wheel and was subsequently involved in an offset frontal collision with a tree. The finger was found to be cleanly severed at the mid-shaft of the proximal phalanx after the crash. This injury was alleged to have been caused by inertial loading from the rotation of the steering wheel during the crash. To determine whether this injury mechanism was plausible, three laboratory tests representing distinct loading scenarios were carried out with postmortem human surrogates loaded dynamically by the subject's steering wheel. It was found that the inertial loads generated in this loading scenario are insufficient to amputate the finger. Additionally, artificially constraining the finger to force an amputation to occur revealed that a separation at the proximal interphalangeal joint occurs rather than a bony fracture of the proximal phalanx. Based on these biomechanical tests, it can be concluded that the subject's injury did not occur during the automobile crash in question. Furthermore, it can be shown that the injury was self-inflicted to fraudulently claim on an insurance policy.     

Osteoarthritis as an outcome of paediatric sport: an epidemiological perspective

Recent data suggest that the risk of paediatric sport injury is high and constitutes a significant public health burden. A concern regarding long-term consequences of youth sports injury is the risk of developing osteoarthritis (OA) at a young age. Based on the available evidence, a link between youth sports injuries, particularly acute injury of the knee and ankle, and OA, is likely. Early OA development and intense participation in high-impact, high-stress elite sports at an early age also may be associated, but follow-up of elite athletes into the early adult years is needed to examine this relationship. Given that some antecedents of early adult-onset OA may be traced to child and adolescent sports injury and related surgery, and perhaps intense training regimens, it follows that efforts to prevent sports-related joint injury should begin during the childhood years. Based on the results of recent research evidence, programmes addressing prevention of youth sports injuries may provide the rewarding results of OA prevention.