湿润烧伤膏治疗肛周脓肿术后创面的临床疗效

目的　观察湿润烧伤膏(MEBO) 在肛周脓肿术后创面换药的临床疗效。方法　观察组20 例肛周脓肿患者创面用MEBO 纱条填塞引流换药治疗, 对照组20 例患者用凡士林纱条填塞引流换药治疗。结果　用MEBO 纱条换药治疗的患者较用凡士林纱条换药治疗的患者创面平均愈合时间快5 d ~ 7 d。结论　MEBO 用于肛周脓肿术后创面治疗效果显著。     

肛管直肠术后创面处理方法的临床观察

目的：总结美宝湿润烧伤膏（MEBO）药纱和凡士林油纱治疗肛管直肠疾病术后创面的临床效果。方法：以往我们对肛管直肠术后创面一直采用凡士林油纱处理，自2003年2月开始对部分病例采用MEBO药纱治疗，为比较两种方法的临床效果，对以往所治疗的肛管直肠疾病病历资料进行回顾性总结，主要统计指标为病种、病情、治疗方法及疗效等。结果：肛管直肠术后创面105例，用MEBO药纱换药治疗者58例（美宝组）；用常规凡士林油纱条换药治疗者47例（凡士林组）；主要病种为肛周脓肿、肛瘘、肛裂、混合痔；美宝组疼痛程度明显减轻，肛周脓肿、肛裂、混合痔创面愈合时间组间具有统计学意义；美宝组术后1年随访率70．7％，凡士林组1年随访率72．3％。结论：美宝湿润烧伤膏处理肛门直肠疾病术后创面的疗效优于凡士林油纱疗法。     

湿润烧伤膏治疗溃烂型颈淋巴结结核的疗效观察

目的：运用湿润烧伤膏(MEBO)纱条填塞治疗溃烂型颈淋巴结结核术后的创面，以常规凡士林纱条换药作为对照，观察其促进创面愈合的作用。方法：分别将MEBO纱条和凡士林纱条填塞创面，外层用无菌纱布包扎，每日换药1一2次。结果：从创面坏死干酪灶清除，创面愈合时间进行比较，MEBO纱条好于凡士林对照组。结论：MEBO对促进创面愈合疗效显著。     

愈创膏促进肛瘘术后创面愈合的效果观察

目的：观察愈创膏促进肛瘘术后创面愈合的临床效果。方法：选择行低位单纯性肛瘘切除80例,随机分为观察组和对照组各40例;观察组术后采用愈创膏纱条换药,对照组采用传统凡士林纱条换药。对比观察两组创面愈合情况。结果：两组均全部治愈,创面愈合良好,肛门外形和功能恢复正常,排便通畅。观察组创面愈合时间为（16．1±3．0）天,对照组为（20．8±3．1）天;观察组创面愈合时间显著短于对照组（P〈0．05）。结论：肛瘘术后采用愈创膏换药能有效促进创面愈合。     

MEBO与EGF在自体微粒皮种植修复肉芽创面中的临床疗效比较

目的 比较湿润烧伤膏（MEBO）、表皮细胞生长因子（EGF）对自体微粒皮种植修复肉芽创面的临床疗效.方法 选取中老年糖尿病、瘫痪、严重全身营养不良的38例患者,其肉芽创面面积大于5 cm2,按取皮面积：创面面积=1：20-30的比例种植自体微粒皮,将38例患者随机分为两组,治疗组15例（MEBO组）,对照组23例（EGF组）,分别用MEBO和EGF换药治疗至创面愈合,观察创面皮岛修复情况及愈合时间.结果 肉芽创面经自体微粒皮种植术治疗后,应用MEBO和EGF治疗都能使其愈合,但治疗组（MEBO组）的创面愈台率高于对照组（EGF组）;MEBO组创面生长出皮岛以及愈合所需时间较EGF组明显缩短（P＜0.01）.结论 肉芽创面经自体微粒皮种植术治疗后,应用MEBO治疗较EGF更能有效地促进创面修复.     

湿润烧伤膏油纱条引流治疗前庭大腺囊肿感染的临床疗效分析

目的 对比观察湿润烧伤膏（MEBO）与凡士林在治疗前庭大腺囊肿感染切开引流术后创面的临床疗效.方法 前庭大腺囊肿切开引流术后,分别采用湿润烧伤膏油纱条或凡士林油纱条对创面进行换药治疗,观察比较两组患者局部疼痛情况、创面愈合时间及术后复发率.结果 两组患者经换药治疗后创面均愈合,但治疗组（MEBO组）愈合时间（8.4d±1.3d）较对照组（凡士林组）（13.6 d±1.3 d）愈合时间短（P＜0.01）,局部疼痛例数减少（6.3％与62.1％）（P＜0.01）,复发率低（1.3％与20.3％）（P＜0.01）.结论 应用湿润烧伤膏油纱条引流治疗前庭大腺囊肿感染切开引流术后创面,愈合时间明显缩短,疼痛及复发率降低,临床疗效显著.     

MEBO在鼻息肉术后创面应用的疗效观察

目的：运用湿润烧伤膏(MEBO)纱条填塞及外涂鼻息肉术后的鼻腔，与凡士林纱填塞鼻腔及1％麻黄素、石蜡油交替滴鼻对照，观察其促进创面修复的作用。方法：填塞鼻腔筛窦腔，48小时后取出，应用MEBO组，每日鼻腔换药清理分泌物后，筛窦鼻腔创面均涂MEBO，对照组，鼻腔换药清理分泌物后，以1％麻黄素及石蜡油交替滴鼻，1日3次。结果：从止痛、鼻黏膜创面恢复、术腔上皮愈合时间、治愈率方面进行比较，MEBO组明显优于对照组，差异显著。结论：MEBO在止痛、促进鼻腔创面恢复、缩短术腔上皮愈合时间及提高治愈率方面疗效显著，优于凡士林组，值得临床推广。     

湿润烧伤膏与凡士林治疗纹身削切术后创面的对比观察

目的对比观察湿润烧伤膏（MEBO）与凡士林治疗纹身削切术后创面的临床疗效。方法纹身皮肤削切术后创面分别采用湿润烧伤膏纱条和凡士林纱条换药治疗,分为湿润烧伤膏组和凡士林组,分别观察愈合时间、局部明显疼痛例数、创面感染率及瘢痕增生率。结果皮肤纹身削切术后,创面分别用湿润烧伤膏纱条和凡士林纱条换药治疗,创面均愈合,但湿润烧伤膏组（14．5d±3．6d）较凡士林组（21．5d±4．5d）愈合时间显著缩短（P〈0．01）,明显疼痛患者例数显著降低（6．5％与65．7％）（P〈0．01）,创面感染率明显降低（2．4％与25．6％）（P〈0．01）,瘢痕增生率明显降低（5．4％与16．2％）（P〈0．01）。结论应用湿润烧伤膏纱条治疗纹身削切术后创面能够明显缩短愈合时间,减少患者疼痛,降低创面感染率及瘢痕增生率,临床疗效显著。     

湿润烧伤膏治疗肛门直肠疾病术后创面128例

目的：观察湿润烧伤膏治疗肛门直肠疾病术后创面的效果。方法：对128例治疗组肛肠病术后患者用湿润烧伤膏换药治疗；对110例（对照组）肛肠病术后患者采用常规凡士林油纱条换药治疗。结果：治疗组平均愈合天数16．5天；对照组平均愈合天数25．5天。结论：湿润烧伤膏用于肛门直肠疾病术后创面换药比常规凡士林油纱条疗效显著，疼痛减轻，瘢痕较小，平均愈合天数缩短。     

美宝湿润烧伤膏(MEBO)对皮肤溃疡修复作用的实验研究

目的：初步探讨MEBO对体表皮肤溃疡创面修复作用的机制。方法：将54只SD雄性大鼠随机分为MEBO治疗组、四环素对照组和凡士林对照组，每组18只，参照文献制成SD大鼠体表溃疡模型，次日开始用药治疗，并观察用药后各组溃疡创面愈合情况、肉芽组织生长情况，记录创面愈合时间；在造模后第7、14d及创面愈合时每组各处死大鼠6只，取创面中心肉芽组织及愈合区中心组织，采用光镜观察成纤维细胞与新生毛细血管的数量与形态。结果：MEBO组大鼠的创面愈合情况明显好于四环素与凡士林对照组，创面愈合时间明显短于四环素组及凡士林组（P〈0．05；P〈0．01）；组织病理学检测MEBO组治疗的创面，术后第7d成纤维细胞数及新生毛细血管数均明显多于四环素组及凡士林组（P〈0．05；P〈0．01）；术后第14d，MEBO组成纤纬细胞数、新生毛细血管数明显减少，与凡士林组比较，有显著性差异（P〈0．05）。结论：MEBO能明显的缩短实验性SD雄性大鼠体表皮肤溃疡模型创面修复愈合时间，具有促进创面愈合的作用，并且对于创面修复过程肉芽组织中新生毛细血管和成纤维细胞数量与形态具有良好的调节作用。     

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.