蜱传播病原体感染所致眼部神经损害的临床分析及探讨

目的：探讨森林脑炎病毒致眼部病变的临床特征及治疗原则。方法：将19例森林脑炎病人眼部表现者，经眼部专科检查、肌电图检测及免疫荧光技术血清学测定明确诊断，给予大剂量抗病毒、抗生素药物及免疫血清治疗，血管扩张剂及神经营养剂辅助治疗。结果：19例病人在1～6个月恢复与好转，肌电图检测波值正常。结论：森林脑炎病毒主要侵害眼神经及肌肉，经上述方法治疗，效果可靠。     

成功抢救重度异烟肼中毒致心脏停跳1例体会

1临床资料 患者,男,17岁,入院31小时前自服异烟肼约100片(10g).服药后约20分钟出现意识障碍,全身抽搐.急送当地医院急救.治疗期间发生3次心跳骤停,每次持续时间约2分钟.     

癌性气胸一例

患者男性,五十岁,主因右侧咽痛四十五天而入院.四十五天前出现有侧胸痛,就诊于某县医院,经检查诊断为“右侧胸腔积液”,“右侧液气胸”,给予抗痨、抗炎、拍胸水治疗,疗效欠佳,于1993年7月10日转入我院.     

Differentiation of human epidermal stem cells into fibroblasts induced by TGF-β1 in vitro

Objective To investigate the correlation between human epidermal stem cell (hESCs) and hypertrophic scar or keloid. Methods Improved collagen Ⅳ-coated adhesion methods was used to isolate and culture the epidermal stem cells after neutral protease selectively digested the dermo-epidermal junctions. After the cells were cultured and expanded in vitro, and passage 3 hESCs were induced by different concentrations of TGF-β1 (0.1, 5.0, and 10.0 ng/ml). Morphological fea-tures and identification of these cells were meseasured by HE, Masson, immunohistochemical staining on the days 3 and 7, respectively. Results After induced by TGF-β1 for 3 and 7 days, the morpholo-gy of the epidermal stem cell (hESCs) was changed into fusiform shape, similar to fibroblasts. 70 % ofthe cell which was induced by TGF-β1 were blue stained in the cytoplasm by Masson stain, which is the distinctive method for collagen, suggesting collagen appeared or increased in the cells. The collagen concentrations in supernatants of hESCs were 0.4150±0.0014, 0.3380±0. 0020, and 0.3870±0.0020, much higher than that in control group (0.0780±0.0025) and normal skin fibro-blast group (0.15004±0.0051) (P<0.05). Immunohistochemical staining revealed that positive rates of these cells for anti-vimentin staining were more than (95.00±1.20)% in experiments and (5.70±0.20)% in control group. Conclusion The differentiantion of hESCs induced by TGF-β1 into fibro-blasts indicates that hESCs may play a role in the pathogenesis of hypetrophic scar and keloid.     

淋病患者合并衣原体和支原体感染

淋病患者往往合并衣原体和（或）支原体感染，在诊断和治疗时应予足够重视。现将我所１９９５年２月至１９９６年３月淋病合并衣原体和（或）支原体感染的情况报道如下。一、资料和方法１．一般资料：经淋球菌培养确诊的淋病患者１１９例，其中男９８例，女２１例，男∶女...     

鼻腔、副鼻窦原发性肿瘤70例CT分析

本文回顾分析了70例经手术病理证实的鼻腔、副鼻窦原发性良恶性肿瘤的临床和CT表现。讨论了良恶性肿瘤的鉴别诊断,不典型的CT表现及CT的检查价值,认为CT检查可做为鼻腔、副鼻窦肿瘤的首选方法。     

利用视频反转功能制做幻灯片

在日常工作中,常需制作CT图像的幻灯片,而美国GE公司生产的SYTEC 2000型CT机没有设置35mm胶卷摄影装置,给幻灯片的制作带来困难。笔者利用该机的视频反转功能（VIDEO REVERSE）解决了这一问题。l 材料和方法 一架手动的35mm单镜头反光照相机,配置50mm或70mm镜头;三角架一付;快门线一根;胶卷采用中国乐凯胶片公司生产的型号为5143的乐凯牌黑白电影正片;显影液用普通D-72或D-76显影粉配制;定影液用普通X线照片定影液即可。     

第二掌骨乙型血友病假性骨肿瘤一例报告

乙型血友病占血友病的１５％左右，由其引起的掌骨假性骨肿瘤更为少见。我院收治１例报道如下。患者男，８岁。因左手轻微外伤后肿胀并逐渐加重半年，于１９９５年５月５日入院。查体：贫血貌，左手掌背侧有１０ｃｍｘ８ｃｍ肿块，皮肤呈紫红色，皮温增高，压痛明显。Ｘ线片见左第２掌骨呈囊性膨胀性骨破坏，软组织肿胀。实验室检查：血红蛋白８５ｇ／Ｌ，红细胞计数３．６８ｘ１０１２／Ｌ，白细胞计数６．１ｘ１０９／Ｌ。中性０．７１，淋巴细胞０．２９，血小板计数１９３ｘ１０９／Ｌ，出血时间２分钟，凝血时间５分钟，凝血酶原时间１…     

对“大剂量六神丸治愈12例顽固性头皮湿疹的体会”一文的验证

我是《中国乡村医生》的长期读者,多年来每期必读,从中受益匪浅。尤其是临床经验谈,中医选萃,给予基层广大医务人员帮助更大。如头皮湿疹,是基     

多发性鲍温病伴发鳞状细胞癌及基底细胞癌一例

患者男，６０岁。因全身多发性红斑８年，颈部红斑溃破并发肿块半年入院。患者８年前不明原因右颈部起一黄豆大痒性红斑，时有灰白色鳞屑，渐增大，表面反复破溃结痂。半年来，红斑破溃未愈，渐隆起呈核桃大肿块，有出血、溢脓及疼痛。近３年来，四肢及臀部起多处红斑，缓...