100例球壁异物摘除体会(摘要)

1981年8月～1991年6月我院收治球壁异物和球后壁异物100例。男91例,女9例。磁性异物87例,非磁性异物10例,性质不定3例。异物位于赤道前者7例,赤道后者90例。视乳头上3例。我们采用巴尔金氏义眼、薄骨、无骨形     

急诊应用垂体后叶素联合酚妥拉明治疗大咯血的临床效果观察

目的 观察垂体后叶素与酚妥拉明联合治疗大咯血的临床效果,寻找大咳血急救的最佳治疗方法.方法 回顾性分析本院201 1年1 1月～2013年9月间急诊科收治的80例大咳血患者按入院时间先后分为观察组和对照组各40例,对照组除常规处理外,予垂体后叶素治疗,观察组在对照组的基础上另加酚妥拉明治疗,比较两组患者的5d内止血效果及不良反应率.结果 观察组治疗总有效率95％显著高于对照组80％,差异具有统计学意义（P＜0.05）,观察组不良反应总发生率为12.5％;对照组总发生率为15％,两组不良反应率相比较,差异无统计学意义（P＞0.05）.结论 垂体后叶素联合酚妥拉明治疗大咯血的临床疗效好,值得临床推广.     

某部22076名新兵复检情况回顾性调查分析

某部２２０７６名新兵复检情况回顾性调查分析李柏林（８１２５５部队后勤部卫生科）为了解掌握新兵的身体素质和提高兵员质量，进一步做好新兵复检工作，对某部近十年征入的２２０７６名新兵复检情况进行了回顾性调查，报告如下。１资料和方法（１）调查对象：为某部１９...     

20例前房角异物临床分析

２０例前房角异物临床分析中国医科大学附属第一医院眼科李柏林，常宇恒前房角异物在眼内异物中较少见，诊断也较困难，易漏诊。国内报导很少。我院从１９８３年至１９９３年遇到２０例，现总结分析如下。临床资料１．一般资料：本组２０例２０眼，男１５例，女５例。年龄...     

以呕吐为主要表现的恶性组织细胞病1例报告

临床资料 :患者男 ,５０岁 ,２０天前无诱因出现进食即吐 ,无吞咽困难及梗阻 ,在院外治疗稍好转。２天前症状加重入我院。查体见消瘦 ,神志清醒 ,Ｔ３６℃、ＢＰ１４／６ＫＰａ ,头、五官、心、肺、腹未见异常 ,淋巴结无肿大。血常规检验结果 :ＷＢＣ４．１×１０／Ｌ,Ｈｂ７６ｇ／Ｌ,ＰＬＴ２５９×１０／Ｌ ,头颅ＣＴ未见异常 ,脑脊液无异常 ,胃镜示浅表性胃炎。入院诊断 :神经性呕吐。予补液、多虑平、暗示治疗１０天好转出院。几天后又出现进食进水即吐 ,伴口渴、神志差、乏力、明显消瘦、重度贫血 ,再次入院治疗无效 ,即去同济医科大学…     

前房异物摘除体会(附35例病案分析)

前房异物在临床上并不少见,较大的前房异物诊断也不困难。但较小的异物恰好落入前房角,此时给诊断带来一定的困难。一但漏诊及不适当的摘除也会给病人带来严重危害。现将几年来临床遇见的35例及摘除体会总结如下: 临床资料1.一般情况:本组35例、37只眼。男性29例;女性6例;右眼16例;左眼17例;双眼2例,工人7例;农民12例;学生10例;儿童6例。2.异物的性质:35例中经手术取出异     

眼眶内软骨母细胞瘤

眼眶内软骨母细胞瘤中国医大第一医院李柏林，魏艳珍眼眶内软骨母细胞瘤国内杂志尚未见报导，今遇到１例报告如下患者男３１岁住院号：３６８３５５以左眼眶内肿物之诊断于１９９５年１月１７日入院，患者在一年半前无何诱因左眼视力逐渐下降，近二个月已无光感，一年前左...     

SIGNIFICANCE AND CORRELATION OF MAPK/ERK2 AND PI3-K IN HUMAN BREAST TUMORIGENESIS

Objective： MAPK （（Mitogen-actived Protein Kinase） and PI3-K （Phosphatidylinositol 3-kinase） pathways have been implicated in the mitogenic pathways regulating cell growth, proliferation, differentiation and transformation and thus involved in tumorigenesis. This study was designed to examined the protein expression, activity and mRNA levels of both ERK and PI3-K in a series of breast tumors and adjacent mammary glands, and to figure out the changes of ERK2 and PI3-K during the dynamic process of breast tumorigenesis. Methods： A series of breast tumors and adjacent mammary glands were collected at surgery, including 37 cases of breast cancer, 6 cases of atypical hyperplasia-breast carcinoma in situ and 15 cases of benign conditions. Western blot, kinase activity assay and RT-PCR were used to detect the protein expression, kinase activity and mRNA level, respectively. Results： The revels of protein, activity and mRNA of ERK2 were elevated during the stages of both initiation and progression. The increasing tendency in breast cancer was equal to atypical hyperplasia -in situ carcinoma, but higher than in benign lesion and adjacent normal mammary gland. PI3-K was activated during the stage of progression of breast cancer. An inverse correlation between the activity of PI3-K and ERK2 in breast cancer was found. Conclusion： Our findings indicate that ERK2 may perform its function during both the stages of breast cancer initiation and breast cancer progression, while PI3-K may exert its effect during the stage of breast cancer progression. Both PI3-k and ERK2 are involved in the tumorigenesis of breast cancer.     

复方甘草片混悬液保留灌肠治疗溃疡性结肠炎疗效观察

目的　观察复方甘草片混悬液保留灌肠治疗溃疡性结肠炎的疗效。方法　将 2 5 8例溃疡性结肠炎患者随机分成 2组 ,治疗组用复方甘草片 10片研末混于 10 0mL生理盐水中保留灌肠 ,对照组口服柳氮磺胺吡啶。 2组均用药 2 0d间隔 7d行下 1个疗程 ,连用 2个疗程 ,并随访 6个月。结果　治疗组总有效率为 90 % ,对照组为 79% ,2组疗效比较有显著性差异 (P <0 .0 5 ) ;不良反应发生率治疗组明显低于对照组。结论　复方甘草片混悬液保留灌肠治疗溃疡性结肠炎临床疗效满意。