四例血友病患者感染艾滋病毒后的社会和心理及防治问题

作者在对浙江省１９８５年９月发现的４例感染人免疫缺陷病毒（艾滋病毒ＨＩＶ）血友病患者的社会和心理及防治等问题进行了研究后认为，对无症状ＨＩＶ感染患者进行适当的社会隔离，积极诊治，并应用中医中药，或采用中西医结合疗法，密切随访病情并予保密，加强卫生宣教，对患者进行教育并对与患者密切接触的家属和医务人员定期作血清ＨＩＶ抗体检测，是防止艾滋病传播及促使患者心身健康的有效防治措施。     

卡铂强化治疗低危急性非淋巴细胞白血病(ANLL)患者的试验性研究

本文对11例成人ANLL患者经3天柔红霉素和7天阿糖胞苷(Ara—C)标准白血病诱导化疗后,第6天作骨髓抽吸检查仍持续呈白血病表现者在第8、9和10天,分别给予卡铂(Carboplation)295mg/m~2/24h持续静脉滴注加强化疗3天。治疗后9/11例患者(82%)完全缓解,1例在治疗第26天死于与治疗有关的颅内出血,另1例治疗17天后判为耐药。血液学及非血液学毒性除1例出     

GAUCHER-LIKE CELLS IN CI-IRONIC NEUTROPHILIC LEUKEMXA A CASE REPORT

Chronic neutrophilic leukemia is a rare myelo proliferative disorder. The clinical features of the disease include markedly sustained peripheral mature ncutrophilic leukocytosis, splenomegaly, increased leukocytic alkaline phosphatase, mature myeloid hyperplasia in bone marrow, absence of myelosclero- sis and ph' chromosome, heavy neutrophilic infiltra tion in vanious organs, absence of fever, and infec tion or neoplasm.i We present a case whose clinical finclings included all these features. Many Gaucher Iike cells were found in the resected spleen specimen.     

鉀代謝紊乱的原因、表現、診断及其防治

鉀代謝紊乱在临床上較为常见。自从同位素和火熖光度計在临床上应用以来,对有关鉀代謝紊乱的病理生理有了进一步认識,在防治工作中也有了新的进展。近年来国內、外文献都指出如果临床医师能够正确理解有关鉀代謝紊乱的病理生理,对于預防或治疗鉀代謝紊乱都有很大帮助。本文对临床工作中有关钾代謝紊乱的原因、表现、診断及其防治措施进行了綜述。     

三例早期胃癌的回顾

 我院从1973年10月至1974年1月先后发现经a糜蛋白酶胃洗涤液细胞学检查、外科手术及术后病理检查证实为早期胃癌三例，术后恢复良好，经定期随访至今已五年余，均健在，且都恢复了工作。     

Von Willebrand病2例报告

例1:患者男性,8岁。自幼皮肤经常出现瘀斑及鼻衄。4岁及6岁时因鼻衄不止,先后输血700ml后才止血。1985年3月2日因鼻衄3天不止,局部止血措施无效,转来本院检查出血原因。家族中无类似出血病史。体检除二侧鼻粘膜有渗血外余无殊。实验室检查:Hb80g/L,WBC、DC正常,Pl20×10~9/L。试管法凝血时间10分,     

Plasma Fibronectin in Normal Subjects and Patients with Various Diseases

ＰｌａｓｍａＦｉｂｒｏｎｅｃｔｉｎｉｎＮｏｒｍａｌＳｕｂｊｅｃｔｓａｎｄＰａｔｉｅｎｔｓｗｉｔｈＶａｒｉｏｕｓＤｉｓｅａｓｅｓＴａｎｇＤｅｊｉ（汤德骥）；ＰａｎｇＸｉｎｇｇｕａｎｇ（庞兴光）ａｎｄＬａｎｇＹａｍｉｎ（郎亚民）（ＩｎｓｔｉｔｕｔｅｏｆＨ...     

与输血有关的艾滋病(综述)

目前认为艾滋病(Acquired immunodeficiency syndrome,AIDS)是由一组相关病毒引起的病毒病,近年来国际委员会建议将这组病毒统称为人免疫缺陷病毒(Human Immunodeficiency Virus HIV).一般将HIV感染的临床类型分为下列四级:Ⅰ级为急性感染,Ⅱ级为无症状感染,Ⅲ级为淋巴结病(艾滋病相关综合征),系指二个以上腹股沟以外淋巴结区淋巴结肿大(≥1 cm)三个月以上.Ⅳ级为艾滋病.     

血友病类出血性疾病误诊的经验教训

血友病类出血性疾病是一组遗传性疾病,包括血友病甲(又称因子Ⅷ缺乏症),血友病乙(又称因子Ⅸ缺乏症)及血友病丙(又称因子Ⅺ缺乏症)。临床特征为终身具有自发性或轻微损伤后出血倾向。此类疾病国内发病数较国外少,有关诊断及治疗问题亦未引起重视,往往造成误诊。本院1957～1983年治疗78例。其中住院前误诊为其他疾病8例。误诊为关节炎或下肢脓肿各2例,误诊为小腿软组织肿瘤、髂窝部脓肿、右肾肿瘤各1例,另1例作阑尾手术后切口血肿及便血不止,经采用试管法凝血时间及KPTT等检查后得到确诊。     

SERUM FERRITIN IN NORMAL SUBJECTS AND IN SOME DISEASES

Serum ferritin levels are measured by double- antibody radio.immunoassay in 96 normal adults and 338 patients with various diseases. Iri 64 normal females, the range is from 4 t0 152 ng/ml, and in 32 normal males, from 18 t0 284 ng/ml. Approximately 93.1% (54/58) of patients with uncomplicated iron deficiency anemia had serum ferritin concentrations < 18 ng/ml, whereas serum ferritin was above the normal upper limit in all 8 cases of sideroblastic anemia and 10 cases of thalassemia. Elevated serum ferritin levels were observed in 91/103 patients with acute leukemia, 4/4 patients with erythroleukemia, 9/9 patients with malignant histiocytosis and 10/10 patients with malignant lymphoma, whereas in all 45 patients with idiopathic thrombocytopenic purpura, serum ferritin was within normal range. The serum ferritin values exceeded the normal upper limit in 9 of 11 (81.8%) patients with "blast crisis" of chronic myeloid leukemia, only in 2 0f 13 (15.4%) cases with chronic myeloid leukemia, was elevated serum ferritin found (p≤0.05). All 67 patients with epidemic hemorrhagic fever had elevated serum ferritin levels.