血清TPS浓度在消化道肿瘤中价值的研究

共选择３０例消化道肿瘤病人，其中食管癌，胃癌，大肠癌各１０例，设健康献血者３０例，对两组血清特异型组织多肽抗原浓度进行了检测，结果肿瘤组血清ＴＰＳ浓度明显高于健康人。消化道肿瘤阳性检出经达７０％，其中食管癌８０％，胃癌６０％，大肠癌７０％。消化道肿瘤合并淋巴转移阳性检出率达７６．９％，其中食管癌１００％，胃癌６６．７％，大肠癌７０．０％。随着病程发展，血清ＴＰＳ浓度呈现升高趋势。     

烟雾病11例临床分析

自１９８５年至今，我院收治１１例经脑血管造影诊断的烟雾病患者。按照日本厚生省本病诊断标准，９例为确诊病例，表现为双侧颈内动脉末端、前动脉、中动脉起始部狭窄或闭塞，其中６例在双侧颅底可见烟雾状异常血管网，３例见单侧血管网；２例为可疑病例，仪表现为单侧上述异常改变。强调应严格烟雾病的诊断。本组采用颞浅动脉一硬膜脑贴敷术治疗患者１例，效果良好，结合日本该病治疗现状讨论，间接血行再建方法仍不失为烟雾病患者的合理治疗方法。     

反映手术间利用效率的统计指标与方法探讨

目的 探索反映手术室工作状态的指标和方法，为了解科室需求、合理利用手术室资源奠定基础。方法 提取医院局域网中有关手术安排、手术过程、麻醉等信息，通过常用统计指标、统计图表，反映手术室、手术科室、手术间的工作状态。结果 工作日手术问日均工作6．34小时，节假日日均工作0．6l小时。工作日13点后有近l／3的空台，14点后近l／2空台。个别手术间利用率偏低。结论 1．由在用手术间时点统计结果可见，14点后接台手术尚有一定潜力，节假日安排手术潜力更大；2．工作日间均工作时数已近满负荷，若要进一步提高手术间的利用，需加强麻醉科和手术室力量。     

灼皮美容术的临床与实验研究

为了探索治疗天花、痤疮遗留表浅瘢痕与大面积色素斑较简易有效的新方法，利用ＧＸ－Ⅱ型多功能电离子手术治疗机烧灼皮肤至真皮浅层代替皮肤磨削这种传统术式。采用动物皮肤烧灼试验，切片显微观察其病理反应及愈合情况，并对６８例患者进行了临床疗效观察。结果显示：动物皮肤烧灼深度达真皮浅层，甚或毛囊破坏（已达真皮深层），但大部分区域表皮通过毛囊再生而全层修复，少部分区域也为单层基底细胞被覆，表明灼皮术后皮肤的良好修复过程。临床应用不仅疗效好，而且较皮肤磨削术具有易操作，安全，无菌条件要求低，术中及术后不出血，疼痛不明显，术后不必包扎、换药等优点。动物试验表明：表皮全层灼烧气化后，真皮浅层也呈现不同程度的灼伤，因此在操作时应注意掌握深度。     

Laparoscopic Cholecystectomy for Acute Cholecystitis: Prospective Trial

p < 0.00001) and for hydrops (28.5%) and empyema of the gallbladder (28.5%) ( p = 0.004). The difference in conversion between the group with acute necrotizing (gangrenous) cholecystitis and the two groups with hydrops and empyema of the gallbladder was not statistically significant ( p = 0.07). The complication rates of acute cholecystitis, hydrops, empyema of the gallbladder, and gangrenous cholecystitis were 9.0%, 9.5%, 14.0%, and 20.0%, respectively ( p = NS). Patients with an operative delay of 96 hours or less from the onset of acute cholecystitis had a conversion rate of 23%, whereas a delay of more than 96 hours was associated with a conversion rate of 47% ( p = 0.022). The complication rate was 8.5% in the laparoscopic group and 27% in the converted group ( p = 0.013). Patients over 65 years of age, with a history of biliary disease, a nonpalpable gallbladder, WBC count over 13,000/cc, and acute gangrenous cholecystitis were independently associated with a high LC conversion rate; male patients, finding large bile stones, serum bilirubin over 0.8 mg/dl, and WBC count over 13,000/cc were independently associated with a high complication rate following laparoscopic surgery with or without conversion. Generally, LC can be performed safely for acute cholecystitis, with acceptably low conversion and complication rates. Different forms of cholecystitis carry various conversion and complication rates in selected cases. LC for acute cholecystitis should be performed within 96 hours of the onset of disease. Predictors of conversion and complications may be helpful when planning the laparoscopic approach to acute cholecystitis.      

Pharmacokinetics of intravenously administered sodium dichloroacetate in rabbits

ＰｈａｒｍａｃｏｋｉｎｅｔｉｃｓｏｆｉｎｔｒａｖｅｎｏｕｓｌｙａｄｍｉｎｉｓｔｅｒｅｄｓｏｄｉｕｍｄｉｃｈｌｏｒｏａｃｅｔａｔｅｉｎｒａｂｂｉｔｓＧｕＢｉｎ（顾斌）；ＳｏｎｇＬｉｎｇ（宋岭）；ＪｉａｎｇＹｏｎｇｐｅｉ（蒋永培）；ＷｅｎＡｉｄｏｎｇ（文...     

提高住院病历及时归档率

1选题理由1)《病历书写基本规范》中要求,病历资料必须在住院病人出院后3天之内交病案室,病案管理人员应及时进行归档。2)2005年是医院管理年,提高住院病历及时归档率是医教科的管理目标。基于以上理由我们选择了"提高住院病历及时归档率"为我们QC小组的活动课题。     

胰岛素泵的临床应用进展

综述了胰岛素泵在不同类型及不同情况糖尿病病人中的应用,列举了胰岛素泵临床应用中的常见问题。