腰椎管扩大成形和侧隐窝,神经根管减压治疗退行性腰椎管狭窄症的初…

报告了椎管扩大成形和侧隐窝、神经根管减压术治疗退行性腰椎管狭窄症５０例。椎管矢状径从平均１０．６２ｍｍ扩大到１７．２ｍｍ。在同一手术中除了４０例突出的椎间盘，扩大了３４例狭窄的侧隐窝和神经根管。手术保持了稳定的脊柱，经过５个月２～４年的随访，疗效满意。     

VACUOLE SIGN AND SMALL NODE SIGN IN EARLY PERIPHERAL LUNG CANCER PATHOLOGIC BASIS AND DIAGNOSTIC VALUE

Radiologic and pathologic mani;estations of 30 peripheral pulmonary masses around l.5-3 cm in dia- meter were compared to the pathologic basis of va- cuole sign and small node sign on tomogram. Stati stics of 100 conventional X-ray tomograms of peri- pheral pulmonary masses about l-3 cm in diameter suggested that the vacuole sign and small node sign, more common in early peripheral lung cancer than in tuberculoma, are valuable for differentiating early peripheral lung cancer from tuberculoma.     

临床常用穴位解剖学多媒体研究

基于目前尚无理想的临床常用穴位解剖多媒体教材的现状，应用实体标本来展示层次及断面结构，将穴位解剖与多媒体技术相结合，使图片、声音、视频等多种媒体信息组合在一起。应用本系统能清楚地观察到针刺时所经过的各种组织结构，对于临床针灸医生学习和研究，提高临床治疗及科研都有指导作用。     

中西医结合治疗肺心病急性发作64例疗效观察

作者对慢性肺心病急性发作患者64例进行中西结合治疗，在西医对症治疗基础上，以中医为主辨证施治，抓住虚、痰、瘀三个病因病机环节采用蒌贝二陈汤合玉屏风散加味治疗，效果满意。与单纯西医治疗的32例比较有明显差异。     

寒象主热证的辨治规律浅析

寒象是疾病反应于外的单个症状和体征。如恶寒喜暖、口淡不渴、口中气冷、面色淡白、四肢逆冷、鼻塞清涕、痰白清稀、小便清长、大便溏稀、舌淡胖嫩、脉迟、或紧、或微细等，每一个症状都可称为寒象。寒象是疾病表面现象，可反映疾病本质，但也可能出现假象，掩盖疾病本质。寒象是组成和诊断寒证的主要依据。但是，在许多复杂疑难的病证中，或有阴阳严重失调之时，寒象可能以假象出现，掩盖疾病本质．出现寒象主热，或真热假寒的证候。     

Relationship between expression of CD40-CD40 ligand system and serum cholesterol levels in patients with hypercholesterolemia

Hypercholesterolemia is associated with the pathogenesis of atherosclerosis. Enhanced levels of thrombin, fibrinogen and factor Ⅶc directly correlate with cholesterol levels.1 Activated platelets adhere to the intact endothelium and induce inflammatory responses in the endothelium, which substantially contribute to the early phase of atherosclerosis. Emerging lines of evidence support the role of CD40-CD40L interactions in atherosclerosis, thrombosis and inflammation.2 In atherosclerosis, inhibition of the CD40-CD40L interaction in LDL receptors or ApoE-deficient mice prevents the initiation of atherosclerosis and the evolvement of established atherosclerotic lesions to more advanced lesions.     

新生儿异位甲状腺舌囊肿伴感染一例

患者，男性，出生４天。出生时见左颌后区有一包块，逐渐增大，于出生后第４天出现呼吸及进食困难就诊。门诊行包块穿刺，抽出１３ｍｌ蛋清样脓液，症状立即缓解改善，穿刺液涂片全部为脓细胞，入院诊断：①鳃裂囊肿伴感染；②淋巴管瘤伴感染；③败血症。查体：发育良好，...