谈谈直肠癌的治疗

结、直肠癌是发达国家的第二位常见肿瘤。在英国每年有3万新增临床诊断病例，其中将近45％的病例发生在直肠和乙状结肠。近几年直肠癌在外科手术和辅助治疗上有了长足的进展，从而给直肠癌患者的治疗带来了很大变化。     

STUDY OF MORPHOLOGICAL CHANGES OF HEART IN VIRAL MYOCARDITIS CAUSED BY REPETITIVE INFECTION OF CVB3m

Objective To investigate the morphological changes of heart in viral myocarditis caused by repetitive infection of CVB3m. Methods 4-week-old mice were infected four times intraperitoneally with a timedependent dose and killed at the 10th, 30th and 60th day after the final infection respectively, then we examined the heart changes and collagen hyperplasia by HE, VG stain and 1HC. Results Heart damage appeared very serious at the tenth day, even there were small necrotic foci at the day of 30th, but we could not see any injury of heart 2 months later after final infection. Collagen turned up at the tenth day and there was much more collagen in heart and increased PCVA, CVF index at the sixtieth day. The 1HC of collagen demonstrated the collagen I hyperplasia was much obvious compared to collagen Ⅲ. Conclusion It strongly indicated that repetitive infection of CVB3m could lead to heart fibrosis and ventricular remodeling, which resulted in decreased systolic and diastolic function of heart.     

肝脏炎性假瘤的B超及彩色多普勒血流图像的诊断

分析经手术及病理证实的7例肝脏灸性假瘤的临床、B超及彩色多普勒血流图像特征。结果显示多数病例具有低回声、边界较清楚、内部回声不均匀、肿块多数小于5cm等特征。3例作彩色多普勒血流图像显示,其中2例病灶内部为静脉型血流图像,1例有少量动脉型血流频谱,但ARI<46％。临床及CT无特殊表现。     

胸腰椎骨折脱位的外科治疗

我院自1982～1990年共收治胸腰椎骨折脱位122例,根据骨折类型及脊髓神经损伤情况分别采用不同的治疗措施,获得较好的效果。一、临床资料1.一般资料:本组男92例,女20例。年龄14～68岁,其中21～40岁88例(64%)。农民90例,工人28例,干部1例,学生3例。砸伤58例,坠落伤33例,埋压伤15例,     

应用聚合物链反应检测丙肝病毒RNA与ELISA结果比较

本文应用聚合酶链反应(PCR)技术及酶联免疫吸附实验(ELISA)检测120例门诊和住院病人血清中HCV-RNA及抗-HCV抗体。结果HCV-RNA和抗-HCV均阴性84.17％(101/120);HCV-RNA和抗-HCV均阳性7.5％(9/120);HCV-RNA(+)和抗-HCV(-)7.5％(9/120);HCV-RNA(-)和抗-HCV(+)0.83％(1/120)。经统计学处理(P<0.05)两者有显著差异。说明PCR阳性率明显比ELISA法高。在诊断HCV感染时有较高价值,为了避免漏诊,建议有条件的实验室必要时应使用PCR技术检查HCV-RNA。     

ISCHEMIC PAPILLOPATHY AND CONTRACEPTIVES

In January and again in April 1985, a 30-year old woman received 150 mg injections of Depo-Provera for contraception. 3 days after the 2nd injection, she experienced blurred vision in both eyes and was diagnosed as having bilateral papilledema. Her vision improved after treatment with vitamin B1 and other drugs. But optic atrophy of the right eye and papilledema of the left eye remained. In July 1985, after an injection with Depo-Provera, her vision again worsened. The woman received no more Depo-Provera after this time. In early 1987, she was referred to Beijing's Tong Ren Hospital, where she was diagnosed as having bilateral ischemic papillopathy and optic atrophy. There have been few documented cases in medical literature of ocular complications related to use of contraceptives. In 1981, Petursson et al. reported a case of macula edema resulting from oral contraceptives. In animal studies, oral contraceptives have been linked to papilledema and retinal vein obstruction. The case reported here is the 1st to link use of Depo- Provera with ocular complications.     

儿科护理纠纷原因分析及防范措施

随着社会的进步，人们维权意识逐渐加强，护理纠纷的发生呈上升趋势，儿科病房因其服务对象的特殊性，护理纠纷更易发生。现将原因分析及防范措施报告如下。