肝癌超声引导下经皮导入微波间质固化疗法临床观察

对 2 5例肝癌患者 32个肿瘤进行超声引导下经皮导入微波肿瘤间质固化治疗 (PMCT) ,针对肿瘤大小、部位采用不同能量时间组合及无水酒精 (PEI)组合。结果 :(1)直径 <5 .0cm的 2 4个肿瘤通过PMCT和PEI不同组合均得到原位灭活 ,随访 4 5d～ 6个月未见原位复发。 (2 ) 8例巨大肿瘤已死亡 4例 ,死于肿瘤及肝硬化并发症。(3)PMCT治疗无严重并发症 ,患者治疗后全身情况好转 ,AFP下降 ,肝功能改善 ,生活质量提高。提示PMCT对直径 <5 .0cm的肿瘤疗效好 ,有原位灭活作用 ;对大肿瘤疗效差 ,仅起减瘤作用及辅佐治疗作用。     

疏肝和胃法治疗功能性消化不良102例

目的观察疏肝和胃法治疗功能性消化不良的疗效。方法将162例功能性消化不良病人随机化分为治疗组102例，以疏肝和胃法组方内服中药治疗；对照组60例，予吗丁啉口服治疗。结果治疗组总有效率95．1％，对照组总有效率68．33％，治疗组明显优于对照组。结论以疏肝和胃法组方治疗功能性消化不良有显著疗效，值得临床推广应用。     

肾上腺组合性嗜铬细胞瘤四例报告及文献复习

Objective To discuss the clinical characteristics and management principles of com-posite pheochromoeytoma of adrenal gland (pheochromocytoma-ganglioneuroma). Methods Four cases of composite tumor of adrenal gland diagnosed pathologically were reviewed. All the cases were male, aged 37 to 62 years;three of them had the history of hypertension, one of them accompanied with paroxysmal palpitation, while one case was asymptomatic. Computerized tomography and ultra-sonography showed single tumor in adrenal, the diameter was about 2.5、3.8、6.3、15cm respectively. Two cases showed positive results in 131Ⅰ-metaiodobenzylguanidine (MIBG) scintigraphy. One case showed positive result in 99Tcm-hydrazinonicotinamide-3trysinoctreotide (HTOC) scintigraphy. Twenty-four hours urinary catecholamine examination revealed the average of norepinephrine, epi-nephrine and dopamine were (196.1±92.2)nmol/24 h, (26.6±8.9)nmol/24 h, (1957.9±913.5) nmol/24 h respectively. Two cases were at a little elevated level and the others with normal. All cases were managed with α-adrenergic receptor blocker preoperatively for 2-4 weeks. Results Tumor re-section was performed in all 4 cases, and 3 cases by retroperitoneal laparoscopy, one by open surgery. All 4 cases were diagnosed as composite pheochromocytoma of adrenal (Pheochromocytoma-gangli-oneuroma) by pathology. All patients had no evidence of recurrence or metastasis during follow-up from 15 to 38 months. Two of three cases with hypertension reverted to normotensive. Conclusions Composite pheochromocytoma of adrenal is rare, difficult to be diagnosed preoperatively. Except mild in eatecholamine secretion, which clinical manifestations are similar to pheochromocytoma. Pheochro-mocytoma-ganglioneuroma is no apparent tendency for aggressive behaviors, the results of surgical management are favorable.     

喜普妙致强迫性动作加重1例

报告1例喜普妙致强迫性动作加重如下:1　病例介绍患者女性,18岁,学生。因反复出现强迫性观念、强迫性行为2年入院。患者无诱因起病,表现为反复疑虑父母把不良的性格基因遗传给了她,经常在作文题目下反复划直线。明知没有意义而欲罢不能。并为此焦虑不安、痛苦万分,意志活动减退     

左室合并右室急性心肌梗死难治性休克2例

左室合并右室心肌梗死并非少见 ,但常被临床忽视并漏诊。合并心源性休克其早期诊断及采取相应的措施对疾病恢复至关重要。现将左室合并右室急性心肌梗死(ＡＭＩ)难治性休克 2例诊治体会报道如下。1　病例简介例 1:男 ,4 4岁 ,因持续性剧烈胸闷痛伴头晕大汗 3小时以“冠心病”收     

戈纳多瑞林诱导排卵

醋酸戈纳多瑞林(Gonadorelin acetate)是一种人工合成的十肽,其氨基酸顺序与人类促性腺激素释放激素(GnRH)完全相同,最近已由美国食品和药物管理局批准用于治疗原发性下丘脑性闭经。盐酸促性腺激素释放因子曾用于诊断,GnRH的类似物已用于子宫内膜异位和晚期前列腺癌的治疗。     

急性右室心肌梗塞25例抢救治疗体会

1996年10月-2006年10月,我们抢救急性右室心肌梗塞25例,现将治疗结果与体会进行回顾性分析,总结报告如下:     

消栓口服液等中成药中黄芪的鉴别方法

消栓口服液等中成药中黄芪的鉴别方法徐韧柳，冯丽，戴敬，韩桂茹（河北省药品检验所，石家庄０５００１１）黄芪是重要的补气药，应用广泛，是许多中成药的主要药味。消栓口服液、玉屏风口服液、玉屏风丸、当归补血丸（分别收载于国家标准和地方标准）黄芪占处方量的６０...     

21例老年人肺癌的肺外表现

２１例老年人肺癌的肺外表现王福海，张俊锡自１９８５年１２月至１９９２年１２月，我们经开胸手术证实为肺癌的老年患者１５７例，其中有肺外表现症状的２１例。现报道如下。一、临床资料本组男１７例，女４例。年龄６１～７２岁，平均６４岁。肺癌经根治性手术治疗１８...