A SURVEY OF ELECTIVE SURGICAL PATIENTS‘ATTITUDES TOWARE ANESTHESIA IN PUMC HOSPITAL

Objective:To assess patients‘knowlege,attitudes,and concerns regarding anesthetic management.Method:A survery of 55 items was developed and administered preoperatively to 500 patients including 190 men and 310 women in our hospital.Patients were interviewed on their knowledge of the role of anesthesiologists,their preferences regarding anesthetic management,and also their concern about potential anesthetic complications.Results:Patients‘ perceptions of anesthesiologists‘ training and role have reached a certain level.Most singificant preoperative concenrns regarding the anesthesiologists focused on eperience,qualifications,and presence or absence during the anesthesia.Patients‘ concerns also included the possibility of not bening waken up following anesthesia,experiencing postoperative pain,and becoming paralyzed.The variations of concerns depended partially on patients‘ sex.type of anesthesia,and proposed surgical procedure,partially on their education and living environments.Conclusion.It is suggested that anesthesiologists address significant patient concerns during the preoperative visit to enhance their effectiveness in patient care.Effects to educate the public on the anesthesilogists‘ role in preoperative care would improve patients‘ confidence.     

驱除病毒的新型滤器

药物和输血所用血浆的病毒污染是一严重问题。单在英国就有300多人(其中许多人是血友病患者)在接受输血或从HIV污染的血中分离出的凝血化合物第8因子以后患了艾滋病,300人中已有200多人死亡。过去几个月中研制出许多种过滤器。据报     

烧伤后血与血钙浓度变化与补钙疗效分析

目的：寻找烧伤后血钙降低的规律与最佳补钙时机。方法：取烧伤后20天内的未补钙组与补钙一组和补钙二组各30例，进行组问对照。观察各组血钙及其它离子的变化。结果：三组血钙浓度均低于正常值(2．25mmol／L～2．75mmol／L)，但以未补钙组烧伤后血钙降低明显，第三天达最低值，持续时间与烧伤严重程度成正比，一般在伤后三周趋向恢复：补钙一组(连续5天补钙)血钙变化最小，补钙二组(隔日补钙10天)次之。结论：烧伤早期补钙可维持血钙浓度，早期连续补钙5天较隔日补钙10天效果为佳。     

创伤性胆道出血的诊断与治疗

目的：通过对我院处理典型病历的分析，探讨创伤性胆道出血的机制及诊断和治疗方法。方法：本文中介绍了我院经不同方法处理成功的3例创伤性胆道出血，针对这3例患者的病情，分别采用了保守治疗，选择性肝动脉松塞及手术治疗方法。结果：1例患者经止血、抗感染治疗痊愈；1例出现活动性出血时经选择性肝动脉栓塞治愈。另1例经手术治愈，上述病例经随访病情无反复。结论：通过对上述3例病例的分析，我们认为对于出血周期较长，每次出血量较少，一般情况较好的患者可以试行内科治疗。而对其它患者，若有条件应首选择性肝动脉栓塞，其次为手术治疗。     

血清前白蛋白对重症肝硬化的诊断价值

用琼脂糖免疫火箭电泳法测定20例重症肝硬化患者血清前白蛋白(PA)含量,其值均低于正常,在重症肝硬化中的阳性率为100%,优于 ALb、GG,ALT,说明 PA 对重症肝硬化的诊断和预后判断具有一定价值。     

环磷酰胺、三尖杉酯碱对生殖毒性的实验研究

我们试用三尖杉酯硷(H)治疗20例难治性肾病综合症,结果全部患儿尿蛋白和红细胞转阴。对激素依赖者全部撤离。为比较(H)与环磷酰胺(CTX)对性腺的毒副作用,我们用小鼠进行了动物实验。结果显示H组精子数是3.3×10~6/ml,CTX组是1.4×10~8/ml。精子畸变率H组是7.6％,CTX组是18.7％。证明H较CTX对性腺毒副作用要小的多,是治疗难治性肾病的有希望的免疫抑制药。     

克山病防治与研究的进展

克山病防治与研究的进展荀慧娴，乔希勤（内蒙古呼伦贝尔盟地方病防治研究所）克山病亦称地方性心肌病，是首先在我国发现的一种原因不明的心肌病［１］，ＷＨＯ／ＩＳＦＣ１９８０年巴黎会议将其列属在不能分类的心肌病范畴［２］。追溯克山病在我国虽有近百年的历史［３...