加味葛花解醒汤对实验性肝损伤的防护作用

加味葛花解醒汤按２０ｍｌ／ｋｇ体重（相当于生药量４０ｇ／ｋｇ）灌胃给药１４天，能明显降低四氯化碳和乙醇所致的小鼠ＳＧＰＴ升高，抑制肝细胞脂质过氧化物丙二醛（ＭＤＡ）的生成，提高四氧化碳所致的肝糖元降低，减轻肝脏病理改变。提示该药对肝损伤有防护作用。     

三级医院住院病人反应性调查与影响因素分析

目的通过对宁波市三级医院住院病人的反应性典型调查及其影响因素分析,为医院和卫生行政部门决策提供科学依据。方法设计住院病人反应性调查问卷,分别对宁波市级4家三级医院共400名住院病人进行问卷调查。结果宁波市三级医院住院病人反应性水平指数原始值为7.915,总体评价为7.840,人群反应性分布指数为0.735,分布不均衡。结论宁波市三级医院住院病人反应性各方面评价处于"好"和"一般"之间,总体水平较好,但还有较大的空间可以改善。     

常用中药饮片掺假及鉴别

近几年来,中药市场十分混乱,劣药、假药层出不穷,严重影响了中药的临床疗效和声誉。现仅对几种常用中药掺假的识别方法作一介绍,供同道参考。延胡索:本品为罂粟科植物延胡索的干燥块茎,经加工而成的中药材,具有活血理气、止痛的功效。本品加工后为黄棕色碎块。近来有将煎煮过的     

急性下壁心肌梗死心电图与梗死相关动脉的关系

目的 探讨急性下壁心肌梗死(AIMI)的心电图对判断心肌梗死相关动脉及位置的作用.方法 对75例AIMI患者的冠脉造影(CAG)及18导联心电图进行回顾性分析.结果 右冠状动脉(RCA)病变者53例,其中50例(94.3%)ST段抬高Ⅲ/Ⅱ>1;47例(88.7%)STV,压低/ST Ⅲ抬高≤1.2.而回旋支(LCX)病变者22例,其中18例(81.8%)ST段抬高Ⅲ/Ⅱ≤1;16例(72.7%)STV3压低/ST Ⅲ抬高>1.2.RCA近中段病变者34例中,29例(85.3%)STV3压低/ST Ⅲ抬高<0.5;RCA远段病变者17例中,13例(76.5%)0.5导联ST下移与Ⅲ导联ST抬高数值的比值对判断下壁心梗的相关血管和闭塞部位有一定的价值.     

胃食管反流病的外科治疗

GERD的治疗原则是缓解症状 ,预防和治疗重要并发症 ,预防 GERD复发。多数患者应用胃肠动力药物、抑酸剂和粘膜保护剂后症状缓解 ,尤其是质子泵抑制剂对酸的抑制最强 ,治疗效果满意 ,但也有相当一部分病例需要外科治疗。现简述GERD的外科治疗。1　手术适应症1需长期用药维持 ,且用药后症状仍然严重者 ;2内科治疗停药后很快出现症状且反复发作者 ;3出现严重并发症 ,如出血、穿孔、狭窄等 ,经药物或内镜治疗无效者 ;4Barrett食管可疑癌变者 ;5严重的胃食管反流而不愿终生服药者 ;6仅对大剂量质子泵抑制剂起效的年轻患者。2　术式抗反流手…     

活动时胸闷、晕厥4次

病历摘要患者男 ,3 5岁 ,因活动时胸闷 1年余 ,反复晕厥 4次于 2 0 0 1年 7月 2 5日入院。入院前 1年患者搬动重物时突然感到胸闷、气短 ,心前区不适 ,轻微出汗、头晕 ,不自主倒地 ,未出现意识障碍 ,休息 5分钟后自觉好转 ,2天后症状完全消失。半年前搬重物时再次晕厥倒地 ,约 3分钟后自行苏醒 ,在当地医院行心电图检查 ,窦性心律 , 、 、 a VF导联 ST段压低 ,T波浅倒 ;空腹血糖 5 .1m mol/ L,诊断为“血管抑制性晕厥”,未予特殊治疗。之后活动时偶觉胸闷 ,休息后可缓解。1个月前快速行走时突然晕厥倒地 ,2分钟后苏醒。2天前做家务时又…     

大黄对慢性肝炎抗肝纤维化的临床研究

大黄不仅具有利胆退黄、抗炎抑菌、抗病毒、调节免疫等多种作用,近年来实验研究还发现,大黄中的大黄素、大黄酸等成分具有抗肝纤维化的作用[1,2 ] 。有关大黄抗肝纤维化作用的临床研究报道较少,为此我们观察了37例应用大黄治疗慢性肝炎患者,从肝组织学、转化生长因子β1(TGF β1)及血清透明质酸(HA)、层粘连蛋白(LN)、IV型胶原(IVC)、Ⅲ型前胶原(PCⅢ)等方面来探讨大黄抗肝纤维化的作用。材料与方法一、病例选择73例均为我院2 0 0 1年1月～2 0 0 3年6月门诊及住院的慢性肝炎患者,男6 7例,女6例,年龄2 1～4 5岁,平均年龄35 .3岁;慢性乙…     

对早期上段食道癌造影检查方法的选择探讨

目的：对早期上段食道癌造影检查方法的选择进行探讨。方法：对病理证实的40例早期上段食道癌,使用两种不同的气钡双重对比剂食道造影方法进行观察。结果：使用气钡双重对比剂动态造影法摄像后再慢动作回放观察的方法发现早期上段食道癌的阳性率最高。结论：基层医院非常适合使用气钡双重对比剂动态造影法诊断早期上段食道癌。     

慢性心力衰竭患者血红蛋白水平变化及临床意义

目的研究慢性心力衰竭(Chronic Heart Failure CHF)患者血红蛋白(Hb)水平变化及临床意义。方法对178例CHF患者测Hb水平及左心室射血分数(LVEF),并根据不同程度的心衰进行对比分析。结果CHF患者随着心功能的恶化,Hb水平逐渐降低(P<0.05),贫血发生率逐渐升高(P<0.05),非贫血组住院时间较贫血组明显缩短(P<0.05),且老年组Hb水平低于中年组。结论CHF患者Hb水平降低,与CHF的严重程度相关。     

Statistical analysis on 2213 inpatients with traffic injuries from January 2003 to September 2005 in Ningbo city

Objective: To analyze the epidemiological conditions and characteristics of inpatients with traffic trauma in order to provide objective data for basic research and clinical application of traffic trauma. Methods: The data of 2213 inpatients with traffic trauma admitted to Lihuili Hospital, Ningbo Medical Centre, Ningbo, China, from January 2003 to September 2005 were studied retrospectively. According to the transportation ways, the patients were divided into four groups; pedestrians, bicyclists, motorcyclists, and automobilists. And the data of injured regions, combined injuries and causes of death were analyzed statistically. Results: Among the 2213 patients, there were 550 pedestrians (23. 5%), 521 bicyclists (24.9%), 738 motorcyclists (33.3%), and 404 automobilists (18.3%). Male patients were more than female ones, with the ratio of male to female of 2.8:1. Single region injury was found in 1663 patients (75.15%) and multiple injuries in 550 patients (24.85%). In total, 2849 regions were injured. Fracture of extremities (53.3%) occurred most often, craniocerebral trauma (19.4%) next, then followed in turn by thoraco-abdominal visceral injury (6.56%), spine fracture (5.37%), fracture of ribs (4.88%), and pelvic fracture (4.18 %). The percentage of multiple injuries (33.2%) was highest and the percentage of thoraco-abdominal injury (18.0%) was higher in motorcyclists. The percentages of craniocerebral trauma in pedestrians and bicyclists were 27.8% and 28.2%, respectively. The incidence of fracture of extremities in motorcyclists reached 73.8%, but with the lowest case-fatality ratio of 1.4%. The incidence of traffic accidents caused by motorcyclists themselves (32.8%) was highest. A total of 56 patients died, with the case-fatality ratio of 2.53%. Among the deaths, 47 died from craniocerebral injury, 6 from multiple fractures combined with hemorrhagic shock, 2 from combined injury in the thoraco-abdominal region, and 1 from cervical cord injury. Conclusions: Nowadays, the patients with traffic trauma are mainly pedestrians, bicyclists and motorcyclists, and they suffer generally from fracture of extremities and craniocerebral injury. The main cause of death is craniocerebral injury. Another characteristic of traffic trauma is that the ratio of multiple injuries is higher.