中西医结合治疗眩晕的护理体会

眩是眼花，晕是头晕，两者常同时并发，统称为“眩晕”。轻者闭目即止，重者如坐车船，旋转不定，不能站立，伴有恶心、呕吐、汗出，甚至昏倒等症状。一年来我们配合临床，对眩晕病人根据不同证型进行辩证施护，收到了较满意的效果，现总结如下。l临床资料本组28例，男11例，女17例。年龄只大者64岁，最小者24岁。其中，突然发病者12例，逐渐发病者16例。结果，治愈13例，显效8例，好转7例，总有效率为100％。2临床症状及体征头痛呕吐，急躁易怒，高血压，眩晕耳鸣伴肢体麻木者18例；眩晕动则加剧，面色苍白，心悸失眠，神疲懒言10例。3辩证…     

术中输糖问题的探讨

术中输糖问题的探讨庞杰１李树人１马春生２罗春苏２围手术期输糖的多少是麻醉术中输液管理的问题之一。本文在临床选用几组不同的输糖组，观察寻找较为合理的输液方法，指导临床。资料与方法选择３８例ＡＳＡⅠ～Ⅱ级择期全子宫切除术的患者，年龄３０～５５岁。选用２点...     

线性程序升温加速试验数据处理新方法

 本文介绍了一种用优选法和辛普森数值积分法处理线性程序升温加速实脸数据，适合电子计算机采用的新算法。作者用数控线性程序升温仪实现线性升温；用漫反射光谱法测定固体药物表面反 射率，研究了维生素C片的稳定性。结果表明，新算法克服了常规算法的缺点，使实验结果更为精确可靠。     

法莫替丁与H1受体拮抗剂联合治疗慢性荨麻疹124例疗效观察

124例单用H1受体拮抗剂治疗疗效差的慢性荨麻疹患，联合应用法莫替丁治疗4周，结果显示临床痊愈率和显效分别为85．4％和10．5％，表明法莫替丁与H1受体拮抗剂联合用于这类H1受体拮抗剂不能奏效的慢性荨麻疹患是一种有效的治疗方法。     

Differentiation of human epidermal stem cells into fibroblasts induced by TGF-β1 in vitro

Objective To investigate the correlation between human epidermal stem cell (hESCs) and hypertrophic scar or keloid. Methods Improved collagen Ⅳ-coated adhesion methods was used to isolate and culture the epidermal stem cells after neutral protease selectively digested the dermo-epidermal junctions. After the cells were cultured and expanded in vitro, and passage 3 hESCs were induced by different concentrations of TGF-β1 (0.1, 5.0, and 10.0 ng/ml). Morphological fea-tures and identification of these cells were meseasured by HE, Masson, immunohistochemical staining on the days 3 and 7, respectively. Results After induced by TGF-β1 for 3 and 7 days, the morpholo-gy of the epidermal stem cell (hESCs) was changed into fusiform shape, similar to fibroblasts. 70 % ofthe cell which was induced by TGF-β1 were blue stained in the cytoplasm by Masson stain, which is the distinctive method for collagen, suggesting collagen appeared or increased in the cells. The collagen concentrations in supernatants of hESCs were 0.4150±0.0014, 0.3380±0. 0020, and 0.3870±0.0020, much higher than that in control group (0.0780±0.0025) and normal skin fibro-blast group (0.15004±0.0051) (P<0.05). Immunohistochemical staining revealed that positive rates of these cells for anti-vimentin staining were more than (95.00±1.20)% in experiments and (5.70±0.20)% in control group. Conclusion The differentiantion of hESCs induced by TGF-β1 into fibro-blasts indicates that hESCs may play a role in the pathogenesis of hypetrophic scar and keloid.     

食管癌穿孔的外科治疗(附3例报道)

本所自 2 0 0 1年 6月至 2 0 0 2年 2月共收治 3例食管癌穿孔病人 ,分析报道如下。1　临床资料例 1,男 ,5 6岁 ,农民 ,因“食管胸中段癌”于 2月前行全程放疗 ,近期出现时有发热、咳嗽 ,仍感进食不畅而就诊。查体 :Ｔ 37 5℃ ,Ｐ 80次 /ｍｉｎ ,Ｒ 2 0次 /ｍｉｎ ,ＢＰ13 5 / 9 5ｋＰａ ,一般情况可 ,体质消瘦 ,全身浅表淋巴结无肿大 ,心肺无发现异常 ,肝脾未触及。实验室检查 :肝功能正常 ;Ｘ线发现食管胸中段癌放疗后 ,局部有较深的龛影 ,纵隔及双肺未发现转移灶 ;腹部Ｂ超 :肝胆脾胰未见异常。以“食管癌放疗未控 ,食管癌穿孔”收住外科…     

心肌G蛋白实验检测方法和临床意义

Ｇ蛋白在心脏β－受体信号传导通路起着重要的联接作用，各种信号通过受本传给Ｇ蛋白，再由Ｇ蛋白传给腺苷环化酶，最后产生生理效应，有很多方法可用来检测心脏Ｇ蛋白，常用的直接功能测定，免疫转印，核糖核酸测定和Ｇ－蛋白再构等。在心脏，Ｇ蛋白主要 心肌细胞膜内，心脏Ｇ蛋白分为刺激性Ｇ蛋白与抑制性Ｇ蛋白。这两种Ｇ蛋白的平衡是维持心脏正常收缩功能的基础，当刺激性Ｇ蛋白与抑制性Ｇ蛋白平衡失调时，将导致心脏收缩功能的     

以高钙性肾病为突出表现的原发性甲状旁腺功能亢进1例

以高钙性肾病为突出表现的原发性甲状旁腺功能亢进１例大连医科大学附属第二医院肾内科（１１６０２３）尹永红麻军患者男，４２岁。以多饮、多尿２年，恶心、呕吐３个月为主诉入院。２年前出现烦渴、多饮，每日饮水量７５００～１００００ｍｌ，多尿、夜尿增多。未介意。...