关爱生命，科学防癌，让生活更美好

近年来，我国癌症的发病率逐年攀升，根据权威机构的数据显示：在我国部分城市和农村，恶性肿瘤已经由原本的第三位死亡原因，一跃升至第一位，首次成为导致居民死亡的“第一杀手”。超过了分列二、三位的脑血管病和心脏病。恶性肿瘤中，仅肺癌、肝癌、肠癌就占恶性肿瘤死亡的52.01%。     

从1例Wegener肉芽肿的诊治经过谈临床诊断思维

临床医学生经过4年的理论学习后进入临床。此时他们发现尽管花了大量时间，书本知识背了不少，但对临床具体病例的处理仍感到束手无策。特别是在对某些疑难疾病进行诊断和鉴别诊断时更是如此。我们拟从1例wegener肉芽肿的诊治经过对临床诊断时，年轻医生或医学生应该特别注意的几个问题进行了初步的探讨。     

常压及控制性降压下脊髓急性牵拉损伤比较研究

目的 评价控制性降压是否增加脊髓对牵拉损伤的易感性。材料与方法健康成年杂种犬6只，随机分为常压和控制性降压脊髓牵拉损伤组。观察常压及控制性降压水平下相同程度牵拉损伤后脊髓血流(SCBF)、体感诱发电位(SEP)、神经源性运动诱发电位(NMEP)改变的差异。结果 外周血有创动脉压(MABP)平均下降幅度为40．5％。经SSPS统计软件独立样本t检验，不同牵拉水平下，常压组及低压组的SCBF(％)、SEP波幅(Asep)(％)及NMEP波幅(％)无显著差异。结论 尼卡地平控制性降压不增加脊髓对牵拉损伤的易感性。     

Surgical strategy of one stage surgery of anterior release combined with posterior correction in treatment of severe scoliosis

Objective: Severe scoliosis refers to scoliosis with serious and stiff curve. It always combins with trunk imbalance in coronal and sagittal contour. Besides complex pathological changes, cardiopulmonary deficits and other concomitant diseases increase treatmental difficulties. So the treatment of severe scoliosis is always a great challenge to spine surgeon. Methods :Thirty-six patients with severe scoliosis received one stage posterior correction followed by anterior release during July 1997 to January 2003, including 9 males and 27 females. Mean age was 17.2 years. Of them, 33 was idiopathic scoliosis and 3 was neurofibromatosis scoliosis( Cobb angle: 85-116 degree); 20 cases were abnormal in sagital plane. Three-dimensional devised instrumentation were applied such as CD, CD-Horizon, TSRH or Isola in posterior procedure followed by anterior release during the same anesthesia. 31 cases of this group received thorac icplasty. Results: The correction in the frontal plane achieved an average of 48.5%. In the sagittal plane, the pathological shape of the spine was reduced and distinctly ameliorated. 80. 6% of the patients maintained or achieved balance of sagittal plane. There were no complications of severe neurological deficit, hook displacement, rod broken, and deep infection at follow-up. One case occurred traumatic pleurisy after operation and another appeared pseudarthrosis 2 years later. One case demonstrated imbalance 11 months after operation. One patient was presented loss of correction more than 10 degree at one year follow-up and 5.2 degree in average. Conclusion:The study indicates that the one stage posterior correction combined with anterior release in treatment of severe scoliosis can achieve satisfactory correction. Appropriate choice of cases, preoperational detailed assessment and application of SEP and wake-up test during operation can possibly reduce severe complication. The long-term outcomes still need further observation.     

当今女性时髦病

生活中需要美,而爱美是女子的天性。梳妆得体,穿着入时,确实婀娜多姿、楚楚动人。但是,不少女青年一味追求穿戴打扮讲“时髦”,却忽略了自身的健康,引来了不该发生的“时髦病”。轻则影响健康,重者造成畸形,严重者还会危及生命。这里仅列举几种: 指甲油与中毒 指甲油是以硝化纤维为基料,配以丙酮、醋酸乙酯、苯二甲酸丁酯之类的化学溶剂、增塑剂及红色染料制成,这些化学物质是脂溶性的,对人体有一定的毒性。涂指甲油后,如果用手拿食物吃,尤其是拿油条、油炸糕之类的油炸食品,有毒物质     

腰骶关节CT检查摆位方法的改进

腰骶关节ＣＴ检查摆位方法的改进西安医科大学第二附属医院ＣＴ室万佩明，李迎春，李明谦，牛风枝腰骶关节在正常生理弯曲中，向前下方突出角度较大，而ＣＴ扫描该关节时，射线必须与关节面平行，方能较准确的切割出椎体和椎间盘的标准横断面图像，从而作出正确的诊断。按...     

浅谈围术期麻醉护理

随着麻醉学科领域不断发展，三级医院已经有专门麻醉护士队伍。但在基层医院，麻醉护理大多仍是有手术室护士承担，笔者就手术室工作多年的经验总结围术期麻醉护理体会：（1）麻醉前护理：做好患者术前心理护理；保持手术室内温度和湿度具有重要临床意义。按拟定麻醉方法，手术前日准备好常用物品，仪器，抢救药品。（2）麻醉护理：手术前日仔细核对患者姓名、性别、年龄、手术部位及手术名称，麻醉方法。要求患者清除面部，口唇、指甲化妆，有利于术中对患者肤色观察。婴幼儿、昏迷、休克、意识不清、烦躁不安者给以必要的护栏以防坠床等。重大、危重症休克患者手术，应作深静脉穿刺置管；经常观察穿刺针的局部情况，有无肿胀、滑针、导管脱节、扭曲、堵管、液体流空等。根据手术、失血量、病情、血压、心率等调整输入量和输入种类，注意输血常见过敏反应。（3）手术结束等待患者麻醉苏醒，生命体征稳定后护送回病房，危急重患者随同麻醉医生将患者送回ICU，向有关人员床边交接班。     

经腹腔镜纤维蛋白封闭术治疗老年性十二指肠溃疡病急性穿孔

我院自开展腹腔镜手术以来 ,共进行经腹腔镜纤维蛋白封闭术治疗老年性十二指肠溃疡病急性穿孔 10例 ,均取得满意的效果 ,现报告如下。临床资料1.一般资料 :本组 10例中 ,男 9例 ,女 1例。年龄 6 2～ 78岁。溃疡病史 3～ 11年 ,平均 4 .6年。其中有 2例否认有溃疡病史 ,均未经过正规内科治疗 ,穿孔至手术时间为 2～ 2 0h ,平均 3.5h。其中空腹穿孔有 3例 ,饱食穿孔 7例。合并有冠心病有 4例 ,慢性支气管炎 3例。　　 2 .手术方法 :手术均在气管插管全麻下进行 ,平卧位 ,头高脚低及左侧倾斜 10°～ 15°。于脐下缘以Verres针穿刺造气腹 ,压力…