自血光量子治疗脑炎后遗症失语32年1例报告

自血光量子治疗脑炎后遗症失语３２年１例报告秦辉，常增义，李庆相，毛喜果患者男性，６６岁，于１９５９年在火车上因饮食不洁而患腹泻，回家后病情加重，大便为脓状，后又出现惊厥、呼吸困难、昏迷。急送入第二军医大附属医院治疗，入院后诊断为“中毒性痢疾合并脑炎”...     

冬季住院病入口温与腋温值的对比观察

临床测体温时,经常遇到患者正在进食或饮开水等不宜测口腔温度的情况,而改测腋下温度.为保持体温单的整洁统一,往往把腋温换算成口温.我们于1998～2000年的冬季对我院住院病人进行了口温与腋温的对比观察.现报告如下.     

528例食管（贲门）癌手术吻合器重建术后吻合口的观察

我们自1986年12月至1994年初应用沪产GF-I型吻合器等系列器械重建食管胃吻合口588例,其中术后528例进行了吻合口及生活质量随诊观察,现报告如下。 临床资料 本组病例,男374例,女154例,年龄34岁～72岁,平均59.3岁。食管胸上段6例,胸中段168例,胸下段74例,贲门癌280例。食管胃吻合方法:颈部吻合8例,弓上吻合240例,弓下吻合280例。吻合口并发症:吻合口瘘4例占0.76％,吻合口狭窄2例占0.38％,吻合口出血占0.19％。随诊方法: 1.食管造影随诊,从术后1个月开始,每3～6个月来复诊时作随诊造影观察,随诊率达89.79％。按复诊时间顺序排队各位患者的食管片,随机抽取其中1份三位片进行评价。经统计学处理吻合口直径在11mm～26mm者占到85％,而且与术后的时间无直接关系。测定吻合口直径最小5mm,最大35mm,平均20mm。     

兔动静脉短路环法诱导组织工程骨支架材料血管生成的初步研究

Objective To compare the effects of 2 vascular carriers, arteriovenous loop and arteri-ovenous bundle, on inducing angiogenesis in coral scaffold of vascularized tissue-engineered bone in animal models.Methods Thirty-six adult male New Zealand rabbits were randomized into 2 even groups.In group A, an arteriovenous loop (AVL) was formed by microsurgical anastomosis at the proximal ends between the femoral poptiteal artery and vein, and placed in the circular side groove of the coral block (6 mm × 8 mm × 10 mm) .In group B, flow-through vessels bundles of both femoral artery and vein were placed in the side grooves of the coral block.All the implants in 2 groups were wrapped by a micro-porous expand-ed-polytetrafluoroethylene (ePTFE) membrane, and fixed subcutaneously by suturing.Evaluation methods included gross morphological observations, histological examinations, India ink perfusion and vascular casting after 2, 4, 6 weeks.The density of blood vessels was analyzed by the statistical software SPSS 10.0.Results All the corals were encased by newly formed fibrovascular tissues in 2 groups.Ink-stained vessels distributed the surfaces and side grooves, and invaded the interspaces of corals.The degree of vascularization increased over the course of experiment.Blood vessel density demonstrated a significant continuous increase between 2 and 6 weeks after implantation in group A.The mean value of blood vessel density in group A (2 weeks 276.60±4.67, 4 weeks 517.20±10.66, 6 weeks 707.00 ±11.87) was significantly higher than in group B (2 weeks 153.60 ±7.16, 4 weeks 269.40±6.80, 6 weeks 279.20±6.53) (P <0.01).Vascular casting showed that in group A, significant blood vessels sprouted from all areas of the loop, espe-cially at the entrance of the arteriovenous pediele where the small tubes were densely interconnected.In group B, however, no blood vessels sprouted from the arteriovenous bundles and only some small vessels grew from the entrance and exit.Conclusions A vascularized coral model can be constructed by inserting an ar-teriovenous loop or an arteriovenous bundle, useful in vascular bone tissue engineering.The former, however, have stronger abilities to induce angiogenesis than the latter.     

黄芪注射液治疗幽门螺杆菌相关性胃炎的临床研究

目的:探讨黄芪注射液对幽门螺杆菌(HP)相关性胃炎的临床疗效。方法:将62例幽门螺杆菌相关性胃炎患者随机分为两组,治疗组和对照组各31例。对照组给予常规治疗(用法莫替丁、阿莫西林胶囊及复方灭滴灵片治疗4周),治疗组在对照组治疗基础上给予黄芪注射液20ml加入10%葡萄糖液250ml中静脉点滴,每日1次,4周为1个疗程,测定两组幽门螺杆菌阴转率,观察两组的临床疗效。结果:治疗组HP阴转率明显高于对照组(P＜0．05),治疗组临床疗效优于对照组(P＜0．05)。结论:黄芪注射液能提高幽门螺杆菌相关性胃炎的治愈率。     

汶川大地震后送伤病员病情特点及救治要点

2008年5月12日发生的汶川里氏8．0级地震造成37万余人受伤，近90％为肢体创伤病员。其中，10％-15％患者伴有颅面、胸腹部等处创伤。我院于2008年5月23日及28日分两批收治47名震区空运伤病员，其中骨科伤病员41例。本文针对我院接收的41例骨科伤病员的入院时病情特点、治疗措施及原则等作一简要总结。     

成功救治大面积头皮撕脱伤伴失血性休克1例报告

病例女,21岁,因被米线机绞住头发撕脱头皮流血2h入院。受伤后大部分头皮被完全撕脱,入院时离体头皮随患者一同送入病房,撕脱头皮污秽,坏死。入院查体:T37.7℃;P125次/min;R23次/min;BP85/50mmHg。神志淡漠,烦躁不安。头部以绷带加压包扎,敷料及衣裤被鲜血浸透,头部敷料仍可见鲜     

腱鞘巨细胞瘤（附11例报告）

腱鞘巨细胞瘤（附１１例报告）太原市中心医院（０３０００９）杨笑非任龙韬乔丽芳腱鞘巨细胞瘤是发生在腱鞘和滑膜的良性肿瘤，大部分发生在手足，也可发生在其它关节或非关节部位。现将我院１９８４年到１９９４年收治并经病理证实的１１例结合国内文献进行讨论。１临床...     

激光多普勒技术测定组织血流及其在高温治癌研究中的意义

应用激光多普勒血流仪测量比较津白Ⅱ号小鼠三个部位皮肤的血流,观察HDZ对血流的影响,评价了HDZ的体内热增敏作用。结果发现,同一小鼠不同部位的血流是不同的,同一部位的连续6天结果无何区别。但同部位小鼠间的血流差别可达1倍以上。提示了预测放、化、热疗的疗效时,监测个体血流的前后变化有重要意义。2.5mg/kg以上的HDZ可以明显降低血流75％左右。HDZ与高温联合应用时对肿瘤显示了热增敏效应。