海军医院、疗养院建设和整顿的初步经验

海军医院、疗养院在各级党委、首长的领导下,在上级业务部门的指导下,认真贯彻总后勤部(83)第47号和总参谋部、总政治部、总后勤部(1984)第2号文件精神,积极开展了全面整顿和建设,并取得显著成绩。经三总部检查评定,在海军31所医院、疗养     

溃疡型胃癌误诊为胃溃疡5例分析

恶性肿瘤首诊正确与否,对病人的治疗与预后的影响已被大家强调重视。本文收集5例溃疡型胃癌首诊误诊为溃疡病,仅行胃大部切除术,失去根治机会,术后均因癌瘤扩散近期死亡。     

内耳CT形态学测量方法的探讨

Objective The aim of this study was to find an accurate and feasible measurement technique for the inner ear structures using computed tomograpby and to check the inter-observer agreement. Methods Sixty patients without abnormal structure of temporal bones confirmed by means of high-resolution computed tomograpby were included in this study. The multi-planar reformations (MPR) were performed to show the maximum profile of cochlear, and to measure the height and width of cochlear. Areas of bony island encircled by three semicircular canals were measured on the MPR images that could show the whole canal. The data measured by two readers independently was compared to check the inter-observer agreement. Results The application of MPR yielded satisfactory anatomic presentation of inner ear for radiologic measurements. There was good inter-observer agreement revealed by the paired t-test and correlation analysis (P > 0. 05, r > 0. 9). The height of cochlear(x±s) was (4. 26± 0. 28) mm while the width of cochlear was (7.03 ±0. 39)ram. The areas of bony islands encircled by the anterior, posterior and lateral semicircular canals were (25.49 ± 3. 84)mm<'2>, (20. 07 ± 2. 93)mm<'2 >and (11.50 ± 1.94) mm<'2>, respectively. Conclusions MPR can display structures of cochlear and semicircular canals on planes along their central axis. Normative measurements on these MPR images derive excellent repeatability and provide reliable morphologic parameters of inner ear structures.     

第Ⅶ对颅神经（面神经）解剖及影像学表现

第Ⅶ对颅神经(面神经)解剖及影像学表现较为复杂，通过文献复习，对面神经的解剖、变异和畸形，影像学检查方法及常见病变进行综述。     

内耳CT形态学测量方法的探讨

Objective The aim of this study was to find an accurate and feasible measurement technique for the inner ear structures using computed tomograpby and to check the inter-observer agreement. Methods Sixty patients without abnormal structure of temporal bones confirmed by means of high-resolution computed tomograpby were included in this study. The multi-planar reformations (MPR) were performed to show the maximum profile of cochlear, and to measure the height and width of cochlear. Areas of bony island encircled by three semicircular canals were measured on the MPR images that could show the whole canal. The data measured by two readers independently was compared to check the inter-observer agreement. Results The application of MPR yielded satisfactory anatomic presentation of inner ear for radiologic measurements. There was good inter-observer agreement revealed by the paired t-test and correlation analysis (P > 0. 05, r > 0. 9). The height of cochlear(x±s) was (4. 26± 0. 28) mm while the width of cochlear was (7.03 ±0. 39)ram. The areas of bony islands encircled by the anterior, posterior and lateral semicircular canals were (25.49 ± 3. 84)mm<'2>, (20. 07 ± 2. 93)mm<'2 >and (11.50 ± 1.94) mm<'2>, respectively. Conclusions MPR can display structures of cochlear and semicircular canals on planes along their central axis. Normative measurements on these MPR images derive excellent repeatability and provide reliable morphologic parameters of inner ear structures.     

内耳CT形态学测量方法的探讨

Objective The aim of this study was to find an accurate and feasible measurement technique for the inner ear structures using computed tomograpby and to check the inter-observer agreement. Methods Sixty patients without abnormal structure of temporal bones confirmed by means of high-resolution computed tomograpby were included in this study. The multi-planar reformations (MPR) were performed to show the maximum profile of cochlear, and to measure the height and width of cochlear. Areas of bony island encircled by three semicircular canals were measured on the MPR images that could show the whole canal. The data measured by two readers independently was compared to check the inter-observer agreement. Results The application of MPR yielded satisfactory anatomic presentation of inner ear for radiologic measurements. There was good inter-observer agreement revealed by the paired t-test and correlation analysis (P > 0. 05, r > 0. 9). The height of cochlear(x±s) was (4. 26± 0. 28) mm while the width of cochlear was (7.03 ±0. 39)ram. The areas of bony islands encircled by the anterior, posterior and lateral semicircular canals were (25.49 ± 3. 84)mm<'2>, (20. 07 ± 2. 93)mm<'2 >and (11.50 ± 1.94) mm<'2>, respectively. Conclusions MPR can display structures of cochlear and semicircular canals on planes along their central axis. Normative measurements on these MPR images derive excellent repeatability and provide reliable morphologic parameters of inner ear structures.     

吞镊5例

1 临床资料 本组5例患者均为男性青年,年龄2l～24岁。吞镊距手术时间5～30天(7天内手术4例,30天手术1例)。吞镊后自觉上腹不适,隐痛,饭后饱胀感,食欲减退。一例吞镊30天,上腹疼痛较重,右上腹明显压痛,轻度肌紧张,低热。大小便正常。X线摄片提示4例在胃内,1例在十二指肠内。     

老年人术后急性胃粘膜糜烂大出血3例报告

1 病例报告例1:男,62岁.因十二指肠球部溃疡行胃大部切除毕Ⅱ式结肠后吻合术.术后胃肠减压通畅,每日引出量约300ml.于术后第3天因肠鸣音恢复,肛门排气,停胃肠减压并进食,进食后无恶心、呕吐及腹胀.在术后第7天时,自感残胃有烧灼感,后出现大呕血,量约1300ml,     

2000例黄种人足型调查

２０００例黄种人足型调查王湘水，赵光明，张景瑜，李瑞伟正常足型可以分为３型：趾最突出者为Ｉ型，第２趾最突出者为ＩＩ型，第１、２趾平齐者为ＩＩＩ型。现将我们对２０００例黄种人足型调查结果报告如下。方法以医学院学生和门诊病人为调查对象。年龄１８～６０岁，...