小儿支气管肺炎合并心衰临床及疗效分析

目的探讨小儿支气管肺炎合并心衰临床表现的特点及洋地黄用药后的疗效分析。方法肺炎主要并发症的临床诊断参考依据对近9年怒江州福贡县人民医院收治的1967例小儿支气管肺炎并发心力衰竭的患儿的临床资料进行回顾性的粗浅分析。结果小儿肺炎并发心力衰竭占同期小儿肺炎14.6%,在使用抗感染和综合治疗的基础上,应用洋地黄和速尿等药物,小儿支气管肺炎和心力衰竭都迅速控制并纠正。结论小儿支气管肺炎由细菌或病毒引起,易并发心力衰竭,病情变化快,应对不同症状做出不同的治疗,早治疗早好。     

Clinical analysis of stage Ⅰ and Ⅱ cervical carcinoma in elderly women

Objective To explore the characteristics, related risk factors and prognosis of cervical carcinoma in elderly women. Methods 163 cases with stage Ⅰ-Ⅱ cervical carcinoma according to International Federation of Gynecology and Obstetrics (FIGO) criteria underwent radical hysterectomy and pelvic lymph dissection from January 1997 to December 2006. They were divided into aged group, adult group and young group. The clinical pathological data, prognosis and recurrence were retrospectively analyzed. Results The prevalence rate of stage Ⅱ cervical carcinoma was 78.7% (37/47) in aged group, 61.7 % (58/94) in adult group and 59.1% (13/22) in young group. The prevalence difference was statically significant. The prevalence rate of non-squamous cell carcinoma was 8. 5 % (4/47) in aged group, which was higher than that in adult group [5.3%(5/94)]and lower than that in young group [18. 2% (4/22)] (P<0.05). In aged group, pathological grading were 78.7% (37/47) of middle differentiation and 4. 3% (2/47) of low differentiation(P<0. 01). The rate of lymph node metastasis was 8. 51% (4/47)in aged women, 27.7 % (26/94) in adult women and 40.90% (9/22) in young women (P<0. 01). The recurrence rate was similar among the three groups. The death rate was 85.7% in overall recurrent cases, (12/14)in aged group, 73.1% (19/26)in adult group and 50.0% (4/8)in young group, and there was no significant difference (P=0. 193). Conclusions Cervical carcinoma in elderly women has a later clinical stage, higher prevalence of non-squamous cell carcinoma, more middle differentiation tumour tissues and fewer lymphatic metastasis, which can provide evidence for clinical diagnosis and treatment.     

Clinical analysis of stage Ⅰ and Ⅱ cervical carcinoma in elderly women

Objective To explore the characteristics, related risk factors and prognosis of cervical carcinoma in elderly women. Methods 163 cases with stage Ⅰ-Ⅱ cervical carcinoma according to International Federation of Gynecology and Obstetrics (FIGO) criteria underwent radical hysterectomy and pelvic lymph dissection from January 1997 to December 2006. They were divided into aged group, adult group and young group. The clinical pathological data, prognosis and recurrence were retrospectively analyzed. Results The prevalence rate of stage Ⅱ cervical carcinoma was 78.7% (37/47) in aged group, 61.7 % (58/94) in adult group and 59.1% (13/22) in young group. The prevalence difference was statically significant. The prevalence rate of non-squamous cell carcinoma was 8. 5 % (4/47) in aged group, which was higher than that in adult group [5.3%(5/94)]and lower than that in young group [18. 2% (4/22)] (P<0.05). In aged group, pathological grading were 78.7% (37/47) of middle differentiation and 4. 3% (2/47) of low differentiation(P<0. 01). The rate of lymph node metastasis was 8. 51% (4/47)in aged women, 27.7 % (26/94) in adult women and 40.90% (9/22) in young women (P<0. 01). The recurrence rate was similar among the three groups. The death rate was 85.7% in overall recurrent cases, (12/14)in aged group, 73.1% (19/26)in adult group and 50.0% (4/8)in young group, and there was no significant difference (P=0. 193). Conclusions Cervical carcinoma in elderly women has a later clinical stage, higher prevalence of non-squamous cell carcinoma, more middle differentiation tumour tissues and fewer lymphatic metastasis, which can provide evidence for clinical diagnosis and treatment.     

RECK与肺癌的研究进展

RECK是近年来发现的新型基质金属蛋白酶抑制剂,研究表明RECK可在转录后水平抑制多种基质金属蛋白酶的表达,从而抑制肿瘤的侵袭与转移.RECK、基质金属蛋白酶/金属蛋白酶组织抑制剂与肺癌的关系研究可为临床治疗提供参考.     

自配复方漱口液防治放射性口腔黏膜反应效果观察

目的观察自配漱口液防治头颈部恶性肿瘤患者放疗所致口腔黏膜反应的效果。方法将150例患者随机分为观察组(52例,用自配漱口液含漱)、对照1组(48例,用朵贝尔氏液含漱)和对照2组(50例,用口腔黏膜保护剂含漱)。放疗期间分别于饭前、饭后、睡前含漱,4～6次/d,每次20ml,保留5～8min。比较三组患者口腔黏膜发生率、反应程度,受损口腔黏膜修复情况等。结果化疗结束后1周,三组患者1～4级口腔黏膜反应发生率差异有统计学意义(P0.05);观察组口腔黏膜反应发生率显著低于对照1组(P0.0167);在放疗第3周、第5周末,观察组口腔黏膜反应程度较对照1组和对照2组均轻(均P0.0167),治疗结束后1周较对照1组痊愈速度加快(P0.0167)。结论自配漱口液可显著减轻头颈部恶性肿瘤放疗患者口腔黏膜反应程度,促进口腔溃疡愈合。     

从文献发表率及引用率看我院科技水平

科技论文的多少，质量的高低是衡量一个单位学术水平的重要参考工具。而质量高低又可从两方面评价：一是按照传统的划分，看其是否登载于一类期刊上，二是看其文章的被引量。在我国目前的科技论文评价上，第二点往往被忽略。而通过评价科技论文的影响来评价其水平，具有良好的客观性，合理性与科学性。本文通过对本院１９９２～１９９６年文章的发表量及１９９４～１９９６年文章的被引量，对各科（所）学术水平及科研带头人进行了较客观的总结。一、材料与方法本文从中国科技信息研究所信息中心（以下简称“中心”）研制的“中国科技论文统…     

肝胆管细胞癌的CT诊断

目的提高肝胆管细胞癌的CT诊断准确率。方法收集病理证实的34例肝胆管细胞癌的CT平扫及增强资料。结果34例肝胆管细胞癌平扫呈大片不均匀低密度灶，19例其内可见圆形或树枝状更低密度影；18例可见高密度钙化影；21例邻近肝内胆管扩张；11例肿瘤同侧肝萎缩。34例增强肝胆管细胞癌均扫描表现为延迟持续强化。结论肝胆管细胞癌具有特征性CT表现。     

妊娠高血压综合征合并急性左心衰竭19例分析

目的 对妊娠高血压综合征合并急性左心衰竭的诱发因素和临床治疗进行分析.方法 对2003年1月-2011年12月,在医院确诊为妊娠高血压综合征合并急性左心衰竭的19例孕产妇进行回顾分析.结果 19例患者均积极治疗心力衰竭诱发因素,积极降压,同时进行利尿、扩血管、强心等治疗.其中15例患者积极治疗下,在心力衰竭得到控制6 h～10 h后行剖宫产术;其余4例在控制心力衰竭的同时,行剖宫产术.最终,19例患者均好转出院,21名新生儿存活.结论 能够诱发妊娠期高血压综合征合并急性左心衰的因素,主要有多胎妊娠、低蛋白血症、贫血和感染等.治疗上以尽早去除诱发因素,积极控制高血压及纠正心力衰竭,适时终止妊娠为关键.     

新时期小型医院图书馆发展探讨

医院图书馆是为医疗、科研提供信息服务保障的最基础部门，是医务人员继续教育的阵地。在网络环境下，如何使医院图书馆在临床医疗与医学研究中发挥重要作用，是图书馆员的迫切任务。     

Clinical analysis of stage Ⅰ and Ⅱ cervical carcinoma in elderly women

Objective To explore the characteristics, related risk factors and prognosis of cervical carcinoma in elderly women. Methods 163 cases with stage Ⅰ-Ⅱ cervical carcinoma according to International Federation of Gynecology and Obstetrics (FIGO) criteria underwent radical hysterectomy and pelvic lymph dissection from January 1997 to December 2006. They were divided into aged group, adult group and young group. The clinical pathological data, prognosis and recurrence were retrospectively analyzed. Results The prevalence rate of stage Ⅱ cervical carcinoma was 78.7% (37/47) in aged group, 61.7 % (58/94) in adult group and 59.1% (13/22) in young group. The prevalence difference was statically significant. The prevalence rate of non-squamous cell carcinoma was 8. 5 % (4/47) in aged group, which was higher than that in adult group [5.3%(5/94)]and lower than that in young group [18. 2% (4/22)] (P<0.05). In aged group, pathological grading were 78.7% (37/47) of middle differentiation and 4. 3% (2/47) of low differentiation(P<0. 01). The rate of lymph node metastasis was 8. 51% (4/47)in aged women, 27.7 % (26/94) in adult women and 40.90% (9/22) in young women (P<0. 01). The recurrence rate was similar among the three groups. The death rate was 85.7% in overall recurrent cases, (12/14)in aged group, 73.1% (19/26)in adult group and 50.0% (4/8)in young group, and there was no significant difference (P=0. 193). Conclusions Cervical carcinoma in elderly women has a later clinical stage, higher prevalence of non-squamous cell carcinoma, more middle differentiation tumour tissues and fewer lymphatic metastasis, which can provide evidence for clinical diagnosis and treatment.