改良显微小梁切除术治疗葡萄膜炎继发性青光眼

Objective To investigate the effect of trabeculectomy combined with segmental iridectomy, mitomycin C (MMC) and viscoelastic agents usage on the treatment of glaucoma secondary in uveitis. Methods According to the age, degree of inflammation and the condition of Tenon capsule of patients, differ-ent concentration of MMC (0.25-0.33 mg/ml) was used during the operation, with separation of the anterior and posterior synechia, resection of pupillary organization membrane using viscoelastic agents. Segmental iridec-tomy and releasable sutures were also performed on the patients. The visual acuity of preoperation and postoper-ation, intraocular pressure, inflammation and the complication were record. Results Forty-two eyes of 38 cases with glaucoma secondary in uveitis were studied, the mean follow-up time was (12.01±3.56) months. The postoperative visual acuity improved in 14 eyes, didn't change in 28 eyes. The postoperative inflammation of anterior chamber disappeared in 35 eyes, relieved in 7 eyes. And the average postoperative intraocular pres-sure (15.20± 4.64) mmHg was significantly lower than the preoperative intraocular pressure (38.37±12.93) mmHg (t = 8.255, P = 0.000). The total success rate was 92.9%. There were no severe complication. Conclusion Trabeculeetomy combined with MMC, viscoelastic agents usage, separation of anterior and poste-rior syneehia, segmental iridectomy and releasable suture could increase the success rate of operation on pa tients with glaucoma secondary in uveitis, decrease the complication and inflammation reaction of operation, and the recurrence of uveitis.     

血清脂肪酶检测在肾功能衰竭中的临床意义

目的探讨血清脂肪酶（LPS）与急、慢性肾功能衰竭之间的联系。方法以速率比浊法测定11例急性肾功能衰竭（ARF）、24例慢性肾功能衰竭（CRF）、17例肾病、22例肾炎、31例肾结石患者及30名健康体检者血清LPS水平并作比较。结果ARF、CRF组血清LPS水平明显高于正常对照组、肾结石组、肾炎组及肾病组（P〈0．05,P〈0．01）,CRF组血清LPS水平高于ARF组（P〈0．05）,而其他4组间LPS水平差异均无统计学意义（P〉0．05）。结论LPS是一种反映ARF、CRF较好的血清酶学指标。关键词：脂肪酶;肾功能衰竭     

2005—2014年天津市河东区职业病危害因素检测结果分析

对天津市河东区2005—2014年的生产企业工作场所职业病危害因素检测结果进行统计分析。177家企业累计检测点数2972个,总合格点数2473个,平均合格率为83.2%。物理因素的平均合格率最低为59.6%,粉尘和化学因素的平均合格率均在80%以上。建议加大对生产企业物理因素和粉尘危害的监管力度。     

胱氨酸蛋白酶抑制剂C评价肾脏滤过功能的价值探讨

目的 探讨血清胱氨酸蛋白酶抑制剂C(Cytatin C)在评价肾脏滤过功能方面的价值.方法 用颗粒增强散射免疫比浊法检测55例肾脏内科病人Cytatin C的浓度,同时测定其血清尿素氮、肌酐浓度及其内生肌酐清除率,作相类分析比较.结果 Cytatin C、尿素氮、肌酐与内生肌酐清除率之间呈高度相关.结论 Cytatin C能够替代操作复杂的内生肌酐清除率来判断肾小球的滤过功能.     

肝纤维化与运动

<正>水痘和带状疱疹实为一种病毒(水痘-带状疱疹病毒)引起的两种疾病。出过水痘可获得终生免疫不再得水痘，但以后却可能会得带状疱疹。水痘和带状疱疹虽然是同根生，但它们仍有不同之处，即易感人群和临床表现不同。水痘：好发于儿童，一般为自限性水痘是好发于儿童的一种急性、高传染性的呼吸道传染病。病毒通过呼吸道黏膜进入体内，在肝脏和脾中进行复制，11～13天后就会播散到全身的皮肤；     

肝纤维化与运动

人们通常认为肝病需要静养,运动会增加肝脏的负担,有可能加重病情。的确,如果检查肝功能不正常或病情变化时,宜卧床休息。但对于一般情况比较稳定的肝纤维化患者,是可以适当运动的,而且适当运动有助于延缓肝纤维化的发展,甚至逆转肝纤维化的进程。现代医学认为运动是良医。运动可以增强心肺耐力,增强肌肉力量,增强骨骼健康;运动可以获得更好的认知功能,预防老年痴呆。适合运动的肝纤维化患者在选择运动处方时,专家有以下建议。