AngleⅡ类错矫治的临床研究

目的 :观察联合运用功能矫治器和方丝弓矫治器治疗安氏 类错牙合患者的临床效果。方法 :以近 5年来收治的 30例安氏 类错牙合临床患者 ,平均治疗时间 1 8个月 ,治疗前后均拍摄头影测量片 ,将测量结果进行分析比较 ,评价治疗效果。结果 :儿童的上颌磨牙远中移动 ,下颌磨牙近中移动明显 ,儿童颌骨前后垂直关系显著增加。结论 :联合功能矫治器及方丝弓矫治器治疗的安氏 类错牙合有满意的疗效 ,可以相互促进改善患者的软硬组织关系     

细孔钻颅穿刺术对肿瘤的临床应用(附9例报告)

应用细孔钻颅穿刺术诊断和治疗颅内肿瘤9例,7例有颅内压增高症状和神经功能缺失。9例中囊性肿瘤6例,囊液最少者15ml,最多者115ml,平均50ml,穿刺放液后症状均改善,为手术赢得了时间;3例实质性肿瘤,穿刺活检有助于星形细胞瘤的确诊。     

高原地区部队医院谋求新发展应处理好七个关系

从高原部队医院实际出发,阐述了适应新形势谋求新发展应处理好的七个关系:即继承与创新的关系;坚持“姓军为兵的服务方向与对外有偿服务的关系;基础建设与人才建设的关系;日常医疗保障与科研的关系;发挥自身特色与学习借鉴的关系;硬件建设与软件建设的关系;科技研究与成果转化的关系。     

近端胆管癌的外科治疗

目的 探讨近端胆管癌的外科治疗及疗效。方法 57例近端胆管癌患者中21例行外科手术治疗,36例行非手术外引流治疗。结果21例手术治疗患者中17例存活14月以上,36例行鼻胆管引流或内置管引流术患者均在8月内死亡。结论 外科手术治疗近端胆管癌疗效明显优于鼻胆管引流术（ENBD）或内置管引流术（EHBD）胆管内外引流。     

诸暨麻疹疫苗免疫持久性研究基地一次麻疹流行情况的调查

1985年2~6月间,研究基地五个乡发生显性麻疹122例,为基地建立以来前11年病例总数的9.4倍,87.7%的病例集中在小学和幼儿园。
显性感染仅见于麻疹HI抗体<1:2者。不同原因导致麻疹HI抗体<1:2者,在暴露于自然麻疹后,原发免疫失败全表现为显性感染,继发免疫失败主要表现为隐性感染或不感染。
本次麻疹流行,再次证实当人群麻疹HI抗体阳性率在85%左右、阳性GMT为10.8左右的免疫水平时,虽有传染源输入,除个别易感者特别集中的单位可酿成较高罹患率外。不致造成大的流行。此外还观察到研究观察对象在充分暴露于自然麻疹后可获高达75%的隐性感染率,认为这对巩固和提高人群免疫水平具有积极意义,因而实行一次有效的麻疹疫苗接种在目前是可行的。     

Postoperative Cognitive Dysfunction in Middle-aged Patients

Background: Postoperative cognitive dysfunction (POCD) after noncardiac surgery is strongly associated with increasing age in elderly patients; middle-aged patients (aged 40-60 yr) may be expected to have a lower incidence, although subjective complaints are frequent.

Methods: The authors compared the changes in neuropsychological test results at 1 week and 3 months in patients aged 40-60 yr, using a battery of neuropsychological tests, with those of age-matched control subjects using Z-score analysis. They assessed risk factors and associations of POCD with measures of subjective cognitive function, depression, and activities of daily living.

Results: At 7 days, cognitive dysfunction as defined was present in 19.2% (confidence interval [CI], 15.7-23.1) of the patients and in 4.0% (CI, 1.6-8.0) of control subjects (P < 0.001). After 3 months, the incidence was 6.2% (CI, 4.1-8.9) in patients and 4.1% (CI, 1.7-8.4) in control subjects (not significant). POCD at 7 days was associated with supplementary epidural analgesia and reported avoidance of alcohol consumption. At 3 months, 29% of patients had subjective symptoms of POCD, and this finding was associated with depression. Early POCD was associated with reports of lower activity scores at 3 months.     

Comparison of bronchial responsiveness to histamine in asthma, allergic rhinitis and allergic sensitization at the age of 7 years

BACKGROUND: Bronchial responsiveness (BR) to histamine or methacholin is a common finding in adult non-asthmatic patients with allergic rhinitis. OBJECTIVE: We tested whether BR is also present in children with a comparatively short history of allergic rhinitis in a paediatric cohort. METHODS: We performed pulmonary function tests and histamine challenges in a total of 654 children (age 7 years, participants of the German Multicenter Allergy Study) and compared PC20 FEV1 values in children with asthma, allergic rhinitis, asymptomatic allergic sensitization and non-atopic controls. RESULTS: Most pronounced BR to histamine was observed in allergic asthmatics (n = 28), irrespective of the presence or absence of allergic rhinitis. Furthermore, PC(20)FEV(1) values in non-asthmatic children with allergic rhinitis (n = 24) were not significantly different from those seen in asymptomatic atopic (n = 54) or non-atopic controls (n = 92). CONCLUSIONS: In contrast to adult study populations, 7-year-old non-asthmatic children with allergic rhinitis do not show a higher degree of BR than asymptomatic atopic or non-atopic controls. Therefore, secondary preventive measures in non-asthmatic children with allergic rhinitis (such as regular local anti-inflammatory therapy or specific immunotherapy) should be studied and applied more intensely to prevent bronchial hyper-responsiveness (BHR) and asthma in this high-risk group.     

支撑喉镜手术治疗声带息肉小结

目的:观察支撑喉镜下手术治疗声带息肉/小结的疗效.方法:对100例声带息肉/小结的患者在全麻下行支撑喉镜手术.结果:100例中,术后3d发音恢复正常31例,术后6d发音恢复正常34例,好转35例,随访3mo无复发.结论:支撑喉镜下手术治疗声带息肉/小结疗效好、创伤小、精确度较高,但同时要注意并发症的预防和处理.