中年腰疼并非都是疲劳所致

30岁以上的人，经常会出现腰疼，往往被人们忽视，觉得过几天就会好了。其实腰疼是某些疾病的先兆，如果疼痛时间过久，要到医院检查及时治疗。以下病症都有可能引发腰疼。[编者按]     

蒙西医结合治疗跟痛症68例

我院自2003年5月～2008年11月蒙西医结合治疗跟痛症68例，疗效显著，现报告如下：     

呼吸道绿脓杆菌感染及其治疗

绿脓杆菌所致呼吸系统感染有肺炎和呼吸道感染两种。在医院内发生的肺炎约10％由绿脓杆菌所致，死亡率为60-80晒。     

胶原性疾病引起的消化系统病变

胶原性疾病(简称胶原病)多可产生消化系统病变的症状,但也可由治疗药物所引起,其鉴别比较困难。本文就各种胶原性疾病引起的消化系统病变、发病机制及与药物的关系作一探讨。胶原病引起的消化系统病变慢性风湿性关节炎(RA) 在本病中发生率最高的是消化性溃疡。不少报道认为其发病与非类固醇抗炎剂和类固醇等治疗药物有关。女性居多,以胃底部较难治愈的单发性或多发性溃疡为特征,H-受体阻滞剂治疗无效。内镜检查发现用非类固醇后发生溃疡的有28.6％,     

铜陵市部分医院细菌耐药性监测与分析

Objective To investigate the bacterial resistance of clinical isolates collected in Tongling area.Methods The clinical isolates were collected in Tongling area from Jananuary to December in 2007.Antimicrobial susceptibility test were conducted by Kirby-Bauer method.Results Of 1375 clinical isolates,399 strains(29.0%)were gram positive bacteria,and 976 strains(71.0%)were gram negative bacteria.Methicillin resistant staphylococcus aureus(MRSA)accounted for 18.4% of staphylococcus aureus,while methicillin resistant coagulase negative staphylococci(MRCNS)were 70.0% of coagulase negative staphylococci(CNS)respectively.MRSA and MRCNS were highly resistant to gentamicin,ciprofloxacin,clindamycin and erythromycin;but displayed lower resistance to rifampicin,chloramphenicol and nitrofurantion.No vancomycin-resistant staphylococcus strain was found.The resistance rates of Enterococcus faecalis were relatively low to penicillin,ampicillin,nitro furantion,fosfomycin and chloramphenicol.No vancomycin or teicoplanin-resistant enterococcus faecalis was isolated.The resistance rates of E.faecium were lower to fosfomycin and chloramphenicol.Two strains of vancomycin-resistant E.faecium were identified.About of 49.3% of E.coli and 35.9% of Klebsiella isolates produced extended-spectrum β-lactamases(ESBLs).The resistance rates of ESBLs-producing strains to 20 antimicrobial agents were much higher than those of ESBLs nonproducing ones.No imipenem or meropenem-resistant isolate was found.The resistance rate of non-fermenters was lower to imipenem,meropenem,cefoperazone-sulbactam,piperacillin-tazobactam,ceftazidime,cefepime,amikacin or ciprofloxacin.Conclusion The resistance rate of gram positive bacteria is lower to glycopeptides.The resistance rate of gram negative bacilli is lower to imipenem,meropenem,cefoperazone-sulbactam,and piperacillin-tazobactam.Surveillance of bacterial resistance is of great importance for rational use of antibiotics and reducing the emergence of resistance.     

二维及彩色多普勒超声诊断膀胱良恶性肿瘤特征分析

目的：探讨二维(2D)及彩色多普勒超声(CDFI)诊断膀胱良恶性肿瘤特征分析。方法：通过回顾性分析81例膀胱内占位病变声像图、彩色血流及多普勒超声特点，膀胱内占位病变均经膀胱镜活检并得到病理诊断。结果：膀胱内良恶性的占位其2D、CDFI检查存在明显差异，其内动脉阻力指数(RI)具有显著性差异。结论：膀胱内占位的血流显示等级和RI值可作为诊断良恶性的重要依据。     

铜陵市部分医院细菌耐药性监测与分析

Objective To investigate the bacterial resistance of clinical isolates collected in Tongling area.Methods The clinical isolates were collected in Tongling area from Jananuary to December in 2007.Antimicrobial susceptibility test were conducted by Kirby-Bauer method.Results Of 1375 clinical isolates,399 strains(29.0%)were gram positive bacteria,and 976 strains(71.0%)were gram negative bacteria.Methicillin resistant staphylococcus aureus(MRSA)accounted for 18.4% of staphylococcus aureus,while methicillin resistant coagulase negative staphylococci(MRCNS)were 70.0% of coagulase negative staphylococci(CNS)respectively.MRSA and MRCNS were highly resistant to gentamicin,ciprofloxacin,clindamycin and erythromycin;but displayed lower resistance to rifampicin,chloramphenicol and nitrofurantion.No vancomycin-resistant staphylococcus strain was found.The resistance rates of Enterococcus faecalis were relatively low to penicillin,ampicillin,nitro furantion,fosfomycin and chloramphenicol.No vancomycin or teicoplanin-resistant enterococcus faecalis was isolated.The resistance rates of E.faecium were lower to fosfomycin and chloramphenicol.Two strains of vancomycin-resistant E.faecium were identified.About of 49.3% of E.coli and 35.9% of Klebsiella isolates produced extended-spectrum β-lactamases(ESBLs).The resistance rates of ESBLs-producing strains to 20 antimicrobial agents were much higher than those of ESBLs nonproducing ones.No imipenem or meropenem-resistant isolate was found.The resistance rate of non-fermenters was lower to imipenem,meropenem,cefoperazone-sulbactam,piperacillin-tazobactam,ceftazidime,cefepime,amikacin or ciprofloxacin.Conclusion The resistance rate of gram positive bacteria is lower to glycopeptides.The resistance rate of gram negative bacilli is lower to imipenem,meropenem,cefoperazone-sulbactam,and piperacillin-tazobactam.Surveillance of bacterial resistance is of great importance for rational use of antibiotics and reducing the emergence of resistance.     

药物结构与交叉过敏反应(附3例分析)

例一:患者,男,36岁,1990年9月5日因左肘部划伤到门诊就医,为防止感染口服SMZ片,每日二次,每次1克。在服药的第三日,患者双足双手及口腔粘膜有散在暗红色药斑,奇痒,随即到门诊就医,确诊为固定性药疹。立即停用SMZ,并用抗过敏药治疗,一周后药疹逐渐消退,痊愈。1991年2月28日     

组织多普勒技术对糖尿病妊娠胎儿心功能的评价

目的 通过组织多普勒技术测量胎儿二、三尖瓣环的运动速度来评价胎儿的心肌收缩与舒张功能，以此评估妊娠糖尿病胎儿心脏功能的损害程度。方法 妊娠糖尿病22例，正常对照组30例，使用组织多普勒测量胎儿心脏二尖瓣及三尖瓣环处的运动速度，并使用M型超声测量左右心的射血分数EF。结果 两组胎儿心肌舒张功能随孕周增长而增加，收缩功能与孕周无关。妊娠糖尿病胎儿心肌的舒张及收缩功能均比正常妊娠降低，射血分数高于正常。结论 组织多普勒技术是一项评价病理妊娠状态下胎心功能的新技术。     

脑血管瘤误诊一例报告

男性患者,23岁。自述于1979年5月在井台打水低头时眼前冒亮光,继之发花,出现暗点,约20分钟后头跳痛,以右侧为重。以后每隔数月发作1次,无一定规律,每次持续2～3小时,可自行缓解。遇感冒及劳累可诱发。1980年9月3日第一次住本院,