静力型交锁髓内钉改动力型治疗股骨骨折17例

成年人股骨干骨折的治疗 ,主要倾向于应用交锁髓内钉。该方法具有可控制骨干旋转、短缩、成角 ,可早期负重、进行关节功能锻炼及肌肉康复训练等优点。目前 ,应用静力型交锁髓内钉不影响骨折愈合速度和质量。为进一步提高疗效 ,我们于 1997～ 2 0 0 1年 ,将静力型交锁髓内钉固定改为动力型固定治疗股骨骨折 17例 ,愈合情况良好。1　临床资料1 1　一般情况　男 11例 ,女 6例 ;年龄 2 1～ 72岁 ,平均 4 8 5岁。交通事故伤 7例 ,坠落伤 6例 ,打击伤 4例。骨折类型 :横形或短斜形骨折 4例 ,长斜形或螺旋形骨折 7例 ,粉碎性骨折 6例。闭合性骨折12…     

福建省龙岩市碘缺乏病病情监测结果分析

Objective To understand the current situation of iodine deficiency diserders(IDD) in Longyan City and to evaluate the effect of prevention and control measures of IDD in order to provide evidence for formulating prevention and control tactics. Methods During the year of 2006 and 2007, the 30 primary schools were screened by population proportion survey(PPS) from the 7 counties of Longyan City. Forty children aged 8-10 years in each school were randomly selected as a group to examine thyroid, and 7 children in each group were selected to measure the urine iodine and the salt iodine at the same time. The goiter rote, the median urinary iodine, the consumption rate of qualified iodized salt, the iodine salt coverage rate, the rate of qualified iodized salt and the non-iodized rate were detected. Results The goiter rate of children aged 8-10 years old in Longyan City was 0.94%(79/8438). The median urinary iodine was 259.12 μg/L. The consumption rate of qualified iodized salt was 97.86% (1462/1494). The iodine salt coverage rate was 99.46%(1486/1494). The rate of qualified iodized salt was 98.38 (1462/1486), and the non-iodized rate was 0.54% (8/1494). Conclusions All indicators have reached the national standard of eliminating IDD in Longyan City.     

福建省龙岩市碘缺乏病病情监测结果分析

Objective To understand the current situation of iodine deficiency diserders(IDD) in Longyan City and to evaluate the effect of prevention and control measures of IDD in order to provide evidence for formulating prevention and control tactics. Methods During the year of 2006 and 2007, the 30 primary schools were screened by population proportion survey(PPS) from the 7 counties of Longyan City. Forty children aged 8-10 years in each school were randomly selected as a group to examine thyroid, and 7 children in each group were selected to measure the urine iodine and the salt iodine at the same time. The goiter rote, the median urinary iodine, the consumption rate of qualified iodized salt, the iodine salt coverage rate, the rate of qualified iodized salt and the non-iodized rate were detected. Results The goiter rate of children aged 8-10 years old in Longyan City was 0.94%(79/8438). The median urinary iodine was 259.12 μg/L. The consumption rate of qualified iodized salt was 97.86% (1462/1494). The iodine salt coverage rate was 99.46%(1486/1494). The rate of qualified iodized salt was 98.38 (1462/1486), and the non-iodized rate was 0.54% (8/1494). Conclusions All indicators have reached the national standard of eliminating IDD in Longyan City.     

手术治疗中央型腰椎间盘突出症28例临床体会

中央型腰椎间盘突出 ,常易与腰扭伤 ,腰椎退变 ,小关节紊乱综合症等相混淆 ,而与典型的腰椎间盘突出表现为下腰痛伴根性刺激和压迫症状 ,出现下肢感觉、运动功能部分障碍有别。１９９５年５月～２０００年４月 ,我院共收治单纯腰痛性椎间盘突出症２８例 ,现报告如下 :临床资料一、一般资料本组２８例 ,男１９例 ,女９例 ,年龄２５～５２岁 ,平均年龄３７．６岁。病史最短５个月 ,最长达１８年 ,平均４年２月。大部分有腰部抬物扭伤史 ,并反复发作腰痛及腰骶部广泛的钝、胀痛 ,发作时久站或久坐、翻身、咳嗽、打喷嚏、排便时均有疼痛加重 ,而…     

锁骨下带蒂皮瓣修复创伤性手指皮缺损的体会

我院自1986-1996年．选择性采用锁骨下带蒂皮瓣治疗手指外伤48例(52指)。取得较好疗效。现将手术方法及注意事项报道如下。     

乙肝基因疫苗阻断乙肝母婴传播的效果观察

母婴传播是病毒性乙型肝炎的重要传播途径。80年代应用乙肝血源疫苗阻断母婴传播取得了较理想的效果，但要从人血中提取抗原，价格昂贵，且有潜在的安全问题。目前，新一代乙型肝炎表面抗原基因工程疫苗（简称乙肝基因疫苗）已研制成功，其安全性和免疫原性已被证实。1990～1992年在乙型肝炎的高发区广州观察其阻断母婴传播的效果如下：1材料与方法1．1观察对象HBsAg与HBeAg双阳性或HBsAg单阳性的孕妇所生的健康新生儿（足月、顺产、无畸形。无心肺疾患、无发热、无羊水吸人和体重超过2500克）为对象，共观察56例。1．2免疫程序（1）乙…     

纳米银复合生物灭螺剂与氯硝柳胺灭螺效果比较

目的 目的 观察新型纳米银复合生物灭螺剂野外实地灭螺效果, 及其对水生物的毒性影响。方法 方法 选择安徽省池州 市秋浦河下游河滩为研究现场, 挖掘4个1 m3 的水池, 分别设纳米银复合生物灭螺剂300 g/m3 组和600 g/m3 组、 50%氯硝柳 胺乙醇胺盐2 g/m3 组、 天然水对照组, 同时向各水池分别投入100只钉螺、 100尾鲫鱼苗。采用浸杀法, 定期观察同一环境 条件下各组灭螺效果, 以及2种不同药物的鱼毒性影响。结果 结果 纳米银复合生物灭螺剂600 g/m3 组和300 g/m3 组钉螺死亡 率分别在第7 d和第14 d达到100%, 2种剂量的鱼苗死亡率均为6%; 氯硝柳胺组在第3 d的鱼苗死亡率为100%, 第7 d时 钉螺死亡率为100%; 对照组第7 d钉螺死亡率为7%, 第14 d为14%, 鱼苗死亡率为22%。结论 结论 新型纳米银复合生物灭螺 剂具有良好的灭螺效果, 而且对水生动物的生长基本无毒性影响, 有望作为一种新型高效环保型生物灭螺剂推广应用。     

脑室—胸导管分流术(附8例报告)

报告脑室—胸导管分流术治疗各种原因的脑积水8例,除肿瘤4例中2例死亡,影响远期疗效观察外,3/4以上近期疗效比较满意。认为此手术一次成功率较高,无致命的并发症,优于他种分流术。仅限于成人脑积水的治疗,是它的缺陷。     

肿瘤相关抗原CA50监测泌尿男生殖系统恶性肿瘤的临床意义

作者用免疫放射测定法（ＩＲＭＡ）检测了８４例泌尿男生殖系统恶性肿瘤病人，４８例良性疾患病人及３５例正常人的血清ＣＡ５０值。结果发现，恶性肿瘤病人的血清ＣＡ５０值显著高于良性疾患病人及正常人（Ｐ＜０．０５～０．０１）。若以１７ｕ／ｍｌ为诊断界值，其阳性率分别为：肾细胞癌５５％（１１／２０），肾盂及输尿管癌８７％（７／８），膀胱癌６５％（３０／４６），男生殖系恶性肿瘤７０％（７／１０）。其敏感性为６６％（５５／８４），特异性为８８％（４２／４８）。ＣＡ５０水平的测定还能用于对疗效的评价及对肿瘤复发的预测。