CHRONIC ANGLE－CLOSURE GLAUCOMA MANAGEMENT BY RECONSTRUCTION OF THE ANTERIOR CHAMBER ANGLE

Aim: to estimate the efficacy of anterior chamber angle reconstruction with lens extraction and IOL implantation in chronic angle-closure glaucoma The results of treatment in 60 eyes of 52 patients (12 males and 40 females) are analyzed. Mean age of the patients was 63.7±3.7 years. Mean IOP before operation was 38 mm Hg (Mentor pneumatonograph Model 30), mean visual acuity 0.32. All the patients used hypotensive eyedrops, 18     

CYSTOID MACULAR EDEMA ASSOCIATED WITH LATANOPROST

Purpose: To report clinically, anotomically and angiographically documented cystoid macular edema (CME) associated with the use of latanoprost in 2 uncomplicated pseudophakic eyes. Methods: Retrospective rewiev of 2 patients who had history of latanoprost use and uncomplicated cataract surgery, described     

胆胰十二指肠结合部穿孔的处理

目的 研究医源性胆胰十二指肠结合部穿孔（PBPD）的常见原因，并提出早期处理的正确方法。方法 本总结了9例医源性PBPD的发病过程，早期诊断及处理经验，并分析了本病死亡率极高的原因。结果 6例为胆总管探查所致，3全例为内镜乳头括约肌发开术（EST）引起；4例死亡，1例严重致残；8例经过手术治疗，1例经过微创治疗；EST所致胆胰十二指肠结合部穿孔患多有皮下气肿，而胆总管探查所致穿孔早期无特征性表现。结论 医源性PBPD的最常见的原因是胆总管探查术中胆道探子造成的穿孔及EST中造成的电灼穿孔，其死亡率极高，应注意早期诊断及正确的早期处理。“三造口一引流”（胆囊造瘘，胃造瘘，空肠造瘘，胰全引流）经临床验证不失为一种有效的早期处理方法。     

The influence of modified electrocomulsive therapy on serum interleukin—6 in schizophrenic patients

AIM：To explore the influence of modified electroconvulsive therapy on serum interleukin-6 in schizophrenic patients.METHOD:Testing change of serum IL-6 in 60 cases treated with MECT and 60 control cases treated with clozapine therapy by ELISA method. RESULTS:Serum IL-6 level before treatment of both groups was positive related to SAPS; serum IL-6 level wasn′t related to BPRS total score, factor score and SANS total fractions. IL-6 level of clozapine therapy group decrease apparently after treatment, and IL-6 level was apparently positive related to anxious depressed factor of BPRS; but there was no apparent difference in IL-6 level of MECT group between before and after treatment.CONCLUSION:To schizophrenic patients, clozapine can take effects of immune inhibit through inhibiting serum IL-6; MECT may have different mechanism.