一组三联性精神病报告

报告一组兄妹３人间发生的感应性精神病,供参考。例１,男,３１岁,汉族,农民。为原发者,性格内向,不善交际,为人忠厚老实。１９９５年３月其父病故后常感头昏、心慌、乏力,经多方求治无效,患者便认为是被人“放鬼”,遂请当地巫医诊治,巫医告知是被其父鬼魂缠身,需驱鬼。此后即坚信自己身上有父亲缠身吸血,血吸干了就将死去,终日焦虑,寝食难安。１９９６年４月１０日突然兴奋躁动,追逐家眷,声称要吸家人的血,还说他被巫医“使着鬼”,把蛇放到肚子里。感全身钻痛。于１９９６年４月１６日送住我院。诊断精神分裂症偏执型,…     

思茅市精神残疾鉴定74例的临床分析

对象与方法　以我院 1995年至 1999年间鉴定的 74例患者为研究对象 ,收集鉴定资料进行回顾性分析。 74例中男 4 9例 (66 2 2 % ) ,女 2 5例(33 78% ) ;2 0～ 2 9岁 13例 ,30～ 39岁 15例 ,4 0～ 4 9岁 34例 ,≥ 5 0岁 12例 ;文化程度大专以上 3例 ,高中、中专 11例 ,初中以下 60例 ;干部 4例 ,工人 66例 ,无业 4例。疾病诊断为精神分裂症 5 3例 ,脑器质性精神障碍 13例 (其中脑外伤后精神障碍 7例 ,癫痫 5例 ,脑炎后精神障碍 1例 ) ,其它 8例 (精神发育迟滞 5例 ,酒精致精神障碍 3例 )。病程皆超过一年。精神疾病诊断使用ＣＣＭＤ—Ⅱ—Ｒ ,…     

塑胶成型保持器95例临床效果观察

在口腔正畸主动治疗达到预定矫治目标后，用保持器保持一年或更长时问以使牙功能和形态在较理想状态。近年，国内一些正畸医生尝试使用塑胶成型保持器。我们从１９９８年起用此种保持器其９５例，现就临床效果作初步报道。１．临床资料本组病例共９５例，其中男３３例，女６２例。年龄为１１～３２岁。为安氏Ⅰ类和安氏Ⅱ类畸形患者，正畸治疗结束后用固定弓丝保持３个月，待牙弓形态和咬关系较稳定后改用塑胶成型保持器。２．１保持器材料和制作方法２．１材料：成型机：（１）成型片７＃（０．５ｍｍ）；（２）８＃（０．７６ｍｍ）；９＃…     

单侧原发性视网膜色素变性一例

患者女,61岁.自幼自觉右眼视力下降,尤以夜晚明显,视物范围缩小.后上述症状逐渐加重,于2000年在当地医院诊断为"右眼原发性视网膜色素变性(RP)",并定期检查.近年自觉右眼视力下降速度加快,于2006年4月来我院眼科就诊.否认家族遗传病及类似病史,否认眼外伤、葡萄膜炎、高血压及梅毒病史.     

放射性粒子125Ⅰ联合高强度聚焦超声治疗肝癌的临床疗效

目的 探讨应用放射性粒子125Ⅰ联合高强度聚焦超声治疗肝癌的临床疗效及可行性.方法 四川大学华西医院自2006年6月～2007年4月采用放射性粒子125Ⅰ联合高强度聚焦超声治疗肝癌10例,其中5例为原发性肝癌患者,5例为肝癌术后复发患者.在治疗计划指导下,利用放射性粒子125Ⅰ联合高强度聚焦超声进行治疗.结果 10例患者手术均顺利完成.所有患者术后未发生出血、感染等严重并发症,部分患者肝功能出现损害,经常规保肝治疗后恢复.术后经腹部摄片证实放射性粒子的位置无变化,于术后1、3、6月作CT复查肿瘤体积变化,提示肿瘤不同程度缩小.术后1月存活8例,术后3月存活7例,术后6月存活5例,术后1年存活2例.随访3～18个月,其中最短存活1个月,最长存活22个月,有2例患者现仍然存活.其余患者死于术后全身广泛转移.结论 放射性125l粒子和高强度聚焦超声联合应用具有安全、微创及并发症发生率低的特点,是综合治疗肝癌的有效手段之一.     

高负压置换法治疗鼻窦炎640例疗效分析

目的：总结高负压置换法治疗鼻窦炎的经验。方法：对６４０例患者采用高负压置换法治疗鼻窦炎并与低负压置换法进行对照，通过临床与Ｘ线判定其疗效。结果：高负压总有效率９６．４％，低负压组总有效率５７．９％，证明高负压置疗法优于低负压法，且疗效显著，缩短了疗程，无明显副作用，结论：高压置换疗法治疗鼻窦炎疗效肯定，简便易行。     

再发脑卒中与胰岛素抵抗关联的研究

近三年来(1996年～1999年),我院收治了28例再发脑卒中患者,分别对其血糖、胰岛素水平进行了观察,结果发现,该类患者较同年龄组人群有较高的高血糖,高胰岛素抵抗的表现。现介绍如下: 资料与方法 一、临床资料:本研究对象为我院3年来收治的28例再发脑卒中患者,诊断均符合第二届全国脑血管病会议之修定标准,并经CT证实,其中男18例,女10例,年龄52岁～78岁,平均年龄67.2     

不同门奇断流术式对门静脉高压症犬食管下段血管再生的影响

Objective To explore the effect on blood vessel regeneration of distal esophagus in ca-nines of portal hypertension with liver cirrhosis after different procedures with paraesophagastrie devascular-ization. Methods Portal hypertension models were produced in canines by subcutaneous injection of 60% CC14 combined with food restriction. Forty eight model canines were randomly divided into 4 groups: group A, traditional paraesophagastrie devascularization;group B, selective paraesophagastric devascularization;group C, paraesophagastric devascularization plus distal esophageal transaction and reanastomosis with sta-pler;group D,control group. Every group had 12 canines which were randomly divided into A1 ,B1 ,C1 ,D1, A2,B2,C2 and D2 groups after the operation. Canines in groups A1 ,B1 ,C1 and D1 were executed at first month after the operation,and those in groups A2, B2, C2 and D2 were executed at the 6th month after the operation. The distal esophagus was segmented when the canines were executed. The upside and downside of the stoma in group C were distinguished and signed as Ca and Cb. Immunohistochemieal methods were used to detect VEGF,CD34 and FVⅧ-Rag,blood vessel-related factors,in lower esophagus. Results The expres-sion levels of VEGF and CD34 MVD,FⅧ-Rag MVD in groups A1 ,B1 and C1 were lower than those in group D1 one month after the operation (P <0.05). All the indices in group B1 were lower than those in groups A1 and Clb,but higher than those in group Cla (P <0.05). The indices in group Cla were lower than those in group C1b (P < 0.05 ). The indices in groups A2 and B2 were higher than those in groups A1 and B1, re-spectively at the 6th month after the operation (P <0.05). They were higer in outer membrane in group C1a than in group C2a (P <0.05). The indices in group C2b were higher than those in group Clb (P<0.05). Conclusion At the first month after operation, the expression of blood vessel-related factors was declined in three different procedures of paraesophagastric devascularization,which indicated that all three different pro-cedures could diminish the vessels in distal esophagus. The effect in group C was most obvious among all groups. At the 6th month after traditional paraesophagastrie devascularization and selective paraesophagastrie devascularization, the expression of blood vessel-related factors in distal esophagus was declined. But there were no significant changes in the expression of blood vessel-related factors in distal esophagus after parae-sophagastric devascularization plus distal esophageal transaction and reanastomosis with stapler. It indicated that the blood vessel regeneration in paraesophagastric devascularization pins distal esophageal transaction and reanastomosis with stapler was inferior to that in other procedures.     

产褥期精神障碍19例临床分析

产褥期精神障碍临床并非少见，其临床表现复杂，临床类型多样。现就我院历年资料进行分析。资料与方法　收集我院１９８９年１１月至１９９７年９月住院的产褥期精神障碍１９例病历资料，进行回顾性分析。结果　１９例均为已婚妇女，年龄１９～２９岁，平均２２－６±３－２岁，初中文化５人，高中４人，中专３人，小学７人；汉族１２人，傣族、哈尼族各２人，其它３人；农民９人，工人６人，教师２人，个体户２人。产后１０天内１１人，占５７－９％，１１～２０天６人，占３１－６％，３５天及４９天各１人，占５－２６％；产男婴６人，占…