辐照氟银猪皮在肉芽创面邮票植皮时的应用

辐照氟银猪皮在肉芽创面邮票植皮时的应用曾元临江进海李国辉（第一附属医院烧伤科南昌３３０００６）宗世璋戴闽（第一附属医院矫外科南昌３３０００６）肉芽创面邮票植皮时，传统方法凡士林纱布包扎。本文对１１例外伤（非烧伤）所致肉芽创面清创植邮票皮后再使用辐照...     

吸入性损伤犬体外正负压辅助呼吸的实验研究

目的：研究体外正负压辅助呼吸对吸入性损伤犬循环、呼吸系统部分参数的影响，探讨该通气方式的使用价值。方法：选用健康杂种家犬9条，制成蒸吸入性损伤模型，用自制的机动多吸盘体外正负压呼吸机，观察致伤犬在体外正负压辅助呼吸后呼吸、循环系统部分参数的变化。结果：吸入性损伤犬在应用体外正负压辅助呼吸后其潮气量及心输出量均明显增加，与自主呼吸相比（P＜0．01）；而动脉血压基本无变化。结论：体外正负压辅助呼吸能提高通气量，而对循环系统无明显不良影响。     

12例慢性肝脓肿误诊为肝癌的原因分析

慢性肝脓肿发病较隐蔽,进展缓慢。但根据其临床表现、体征和各种检查,大部份应不难确诊,如炎症表现不明显时,则不易同原发性肝癌(简称肝癌)相鉴别。阿米巴肝脓肿误诊为其它疾病达28.3％。现将我院12例慢性肝脏肿误诊的原因分析如下: 临床资料 我院自1964年～1982年12月术前诊断为肝癌的272例中12例术后诊断为肝脓肿,误诊率为     

强化精氨酸肠内营养对烧伤患者营养状况和细胞免疫的影响

Objective To investigate the effects of arginine enriched enteral nutrition (EN) on nu-tritional status and cellular immunity of severely burned patients. Methods Randomized, single blind, parallel and positive control investigation was employed in the study. Thirty severely burned patients were di-vided into enteral immune nutrition (EIN) group and EN group. Sixteen patients in EIN group received en-teral nutrition enriched with arginine, while the other 14 patients in EN group received standard enteral nu-trition. Nutritional support was continued for 14 days. Gastrointestinal reaction of patients in 2 groups was observed. Fasting venous blood was drawn from patients of both groups before receiving nutrition treatment and on the morning of 7th, 14th day of treatment. Level of serum protein, hepatic function parameters, renal function parameters, fasting-blood glucose, and subpopulations of T lymphocytes in peripheral blood were determined. Results (1) Incidence of gastrointestinal side effect in EIN group (25.0%) was close to that of EN group (21.4% , P>0.05). (2) Compared with pre-treatment days, levels of prealbumin and transferrin in serum of patients in 2 groups on 7th and 14th post-treatment days were significantly increased (P<0.05 or P<0.01), but there was no significant difference between 2 groups. The level of total serum protein on 14th day of treatment of patients was significantly increased in both groups, and that of EIN group (66±7 g/L)was significantly higher compared with that in EN group (64 ± 11 g/L, P<0.05). The level of serum albumin (29±5, 32±5 g/L, respectively) of patients in EIN group on 7th and 14th day of treat-ment were significantly higher than that (26±4 g/L, P <0.05) in pre-treatment days, however there was no significant difference in EN group. (3) There was no significant difference in respect of hepatic function, renal function, and fasting-blood glucose between pre-treatment and post-treatment periods in both groups (P>0.05). (4) The ratio of CD4+ , CD8+ on 14th day of treatment in EIN group was close to that of pre-treatment level. In EN group, cell percentage of CD4+ significantly decreased, while that of CD8+ significantly increased (P<0.05), and CD4+ was significantly higher [(56±8) %] in EIN group than that in EN group [(55±12) % , P <0.05]. In both groups, cell percentage of CD3+ was significantly higher than that in pre-treatment days (P<0.05), while there was no obvious change in CD4+/CD8+. Conclusions Arginine enriched enteral nutrition can effectively improve nutritional status and cellular immune function of burn patients.     

探讨大专女生800m跑畏惧心理的成因及对策

目的 在于提高大专女生800m跑的能力和成绩，为800m跑教学提供一些有意义的参考。方法 对我校230名大专女生进行问卷调查。结果 对800m跑存在畏惧心理的比率高达78.3％。结论 有相当数量的女生对此有消极和抵触情绪。     

截肢术治疗四肢恶性骨肿瘤的远期效果

截肢术是治疗四肢恶性骨肿瘤的常规方法,但在骨肉瘤的远期疗效尚欠满意,5年生存率在5～20%。现总结我院1964～1978年经作截肢术的恶性骨肿瘤84例,均经随访5年以上的治疗效果,其中骨肉瘤59例,恶性巨细胞瘤(病理Ⅱ～Ⅲ级,有骨皮质破坏和软组织肿块)11例,软骨肉瘤3例,骨纤维肉瘤4例,尤文氏肉瘤2例。临床资料一、一般资料:84例中,男65例,女19例,男女之比3.4:1。发病年龄以30岁以下为最多(66例),占78.6%。病程在1年以内来诊者     

浅谈原发性肝癌的防治

原发性肝癌是我国最常见的三大癌瘤之一,其死亡率居癌症死因的第三位;在广东省,则占癌症死因的第一位,每10万人中有11个人死于肝癌,如按该省五千九百多万人口计算,则每年有六千余人被肝癌夺去宝贵的生命。