自拟消乳增内服外敷治疗乳腺小叶增生症96例

自拟消乳增内服外敷治疗乳腺小叶增生症９６例薛玉芳，王文清，许淑媛伊盟中医院（０１７０００）一般资料９６例中，年龄最大５５岁．年龄最小１６岁，其中２０岁以下４例，２０～３０岁２４例，３０～４０岁４４例，４０岁以上２４例；病程最短３个月，最长达１５年，发...     

大青叶历史考证及现代研究进展

大青叶为常用中药,其性苦、味寒,具清热解毒、凉血消斑之功效,常用于治疗高热烦渴、神昏、吐血、黄疸等温热症。《中国药典》(后简称药典)2000版一部收载大青叶为十字花科植物菘蓝Isatis indigotica Fort.的干燥叶。近年来,随着人们对清热解毒类中药的广泛关注,关于大青叶有效成分及药理活性的研究日益深入。但由于历史原因,大青叶来源品种复杂,有关其化学、药理等方面的研究文献大多对品种记述不详或缺乏针对性。本文仅围绕来源于菘蓝的大青叶有关文献综述如下。1历史考证1.1蓝与菘蓝:“蓝”入药始载于《神农本草经》,谓之“蓝实”。陶弘…     

细胞图像光度学计量对鉴别诊断小细胞型乳腺癌的价值研究

目的:探讨小细胞型乳腺癌针吸细胞图像的光度学特征及与乳腺良性病变之间的量化差异和鉴别价值。方法:用MPIAS—500多媒体病理细胞图像分析仪,对22例小细胞型乳腺癌的针吸细胞分胞体、胞核和胞浆三大结构进行了细胞图像光密度值9项指标的计量研究,并以20例乳腺良性病变做对照。结果:在9项指标中小细胞型乳腺癌有6项指标与乳腺良性病变差异非常显著(P<0.01), 其中胞体1项,胞核2项,胞浆3项;有3项指标差异显著(P<0.05)。结论:利用细胞图像分析仪对小细胞型乳腺癌进行光度学分析,其多参数的光密度指标对协助针吸细胞学鉴别诊断小细胞型乳腺癌有重要参考价值。     

合并视网膜劈裂症的高度近视眼超声乳化白内障吸除术的临床观察

Objective To evaluate the changes of the retinal thickness in the highly myopic eyes with retinoschisis after phacoemulsification by optical coherence tomography (OCT) and to analyze their postoperative visual acuity. Methods It was a retrospective case series study. This study included 25 (35eyes) highly myopic patients with retinoschisis. One week, 1 and 3 months after phacoemulsification, the best corrected visual acuity (BCVA) was measured and OCT was performed to evaluate the central foveal thickness (CFT) as well as the maximum neurosensory thickness (MNT). These 35 eyes were divided into low and high accumulated energy complex parameter (AECP) groups, and ≤28.00 mm, ＞ 28. 00 and ≤ 30. 00 mm, ＞ 30. 00 mm groups according to the axial length respectively.Variance analysis of data obtained from repeated measurement, Wilcoxon rank sum test, linear correlation and one-way ANOVA were used to analyze the data. Results According to the location of schisis, the 35 eyes were classified as foveal schisis (20 eyes) and nonfoveal schisis (15 eyes). Among the 35 eyes,there were 30 eyes with outer retinoschisis and 5 with compound schisis. The mean BCVA (logMAR)preoperatively and 1 week, 1 and 3 months postoperatively was 0. 23 ± 0. 24, 0. 59 ± 0. 38,0. 57 ± 0. 38 and 0. 60 ±0. 36 respectively ( F = 31.15, P = 0. 000 ). CFT preoperatively and 1 week, 1 and 3 months postoperatively was (255.46 ± 197.57) μm, (256.80 ± 199.88) μm, (274.37 ±246.87) μm, and (268.60±238.41) μm (F=0.99,P=0.420); while MNT was (473.31 ±175.52) μm, (477.71 ±188.71 ) μm, (486. 60 ± 229. 17 ) μm and (482. 63 ± 208. 82) μm respectively ( F = 0. 26, P = 0. 857).BCVA in eyes with foveoschisis and in eyes with nonfoveal schisis was statistically significantly different at 1 week, 1 and 3 months postoperatively ( Z = - 0. 580, P = 0. 048; Z = - 2. 147, P = 0. 030 and Z =-2. 099,P =0. 034). BCVA (0. 43 ±0. 28) was inversely correlated with CFT (497.42 ±281.49) μm in the eyes with foveoschisis unaccompanied with a macular lamellar hole at 3 months postoperatively ( r =-0. 667, P =0. 018). There were no significant differences in the changes of the thickness of the retina between the groups with different AECP or among the groups with different axial lengths ( Z = - 0. 314-1. 290, P =0. 192-0. 741 and F =0. 15-0. 62, P =0. 545-0. 859). Conclusions Cataract surgery has no significant effect on thickness of the retina in the highly myopic eyes with retinoschisis. The patients with retinoschisis could achieve good visual recovery after phacoemulsification. Postoperative visual acuity is related to the location and degree of retinoschisis. Besides, patients with non-foveal schisis could obtain better visual acuity than those with foveoschisis. Further investigation on the development of retinoschisis and the complications after surgery is required.     

昆山市心理咨询服务体系的构建

昆山市三级心理咨询服务体系的建立,旨在团结和组织昆山地区的心理咨询师开展心理咨询和疏导活动,促进本地区心理健康工作的发展。同时,普及市民心理卫生知识,提高市民的心理健康水平和对突发事件的心理应急能力,改善市民生活质量,促进社会和谐发展。     

家族性钙化性胰腺炎致糖尿病二例

例 1,女性 ,17岁。因反复上腹疼痛一年 ,再次发作 7ｈ于2 0 0 0年 3月 2 1日入院。多在饭后出现左上腹及剑突下疼痛 ,持续性胀痛 ,阵发性加剧伴恶心、呕吐 ,无畏寒发热 ,偶有脂肪泻。否认有多饮、多食、多尿史。从小一直体弱 ,消瘦。既往无药物过敏及重大外伤、手术史 ,无饮酒及长期食木薯史。其母亲有慢性胰腺炎、脂肪肝、糖尿病病史。父亲及胞弟均健康。体格检查 :Ｔ 3 6.6℃ ,身高 15 2ｃｍ ,体重 3 8ｋｇ。体重指数 16.5ｋｇ/ｍ2 。左上腹及剑突下轻压痛 ,无反跳痛 ,墨菲氏征 (一 )。实验室检查 :血象ＷＢＣ 7.2 7× 10 9/Ｌ ,Ｎ 0 .70 …     

从指尖脉搏图的变化看心脏介入治疗对微循环的影响

目的评价心脏介入治疗前后微循环的血流变化及其意义。方法用指尖脉搏图波幅高度的变化反映微循环血流和心脏介入治疗的关系。结果1.PTCA、PMR和显性预激组介入治疗后指尖脉搏图波幅明显高于治疗前(P＜0.001)，隐匿性WPW组治疗前后无明显变化(P＞0.05)；2.PTCA组治疗前、治疗后指尖脉搏图波幅均高于PMR组(P＜0.001)；3.隐匿性WPW组治疗前指尖脉搏图波幅高于显性WPW组(P＜0.001)，但治疗后两者无显著性差异(P<0.05)；4.显性WPW组治疗前指尖脉搏图波幅高于PTCA组(P＜0.001)，但治疗后无显著性差异(P＞0.05)。结论冠状动脉血管狭窄和心脏除极顺序的改变均可使微循环灌注减少，血管狭窄对其影响更为显著；心脏介入治疗后微循环灌注均有改善，但以PTCA和显性预激组更为明显。     

原发性高血压患者体液免疫水平的变化及影响因素

目的观察原发性高血压患者的体液免疫水平及其分布特征。方法随机选取我院住院的原发性高血压患者112（男68,女44）例为观察对象,以同期的健康体检者73例（排除继发性高血压及其他免疫系统疾病）为对照,分析不同性别、年龄、病期、脉压差及不同并发症组各组间体液免疫水平及其分布特征。结果与对照组相比较,男女原发性高血压患者IgG水平显著增高（P<0.05）;且随着年龄的增长、病情的加重,血清IgG和IgA的含量及抗核抗体（ANA）和核抗原抗体（ENA）检出率显著增加（P<0.05）。脉压差<60mmHg者IgG、IgA的水平显著高于对照组（P<0.05）;并发心脑血管损害者血清IgG和ANA的含量异常升高（P<0.05）。结论原发性高血压患者体液免疫水平升高,其分布与年龄、高血压分级、脉压差和并发症有关。     

腰椎骨折患者发生尿潴留误诊为胃肠功能紊乱1例分析

现将腰椎骨折患者发生尿潴留误诊为胃肠功能紊乱1例分析如下。