应用彩色多普勒超声评价2型糖尿病足患者胫前(后)动脉血流动力学与血清C反应蛋白的关系

目的探讨彩色多普勒超声评价2型糖尿病患者胫前（后）动脉血流动力学与血清C-反应蛋白（cRP）的关系。方法应用酶免法测定血清CRP浓度；应用彩色多普勒超声对2型糖尿病患者进行检测，计算胫前（后）动脉内径、内-中膜厚度、峰值血流速度、搏动指数、阻力指数及斑块发生率。结果CRP在2型糖尿病足患者血清中的浓度明显高于健康对照组，差异有显著性；胫前和胫后动脉内径和峰值血流速度明显低于健康对照组，而内-中膜厚度、搏动指数和阻力指数明显高于健康对照组，差异均有显著性，CRP浓度与胫前和胫后动脉内径和峰值血流速度呈负相关，而与内-中膜厚度、搏动指数和阻力指数呈正相关。结论血清CRP血症是致动脉粥样硬化的独立危险因素；彩色多普勒超声能正确评价2型糖尿病足患者胫前（后）动脉的病理改变及血流动力学变化。     

肝炎穿刺活检病理与肝脏二维超声与临床诊断比较探讨(附66例报告)

肝脏病变常规的诊断方法是血清酶学、血清生化学、免疫学、病原学、B超等.近几年来开展肝穿刺活检对肝脏病的常规诊断方法是一个极大的补充.肝组织诊断使临床医生对肝脏病变的程度认识更清楚,为治疗方案的确定又增加可靠的依据.我院感染科自2001～2005年开展了B超引导下肝脏穿刺活检75例,本文将肝穿刺病理与肝脏二维超声、临床诊断作对比探讨.     

醋酸钙不动杆菌败血症30例临床分析

近年来,不动杆菌属感染的报道日渐增多,且多系医院感染,耐药菌株有所增加。现就我院1990年1月至1995年5月收治经血培养证实的醋酸钙不动杆菌败血症为例报道如下。1临床资料1．1性别与年龄：男25例,女5例。年龄3－70岁。其中小于7岁者4例;大于60岁5例,以青壮年居多。1．2原发疾病：30例均有原发病。其中上呼吸道感染4例,肺炎3例,肺癌2例,肺心病3例,伤寒并肠出血2例,肝硬化失代偿3例,糖尿病及结石性胆囊炎各1例,急性白血病3例,小儿营养不良2例,瓦斯燃暴伤5例（烧伤面积60％～80％）。1．3诱因及入侵途径为除2例无明显诱因外,…     

Herbert螺钉内固定髂骨移植治疗陈旧性腕舟骨骨折

应用Ｈｅｒｂｅｒｔ螺钉内固定髂骨移植治疗陈旧性腕舟骨骨折１８例,１７例２～４个月内达骨性愈合,腕关节功能恢复正常。本方法具有骨折愈合率高,并发症少,还可以少用外固定等优点。     

祛虫生血丸治疗钩虫病合并重度贫血70例临床观察

应用自拟方祛虫生血丸治疗钩虫病合并重度贫血患者70例，结果临床痊愈66例，无效4例，临床痊愈率为94.29％。认为治疗本病一要杀虫，二要调理脾胃。本方有杀虫、健脾、补血之功。     

茶色素对男性高血压病患者性激素的影响

近年来国内外学者发现高血压病患者存在性激素分泌的异常,出现主导性性激素含量减少,而非主导性性激素含量增多的现象。本文观察36例男性高血压病患者应用茶色素治疗前后性激素(SH)水平的变化,并对其机理作初步探讨。1 临床资料 本组36例均为本院住院的男性高血压病患者,且已排除了继发性高血压。年龄54.6±6.6岁,均符合WHO于1978年颁布的高血压诊断标准,其中Ⅰ期11例,Ⅱ期19例,Ⅲ期6例。     

落实“一卡通”和“双体系”改革的几点体会

军以上干部全军医疗"一卡通"和离休干部同城医疗"双体系"改革实施以来,各级机关非常重视,专门下发文件提出要求,各医院也根据实际情况,进行动员部署,召开体系会议,制定相应措施,采取各种办法,收到明显的效果.但随着老干部对高水平医疗的不断需求和盲目追崇大医院的心理,大城市部队医院暂时会出现不同程度的待床或住院难现象,如何解决这个难题,现将几点体会论述如下.     

针灸加低能量氦氖激光照射改善颅脑损伤患者意识障碍及肌力

颅脑损伤后，由于脑组织原发性损害和因缺血、缺氧、肿胀等造成继发性脑膜与脑实质及上下神经元受损，使患认知功能、理解与表达语言功能、肢体运动功能丧失或障碍，并有不同程度意识障碍，病死与致残率高。选用针灸治疗加低能量氦氖激光血管内照射治疗24例颅脑损伤患，治愈6例，显效13例，有效4例，无效1例。提示传统医学与现代技术相结合，产生协同效应，对中重度颅脑外伤康复治疗，具有积极的作用。     

燃煤污染型砷中毒肝损伤患者血清差异蛋白质的筛选

Objective To identify the differential serum proteins in patients with hepatic injury resulting from coal-burning type of arsenism. Methods Six serum samples were collected from patients with liver injury resulting from coal-burning type of arsenism and healthy subjects(control gruop) in endemic arsenism area. Twodimensional gel electrophoresis(2-DE) was performed to separate serum proteins, after silver staining, the differential expression of proteins were analyzed and then identified by matrix-assisted laser desorption/ionization time of flight mass spectrometry(MALDI-TOF-MS). Results The 2-DE map of serum protein patterns of patients and normal control were established successfully. The results showed that there were an average of (824 ± 31 ) spots and (782 ± 42) spots on 2-DE matching of the patients and control groups and the matching rate was 94.9%(782/824). From these two groups 49 differential protein spots were identified, of which over 3 times the difference in the expression of 30 protein spots were singled out and MALDI-TOF-MS analysis was carried out. Ten proteins were identified. Upregulated expression was observed in alpha-2-macroglobulin, B-cell receptor-associated protein, keratin 1,apolipoprotein A-I, and down-regulated expression was observed in haptoglobin, α2-heremans-schimid-glycoprotein,mitogen-activated protein kinase 4, zinc finger protein 323, ZAP-70 and SP40 in the patient group. Conclusions The well-resolved and reproducible 2-DE serum patterns of patients are established and some differentially expressed proteins are characterized. Whether these proteins of differential expression are serum markers for liver injury resulting from coal-burning type of arsenism need to be further verified.     

青少年腰椎间盘突出症的诊断及治疗分析(附24例报告)

腰椎间盘突出症是腰腿痛常见的重要原因[1].而青少年腰椎间盘突出症在近年来又有越来越多的报道趋势.笔者于1998年6月～2007年8月,共收治20岁以内的腰椎间盘突出症24例.现对其病因、临床表现,诊断及治疗进行分析.