ERCP术后胰腺炎的研究进展

随着内镜诊疗技术的发展，内镜逆行胰胆管造影（ERCP）在胆管及胰腺疾病诊断和治疗中的优点已被广泛接受，作为一种侵袭性检查手段，也存在相关的并发症，ERCP术后胰腺炎（post-ERCP pancreatitis，PEP）是最常见的并发症之一，国外报道其发生率为2．0％～20．0％，国内报道其发生率为11．5％，而ERCP术后高淀粉酶血症的发生率可高达75％。目前对此研究较多。现就PEP的研究进展做一综述。     

风水见诸细节

价位高与地理位置好的楼盘与风水好坏完全是两回事销售很旺的楼盘不一定风水好靠炒作而有很高知名度的楼盘同样不一定风水好.选择房形先看建筑形制风水无处不在,我们受到风水的影响见诸于生活的细节,比如     

环戊硫酮治疗干眼的临床疗效评价

Objective To investigate anethol trithione therapic efficiency on dry eye. Methods It was a prospective random double-blind controlled study. Eighty cases diagnosed dry eye in Ocular Surface Out-patient Clinic of Xiamen University Affiliated Xiamen Eye Center from 2006 to 2008 were divided into two groups: anethol trithione group and control group, 40 cases in each group. Every group was then divided into two subgroups: weak dry eye subgroup, middle and severe dry eye subgroup. All groups had been added with 0.05% refresh drops. All patients had been detected and evaluated by subjective symptoms of dry eye, visual acuity,corneal fluorescent staining(F1), break-up time(BUT) and Schirmer Ⅰ test (SⅠT) at pre-therapy and 3,7,28 d of post-therapy. All groups had been compared and analyzed by F test and sample mean difference (SMD) or median difference (MD) comparison between pre-therapy and post-therapy. Results Except of tear and red eye, the other subjective symptoms of dry eye, F1, BUT and SⅠT of weak dry eye subgroup of both groups had been improved at 7 d after therapy. Only those of middle and severe dry eye subgroup of anethol trithione group had been improved at 7 d after therapy compared with those of pre-therapy: SMD=0.96 (visual tiredness), 1.26 (dry and unsmooth sensation), 0.82 (foreign body sensation), 1.28 (burning sensation), 1.05 (photophobia), 1.48 ( pain ) ; MD=0.30 (visual acuity), 4.00 (F1) ,5.00 (BUT), 5.00 (SⅠT) [F=15.30 (visual tiredness), 15.68 (dry and unsmooth sensation ), 13.56 (foreign body sensation), 20. 91 ( burning sensation ), 18.90 (photophobia), 27.22 ( pain ), 10.54 (visual acuity), 188.21 (F1) ,261.76 (BUT) ,269.05 (SⅠT) ;P<0. 05]. Those of middle and severe dry eye subgroup of control group hadn't significantly been improved at 28 d after therapy: SMD=0.10 (visual tiredness) ,0.16 (dry and unsmooth sensation) ,0.09 (foreign body sensation) ,0.38 ( burning sensation ), 0.24(photophobia) ,0.36 (pain) ,0.23 (red eye) ; MD=0.10 (visual acuity) ,0.50(F1) ,0.50(BUT), 0.50(SⅠT) [F=1.76 (visual tiredness), 1.61 (dry and unsmooth sensation), 1.02 (foreign body sensation),2.39 (burning sensation), 2.42 (photophobia), 2.73 ( pain ), 2.55 ( red eye ), 1.46 ( visual acuity) ,2.35 (F1) ,2.90 (BUT) ,2.76 (SⅠT) ; P>0.05]. SⅠT of anethol trithione group had been improved more significantly after therapy (F=13.77, P<0.05). Conclusion Anethol trithione could significantly improve middle and severe dry eye patients' symptoms and signs whose lacrimal gland function survival and it has clinical application value.     

质量管理小组现场质量管理在提高门诊输液工作质量中的应用

质量管理(quality control，QC)小组是推行全面质量管理(TQM)非常重要的一种组织形式和活动，它能解决护理工作中存在的问题，提高工作效率和质量。随着人们生活节奏的加快和医疗服务需求的增加，大多数门诊病人愿意接受静脉给药途径，以缩短疗程，提高疗效，并选择服务良好的医院。我院近年来门诊病人明显增加，按原来的管理状况已满足不了病人的需求。     

全血细胞减少的鉴别诊断：附360例

全血细胞减少是由多种疾病造成的一种周围血象的改变。这种血象异常,常见于血液系统疾病,也可见于其它系统疾病。为了解全血细胞减少在血液系统和其它系统疾病中的分布情况和鉴别,现将我院从1979年至1989年10月间,资料较完整的成人住院的全血细胞减少360例进行了总结,并对临床表现、血象分析如下:     

过期妊娠对围产儿的影响258例

近年来过期妊娠所致围产儿患病率和死亡串的增高．已逐渐受到产科临床的重视．为降低围产儿的病死率，现将我院近几年住院分娩的过期妊娠258例．作一分析并与同期足月分娩儿进行对照，以探讨过期妊娠对围产儿的不良影响及处理方式。     

间歇脉刍议

<正> 脉来时有歇止的脉象为间歇脉。常见的间歇脉主要包括结、代、促、散、涩和某些怪脉。本文拟以古代医家论述结合现代医学的心律失常探讨间歇脉的脉象及其临床意义。一、结脉《内经》中虽有结动之名,但未言其脉象。《难经·十八难》提出:“结者,脉来去时一止,无常数”,指出结脉是无规律的歇止脉,但     

核动力堆人员外照射个人剂量的监测与分析

本文根据十多年个人剂量监测结果,对核动力反应堆工作人员的辐射防护状况作了体分析,提出了剂量评价方法及参数。结果表明,全部受检人员的外照射人均剂量年最高值为2(?)10~(-3)Sv,平均值约5×10~(-4)Sv,估计职业总受照剂量人均值不超过10~(-2)Sv。