血浆心钠素与原发性高血压病关系探讨

心钠素是由心房肌特殊颗粒分泌的一种激素，它具有利钠、利尿和降低血压的作用。有关原发性高血压病(EH)的血浆心钠素浓度(ANF)变化国内外报告不一，本文应用放射免疫分析法(R1A)测定EH患者的血浆ANF浓度，结合其他观察指标，以探讨血浆ANF在EH中的临床意义。     

对我省部分疫区县(市)慢性布病的调查分析

<正> 人的布鲁氏菌病(以下简称布病)是一种以细菌性感染辅以慢性后遗症为特点的传染病,尤其是慢性期布病又是严重危害劳动人民健康、影响农牧业发展的一种常见病。全省75个布病疫区县(市)至今累计发病2万余例,其中有相当一部分病人转入慢性期。为了解现症病人的现状及对劳动生产的影响。我们于1989—1990年对26个布病疫区县(市)进行调查。现将调查结果报告如下: 材料与方法     

胸骨后甲状腺肿20例诊治分析

我区是地方性甲状腺肿的高发区之一。据统计,居民发病率约占10%,本院自1980～1991年共收治地方性甲状腺肿208例,包括单纯性甲状腺肿80例,结节性甲状腺肿128例,其中胸骨后甲状腺肿20例。现将20例胸骨后甲状腺肿报告如下。     

脊髓卒中伴发急性血管麻痹5例报告

脊髓卒中在临床上十分少见，而伴有急性血管麻痹者更属少见。现将我们遇到的5例报告如下。资料与方法一般资料：全组病例5例，均为男性患者，年龄在39～51岁之间，均为急骤起病，均以剧烈根痛为首发症状，在疼痛当时或几分钟后随之出现的是脊髓的完全或不完全损害的三大瘀状①双下肢截瘫；②损害平面以下有程度不等深浅感觉障碍，部位在中胸髓；③植物神经障碍，5例均表现有尿储留。而急性血管麻痹出现的时间为发病后0．5小时～10小时，表现为腹部、双下肢皮肤呈网状青斑状、皮温不低、血压进行性下降，出现休克，5例中4例做了腰穿，均为血…     

逆行交锁髓内钉治疗肱骨骨折

我科2001年1月-2002年12月采用带锁髓内钉逆行穿钉的方法治疗肱骨干骨折23例，疗效满意。     

髂-颈动脉人工血管旁路术治疗Ⅰ型多发性大动脉炎

多发性大动脉炎是一种病因未明的非特异性肉芽肿性病变,其中Ⅰ型累及弓部血管及其上三大分支,导致动脉的完全闭塞或重度狭窄,从而引起严重的缺血症状,故属于该病中症状最重、治疗最困难的一类[1].     

寰枢椎椎弓根钉固定治疗伸直型齿状突骨折合并寰枢关节半脱位

Objective To explore the clinical outcome of atlantoaxial pedicle screw instrument in treatment of extension-type odontoid fracture combined with aflantoaxial subluxation. Methods From December 2002 to December 2006, seven patients with extension-type odontoid fracture combined with at-lantoaxial subluxation were reduced and fixed with atlantoaxial pedicle screw instrument of Vertex system under general anesthesia. There were five males and two females, at mean age of 39.2 years (range 21-59 years). All odontoid fractures were fresh type Aderson Ⅱ. JOA scores of spinal core function was 8.6-14.9 (average 10.7) preoperatively. The X-ray examination, CT scanning and skull traction were performed in all patients preoperatively. Results There found no severe complications such as injuries of vertebral artery, nerve root and spinal cord postoperatively. All patients obtained complete reduction and healing of the fracture and dislocation. The mean off-bed time was four days (3-6 days) after opera-tion. A follow-up for 12-36 months (average 22 months) in all patients showed that the clinical symptom was improved significantly six months postoperatively and that all screws were in proper position verified by X-ray and CT scanning. All patients obtained solid bony union on radiographs, with no loosing or breakage of instrument. The postoperative JOA scores was 13.5-16.9 (average 15.8). Conclusions Allantoaxial pedicle screw fixation has advantages of intraoperative reduction, reliable fixation and high fusion rate and can be used as an effective method for extension-type odontoid fracture combined with at-lantoaxial subluxation.