CONTINUOUS AMBULATORY PERITONEAL DIALYSISCLINICAL REPORT OF 62 CASES

Sixty-two patients with cnd stage renal disease wcrc selected for continuous ambulatory peritoneal dialysis (CAPD) from Sept 1980 to March 1983, CAPD was performed with plastic bags containing 2-liter dialysate solution. Most patients commenced with 4 bag exchanges per day, with good results. The total treatment time was 558 patient- months in 31 months. 42 patients were treated for Jnore than 6 months and 24 for more than 12 months. The longest survival was 24 months. 22 patients died. 30 had CAPD at home for 2-16 months. The mean pcritoneal clearance of urea nitrogen and creatinine was 7.5+2.8 ml/min and 13.4+5.3 mL/min, respectively. Plasma middle molecules were significantly lower after CAPD. Clinical features of heart failure and pericarditis disappeared within 1-4 weeks. The mean protein and FAA losses in the dialysate were respectively 14.4+8.0 and 2.1+0.5 g per day. The most outstanding complication was perito nitis. Gram positive organisms predominated. There was one episode of peritonitis per 8.2 patient. months. Bacterial pcritonitis was early treated with prolonged peritoneal lavage and drainage without the addition of antibiotics. The possible development of ventricular arrhyth. mias due to hypopotassemia resulting from long-term use of potassium-free dialysate and from glucose iii take through the peritoneal route is discussed.     

渗出性中耳炎的免疫调节和超敏性研究

Sixty patients with secretary otitis media (SOM) and 50 control cases were studied for their cellular immunity and hypersensitivity. Most of patients revealed that total T or T cell subpopulations were below those of the control. Eighty percent of patients had high serum IgE level and 81.2% as Positive in intradermal skin tests on inhalant allergy, but only 51.7% of patients had clinical symptoms of allergy. It was found immunologically that SOM occurred more frequently in allergic patients and most of them had abnormality of immunoregulation, and that there was a subclinical allergy for some of the patients. Allergy might play a significant role in the etiology of this disease. Authors suggest that it is necessary for patients with SOM to have some tests and treatment of immunology.     

脊髓哑铃型神经纤维瘤15例分析

呈哑铃型生长的脊髓肿瘤并非少见。我院自1974年8月至1981年12月在32例脊髓神经纤维瘤手术中,发现15例为哑铃型,现报告如下。     

南充地区201名正常人皮肤纹理调查分析

<正> 皮嵴纹图型Dermatoglyphics是研究手指、手掌和足底皮肤嵴纹,以及手指、手掌褶纹及其排列类型的一种方法。1926年Cummins第一次提出Dermatoglyphics以来,国内外医学界对皮嵴纹型的研究日益深入,目前,皮嵴纹图型的观察和研究在临床上已成为遗传性疾病     

流行性出血热的尿蛋白分析

流行性出血热的临床表现,肾脏损害占有重要地位,患者病情的轻重常与此有关,并可因而引起尿毒症,肾功能衰竭,惊厥等危险并发症。肾损的表现为蛋白尿,尿比重降低,尿沉渣中有红细胞、管型、变性的肾上皮细胞和粘液。     

我对内經“膀胱藏津液”说的认識

“膀胱”在祖国医学里認为是六府之一。根据古代文献記載,膀胱除貯存尿液外,又主藏津液。如灵樞本輸篇云:“膀胱者,津液之府也”;素問又云:“膀胱者,洲都之官,津液藏焉,气化則能出矣”;宣明五气篇则又曰:“膀胱不利为廢,不約为遺溺”。历代医家对此說持有不同的意見;截至目前为止,尚无圆滿的結論。我們感到在繼承发揚祖国医学遺产的今天,怎样来解釋膀胱藏津液的真实含义,有其一定的現实意义今就笔者在学习內經后的一点休会,作如下探討。     

脊髓硬膜外转移瘤(附80例报告)

报告80例脊髓硬膜外转移瘤,41～60岁占52.5％,临床呈神经根和脊髓受损征象,多数脑脊液蛋白细胞分离,脊椎X片和脊髓造影有典型征象,病灶最多位于胸段,以肺癌及淋巴肉瘤为多。认为血液和淋巴系统播散是瘤转移的重要途径,脊髓受损除因压迫外尚与供血障碍、毒性作用或代谢改变有关,提出早期诊断的意见,早期确诊和及时放疗,才能有一定疗效。     

43例眼眶内异物治疗报告

自1969年至1981年6月,共收住院眼眶内异物43例43只眼,(球内异物和记录不全的未统计在内)仅就手术情况分析如下,提供同道们参考。     

针刺过程中猕猴操作式条件反射和前额叶皮层神经元电活动的观察(摘要)

疼痛是一种十分复杂的感觉,不仅与伤害性刺激的强度有关,而且明显地受其他因素的影响,如注意力的转移,情绪的变化,过去对疼痛的体验等。针麻手术是在病人处于完全清醒状态下进行的,据报道在人体上针刺镇痛虽然主要是一种生理效应,但是有心理因素参与。在动物实验上尚未见有     

针灸治疗麻痹型脊髓灰质炎192例的近期疗效总結

脊髓灰质炎是由病毒引起一种急性的传染病,好发于幼龄小儿,故又名小儿麻痹症。由于目的尚缺乏特效药治疗,預防也较困难,罹病后还有相当高的病死率与残废率,这对祖国后一代的发育成长造成不利影响,同时成人亦能得病,且預后較差,影响劳动生产,增加經济负担。故应千方百計,竭尽全力,与本病作坚决斗爭。我院貫彻执行了党的中医政策,掀起了西医学习中医的高潮,中西医紧密合作,于1955年5——8月间共同医治了麻痹型脊髓灰貭炎192例,取得一定成绩,茲就住院隔离期中所获得的近期疗效加以总結,并結合临床資料进行簡要分析。