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991.
寒冷干燥地区平时火器伤的早期处理 总被引:3,自引:3,他引:0
目的 探讨寒冷干燥地区平时火器伤伤情特点与早期救治方法。方法 对 1991年 1月— 2 0 0 2年 12月间 40例火器伤病人的临床救治进行回顾分析。结果 2 4例枪伤中 ,2 0例一期缝合伤口 ,均一期愈合 ,另外 4例只清创未一期缝合的伤口 ,3例愈合 ,1例感染 ;4例骨折内固定均愈合良好 ,无骨髓炎发生。 16例炸伤病人局部软组织损伤及污染比枪弹伤重 ,14例一期缝合伤口中 ,10例一期愈合 ,4例感染 ,骨折内固定 2例 ,均愈合良好 ,无骨髓炎发生。结论 寒冷干燥地区火器伤早期伤道清创时限可适当延长 ,在平时火器伤的救治中 ,对软组织条件较好的创面 ,早期清创后可一期闭合伤口和骨折内固定 ,这样可减少感染和伤残 ,促进康复 相似文献
992.
993.
Amy Y. Chen MD MPH Nicole Schrag MSPH Yongping Hao PhD W. Dana Flanders MD DSc James Kepner PhD Andrew Stewart MS Elizabeth Ward PhD 《Otolaryngology--head and neck surgery》2006,135(6):831-837
OBJECTIVE: In 1991, a randomized study was published and demonstrated that use of nonsurgical therapy (chemoradiation) provided similar survival to total laryngectomy (the gold standard) for patients with advanced-stage laryngeal cancer. The purpose of this study was to assess how treatment of advanced laryngeal cancer was influenced by such developments in non-surgical therapy. STUDY DESIGN: Patterns of care study using National Cancer Database (1985-2001). RESULTS: The percentage of advanced-stage patients treated with chemoradiation increased from 8.3% to 20.8% while the proportion treated with radiation alone decreased from 38.9% to 23.0%. Use of chemoradiation increased at a significantly faster rate after the 1991 publication at both community cancer centers and teaching research facilities. The use of total laryngectomy decreased slightly during this period. CONCLUSIONS: The use of chemoradiation increased after the 1991 publication. It was impossible to determine from the NCDB whether additional patients who could benefit from chemo-RT were not offered or did not complete this treatment option. We recommend that treatment recommendations discussed at tumor boards be recorded in cancer registries. 相似文献
994.
George M Brinson Douglas A Chen Moisés A Arriaga 《Otolaryngology--head and neck surgery》2007,136(3):415-421
OBJECTIVE: This study compares the efficacy of endolymphatic mastoid shunt (EMS) versus endolymphatic sac decompression (ESD) without sac incision for the treatment of Ménière's disease. STUDY DESIGN AND SETTING: The AAO-HNS Guidelines for the Diagnosis and Evaluation of Therapy in Ménière's disease were used to retrospectively identify suitable candidates for the study. All patients who failed medical management and underwent either endolymphatic-mastoid shunt (EMS) (n = 88) or endolymphatic sac decompression (ESD) (n = 108) were selected for review using the AAO-HNS guidelines. The study was carried out at a tertiary care neurotology private practice. RESULTS: EMS and ESD were equally effective in reducing the incidence and severity of vertigo attacks with significant improvement in 67 percent and 66 percent of patients, respectively. CONCLUSION: Both EMS and ESD are effective, nondestructive alternatives for patients who have failed medical management of Ménière's disease with similar long-term hearing outcomes. SIGNIFICANCE: This is the only study within the same institution using AAO-HNS guidelines comparing EMS versus ESD. 相似文献
995.
目的探讨维吾尔族和汉族弱精子症病人精子mtDNA~(4977bp)缺失的相关性。方法本文采用聚合酶链反应(PCR)技术对60例标本分两组,维、汉各30例,其中精子活力正常标本(对照组)和弱精子症患者(观察组)各15例进行了精子线粒体DNA(mtDNA)缺失的研究。结果发现15例做内对照的维族精子活力正常人中仅有3例(20%)有mtDNA~(4977bp)缺失;而15例维吾尔族弱精子症患者中有10例(67%) mtDNA~(4977bp)缺失;两组4977bp缺失频率比较有显著性差异(P<0.05)。15例做内对照的汉族精子活力正常标本中无mtDNA~(4977bp)缺失;15例汉族弱精子症患者中有12例(80%)mtDNA~(4977bp)缺失。两组4977bp缺失频率比较差异有显著性(P<0.05)。同时发现维吾尔族男性不育症与汉族男性不育症mtDNA~(4977bp)缺失频率无显著性差异。结论维吾尔族和汉族mtDNA~(4977bp)缺失在弱精子症的发病中可能起重要作用。 相似文献
996.
997.
Nuclease activity of 1,10-phenanthroline-copper: sequence-specific targeting. 总被引:12,自引:5,他引:7
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C H Chen D S Sigman 《Proceedings of the National Academy of Sciences of the United States of America》1986,83(19):7147-7151
The nuclease activity of 1,10-phenanthroline-copper ion can be targeted to specific DNA sequences by attachment of the ligand to the 5' end of complementary deoxyoligonucleotides via a phosphoramidate linkage. To synthesize the adduct, the phosphorimidazolide of the deoxyoligonucleotide is prepared using a water-soluble carbodiimide and is then coupled to 5-glycylamido-1,10-phenanthroline. After hybridization to the target DNA, sequence-specific cleavage is observed upon the addition of cupric ion and 3-mercaptopropionic acid. Two methods of assaying the cutting of the operator sequence of the lac operon have been employed using the oligonucleotide 5'-AATTGTTATCCGCTCACAATT-3' representing sequence positions 21-1 of the template strand. In the first, the single-stranded DNA of the phage M13mp8 was the target, and cuts were detected using a primer-extension assay. In the second, the substrate was an EcoRI fragment 3' labeled in the nontemplate strand. After denaturation and reannealing to the oligonucleotide-1,10-phenanthroline adduct, cupric ion and 3-mercaptopropionic acid were added, and the products were analyzed directly on a sequencing gel. With the phenanthroline moiety attached to position 21 of the oligonucleotide carrier, cutting was observed at positions 20-25 using both assays. 相似文献
998.
Human lung cancers are divided into small cell lung cancer (SCLC) and non-small cell lung cancer (NSCLC) based on established criteria. SCLC differs from NSCLC by the expression of biomarkers, including creatine kinase-BB isoenzyme (EC 2.7.3.2). Subtypes of SCLC are referred to as classic and variant, both of which have elevated levels of creatine kinase-BB isoenzyme. We, therefore, applied 31P nuclear magnetic resonance spectroscopy to cell lines of classic SCLC, variant SCLC, and NSCLC human tumors, using continuous perfusion to identify any differences in the detectable levels of intracellular high-energy phosphate compounds. The spectra indicate that only the variant SCLC cells maintain high levels of phosphocreatine. Additionally, the classic SCLC cells express elevated levels of a diphosphodiester. Neither phosphocreatine nor diphosphodiesters are found in the NSCLC cell spectra. 相似文献
999.
LIAN Fang was born in Rongcheng City Shandong Province in September .In December she received her bachelor''''s degree.She has been engaged in clinical practice scientific research teaching at the Department of Gynecology the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.…… 《中国结合医学杂志》2007,13(3):231-232
LIAN Fang,was born in Rongcheng City,Shandong Province in September 1957. In December 1982,she received her bachelor's degree. She has been engaged in clinical practice,scientific research and teaching at the Department of Gynecology,the Affiliated Hospital of Shandong University of Traditional Chinese Medicine.During this period,she received her master's degree from the Department of Gynecology of Integrated Chinese and Western Medicine in Nanjing 相似文献
1000.
Hypertensive cerebral hemorrhage at the head of caudate nucleus 总被引:1,自引:0,他引:1
C Chen 《中华神经精神科杂志》1986,19(1):21-22