纵隔软组织肿瘤23例临床病理分析

本科手术治疗纵隔软组织肿瘤２３例，占同期手术治疗纵隔肿瘤３９０例的５．９％，年龄３５岁以下者１７例，占７３．９％。男女之比为４．８：１（１９／４），本病的临床及Ｘ线表现缺乏特异性，确诊有赖于术后病理学检查。本组中良性肿瘤１５例（６５．２％），恶性肿瘤８例（３４．８％），手术治疗２４例次，肿瘤切除率为９１．７％（２２／２４），手术为首选的治疗方法。     

吡哌酸锌对小鼠烫伤感染的体表保护作用

目的观察吡哌酸锌软膏对烫伤后常见的感染菌绿脓肝菌、金黄色葡萄球菌的保护作用，并与阳性对照药磺胺嘧啶银霜、磺胺嘧啶锌软膏进行对比。方法取18～22克小鼠，在麻醉下将其尾部造成烫伤，然后再分别将其尾部没入绿脓肝菌和金黄色葡萄球菌液内，使其感染，尾部套上塑料管，将不同浓度的吡哌酸锌，磺胺嘧啶锌软膏及磺胺嘧啶银霜注入管内，封闭，连续观察14d内小鼠死亡现象拼进行显著性检验；结果综合计算法计算各药ED50为：（1）金黄色葡萄球菌，吡哌酸锌软膏ED50=69．84±18．27mg·kg－1，磺胺嘧啶银霜ED50=73．49±19．98mg·kg。（2）绿脓杆菌，吡哌酸锌软ED50=58．16±15.22mg·kg－1，磺胺嘧啶银霜ED50=80．1±2.24mg·kg－1。磺胺嘧啶锌软膏浓度低于0．4％即有明显抗菌作用。结论吡哌酸锋软膏、磺胺嘧啶银霜、磺胺嘧啶软膏均有明显抗菌作用，前两者相比没有显著差异，但吡哌酸锌软膏的抗菌作用比磺胺胺嘧啶锌强。     

Analysis of Intestinal Perfusion Data for Highly Permeable Drugs Using a Numerical Aqueous Resistance—Nonlinear Regression Method

Purpose. To develop, validate and apply a method for analyzing the intestinal perfusion data of highly permeable compounds using the Numerical Aqueous Resistance (NAR) theory and nonlinear regression (NAR-NLR) and to compare the results with the well-established Modified Boundary Layer (MBL) Analysis. Methods. The NAR-NLR method was validated and the results were compared to the MBL analysis results using previously reported cephradine jejunal perfusion data. Using the Single Pass Intestinal Perfusion (SPIP) method, the concentration dependence of intestinal permeability was investigated for formycin B, proline, and thymidine, three compounds reported to be absorbed by carrier-mediated transport processes. The MBL and NAR-NLR analyses were then applied to the three sets of SPIP data. Results. The results demonstrate that the intrinsic MBL transport parameters were highly variable and, in one case, the analyses failed to give a statistically significant Michaelis constant. The MBL mean dimensionless wall permeabilities (P*_w) were greater than the NAR-NLR P*_w and were also highly variable. In all cases, the NAR-NLR variability was significantly lower than the MBL variability. The extreme variability in the MBL-calculated P*_w is due to the sensitivity of P*_w when the fraction of unabsorbed drug (C_m/C_o) is low or, alternatively, when P*_w approached the aqueous permeability, P*_aq. Conclusions. The NAR-NLR method facilitates the analysis of intestinal perfusion data for highly permeable compounds such as those absorbed by carrier-mediated processes at concentrations below their K_m. The method also allows for the use of a wider range of flow conditions than the MBL analysis resulting in more reliable and less variable estimates of intestinal transport parameters as well as intestinal wall permeabilities.     

胃癌单抗检测活检粘膜组织833例结果分析

应用胃癌单抗ID1-2对833例内窥镜活检组织进行了免疫学荧光检查,胃癌阳性检出率为81.6％:胃溃疡为32.7％;肠化生性蒌缩性胃炎为40.0％;食管和结肠腺癌分别为60.0％和62.5％,与单纯性萎缩性胃炎和浅表性胃炎的阳性检出率相比有非常显著的差异(P<0.01)。表明ID1-2单抗可用于检测活检粘膜组织中的癌细胞以及具有癌细胞相关抗原的癌前病变组织,如果与内窥镜及常规病理学检查联合应用,将可进一步提高早癌的阳性检出率。     

双抗体夹心法检测胆管癌患者血清中胆管癌相关抗原的临床意义

胆管癌相关抗原（ＣＣＲＡ）是我们从人胆管癌组织中提取的一种新的肿瘤标志物。建立了检测ＣＣＲＡ的ＥＬＩＳＡ方法，检测了４０例正常人及２６８例良恶性疾病病人血清的ＣＣＲＡ浓度，后者包括胆管癌３６例、原发性肝癌４０例、胰腺癌２６例、胃癌３１例、结直肠癌３４例、肺癌１７例、肝硬变２０例、胆石症４０例及胃溃疡２４例。结果显示：４０例正常对照组的血清ＣＣＲＡ浓度为（１４．３８±７．３４）μｇ／ｍｌ（ｘ±ｓ），正常上限为２８．９５μｇ／ｍｌ（ｘ＋２ｓ）；血清ＣＣＲＡ诊断胆管癌的敏感性是７７．７８％，明显高于其它肿瘤组（０～２５）％（Ｐ＜０．００１），特异性是（７５～１００）％。认为对于胆管癌的诊断，ＣＣＲＡ可能是一种较特异的肿瘤相关抗原。     

多功能盆腔炎治疗仪

本治疗仪的主要特点是采用腔内治疗电极并将电疗，热疗，磁疗和按摩疗法有机结合在一起，对盆腔炎实施综合同步治疗；采用数字频率合成技术，所有治疗波形全部由软件生成，使输出的电疗波形不断变化，从根本上解决了电疗过程中人体对单一电疗波形的适应性。     

单发性双侧面横裂伴有家族遗传和染色体异常3例报告

报告3例单发性双侧面横裂伴有三代家族遗传史和相同的染色体异常核型,相同的对称性恒牙(胚)先天性缺如,并对面横裂的发病机制及病因学进行了讨论。这是一组极罕见的病例,在所涉猎的文献中,迄今尚未见相同报道,是否为一种新的综合征,目前尚不能定论,有待今后进一步探讨     

The Influences of Mifepristone, Norethisterone and Tamoxifen on the Glycosph

ＴｈｅＩｎｆｌｕｅｎｃｅｓｏｆＭｉｆｅｐｒｉｓｔｏｎｅ，ＮｏｒｅｔｈｉｓｔｅｒｏｎｅａｎｄＴａｍｏｘｉｆｅｎｏｎｔｈｅＧｌｙｃｏｓｐｈｉｎｇｏｌｉｐｉｄｓＣｏｍｐｏｓｉｔｉｏｎｓｆｒｏｍＨｕｍａｎＣｈｏｒｉｏｎｉｃＴｉｓｓｕｅｄｕｒｉｎｇＥａｒｌｙＰ...     

A monitoring,feedback, and triggering system for reproducible breath-hold MR imaging

A technique is described that provides improved reproducibility of breath-holding for MR image acquisition by monitoring the superior-inferior (S/I) position of the diaphragm. The method incorporates detection of the level of inspiration using an MR signal, rapid display to the patient of diaphragm position to enable breath-hold adjustment, and triggering of image data acquisition once appropriate position is attained. The response time of the system is short, approximately 10 ms. Studies in six volunteers using this method demonstrate a considerable decrease in the S/I range of diaphragm position over 10 consecutive periods of suspended respiration. The mean range is 1.3 mm with the system, while it is 8.3 mm without using it is expected that this method will be of assistance in many abdominal and cardiothoracic studies that use breath-hold techniques.