多囊肾术前不切原肾同种异体尸肾移植11例报告

目的探讨多囊肾尿毒症患者肾移植术前小切多囊肾对肾移植的影响。方法对11例移植术前不切多囊肾尿毒症患者，在成功进行肾脏移植后进行经验总结。追踪术后移棺肾肾功能恢复及术后3年人／移植肾存活率和术后1年原肾体积及血尿变化情况。结果11例移植术前小切多囊肾的尿毒症患者，术后移植肾肾功能均能顺利恢复，占100％。人／移植肾3年存活率100％，移植后原肾体积逐步缩小，12个月内明显缩小20％-45％，血尿逐渐消失。2例术后因原多囊肾严重感染而手术切除（18％）。结论多囊肾尿毒症患者肾移植术前不切原病变肾也能收到满意的移植效果。     

硬膜外注入小剂量吗啡应用于剖腹产病人术后镇痛的观察

选择剖腹产病人与非剖腹产病人各５０例，分别于术毕时，硬膜外注射吗啡２ｍｇ，观察镇痛效果，镇痛时间和不良反应。结果表明两组均无显著差异。提示剖腹产术后硬膜外应用小剂量吗啡也有良好的镇痛作用，且剖腹产病人常规导尿管留置，无尿潴留的不良反应。     

立止血、肾上腺素气管内给药治疗新生儿肺出血

目的探讨立止血、肾上腺素气管内给药对新生儿肺出血的治疗效果.方法将38例肺出血患儿分为常规组(15例)和治疗组(23例),机械通气等基础治疗两组相同,治疗组给立止血、肾上腺素气管内滴入.结果治疗组治愈率高于常规组,经统计学处理有显著性差异(P＜0.05).结论立止血、肾上腺素气管内给药治疗新生儿肺出血可提高肺出血患儿治愈率.     

杂交瘤在癌症诊断中的应用

自从1975年Milstein用B-淋巴细胞与骨髓瘤细胞制成对绵羊红细胞的单克隆性抗体(MCAb)以来,细胞融合技术在医学生物学领域中的发展已成燎原之势。用细胞融合法制成的新的细胞称为杂交瘤细胞。目前除产生MCAb的B细胞杂交瘤之外,正在研制利用人T细胞产生IL-2干扰素的T细胞杂交瘤。本文简单介绍利用MCAb诊断癌症的最新进展。用于癌症血清学诊断的单克隆性抗体1.新的消化系癌相类抗原的MCAb 最近Koprowski研究组报告的MCAb,CA19-9(IgGl)是以结肠癌培养细胞SW-1116做免疫原所制成的。该物具有认识单唾液神经节甙脂(monosialo-     

提高慢性宫颈疾病防治意识关爱农村女性生殖健康

宫颈由于其器官的特殊性,使它易受外来细菌、病毒侵袭,加上分娩、流产等造成的创伤,以及宫颈上皮组织的特殊性形态变化,导致宫颈上皮易有炎症向恶变转化的倾向.     

GE VMX+移动式床旁X线机

GE VMX+移动式床旁 X线机,是美国 GE公司生产的专门用于医院床旁摄片用的设备.整套设备配有①高频高压发生器,其频率: 20kHz、功率: 15kW、千伏范围: 45～ 125kV、毫安秒范围: 0.5～ 125mAs、曝光时间: 4.5ms～ 1s.② X线球管,焦点 0.8mm、阳极热容量: 190kHU、靶角: 14度.③限束器.④运动机构.⑤控制面板.⑥电源要求 220V/15kW.整个机身小巧,使用方便,是医院放射科床旁照片的有力帮手.但在使用过程中,也会发生故障.下面就将它所出现的故障及排除的过程,写成经验与大家进行交流.     

腺病毒介导的p53基因治疗肝癌的给药途径研究进展

目前腺病毒介导的p53基因（rAd／p53）治疗肝癌主要的给药方式有选择性肝动脉给药、经门静脉给药、瘤内注射以度静脉给药等。就应用rAd／p53的安全性度不同给药途径进行综述。     

改良型腋窝顶定位穿刺锁骨下位点阻滞麻醉的临床研究

Objective To study the feasibility of subclavicular brachial plexus block with localized puncture at the apex of the axilla.Methods 520 adult patients who underwent upper limb emergency surgery were randomly assigned to receive subclavicular brachial plexus block with localized puncture at the apex of the axilla ( experimental group) and block anesthesia with intraclavicular route ( control group).Patients in both groups received 0.375% ropivacaine, volume (40.0± 2.7)ml.During the 30 minutes after the blockade, the onset and effect of motor and sensory block, the sensory block effect of each nerve branches and integrated effect of nerve block were recorded.The VAS score and acesodyne duration with tourniquet were compared between the two groups at 2, 4, 6 and 8 hours after the drug had been used for 30 minutes.Results Within 30 minutes after the drug was delivered, the onset of motor and sensory block in the experimental group was evidently shorter than that in the control group, while the duration of motor and sensory block was evidently longer ( P ＜ 0.01).There were no statistically significant differences in motor and sensory block score, median nerve block effect and ulnar nerve block effect between the two groups.The musculocutaneous nerve and radial nerve block effects in the experimental group were better than those in the control group ( P ＜ 0.05).After the drug had been used for 30 minutes, VAS score of the experimental group at each point time was significantly lower than that of the oontrol group ( P ＜0.01).The analgesia duration of tourniquet in the experimental group was significantly longer than that of the control group ( P ＜ 0.01 ).Conclusion The modified subclavicular brachial plexus block with localized puncture at the apex of the axilla can provide perfect blockade, satisfactory anesthetic effect and higher safety in upper limb surgery.