纤维结合蛋白与胆固醇测定在腹水鉴别诊断中的应用

腹水系一常见症候,鉴别其良、恶性至为重要。我们采用测定腹水中的纤维结合蛋白(Fibronectine简称Fn)及胆固醇(Cholesterol简称Ch)的方法,帮助鉴别,结果甚为满意。临床资料共测定腹水病人51例,其中恶性腹水组35例(肝癌17例,胃癌10例,卵巢癌6例,乳房癌结肠癌各1例),良性腹水组16例(肝硬化)。全部病例均经临床资料(包括内窥镜、B型超声、甲胎蛋白等     

石家庄康复医学培训中心成立

为加快培养康复医学人才的步伐,卫生部医政司批复同意河北省卫生厅建立石家庄康复医学培训中心,作为医政司确认的培训中心之一,向全国招生。这个中心是以河北省医院康复中心为基础成立的。该康复中心有一支基本的师资力量,创办者曲镭教授是老年病康复医学专家,现任主任、副主任、语言治疗、运动治疗四名康复医学专业人员都经     

补肾为主治疗脊椎增生临床观察

脊椎增生症是中老年人的常见病、多发病,随着我国人均寿命的延长,本病的发病率有增高的趋势。笔者在临床以补肾为主治疗脊椎增生症124例,获较满意的疗效,现报告如下。一、临床资料 1.一般情况:本组共124例。其中,颈椎增生80例,腰椎增生18例,胸椎增生6例,颈椎增生伴腰椎增生18例,颈椎增生伴胸椎增生2例;病程,半年至1年41例,1～     

Measurement of bone mineral density in patients with type 2 diabetes mellitus

AIM：To investigate into the changes in bone mineral density (BMD) in patients with Type 2 diabetes mellitus.METHODS:BMD of lumbar vertebrae 2-4 and femur in 63 cases of patients with type 2 diabetes mellitus were measured with dual energy X-ray absorptiometry (DEXA) and were compared with age, sex and BMI-matched normal control group. RESULTS:No significant differences were found in BMD of lumbar vertebrae 2-4 in female of menopause with Type 2 diabetes mellitus(P&;gt;0.05), but BMD of total were lower than that of the controls (P&;lt;0.05), BMD of neck were significantly lower than that of the controls (P&;lt;0.01); No significant differences were found in BMD of L2-4 and femur in male of 50 years old above with Type 2 diabetes mellitus (P&;gt;0.05). CONCLUSION:BMD of Type 2 diabetes mellitus is different according to different sex,BMD of female of menopause with type 2 diabetes mellitus were descended easily,especially in areas of neck BMD, it should couse to pay attention to in order to prevent pathologic bone fracture;BMD of male of 50 years old above with Type 2 diabetes mellitus have no the obvious changes than that of the controls.     

超声探讨室间隔缺损合并动脉导管未闭的诊断方法

目的:超声探讨室间隔缺损合并动脉导管未闭(VSD PDA)患者的动脉导管未闭(PDA)显示方法.方法:超声测量41例VSD PDA和41例单纯室间隔缺损(VSD)患儿的主动脉峰值流速(Vp),平均流速(Vm),流速时间积分(VTI)和心排指数(CI).除常规在胸骨旁大动脉短轴切面探查以外,彩色多普勒超声心动图在胸骨旁肺动脉分叉切面、胸骨上主动脉弓长轴,向短轴扫查切面及剑突下主动脉短轴切面探查PDA.结果:41例VSD PDA患者检出PDA 29例,占70.73%,漏诊12例,漏诊率29.27%.VSD PDA患者的Vp、Vm、VTI和CI参数明显高于单纯VSD患者,P<0.001.4例在胸骨旁大动脉短轴切面未显示的PDA,其中2例在胸骨旁肺动脉分叉切面发现PDA,1例在胸骨上主动脉弓长轴向短轴扫查切面显示PDA,1例在剑突下主动脉短轴切面显示PDA.结论:VSD患儿主动脉Vp、Vm、VTI和CI参数增高时提示合并PDA存在.探查VSD患儿胸骨旁肺动脉分叉切面、胸骨上主动脉弓长轴向短轴扫查切面及剑突下主动脉短轴切面有助于发现PDA.     

(扌衮)法推拿流派的临床辨证施治特色

法推拿是对传统推拿手法的继承与创新。从现代病理学、解剖学、经络辨证、脊神经辨证等角度结合常见病症探讨法的临床辨证施治     

小儿急性阑尾炎临床特点分析

目的:了解小儿急性阑尾炎的临床特点。方法:回顾我院1999-2003年409例小儿急性阑尾炎患儿的住院的诊治经过。结果:急性阑尾炎且行手术409例,3岁以下30例(7.3%),6～12岁299例(73.1%)。入院腹痛者405例(99.0%),呕吐292例(71.4%),发热314例(76.8%),腹部明显压痛377例(92.2%),其中单纯性224例(54.8%),化脓性78例(19.1%),坏疽性66例(16.1%),穿孔53例(12.9%),误诊20例(4.9%),阴性切除17例(4.2%),术后并发症5例(1.2%),全部均治愈出院,无一例死亡。结论:小儿急性阑尾炎表现不典型,病情进展快、易穿孔、应早期诊断、及时手术、减少并发症。     

汤承祖先生学术经验举要

汤承祖先生(1907—),江苏南通人,出生于中医世家,祖父浣香公为民初南通名医。先生家学渊源,幼承庭训,十六岁起从祖父学习歧黄之术,长期随祖侍诊,尽得真传,并耳儒目染地受到祖父高尚医德的熏陶,与此同时,