温度计与新生儿直肠穿孔

最近英国学者报告除非在特殊情况,不应在新生儿中使用肛门温度计,而应以腋下测温取代。因新生儿的直肠解剖形态易因任何器械通过肛门进行检查时发生穿孔的危险。这种损伤,即使剖腹术时也准以确诊。本文对3例新生儿直肠穿孔的病例进行复习。有1例系肛门温度计在直肠内断裂,另2例虽未能证实曾使用过肛门温度计,但根据病损的形状可确定曾用过肛门温度计,因在英国的产院对新生儿习用肛门温     

大剂量萱花治愈重症黄疸一例

病例:黄××,男,27岁,1981年4月11日,因患肺结核服用抗痨药链霉素、异烟肼、PAS治疗.五月中旬相继出现腹胀呕吐、黄疸.血清检验谷丙转氨酶120单位,黄疸指数40单位.赴外地以中西药治疗,黄疸指数反而骤增到200单位.乙型肝炎表面相关抗原1∶256.又经无锡101医院剖腹探查,未发现肿瘤等梗阻原因.于8月6日邀余诊治.     

22 YEARS (1954-1975) INVESTIGATION OF INFANT I)EAT~S IN TEXTXLE WORKERS FAMILIES

66,669 live births(1954—1975) in the Second Hospital of the Shanghai Textile Bureau, were irtvestigated. Infant mortality rate decreased about 76.O%, jii this period, from 44.20Im to 10.60i00. The mortality rate was highest near the time of delivery. In the last 12 years, 85.8ro ot all deaths occurred in the neonatal period, 72.1% of the deaths occurred in the first postnatal week, rwhich further iilcrcased t0 90.9% in 1975. The most important causes of infant deaths were neonatal respiratory disease (43.2%), mal- formation (25.4%), respiratory infeetion (9.1%) and intracranial hemorrhage (7.6%). Prema- turity accounted for 78.8% (67/85) among the deaths of neonatal respiratory disease. 50r:c. of the malformation, diagnosed by necropsy, wcre cardiac malformations, ;vhich all died of com- plication of pneumonia or massive aspiration of amniotic fluicl. Therefore one should check to see if there is cardiac malformation in neonatal pneumonia.     

523例下颌骨的下颌圆枕、颏形及搖椅式下颌骨的观测

本文对贵州地区523例成人下颌骨的下颌网枕、颏形及摇椅式下颌骨的出现率等进行了观察与测量。结果如下: 一、下颌圆枕的观察与测量据人类学资料记载,在人类下颌齿槽突内侧,常有发育程度不等的圆形或椭圆形骨质隆起,称为下颌圆枕。从目前资料看,下颌圆枕在不同种族间的出现率不一样。据统计,现代蒙古人种较多地出现这种结构。如爱斯基摩人的出现率为70％以上,中国人占70％以上,印第安人占13     

心房纤维颤动V_1f波及T波的探讨

本文分析1979～1983年住院心房颤动(下称Af)157例的病因,并对其中82例V_1f波振幅及67例T_(v1)与T_(v5)对比研究,以探讨其临床意义。一般资料:本组男性85例,女性72例;年龄17～88岁,40岁以上者占87％。持续型Af122例,阵发型Af35例。病因中风湿性心脏病(风心病)69例(男32例,女37例)     

39例误诊为肺癌病例临床分析

山于肺癌的临床表现复杂多样,有时难以与其他呼吸道疾病区分。因此,可能把肺癌当作其他疾病而误诊误治;也经常发生把其他疾病误诊为肺癌而错诊错治。本文就我院39例误诊为肺癌的病例进行初步临床分析。     

间接血凝技术诊断人体丝虫病

作者报道了马来西亚班氏、马来丝虫病流行区,应用间接血凝技术(IHA)诊断人体丝虫病的结果。方法:从火鸡翅静脉采血置冷的无菌葡萄糖枸橼酸液(ACD)内,4份血加1份ACD,于4C过夜,以冷的生理盐水洗3次,200g离心5分钟,用pH7.2磷酸缓冲盐液     

大鼠对注射巴马亭的类过敏反应

Palmatine given subcutaneously at the dosage of 50 mg/kg to male rats weighing 100-150 grams produced hyperaemia and oedema of the paws within half an hour. Local injection of 25 micrograms of palmatine in 0.1 ml to the hind paw elicited a similar response. Pretreatment of the rat with intraperitoneal injection of diphenhydramine (75 mg/ kg) or chlorpromazine (5 mg/kg) significantly inhibited the oedema of the hind paws induced by subcutaneous injection of palmatine. Diphenhydramine (75 mg/kg) and Dibenamine (15 mg/kg) given concomitantly, or chlorpromazine (5 mg/kg) given alone, prevented significantly the formation of oedema of the hind paws elicited by locally in- jected palmatine. Following subcutaneous injection of palmatine, the histamine content of the peritoneal fluid was found to be higher than that of the control. Therefore, the anaphylactoid reaction of the rat to the injection of palmatine is the result of histamine and probably 5-hydroxytryptamine release.     

病案首页中存在的问题及控制对策

检查我院2002年1月-2003年3月出院病案首页3073份,按有关标准对其质量进行检查,并针对存在的质量问题,提出对策。     

或ρ型空肠代胃术

本文报告10例胃癌患者施行了带血管蒂ρ或ρ型空肠代胃术,明显提高了患者的生活质量,并对该术式的有关问题进行了讨论。