遗传病及非遗传性先天残疾控制措施Ⅰ——Ⅰ优生咨询医生培训

控制遗传病及非遗传性先天残疾的措施包括1.优生咨询医生培训,2.遗传病及非遗传性先天残疾调查,3.建立优生咨询网点,4.遗传病高危家庭监护4个方案。这是一项开展优生工作的系统整体方案。在1987年12月鉴定后逐渐在本省、河南、天津推广,现正由山东、天津、河南、陕西、山西、内蒙古等6省市组成协作组推广应用。实施本措施可在1个月内完成4项任务,效果显著,节约经费,在全国推广后,将为实现优生提供技术力量及机构保证。优生咨询医生培训包括初级和高级两种,前者采用短训班的形式学习医学遗传学理论及优生学知识,后者采用函授方式。     

Comparison of antihypertensive efficacy and perinatal safety of labetalol and methyldopa in the treatment of hypertension in pregnancy: a randomized controlled trial

Summary. Labetalol was compared with methyldopa in a randomized controlled trial involving 176 pregnant women with mild to moderate hypertension. Diastolic blood pressure below 86 mmHg was obtained in a similar proportion of women given labetalol or methyldopa. Intrauterine death occurred in four women treated with methyldopa, and the one neonatal death on day 1 occurred in the labetalol group. The average birthweight and the proportion of preterm or small-for-gestational-age babies were similar in both groups. Heart rate, blood pressure, blood glucose, respiratory rate, and Silverman score of the babies did not differ between the two treatment groups, whether the comparison was made for all the infants, or only for those that were preterm or small-for-gestational-age. These data indicate that maternal betablockade with labetalol is as safe as methyldopa for the fetus and the newborn.     

特发性血小板减少性紫癜52例临床分析

本文对52例特发性血小板减少性紫癜进行了临床分析。探讨了ITP与免疫ITP的骨髓象。关于治疗问题,作者强调了本病确诊后先采用激素治疗较为恰当。     

Basal Cell Carcinoma-Signet Ring Type

Light microscopic examination of a basalioma (basal cell carcinoma) revealed unusual keratinizing cells resembling signet ring cells with pink cytoplasmic inclusions. Ultrastructurally the inclusions consisted of filamentous masses encircled by abundant tonofilaments giving a striking picture of abnormal individual tumor cell keratinization.