儿童意外损伤的现场急救

儿童好奇爱动,容易发生意外损伤。一旦发生意外损伤,家长若惊慌失措,采取错误做法,就会增加孩子的痛苦,甚至导致难以挽回的严重后果。因此,作为家长,学习掌握一些现场急救方法很有必要。     

人肝癌转移模型体系的建立

原发性肝癌(以下简称肝癌)的死亡率在全世界所有癌症中占第三位，是我国第二位癌症死亡原因。经过几十年的努力，肝癌临床和基础研究取得了许多进展，手术切除是肝癌获得长期生存的主要手段，在某些临床中心，肝癌根治性切除后5年生存率可达到40％．以上(我所治疗的肝癌病人的5年生存率在小肝癌切除术者中约为60％，大肝癌切除术者约为30％)。但术后5年复发率高达60％以上(小肝癌也达40％～50％)。转移复发已成为进一步延长肝癌病人生存期、提高远期疗效的瓶颈问题，也是最终攻克肝癌的关键。     

肝细胞癌门静脉癌栓的研究进展

肝内复发和转移是肝细胞癌治疗困难和死亡的主要原因。门静脉检在复发和转移过程中起关键作用。Q     

中医营养学教材编写应注意的问题

中医营养教育起于20世纪80年代。1984年北京中医学院率先成立了全国高校第一个中医营养教研室,以后其他一些院校也陆续成立了相关科室,并开设营养课程,但是大多数院校采用的是自编教材,各自为政。进入20世纪90年代,相继出现了一些全国性教材,如翁维健教授主编的《中医饮食营养学》、倪世美等教授主编的《中医食疗学》、谭兴贵教授主编的《中医药膳学》等,这些教材的出版,反映了中医营养教育已经达到一定的规模,对于促进该学科的发展也起了积极的作用。     

53例肝癌切除术后生存20年以上远期随访分析

Objective To clarify the clinicopathological features of patients surviving≥20 years after resection for hepatoceUular carcinoma(HCC).Methods Between 1961 and 1987, a total of 396 patients underwent hepatic resection for HCC.Of the 396 patients, 53(13.4 %) survived ≥20 years and 343(86.6%) <20 years.A comparative study between the two groups was made.Results By March of 2007, 67.6%(36/53) of the patients were still alive and disease-free while 5.7% (3/53) of them died of tumor recurrence or metastasis, 11.3 % (6/537 died of liver failure, 5.70% (3/537 died of other disease, and 9.4% (5/53) were lost during follow-up.Two patients with intraperitoneal rup-tured HCC survived fro 26.6 years and 38.75 years, respectively.Five young patients got married af-ter resection and have had babies.The longest surviving time was 43 years and 2 months.Reresection for recurrence was done in 9 patients and the mean survival was 26 years and 11 months.Reresection for solitary pulmonary metastasis was performed in 3 patients and the mean survival was 29 years and 2 months.Downstaging followed by resection was performed in 4 patients, mean survival being 22 years and 10 months.In comparison with patients surviving <20 years, those surviving ≥20 years were significantly younger(P<0.05) and had a higher incidence of asymptomatic tumors (P<0.01), lower γ-glutanyl transpeptidase levels (P<0.01), lower incidence of liver cirrhosis (P<0.01) ; high-er percentage of smaller tumors (P<0.01), single nodule tumors (P<0.01) and well encapsulated tumors (P<0.01), lower incidence of tumor emboli in portal vein (P<0.01), better differentiation of tumor cells (P<0.05) and higher curative resection rate (P<0.01).Conclusions Early and cura-tive resection are important for improving long-term survival.Long-term follow-up after resection of HCC is very important, and should continue for the remainder of the patient's life.Reresection for re-currence and metastasis is an important approach to improve prognosis.     

论《本草纲目》的食物养生保健思想

李时珍采诸家补养学说,收历代食治之法,集各家食疗之品,在《本草纲目》中详尽丰富的记载了诸多食养食疗内容。收集《本草纲目》中所载的食物,运用数据频次统计的客观手段,从书中记载的食物本草的性、味、功效等方面对食物的养生功效进行探讨,总结出"食物多以平性、甘味为主,以补为多"的规律,以此对《本草纲目》食物养生思想作初步探讨,以丰富中医食养的内容;同时对书中所载食物保健内容进行阐述,希冀对当今保健品的开发略有启发。     

原发性肝癌的分子靶向治疗新进展

肝癌是常见的恶性疾病,起病隐匿,明确诊断时常常已到晚期,且多合阡肝硬化等,丧失了手术切除肿瘤的机会,病死率高.近年来,随着对肝癌发生发展分子机制认识的不断深入,分子靶向治疗成为肝癌治疗的一个新于段.一些分子靶向药物有望在延长肿瘤无进展期、提高生存质量方面使患者获益.