针灸治疗100例电光性眼炎的初步报告

电光性眼炎是眼科常见的职业病。此系由于焊工在电焊或气焊时末经保获将眼暴露于紫外线照射之下所致。以往治疗时,多数仅能获得暂时性效果,患者不能照常工作,轻者需休息壹天,重者则需3到5天不等。最近我们采用针灸治疗100例;取得了满意的成绩。在100例电光性眼炎患者中均有显著流泪、灼痛感。其中23例患者来诊时疼痛剧烈,畏光,流泪,高度表明,并伴有眼部发红灼烧感。眼睑高度痉挛红润。检查时均有结合膜充血,呈浅红色,无分泌物,有明显的刺激症状。其中重者:伴有明显之睫状充血,瞳孔缩小,甚而有表层角膜炎。     

瑞芬太尼用于小儿扁桃体摘除术的体会

瑞芬太尼具有强效镇痛作用，起效迅速、作用时间短、消除快且不依赖于肝肾功能、无蓄积作用，近年来逐渐在临床中推广应用。自2005-05-08以来我们将其用于36例小儿扁桃体摘除术的麻醉，现报道如下。     

大剂量磷酸肌酸钠预先给药对心脏瓣膜置换术患者心肌缺血再灌注损伤的影响

Objective To investigate the effect of high-dose creatine phosphate (CP) on myocardial ischemia-reperfusion (I/R) injury in patients undergoing cardiac valve replacement. Methods Two hundred and forty-six ASA Ⅱ or Ⅲ patients aged 42-71 yr weighing 45-80 kg undergoing mitral-aortic valve replacement were randomly assigned into 2 groups: control group ( n = 122) and CP group ( n = 124). CP 10 g in 100 ml normal saline (NS) was infused over 60 min starting from the beginning of operation in group CP. In control group NS 100 ml was infused instead of CP. Blood samples were collected before anesthesia and on 1st and 5th postoperative day for determination of serum CK, CK-MB and LDH activity and cTnI concentration. The number of patients receiving dopamine and adrenaline at the time of return of spontaneous heart beat and 12, 24 and 48 h after operation was recorded. The incidence of arrhythmia (auricular fibrillation, ventricular arrhythmia), myocardial infarct and left ventricular ejection fraction (LVEF) were also compared between the 2 groups. Results Serum CK, CK-MB and LDH activity and cTnI concentration on 1st and 5th postoperative day, the doses of dopamine and adrenalin, the incidence of arrhythmia and myocardial infarct were significantly lower in group CP than in control group. The postoperative LVEF and the incidence of spontaneous recovery of spontaneous heart-beat were significantly higher in group CP than in control group. Conclusion Pretreatment with high dose CP can protect myocardium against I/R injury in patients undergoing cardiac valve replacement under CPB.     

芬太尼硬膜外注射对剖宫产新生儿脐血气的影响

硬膜外麻醉具有止痛效果确实、麻醉平面和血压易于控制而成为近年来进行剖宫产手术的首选麻醉方法。同腰麻相比，其具有起效时间长，止痛不完善等缺点。局麻药中加入芬太尼可明显缩短起效时间，改善麻醉效果。但芬太尼脂溶性强，易被吸收并极易透过胎盘，引起呼吸抑制。本文探讨应用芬太尼硬膜外注射对剖宫产新生儿血气的影响。     

磷酸肌酸钠复合氨甲环酸对非体外循环冠状动脉旁路移植术患者心肌和血液保护作用的研究

目的 研究在非体外循环下行冠状动脉旁路移植术(off-pump coronary artery bypass grafting,OPCABG)中应用磷酸肌酸钠及氨甲环酸对缺血心肌的保护及血液保护作用.方法 将拟行OPCABG术的冠心病患者280例按完全随机法分为4组,每组70例,实验组、磷酸肌酸钠组、氨甲环酸组和对照组...     

持续静脉注射小剂量利多卡因对胃肠道肿瘤患者胰岛素抵抗的影响

目的研究持续静脉注射小剂量利多卡因对胰岛素抵抗的影响。方法60例患者,分为利多卡因组和对照组,每组30例。分别于麻醉前、后不同时段测定血糖、胰岛素、C-肽、生长激素(GH)和皮质醇水平,并计算胰岛素敏感性(ISI)。结果2组血糖水平于术后24h达最高,此后逐渐下降。术后24h对照组血糖、胰岛素、ISI、血清C肽、GH、皮质醇水平较利多卡因组明显升高(P<0.05);对照组术后24h血糖、胰岛素、ISI、血清C肽、GH、皮质醇水平与麻醉前比较差异有统计学意义(P<0.05),而治疗组上述指标与麻醉前比较差异无统计学意义(P>0.05)。结论持续静注小剂量利多卡因能降低胃肠肿瘤手术患者应激反应,减轻术后胰岛素抵抗的程度。