学术动态

河北医学院统战理论研究会,于1987年12月18日在统战部召开统战理论讨论会,研究会理事长赵荣伦副教授主持会议,统战理论研究会理事及有关方面负责人出席讨论会。在讨论会上有四位同志宣读了论文。九三学社成员王兆庆副教授:宣读论文的题日是《民主党派的独立自主与共产党的领导》;侨联小组长王成芬副教授.宣读论文的题目是《侨务工作与     

心血管外科手术304例的经验体会

本文报告了心血管手术304例,其中体外循环下手术226例。死亡16例,手术死亡率5.26％。报告就其基本方法、心肌保护、并发症的原因和预防进行了初步讨论。     

小儿乳糖酶缺乏症

乳糖酶缺乏(LD)在年长儿和婴幼儿中都很常见,其原因前者与遗传有关,后者则多为继发性。乳糖吸收不良(LM)指的是只有LD的实验室指征,乳糖不耐受(LI)则是同时合并有LD的临床表现。     

细胞释放的微粒的检测方法研究进展

微粒(MPs)是由活化或凋亡的血液细胞、血管内皮细胞、肿瘤细胞释放的直径0.1～1.0μm的小囊泡,具有广泛的生物学活性,与多种疾病的发生、发展密切相关。由于MPs 极小,常规检测方法的敏感度和分辨率常常是不够的,使得 MPs 的检测受到很大限制。本文简单介绍了目前一些常用的MPs的检测方法,包括定性和定量检测方法,分析了各个方法的优势和不足,为微粒检测分析时方法的选择提供参考,但MPs的临床检测尚有待MPs检测方法的进一步标准化。     

长期应用复方薄荷脑滴鼻液导致外源性脂质性肺炎1例

Here we reported a case of exogenous lipoid pneumonia from Peking University Third Hospital. A 62-year-old male presented with chronic cough and expectoration for 8 years, without chest pain, hemoptysis or short of breath. He was an ex-smoker. In his past medical history, the patient reported chronic rhinitis sicca for 20 years. Chest computed tomography (CT) showed patchy ground glass opacities in his bilateral lower lobe. In recent 3 years, his symptoms showed slowly deteriorative changes, as did his chest CT findings. No improvement of the patient’s symptoms was observed, although he had been treated with many antibiotics. Then he was referred to our hospital for a detailed investigation for interstitial lung disease. On admission, the physical examination showed no abnormal findings except for inspiratory fine crackles in his bilateral lower lung field on auscultation. The results of the laboratory analysis, including complete blood cell count, biochemistry, arterial blood gas, urinalysis, antinuclear antibody (ANA), antineutrophil cytoplasmic antibody (ANCA) and tumor markers were all within normal ranges. To exclude the possibility of infectious or malignant conditions, bronchoscopy was performed. Secretions from the left lower lobe bronchus were collected for bacterial, fungal and fast-acid cultures, which were all negative. A bronchoalveolar lavage (BAL) was performed in the left lower lobe with a 30% recovery. The total cell count of the BAL fluid was 6.5×104/mL, and the cellularity diffe-rential revealed increased neutrophils(20%)and lymphocytes (17%). The cytological examination in the BAL fluid showed no malignant cells. All the clinical data above did not reveal any conclusive information. However, the pathological findings of his transbronchial lung biopsy (TBLB) were highlighted with lipid-laden macrophages engulfed by large vacuoles occupying almost completely the cytoplasm of the cells, which were consistent with those of exogenous lipoid pneumonia. Given these findings, it emerged that the patient was taking twice daily inhalations of a compound menthol nasal drops (essential oil of camphor, menthol and liquid paraffin) for his chronic rhinitis sicca for at least 10 years. Then he discontinued oil nasal sprays and showed gradual improvement 3 months later without intensive treatment. The presenting case report emphasizes the fact that chronic inhalation of nasal sprays and decongestants containing mineral oils was a cause of exogenous lipoid pneumonia, and clinicians should bear it in mind.     

上海市安亭镇老人生活满意度现状及其关联因素

目的调查上海市安亭镇老年人生活满意度现状及其关联因素。方法采用多阶段随机抽样的方法,在安亭镇居民年龄为60周岁及以上的老年人中进行抽样,共获得调查问卷860份;采用自行设计的老年人生活满意度调查表对该地区老年人进行调查,对调查表结果进行统计分析。结果该地区老年人生活满意度为86.98%,婚姻状况和家人关系是老年人生活满意度的关联因素。结论上海市城郊安亭镇老年人生活满意度总体水平较高,未婚、丧偶或离婚以及家庭关系一般或差的老年人需要被重点关注。     

阿昔洛韦治疗RAU临床疗效观察

复发性阿弗它溃疡 (RAU)是临床上最常见的口腔黏膜。近年来 ,国内外学者对RAU病因的研究表明 ,病毒在RAU的发病机制中起到一定的作用。为此 ,2 0 0 0 -10～ 2 0 0 2 -0 3 ,我们采用阿昔洛韦 (ACV)治疗RAU患者 41例。取得了满意的临床疗效 ,现报告如下 :1　资料方法1 1　病例选择79例ARU患者为开封市医学科学研究所口腔科门诊患者 ,其中男 3 2例 ,女 47例 ,年龄 16～ 73岁 ,平均 45 5岁 ,填知情同意书 ,能配合治疗者。根据实验室病毒检测结果及临床症状确诊 ,RAU有 1年以上的病史 ,溃疡每月发作 1次者 3 6例 ,多次者 43例。本次病…     

尾加压素II在大鼠慢性阻塞性肺疾病模型中的变化及意义

目的 探讨尾加压素II (U-II)在慢性阻塞性肺病(COPD)大鼠中的变化。方法 SD雄性大鼠随机分为慢支组、COPD组、戒烟组和对照组。用放免法测定血浆、支气管肺泡灌洗液(BALF)和肺组织匀浆中U-II含量，测定肺功能并观察气道病理改变。结果 各组血浆U-II含量无明显变化；BALF中U-II含量显著高于各组血浆含量的1.7、2.2、4.7和4.9倍(均P <0.01)。慢支组、COPD组、戒烟组BALF中 U-II含量分别较对照组升高50%、225%和225%(均P <0.01)。肺组织匀浆U-II含量亦显著高于对照组(均P<0.05)。BALF中U-II含量与BALF中性粒细胞数呈正相关(P<0.01)；与气道炎细胞浸润、气道壁平滑肌增生、气道纤维结缔组织增生病理评分均呈正相关(均P<0.01)；与呼气峰流速成负相关(P<0.01)。结论 U-II可能参与COPD气道重塑的发病。     

肝炎患者血清透明质酸,Ⅲ型前胶原氨基端尾肽,层粘蛋白？…

分析了１６６例肝病患者血清透明质酸（ＨＡ），Ⅲ型前胶原氨基端尾肽（ＰⅢＮＰ），层粘蛋白（Ｌｎ）与ＩＶ型胶原（ＩＶ－Ｃ）结果是：ＨＡ－ＰⅢＮＰ，Ｌｎ在各型肝病人中血清含量均高于正常组（Ｐ〈０．０１），Ⅳ－Ｃ在除急性肝炎组外的其余各组血清含量均高于正常组（Ｐ〈０．０５），而ＨＡ，ＰⅢＮＰ，Ⅳ－Ｃ的含量，慢活肝，肝硬化组的病人高于慢迁肝的病人（Ｐ〈０．０１），肝硬化组病人Ｌｎ高于慢迁肝组病人（Ｐ〈０．０     

醒脑清心针刺法治疗脑心综合征临床研究

目的观察不同针刺方法治疗脑心综合征患者的疗效.方法将 108例脑心综合征患者随机分为观察组和对照组各 54例,分别施以"醒脑清心"针刺法及"醒神清心"针刺法,于治疗前后进行神经功能缺损程度评定及心电图检查.结果观察组患者神经功能缺损程度及心电图的改善优于对照组.结论 "醒脑清心"针刺法对急性脑卒中患者引发的心脏损伤具有明显的保护作用.