剖宫产同时行子宫肌瘤剔除术80例

目的 探讨剖宫产同时行子宫肌瘤剔除术的安全性和可行性.方法 回顾分析我院80例妊娠合并子宫肌瘤剖宫产术中同时行子宫肌瘤剔除术及80例单纯剖宫产术患者的临床资料.结果 剖宫产同时行子宫肌瘤剔除术其手术时间较单纯剖宫产长,差异有统计学意义(P<0.05).而术中出血量、术后排气时间、术后病率及住院时间比较差异无统计学意义(P>0.05).结论 剖宫产术中同时行子宫肌瘤剔除术是安全可行的.     

高浓度鱼腥草素治疗呼吸道炎症114例疗效观察

我们应用高浓度合成鱼腥草素针剂(10毫克/2毫升,中山医学院第三附属医院药厂制),治疗呼吸道炎症114例,效果满意,现小结如下。一般资料男56例,女58例。年龄3个月～68岁。少数病例有青霉素或其他抗生素过敏史,部分病例常用抗生素,但疗效欠佳。     

溶组织内阿米巴ELISA试剂盒在阿米巴病调查的应用

目的了解景洪市爱尼族人群阿米巴病流行情况,为阿米巴病监测和防治提供依据,并评价ELISA试剂盒在阿米巴病调查应用的效果。方法以整群随机抽样爱尼族村寨,逐户收集新鲜粪便标本,用观察法、碘液涂片镜检法和TECHLAB第二代溶组织内阿米巴ELISA试剂盒对照检测粪便标本溶内阿米巴。结果镜检278例,E·h/E·d感染为9·71%;ELISA检测366例,E·h感染率为9·29%;镜检和ELISA共同阳性15例,占镜检阳性的55·56%;粪便观察和ELISA检测结果诊断5例为肠阿米巴病,发病率为1·37%,E·h致病率为14·71%。结论景洪爱尼族阿米巴病流行严重,应加强阿米巴病的监测和防治工作,同时积极推广新技术。     

醒脑净和纳络酮治疗急性乙醇中毒的疗效对比分析

目的探讨醒脑净和纳络酮治疗急性乙醇中毒的疗效对比。方法选择80例急性乙醇中毒的患者，在常规内科基础治疗措施，包括洗胃、利尿、补液、护肝、能量合剂等，随机将本组病例分为醒脑净组和盐酸纳络酮组，采用常规治疗加醒脑净注射液，2ml／支（无锡健宏药业总公司生产）。给药剂量为10～30ml／次，每日1～2次．静脉注射或静脉滴注；盐酸纳络酮组采用常规治疗加上盐酸纳络酮注射剂，0．4mg／支（北京四环制药厂生产），给药剂量为首次0．4mg～1．2mg，必要时每15～30min重复一次，静脉注射。两组病人性别、年龄、饮酒量及入院时间、临床表现有可匹配性，统计学处理无显著性差异P〉0．05。比较各组前后疗效的变化。结果醒脑净与盐酸纳络酮组疗效比较，两组比较无显著差异（P〉0．05）结论醒脑净是治疗急性乙醇中毒的安全、有效、可行的方法之一。     

全麻诱导期心跳骤停2例报道

全麻诱导期的麻醉意外发生并不少见。本文回顾了2例麻醉诱导期心跳骤停的发生及处理经过,强调术前访视,急救准备及临床监测的重要性。应该做到全身麻醉的镇静,镇痛的完善以及不良反应的减少,保障安全。     

骨髓单个核细胞Coombs试验阳性的血细胞减少患者补体水平变化及其意义

Objective To investigate the variation of bone marrow complement level in cytopenia pa-tients with positive BMMNC-Coombs test(CBCPC), and probe the role of complement in destroying hemato-poietic cells of CBCPC patients. Methods One hundred and twenty-four patients with CBCPC and twenty-three healthy donors as controls were enrolled in this study. The levels of CI-150, C3, C4, C5b-9 were tested with ELISA. The auto-antibodies on bone marrow hematupoietic cells (BMHC) were examined with flow cy-tometry. Results The level of C5b-9 in bone marrow(BM) of untreated CBCPC patients [(119.8 ± 54.0)μg,/L] was significantly higher than that of recovered patients [(100.7 ± 33.4) μg/L] or normal controls [(93.9 ± 28.8) μg/I.] (P < 0.05). The levels of CH50 in BM of untreated or recovered CBCPC patients [(33.3 ± 11.5) kU/L, (30.8 ± 10.3) kU/L] were significantly higher than that of normal controls [(24.1 ±6.4) kU/L] (P < 0.05). The level of C3 in BM of untreated or recovered CBCPC patients [(4.9 ± 2.2) mg/ L], (5.0 ± 3.5) mg/L] was significantly lower than that of normal controls [(7.0 ± 5.6) mg/L] (P < 0.05). The level of complement in peripheral blood was consistent with that in BM. CH50 in BM of CBCPC patients was negatively correlated with their C3 (r = - 0. 303, P = 0. 007) and positively correlated with their C5b-9(r = 0. 241, P = 0. 003) levels. The level of C5h-9 in BM of CBCPC patients was higher in the BMHC-IgM positive group [(117.6 ± 55.7) μg/L] than in the BMHC- IgM negative group [(99.2 ± 26.2)μg/L] (P < 0. 05). The positive rate of CD34+ -IgG or CD34 + -IgM of CBCPC patients was positively corre-lated with their C5 b-9 level (r = 0. 593, P = 0.000, r = 0. 326, P = 0. 049). The reticulocyte percentage (r =0. 421, P = 0.000) and serum indirect bilirubin level (r = 0. 230, P = 0. 032) of CBCPC patients were posi-tively correlated with their CHSO level. Conclusions The hematocytopenia of CBCPC patients might be re-lated to the hematopoietic cells destruction caused by auto-antibedy activated complements.     

骨髓单个核细胞Coombs试验阳性的血细胞减少患者补体水平变化及其意义

Objective To investigate the variation of bone marrow complement level in cytopenia pa-tients with positive BMMNC-Coombs test(CBCPC), and probe the role of complement in destroying hemato-poietic cells of CBCPC patients. Methods One hundred and twenty-four patients with CBCPC and twenty-three healthy donors as controls were enrolled in this study. The levels of CI-150, C3, C4, C5b-9 were tested with ELISA. The auto-antibodies on bone marrow hematupoietic cells (BMHC) were examined with flow cy-tometry. Results The level of C5b-9 in bone marrow(BM) of untreated CBCPC patients [(119.8 ± 54.0)μg,/L] was significantly higher than that of recovered patients [(100.7 ± 33.4) μg/L] or normal controls [(93.9 ± 28.8) μg/I.] (P < 0.05). The levels of CH50 in BM of untreated or recovered CBCPC patients [(33.3 ± 11.5) kU/L, (30.8 ± 10.3) kU/L] were significantly higher than that of normal controls [(24.1 ±6.4) kU/L] (P < 0.05). The level of C3 in BM of untreated or recovered CBCPC patients [(4.9 ± 2.2) mg/ L], (5.0 ± 3.5) mg/L] was significantly lower than that of normal controls [(7.0 ± 5.6) mg/L] (P < 0.05). The level of complement in peripheral blood was consistent with that in BM. CH50 in BM of CBCPC patients was negatively correlated with their C3 (r = - 0. 303, P = 0. 007) and positively correlated with their C5b-9(r = 0. 241, P = 0. 003) levels. The level of C5h-9 in BM of CBCPC patients was higher in the BMHC-IgM positive group [(117.6 ± 55.7) μg/L] than in the BMHC- IgM negative group [(99.2 ± 26.2)μg/L] (P < 0. 05). The positive rate of CD34+ -IgG or CD34 + -IgM of CBCPC patients was positively corre-lated with their C5 b-9 level (r = 0. 593, P = 0.000, r = 0. 326, P = 0. 049). The reticulocyte percentage (r =0. 421, P = 0.000) and serum indirect bilirubin level (r = 0. 230, P = 0. 032) of CBCPC patients were posi-tively correlated with their CHSO level. Conclusions The hematocytopenia of CBCPC patients might be re-lated to the hematopoietic cells destruction caused by auto-antibedy activated complements.     

正畸固定矫治中牙龈指数及牙釉质脱矿的危险因素分析

目的：分析正畸固定矫治中影响牙龈指数（Gingivalindex,GI）及牙釉质脱矿的危险因素。方法：选取2019年1月-2021年1月于笔者医院行正畸固定矫治的180例患者为研究对象。收集患者资料，采用GI指数评估患者牙龈健康情况，采用多元线性回归分析影响患者GI指数水平升高的独立危险因素；根据牙釉质脱矿检查结果分为脱矿组（n=105）和无脱矿组（n=75），采用Logistic回归分析导致患者牙釉质脱矿的独立危险因素。结果：患者GI指数在年龄、性别、刷牙频率、刷牙时间、是否使用牙线、睡前饮用含糖牛奶、含糖饮料、碳酸饮料及矫正器装置不良差异均有统计学意义（P<0.05）；多元线性回归分析结果显示，刷牙时间、睡前饮用含糖牛奶、含糖饮料及碳酸饮料及矫正器装置不良是影响正畸固定矫治患者GI指数水平的独立危险因素（均P<0.05）。单因素结果显示，两组患者年龄、刷牙频率、刷牙时间、是否改变口腔不良习惯、碳酸饮料摄入频率、甜品摄入频率及正畸矫治时间差异均有统计学意义（P<0.05）。多因素分析结果显示，年龄、是否改变口腔不良习惯、碳酸饮料摄入频率、甜品摄入频率及正畸矫治时间是...     

乳磨牙干髓术342例临床观察

干髓术在临床上常用来治疗乳磨牙牙髓病 ,它具有方法简便、操作时间短、痛苦小、患儿易于接受的优点 ,但对其确切疗效报道不多。作者对此做了临床观察 ,现报道如下。1　资料与方法1.1　临床资料　 1989年以来 ,我科因患不可复性牙髓炎不能做根疗而行干髓术的乳磨牙约 2 0 0 0余例 ,选其中资料完整且治疗一年以上者 3 42颗牙做了分析 ,观察时间 1～ 4年 ,治疗时年龄 3～ 10岁。1.2　方法　首次就诊 ,经检查确诊为适应证后 ,开髓封失活剂 ,隔日复诊时揭髓顶 ,切髓 ,置干髓剂 ,垫底 ,永久充填。1.3　疗效判定　成功 :无自觉症状 ,咀嚼功能正常 …     

对同性爱人群开展性病艾滋病干预工作的几点认识和体会

阐述了近年来对同性爱人群开展性病艾滋病干预工作所得出的认识和体会.认为应客观地认识同性爱人群并借鉴国际上行之有效的经验,为我国性病、艾滋病防治工作服务.特别是应为同性爱中的志愿者提供宽松的工作环境.强调应加强多部门的合作,设立专项基金,多渠道筹集经费.建议开发适合同性爱人群使用的安全套和润滑剂,为干预工作服务.