新生儿心律失常48例

目的 探讨新生儿心律失常的特点及治疗措施和预后。方法对48例新生儿心律失常的资料进行总结分析。结果48例新生儿心律失常中感染性疾病20例（41．7％）,围产期缺氧12例（25％）,原因不明7例（14．6％）;心律失常类型：早搏27例,各类快速性心律失常10例,传导异常6例,窦性心动过缓5例。结论新生儿心律失常病因以缺氧及感染为主,类型多为房早、室早、各种传导阻滞和快速性心动过速。快速性心律失常常表现为气促、烦躁、面色苍白、紫绀等非特异性症状。新生儿心律失常大多无须特殊治疗,预后主要取决于自身疾病的严重性和心律失常的程度。     

盐酸氨溴索雾化吸人佐治新生儿感染性肺炎疗效观察

新生儿肺炎是新生儿期的常见病,临床上可分为吸入性与感染性两大类,感染性肺炎可以发生在宫内、分娩过程中或出生后,可由细菌、病毒或原虫感染引起,其发生与机体防御能力低下,呼吸道机构和功能发育不完善密切相关。我科采用盐酸氨溴索雾化吸入治疗新生儿感染性肺炎,取得较好效果。现报道如下。     

儿童铅中毒36例诊疗体会

目的分析铅中毒的临床表现,提高铅中毒儿童的诊疗水平。方法对诊断明确的铅中毒患儿临床资料进行回顾性分析。结果36例铅中毒儿童中年龄最小的10个月,最大9岁。经过常规综合对症治疗,驱铅药物应用,好转32例,转院1例,失防3例。结论铅可引起神经、血液、消化、心血管、内分泌等多系统功能损害,对儿童的生长发育,智力行为有不利的影响。     

急性心血管事件院前急救的应急策略及流程探讨

Objective To study the strategy and process of out-hospital emergency care of acute cardiovascular events. Methods One hundred and eighty-three patients in the Second Affiliated Hospital of Baotou Medical College were prospectively studied. The patients were divided into two groups according to the different ways of out-hospital care, one group consisted of patients who received first-aid care after calling " 120" (94 cases), another was self-aid group consisting of patients sent to hospital by relatives (89 cases). The proportion of persons with higher than high school education and better knowledge for emergency care of patients with heart disease in first-aid group was higher than self-aid group (50. 0% vs. 29. 2%, 83.0% vs. 60. 7%, both P<0. 05). When the patients were brought to the emergency room, they were all treated according to our standard procedure and then registered. All patients were followed up at the end of first and third month after illness. Results Cardiovascular events were mainly myocardial infarction (61.7%) among 183 patients. There were statistically significant differences between two groups in self-aid response time, first disposal time and out-hospital rescuing time [(32.3 ± 5.6) minutes vs. (89.6±8.4) minutes, (47.3±7.3) minutes vs. (149.8±13.5) minutes, (61.7±8.3) minutes vs. [(149.8±13.5) minutes, all P<0. 01], but no difference was found in in-hospital rescuing time [(29. 9±5.3) minutes vs. (31.1±4.5) minutes, P>0. 05]. Morbidity rate was lower in first-aid group than self-aid group in 1st and 3rd month, respectively (2.1% vs. 9. 0%, 4. 2% vs. 12.4%, both P<0. 05). Conclusion Excellent emergency system and procedure can shorten initial disposal time and out-hospital rescuing time, thus improve patients' prognosis. The education level and health knowledge of patients and their raletives directly affect their mode of arriving hospital and prognosis.     

COPD肺动脉高压与内皮型一氧化氮合酶第4内含子VNTR多态相关性研究

目的探讨内皮型一氧化氮合酶（endothelial nitricoxide syehtase,eNos）基因第4内含子27bp可变数目的短片段重复序列（variable number tandem repeats,VNTR）的多态性现象与慢性阻塞性肺部疾病（COPD）肺动脉高压的相关性。方法应用PCR检测COPD肺动脉高压患者和健康对照组的eNos基因第4内含子多态性。并用硝酸还原酶法检测病例组及对照组NO^3-／NO^2-浓度水平。根据基因型和基因频率分组进行比较。结果eNos基因VNTR4a等位基因频率在病例组明显高于对照组（P=0．027。P〈0．05。X2=4．913,DR=2．23795％CI：1．082—4．622）;4a／4b＋4a／4a基因频率在病例组和对照组分别为29．51％和14．42％（P=0．019。P〈0．05,X^2=5．468,OR=2．48495％CI：1．143—5．396）差异有显著性。各组中的4a／4b＋4a／4a基因型患者血浆中NO^3-／NO^2-浓度分别明显低于各4b／4b基因型患者（P〈0．05）。结论eNos基因第4内含子VNTR与COPD肺动脉高压密切相关并可能通过影响NO的产生再发病机制中起作用。     

刘铁军辨治脾胃虚寒型慢性非萎缩性胃炎

慢性非萎缩性胃炎属中医"胃脘痛"范畴,刘铁军教授提出"十人九胃病,胃病多虚寒"的观点,认为该病的发生以脾胃虚弱为本,寒邪为因,阳气损伤,脾肾同病,临证以"温阳补虚,脾肾同治""调整阴阳,温通气血"为治则,以方证为主导,予经典方剂合方加味应用治疗脾胃虚寒型慢性非萎缩性胃炎,疗效确切.     

记忆合金支架治疗食管贲门狭窄的并发症及对策分析

目的：总结记忆合金支架术的并发症及对策，方法：对83例食管－贲门狭窄患者采用内镜下放置镍钛记忆合金支架，术后观察、处理并发症。结果：解除梗阻有效率100％，并发症多表现为轻症，严重并发症少。结论：该治疗简便，安全，可显著改善患者生存质量、值得推广。     

小儿急性毒蕈中毒12例救治体会

我院儿科自2001年5月—2003年6月共收治误食毒蕈中毒12例，均以呕吐、腹泻发病，以肝脏受损为主，现报道如下。     

丹参酮ⅡA磺酸钠与新瑞普欣存在配伍禁忌

医疗技术水平的提高,使一些新药频频问世,这些新药在“静脉注射药物配伍禁忌表“中并无记载,丹参酮ⅡA磺酸钠注射液(上海第一生化药液有限公司;2 ml,10 mg;国药准字H31022558)是一种活血,改善循环的中成药,新瑞普欣属于3代头孢类抗菌药.……