维持性血液透析患者血清瘦素/脂联素比值与心脏脚踝血管指数的相关性

动脉硬化性心血管疾病是终末期肾脏病(ESRD)患者的主要并发症及死亡原因.瘦素/脂联素比值可作为评估动脉粥样硬化进展的血清学标志[1-2].该指标在维持性血液透析(MHD)患者中的研究目前少有报道.本研究以心脏脚踝血管指数(cardio-ankle vascular index,CAVI)作为评估动脉硬化指标,研究瘦素/脂联素比值与CAVI的相关性.     

鼻内镜下泪囊鼻腔造孔术治疗慢性泪囊炎75例临床分析

慢性泪囊炎为眼科常见病,其原因是由于鼻泪管狭窄、阻塞,导致泪液在泪囊内滞留,伴发细菌感染而引起。与沙眼、泪道外伤、鼻中隔偏曲、鼻息肉、鼻腔肿瘤、下鼻甲肥大、鼻腔手术等因素有关。主要表现为溢泪、压迫泪囊（眼角区）有粘液脓性分泌物自泪小点流出、泪道冲洗不通或有脓性分泌物冲出、泪囊造影显示鼻泪管阻塞。     

维持性血液透析患者血管钙化调查及相关因素分析

心血管疾病是维持性血液透析（MHD）患者最常见的死亡原因。近年研究提示,血管钙化与MHD患者心血管疾病的患病率和病死率密切相关。我们收集了2006年6月至2007年6月我科68例患者的资料．通过X线检查了解MHD患者血管钙化的发生情况．并分析其危险因素,报告如下。     

先天性马蹄内翻足动物模型胚胎后肢(芽)评分系统的建立

Objective Quantification of the severity of congenital clubfoot is essential for its re-search and treatment. Up to date, no scoring system is available for hind limb bud development. In this study,a scoring system was established based on a murine model Methods Sixty female Wistar rats weighing 220～250 g were randomized into the six control groups and six experimental groups. Vaginal sperm plug detection day was considered to be day 0 of gestation. Hind limb buds from fetuses of E13, 14, 15,16,17 and 18 days were removed and processed. Results Morphogenetic differentiation changes were detected in the experimental groups. According the new scoring system, clubfoot-like deformity was present in 80.9% of the experimental fetuses. We were able to quantify the extent morphogenetic diffcrentiation of the hind limb accordingly. Conclusions Congenital clubfoot deformities begin at early developmental stage and become exaggerated as the fetuses mature. The scoring system can quantify the extent of congenital clubfoot deformity and facilitate its management.     

论教学医院后勤管理创新

教学医院后勤工作是教学医院系统中的支持系统。旨在对医院医疗、科研及教学设备和设施的保障。医院后勤社会化的展开与发展,将使其中相当多的工作纳入社会的经营。然而,后勤作为医院工作的重要内容,仍应是一个有机的系统。教学医院后勤管理,就是围绕医院的任务和工作目标,对这     

声导抗检查鉴别诊断分泌性中耳炎

目的探讨用声导抗检测仪(声导抗)检查鉴别分泌性中耳炎临床意义,减少耳鼻咽喉工作中分泌性中耳炎的误诊率。方法采用中耳分析仪对初诊为感音-神经性耳聋的患者进行声导抗检测仪检查。结果126例初诊为感音-神经性耳聋患者中有12例(9．5％)被鉴别为分泌性中耳炎。结论声导抗检查是减少分泌性中耳炎误诊的有效措施。     

先天性马蹄内翻足动物模型胚胎后肢(芽)评分系统的建立

Objective Quantification of the severity of congenital clubfoot is essential for its re-search and treatment. Up to date, no scoring system is available for hind limb bud development. In this study,a scoring system was established based on a murine model Methods Sixty female Wistar rats weighing 220～250 g were randomized into the six control groups and six experimental groups. Vaginal sperm plug detection day was considered to be day 0 of gestation. Hind limb buds from fetuses of E13, 14, 15,16,17 and 18 days were removed and processed. Results Morphogenetic differentiation changes were detected in the experimental groups. According the new scoring system, clubfoot-like deformity was present in 80.9% of the experimental fetuses. We were able to quantify the extent morphogenetic diffcrentiation of the hind limb accordingly. Conclusions Congenital clubfoot deformities begin at early developmental stage and become exaggerated as the fetuses mature. The scoring system can quantify the extent of congenital clubfoot deformity and facilitate its management.     

带蒂上唇黏膜瓣行鼻腔缩窄术治疗萎缩性鼻炎12例分析

目的：探讨治疗萎缩性鼻炎的有效方法。方法：使用带蒂上唇黏膜瓣行鼻腔缩窄术。结果：治疗12例24侧,近期疗效达100％。结论：带蒂上唇黏膜瓣行鼻腔缩窄术治疗萎缩性鼻炎操作简便易行,手术成功率高,效果显著。     

妇女良恶性肿瘤患者血清三种肿瘤标志物检测

选择１２５例正常健康妇女、８２例妇女良性肿瘤、７８例乳腺癌、６８例子宫颈癌和子宫体癌、５０例卵巢恶性肿瘤患者，用酶联免疫吸附法（ＥＬＩＳＡ）检测血清中癌胚抗原（ＣＥＡ）和铁蛋白。用聚丙烯酰胺凝胶电泳法分析血清乳酸脱氢酶（ＬＤＨ）同工酶。结果：单项检测ＣＥＡ、铁蛋白和ＬＤＨ比值的阳性率分别为乳腺癌４５％、６２％和５８％；子宫颈癌和子宫体癌５０％、５８％和６１％；卵巢恶性肿瘤６７％、６８％和７９％。３种肿瘤标志物联检的综合阳性率乳癌的诊断符合率为９３％，子宫颈癌和子宫体癌诊断符合率为９０％、卵巢恶性肿瘤诊断的符合率为９６％。结果提示：３种肿瘤标志物联合检测可提高妇女恶性肿瘤的阳性诊断率     

先天性马蹄内翻足动物模型胚胎后肢(芽)评分系统的建立

Objective Quantification of the severity of congenital clubfoot is essential for its re-search and treatment. Up to date, no scoring system is available for hind limb bud development. In this study,a scoring system was established based on a murine model Methods Sixty female Wistar rats weighing 220～250 g were randomized into the six control groups and six experimental groups. Vaginal sperm plug detection day was considered to be day 0 of gestation. Hind limb buds from fetuses of E13, 14, 15,16,17 and 18 days were removed and processed. Results Morphogenetic differentiation changes were detected in the experimental groups. According the new scoring system, clubfoot-like deformity was present in 80.9% of the experimental fetuses. We were able to quantify the extent morphogenetic diffcrentiation of the hind limb accordingly. Conclusions Congenital clubfoot deformities begin at early developmental stage and become exaggerated as the fetuses mature. The scoring system can quantify the extent of congenital clubfoot deformity and facilitate its management.