CHEMOTHERAPY AND ITS COMBINATION WITH COR- TICOSTEROIDS IN ACUTE MILIARY TUBERCULOSIS IN ADOLESCENTS AND ADULTS ANALYSIS OF 55 CASES

55 cases of acute miliary tuberculosis (AMTB) in adolescents and adults are analysed and the results of chemotherapy and its. com- bination with corticosteroid therapy are com- pared. While the incidence of primary tuber- culosis in young children has greatly decreased, AMTB incidence is rising in adolescents and adults.     

血液气体分析对慢性阻塞性肺病失代偿性呼吸衰竭的预后关系

慢性阻塞性肺病(下称慢阻肺)的失代偿性呼吸衰竭属通气衰竭,是现今的常见病、病情多危重而死亡率高。深入地了解其病理生理、总结经验,改善抢救措施,提高存活率是当前的重要课题。本文分析我科自1977年7月至1981年7月住院的慢阻肺有失代偿性呼吸衰竭者59例(82例次)、重点提出血液气体分析对本病的预后关系。     

肝硬化与呼吸系统疾患

肝硬化是消化系统的常见病,常并发呼吸系统疾病,概述如下: 一、肝硬化的肺功能损害:肝硬化常伴有肺功能减损。国内姚氏测定了20例肝硬化腹水患者的肺功能,发现肺活量、最大通气量、功能残气量及用力呼气一秒量较健康对照组明显降低,尤以最大通气量降低显著,且残气/肺总量也有下降。表明肝硬化腹水时有肺活动受限、顺应性下降、气道阻力增高和肺通气功能减退。无腹水的肝硬化患者,肺功能也有异常。滕原谦太对22例心肺检查正常且无明显腹水征的肝硬化患者进行了肺功能测定,结果,有食管静脉曲张者肺活量、功能残气量、补呼气量、弥散量、弥散量/肺泡通气量均明显减退。无食管静脉曲张者。弥散量/肺泡通气量也明显减损。认为形     

BLOOD GAS ANALYSIS IN EXPERIMENTAL SCOLIOSIS

Thoracic scoliosis was produced in 24 New Zealand rabbits by 2 methods of rib resection. Scoliosis was detected in X-ray film taken one month and 3 or 5 months after operation. Aortic blood specimens were obtained for gas analysis in 18 of the 24 animals. Out of the 18 animals, 5 had scoliosis with a curvature less than 15°, another 5 with a curvature between 18°-27°, while the remaining 8 with a curvature greater than 30°. The blood gas of the scoliotic rabbits was compared with that of 6 normal adult rabbits. With increase in scoliotic curvature the PaCO_2 increased, while the PaO_2 decreased. The PaCO_2 and PaO_2 of the group with curvature greater than 30°showed sigrificant difference as compared with those of the normal animals (P<0.01 and P<0.001 respectively ), signifying a hypoxemia with severe scoliosis.Scoliotic curvature of patients greater than 30°constitutes an indication for surgical correction. As these scoliotic patients may have subclinical abnormal pulmonary function with potential danger of post-operative respiratory complication, orthopaedic surgeons should give them careful consideration before resorting to operation.     

肺结节病的纤维支气管镜检查

报道17例肺结节病的临床、胸部X 线和纤支镜检查结果,Ⅰ期病例11例,Ⅱ期6例。纤支镜未见异常4例(23.5%),其余13例(6.5%)见粘膜水肿、充血;嵴突增宽或黄白色结节,TBLB 阳性率53.8%,以Ⅱ期病例阳性率较高。BAL 液淋巴细胞均>28%,经皮质激素治疗后临床及胸片均见明显好转。BAL 液检查对判断病变活动性及病情演变有帮助.     

经纤支镜支气管肺泡灌洗对不典型肺结核的诊断价值

现报告3例经纤支镜支气管肺泡灌洗(BAL)等方法确诊的不典型肺结核。病例报告例1:男,36岁。住院号316029。1986年10月起干咳,痰少,有时低热,曾痰血数口。体检除颈后触及淋巴结外无异常。胸片无异常。纤支镜见气管粘膜局部白色分泌物、溃疡。痰浓缩法查结核菌15次(-),痰培养偶见白色念珠菌,毛霉菌。经休息及两性霉素等抗霉菌治疗半年,症状加重。胸片两肺门     

发热、咳嗽、胸痛、呼吸困难——查房选录(44)

病历摘要患者男,49岁。主诉间隙发热、咳嗽、胸疼、呼吸困难一年余,于1983年11月29日入院。1982年1月25日开始发热38℃以上,咳嗽、痰少、乏力、纳差。服四环素后咳嗽好转。但2～7月又反复发热38～39℃,咳嗽,白色粘液痰,间有少量黄痰,偶有咯血     

肺科学会举行肺癌综合治疗交流会

1987年6月26月中华医学会上海分会肺科学会召开肺癌综合治疗交流会。会议由上海第二医科大学附属瑞金医院徐家裕医师主持。会上,第二军医大学附属长海医院王振堂医师报告选择性支气管动脉内药物灌注治疗42例肺癌。他采用股动脉使用55-7F导管,管外直径小于2mm。作常规血液、胸片对照,灌注药物为mmC、5-Fu、顺铂,2～3周一次,3～5次为一疗程,有效率80％。以血供多者为准,合并放疗疗效明显提高。该院     

干咳、发热、乏力、纳减、消瘦——查房选录之20

病历摘要患者女,67岁。住院号267540。1981年11月开始刺激性干咳、无痰,发热,服用中药1个多月无效。1月15日发热至39.6℃,乏力、纳减、消瘦。咳嗽时左侧胸腋部疼痛。胸部X线片诊断“右上肺炎”住某医院,用青、红、氯、庆大、先锋霉素静注和气溶胶喷雾吸入治疗无效。怀疑肺癌,考虑手术。后经另一