护创液体敷料用于新生儿脐炎消毒的观察与分析

新生儿脐炎是一种急性脐蜂窝组织炎,常引起新生儿败血症、肺炎、硬肿症等。所以采取有效的护理措施、减少并发症是提高治愈率的关键。2010年3月-2011年3月我科将护创液体敷料用于脐部消毒,效果满意。1资料与方法1.1资料本组新生儿50例(脐部均有炎症表现),足月儿21例、早产儿29例,日龄1～20d。脐炎17例,脐周潮红25     

颅脑弥漫性轴索损伤的MRI诊断

目的探讨颅脑弥漫性轴索损伤的磁共振影像特点。方法对11例经临床证实的颅脑弥漫性轴索损伤的磁共振检查资料进行回顾性分析。结果颅脑弥漫性轴索损伤的磁共振影像表现:(1)11例T1WI序列均显示脑沟变浅,脑回粗大,脑室变窄;(2)全部病例双侧大脑半球皮质下区及胼胝体上显示斑点状、小片状异常信号,呈等或短T1、短T2信号,周围显示水肿带,边缘模糊;(3)扩散加权成像序列上双侧大脑半球皮质下区及胼胝体上显示更多的斑点状低信号周围显示水肿带;(4)7例显示小脑幕下疝。结论磁共振成像对颅脑弥漫性轴索损伤诊断准确可靠,临床价值极高。     

提高医院图书馆一次文献保障率

医院图书馆读者数量虽少,但专业性强,要求高,追求时效.然而,与这种需求相背离的是大部分医院图书馆馆舍面积小,经费少.即便如此,很多馆的馆舍仍不停地被院方压缩挪用,使得馆内面积寸土寸金,很多馆期刊装订后上架都很困难.在资金与馆舍面积的双重压力下,作为信息主要来源的期刊订购品种很少.目前,绝大部分图书馆早已应用了 CMCC,CBMdisc,MEDLINE 等机检工具,使医务人员获取某一课题信息的速度大大加快.然而,与此非常不协调的是当读者查找其原始文献时,往往大失所望,大部分医院图书馆馆藏提供能力极其有限,一般中外文期刊都在150-250种之间,只能尽力收齐“中华”、“中国”、“国外”、“临床”、“实用”等几大系列,与需求相差甚远.外借费时费力,传真费用昂贵,而临床人员往往时间紧迫,不容拖拉.因此,各馆现代化的二次文献检索手段往往因找不到一次文献,影响了医护人员的检索热情,进而引发了读者对图书馆服务的不满,并降低了图书馆的信誉和读者对图书馆的依赖程度.现在,评价图书馆的标准已不再是看其规模大小,而是看其提供文献的能力.因此,对医院图书馆来说,一次文献保障率在很大程度上依赖于馆藏策略的调整,而虚拟馆藏的发展是前进的目标.     

小儿支气管肺炎合并心衰临床及疗效分析

目的探讨小儿支气管肺炎合并心衰临床表现的特点及洋地黄用药后的疗效分析。方法肺炎主要并发症的临床诊断参考依据对近9年怒江州福贡县人民医院收治的1967例小儿支气管肺炎并发心力衰竭的患儿的临床资料进行回顾性的粗浅分析。结果小儿肺炎并发心力衰竭占同期小儿肺炎14.6%,在使用抗感染和综合治疗的基础上,应用洋地黄和速尿等药物,小儿支气管肺炎和心力衰竭都迅速控制并纠正。结论小儿支气管肺炎由细菌或病毒引起,易并发心力衰竭,病情变化快,应对不同症状做出不同的治疗,早治疗早好。     

Clinical analysis of stage Ⅰ and Ⅱ cervical carcinoma in elderly women

Objective To explore the characteristics, related risk factors and prognosis of cervical carcinoma in elderly women. Methods 163 cases with stage Ⅰ-Ⅱ cervical carcinoma according to International Federation of Gynecology and Obstetrics (FIGO) criteria underwent radical hysterectomy and pelvic lymph dissection from January 1997 to December 2006. They were divided into aged group, adult group and young group. The clinical pathological data, prognosis and recurrence were retrospectively analyzed. Results The prevalence rate of stage Ⅱ cervical carcinoma was 78.7% (37/47) in aged group, 61.7 % (58/94) in adult group and 59.1% (13/22) in young group. The prevalence difference was statically significant. The prevalence rate of non-squamous cell carcinoma was 8. 5 % (4/47) in aged group, which was higher than that in adult group [5.3%(5/94)]and lower than that in young group [18. 2% (4/22)] (P<0.05). In aged group, pathological grading were 78.7% (37/47) of middle differentiation and 4. 3% (2/47) of low differentiation(P<0. 01). The rate of lymph node metastasis was 8. 51% (4/47)in aged women, 27.7 % (26/94) in adult women and 40.90% (9/22) in young women (P<0. 01). The recurrence rate was similar among the three groups. The death rate was 85.7% in overall recurrent cases, (12/14)in aged group, 73.1% (19/26)in adult group and 50.0% (4/8)in young group, and there was no significant difference (P=0. 193). Conclusions Cervical carcinoma in elderly women has a later clinical stage, higher prevalence of non-squamous cell carcinoma, more middle differentiation tumour tissues and fewer lymphatic metastasis, which can provide evidence for clinical diagnosis and treatment.     

Clinical analysis of stage Ⅰ and Ⅱ cervical carcinoma in elderly women

Objective To explore the characteristics, related risk factors and prognosis of cervical carcinoma in elderly women. Methods 163 cases with stage Ⅰ-Ⅱ cervical carcinoma according to International Federation of Gynecology and Obstetrics (FIGO) criteria underwent radical hysterectomy and pelvic lymph dissection from January 1997 to December 2006. They were divided into aged group, adult group and young group. The clinical pathological data, prognosis and recurrence were retrospectively analyzed. Results The prevalence rate of stage Ⅱ cervical carcinoma was 78.7% (37/47) in aged group, 61.7 % (58/94) in adult group and 59.1% (13/22) in young group. The prevalence difference was statically significant. The prevalence rate of non-squamous cell carcinoma was 8. 5 % (4/47) in aged group, which was higher than that in adult group [5.3%(5/94)]and lower than that in young group [18. 2% (4/22)] (P<0.05). In aged group, pathological grading were 78.7% (37/47) of middle differentiation and 4. 3% (2/47) of low differentiation(P<0. 01). The rate of lymph node metastasis was 8. 51% (4/47)in aged women, 27.7 % (26/94) in adult women and 40.90% (9/22) in young women (P<0. 01). The recurrence rate was similar among the three groups. The death rate was 85.7% in overall recurrent cases, (12/14)in aged group, 73.1% (19/26)in adult group and 50.0% (4/8)in young group, and there was no significant difference (P=0. 193). Conclusions Cervical carcinoma in elderly women has a later clinical stage, higher prevalence of non-squamous cell carcinoma, more middle differentiation tumour tissues and fewer lymphatic metastasis, which can provide evidence for clinical diagnosis and treatment.     

RECK与肺癌的研究进展

RECK是近年来发现的新型基质金属蛋白酶抑制剂,研究表明RECK可在转录后水平抑制多种基质金属蛋白酶的表达,从而抑制肿瘤的侵袭与转移.RECK、基质金属蛋白酶/金属蛋白酶组织抑制剂与肺癌的关系研究可为临床治疗提供参考.     

自配复方漱口液防治放射性口腔黏膜反应效果观察

目的观察自配漱口液防治头颈部恶性肿瘤患者放疗所致口腔黏膜反应的效果。方法将150例患者随机分为观察组(52例,用自配漱口液含漱)、对照1组(48例,用朵贝尔氏液含漱)和对照2组(50例,用口腔黏膜保护剂含漱)。放疗期间分别于饭前、饭后、睡前含漱,4～6次/d,每次20ml,保留5～8min。比较三组患者口腔黏膜发生率、反应程度,受损口腔黏膜修复情况等。结果化疗结束后1周,三组患者1～4级口腔黏膜反应发生率差异有统计学意义(P0.05);观察组口腔黏膜反应发生率显著低于对照1组(P0.0167);在放疗第3周、第5周末,观察组口腔黏膜反应程度较对照1组和对照2组均轻(均P0.0167),治疗结束后1周较对照1组痊愈速度加快(P0.0167)。结论自配漱口液可显著减轻头颈部恶性肿瘤放疗患者口腔黏膜反应程度,促进口腔溃疡愈合。     

从文献发表率及引用率看我院科技水平

科技论文的多少，质量的高低是衡量一个单位学术水平的重要参考工具。而质量高低又可从两方面评价：一是按照传统的划分，看其是否登载于一类期刊上，二是看其文章的被引量。在我国目前的科技论文评价上，第二点往往被忽略。而通过评价科技论文的影响来评价其水平，具有良好的客观性，合理性与科学性。本文通过对本院１９９２～１９９６年文章的发表量及１９９４～１９９６年文章的被引量，对各科（所）学术水平及科研带头人进行了较客观的总结。一、材料与方法本文从中国科技信息研究所信息中心（以下简称“中心”）研制的“中国科技论文统…     

肝胆管细胞癌的CT诊断

目的提高肝胆管细胞癌的CT诊断准确率。方法收集病理证实的34例肝胆管细胞癌的CT平扫及增强资料。结果34例肝胆管细胞癌平扫呈大片不均匀低密度灶，19例其内可见圆形或树枝状更低密度影；18例可见高密度钙化影；21例邻近肝内胆管扩张；11例肿瘤同侧肝萎缩。34例增强肝胆管细胞癌均扫描表现为延迟持续强化。结论肝胆管细胞癌具有特征性CT表现。