64排螺旋CT脑血管成像在烟雾病诊断中的价值

烟雾病（Moyamoya disease）是一种以颈内动脉末端及大脑前、大脑中动脉起始部动脉内膜缓慢增厚,动脉管腔逐渐狭窄以致闭塞,脑底穿通动脉代偿性扩张的疾病。根据脑血管造影特点形象地称之为Moyamoya病。最早由日本Suzuki和Takaku报道,以往诊断此病主要靠数字减影血管成像（DSA）．近年来,多层螺旋CT（MSCT）血管成像发展迅速,     

妊娠高血压综合征合并急性左心衰竭19例分析

目的 对妊娠高血压综合征合并急性左心衰竭的诱发因素和临床治疗进行分析.方法 对2003年1月-2011年12月,在医院确诊为妊娠高血压综合征合并急性左心衰竭的19例孕产妇进行回顾分析.结果 19例患者均积极治疗心力衰竭诱发因素,积极降压,同时进行利尿、扩血管、强心等治疗.其中15例患者积极治疗下,在心力衰竭得到控制6 h～10 h后行剖宫产术;其余4例在控制心力衰竭的同时,行剖宫产术.最终,19例患者均好转出院,21名新生儿存活.结论 能够诱发妊娠期高血压综合征合并急性左心衰的因素,主要有多胎妊娠、低蛋白血症、贫血和感染等.治疗上以尽早去除诱发因素,积极控制高血压及纠正心力衰竭,适时终止妊娠为关键.     

秋泻灵、妈咪爱联合治疗婴幼儿轮状病毒肠炎疗效观察

目的：观察秋泻灵、妈咪爱联合治疗轮状病毒肠炎并中度脱水100例的疗效。方法：选择2003年5月至2010年5月本院住院的6个月至3岁中度以上脱水轮状病毒性肠炎患儿300例,随机分为治疗组与对照组各150例,均给予抗病毒,口服思密达,补液等常规治疗,治疗组在此基础上加用秋泻灵、妈咪爱口服4天,比较2组疗效。结果：治疗组显效89例,有效54例,无效7例,对照组显效68例,有效55例,无效27例。治疗组和对照组的总有效率分别为95.33%、82.00%,两组比较疗效有差别（P﹤0.05）。结论：秋泻灵、妈咪爱联合治疗婴幼儿轮状病毒肠炎疗效较好,值得临床使用。     

护理巡视卡在临床应用的体会

随着社会的发展与进步，法律知识的普及，人们维权意识的加强，医疗纠纷在逐年增加。我院为了能举证倒置，维护自身的权利。因此护理部设计并使用了床边巡视卡（病情观察巡视卡）和输液卡。     

正常血压孕妇发生子痫7例分析

现就我院正常血压发生子痫 7例分析如下。1　临床资料我院 1994 - 0 1～ 2 0 0 2 - 12收治孕妇 7775例 ,发生子痫 14例占 1.9‰ ,其中正常血压子痫 7例 ,占子痫的 5 0 %。诊断标准按文献 [3]。发病年龄 2 4～ 2 8岁 ,平均 2 6岁 ,均为初产妇 ,孕周 38～ 4 2周 ,其中 1例为双胎 ,4例发生在产时的第 1产程 ,3例发生在产后。本组入院时血压均在正常范围。其中 2例基础血压 90 / 6 0mm Hg,入院后血压分别为 110 / 75 mm Hg、115 / 80 mm Hg,舒张压大于基础血压 15～ 2 0 mm Hg。 4例入院血压与基础血压近似。 1例孕期未做过产前检查。本组均有…     

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.     

CT血管成像在急性主动脉综合征诊断中的应用

目的:探讨CT血管成像(CTA)在急性主动脉综合征(AAS)诊断中的应用。方法:采用回顾性分析的方式将2016-03～2017-03来我院经血管造影或手术证实的急性主动脉综合征60例,观察这些患者的CT血管成像的影像特点。结果:60例患者中主动脉夹层(AD)43例,主动脉壁间血肿(IMH)10例,穿透性粥样硬化性溃疡(PAU)7例,不同类型有特征性影像表现。结论:CT血管成像(CTA)在主动脉综合征诊断中具有较高的应用价值。     

心源性肺水肿的CT诊断

目的探讨心源性肺水肿的CT表现，提高心源性肺水肿CT诊断水平。方法回顾分析87例心源性肺水肿的CT表现。结果胸腔积液72例，肺间质水肿51例，肺泡性肺水肿35例，肺淤血17例，全部病例均伴有心外形增大，结论心源性肺水肿有特征性的CT表现，结合临床可正确诊断。