社区相关性MRSA：儿科医师的警钟

患者为一名来自非洲的11岁男童,因左侧髋部疼痛、发热、体力不支1d而被收入当地医院治疗。该患儿1d前踢足球时摔伤左侧髋部,不久后症状出现。患儿既往无明显病史。4个月前,他家搬到英国居住。当时他的身体     

蜡泪样骨病1例

蜡泪样骨病（melorheostosis）为一罕见的骨质硬化性疾病，多侵犯一侧肢体，增生的骨质自上而下沿骨干一侧向下流注，酷似蜡烛表面的烛泪，故名为蜡泪样骨病或蜡油样骨病，又称肢骨纹状肥大症。据国内文献报道自2003年以来共发现该病10余例。本科于2006年收治该病人1例。报道如下。     

睾丸扭转的诊治探讨

目的探讨睾丸扭转的诊治方法。方法回顾总结21例睾丸扭转患者的诊治资料,结合文献进行分析。结果21例经手术证实与术前彩色多普勒超声检查(CDS)诊断一致。8例行手术复位、固定,13例行患侧睾丸切除,所有病例均行对侧固定术。14例随访6~12个月,其中8例手术复位、固定者,睾丸萎缩2例。9例成年人精液分析,5例生精正常,4例生精低下。结论考虑睾丸扭转时,应首选CDS检查;治疗上应尽快手术探查;扭转>360°、>10h者应切除患侧睾丸。     

Surgical strategy of one stage surgery of anterior release combined with posterior correction in treatment of severe scoliosis

Objective: Severe scoliosis refers to scoliosis with serious and stiff curve. It always combins with trunk imbalance in coronal and sagittal contour. Besides complex pathological changes, cardiopulmonary deficits and other concomitant diseases increase treatmental difficulties. So the treatment of severe scoliosis is always a great challenge to spine surgeon. Methods :Thirty-six patients with severe scoliosis received one stage posterior correction followed by anterior release during July 1997 to January 2003, including 9 males and 27 females. Mean age was 17.2 years. Of them, 33 was idiopathic scoliosis and 3 was neurofibromatosis scoliosis( Cobb angle: 85-116 degree); 20 cases were abnormal in sagital plane. Three-dimensional devised instrumentation were applied such as CD, CD-Horizon, TSRH or Isola in posterior procedure followed by anterior release during the same anesthesia. 31 cases of this group received thorac icplasty. Results: The correction in the frontal plane achieved an average of 48.5%. In the sagittal plane, the pathological shape of the spine was reduced and distinctly ameliorated. 80. 6% of the patients maintained or achieved balance of sagittal plane. There were no complications of severe neurological deficit, hook displacement, rod broken, and deep infection at follow-up. One case occurred traumatic pleurisy after operation and another appeared pseudarthrosis 2 years later. One case demonstrated imbalance 11 months after operation. One patient was presented loss of correction more than 10 degree at one year follow-up and 5.2 degree in average. Conclusion:The study indicates that the one stage posterior correction combined with anterior release in treatment of severe scoliosis can achieve satisfactory correction. Appropriate choice of cases, preoperational detailed assessment and application of SEP and wake-up test during operation can possibly reduce severe complication. The long-term outcomes still need further observation.     

脑血管病并发偏侧舞蹈病3例报告

偏侧舞蹈病是局限于一侧肢体的不自主的舞蹈样运动．临床上并不常见，而脑血管病引起的继发性偏侧舞蹈病则更少见，现报告3例如下。     

会阴正中切开在阴道分娩中的应用体会

分娩是正常的生理过程,大多数产妇都能从阴道自然娩出胎儿。但是,近年来各医院会阴侧切率直线上升,有的医院甚至常规作会阴侧切。一些产妇一怀孕就开始担心分娩时     

铅、镉对小鼠睾丸早期精细胞微核率的影响

铅和镉是有毒重金属，能损伤睾丸．但它们是否作用于生殖细胞染色体，目前报道较少．本文采用简化Tates微核试验法，检测了铅，镉对小鼠睾九细胞染色体的畸变．将体重25-30g的昆明种雄性小鼠随机分为7组，每组4只，分别为：阴性对照(蒸馏水)，阳性对照(0．5mg／kg丝裂霉素C和20mg／kg环磷酰胺)，醋酸铅(10mg／kg和20mg／kg)，氯化镉(0.5mg／kg和1．0mg／kg)．     

酶组化显示睾丸LDH－X方法的再探讨

对小鼠睾丸冰冻切片ＬＤＨ－Ｘ的显示方法作了进一步探讨。实验表明，以Ｌ－２－羟基－３－甲基戊酸（ＨＭＶ）为特异性底物，能相当有效地显示睾丸ＬＤＨ－Ｘ的分布，且该底物的配制方法简便易行。在显示ＬＤＨ－Ｘ的孵育液中采用萘酚蓝（ＮＢ）作中间递电子体较吩嗪甲基硫酸酯更具优越性。