生大黄和左旋咪唑联用快速治疗胆道蛔虫症27例效果观察

胆道蛔虫症在农村发病率高．以前采用先解痉、止痛、消炎，待疼痛消失后驱虫的治疗方法．住院时间长，且易并发胆道感染及胰腺炎。1992年以来我们采用生大黄和左旋咪唑联用快速治疗胆道蛔虫症27例，并与常规治疗的29例对比．现将观察结果报道如下。     

现代人须防“功能性胃肠疾病”

消化不良、大肠激躁症等功能性胃肠疾病是现代人最普遍的肠胃问题，压力则是促使它们发作的催化剂。     

子痫病人的救治与护理

子痫是妊娠中毒症的最严重阶段，患者先出现全身肌肉强直或阵发性抽搐，继之昏迷，可直接危急母子生命。抢救成功率与正确救治和精心护理有着密切关系。我院2004年1月～2005年1月共收治20例子痫病人，现将治疗及护理体会介绍如下：     

综合疗法治疗颈椎间盘突出症158例

目的:观察综合疗法治疗颈椎间盘突出症的临床疗效。方法:采用小针刀松解术、颈椎牵引、手法按摩、中频多功能治疗仪等治疗。结果:治愈率86%,好转12%。结论:手法复位调整颈椎内外组织动态平衡和生物力学平衡。解除粘连、水肿、改善血流循环,取得满意疗效。     

大脑发育不全并发病毒性脑炎3例分析

<正> 近年来,病毒性脑炎的报道逐渐增多,但大脑发育不全并发病毒性脑炎的报道不多,现报道如下。1 临床资料 例1:男性,19岁,兰州籍。患者在淋雨后开始发热38℃左右,发病约1周后出现精神症状,患儿失眠,不回家睡觉,致使家人误认为离家出走而各处寻找。患儿因处于青春期,其母怀疑是否与异性有关,因患者与笔者为邻居,笔者建议家长带其到兰医二院就诊,当时医院考虑为“神经官能症”给予“巴氏合剂”等药物治疗,因效果不佳,患者兴奋躁闹,笔者     

不同门奇断流术式对门静脉高压症犬食管下段血管再生的影响

Objective To explore the effect on blood vessel regeneration of distal esophagus in ca-nines of portal hypertension with liver cirrhosis after different procedures with paraesophagastrie devascular-ization. Methods Portal hypertension models were produced in canines by subcutaneous injection of 60% CC14 combined with food restriction. Forty eight model canines were randomly divided into 4 groups: group A, traditional paraesophagastrie devascularization;group B, selective paraesophagastric devascularization;group C, paraesophagastric devascularization plus distal esophageal transaction and reanastomosis with sta-pler;group D,control group. Every group had 12 canines which were randomly divided into A1 ,B1 ,C1 ,D1, A2,B2,C2 and D2 groups after the operation. Canines in groups A1 ,B1 ,C1 and D1 were executed at first month after the operation,and those in groups A2, B2, C2 and D2 were executed at the 6th month after the operation. The distal esophagus was segmented when the canines were executed. The upside and downside of the stoma in group C were distinguished and signed as Ca and Cb. Immunohistochemieal methods were used to detect VEGF,CD34 and FVⅧ-Rag,blood vessel-related factors,in lower esophagus. Results The expres-sion levels of VEGF and CD34 MVD,FⅧ-Rag MVD in groups A1 ,B1 and C1 were lower than those in group D1 one month after the operation (P <0.05). All the indices in group B1 were lower than those in groups A1 and Clb,but higher than those in group Cla (P <0.05). The indices in group Cla were lower than those in group C1b (P < 0.05 ). The indices in groups A2 and B2 were higher than those in groups A1 and B1, re-spectively at the 6th month after the operation (P <0.05). They were higer in outer membrane in group C1a than in group C2a (P <0.05). The indices in group C2b were higher than those in group Clb (P<0.05). Conclusion At the first month after operation, the expression of blood vessel-related factors was declined in three different procedures of paraesophagastric devascularization,which indicated that all three different pro-cedures could diminish the vessels in distal esophagus. The effect in group C was most obvious among all groups. At the 6th month after traditional paraesophagastrie devascularization and selective paraesophagastrie devascularization, the expression of blood vessel-related factors in distal esophagus was declined. But there were no significant changes in the expression of blood vessel-related factors in distal esophagus after parae-sophagastric devascularization plus distal esophageal transaction and reanastomosis with stapler. It indicated that the blood vessel regeneration in paraesophagastric devascularization pins distal esophageal transaction and reanastomosis with stapler was inferior to that in other procedures.     

书写痉挛症不容忽视

长期从事书写工作的人．有时候会突然出现手指不听使唤．无法握笔写字．一般来说表现为大拇指不能握笔．大拇指表现僵直．只能用食指把笔压在大拇指上勉强写字。或者．握笔的手不停地震颤，握笔越紧．震颤得越厉害，通常是一只手发生这个症状，有的时候整个手臂都发生痉挛．不能自主。此现象常见于长期用手作精细操作的职业人员，例如教师编辑、秘书、作家、画家、书法家绘图员打字员、电报员、弹琴者等。手和大脑不能共同进行书写活动．而且这种病的发生不完全出现在上了年纪的人中间．现在也越来越出现于学生和30岁以下的年轻人中了，特别是学生，患这个病的不在少数。     

腰椎间盘突出症术后再手术原因分析

目的 探讨腰椎间盘突出症术后再手术的几种原因。方法 在1989年12月～2002年10月间，再次行手术探查11例，其中椎间隙感染3例，神经根管狭窄未减压2例，神经根粘连3例，髓核组织残留压迫神经2例，定位错误1例。结果 11例再手术患者均得到康复。结论 为避免腰椎间盘术后再手术，应当注意定位准确，神经根管充分减压，无菌细心操作，仔细探查脱离的髓核组织。