对贵刊刊登的《利福平(0.1%)液治疗慢性化脓性中耳炎》一文的验证

阅读了贵刊 1999年 18卷第 4期 2 2 5页刊登的“利福平 (0 .1% )液治疗慢性化脓性中耳炎”[1] 一文后 ,深受启发 ,笔者自 2 0 0 0年～ 2 0 0 1年对 96例慢性中耳炎病人进行临床验证 ,报道如下。临床资料　 96例均为本院门诊病人 ,男性 60例 ,女性 36例。年龄 (30±ｓ 6)а ,16～ 65ａ均为慢性化脓性中耳炎单纯型病人 ,左耳 5 6例 ,右耳 5 2例 ,双耳17例。病程 2 5 0ａ。治疗方法　我们采用药厂生产的利福平滴眼液 (上海集成药厂生产 ) ,配置成 0 .1%利福平滴耳液 [取包装内利福平片 1片 (每片 10ｍｇ) ,加入缓冲液10ｍＬ中 ,振荡均匀 ,即得…     

桡骨远端不稳定性骨折手术与保守治疗疗效比较

目的　评价桡骨远端不稳定性骨折外固定器治疗与石膏固定的效果。方法　将桡骨远端不稳定性骨折患者随机分为两组 ,分别采用外固定器治疗和手法复位石膏固定治疗。用Dionst标准行功能评估、Stewart标准行解剖学评估。结果　外固定器组复位质量和疗效优于石膏组 (P <0 0 5 )。结论　桡骨远端不稳定性骨折行外固定器治疗是一种安全、简便、实用的方法。     

A new animal model for bone atrophic nonunion: Fixation by external fixator

A new small animal model of bone atrophic nonunion was established for investigating the process of bone regeneration by performing cauterization of the periosteum, removal of the local bone marrow, and stabilization with external fixation. The model allows the creation of an atrophic nonunion without the need for a critical size defect. Furthermore, it provides reproducible, well‐defined mechanical conditions and minimized physical interference of the implant with the biological processes in the healing zone. Eighty adult Sprague‐Dawley rats received an osteotomy of the left femur, stabilized with an external fixator. In half of the animals, the periosteum proximal and distal to the osteotomy was destroyed by cauterization and the adjacent bone marrow was removed (nonunion group). At 2 and 8 weeks after surgery, radiological, biomechanical, histological, and histomorphometrical analyses showed a typical physiological healing in the control group, while the nonunion group was characterized by resorption of the bone ends with some callus formation distant to the osteotomy. At both time points, the callus was composed of significantly less bone and significantly more connective tissue (p < 0.001). In addition, the torsional strength of the osteotomized femur was significantly less in the nonunion group than in the control group, which was comparable to that of the intact femur (p < 0.001). In conclusion, the present model allows the induction of an atrophic nonunion without the need of a critical size defect. It is reproducible, provides standardized biomechanical conditions, and allows minimized interaction of the implant with the healing zone. © 2008 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res     

Two-step biliary external stent removal after living donor liver transplantation.

Biliary stenting plays an important role in living donor liver transplantation (LDLT) as the rate of biliary complication is higher in LDLT than in diseased donor whole LT. We use a 2-mm tube for stenting at the biliary anastomosis, externalize it through the lower common bile duct, and fistulize it using duodenal serosa. After 3 months without biliary complications ensured by a cholangiogram, the stent tube is removed in a two-step manner, allowing bile to drain under a fluoroscope. The incidence of local peritonitis was lower, and the hospital stay was shorter with the two-step procedure. We herein report on the method of the two-step removal and its efficacy.     

论敦煌遗书古医方在外治法的应用

在敦煌古医方中，有大量中医外治法及代表方剂，如熏蒸法、涂敷法、贴法、熨法、塞法、导法、灌鼻法、含漱法等。用法各异，各具特色。     

低智儿童的外界环境因素的调查

40 例低智儿童经3年随访,采用国内标准化智力筛查和诊断方法,检出轻型者34例,重型者6例。经多学科、实验室检查及多因素分析,结果提示低智儿童病因与外界环境因素有一定关系,提出经特殊教育和改善环境可教育其成为自食其力的有用于社会的成员。     

Treatment of ventriculostomy-related infections

Summary The results of the treatment of 15 cases of ventriculitis related to the use of external ventricular drainage are presented. A review of the literature on the treatment of cerebrospinal fluid shunt infections combined with our data suggest the following treatment of venticulostomy-related ventriculitis: 1. Antibiotic treatment according to the resistance pattern of the infecting microorganism and 2. Removal or replacement of the ventricular drain. 3. One should wait for bacteriological cure before implanting a permanent internal drainage system.