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991.
Traditionally the drainage of pancreatic pseudocysts has been carried out operatively, forming a cystenterostomy. A simple endoscopic method of forming a pancreatic cystogastrostomy with laser is presented. This procedure does not require a general anesthetic, is safe, and allows resolution of symptoms. 相似文献
992.
993.
急性期中风中医诊断与颅脑CT扫描关系分析 总被引:6,自引:1,他引:5
分析325例急性期中风的病类、证名诊断与颅脑CT扫描所见的关系,认为中络、中经以缺血性改变为主,病灶小,病灶周围多清晰或仅见模糊,占位表现不明显或较轻;中腑、中脏以出血性改变为主,病灶大,病灶周围多见水肿或模糊不清,占位表现明显,两者对比差异极显著(P<0.01)。病类诊断与中风的病变部位、病位侧、病灶数目;证名诊断与颅脑CT扫描所见皆关系不大(P>0.05)。 相似文献
994.
刘国普 《广州中医药大学学报》1990,(1)
本文通过对364例溃疡病患者的住院系统治疗观察,认为溃疡病的主要病机是脾虚。活动期与肝郁及胃热有关;迁延难愈多因胃络瘀阻;胃酸增高为本病的普遍现象。故本病治疗应以健脾胃,佐以疏肝活血、清热、制酸之法。方药如用四君子汤加黄芪、白芍、郁金、三棱、蒲公英、乌贼骨等为基础方加减;对有胆汁返流者,则应配以疏肝清胆,降逆通腑之品。临床近期治愈率可达82.4%。 相似文献
995.
近些年来对A群多糖脑膜炎菌苗最适免疫剂量进行了一系列现场流行病学及血清学效果的对比研究。首先肯定了我国生产的菌苗与法国Merieux研究所生产的苗苗在人体接种后观察一年内具有同等杀菌抗体反应。以后在严格对比下观察了国内生产的多糖菌苗接种30μg及50μg一年内的血清杀菌抗体反应。结果完全相同;而全身反应则30μg为50μg剂量的五分之一。在我国80年代流脑流行地区内确证了30μg免后人群保护率为99%与国外50μg的保护率(97.2%)相似。国内连续三年在流行地区内对比观察了30μg、与50μg的流行病学预防效果,其人群保护率相似.与国外(Reingold).的报告亦相似。最后结论是本菌苗的最适免疫剂量为30μg.不但其预防效果与50μg相同,而且菌苗反应轻微,经济效益高,有利于在发展中国家推广使用。 相似文献
996.
997.
J. de Pedro-Cuesta L. Widén-Holmqvist P. Bach-y-Rita 《Acta neurologica Scandinavica》1992,86(5):433-439
In all, 22 reports of 20 randomized, controlled rehabilitation studies were evaluated. In 18 of these, the design of the trial was parallel, with a cross-over format being employed in the remaining 2 instances. Seven studies related to intensive rehabilitation during the early post-acute period. In six others, specific techniques--sometimes associated with traditional physiotherapy procedures--were compared: biofeedback, perceptual retraining, and amphetamine treatment. Eight experiments evaluated speech therapy in aphasia. Frequently, methodological considerations limited the interpretation of the results. The review showed that: 1) as regards activities of daily life and motor function, differences as between rehabilitation in stroke units on the one hand and non-rehabilitation or rehabilitation in medical wards on the other, were detected in relatively few quality studies and remained particularly inconclusive insofar as life in the home environment was concerned; 2) rehabilitation for aphasia and perceptual dysfunction proved effective for at least several months after acute stroke; 3) in general, examination of the reports cited revealed no differences in the effects of biofeedback and perceptual retraining vs conventional physiotherapy; 4) rehabilitation, whether administered by specialists or amateur caregivers purpose-trained by specialists, proved equally effective for aphasia. These conclusions constitute a valuable basis for the development and evaluation of modern rehabilitation programs for stroke patients. 相似文献
998.
999.
F. Wellens P. Brugada G. Guiraudon Y. De Grieck R. De Geest H. Vanermen 《European journal of cardio-thoracic surgery》1994,8(12):628-634
Internal cardioverter defibrillator (ICD) implantation has become a standard therapy for life-threatening arrhythmias. A simple and safe surgical implantation technique is therefore mandatory in this high risk population. In a 30-month period 86 patients received 87 ICD devices. An endocavitary lead system was used as first choice in 62 patients and defibrillation thresholds (DFT) of 25 joules (J) or less were obtained in 57 patients. A thoracotomy approach was avoided using a biphasic shock wave form in 17 patients and the addition of a subcutaneous (sc) patch in 11 patients or wire array lead in 9 patients. There was one early non-technique related death (1.7%) after the transvenous approach. Reoperation was necessary in three patients with lead complications and in two patients for local device problems (one migration, one infection). With the recent progress in ICD technology, a thoracotomy approach could be avoided for the last 52 patients. For comfort and cosmetic reasons left subcostal insertion of the device has been successfully used in the last 50 patients. We conclude that the nonthoracotomy approach can now be offered to all patients in need for an ICD as a consequence of the technological progress made in the field of electric treatment of malignant ventricular arrhythmias. A stepwise approach with a minimum of implanted hardware and the use of biphasic shock systems now offers a simple and efficient treatment alternative with very low perioperative risk. Internal cardioverter defibrillator implantation in combination with open heart procedures can easily be avoided. 相似文献
1000.
This study compares the histology of the plantar-digital nerve supplying the third web space in asymptomatic patients with those who have clinically diagnosed Morton's metatarsalgia. Despite several studies concentrating on the histological changes in the interdigital nerve, the relevance of these changes is a matter of contention while the exact pathological process responsible for the symptoms has not been determined. The histological findings in control patients were identical to Morton's patients with the exception of demyelination, which was more common in the Morton's group. This suggests that the characteristic nodule and fibrotic changes seen in the interdigital nerves of patients with Morton's neuroma cannot account for the symptoms and that the changes seen in the neurovascular bundle are degenerative in origin and are found in asymptomatic patients. 相似文献