婴儿肝炎综合征21例临床分析——附9例病毒学检查结果

分析婴儿肝炎综合征21例,其中9例经尿液电镜、光镜、病毒分离和一例经尸解,确定病因为巨细胞病毒5例,疱疹病毒1例,类冠状病毒1例。通过对2例严重先天性巨细胞包涵体病的临床及病理讨论,进一步证实巨细胞病毒感染,对围生儿危害极大的论点。作者认为根据临床及血液生化检查结果,将婴儿肝炎综合征分为三个临床型,有利于指导治疗及预后判断。本文提示:尿沉渣电镜检查是确定病因的一种非创伤性快速而有效的方法。ECT 检查可以早期确诊先天性胆道闭锁,为早期手术争取时机。     

Reliability and validity of two tests for non-verbal memory

Because of its lenient effects on memory, unilateral electroconvulsive therapy (ECT) on the non-dominant hemisphere is routinely used in most ECT units in the Scandinavian countries. Considering the neuropsychological peculiarities of the non-dominant hemisphere, two tests were constructed to evaluate the effect of ECT on non-verbal memory. The tests are characterized by visual mode of administration and complex figurative items. They can measure both immediate and delayed memory and exist in two parallel forms. Analysis of a number of studies on unilateral non-dominant and dominant ECT indicates that the two non-verbal memory tests have good reliability and validity. Convergent validity between the two non-verbal memory tests, discriminant validity against tests of verbal memory, and criterion-related validity in relation to the influence of different treatment modalities, indicate the tests as valid instruments for measuring non-verbal memory. The two test forms show satisfactory parallelism. Together with tests of verbal memory, the total battery provides an all-round instrument for studying memory functions after ECT or other cerebral influences.     

无抽搐电痉挛与电痉挛治疗对记忆影响的对照研究

目的：探讨无抽搐电痉挛对记忆的影响。方法：将入组病例随机分为两组，分别施行无抽搐电痉挛治疗与电痉挛治疗，以修订韦氏记忆量表（ＷＭＳ）与简明精神病评定量表（ＢＰＲＳ）作为评定工具，比较两组之间的记忆水平及疗效。结果：无抽搐电痉挛对记忆无明显影响，电痉挛对记忆的影响持续两周以上，电痉挛对记忆的影响可能与大脑短时间缺氧有关。结论无抽搐电痉挛不影响患者记忆，治疗时患者不感到痛苦，易于接受，可替代电痉挛治疗     

彩色多谱勒超声在髋膝关节置换后下肢血栓诊断中的应用

目的探讨彩色多谱勒血流成像技术在髋膝关节置换术后患者下肢静脉血栓的诊断中的应用,为临床观察诊治病变及判断预后提供重要的客观依据.方法选取本院2008年1月~2010年10月所做髋膝关节置换术后患肢肿胀明显的患者30例共38肢体行彩超和ECT检查.结果30例患者38例肢体中ECT检出33例肢体下肢血栓形成,彩色多普勒超声检查发现32例有血栓,3例彩色多普勒超声检查阴性患者经ECT造影证实为DVT,均为远端静脉血栓.结论彩色多普勒超声较ECT检查具有无创、经济等特点,是诊断下肢静脉尤其是近端血栓形成的可靠方法之一.     

Low bispectral index values following electroconvulsive therapy associated with memory impairment

Purpose  It has been reported some patients have opened eyes with low bispectral index (BIS) values immediately following electroconvulsive therapy (ECT). We investigated the time course of the recovery from amnesia and BIS values. Methods  Five patients with depression requiring repeated ECT procedures were enrolled. The patients were asked to recall an object presented prior to anesthesia at four specific points (prior to induction, upon regaining consciousness following ECT, when they returned to their ward, and when their BIS values had returned to pre-anesthetic levels). BIS data were recorded continuously until BIS values returned to the pre-anesthetic levels at their ward. The area under a receiver-operating characteristic (ROC) curve was used to detect associations between the BIS values and disturbance of memory function. Results  A total of 41 ECT stimuli were administered. After returning to their ward, patients generally fell asleep, with BIS values of between 50 and 70, and they woke up 1–2 h later. All the patients could recall the presented object prior to anesthesia and when the BIS values had returned to pre-anesthetic levels. The area under the ROC curve for the detection of memory disturbance was 0.902. Conclusion  The present study demonstrated a high frequency of patients falling asleep and the frequent occurrence of prolonged periods of low BIS values following ECT. The results of memory testing showed that ECT procedures resulted in amnesia. The ROC curve findings suggest a strong association of memory disturbance with BIS values. In conclusion, patients generally fell asleep, with low BIS values, for 1–2 h after ECT, and a prolonged period of impairment of memory formation was associated with low BIS values.     

单光子发射计算机断层扫描仪（ECT）建立图文工作站

大型医疗设备在各级医院的医疗事业中,发挥着巨大的、不可磨灭的作用,但随着时间的推移,设备的老化,以及科学技术特别是计算机技术的迅猛发展,一些大型设备的某些功能已不能适应现代化的需求,因此有必要对设备进行适当的改造。以下就我院对使用已久的单光子发射计算机断层扫描仪（ECT）建立图文工作站,打印病人图文报告单的过程进行论述。