经皮激光椎间盘汽化术后并发结核性脑膜炎1例

1病例报告 女,51岁.腰痛10 a,活动时加重.先后行药物、按摩治疗,症状时轻时重.近6个月来腰痛明显加重,活动受限.院外CT示:L3～4椎间盘突出.遂于2003-04-14以腰椎间盘突出症住院.     

Baumann角测定在儿童肱骨髁上骨折的应用

肱骨髁上骨折系指肱骨远端内外骨髁上方2～3cm骨折。是儿童骨折中比较常见的疾病。而肘内翻畸形也称“枪托（Gunstock）畸形”．是其最常发生的远期并发症．献报道其平均发生率为30％．高达57％。自2001年5月至2005年5月共收治儿童肱骨髁上骨折96例．应用Baumann角（简称B角）与提携角（简称C角）的负相关性进行临床指导．取得一定的临床疗效。现总结如下。     

Evaluation of Mechanical Properties of ZY-1 Maxillofacial Prosthetic Materials

Objective Maxillofacial prosthetic materials are used to replace facial parts lost through disease or trauma. Silicone rubbers are the materials of choice. The silicone elastomer A-2186 is a widely used maxillofacial prosthetic material. It is a pourable two-component silicone rubber cured by a platinum catalyst. Used as a prosthetic material, A-2186 has short working time and good mechanical properties. The purpose of this study is to evaluate the physical properties of new prosthetic materials based on addition-type silicone elastomer （ZY-1）, and compared the mechanical properties with those of A-2186, Methods Hardness, tensile strength, ultimate elongation, tear strength and adhesive bonding strength of ZY-1 and A-2186 were compared. Statistical analyses were done using a two-way analysis of variance （ANOVA）. Results The hardness and ultimate elongation of ZY-1 is similar to A-2186. However, tensile strength, tear strength of ZY-1 were higher than those of A-2186. Conclusion ZY-1 addition-type silicone elastomer processed good mechanical properties for use as a maxillofacial prosthetic material.     

浅谈胰腺炎疼痛的护理体会

急性胰腺炎分为单纯水肿型和出血坏死型两类，单纯水肿型又以胆源性胰腺炎为多见。急性胰腺炎以上腹部疼痛最常见，出现最早，位于腹部正中偏左，突然发生，急骤发展，呈现刀割样疼痛，疼痛常放射到肩部、腰部、肋部，这是由于胰腺炎水肿刺激腹腔神经丛所致，腹痛加剧的同时可出现休克，甚至危及生命。腹痛同时出现腹胀，为腹膜炎胃肠麻痹所致，常伴有排便排气中止。[第一段]     

胸椎黄韧带骨化症的手术治疗

<正> 胸椎黄韧带骨化可导致椎管狭窄、脊髓损害,严重可致截瘫,其病因尚不清楚。早期易误诊为血栓性脉管炎、神经炎、脑血管疾病等而延误治疗。我院1995～2001年收治胸椎黄韧带骨化症11例,均行手术切除减压,取得了良好的效果。总结报告如下。     

结核性脑膜炎临床治疗探讨(附23例病例分析)

结核性脑膜炎是由结核杆菌进路脑膜引起的一种疾病，是肺外结核中的重症结核病。结核性脑膜炎的发生，与患原发结核时机体的高度过敏性有关。从发病原理来看，结核性脑膜炎系继发性：结核病，主要发生于软脑膜，也可发生于蛛网膜，有时发生于脑实质（结核性脑膜炎）。儿童及青少年多见，是原发结核病或播散性结核病的脑部表现。常并发骨结核、泌尿生殖器结核等，是儿童肺结核中的主要病症。