多次发病的传染性单核细胞增多症

传染性单核细胞增多症为EB(Epstein-Barr)病毒引起的一种急性或亚急性全身性免疫异常疾病。一次患病后,可获得持久免疫力,多次发病罕见。本文报告了一例传染性单核细胞增多症,9年内3次发病,结合文献资料复习,就本病的诊断、治疗、临床分型、复发问题以及与肿瘤的关系进行了讨论。     

古代日耳曼和阿拉伯律法与唐律中法医学内容的比较

本文详细介绍了古代日耳曼和阿拉伯律法中与法医学有关的内容及其对法医学发生发展的影响。认为以赎罪金代替原始的血亲复仇法是日耳曼法的一个进步；两法对非致命损伤的赔偿规定都取得了令人瞩目的成就。本文还就大致同时代的唐律对杀人及伤害案件的有关规定，比较了东西方法规的异同，探讨了差别的原因。     

Cardiovascular Laser Application

With the invention of the laser, many clinical disciplines have taken advantage of this new energy source. Its precision, intensity and energy density is superior to all other known surgical devices. Based on the principle of light amplification from a photon-emitting resonator, the monochromaticity, collimation and coherence provide the high-energy density of the laser beam for medical applications. The state-of-the-art and future potential of laser use in cardiovascular diseases will be reviewed. Most of the work in this field has been accomplished during the past decade with numerous research projects. Although many technical advances have been made, so far the results in cardiovascular medicine are in the areas of vessel anastomosis, ablation of conduction passes for arrhythmia therapy, and angioplasty. In this paper, special attention will be given to the recent success in XeCl excimer laser application for photodecomposition of tissue with a goal of improved recanalization. The high-power density of the XeCl excimer laser provides significant advantages for the disruption of both embolic and calcified plaque. Regardless of the type of tissue ablated, gross, histologic, and ultra-structural analysis confirmed the absence of thermal injury in luminar recanalization as well as in animal studies. Progress in the manufacture of catheters, with multiple very small diameter fibers, led to the decisive breakthrough in clinical laser angioplasty. Peripheral as well as coronary arteries have been successfully recanalized followed by balloon dilatation. The ease of application and the success achieved thus far have resulted in an optimistic assessment for laser medicine.     

中医对干燥综合征治法和用药初探

干燥综合是一种全身性自身免疫病,目前西医对本病无疗法。因此探讨中医对本病的治法和用药,提高临床有效率是十分必要的。本文在中医辯证理论的指导下,提出了:益气养阴、养阴清热、琉风清热、养血活血、清热化湿、痹通络等六种治疗方法和用药初探,以供临床参考应用。     

祖国传统医学对骨质疏松症的治疗进展

骨质疏松症是以骨量减少和骨组织的纤维结构退化为特征的代谢性骨病。随着21世纪我国老龄化社会的到来，骨质疏松发病率明显增高，已逐渐成为世界性广泛关注的问题。原发性骨质疏松分为I、Ⅱ两种类型。I型为高代谢型，主要是绝经后骨质疏松，由雌激素缺乏，而使骨代谢呈负平衡，骨吸收相对增强引起；Ⅱ型是低骨转换型，主要为老年性骨     

咳嗽从肾论治

基于中医有关古代文献和个人的临床经验，作者举例说明咳嗽不仅能从肺治疗，从肾治疗也是行之有效的方法。     

6种中药制剂治疗急性脑梗死的成本-效果分析

目的：运用药物经济学的方法对在我院应用的6种中药注射液进行成本-效果分析。方法：271例急性脑梗死患者依据药物治疗方案不同分为6组，即血塞通组、舒血宁组、苦碟子组、疏血通组、川芎嗪组、丹红组，分别观察疗效，并运用药物经济学的方法进行成本-效果分析。结果：疏血通组的成本为3 419.90元，总有效率最高（91.84%），6组间增量成本-效果最低。因此疏血通组是较为合理、经济的方案。