三棱莪术散外敷治疗急性中央型腰椎间盘突出症52例

中央型腰椎间盘突出症是临床常见病、多发病。笔者自2002年7月～2004年7月，两年间用三棱莪术散外敷治疗急性中央型腰椎间盘突出症52例，收到了满意的疗效。现总结如下：     

肺癌心包转移6例

住院收治晚期肺癌心包转移6例。其中5例为中央型肺癌（2例为鳞癌，2例为腺癌，1例不明确），1例为周围型肺癌（腺癌）。6例均有心包转移（其中3例经心包液检出癌细胞证实）。临床表现主要为心包填塞症状，呼吸困难、咳嗽、胸闷、心前区不适等。心包填塞严重者1例可见颈静脉充盈，肝脏肿大，双下肢水肿。     

不同月龄自发性高血压大鼠杏仁中央核nNOS免疫阳性神经元的变化

OBJECTIVE: To observe the changes of neuronal nitric oxide synthase (nNOS)-immunopositive neurons in the central amygdaloid nucleus of spontaneously hypertensive rats (SHRs). METHODS: Thirty SHRs and 30 Wistar-Koyto rats (WKYs) were sacrificed at the ages of 90, 180, and 360 days respectively to observe the changes of nNOS-immunopositive neurons with ABC immunocytochemical assay. RESULTS: No significant changes were observed in the blood pressure of WKY rats at the specified time points, when SHRs maintained significantly higher blood pressures from 20.8+/-1.1 and 26.3+/-1.0 kPa (P<0.05), gradually increasing during the development of hypertension. The nNOS-immunopositive neurons in the central amygdaloid nucleus were of moderate sizes with long intersected nerve fibers. No significant changes were found in WKY rats. The number of the positive neurons decreased with age in SHRs, especially obvious at 360 days (P<0.05), which was significantly different from that in the WKYs (P<0.05). CONCLUSION: The reduction of nNOS-immunopositive neurons in the central amygdaloid nucleus of SHRs might accelerate the development of hypertension by modulating the cardiovascular function and sensory transmission.     

妥泰治疗具有中央颞区棘波的儿童良性癫痫的疗效观察

我们从2001～2004年对32例诊断为具有中央颞区棘波的小儿良性癫癎的患儿进行了妥泰治疗，对其疗效、脑电图变化及不良反应等方面进行了总结。     

难治性精神分裂症二次手术治疗经验总结

目的探讨立体定向多靶点组合毁损术对部分难治性精神分裂症病人疗效不佳的原因。方法对17例首次手术后满6个月、总疗效为Ⅲ～Ⅳ级的病人进行二次手术,主要是精确定位杏仁核与内囊前肢毁损灶的位置、适当扩大毁损范围,同时组合双侧隔区背内侧核群的部分毁损。结果二次手术后6个月,17例病人中,显著进步13例、进步3例、无变化1例、恶化0例。结论立体定向多靶点组合毁损术治疗难治性精神分裂症的疗效,与杏仁核及内囊前肢毁损灶的精确毁损、患者的发病年龄及术后护理有关,组合双侧隔区背内侧核群的部分毁损对特别顽固的精神分裂症病人可能有促进疗效的作用。     

572例近视眼患者中央角膜厚度测量报告

本文作者在572例(1144只眼)近视眼患者拟行角膜放射状切开(RK)手术前,对角膜不同部位厚度进行了测量,对其值作统计学处理,均值及标准差为0.527±0.037mm,标准误为0.002,说明我国95％的近视眼患者中央角膜厚度范围为0.455—0.600mm。提示我国成人各年龄组左、右眼角膜厚度与左、右眼屈光度、性别、眼别无关。强调RK手术前对角膜厚度测量的重要性,但手术预后优劣为多因素所致。