改变督导方式促进临床教学质量

目的:发挥教学督导的作用,提高医学院校临床教学的质量.方法:对教学督导工作进行了大胆的改革:①督导前移,加强了教学的环节质量;②疏通反馈通道,保证教学督导效果;③言传身教,加强对青年教师的培养和指导;④扩大督导范围,促进各层次教学质量;⑤全程随机评价,客观评价教学效果.结果:保证了教学效果,使教学质量有了明显的提高.结论:加速我军现代化建设,培养高素质医学人才,教学督导的作用显的尤其重要.     

应用现代教育心理学原理 改革病理生理学教学模式

传统的病理生理学教学模式，不利于医学生创新能力的发展，已不能适应新时期病理生理学教学的要求。应用现代教育心理学原理，改革病理生理学教学模式，培养学生的综合素质和创新能力，成为病理生理学教学改革的方向。为培养医学生的创新能力，为临床和科研工作打下良好的基础，本文初步探讨了病理生理学教学改革的模式，总结了病理生理学教学改革的经验和实践体会，展望了病理生理学教学改革的发展前景。     

提高临床见习成效之我见

<正> 临床见习是临床课教学的重要组成部分,其目的是将课堂上教学的理论知识到医院实践中进行验证和运用,是理论到实践的重要桥梁。有效的临床见习能加深学生对理论知识的认识和理解,对课堂教学起很大的促进作用。下面笔者根据实践工作经验谈谈提高临床见习成效的体会。1 方法     

临床检验应重视细胞形态教学与实习

当前高科技飞速发展，促进了临床医学领域的飞速发展．为临床医学检验教学提供了新内容和新观点。同时也出现了一种不良倾向，在一些从事检验教学的老师及某些医院检验人员中．出现重仪器、轻技术的倾向，对检验基本理论及技能掌握程度不够。同样做血常规化验。用显微镜手工操作只收0．8元钱．而用血液自动分析仪(T540)6项指标收6元钱，     

浅话上课艺术

一节课几十分钟．教师要向学生传授科学文化知识．使学生获得使用知识的技能、技巧．同时还要向学生进行思想教育，发展学生的能力，没有一定的教学技巧和上课艺术是不行的。有经验的教师上课、教学效果好很受学生的欢迎，体现了高超的上课艺术。     

胰液、胆汁内引流预防胰腺吻合口漏22例

本组共22例。其中男17例，女5例。年龄32～74岁，平均49．7岁。临床诊断：壶腹癌8例，胆管下端癌7例，十二指肠癌2例，胰头癌5例。施保留幽门胰十二指肠切除术17例，非保留幽门胰十二指肠切除术5例。手术方法：本组均按Child法进行消化道重建。均经小肠系膜根部后方十二指肠水平段切除后坠道提取空脑进行胰腺空肠套人式吻合，套入深度2cm。胰空肠后壁吻合3层．保证空肠壁与胰腺紧密贴合．不留腔隙。选择一根约30cm长的细硅胶管，与胰管口径匹配．该管一端剪2～3个侧孔，插入胰管     

非脱垂子宫经腹、阴式全切除术临床比较

目的 探讨非脱垂子宫经阴道与经腹全切术的临床比较。方法 2000年5月～2001年1月对阴式子宫全切术 (TVH)28例及腹式子宫全切术 (TAH)35例分为两组进行手术 ,对临床指标进行观察比较。结果 28例TVH手术均成功。平均重量255g(120～510g)。与TAH手术比较 ,其术后病率、肛门排气时间及术后住院天数有显著性差异 ( p<0.001及 p<0.05) ,但其手术时间及术中出血量无显著性差异 ( p>0.05)。结论 随着微创手术的开展 ,利用阴道天然孔道 ,经阴道切除较大的子宫是有效和安全的 ,手术的成功与术者经验、技术及子宫活动度有关 ,有合适器械也是手术成功的因素。     

Treatment of dislocation of distal radioulnar articulation by reconstruction of ulnar collateral ligament from pediculated partial ulnar flexor tendon of wrist

Background:Auricular pseudocyst,which is also calles serous perichondritis of thd auricle,is and aseptic local serous inflammatory mass in the perichondrium of the auricle.The cause is unknown,.It is difficult to the cured with a chronic course,and might transform into suppurative perichondritis because of incorrect treatment such as repeated puncture,and even necrosis occurs,resulting in deformation of the external ear.Objective:To study the therapeutic effect of magnetic application.Unit:Jianping County Hospital.Subjects:42 patients were included in this study,including 31 males,11 females aging 10 to 56 years,with unilateral attack in 38 cases,bilateral attack in 4 cases.No obvious cause was found in all of the cases.Local prominences occurred suddenly mostly at the navicular fossa,less at the triangular fossa,least in the cavity of concha.The site is felt hot and swelling with slight tenderness.The locus ranges from 0.5 cm to 1.5cm in diameter.The disease course ranges between 3 and 30 days.Interention:The intracapsular fluid was withdrawn out from the locus in all the pwatients.Two magnetic pieces of 100-170mT in intensity were chosen and fixed on both sides of the locus by wadhesive plaster with the S and N poles opposited.The magnetic pieces of the Npole were applied 24 hours a day.But the S pole should be taken off at night and 5-10 minutes every 1-2 hours in daytime.The application method must be clearly taught to the patients to avoid local ischemic change because of persistent pressure.The poles of the magnetic pieces should also be told to the pwatients lest the pwatients fixed the magnetic pieces in a contrary way.The treatment courese was 1 week but 2 weeks in patients wih larger loci.Result:All the patients were cured with no local induration,thickness,deformation,or dispigmenttation.No recurrence occurred after 3 months of telephone following up.Conclusion:The treatment of magnetic application is easily performed,safe,reliable,cheap and free of side effects with significant therapeutic effect.