精神科职业性伤害事件后医护人员心理状态的变化

2005年7月14日本院发生一起精神病患者伤害医护人员事件，为探讨精神病患者伤害行为对医护人员心理状态的影响，本研究于2005年7月对100名医护人员进行6周的问卷调查分析，为医疗机构了解精神科的医疗职业性伤害事件的负面影响及采取相应的措施提供依据。     

肾综合征出血热并发肝脏损害186例临床分析

肾综合征出血热（HFRs）并发腔道出血、中枢神经系统合并症及肺水肿等并发症较多见，但近年来HFRS并发肝脏损害逐渐得到临床的重视，肝功能的衰竭同样是导致患者死亡的主要原因。现将我院肾综合征出血热并发肝脏损害186例报告如下。     

肝功能指标在预判急性结石性胆囊炎并发胆总管结石的作用

在急性结石性胆囊炎中大约有11-25％的病例并发胆总管结石,为降低手术风险及腹腔镜胆囊切除术中途转开腹手术的发生率,术前肝功能检查被广泛采用,但肝功能指标能否为预判结石性胆囊炎病例是否并发胆总管结石提供参考目前缺乏研究。为此作者对2000．1-2001．12的385例急性结石性胆囊炎病例进行了回顾性分析。急性结石性胆囊炎     

浅谈部队基层卫生机构的现状和改进构想

我军师(部分旅)设医院,团设卫生队,营以下部队设卫生所(室)。这些卫生机构都是集医疗、预防、保健为一体的部队综合性卫勤保障机构,是我军典型的部队基层卫生机构。其主要职能是:以预防工作为主,同时开展本级范围内的医疗保健工作,负责本单位药材的管理和分发〔1〕。基层卫生机构是由同级后勤部门领导和上级业务部门指导,相互间存在纵向业务指导关系和横向的友邻关系,总体上呈现条块分割、各自独立保障的局面,不同程度地存在大而全不专、小而全不精的情况。此种保障方式是典型的粗放型保障,这与当代息化战争所要求的集约型、精确型卫勤保障…     

自制复合液治疗偏头痛148例疗效分析

偏头痛在临床上是一种常见病,传统的中、西药治疗虽能取得一定疗效,但显效慢,服药时间长,且复发率高.我们对148例有典型血管神经性偏头痛症状者,采用2种复合液治疗,观察其疗效、疗程,旨在探讨有效的治疗方法.     

表达谱基因芯片筛选体外循环前后心肌细胞因子的变化

Objestive Systemic inflarmmation may be triggered by injury, hypothermia, ischemia-reperfusion and the contact of the blood with foreign body during cardiopulmonary bypass (CPB). To determine the application values of gene chip technique in the clinical practice and the study of cardiovascular stagery, as well as to provide clues to the study of inflammatory responess during CPB, microarry for gene expression profiles was used to identify the differences in the gene expression of myocardium between pre-and post- CPB. Methods Six adult patients who underwent CPB from March to May in 2003 were involved. Samples of right atrium were col- lected before and at immediate end of CPB. BD AtlasTM cDNA Expression Arrays was used to identify the differences in the gene ex- pression of cytokines. The results were compared with that of semi-quantative RT-PCR. Resellts The mean age of 6 patients (5 males and 1 female) was (32.67± 11.72) years. The baseline heart function was gradeⅡin 3 cases and grade Ⅲ in 3 other cases. The baseline left ventricular ejection fraction(LVEF)was (58.17±7.91)%. The mere duration was (91.67±43.88) minutes for CPB and was (58.67±43.46) minutes for aorta blocking. The minimum nasopharynx/rectal temperture was (29.37±1.90)℃/ (32.15±1.52)℃. Gene expression profiles of cytokines in the myocardium pre- and post-CPB were analysed successfully. The ex- pression of IL-6, IFN-γ,Wnt5a, TNFRSF1B, a member of tumor necrosis factor receptor superfamily, PIGF and MFNG in the myo- cardium were unpregulated after CPB. Conclusion Microarray technique is applicable in the study of cytokines changes dying CPB. cDNA microarray identified pleliminarily the differences in the gene expression between pre- and post-CPB. These genes may be in- valved in inflammation and other psthophysiological responses incuced by CPB. The myocardiym is probably one of the major sources of cytokines during CPB. Further study may be helpful in understanding the llngthe development of inflammation during CPB, and eventually, reducing the post-operative complications.     

剖宫产术后并发下肢静脉栓塞的护理及预防

通过对20例剖宫产术后并发下肢静脉栓塞病人的观察,分析了发生静脉栓塞的原因,提出了相应的护理、观察、预防等一系列措施.     

医学院校开展音乐治疗教育的分析

本文通过在医学院校中开展音乐治疗教育的分析,特别强调音乐在音乐治疗教育中所起着特殊的不可替代的作用,尤其在调节学生心理放松减压等各种方面有较大的促进作用.相信这一新兴学科必定走进医学生的身边,使他们受益终生,能更好的造福人类.     

儿童鞍区常见肿瘤26例影像学分析

鞍区肿瘤是儿童期发病率较高的颅内肿瘤，约占儿童颅内肿瘤的10．0％。其种类和成人有较大差异，成人鞍区肿瘤以垂体瘤为主，可达54．8％，而儿童鞍区肿瘤中以颅咽管瘤最为常见，可达54．0％。影像学多有异种同像或同种异像表现，给儿童鞍区肿瘤定性诊断带来一定困难。为提高对儿童鞍区肿瘤的认识，笔者对26例鞍区肿瘤患儿的CT及MRI表现及临床资料进行回顾性分析，以提高儿童鞍区肿瘤的定性诊断能力，以对临床治疗提供一定的指导。     

骨病

膝骨关节炎150例临床分析；降钙素对兔骨关节炎软骨的保护作用；全膝关节置换术治疗重症膝骨性关节炎与类风湿性关节炎（附56例报告）；体外冲击波治疗老年人跟痛症的临床观察；胫骨高位截骨结合外固定支架治疗膝内侧髌股型骨关节炎。