蜡泪样骨病1例

蜡泪样骨病（melorheostosis）为一罕见的骨质硬化性疾病，多侵犯一侧肢体，增生的骨质自上而下沿骨干一侧向下流注，酷似蜡烛表面的烛泪，故名为蜡泪样骨病或蜡油样骨病，又称肢骨纹状肥大症。据国内文献报道自2003年以来共发现该病10余例。本科于2006年收治该病人1例。报道如下。     

Surgical strategy of one stage surgery of anterior release combined with posterior correction in treatment of severe scoliosis

Objective: Severe scoliosis refers to scoliosis with serious and stiff curve. It always combins with trunk imbalance in coronal and sagittal contour. Besides complex pathological changes, cardiopulmonary deficits and other concomitant diseases increase treatmental difficulties. So the treatment of severe scoliosis is always a great challenge to spine surgeon. Methods :Thirty-six patients with severe scoliosis received one stage posterior correction followed by anterior release during July 1997 to January 2003, including 9 males and 27 females. Mean age was 17.2 years. Of them, 33 was idiopathic scoliosis and 3 was neurofibromatosis scoliosis( Cobb angle: 85-116 degree); 20 cases were abnormal in sagital plane. Three-dimensional devised instrumentation were applied such as CD, CD-Horizon, TSRH or Isola in posterior procedure followed by anterior release during the same anesthesia. 31 cases of this group received thorac icplasty. Results: The correction in the frontal plane achieved an average of 48.5%. In the sagittal plane, the pathological shape of the spine was reduced and distinctly ameliorated. 80. 6% of the patients maintained or achieved balance of sagittal plane. There were no complications of severe neurological deficit, hook displacement, rod broken, and deep infection at follow-up. One case occurred traumatic pleurisy after operation and another appeared pseudarthrosis 2 years later. One case demonstrated imbalance 11 months after operation. One patient was presented loss of correction more than 10 degree at one year follow-up and 5.2 degree in average. Conclusion:The study indicates that the one stage posterior correction combined with anterior release in treatment of severe scoliosis can achieve satisfactory correction. Appropriate choice of cases, preoperational detailed assessment and application of SEP and wake-up test during operation can possibly reduce severe complication. The long-term outcomes still need further observation.     

卫生部副部长马晓伟听取潍坊市公立医院改革试点工作汇报

<正>本刊讯2010年3月8日,卫生部副部长、卫生部公立医院改革试点协调工作小组组长马晓伟同志听取了潍坊市关于公立医院改革试点工作情况的汇报,并对潍坊市公立医院试点工作提出要求。潍坊市市政府相关领导汇报了潍坊市公立医院改革试点工作的准备情况、初步思路和工作安排。卫生部办公厅、人事司、规财司、政法司、医政司和医管司相关负责同志一同听取了汇报,并对潍坊市试点工作提出了意见和建议。     

医用电子学实验方法改革与提高学生综合能力的探讨

医用电子学实验是医用电子学教学中的一个重要组成部分,通过这门课程的学习使学生综合能力得到提高,获得今后在医学理论和实际工作中所必需的医用电子学的基础知识,并应用这些基础知识分析解决医学实践中的一些基本问题。针对医学教育的培养目标和任务,对医用电子学实验方法改革进行了探讨,以提高医用电子学实验课程的教学质量,培养出合格的目标人才。     

脑血管病并发偏侧舞蹈病3例报告

偏侧舞蹈病是局限于一侧肢体的不自主的舞蹈样运动．临床上并不常见，而脑血管病引起的继发性偏侧舞蹈病则更少见，现报告3例如下。     

星级护理在部分医院开展受阻原因分析

我市自2001年始在护士中开展“星级护士”评选活动，这项活动是在卫生局的领导下进行的，以文件形式下发了通知，通知中明确了工作宗旨、目的和要求，并制定了实施方案。三年来我们通过“星级护士”评选工作的不断深入，使护理服务质量得到明显提高，病人满意率由以前的83％上升为96．8％，收到良好的社会效益。健康报曾以《这里星光灿烂》报道了我市星级护理工作成绩。     

输液室常见隐患及防范措施

我院急诊科负责全院各科门诊病人的输液工作，全年日均输液量在180人次左右，夏季高峰时可达400人次。随着医疗制度改革的不断深化及人们自我保健意识的不断提高，患者对医护人员服务质量及技术水平的期望值也越来越大。为加强护理工作安全管理，避免医疗事故和医疗纠纷的发生，我科除了及时准确地为病人提供优质服务外，针对输液室常见隐患，采取了有效的防范措施，取得了较好的效果。现介绍如下：     

深化改革依法执业崇尚医德注重沟通——努力构建和谐的医患关系

文章回顾了医患关系的历史和现状,将医患关系的发展划分为四个时期,即萌芽成长期、成熟定型期、空前和谐期、转轨变型期,着重指出了转轨变型期医患关系不和谐的现状。分析了医患关系不和谐的成因,首先是体制、机制方面的原因;第二是医疗机构和医务人员方面的原因;第三是社会转轨变型期的各种社会矛盾在医患关系上的体现。探讨了构建和谐医患关系的途径:建立公平高效的医疗卫生体系是前提;崇尚医德,提高医术是基础;交流和沟通是关键;依法执业是保障。     

会阴正中切开在阴道分娩中的应用体会

分娩是正常的生理过程,大多数产妇都能从阴道自然娩出胎儿。但是,近年来各医院会阴侧切率直线上升,有的医院甚至常规作会阴侧切。一些产妇一怀孕就开始担心分娩时     

护理部深化改革竞聘上岗实施方法探讨

护理工作是医疗卫生工作的重要组成部分，护理工作的质量好坏与病人的生命安危、医疗质量和医院声誉密切相关。深入护理改革，是提高护理质量的关键，也是护理部工作重点之一。近年来，我院作为漳州市卫生系统的一个改革试点单位，护理部通过几项竞聘上岗的护理改革，使我院的护理质量上了一个新台阶。现对竞聘上岗的具体实施方法进行探讨。