家族性先天性无牙畸形伴无汗症追踪观察

目的 观察家族性先天性无牙畸型伴无汗症遗传规律。方法 20年来有3名CADCA患一直在本院观察之下。现在通过家谱分析和染色体检查获得这些患子女的详尽资料。结果 发现一名男孩患典型的CADCA．他的两个舅舅是前述两名CADCA患．其母亲是非显症．其父亲是正常人。结论 本报告一例儿童CADCA患,据观察资料推测,其发病可能与性连锁隐性遗传和某些环境因素有关。     

150例癌症患者心理健康状况调查分析

目的　通过对癌症患者心理健康测查,了解癌症患者的心理健康状况,实施相应的治疗。方法　应用《心理健康测查表》对１５０ 例肿瘤患者进行调查,并与非癌症组,健康人群进行对照比较。结果　癌症患者的心理健康状况明显低于非癌症级及健康人群,这可能与其发病、康复有着密切地相关性。结论　癌症患者应具有良好心理健康状态,才有利于早日康复。     

Sterilization in Bangladesh: mortality, morbidity, and risk factors

Although surgical sterilization in Bangladesh is common and has been designated as the primary means of helping the country slow its population growth, no reliable information exists regarding the procedure's safety. To define the types and rates of medical complications associated with sterilization, we followed 5042 women and 264 men undergoing sterilization. The problems that increased most markedly after the procedure compared with before included painful urination, shaking chills, fever for at least 2 days, and frequent urination. Most of the postoperative problems could be predicted by the presence of the same problem before the operation. Factor analysis of complaints in those persons who did not have a specific preoperative complaint showed that complaints clustered into three groups: urinary tract symptoms (urinary urgency and frequency), skin problems (bleeding from the incision, sore with pus, and stitches or skin breaking open), and general complaints (weakness and dizziness). The patient's sex, the sponsor and patient load of the sterilization center, and the dose of sedatives administered to women were significantly associated with specific postoperative complaints. Five women died during the study, resulting in a death-to-case rate of 9.9/10,000 procedures tubectomies; four deaths were due to respiratory arrest caused by oversedation.     

重庆市九龙坡区1997年住院患者死因分析

本文对重庆市九龙坡区十七个医院的住院死亡病例进行了统计与分析。结果表明：住院患者共23317例,死亡632例,住院病死率为2．7％。主要死因为：肿瘤、呼吸系统疾病、心脏病、脑血管病、消化系统疾病、意外伤害。值得注意的是：占死因首位的恶性肿瘤中（按死因构成比排列）,以肺癌、肝癌、胃癌、食管癌、胆囊．胆管癌位居前五位。     

海南省人民医院2008～2010年抗乙肝病毒药物使用分析

[目的]探讨我院抗乙肝病毒药物使用情况,分析特点及用药发展趋势。[方法]根据我院2008～2010抗乙肝病毒药物的用药数据进行统计、分析和评价。[结果]我院抗乙肝病毒药物主要是干扰素类和核苷类。干扰素α-2b销售金额及比例逐年下降;聚乙二醇干扰素a-2a销售金额及比例逐年上升,其DDDc最高。核苷类药物占有较大的比例,其中阿德福韦酯的销售金额及比例逐年下降,但仍在一个高的位置,恩替卡韦使用有上升的需求。[结论]抗乙型肝炎病毒药物是治疗乙肝的最重要方法,各种药物的作用特点各有不同,临床使用基本合理,其中聚乙二醇干扰素a-2a、阿德福韦酯、恩替卡韦有在治疗上有更大的优势。     

深化卫生改革 探索中国医院战略管理

战略管理在企业经营中被广泛采用,并发挥了巨大作用,医院加强战略管理,有助于促进医院的发展。本文论述了制定医院战略规划的必要性,指出医院战略规划对医院在竞争中求得生存和发展的重要意义,详细阐述了制定医院战略管理的方法及具体实施步骤,概述了我院发展战略实施情况。     

胎儿窘迫的诊断指标及其相关因素分析

目的：对胎儿窘迫的诊断指标及其相关因素进行分析。方法：按胎儿窘迫的不同诊断指标，对200例以胎儿窘迫为指征行剖宫产病例进行分组比较，统计其前后胎儿窒息率及胎儿窘迫相关因素的百分比。结果：随着胎儿窘迫诊断指标项目的增多，新生儿窒息率和胎儿窘迫相关因素百分率也相应增高。。胎儿窘迫的主要相关因素为脐带因素、羊水过少、胎盘因素等。结论：应采取多指标来诊断胎儿窘迫。对具有胎儿窘迫相关因素的孕妇，应密切监护、积极处理、适时行剖宫产术。