赵可宁主任补肾调周法治疗青春期崩漏的经验

青春期崩漏为青春期少女常见疾病,属于西医的排卵障碍性异常子宫出血范畴,影响患者身体发育与正常生活,危害较大。赵可宁主任认为本病的本源在于肾虚,治疗上标本兼治,止血以治标,应用补肾调周法以治本,以促进月经周期的恢复及排卵。     

赵和平治疗小儿喘息性支气管炎经验

介绍赵和平教授治疗小儿喘息性支气管炎经验。认为其病因多为正气不足、痰饮内停等。治疗当分期论治,并兼顾脾胃、膏方、内外治法于一体。并举医案1则。     

Effects of Plasma-lyte A,lactated Ringer's,and normal saline on acid-base status and intestine injury in the initial treatment of hemorrhagic shock

Background

Several kinds of crystalloid solutions have been used in the treatment of hemorrhagic shock (HS). Clinicians are faced with how to select the resuscitation fluids. The aim of the present study is to compare the effects of 3 crystalloid solutions, such as normal saline (NS), lactated Ringer's (LR), and Plasma-lyte A (PA), on acid-base status and intestine injury in rats subjected to HS.

A Review of Growth Factor Support in Bloodless Autologous Hematopoietic Stem Cell Transplant

Bloodless autologous hematopoietic cell transplantation is associated with risks of severe bleeding and profound anemia. RBC or platelet transfusions are often used to prevent these hematologic complications. However, in patients such as Jehovah's Witnesses who refuse major blood components, the lack of transfusion support is not an absolute contraindication to an autologous hematopoietic cell transplant. Pennsylvania Hospital performed the world's first bloodless hematopoietic cell transplant more than 15 years ago and has gradually improved its technique with a sizable patient population. Erythropoiesis-stimulating agents were successfully employed as part of their pretransplant regimen to prevent severe anemia. Thrombopoietin agonists' potential role in bloodless transplant is also currently being explored. Although there is limited literature, available reports in combination with physiologic reasoning may support the use of these growth factors to promote transplant success. These agents offer potential benefit and may be of utility in minimizing complications of a bloodless transplant. In this review, we summarize the available literature and offer insight into how we may incorporate growth factors to allow bloodless autologous hematopoietic cell transplantation to be an available option to patients who may otherwise be denied.     

浅谈“津沽医学”

天津的医学发展分为三个阶段,发源于张锡纯的中西汇通,形成于吴成中院士为代表的“三朵金花”,至今处在高速发展的状态。在各个阶段,社会的稳定和政府的支持与否,以及代表性医家的学术观点和成果都影响着天津中西医结合的进程。因此,明确“津沽医学”发展脉络,传承天津名家学术思想,有助于我们更好地理解把握“津沽医学”的精髓,对更好地发展中西医结合有着重要的借鉴意义。     

赵国岑教授运用中医药治疗食道癌经验

食道癌的发病主要在于患者正气亏虚,不能内守,加之七情六淫失常、饮食失节,终致邪毒侵袭。病初正气尚盛,久则正气亏甚,邪毒炽盛,因此初期治疗以驱邪为主,扶正为辅,随着病情变化,当改为扶正为要,驱邪次之。同时坚持辨证与辨病互参,内服与外敷相辅的原则,治病求本,循时而治。     

桥本甲状腺炎超声声像图分析

目的 以超声引导细针穿刺作为诊断桥本甲状腺炎的金标准,探讨桥本甲状腺炎超声表现.方法 回顾性总结216例超声引导下细针穿刺确诊的桥本甲状腺炎患者超声表现.超声观察指标为:甲状腺两侧叶大小及峡部厚度、内部回声特点、甲状腺内血流分布、甲状腺上动脉血流速度、甲状腺周围有无肿大淋巴结.根据患者甲状腺功能分成甲状腺功能亢进组、甲状腺功能减低组、甲状腺功能正常组,比较3组患者的甲状腺上动脉血流速度.结果 仅84例患者(38.9%,84/216)具有经典桥本甲状腺炎超声表现:甲状腺两侧叶及峡部体积增大,回声减低,血流丰富;132例患者(61.1%,132/216)具有不典型桥本甲状腺炎超声表现:甲状腺体积不大,实质回声增粗或呈局限片状低回声.25.0%(54/216)合并实性结节,2.8%(6/216)合并甲状腺乳头状癌.桥本甲状腺炎甲状腺内血流分布较正常增多,甲状腺功能亢进组甲状腺上动脉血流平均速度为(39.0±20.5)cm/s,甲状腺功能减低组为(41.1±21.4)cm/s,甲状腺功能正常组为(35.6±17.1)cm/s,3组间差异无统计学意义(F=0.39,P=0.68).93.1%(201/216)的桥本甲状腺炎甲状腺下极周围可见肿大淋巴结.结论具有经典桥本甲状腺炎超声图像患者仅占少部分,应重视不典型桥本甲状腺炎超声表现,减少漏诊.桥本甲状腺炎甲状腺内血流不能成为判断甲状腺功能的指标;甲状腺下极周围淋巴结的检出可协助该病诊断.     

杨兆钢教授气海穴芒针深刺临床应用举隅

杨兆钢教授擅用芒针,临床选用气海穴芒针深刺治疗顽疾。认为气海穴芒针深刺对胃下垂、前列腺炎以及溃疡性结肠炎疗效显著。其芒针治疗选穴精而少,且强调气至病所。     

赵和平运用丹栀逍遥散合方治疗杂病验案4则

赵和平系湖北省十堰市中医院主任中医师,湖北省名中医,湖北中医药大学兼职教授、硕士研究生导师。赵师从事中医临床工作30余载,临床经验丰富。笔者跟师学习多年,获益良多,现将其运用丹栀逍遥散合方治疗杂病的4则验案介绍如下。     

Progression and regression of women with biopsy-confirmed normal cervical epithelium or cervical intraepithelial neoplasia grade 1: a 15-year population-based cohort study in China

Background

The long-term risk of progression or regression in women with biopsy-confirmed normal cervical epithelium or cervical intraepithelial neoplasia grade 1 (CIN1) is unclear. The aim of the study was to assess the rates of progression and regression of women with histological CIN1 or normal cervical epithelium in rural China.