中西医结合治疗脑出血56例分析

1997年 1月～ 1999年 4月 ,我们采用中西医结合治疗脑出血 5 6例 ,并与西医常规治疗的 6 0例脑出血作疗效对比。现报告如下。一般资料 :所有病例均符合 1995年第三次全国脑血管病会议提出的“脑出血西医诊断标准”及国家中医药管理局制定的《中风病中医诊断疗效评定分析标准》,且经头颅 CT确诊。治疗组 5 6例 ,男 33例 ,女 2 3例 ;年龄 40～ 6 8岁 ,平均 6 1.4岁。有高血压病史 35例 ,发病至治疗开始时间 3.7± 1.6天 ,其中 2 4小时内 4例 ,2 5～ 72小时 30例 ,73～ 15 0小时 2 2例。出血部位 :左壳核 12例 ,右壳核 7例 ,左丘脑 2 3例 ,右…     

脑干听觉诱发电位和眼震及Mann氏征对后循环缺血的评定价值

目的探讨脑干听觉诱发电位（BAEP）、眼震及Mann氏征对后循环缺血的诊断价值。方法对90例后循环缺血患者（后循环缺血组）进行脑干听觉诱发电位和眼震及Mann氏征检查,并与同期住院的对照组60例进行比较,并对后循环缺血组进行随访1个月。结果后循环缺血组共检测90例,BAEP异常伴眼震、Mann氏征阳性者为63例,占70％,经治疗后临床症状改善;出院随访1个月行BAEP检查及详细的体格检查,仍有13例异常,占20．7％。对照组共检测60例,BAEP异常伴眼震、Mann氏征阳性者为4例,占6．7％。两者相比,差异有统计学意义。结论脑干听觉诱发电位、眼震及Mann氏征三者结合对后循环缺血有很高的诊断价值。     

不同高压氧治疗方案对急性一氧化碳中毒受损心肌的疗效分析

目的 探讨不同高压氧(hyperbaric oxygen,HBO)治疗方案对急性一氧化碳(carbon monoxide,CO)中毒受损心肌的影响.方法 对2006年10月至2010年3月收治的155例重症CO中毒患者进行HBO常规治疗(常规组,75例)和HBO改进治疗(改进组,80例).(1)常规组治疗方案:治疗压力0.25 MPa,加压20 min,稳压后吸氧2次,每次30 min,中间间歇10 min,减压20 min出舱.每日1次,12次为1个疗程,治疗9-68次.(2)改进组方案:前5 d采用HBO常规治疗,以后采用减小治疗压力、缩短吸氧时间、增加吸氧间隔、间歇给氧的治疗方案,治疗压力0.20 MPa,稳压吸氧4次,每次10min,中间间歇5 min,减压20 min出舱.连续治疗3 d后间隔1 d,10 d为1个疗程.2组患者使用相同的药物治疗方案.统计分析常规组和改进组ST-T变化及血清心肌酶变化.结果 改进组与常规组相比ST-T恢复率(56%,28%)明显升高(P＜0.05),HBO治疗第3天和第6天ST-T加重率(第3天21%、25%.第6天16%、27%)明显降低(P＜0.01);2组血清心肌酶恢复率和加重率比较差异有统计学意义(P＜0.05.P＜0.01).结论 HBO改进方案对CO中毒患者受损心肌疗效较好.

Abstract：

Objective To investigate the effects of different hyperbaric oxygen ( HBO) treatment profiles on damaged myocardium induced by acute carbon monoxide poisoning. Methods One hundred and fifty-five serious cases of acute carbon monoxide ( CO) poisoning admitted into the hospital for treatment from October 2006 to March 2010 were randomly divided into the routine HBO treatment group (the routine group,75 cases) and the improved HBO treatment group (the improved group,80 cases). The treatment profile of the routine HBO treatment group: the patients were compressed for 20 min to the treatment pressure of 0.25 Mpa. Following stabilization at the said pressure, the patients breathed oxygen twice for 30 min plus 10 min, once a day. The whole treatment course consisted of 12 sessions, with the patients receiving HBO treatments from 9 to 68 times. The treatment profile of the improved HBO treatment group: the patients were given routine HBO treatment in the first 5 days, then, received improved HBO treatment, with a treatment profile of lower pressure (0.20 Mpa) , shorter oxygen-breathing time, lengthening of oxygen-breathing intervals and intermittent oxygen breathing. Total oxygen-breathing time was 4 times, each for 10 min plus 3 times each for 5 min. Then, the patients were decompressed to the surface following 20-min oxygen-breathing decompression. The patients received treatment for a succession of 3 days, then, had 1-day interval, and the whole treatment course consisted of 10 sessions. Changes in ST-T and myocardial enzymes of both the routine HBO treatment group and the improved HBO treatment group were measured and analyzed. Results ST-T recovery rate of the improved HBO treatment group increased (56% ,28% ) obviously, when compared with that of the routine HBO treatment group(P ＜ 0. 05). ST-T worse rate decreased significantly following HBO treatment on the 3rd and 6th days (21% and 25% on the 3rd day, 16% and 27% on the 6th day) respectively (P＜0.01). Statistical differences could be seen in the myocardial recovery rate and worse rate, when a comparison was made between them (P＜0. 05, P＜0. 01). Conclusions The improved HBO treatment profile showed better therapeutic effect on damaged myocardium induced by CO poisoning. This treatment profile should be used instead of other treatment profiles.     

不同高压氧治疗方案对急性一氧化碳中毒受损心肌的疗效分析

Objective To investigate the effects of different hyperbaric oxygen ( HBO) treatment profiles on damaged myocardium induced by acute carbon monoxide poisoning. Methods One hundred and fifty-five serious cases of acute carbon monoxide ( CO) poisoning admitted into the hospital for treatment from October 2006 to March 2010 were randomly divided into the routine HBO treatment group (the routine group,75 cases) and the improved HBO treatment group (the improved group,80 cases). The treatment profile of the routine HBO treatment group: the patients were compressed for 20 min to the treatment pressure of 0.25 Mpa. Following stabilization at the said pressure, the patients breathed oxygen twice for 30 min plus 10 min, once a day. The whole treatment course consisted of 12 sessions, with the patients receiving HBO treatments from 9 to 68 times. The treatment profile of the improved HBO treatment group: the patients were given routine HBO treatment in the first 5 days, then, received improved HBO treatment, with a treatment profile of lower pressure (0.20 Mpa) , shorter oxygen-breathing time, lengthening of oxygen-breathing intervals and intermittent oxygen breathing. Total oxygen-breathing time was 4 times, each for 10 min plus 3 times each for 5 min. Then, the patients were decompressed to the surface following 20-min oxygen-breathing decompression. The patients received treatment for a succession of 3 days, then, had 1-day interval, and the whole treatment course consisted of 10 sessions. Changes in ST-T and myocardial enzymes of both the routine HBO treatment group and the improved HBO treatment group were measured and analyzed. Results ST-T recovery rate of the improved HBO treatment group increased (56% ,28% ) obviously, when compared with that of the routine HBO treatment group(P ＜ 0. 05). ST-T worse rate decreased significantly following HBO treatment on the 3rd and 6th days (21% and 25% on the 3rd day, 16% and 27% on the 6th day) respectively (P＜0.01). Statistical differences could be seen in the myocardial recovery rate and worse rate, when a comparison was made between them (P＜0. 05, P＜0. 01). Conclusions The improved HBO treatment profile showed better therapeutic effect on damaged myocardium induced by CO poisoning. This treatment profile should be used instead of other treatment profiles.     

院前静脉溶栓治疗急性心肌梗死19例

溶栓疗法治疗急性心肌梗死(AMI)是目前临床上常用的方法之一,静脉溶栓方法在院内已广泛开展,但院前静脉溶栓国内报告不多。我院自1999年11月~2004年6月在院前采用静脉溶栓疗法救治AMI19例,现报告如下。1临床资料19例中男14例,女5例;年龄47~64(平均57)岁;均符合1991年中华心血管病杂志拟订的AMI溶栓疗法参考方案;梗死部位广泛前壁8例,前间壁6例,下壁5例。溶栓距发病时间1·0~4·7(平均2·3)h。即刻口服阿司匹林0·3g,以后每日0·3g,3d后改为每日50mg,长期服用。首先应用国产尿激酶(南京大学制药厂生产)50万I U静推,然后再用100万I U加…     

(13)~C-尿素呼吸试验检测胃幽门螺杆菌感染200例诊疗观察

幽门螺杆菌（ＨＰ）感染与消化道溃疡、慢性活动性胃炎及胃癌的关系日益引起临床医学界的重视。ＨＰ是消化道溃疡的重要致病因子,慢性活动性胃炎的致病菌,胃ＭＡＬＴ淋巴瘤的重要致病因子,且与胃癌的发生及功能性消化不良有密切关系［１］。笔者采用１３Ｃ－尿素呼气试...     

散发性脑炎18例误诊分析

2004年4月，我们对1996-2002年误诊的18例散发性脑炎(下称散脑)患者的临床资料进行了分析。现报告如下。     

血液置换疗法治疗重度有机磷农药中毒30例疗效分析

血液置换疗法治疗重度有机磷农药中毒３０例疗效分析谢琳娜池洪伟张丽君＊（聊城地区人民医院电厂分院，聊城市２５２０００，＊阳谷县中医院）关键词血液置换；有机磷中毒；病例分析笔者自１９９１年８月至１９９６年１２月，用血液置换疗法治疗重度有机磷农药中毒３０例...     

中西医结合治疗小儿支气管炎137例疗效观察

急性支气管炎是儿科临床中最常见的上呼吸道感染性疾病,其发病率高,并发症多是该病的特征.目前临床上多采用抗生素加平喘、止咳及祛痰药物综合治疗.本院应用复方瓜子金颗粒辅助抗生素治疗小儿急性支气管炎137例,现将治疗效果对照如下: