皮瓣移植修复手外伤组织缺损的临床疗效观察

本研究将2012年5月~2014年5月间在我院治疗的168例手外伤组织缺损患者行皮瓣移植修复治疗,包括任意皮瓣、轴型皮瓣和游离皮瓣,效果良好,现报告如下。1资料与方法1.1一般资料选择2012年5月~2014年5月间在我院治疗的168例手外伤组织缺损患者,其中男116例,女52例。年龄18~55岁,平均(32.43±     

一种有效去除脂血对血清多种生化指标测定干扰的方法

目的 :探讨一种去除脂血对血清生化项目测定干扰的方法。方法 :沉淀、离心沉淀去除血清中过量的乳糜微粒。结果 :该法简便去脂效果彻底 ,不影响测定结果。结论 :获得了一种满意的去脂方法     

松紧带治疗骨折及脱位

我院近年来应用松紧带对某些骨折或脱位后的固定治疗,使骨折愈合及关节活动能力的恢复同步进行,缩短了疗程,提高了治愈率.现介绍如下:1.肩部损伤:包括肩关节脱位(复位后)肩锁关节脱位、肱骨大结节撕脱骨折(复位后固定).固定方法:取民用宽松紧带约8×30厘米将中段置于健侧腋下兜起向病侧肩峰交叉     

益肾降压方对RPH大鼠血压及肾脏病理组织形态影响的研究

目的:评价益肾降压方对RPH大鼠的降压效果,对肾实质的保护作用,并研究其对肾脏病理组织形态的影响.方法:通过大鼠肾次全切除加高盐喂养法制备RPH动物模型,以卡托普利为对照评价该方不同剂量组的降压作用、剩余肾组织、超微结构的病理改变,并通过免疫组化检测cNOS、ET-1两种内皮由来因子的分布表达.结果:益肾降压方各剂量组降压作用与空白对照组比较均有显著性差异(P＜0.05),可减轻肾脏病理改变,对肾脏局部ET-1表达呈抑制并对cNOS表达上调.结论:益肾降压方可以降低肾实质性高血压,减轻肾脏病理改变,其机制可能通过对肾脏局部ET-1表达、分泌的抑制和cNOS表达、分泌的上调两条途径来实现其降压、保护肾脏的作用.     

应用输尿管镜放置双J管早期治疗输尿管阴道瘘

Objective To evaluate the clinical effect of placing double J stent using a ureteroscope in early managing ureterovaginal fistula.Methods Twenty-eight patients cases with ureterovaginal fistula from 2002 to 2008 were treated early with placing double J stent using a ureteroscope and the clinical data were reviewed.Results Twenty-two of 28 cases were treated and double J stent was placed in them by a uretero-scope and 75% (21/28)of cases were cured.Four of 21 cases were treated twice by a ureteroscope and were cured finally.7 cases with failure ureterovaginal treatment underwent ureterocystostomy and were cured.The follow-up from 6 months to 33 months (average 10.1±6.4 months)showed that all of the 28 cases had been cured and had no urinary fistula.Conclusion Placing double J stent using a ureteroscope is the first choice of operative procedure for the early treatment of ureterovaginal fistula.     

应用输尿管镜放置双J管早期治疗输尿管阴道瘘

Objective To evaluate the clinical effect of placing double J stent using a ureteroscope in early managing ureterovaginal fistula.Methods Twenty-eight patients cases with ureterovaginal fistula from 2002 to 2008 were treated early with placing double J stent using a ureteroscope and the clinical data were reviewed.Results Twenty-two of 28 cases were treated and double J stent was placed in them by a uretero-scope and 75% (21/28)of cases were cured.Four of 21 cases were treated twice by a ureteroscope and were cured finally.7 cases with failure ureterovaginal treatment underwent ureterocystostomy and were cured.The follow-up from 6 months to 33 months (average 10.1±6.4 months)showed that all of the 28 cases had been cured and had no urinary fistula.Conclusion Placing double J stent using a ureteroscope is the first choice of operative procedure for the early treatment of ureterovaginal fistula.     

促红素对肾衰贫血作用的动物实验研究

介绍国产促红细胞生成素(EPO)对实验性肾衰贫血的作用。作者首先复制了大鼠被动性Heymann氏肾炎动物模型,继之,注射庆大霉素,发现血BUN和Cr较注前及较对照组显著升高,RBC、Hb和Ht显著降低。采用国产EPO冶疗后,Hb、RBC和Ht均显著升高。证实国产EPO治疗肾衰贫血是有效的。     

外伤性脑梗死八例报告

外伤性脑梗死是指脑外伤后所致脑血管梗死而言，现将1988年以来本院神经科诊治的8例报告如下。临床资料男5例，女3例;年龄4～36岁，其中4～10岁5例，10～20岁2例，36岁1例。6例因摔倒时头部着地，2例因钝物击伤头部，3例因头颈部挫裂伤而致病。全部患者均有头痛、头晕、恶心症状，其中4例伴呕吐，4例伴意识障碍（嗜睡、昏睡）;均伴有不同程度肢体偏瘫，肌力Ⅰ～Ⅱ级5例，Ⅲ级3例。发病后24h至1周内均经头颅CT扫描确诊，6例为单发性腔隙梗死，2例为较大面积梗死，（分别为2.5cmX3.6cm，2.8cmX3.1cm）;其中6例位于基底节，1例位于丘脑，1例…     

胫骨应力骨折(附30例临床X线诊断分析)

本文对30例(31个)胫骨应力骨折进行了临床、X线征象分析。并对其发生机制,诊断及鉴别诊断中的一些问题进行了讨论。     

简化选迷切加半胃切除加毕I式吻合治疗十二指肠溃疡的远期疗效分析

目的　探讨简化迷切 +毕I式吻合 (RSV +HG)治疗十二指肠溃疡 (DU)的远期疗效。方法　对 1993～ 2 0 0 0年收治并经手术证实的 160例进行回顾性分析。其中RSV +HG10 0例 (62 5 % ) ,常规胃大部分切除 +毕I式吻合 (SG) 60例 (3 7 5 % )。随访 7年 ,比较其术后远期并发症及Visick分级。结果　RSV +HG组在倾倒综合征、溃疡复发率与SG组比较均无显著性差异 (P >0 0 5 ) ,RSV +HG组返流性胃炎、营养障碍发生率分别为 6%和 2 % ,SG组分别为 3 0 %和 2 5 % ,存在显著性差异 (P <0 0 5 )。 96%的RSV +HG组病人Visick分级达到 1～ 2级 ,其中 70 %为 1级。而SG组术式病人Visick1级为 43 % ,与RSV +HG组相比有显著性差异 (P <0 0 5 )。结论　RSV +HG可减少术后远期并发症 ,提高病人生活质量 ,具有满意的远期疗效 ,是一种治疗DU的简单有效 ,合理可行的理想术式。