有机磷农药中毒125例报告

我国二十世纪五十年代开始，生产使用有机磷杀虫药（OPI）以来，为农业增产增收创造有利条件，但因广泛使用OPI而引发OPI污染的果菜误食中毒经常发生，主要发生于果菜使用高毒高残留OPI杀虫后，短时间内采摘出售或自采食而误食引起，其临床表现很不典型，极易误诊。现结合本院2000年3月～2006年10月收入住院OPI污染的水果蔬菜误食中毒患者125例诊治情况，     

黑色素息肉病并2次小肠套叠一例报告

患者女性 ,12岁 ,汉族。因腹痛、腹胀、排果酱色血性大便 5天于 2 0 0 2年 2月14日第 1次入院。患儿于出生后 2个月即出现下唇点状黑斑 ,10岁左右又发现手指出现黑斑点。随着年龄增长唇部及手指黑斑逐渐加深。并且黑色斑点逐渐增多、增大。患儿平素健康 ,无特殊病史。家族中无类似发病史 ,父母无近亲结婚。体格检查 :急性病容 ,生命体征正常 ,上下唇粘膜处见针头至米粒大点状黑色素沉着斑 ,境界清晰 ,下唇皮肤尤甚 ,有的相互融合成片状 ;口腔两颊粘膜有片状黑色斑 (照片 1) ,两侧手背、手指及两足背、趾端有散在针头大黑色素斑。腹部膨隆 ,…     

保留残端与不保留残端重建前交叉韧带腱骨愈合情况比较

BACKGROUND: Reconstruction with remnant preservation can enhance tendon-bone healing. However, the study limits on the histological level, and there is a lack of research based on the modular biological level. OBJECTIVE: To investigate whether anterior cruciate ligament reconstruction with remnant preservation can enhance tendon-bone healing. METHODS:Seventy-two New Zealand rabbits were randomly allocated to three groups (n=24 per group), followed by cruciate ligament reconstruction without remnant (group A), with remnant preservation (femoral tensioning and augmented suture) (group B) and with remnant preservation (graft passing remnant anterior cruciate ligament sheath) (group C), respectively. RESULTS AND CONCLUSION:Hematoxylin-eosin staining showed that the tendon-bone healing in the groups B and C surpassed that in the group A, and group B was better than group C. Real-time PCR revealed that the expression level of osteoprotegrin mRNA and the osteoprotegrin/receptor activator of nuclear factor-κB ligand (RANKL) ratio were greater in the groups B and C than in the group A, and highest in the group C, while the expression levels of RANKL mRNA in the groups B and C were lower than that in the group A. In conclusion, these two kinds of anterior cruciate ligament reconstruction methods with remnant preservation can enhance tendon-bone healing, which have obtained most obvious achievements in the anterior cruciate ligament reconstruction in the graft passing anterior cruciate ligament remnant sheath that may be related to the up-regulation of osteoprotegrin mRNA and down-regulation of RANKL mRNA. 中国组织工程研究杂志出版内容重点：组织构建;骨细胞;软骨细胞;细胞培养;成纤维细胞;血管内皮细胞;骨质疏松;组织工程     

甲状旁腺功能亢进误诊1例

男，40岁，于13年前始因反复腰痛、解淡红血尿，多次住本院及转省工人医院、市医院、省人民医院等医院诊断尿路结石，给予药物解痉止痛、利尿排石及体外震波碎石治疗。2003年11月开始出现腰痛，双下肢酸痛伴行走困难，2004年1月6日，来本院住院检查胸部第7～第12肋骨、骨盆、左大腿骨压痛，X光检查示：骨盆、左股骨骨质疏松，对症治疗6d；1月12目送患者到省工人医院门诊检查，CT示：右髂骨骨质破坏，L1椎骨轻度楔形改变，双肾结石，前列腺钙化灶图像。患者要求转省工人医院骨外科住院，住该院8天后，自动出院，出院小结示，体检：脊柱生理弯曲消失，腰段明显叩击痛，双下肢肌张力松弛，肌力Ⅳ级。CT示：右髂骨骨质破坏，L1椎骨轻度楔形改变，双肾结石，前列腺钙化灶图像。     

大黄碳酸氢钠辅助治疗急性细菌性痢疾疗效观察

2003年5月至2005年6月，我们采用大黄碳酸氢钠治疗急性细菌痢疾38例，疗效较好，现报告如下。     

桥接外固定架联合克氏针与掌侧锁定钢板修复桡骨远端不稳定型骨折的比较

BACKGROUND: The unstable distal radius fractures are clinically treated with external fixation, open reduction and internal fixation at present. These two methods have their advantages and disadvantages.