提高股骨干骨折合并同侧股骨颈骨折早期诊断率的前瞻性研究

Objective To evaluate a serf-designed diagnostic protoeol which can early detect a femoral neck fracture for patients with a femoral shaft fracture. Methods From September 2005 to June 2007, a self-developed protocol was used to detect an ipsilateral femoral neck fracture for all the patients with femoral shaft fracture who had sought treatment in our department. This protocol consisted of anteroposterior plain radiography of internal rotator, intraoperative fluoroscopy of the hip, a fine (2 mm) cut computed to-mographic scan through the femoral neck, postoperative anteroposterior and lateral plain radiography of the hip in the operating room prior to awakening the patient, at the time of follow-up anteroposterior and lateral plain radiography of the hip in the presence of hip pain. The diagnostic effects of the protocol were compared with those of conventional diagnosis used for all the patients with femoral shaft fracture who had sought treatment in our department from September 2003 to August 2005. A chi-square analysis comparing the protocol group (September 2005 to June 2007) and the non-protocol group (September 2003 to August 2005) was used to assess the early and delayed diagnosis rates for an associated ipsilateral femoral neck fracture. Results The earlydiagnosis rate of an associated femoral neck fracture by the protocol was 93.8%, markedly higher than that by conventional method (46.2%), with statistically significant difference (χ2 = 4.069, P =0.044). Conclu-sion In presence of a femoral shaft fracture. this protocol consisting of plain radiography of intemal rotator, intraoperative fluoroscopy of the hip, fine cut computed tomographic scan of the femoral neck, postoperative plain radiography of the hip, and follow-up plain radiography of the hip in the presence of hip pain, may sig-nificantly improve the diagnostic rate of an associated femoral neck fracture.     

剖宫产术后发热58例原因分析

1991～1999年我院妇产科共分娩1905例,剖宫产587例,占分娩总数30.8%。剖宫产术后常规应用抗菌素以预防术后感染,58例出现术后发热,占剖宫产术的9.88%。现就其发热原因做分析如下。1　临床资料1.1　一般资料　患者年龄21～36岁,平均27.4岁;初产妇51例,经产妇7例。1.2　剖宫产原因　胎儿宫内窘迫21例,胎膜早破9例,巨大儿3例,骨盆狭窄3例,妊高征7例,臀位5例,前置胎盘2例,剖宫产史3例,持续性枕后位5例。1.3　剖宫产术式　所有病例均行子宫下段剖宫产术,但腹部切口有所不同。腹部正中纵切口37例,耻骨联合上横切口21例。1.4　术后常规用药　青霉素…     

乌司他丁在原发性肝癌介入治疗中保护肝功能的临床观察

目的:探讨乌司他丁在原发性肝癌介入治疗中的护肝作用。方法:将110例原发性肝癌患者随机分为治疗组与对照组。对照组给予常规药物治疗,治疗组在对照组治疗基础上加用乌司他丁治疗,监测2组肝功能变化及腹水生成情况。结果:介入治疗第3天治疗组丙氨酸氨基转移酶、天门冬酸氨基转移酶、总胆红素上升幅度均较对照组低(P<0·05);治疗第7天治疗组丙氨酸氨基转移酶、天门冬酸氨基转移酶显著低于对照组,总蛋白显著高于对照组(P<0·05)。2组腹水生成率无显著性差异(P>0·05)。结论:乌司他丁在原发性肝癌介入治疗中可产生显著的护肝作用。     

Marfan综合征基因定位与基因诊断

Ｍａｒｆａｎ综合征是一种常染色体显性遗传的结缔组织疾病。本文阐述了用连锁分析方法对Ｍａｒｆａｎ综合征进行基因定位，并阐明了微纤维元基因与Ｍａｒｆａｎ综合征的关系，同时对Ｍａｒｆａｎ综合征的基因诊断作了一定的探讨。     

书写表达在肿瘤患者中运用的研究进展

正书写表达是一种通过书写披露和表达与个人重要经历有关的感受和想法来促进身心健康的心理干预方法~([1])。随着生物-心理-社会医学模式的建立和发展,对疾病存在重要影响的社会及心理因素在临床治疗过程中越来越受到关注。调查~([2-3])显示,有40%~50%的成人肿瘤患者表现有明显的心理痛苦,对治疗的依从性、医护工作的满意度以及生活质量均有很大影响。好的心理状态不仅可以激发机体     

多普勒超声对慢性肾损害肾功不全各期肾血流动力学改变的研究

多普勒超声对慢性肾损害肾功不全各期肾血流动力学改变的研究谢玉环①张雪峰吴晓萍赵瑞英智淑清刘炯鹂本文旨在用多普勒超声观察慢性肾损害肾功衰竭不同时期，肾内各分级动脉血流动力学改变的情况。１资料与方法本文选正常对照组４６例，９２个肾，年龄在１６～７２岁，男...     

空间感培养,游戏就能搞定

空间感体现在一个人对物体的大小、形状、距离、方位等空间特性的感知上。空间感对一个人的影响是多方面的：小到在一个不熟悉的地方,会经常迷路;大到会影响一个人的职业选择,例如对空间感有高要求的职业——航空员、航海员、指挥官和图纸设计者,而一个空间感差的人,即使很向往从事以上职业,也只能选择放弃。可见,空间感对我们来说是很重要的。