季节性事故的现场急救与护理

随着夏季的到来，季节性事故也到了高发期。为了有效救治生命，简略谈谈电击伤、毒蛇咬伤及溺水的现场急救与护理。     

内固定应用于脊柱结核治疗的安全性探讨

Objective To investigate the efficiency and safety of instrumentation to treat spinal tu-berculosis. Methods Fifty-one patients of spinal tuberculosis were treated with one-stage or two-stage de-hridement, strut autografting, and anterior or posterior instrumentation with screw rod system, combined with one-year triple agents postoperative antituberculous chemotherapy from April 1985 to May 2005. There were 6 in cervical spine, 19 in thoracic spine, 16 in thoracolumbar spine and 10 in lumbosacral spine. The level of the lesion were 6 cases for single vertebrae, 30 for two vertebrae, 11 for three vertebrae and 4 for more than four vertebrae. All patients were given triple agents antituberculous chemotherapy at least two weeks before operation. The operative procedures included cervical anterior approaches in 6 cases for debridement, fusion and plate-screw fixation, upper lateral transthoracic procedures for debridement, fusion and screw rod fixation in 11, posterior debridement, fusion and transpedicular screw system fixation in 6, two-stage anterior and posterior operation in 18 cases. The instrumentation included 6 Luque, 3 Z-plate, 8 TSRH, 5 Ventrofix, 4 Kenada, 5 Moss-Miami, 6 Isola, 3 CDH, 2 Caspaz, 2 C-D, 1 Zielke, 1 Dick, 1 Oriell, 1 Ozion, 1 Zephir, 1 Tenor, and 1 USS. Results All patients were followed up prospectively for 3.2 to 23.5 years postoperatively. The back pain was obviously relieved postoperatively. Patients with neurological function deficiency im-proved. The solid fusion was achieved in all patients, except one patient due to tuberculosis recurrence. The major complication included one sinus formation and one case with temporary deterioration of neurological function, recovered with appropriate treatment. Average preoperative kyphosis angle was 34.17°, and that was 10.45° immediately after surgery. There was a 3.2° loss of kyphosis correction during follow-up period. Con-clusion Spinal tuberculosis treated with instrumentation is effective and safe.     

医学院校毕业生的就业现状与思考

职业生涯设计是一个人对一生职业发展道路的设想和规划.从严格意义上讲,一个人对自己的职业生涯方向和最终目的的把握需要在实践中不断完善、修正才得以完成.     

A型肉毒毒素治疗面肌、眼睑痉挛156例临床观察

目的 探讨A型肉毒毒素治疗面肌，眼睑痉挛及Meige综合征的疗效。方法 采用A型肉毒毒素局部注射治疗偏侧面肌痉挛102例。眼睑痉挛41例及Meige综合征13例。并使用Cohen和Albert量表进行评估。结果 症状完全缓解占51.3%。明显改善占37.8%。部分改善占10.9%。疗效平均持续约3-6个月。复发者重复注射仍有效，出现眼睑闭合不全，面肌无力，眼睑下垂共58例，均恢复。结论 局部注射A型肉毒毒素确为一种安全有效。简便易行的治疗面肌。眼睑痉挛及Meige综合征的方法。     

益气固肾汤治疗乳糜尿50例

益气固肾汤治疗乳糜尿５０例李玉杰胡建华白其昌（安徽省阜阳市第一人民医院２３６０００）关键词：益气固肾汤；乳糜尿；尿浊乳糜尿属中医尿浊范畴，目前中西医对此症治疗效果尚不理想。笔者１９８０～１９９５年以自拟益气固肾汤治疗５０例，取得满意的效果。１临床资...     

治疗鼻渊点滴经验

我在临床上以苍耳散合清肝保脑丸为基础方,随症加减,治疗鼻渊,取得一定疗效。本病常见症状:鼻塞声重,头脑作胀,不闻香臭;涕色黄浊稠厚,或腥臭难闻,偶或夹有血丝;或日晡升火,低热逗留;或兼见头痛、恶寒、发热、咳嗽等表症;苔多薄黄或薄白腻,脉多弦滑,或浮滑带数。治则:     

慢性胃炎证治

慢性胃炎虽也属中医胃脘痛之症,其病也有寒、热、虚、实之辨,但临床体会,凡确诊为慢性浅表性胃炎者,其痛多在食后发作,且稍食即胀,不能多吃,这是与消化性溃疡不同之处,其病多实证或虚中夹实。在病之早期,多属气滞,但病情顽固,迁延难愈,气病日久,     

学习程门雪老师对百合等病的论述和临床经验

下面发表两篇文章:前一篇以学习老中医经验论述对百合等病的认识,后一篇则从现代医学的角度,探讨百合、狐惑、阴阳毒三病为立克次体病毒引起的疾病.对于百合等病的认识,尚无定论,也有同志认为狐惑病为白塞氏综合症.我们欢迎大家展开争鸣,活跃学术思想,以促进祖国医学的发展.     

开办农民住院医疗保险

汝南县从１９９３年５月起，由县政府组织领导，保险公司主管、卫生部门配合，在全县开展“农民住院医疗保险”。具体办法是在农民寿寝保险基础上附加险种，每人每年交保险费１０元，其中住院医疗保险６元，寿寝保险４元。在乡镇卫生院定点住院医疗。农民因病或意外事故需住院治疗者，携带《住院医疗保险证》、《居民身份证》和村委证明到指定卫生院凭入院通知单登记入院。治疗痊愈后，持病历证明、专用处方笺、收费凭据及《住院医疗保险证》到医疗保险办公室办理医药费补偿手续。住院费用在３００元以内的，补偿５０％，３００元以上部分补…     

野战部队医院护理工作特点及常见护患矛盾预防

随着军事体制的变革和要求，野战基层医院向着快速、机动、灵活方向发展。多数护士淡出护理岗位，护理工作多由经过培训的卫生员担当。平时各种战备卫勤保障科目多，任务重，还要收治病人，在医疗护理过程中，稍有疏忽大意，就容易造成护患矛盾，影响正常的护理工作秩序，也会影响病人的康复。