消炎痛栓引起精神失常1例

1 病例介绍 患儿,男,5岁,因用消炎痛栓两枚后,挠人、咬人、乱喊乱叫而就诊。患儿平素健康,就诊当日14时因发热口服药物困难,其母将家中备用消炎栓两枚(每枚25mg)分别于14点,16点肛门给药,第2次给药约1h后患儿体温降至正常,但出现精神异常,哭笑无常,时而呆滞,而时高声尖叫,并抓、咬其母面部及其它部位。查颈无抵抗,查体不能配合,咽充血,扁桃体Ⅰ°肿     

老年人自发性气胸60例临床分析

本对老年人自发性气胸的临床特点进行分析，并提出相应的诊疗措施。60例中，男55倒．女5倒。年龄60～88岁，平均671岁。右侧气胸32例，左侧气胸28例。局限于中、下肺16例。均有气急．有咳嗽咳痰32例(53％)，胸闷28例(47％)，胸痛8倒(13％)。55例继发于慢性气支气管炎、肺气肿、肺结桉、肺大泡，3例为特发性，2例发生于胸部针灸后。     

清金化痰、补肺益肾、温肺化饮方治疗艾滋病肺部感染164例疗效研究

目的 观察清金化痰、补肺益肾、温肺化饮方治疗痰热壅盛、肺肾两亏、痰湿阻肺型艾滋病肺部感染的疗效.方法 采用随机、多中心、平行对照试验方法,对人组患者进行中央随机,分为治疗组及对照组,治疗组为西医加中医辨证治疗,即对痰热壅盛、肺肾两亏、痰湿阻肺证分别给予清金化痰汤、补肺汤合七味都气丸刁请龙汤合二陈汤加减治疗;对照组予西医...     

艾滋病合并肺部感染治疗过程中证型演变规律探讨

目的观察艾滋病(AIDS)合并肺部感染患者的证候学特点,探讨药物治疗(中西医或西医)对证型的影响。方法观察164例AIDS合并肺部感染患者治疗前后证型的变化,总结AIDS并肺部感染证型变化特点。结果 AIDS合并肺部感染患者治疗后较治疗前痰热壅肺证减少15.3%,痰湿阻肺证减少8.6%,肺肾两亏证增加7.3%,气血亏虚增加2.4%,气阴两虚证增加0.6%,与AIDS合并肺部感染无关证型增加14.0%。结论 AIDS并肺部感染证型有虚有实、虚实夹杂,疾病前期为实多虚少,疾病后期为虚多实少。     

慢性乙型重型肝炎并发非失血性贫血临床分析

目的调查慢性乙型重型肝炎并发非失血性贫血的几率、贫血的类型及预后的关系,提醒临床医生重视慢性乙型重型肝炎并发贫血的治疗。方法回顾性调查慢性乙型重型肝炎92例,记录其入院时血红蛋白(Hb)水平及住院期间Hb最低水平。观察其并发贫血的比例、Hb下降的程度、贫血的分类,比较死亡组和好转组Hb水平的差异。结果 92例患者中87例出现Hb水平下降,约占94.6%,平均下降幅度(31.18±18.90)g/L。贫血的类型以正细胞正色素性贫血最多见,约占49.42%,大细胞性贫血占39.08%,小细胞性贫血占11.49%。死亡组Hb的平均水平显著低于好转组病例,2者之间差异有统计学意义(P<0.05)。结论慢性重型肝炎并发贫血十分普遍,贫血的严重程度和慢性重型肝炎预后之间存在密切关系。中西医均应重视重型肝炎并发贫血的治疗。     

消毒供应中心信息追溯系统中同步数码器械图片的应用研究

目的：探讨消毒供应中心（centraI steriIe supply department,CSSD）信息追溯系统中同步数码器械图片在硬式腔镜及精密器械清洗包装中的应用效果。方法将硬式腔镜器械31套及专科精密器械35套拍成数码照片,同步上传至信息追溯系统,比较实施前后硬式腔镜及专科精密器械在拆卸到最小化清洗、器械包内器械数量、规格型号错误、器械有无损坏、包内化学指示物错误出现频次。结果实施后,硬式腔镜及精密器械未拆至最小化清洗质量不合格率由17.68‰降至2.50‰,包装质量不合格率由14.05‰降至1.20‰,尤其是在器械包内器械数量、种类上错误频次降为0,实施前后各指标差异均有统计学意义（P均＜0.05）。结论消毒供应中心信息追溯系统中同步数码器械图片应用于清洗、分类、包装等环节,能提高硬式腔镜及精密器械的清洗包装质量。     

Duration of viral shedding of Influenza A(H1N1) virus infection treated with oseltamivir and/or Traditional Chinese Medicine in China:A retrospective analysis

OBJECTIVE:H1N1 was a new and potentially serious infectious disease,in human,the severity of influenza can vary from mild to severe,thus to find an effective and safety way to control the influenza pandemic is of crucial importance.This retrospective study describes the duration of viral shedding in H1N1 patients that were hospitalized and treated in China.METHODS:Clinical data were collected from May to July,2009 in China for 963 patients with influenza A(H1N1) virus infection.Patients were treated based on the guidelines issued by the Chinese Ministry of Health.The primary outcome was duration of viral shedding and statistical comparisons were performed.RESULTS:In the patients with body temperature greater than 38.0℃,there were no differences in virus shedding duration among the patients taking oseltamivir within two days,patients undergoing Traditional Chinese Medicine(TCM) therapy or those receiving no drug therapy.In patients with body temperature 338.1℃,TCM therapy reduced the viral shedding duration(P<0.05,vs.oseltamivir therapy).Furthermore,taking oseltamivir two days after onset of symptoms might prolong the virus shedding duration(P<0.05,vs.taking oseltamivir less than 2 days of onset).CONCLUSION:TCM therapy is effective for reducing the length of virus shedding in patients with body temperature 338.0℃.Oseltamivir used for reducing virus shedding duration should be taken within two days of onset.     

恩替卡韦联合鳖甲煎丸治疗慢性乙型肝炎肝纤维化瘀血内阻证的临床疗效及其对中医证候积分的影响

目的采用前瞻性、随机、对照研究, 探讨恩替卡韦联合鳖甲煎丸治疗慢性乙型肝炎肝纤维化瘀血内阻证患者的临床疗效及其对中医证候积分的影响。方法选择慢性乙型肝炎肝纤维化瘀血内阻证患者为研究对象, 随机分为治疗组与对照组, 分别接受恩替卡韦加鳖甲煎丸或恩替卡韦加鳖甲煎丸模拟剂治疗48周。比较两组患者治疗前后肝组织硬度检测(LSM)值及中医证候积分的变化, 分析两者之间的相关性。对组间数据采用t检验/Wilcoxon秩和检验或χ2检验进行分析, 采用Pearson相关性系数分析中医证候积分和LSM值之间的相关性。结果两组患者治疗48周后LSM值较基线均显著降低(P < 0.001), 肝纤维化明显改善, 且治疗组LSM值低于对照组[(8.67±4.60)kPa与(10.13±4.43)kPa, t = -2.011, P = 0.049]。两组患者治疗48周后中医证候积分较基线均显著降低(P < 0.001), 临床症状明显缓解;两组中医证候积分改善总有效率分别达74.19%、72.97%, 但组间比较差异无统计学意义(χ2 = 0.013, P = 0.910)。相关性分析显示中医证...     

灵芝多糖对H22肝癌小鼠肠道黏膜免疫功能的影响

目的 观察灵芝多糖（ganoderma lucidum polysaccharides，GLP）抗肿瘤的黏膜免疫机制。