茄病镰刀菌性角膜炎2例

茄病镰刀菌性角膜炎２例漆军①虞瑞尧①＊赵华①冯毅②史云玲①谢灵③角膜真菌性感染的发病率逐渐上升，真菌性角膜炎能导致失明的严重后果。我们收治了２例茄病镰刀菌性角膜炎患者，报道如下。例１．女，３１岁，吉林四平市人，农民。患者于今年４月１７日劳动时，麦穗刺...     

断臂寄生大腿及二期再植一例报告

２０００年６月３０日１４时许，我科收治一例右前臂中段绞轧离断伤患者，急诊行离断右前臂左大腿上段暂时寄生及残端清创缝合术。２６d后行原位二期再植，同年１１月行右前臂功能重建，目前右手能持物，现总结报告如下。临床资料：患者，女，３０岁，因右前臂中段被机器绞轧离断２h急诊来院。入院查体：心率：１２８次／min，血压５０／０mmHg，呼吸２６次／min。急性重度贫血貌，烦躁，呈休克状。右前臂中段完全离断，残端有少量渗血，污染严重，局部肌肉组织毁损，部分裸露肌肉发暗，远近段皮肤广泛剥脱。离断肢体皮肤剥脱至腕关节，屈…     

卫生资源配置和利用的研究状况

卫生资源配置和利用是卫生系统政策与体制的基础，现对国内近年来卫生资源配置和利用方面的研究状况综述如下。     

山西省医学科技文献信息资源与服务平台内容评价

论述山西省医学科技文献信息资源自身特点：地方特色浓厚、价值较高，对此建设资源共享平台，建立山西省与全国同行业信息交流与传递的绿色通道，避免全省重复建设。具体从资源共享规模、共知程度、共用程度和获取便利性进行评价。     

洛沙坦和黄芪治疗糖尿病性肾病的相关机制研究

目的: 观察洛沙坦和黄芪对糖尿病大鼠肾脏病变的治疗作用并探讨其作用机制。方法:用SD大鼠复制链脲佐菌素糖尿病模型,12周后观察洛沙坦和黄芪对糖尿病大鼠肌酐清除率(Ccr)、尿白蛋白排泄率及肾小球平均体积、肾小球毛细血管基底膜平均厚度的影响,并观察血、肾脏局部一氧化氮(NO)、内皮素-1(ET-1)、转化生长因子-β₁(TGF-β₁)水平的变化。结果: 洛沙坦和黄芪可降低糖尿病大鼠Ccr、尿蛋白排泄率及肾小球平均体积、肾小球毛细血管基底膜平均厚度,并可不同程度降低肾脏局部NO、ET-1、TGF-β₁水平,两药合用可增强上述作用。 结论: 洛沙坦和黄芪可延缓糖尿病肾脏结构和功能损害的进程,且两药合用效果更佳,此作用可能与洛沙坦和黄芪降低肾脏局部NO、ET-1、TGF-β₁水平有关。     

节日礼品箱(盒)卫生管理措施

近几年来，每逢节假日，生产厂家、大型超市商店经营礼箱或礼品盒，以其外观大方、品种繁多、价格适中的特点，深受广大消费者喜爱，但这些礼品箱（盒）存有许多卫生问题有待解决。     

中国南方四省区流行的HIV-1 CRF01_AE病毒株基因特征研究

Objective To analyze the genetic characteristics of HIV-1 CRF01_AE strains prevailing in. the four provinces of southern China. Methods Plasma samples were collected from the newly diagnosed HIV-1 individuals reported in 2006 in Guangdong, Guangxi, Jiangxi and Hunan province. The gag and env gene fragments were amplified from RNA template extracted from plasma using RT and nested PCR methods. CRF01_AE sequences were analyzed by phylogcnetie methods and characterized by calculating the genetic distance and Entropy analysis. Results Two main epidemic clusters were found to exist in the CRF01 AE strains from 210 HIV-1 CRF01 AE infected individuals collected in the 4 provinces, southern China. It was found that no international reference strain was closely correlated with cluster Ⅰ , which including 123 samples. The strains in cluster Ⅱ, consisting 57 cases of samples, were closely related with the strains identified in Vietnam. Genetic distance analysis of gag and env genes showed that the diversity of cluster Ⅰ was obviously less than that of cluster Ⅱ. Data on nucleotide polymorphism showed that nucleotides compositions of 42 sites in gag and 40 sites in env wer esignificantly different between the two clusters. When compared with cluster Ⅱ , the polymorphism decreased at 61 nucleotide sites but increased at 21 sites in cluster Ⅰ. Conclusion This was the first report describing that two main epidemic clusters were existed in CRF01_AE strains prevailing in the 4 provinces, Southern China. The vires in cluster Ⅰ was the dominant strain in this region, with shorter period of circulation and higher proportion seen in the HIV-infected population, which might belong to CRF01_AE strain with certain features facilitating the spread of the virus. The virus in cluster Ⅱ was highly homology with the CRF01_AE strains from Vietnam, and seemed to have had several events of epidemics in populations in border regions of China and Vietnam.     

针灸治疗腰痛的国内外研究评述

本研究回顾2005年至今国内外针灸治疗腰痛的研究,发现国内外研究的侧重点不同。国内研究侧重于某个穴位或某种针刺方法治疗腰痛效果,而国外学者研究的重点是针刺是否有效。通过对国内外研究的分析,提出增加样本量、明确纳入标准、采用适当和充足的针刺治疗方法、延长随访时间等建议,希望对今后的针灸治疗腰痛研究有所帮助。     

胆总管探查取石术后并发胆道蛔虫、胆道出血1例

胆总管结石是胆道探查术（bile duct exploration）的手术指征,而腹痛是胆道探查术后常见症状之一,及时明确术后腹痛的原因并治疗,会影响患者的预后。现将我院2011年3月收治的1例胆道探查术后并发胆道蛔虫、胆道出血的病例报道如下。