Geste antagonistes in idiopathic lower cranial dystonia.

Geste antagonistes, or sensory tricks, are well described in focal dystonia affecting the neck, hand, and face. Improvement in dystonic movements is typically maintained while the trick is performed, but disappears when the geste ends. We investigated the phenomenological features of geste antagoniste maneuvers in 19 patients with idiopathic lower cranial dystonia who were prospectively evaluated over a period of 6 years. Of the 19, 10 were men, mean age of onset was 49.8 years, and the most commonly involved lower cranial area was the jaw (10 patients). In most patients, dystonia was task-specific. Taking advantage of the improvement with a sensory geste, we manufactured oral appliances that mimicked the geste in 8 patients, and 3 continue to use it.     

滤网式脑保护装置下颈动脉狭窄支架置入术的临床研究

目的探讨颈动脉支架置入术中滤网式脑保护装置的有效性及安全性。方法19例颈动脉狭窄患者在滤网脑保护装置下使用自膨胀支架行颈动脉支架置入术。观察脑栓塞的发生和所回收的过滤网。术后短期随访。结果19例滤网式脑保护装置下颈动脉支架置入术均成功实施,回收的过滤伞中8个发现组织碎片,无手术死亡及症状性脑梗塞并发症。临床短期随访无脑缺血发生。结论脑保护装置下支架置入术治疗颈动脉狭窄是安全和有效的。     

Management of adult patients with a left ventricular assist device.

The number of left ventricular assist device (LVAD) implantations is growing as a result of increased waiting periods for cardiac transplantation and the decreased availability of organ donors. Furthermore, the Food and Drug Administration (FDA) has approved permanent LVAD support. After an acute hospitalization, patients with LVADs may need prolonged convalescence in a healthcare facility because they have complex medical needs and are physically disabled. Admission criteria need to be developed as essential patient and nursing competencies need to be defined as a part of a successful LVAD program in an acute rehabilitation center. Acute rehabilitation centers can help patients with LVADs transition to a home setting.     

颈动脉狭窄在脑保护装置下的支架置入治疗

目的探讨颈动脉狭窄患者支架治疗中的脑保护装置的有效性和安全性及治疗意义。方法对14例颈动脉狭窄患者进行血管内支架治疗。全部应用了脑保护装置(滤网型)。结果14例患者成功地释放了18枚自膨式支架。其中2例发生微栓子脱落轻度卒中,治疗1～3d完全恢复,颈动脉狭窄6例出现短暂性心率减慢和低血压。随访期所有患者均未发生脑梗死。结论在支架治疗中,脑保护装置的应用可减少治疗中的神经并发症,是一种有效和安全的治疗方法。     

S95-100野战机动医疗系统及其应用

S95-100野战机动医疗系统是方舱式战地机动医院,由医用方舱、帐篷、专用车辆、运输集装箱等功能单元构成。本文讲述了检伤分类单元、手术单元、术前准备单元、急救单元、临床检验单元、药械供应单元、X线单元、卫生器材灭菌单元、卫勤作业单元、病房单元、勤务技术保障单元、通道联接单元的勤务功能;系统模块剪裁及多种变换的全系统展开部署;系统在部队进行了试验和扩大试用情况。     

25例IUD及输卵管结扎与异位妊娠的临床分析

本文对我院收治的异位妊娠84例,其中带环异位妊娠20例,输卵管结扎术后合并异位妊娠5例,以及带环异位妊娠的发生率及其原因、误诊等进行了分析讨论。     

X射线照射量(治疗水平)标准装置的研究和建立

Ｘ射线照射量（治疗水平）标准装置是由标准剂量仪，Ｘ射线照射源，测量车、定位系统及其辅助设备组成，本文作者主要介绍标准装置各个部分的构成及技术参数，该标准装置于１９９１年通过国家技术监督局认证，尔后，正式开展放射仪表的检定和校准工作。     

便携式野战—Ⅰ型多功能骨科手术器械

一种便携式野战多功能骨科手术器械。重量仅１．１ｋｇ，体积为２１５ｍｍ×１０５ｍｍ×１５ｍｍ，如铅笔盒，而功能多达３３种，具有结构紧凑、操作简便、一械多用、轻巧便携。价廉实用、效价比高的特点。是基层巡诊、抢险救灾救治中适用的骨科器械。