“吸氧疗法”治疗急性肝炎50例临床观察

一、病例来源;100例住院病人,均系据1984年南宁全国肝炎会议确定的诊断标准确诊为急性肝炎之患者。治疗组和对照组各50例,病情及肝功改变近似,年龄7～50岁。两组各有40例急性黄疸型肝炎,10例急性无黄疸型肝炎,15例HB_sAg阳性。     

2001-2009年河北省张家口市碘盐监测结果

目的 综合分析张家口市2001-2009年度碘盐监测数据,为制订碘缺乏病防治策略提供依据.方法 按照卫生部<全国碘缺乏病监测方案>碘盐监测的要求,在张家口市17个县(区)中.各县区每月对本辖区内碘盐加工(批发)企业抽取1批9份盐样;每县(区)每年度按东、南、西、北方位各抽取2个乡(镇、街道办事处),中区抽取1个乡(镇、街道办事处),每乡(镇、街道办事处)抽取4个村(居委会),每村(居委会)抽取8份户盐,采用直接滴定法定量测定含碘量.结果 碘盐加工(批发)企业:2001-2009年全市共监测1728批次,合格1689批次,批质量合格率为97.74%;检测盐样15 552份,合格15 357份,碘盐合格率为98.75%.居民户:2001-2009年全市共监测1305个乡(镇、街道办事处),5297个村(居委会);采集盐样44 316份,其中合格43274份,碘盐合格率为98.04%(43 274/44 141),碘盐覆盖率为99.61%(44 141/44 316),合格碘盐食用率为97.65%(43 274/44 316),非碘盐率为0.40%(260/44 316),盐碘中位数为30.02 mg/kg.结论 9年中张家口市各项碘盐质量指标均位于国家控制指标以内,且保持在相对较为稳定的水平,各年度波动范围较小.非碘盐历年都有检出,成为影响碘缺乏病防治效果的主要因素,应加大监测、监督力度,普及健康教育知识.遏止非碘盐的泛滥.

Abstract：

Objective To analyze comprehensively the monitoring data of iodized salt in Zhangjiakou city during 2001 to 2009, and to provide basic information for working out control strategies of the iodine deficiency disorders. Methods According to the iodized salt monitoring requirements in "National Iodine Deficiency Disorders Monitoring Program" of Ministry of Health, a batch of nine salt samples were taken from each processing (wholesale)company of each county or district of the seventeen counties(districts) of Zhangjiakou once a month. Two townships (towns, street offices) were selected by their location of east, south, west and north in each county(district), and a township in central area each year. Four villages(neighborhoods) were selected in each township(town, street office),and eight household salt samples were collected in each village(neighborhood), and quantitatively determined by direct titration of iodine. Results Iodized salt processing(wholesale) : during 2001 to 2009, a total of 1728 batches was monitored, 1689 batch qualified, batch qualification rate 97.74%;15552 salt samples were tested, 15 357 qualified, iodized salt qualification rate 98.75 %. Household salt levels : 5297 villages (neighborhoods) of 1305 townships(towns, street offices) were monitored, 44 316 salt samples were collected, 43 274 qualified, iodized salt qualification rate 98.04%(43 274/44 141 ), iodized salt coverage rate 99.61%(44 141/44 316), qualified iodized salt consumption rate 97.65%(43 274/44 316). Rate of non-iodized salt was 0.40%(260/44 316), and salt median iodine was 30.02 mg/kg. Conclusions The iodized salt quality indicators are within the state-controlled range in Zhangjiakou city for nine years which remaines at relatively stable levels with a smaller range of annual fluctuations.Detection of non-iodized salt over the years has become the main factors affecting the effectiveness of the prevention and control measures.We should increase monitoring,supervision,and universal health education,and prevent the spread of non-iodized salt.     

冠状动脉球囊成形术对冠脉循环中血管内皮细胞和内皮素含量的影响

观察 1 5例冠心病患者PTCA前后冠脉循环中内皮细胞、内皮素及前列环素的改变。结果 :( 1 )PTCA术后冠脉循环中内皮细胞数显著增高 ,在术后 6小时达高峰 (P <0 0 1 ) ,内皮素及前列环素含量明显升高 ,在术后 1 2小时达高峰 (P <0 0 1 )。 ( 2 )球囊扩张时间超过 4分钟比低于 2 5分钟的患者其内皮素及前列环素均增高 (P <0 0 5)。提示由于球囊机械刺激及缺血再灌注引起的内皮细胞损伤 ,可能与PTCA后继发冠脉收缩及血栓形成有关。     

2003年张家口市水碘分布调查分析

目的了解张家口市水碘的分布情况,为碘缺乏病防治提供基础资料和科学依据。方法在张家口市以乡为单位,按东、西、南、北、中5个方位各选取1个村,每村采集1～5份水样,采用砷铈接触法测定水碘。结果调查了17个县(区)213个乡(镇)1059个村庄,检测饮用水样2364份,水碘范同(0.03～428.55)μg/L,中位数为4.58μg/L,其中水碘<10μg/L的占78.93%;依据国家标准在213个乡(镇)所在地(乡级水平)中未有高碘地区,在村级水平只有4个高碘村,占总村数的0.19%。结论张家口市主要为碘缺乏地区,存在少数高碘村。     

风疹合并脑炎，脑疝一例

风疹合并脑炎，脑疝一例吕文慧，张裕民，王孔俊，樊英诚，夏新女，１０岁，学生。因发热，皮疹三天，抽搐，昏迷一小时于９３年６月１３日入院。患儿于入院前三天开始发热，体温３８℃，全身出现细点状的红色皮疹，伴有头痛，恶心，呕吐。当地卫生所诊断“风疹”，肌注毒...     

正斜丸的质量标准研究

目的：建立正斜丸的质量控制方法。方法：采用薄层层析法鉴别正斜丸中黄芪、白附子、防风、秦艽,采用高效液相色谱法-蒸发光散射检测器法对正斜丸中黄芪甲苷含量进行测定。色谱柱为Kromosil C18柱（4.6mm×250mm,5μm）,流动相为乙腈：水（34∶66）,流速为1.0ml/min。蒸发光散射检测器参数为：飘逸管温度100.8℃,N2流速为2.7L/min。结果：用薄层色谱法可鉴别出正斜丸中黄芪、白附子、防风、秦艽的特征斑点,阴性对照无干扰,专属性强。黄芪甲苷在50.12～300.7μg/ml范围呈较好线性关系,r=0.9995,平均加样回收率为98.42%,RSD为1.09%（n=6）。结论：本文建立的方法准确可靠,重现性好,能有效控制正斜丸的质量。     

地甲病防治达标后病情监测指标初探

为提高地甲病监测质量,尽快寻求较为客观、简易的监测指标,经实验观察我地区初步确立缺碘性地甲病区达标后监测指标及判定标准(试行)如下: 1.户盐含碘量定性、定量。每年四次,每次定性20份,定量10份,以四次监测的平均有碘率,平均含碘量判定; 2.尿碘含量:定量。每年一次,成年男女居     

铁笛丸包衣工艺初步改进

目的:改进铁笛丸包衣工艺,提高成品质量的稳定性.方法:采用素丸表面包薄膜衣和以β-环糊精包合薄荷脑的包合物代替薄荷脑与糖粉混合包衣的新工艺.结果:采用新工艺制得的成品,较好地解决了原工艺成品表面易形成花斑、薄荷脑易走失的问题,提高了产品质量的稳定性.结论:新工艺方法简单,效果理想,切实可行.     

重视补气在临床的应用

生命过程耗散气,因此补气是治疗中重要的方法。随着疾病谱的改变,疾病中正虚的成分渐渐增加,并与邪实并存。认为通过补气增加抗病能力来祛除邪气可收到满意疗效,并举病案说明。