肺结核与肺癌并存43例

目的：探讨肺结核怀癌并存的早期诊断方法。材料与方法：对43例确诊为肺结核与肺癌并存的临床资料进行回顾,中种诊断方法的特点与利弊。结果：通过痰脱落细胞病检11例（25.58%）、胸水脱落细胞病检4例（9.30%）、淋巴结活检11例（25.58%）、纤支镜刷片或活检5例（11.63%）、经皮肺穿刺活检2例（4.65%）、手术切除病检10例（23.26%）。结论：肺结核与肺癌并存时诊断难度较大,应综合运用上述检查手段,发挥它们之间的优势互补作用,以提高肺结核与肺癌并存时的早期诊断率。     

弥可宝对肘管综合征致肘、腕、环指功能障碍恢复的作用

1 Subject and method 1.1 Subject 60 cases of middle and severe cubital tunnel syndrome from 1992 to 2000 were divided into three groups randomly: Group A was the Mikebao group: 20 cases including 17 male cases and 3 female cases, their ages were from 22～ 45 with the average one as 25; Group B was the vitamin B12 group: 19 cases including 17 male cases and 2 female cases, their ages were from 24～ 50 with the average one as 27; Group C was the control group: 21 cases including 19 male cases and 2 female cases, their ages were from 23～ 60 with the average one as 26. all the patients were sick at single sides, 42 cases were on the right side and 18 cases were on the left side. Causes: 15 cases were with elbow injury history and limited elbow movement, others were of no obvious causes. Courses: 5～ 72 months with the average one as 15 months. Clinical manifestation and signs: 49 cases were with elbow sour and swelling, 58 cases were with adductor pollicis muscle atrophy and 54 cases were with claw hand.Electromyography examination: ulnar nerve movement of the 60 cases at the elbows were obviously slow and CMAP (compound muscle active potential) latent periods were prolonged. All the Tinel sign of ulnar nerves were positive, one cases was with muscle paralysis and partial functional disorder at the median nerve domain, it was proven to be CTS after operation.     

米非司酮配伍米索前列醇用于大月份过期流产中的疗效观察

稽留流产又称过期流产.是指胚胎或胎儿已死亡滞留宫腔内未能及时自然排出者,临床上较常见.我院试用米非司酮配伍米索前列醇用于大月份过期流产取得较满意的临床效果,现报告如下. 1资料与方法 1.1 一般资料自2005年5月- 2010年8月我院收住过期流产患者288例,其中停经大于12周者112例,将其随机分为A、B两组,每组56例.年龄20 ～35岁,平均年龄27.5岁;初产妇78例,经产妇34例;停经12 ～26周;子宫均小于停经月份,孕期最大5月,最小10周;B型超声检查提示胎死宫内;血常规、凝血功能、肝、肾肝功能检查结果均正常;均无前列腺素类药物使用禁忌证.     

原发性输卵管移行细胞癌及文献复习

目的探讨原发性输卵管癌的诊断及临床治疗方法。方法回顾性分析2011年2例原发输卵管移行细胞癌及相关文献复习。结果一例原发性输卵管移行细胞癌患者术中及术后HE诊断误诊为输卵管鳞状细胞癌,术后经上级医院病理科诊断为原发性输卵管移行细胞癌。一例术前诊断为卵巢癌,术中及术后HE诊断为输卵管移行细胞癌。结论原发性输卵管癌症状不典型,术前诊断困难,明确诊断主要依据术后病理,连续监测血清CA125水平对评估预后有指导意义。     

高营养——要素合剂

要素膳(Element diet)也称元素膳,是从自然食物中提取各种要素组成的“食物”。这种食物经过精制,向人体供应高热量、高氨基酸。无需消化液分解,便可直接     

多功能空气消毒机应用于手术室消毒效果比较

目的探讨KDSJ多功能消毒机应用于手术室空气消毒的效果。方法将老肯牌多功能消毒机与传统的紫外线消毒分成两组,每组20例,手术间选择3,4室。3室为多功能消毒机组手术室,设置消毒时间为上午7∶00～11∶00,下午13∶00～17∶00。4室为紫外线灯消毒手术间,紫外灯消毒时间为手术前常规照射1h。分别于手术前30min、手术开始、手术开始后60min,做标准前,中,后3点采样,置37℃温箱内培养24h。观察细菌含量,比较两组培养结果。结果多功能消毒机组在手术前30min、手术开始、手术开始后60min均能达到二类手术室空气含菌量≤200cfu/m3的标准。紫外线组在没有人员流动的情况下,也能达到二类手术室空气含菌量≤200cfu/m3的标准,但随着人员流动,频繁开门,手术时间延长,菌落数量也随着增多,60min后不能达到二类手术室空气含菌量≤200cfu/m3的标准。结论多功能空气消毒机效果优于紫外线消毒,尤其适合没层流设备且手术量多、连续接台的Ⅱ类手术室。     

甜菊甙的升血糖及胰岛素释放效应

本文对20名正常人分别空腹顿服甜菊甙1g及2g,测其负荷后血糖及血清胰岛素释放效应,并与空腹顿服75g葡萄糖后的血糖及胰岛素释放效应相对照。结果表明:空腹顿服甜菊甙1g后血糖及胰岛素释放效应是低平曲线,说明无明显升血糖作用及促进胰岛素释放作用。与空腹顿服葡萄糖75g后血糖及胰岛素释放效应相比,有显著差异。空腹顿服甜菊甙2g后,血糖及胰岛素释放效应表明,有明显升血糖及促进胰岛素释放作用。     

胸腔镜技术诊治胸腔积液患者25例临床分析

胸腔积液是呼吸系统常见病症,临床上,少数患者即使行胸腔积液常规、生化、肿瘤标志物、细菌学与细胞学检查、纤支镜及胸膜活检,并行胸腔穿刺抽液、胸腔闭式引流、抗感染、胸膜固定术等治疗,仍不能确诊并行及时治疗.2006年1月～2009年12月,我们采用胸腔镜技术诊治胸腔积液患者25例,效果较好.现报告如下.