自血光量子疗法治疗脑梗塞体会

自血光量子疗法治疗脑梗塞体会田莉莉南京市鼓楼区中医院２１０００９我院自１９９３年开始，用自血光量子疗法治疗脑梗塞，获得良好的疗效，现报告如下１资料和方法１．１一般资料１９９３年５月～１９９４年８月，我院收治经ＣＴ确诊的１０例脑梗塞病人，男８例，女２例...     

气体信号分子硫化氢在妊娠期糖尿病患者脐静脉血中的变化

目的 探讨气体信号分子硫化氢(H2S)在妊娠期糖尿病(GDM)患者和正常孕妇脐静脉血浆中的含量差异.方法 正常对照组孕妇49例,GDM组孕妇16例,在分娩时取脐静脉血,分离血浆,采用敏感硫电极法测定脐静脉血浆H2S的含量.结果 正常孕妇脐血中H2S的含量为51.84±10.10 μmol/L,GDM孕妇脐血中H2S含量为46.20±7.63 μmol/L.结论 GDM患者脐静脉血浆中H2S的含量下降.     

血清降钙素原在社区获得性肺炎诊断与病情判断中的价值

Objective To estimate the influence of abnormal glucose metabolism during pregnancy and family history of cardio-cerebrovascular disease and/or diabetes on umbilical C-peptide concentrations. Methods Chesed 85 pregnant women who had prenatal examination and their newborns as the subjects. Thirty-six newborns of mothers with gestational diabetes mellitus, impaired glucose tolerance or diabetes mellitus with pregnancy and 49 newborns of mothers with normal glucose tolerance were randomly chosed as the control group. All newborns were also classified according to whether their maternal grandparents had history of diabetes and/or cardio-cerebrovaacular disease. Therefore, there were four groups in this study: 25 newborns in group A were of diabetic mothers and positive family history, 11 newborns in group B were of diabetic mothers but negative family history, 9 newborns in group C were of mothers with normal glucose tolerance but positive family history, 40 newborns in group D were of mothers with normal glucose tolerance and negative family history. The blood samples of umbilical veins were collected at the time of delivery. Umbilical C-peptide levels of the four groups were measured by radioimmunonssay. Results The umbilical C-peptide concentrations of newborns in group A, B, C, D were (2.22±1.52), (1.44±0.63), (1.13± 0.34), (1.31±0.69) μg/L respectively, the umbilical C-peptide concentrations of newborns in group A were elevated compared to those of other three groups (F=5.11, P=0.003), and there were no significant differences in C-peptide levels of newborns between the three groups (group B vs C P=0.499, group B vs D P=0.694, group C vs D P=0.642). Conclusion Special attention should be given to newborns of diabetic mothers and whose maternal grandparents have history of diabetes and/or cardio-cerebrovascular disease.     

弥漫性泛细支气管炎3例

例１患者男性，３０岁，反复咳嗽咳痰１０年，再发１周于１９９６年９月２４日就诊于郧阳医学院附属医院。患者１０年来反复出现咳嗽咳痰，严重时咳黄绿色脓痰，伴发热，一年四季均有发作，但冬季为甚，持续时间１～２周，曾在外院摄Ｘ线胸片诊断为支气管扩张，抗炎治疗...     

健康妊娠妇女产道B族链球菌携带及新生儿状况初探

目的:B族链球菌GroupBstreptococci是围产期严重感染性疾病的重要致病菌,本文观察65名健康妊娠妇女及其新生儿GBS携带情况并对新生儿状况初步探索。资料和方法1997年12月～1998年2月3个月内,随机选65名健康妊娠妇女及其所娩新生儿。孕妇于未经产道清洁处理时取阴道后穹隆拭子,新生儿于娩出后立即取鼻腔及外耳道拭子,使用北京太辰生物制品中心提供的快速检测B族链球菌试剂,检测试子中有无GBS存在。本试剂盒采用胶乳凝集法直接对患者分泌物进行GBS的检测。结果一、BGS携带情况65名健康妊娠妇女产道中,14名被查出GBS阳性,阳性率为22%,…     

一例PICC导管体内破损发生化学药物迟发性损伤的护理

正经外周置入中心静脉导管(Peripherally inserted central catheter,PICC)是目前临床使用较多的输液工具,已成为化疗输液的安全通道[1]。PICC优点是极大减少了频繁静脉穿刺给患者带来的痛苦,导管不易滑出、避免化疗药物外渗、保留时间长等[2]。但有报道[3-4]指出,导管在长期使用过程中有0.67%~3.5%的患者会发生体外或体内不同部位的断裂,从