颅咽管瘤显微手术治疗22例

目的研究颅咽管瘤显微全切的手术技巧。方法在22例患者中,18例取翼点入路,2例经额下入路,1例经额部纵裂从胼胝体至穹窿间系入三脑室前部切除肿瘤,1例经额部纵裂经终板切除肿瘤。结果17例达到肿瘤全切除,3例近全切除,2例大部全切除。结论选择合适的手术入路,保护下丘脑结构和功能,达到肿瘤全切除是治疗肿瘤取得良好效果的关键。     

脉冲式多普勒超声心动图对糖尿病左室舒张功能的评价

用脉冲式多普勒超声心电图对51例糖尿病患者的左室舒张功能参数进行了测定.与正常对照组结果相比,糖尿病患者的左室舒张早晚期最大流速之比、快速充盈分数、快速充盈减速度及左室舒张早期最大流速显著降低,而左室舒张晚期最大流速显著增高.在糖尿病患者中,有视网膜病变组与无视网膜病变组相比,左室舒张早晚期最大流速之比、快速充盈分数及快速充盈加速度显著降低,而左室舒张晚期最大流速显著增高.提示糖尿病患者左室舒张功能受损.     

中药汤剂特殊煎法后下一项改进的设想

汤剂在其煎煮过程中有些患者感到不方便,如一剂中药煎煮时,有的须先煎、后下、烊化等,尤其是后下的药物容易忘漏,没有放下煮;或因一些患者对后下药不易理解,使同其它药一起煮,这样就会影响药物的疗效。对此实际问题,笔者将其特殊煎法后下一项改进的设想浅谈之。所谓后下,是指有些药物的有效成分受热后容易挥发逸散,或受热时间稍长即被破坏,这些药物须后下,一般在其它药物煎好之前5～10分钟加入共煎,     

扁桃体免疫与IgA肾病的关系

IgA肾病(IgAN)是当今最常见的原发性肾小球疾病之一,也是导致肾功能衰竭的常见原因.本病以单纯血尿或蛋白尿为主要症状,晚期病例出现肾功能不全.肾活检是确诊IgAN的主要手段,其特征为肾小球系膜区有以IgA为主的免疫球蛋白沉积.由于IgAN患者扁桃体感染后常出现肉眼血尿或尿检异常加重,因此IgAN与扁桃体的关系一直受到人们的关注.     

A Comparative Study on the Close Reduction of Arytenoid Dislocation under Indirect and Direct Laryngoscope

To assess the curative effects of different reduction techniques on the dislocation of cricoarytenoid joint caused by intubation,indirect laryngoscope (IL) and direct laryngoscope (DL) were utilized for the closed reduction of the displaced arytenoid under local anesthesia.23 patients who underwent the reduction for dislocated arytenoid under IL or DL from January 1991 to June 2001 were reviewed.The data were collected on the duration of the laryngeal injury,times of receiving reduction,side-effects after the treatment and the period for voice to returen to normal.The relationship between the duration of the laryngeal lesion and the period of the voice rehabilitation was examined.13 patients received the reduction under IL and 10 patients under DL,Except the times of the reduction,which showed significant difference,no differences were found between IL group and DL group in the course and the period of voice rehabilitation,as well as sore throat after the manipulation.The patients‘ voice recovery was positively related to their course of disease in both IL and DL group.It is coucluded that the recovery of normal voice is obviously affected by the duration of arytenoid dislocation.The reduction under Il is as effective as under DL in the treatment of arytenoid dislocation.Reduction by DL is better suit the patients with long time course of disease.     

贲门周围血管离断术后用多普勒显像观察门脉血液动力学改变45例报告

多普勒彩色血流显像合二维实时超声、复合多普勒、彩色多普勒为一体,能提供血流的多种空间信息,可准确地测定门脉系统的血流速度、血流量,判断血流方向,观察其交通支情况.自1987年9月至1991年12月,我们应用此技术随访观察45例肝硬化门脉高压症病人行贲门周围血管离断术后的门脉血液动力学变化.现总结报告如下.     

谢文光对《神农本草经》成书年代的考证

认为《本经》非东汉末年所著,其成书年代应定于战国时期,与《内经》成书相差不远。     

跟骨撕脱性骨折的分类和治疗

作者将5个足标本人为造成跟骨撕脱性骨折,对其受伤机制和X线检查特点进行观察,通过22例跟骨撕脱骨折病人的临床研究,对跟骨撕脱骨折根据受伤机制和撕脱部位进行了分类。提出了各类骨折的X线投照方法和意义,也提出了各类骨折的最佳治疗方法。