简介：Failureofthethyroidglandrequiresthyroidhormonereplacementtherapy,whichisrelativelyeasilyadjustedtoreplicatethenormalphysiologicalstatebymonitoringplasmalevelsofthyroxineand/orthyroid-stimulatinghormone.Incontrast,failureofpancreaticβ-eellsrequiresinsulintherapy,andoptimalreplacementrequiresmonitoring,notoftheabsenthormone(insulin),butofitsmajorsubstmte(glucose).

简介：AbstractIntraamniotic infection (IAI) or chorioamnionitis is a common cause of preterm birth and may cause adverse neonatal outcomes, including neonatal pneumonia, respiratory distress, meningitis, sepsis, and death. Maternal morbidities from intraamniotic infection include dysfunctional labor requiring increased intervention, cesarean birth, postpartum uterine atony with hemorrhage, endometritis, peritonitis, sepsis, adult respiratory distress syndrome and, rarely, death. Chorioamnionitis can result from an ascending infection, iatrogenic causes or transplacental passage from maternal blood-borne infections. The clinical findings of chorioamnionitis include maternal fever (≥38 °C), maternal (>100 beats per minute) and/or fetal tachycardia (>160 beats per minute), maternal leukocytosis on complete blood count (>15 000 cells/mm3), and uterine tenderness and/or purulent and/or foul-smelling amniotic fluid. The management of chorioamnionitis mainly includes antibiotic therapy and delivery. Women with previable preterm premature rupture of membranes should be offered realistic counseling from a multidisciplinary approach. The separation of the mother and the fetus to preserve the life of the mother should prioritize delivery methods that result in a living fetus if possible, with appropriate neonatal resuscitation available.

简介：AsreadersofCancerBiologyandMedicinewellknow,therehasbeenaseismicshiftinhumanmolecularbiologyoverthepastfewyears,asmomentousinitsownwayasthediscoveryofthedouble-helicalstructureofDNAbyWatsonandCrick60yearsago,theelucidationofthegeneticcodeshortlythereafter,theadventofrecombinantDNAandgenecloning

简介：摘要目的总结临床护理经验，探讨急诊癔症患者的护理方法。方法通过对我院急诊科2011年11月-2012年1月接诊的急诊癔症患者进行回顾性分析。结果所有癔症患者均在24小时内病情趋于稳定。为了更有利于疾病的治疗和恢复，除了对症处理外，急诊癔症患者更应注重患者的情绪和家属或陪同人员的情绪，以免相互影响。

简介：

简介：摘要目的通过71例上颌骨骨折患者资料分析，以探讨手术后并发症的发生和治疗方法。方法71例上颌骨骨折患者。60例行微型钛板内固定术；7例颌间牵引复位固定术；3例选择保守治疗；1例未治。结果71例病例随访2～24个月，60例手术患者54例效果满意，成功率为90%。10例出现面神经颞支损伤，术后6个月，患者完全恢复。5例出现错颌、前牙开颌，通过颌间牵引和调颌，恢复正常。1例面部塌陷未进行修复。结论治疗上颌骨骨折的要旨有两。固定方法可分为两类开放复位内固定和颅上颌支架外固定；可根据伤情，择优选用。复位微型钛板内固定术后效果满意，但术后产生并发症的原因及预防措施有待进一步研究，对颌面缺损的修复，视力障碍问题有待解决。

简介：近年来随着法制建设的日益完善，法律知识逐渐普及，加以公、检、法部门的慎重办案，精神发育迟滞者的被害及违法行为和法律问题，在司法精神医学鉴定中占有很重国要的地位，本文统计了我院2009年精神发育迟滞的司法鉴定资料做一分析讨论。

简介：<正>为分析急性脑血管意外的心电图异常情况,对我院1983年10月～1992年10月收住的71例诊断明确的脑出血病人的心电图资料整理报告如下:临床资料:男性46人,女性25人,年龄41～84岁,平均62.5岁,所有病人均经颅脑CT和/或腰穿确诊,既往有明确高血压史者46例,死亡27例。病人心电图采用常规12导心电图和日本光电公司WEP—7502遥测心电记录仪记录。异常心电图表现:窦性心动过速、房性心律失常,室性心律失常及ST-T改变最多,而缓慢性心律失常少见(表)。

简介：摘要目的通过分析急性脑梗塞的治疗效果，寻求治疗脑梗塞的最优方法。方法选取本院2014年7月-2016年7月收治的71例急性脑梗塞患者作为研究对象，随机分为对照组35例和研究组36例。对照组采取西医治疗，研究组采取西医治疗的基础上加之中医治疗，最后对治疗效果进行分析。结果对照组总的有效率为57.1%，研究组总的有效率为94.5%。即研究组疗效优于对照组。结论一旦确诊为急性脑梗塞，中西医结合治疗急性脑梗塞效果较好。

简介：

简介：目的探讨妊娠梅毒患者的临床特点和影响妊娠结局的因素。目的：71例经血清学检查确诊为梅毒的孕妇，根据妊娠期是否行全疗程抗梅毒治疗，分为治疗组（39例）及未治疗组（32例）。比较两组孕妇的妊娠结局、围产儿预后及新生儿先天梅毒的发生情况。同时根据母血清快速血浆反应素环状卡片试验（RPR）滴度高低，将71例梅毒孕妇分为≤1：8组与≥1：16组，观察血清滴度与妊娠结局的关系。结果：（1）妊娠结局：治疗组足月分娩率为100％（39／39），未治疗组78％（25／32），两组比较，差异有极显著性（P〈O．01）。治疗组分娩正常新生儿者占72％（28／39），未治疗组仅占25％（8／32），两组比较，差异有极显著性（P〈O．01）。治疗组窒息儿、低体重儿、先天梅毒患儿发生率及新生儿死亡率均明显低于未治疗组，两组比较，差异有极显著性（P〈O．01）。（2）RPR滴度：≤1：8组49例，≥1：16组22例。≤1：8组足月儿占98％（48／49），明显高于≥1：16组的73％（16／22）。≤1：8组早产儿、围产儿死亡率均低于≥1：16组，两组比较，差异有极显著性（P〈O．01），先天梅毒儿发病率两组比较，差异有显著性（P〈O．05）。（3）治疗组孕妇中应用青霉素治疗者发生先天梅毒儿为26．O％（6／23），应用头孢曲松治疗者发生先天梅毒儿为21．4％（3／14），两组比较，差异无显著性（P〉O．05）。另有2例孕妇服用红霉素治疗，所分娩的新生儿均为先天梅毒儿，发生率为100．O％，与其他两组先天梅毒儿发生率比较，差异有极显著性（P〈O．01）。结论：（1）有效的全程抗梅毒治疗是改善妊娠梅毒患者妊娠结局和围产儿预后，以及降低先天梅毒患儿发生率的关键。（2）母血清RPR滴度高低及用药，是影响妊娠梅毒结局的重要因素。

简介：摘要目的探讨妊娠合并子宫肌瘤的并发症和剖宫产时同时行肌瘤剔除术的指征。方法对71例妊娠合并子宫肌瘤进行回顾性分析。结果妊娠合并子宫肌瘤占同期妊娠人数的2.46％，并发症发生率为38.03％。子宫肌瘤使剖宫产率提高。剖官产术中行肌瘤剔除，未明显增加手术出血量。结论妊娠合并子宫肌瘤使妊娠并发症发生率明显提高，行剖宫产时应尽量同时剔除肌瘤，以免患者受二次手术的痛苦。

简介：摘要目的分析总结引起消化道出血的病因以及出血的临床治疗措施，为临床治疗消化道出血提供良好治疗方案。方法回顾性分析2010～2012年在我院住院治疗的100例消化道出血患者的临床病因分析和治疗资料，研究消化道出血的病因。结果本研究显示，导致消化道出血的病因主要有，消化性溃疡、急性胃粘膜病变、胃癌以及食管胃底静脉曲张出血。结论消化性溃疡是导致消化道出血的主要原因，为有效的治疗消化道出血，应当及时定期进行检查，及时予以治疗。

简介：摘要目的探讨药物性肝病的病因及临床特点。方法采用回顾性分析方法对71例药物性肝病住院患者的用药史、临床表现、实验室检查结果及治疗效果进行调查分析。结果表明引起71例药物性肝病的相关药物中中药为17例（23.9%）。结论讨论药物性肝病多由中药引起，主要类型为胆汁淤积型，其次为肝细胞型；大多数药物性肝病预后良好，少数病例可发展为重病肝炎或肝硬化。

简介：

简介：Aim:Tostudytheadvantageofexcisionofthedistalsymptomaticuretericstumpswiththeretroperitoneallaparoscopicapproach.Methods:Fourpatientswhohadfailedtosettletheirsymptomswiththeinitialconservativemanagementwereincludedinthestudy.Allunderwentexcisionofthedistalsymptomaticuretericstumpswiththeretroperitoneallaparoscopicapproachandthenreceivedprophylacticantibiotics.Results:Wehaveachievedbetterresultsthanthosereportedintheliteratureintermsofoperatingtime(mean1h45min),bloodloss(＜10mL),postoperativerecovery(within12h)andhospitalstay(＜48h).Conclusion:Retroperitoneallaparoscopicexcisionisasafe,simpleandeffectivemethodinthemanagementofsymptomaticuretericstumps.

简介：Hypertensionisaleadingriskfactorforcardiovasculardisease,theleadingcauseofdeathandmorbidityinoursocietyandonaglobalscale.Majorcomponentsofcardiovasculardiseaseincludestroke,coronaryarterydisease,heartfailure,andchronickidneydisease,inallofwhichhypertensionplaysamajorrole.Theriskofthesecomplicationsincreasesdirectlyandlinearlywithsystolicbloodpressurestartingat115mmHg.Althoughusuallyasymptomatic,hypertensionisreadilydetectableonphysicalexaminationandisamenabletobothlifestylemodificationandpharmacologictreatmentinmostpatients.However,largeproportionsofthehypertensivepopulationremainundetectedandundertreated.Numerousguidelineshavebeenissuedduringthepastfewdecadestopromotedetectionandoptimaltherapy.Despitetheincreaseinriskwithsystolicbloodpressuregreaterthan115mmHg,thegenerallyacceptedthresholdfordiagnosisandtreatmenthasbeensystolicbloodpressuregreaterthan139mmHganddiastolicbloodpressuregreaterthan80mmHgbecauseuntilrecentlytreatmenttolowerlevelshasbeenassociatedwithanunfavorablerelationbetweenclinicalbenefitandharm.Inthepastseveralyears,newguidelines,advisories,commentaries,andclinicaltrialshaveprovidedevidenceforapotentialchangeincurrentrecommendationsforthemanagementofhypertension.Inthisregard,thelong-awaitedeighthreportoftheJointNationalCommitteeonthePrevention,Detection,Evaluation,andTreatmentofHighBloodPressurerecommendedpatientsolderthan60yearsbetreatedtoasystolicbloodpressureoflessthan150mmHg,whichhasgeneratedconsiderablecontroversyandcaution.ThestrikingfindingsoftheSystolicBloodPressureInterventionTrial(SPRINT)havereceivedconsiderableattentionbecauseofthedemonstrationthatintensivetherapytoatargetsystolicbloodpressurebelow120mmHgdecreasescardiovascularmortalityandmorbiditymorethanlessintensivetreatmenttoatargetsystolicbloodpressurebelow140mmHg

简介：Dizzinessaffectsaleutone-thirdofindividualsovertheageof65years,andisoneofthemostconmlonreasonsfortheelderlytoconsulttheirgeneralpractitioner.Syncopeaffectsatleast20%ofthepopulationatmlnetimeandaccountsforabout6%ofgeneralmedicaladmissionsintheUK.Recurrentsymptomsareparticulas-lydisablingbecausetheyaffectanindividual'sabilitytoworkandtodrive,increasesusceptibilitytofallsandassociateinju-rim,andreduceindependenceintheelderly.

简介：Objective:Tosummarizesurgicaltreatmentsandtheircorrespondingcurativeeffectsonsciaticnerveinjuries.Methods:Surgicaltreatmentsonsciaticnerveinjurywereperformedin28patientsfromJanuary1990toJuly2000.Thetreatmentsincludedneurolysis,neurolysispluspartialnerveanastomosis,nerveanastomosisandnervetransplantation.ThecurativeeffectwasevaluatedaccordingtoSunderlandcriteria.Results:Of28cases,22patientswerefollowedupwithafollow-upperiodof13monthsto5years(average30months).Of22nerves,7wereexcellent,5good,7fairand3poor,withanexcellencerateof54.5%.

简介：Thispaperreviewscurrentrecommendationsontheappropriateevaluationandmanagementofcardiacarrhythmiasinthepregnantpatient.Mostarrhythmiasduringpregnancyarebenignandrequirenointervention.Whenrequired,thedecisiontotreatshouldbebasedonsymptomseverityandtheassociatedrisktomotherandfetusposedbypotentiallyrecurringarrhythmiaepisodesthroughoutthepregnancy.Anytreatmentstrategyinthispatientpopulationhasinherentrisktobothmotherandunbornchild.Beforetheinitiationofanyintervention,documentationofaclinicalarrhythmiaandcorrelationwithclinicalsymptomsshouldbeobtained.Thereisnoroleforempirictherapy.