Objective To investigate individualization treatment in acute pancreatitis and its operation indications and techniques.Methods Review analysis was made of the clinical data of 47 patients with acute pancreatitis in our hospital between June 1989 to June 2002.Results Of 47 patients, 31 recieved non operative treatment;16 had surgery,death occurred in 7 (fatality rate 17%).Conclusion Acute pancreatitis is an acute and severe disease,which develops quickly with more complications and high mortality.The treatment should be individualized according to individual condition and timely surgery is also important.
Objective To study pharmacognostic properties of fructus forsythiae to provide scientific basis for the identification of its quality. Methods Trait identification, microscopic identification and physicochemistry identification were used.Results There were more stone cells inside the middle peer,which was the main property of fructus forsythiae in the forms of transverse section and powder. Oil drop in the cell was the pharmacognostic property of the seed.Conclusion Pharmacognostic properties of fructus forsythiae may provide scientific basis for the identification,development and application of fructus forsythiae.
Objective To investigate the therapeutic effect of α-interferon suppository in the treatment of cervicitis. Methods 267 patients with cervicitis were given the medicine per vaginum every two days, and the treatment lasted 3 courses, 12 pills for each.Results The improvement rate of the symptoms reached between 85.59% and 89.16%, the total effective rate 87.64%. Conclusion The therapy is very effective and easy to perform.
Objective Fourty-two cases with flat wart were treated with immune therapy of auto wart subcutaneous implantation to study the value of the therapy.Methods 42 selected cases of flat wart were treated with auto immune therapy,the control group(30 cases) with external use of Aciclovir and injected.Injetio Poly I:C.Results In the former group flat wart was cured in 37,and improved in 6,the curative rate was 73.8%;in the latter control group,flat wart was cured in 13 and improved in 9,the curative rate was 43.3%.The differernce between the two groups was singificant( P 0.01),In 25 cases with a course of disease under 1 year,22 recovered,the curative rate was 88%.In 17 cases with a course over 1 year,9 recovered,the curative rate 52.9%.The differerce between the two groups was significant( P 0.05). Conclusion The therapy is effective for flat wart with a course below one year.
Objective To investigate the optimum dose for epidural administration of morphine.Methods 150 patients having abdominal operation were randomly divided into three groups.Group A(n=50) were given morphine by epidural administration with a dose of 5 μg/kg,Group B 10 μg/kg,Group C 15 μg/kg.These patients were carefully observed for pain relief,for duration of pain relief,and for side effects of the drug.Results The pain relief proved favourable in the three groups.Postoperative pain relief lasted for the shortest time in Group A,whereas it was found similar in Group B and Group C.There was a difference between Group A and Groups B and C( P 0.01).Side effects proved greater in Group C than in Groups B and C( P 0 01);they were found similar in the second and the third group.( P 0.05).Conclusion l0 μg/kg may be the best dose for postoperative pain relief.
Objective To improve the diagnosis and treatment of foreign bodies in the respiratory tract.Methods Clinical characteristics of foreign bodies in 220 cases were analysed.Results The incidence was the highest in children aged 1 to 3,making up 49% in a ratio of male to female 2.6 to 1.The incidenct of the right bronchial trachea was the greatest,accounting for 43.2% of the total.It was best to extract the foreign bodies under general anaesthesia and tracheobronchoscope.Conclusion Special treatment is feasible and effective in special instances.
Objective To observe clinical effect of combined traditional Chinese and western medicines,in the treatment of erythromelalgia.Methods Oral Sanmiao San,oral western medicines like asprin,adjuvant acupuncture and moxibustion and fumigation. Results Of 18 cases,15 were cured and 3 improved;the cure rate was 83% and the effective rate 100%.Conclusion The combined treatment may be one of the most effective methods for treating erythromelagia.
Objective To evaluate the feasibility of video-assisted thoracic surgery(VATS) for patients with esophageal diseases.Methods Form Jan.2000 to Jan.2002,eight patients with esophageal disease underwent VATS procedures,two of them were converted to open thoracotomy.Results There were no death in this group. Conclusion VATS is an alternative to open thoracotomy in early esophageal cancer and benign diseases,clear advantages over open thoracotomy were demonstrated.
Objective To summarize the experience in the management of multiple myeloma (MM). Methods Retrospective analysis was made of the data of 50 patients with MM. Results There was no difference between transplantation group and non-transplantation group in the survival rate. The survival rate was higher in the patients receiving IFNα,the life quality was improved in the patients having PMPNα,and thalidcmide for MM was not certain. Conclusion Auto peripheral blood stem cell transplantation (APBSCT) and IFNα may improve the prognosis and prolong the survival time. PMPNα 2 may improve patients' life quality and prolong their survival time. Thalidcmide is effective for refractory MM.
Objective To analyze the correlation between clinical manifestations and EEG abnormalities in the patients with delayed encepholpthy following acute carbon monoxide intoxication(DEACMP) and provide the evidences for evaluating the prognosis and guiding the treatment in the disorder.Methods Clinical manifestations and EEG abnormalities in 60 patients with DEACMP were analyzed and the correlation between the both was compared,reapectively.Results All patients presented more or less neuropsychic abnormalities specific for DEACMP.At the same time,all the patients presented either slighter or severer EEG abnormalities,of them,slight abnormality was found in 37 cases,moderate in 20,and severe in 3.The severity of EEG abnormalities was in direct correlation to that of clinical manifestations.Conclusion EEG changes in the patients with DEACMP have important significance in evaluating the prognosis and guiding the treatment.
Objective To review the experience in correction of congenital cardiac defects through right minithoracotomy .Methods 102 patients underwent correction of congenital heart malformation through right lateral thoracotomy under cardiopulmonary bypass.The average age was 5.25±8 76 years (range 8 months～35 years).The average weight was 15.6±4.6 kg(range 7 5 kg～55 kg).The heart malformation repaired included atrial septal defect in 40(2 patients with tricuspid insufficiency,1totally anomalous pulmonary venous connection ,3 pulmonary stenosis),ventricular septal defect in 53(2 patients with mitral insufficiency,9 tricuspid insufficiency,3 right ventricular outflow tract obstrction,8 pulmonary stenosis),Fallot's Tetralogy in 4,endocardial cushion defect in 4,coexisting patent ductus arteriosus with aorta stenosis in 1.The mean cardiopulmonary bypass time was 60.7±33.2 min.(range 15 min～168 min)and the mean aotic crossclamping time(31.9±24.3) min.(3 min～117 min),and the mean postoperative hospital stay was 8.6±6.3 days(4 days～15 days).Results No operative mortality and severe postoperative complications were noted.Conclusion The right lateral thoracotomy is a safe and effective alternative to a median sternotmy for correction of cardiac defects.Advantages of this approach include less injury,less bleeding,maintaining the contunuity and the integrity of the bony thorax,and preventing postoperative pigeon breast,the cosmetic result is superior to that of median sternotmy.
Objective To study the reasons for misdiagnosis of infantile cough variant asthma(CVA) and improve its diagnostic rate.Methods The misdiagnosis of 35 cases of infantile CVA was reviewed and analysed.Results Infantile CVA in these patients was misdiagnosed as other diseases,such as bronchitis,infection of respiratory tract.Pertussis mycoplasmal pneumonia,etc.Conclusion The misdiagnosis can be avoided by inquiring history carefully,hightening doctors'awareness of CVA,having right clinical thinking and using drugs properly.
Objective To measure the catalytic activity of BAP in neonate blood and to make a rapid screening and accessory diagnosis of hypocalcification due to calcium deficiency or metaboilc bone disease caused by other factors.Methods Immunoconcentration and whole dry chemistry were used.Results NBAP activity was determined in 380 infants aged 0 to 5.Rickets accounted for 18.1%,and clinical rickets 9.2%.Conclusion This method is simple,quick,specific and sensitive,it may help early prevention and treatment.
Objective To study the effectiveness of Qingkailing injection in treating acute respiratory infection (ARI).Methods Statistical analysis was made of clinical observation of 64 cases of ARI.Results There was a significant difference between the treatment group and the control group in the duration of abating fever and symptoms, no significant difference in the duration of hospitalization was observed between the two groups.Conclusion The medicine may shorten the duration of fever, alleviate clinical symptoms,but may not shorten the duration of disease.
Objective To summarize the experience in the diagnosis and care of hemorrhoid to provide clinical references.Methods Review and analysis were made of the data of 40 patients with hemorrhoid admitted into our hospital since 2001. Results Of 40 cases,28 were cured,10 were improved, 2 with stable condition discharged.Conclusion Patient-centered holistic nursing should be developed and proper diagnosis and care carried out. Prevention may help to improve the cure rate of the disease.
Objective To summarize the experience in the treatment and care of infantile hyperpyretic convulsion.Methods Retrospective analysis was made of the clinical features of the disease and points for the treatment and care.Results Immediate treatment and care, in combination with etiological treatment, produced a quick alleviation in these patients and no neuropschic signs were found .After 7～10 days'stay in hospital, all were cured and discharged.Conclusion Effective measures for cooling are of vital importance. Based on the above management,proper anticonvulsive measures may quickly relieve the condition. Meanwhile, etiological treatment may prevent the recurrence.
Words are the construction materials for language.Lexical teaching is one of important parts of college English teaching.Traditional lexical teaching method stresses the literal meaning of the word and neglects the actual meaning of the word in particular contexts,and translation and contrast approaches are mainly used,which can not help students to have a better understanding of literal or implied meaning of the word in a particular context.To study a more effective way of teaching the meaning of the word,the article discusses the relation between the understanding of the meaning of the word and its context,and presents the circumstance and inference approaches based on context theory and deep cognition.The understanding of the meaning of the word closely correlates with its context.The circumstance and inference approaches,based on context theory and advantages of deep cognition,is more effective.
Objective To investigate the therapeutic effect of self-developed hirudo capsules in the treatment of sequelae of apoplexy.Methods Differentiation and typing were made of the 42 patients with sequlae of apoplexy. They were treated with the capsules and adjuvant traditional Chinese and western medicines.Results After 1～4 courses, the significant improvement showed in 34, the total effective rate accounted for 80.9%.Conclusion The therapy may improve the signs and its effectiveness is established.It deserves to be widely used in clinic.
Objective To analyze the related factors of recurrence and metastasis in breast cancer.Methods Between Jan.1990 and Dec.2001,563 breast cancer patients who received treatment were summarized and analyzed retrospectively.Results recurrence and metastasis in 69,accounting for 12.3% with original mass of breast cancer bigger than 5 cm,locating in the upper quadrant of mamma and mammilla,without dissection of axillary lymph nodes or with positive lymph nodes more than 4,without radiotherapy or chemotherapy and with duration of chemotherapy less than 6,without taking tamoxifen(TAM) or with the time of administration less than 2 years.Conclusion Infrltration cancer were closely related with the size,location,pathological types,positive axillary lymph nodes following radiotherapy,chemotherapy and endocrine treatment.
