Objective To explore the possibility and necessity of a new first aid model for trauma which integrates pre-hospital medial care with in-hospital treatment.Methods A comparison was made at the times of pre-operation preparation and hospitalization between two different trauma rescue models.From October in 2010 to October in 2011,116 patients were managed with the new integrated first aid model(pre-hospital care,emergency and multi-department consultations in the hospital) and 86 patients with traditional model(triage in emergency room,preliminary diagnosis by orthopedic doctors,multi-department consultations and medical care).Results There was no significant difference between the two groups in pre-hospital index score(PHI).The total times needed for the preparation before emergency operation and for hospitalization of the new model group were(58±29)min and(28±15)d respectively while those for the traditional model group were(125±60)min and(40±19)d.The differences between the two groups were statistical significant(P 0.01).Conclusion Both the time of pre-emergency operation and that of hospitalization for trauma patients are shortened through the application of the new trauma rescue model.Patients get better medical care and the efficiency of treatments is improved.

目的 探讨院外救治急性酒精中毒患者时,应用检测快速血糖的意义和必要性.方法 对108 例因"急性酒精中毒"呼叫120救护车的患者行快速血糖检测.结果 血糖正常者54例;血糖<2.8 mmol/L 者13例;血糖≧11.1 mmol/L 者36例;血糖结果提示"Hi测不出"者5例.结论 急性酒精中毒患者的血糖 复杂多变,院外救治中应常规检测血糖,对血糖变化异常患者给予正确的处理,为安全转运提供保障,更 为院内进一步系统治疗提供依据.

笔者在临床实践工作中,发现有少部分神经系统疾病患者,尤其是20～45岁左右的中青年患者,发生神经系统疾病的同时伴有反复发作的口腔、生殖器溃疡、眼部症状或皮肤结节性红斑. 通过与眼科、免疫科的多方会诊,明确了神经白塞氏病的诊断. 本文通过对11例患者资料的分析,探讨神经白塞氏病的发病过程、机制、临床症状、体征以及治疗方法,以期提高对神经白塞氏病的认识和诊断治疗的准确率.

脑卒中后抑郁情绪可严重影响病人的康复过程.为了评估脑卒中后抑郁症(PSD)发病率及应用氟西汀后的临床疗效,我们对256例脑卒中患者进行了临床分析,现报道如下.