目的:开展运动平板检查提高基层医疗机构对冠心病的诊断水平.方法:2003年1月至2004年8月,对我院收治的临床疑诊为冠心病的患者100例行运动平板检查,其中3例患者加作心得安试验.运动平板试验呈阳性者27例,(阳性率27%),对冠心病的防治有较好的评估.结论:运动平板试验有利于筛查出不典型或隐匿型冠心病患者,作为一种简便,无创且准确性较高的检查方法,具有推广价值.

目的开展运动平板检查提高基层医疗机构对冠心病的诊断水平。方法2003年1月至2004年8月,对我院收治的临床疑诊为冠心病的患者100例行运动平板检查,其中3例患者加作心得安试验。运动平板试验呈阳性者27例,(阳性率27%),对冠心病的防治有较好的评估。结论运动平板试验有利于筛查出不典型或隐匿型冠心病患者,作为一种简便,无创且准确性较高的检查方法,具有推广价值。

Objective:To observe the changes of TCD parameters presurgery and postsurgery in the patients with acute intracerebral hemorrhage(ICH),and try to evaluate the effects of surgery on cerebral perfusion.Methods:The blood pressure(BP)of 66 patients with intracerebral hemorrhage was monitored within the first 24 hours after its onset,and they were monitored by TCD in the 2nd,4th,6th,and 12th day after onset,among them.36 patients were treated by medication and stereotactic computed tomographic(CT)guided drain and aspiration within the first 24 hours,30 patients were only treated by medication(the control group).Results:BP of ICH patients gradually reduced during the period of therapy,while middle cerebral artery b1ood flow velocity(MFV)decreased in the early days and then increased;PI increased first and then decreased,but there was a remarkable difference in the two groups.In the fourteenth day,comparing the TCD parameters of the two groups(P<0.05),in the surgery group PI decreased while MFV began to increase in the 6th day,and there was remarkable difference between the two groups at 12th day(P<0.05).In the control group of decreased in the first week,and then increased in the second week.PI changed in the oposite way.BP decreased greatly in the surgery group.There was significant difference in BP and the TCD parameters in the fourteenth day(P<0.01).Conclusion:Therapy by stereotactic computed tomographie(CT)guided drain and aspiration could improve the cerebral perfusion in acute intracerebral hemorrhage.

Objective To discuss the curative outcome of naloxone for treatment of 50 cases of pulmonary encephalopathy.Methods Fifty cases of pulmonary encephalopathy were treated with naloxone and the outcome was compared with that of 42 cases treated with conventional regimens.Results The symptoms and signs were obviously ameliorated in naloxone-treated group and the effect was better than that in control group(P0.05).Conclusion Naloxone has an affirmative effect on pulmonary encephalopathy and we therefore appreciate its use on a large scale.

目的探讨钻孔抽吸加尿激酶灌注治疗高血压脑出血的应用价值。方法对36例中重型高血压脑出血患者采用CT定位导引置管加尿激酶灌注引流解除颅内血肿压迫;同时与35例同类情况患者的内科保守治疗结果进行对照分析。结果治疗组生存率和神经功能恢复均明显高于对照组。结论颅内血肿穿刺抽吸术治疗高血压脑出血适应于基层医院,可大力开展。