Objective To explore the causes of subclinical hypothyrodism in children and the effects of the interventional therapy with thyroixine on the course of it.Methods Two hundreds children with subclinical hypothyroidism were measured for thyroglobulin antibody(TGAb),thyroid microsomal antibody(TMAb) in the blood serum,examined by colord Dopplor ultrasonic,examined by fine needle aspiraton cytology of the throid and measured the rate of 131I absorbed by thyroid in order to find out the causes of the disease.Two hundreds cases were randomly divided into two groups on the base of the cause of diseases,treatment group 100 cases and control group 100 cases.The treatment group were treated by throxine 25-75 μg/d and the therapeutic dosage were chosen with the normal value of free triiodothyronine(FT3),free thyroxine(FT4)and high sensitive thyrotropin(sTSH) in the blood serum .After one year thyroxine therapy were stopped.Thyroid function was examined 6 months later after stopping the thyroxine.Results Among all of the causes of subclinical hypothyroidism in children,Hasgumoto′s thyroiditis accounts for 56%,simple goiter accounts for 26%,antithyroid drug accounts for 6%,the lack of thyroxine substitution therapy on the hypothyroidism accounts for 5% and undefined causes accounts for 7% .The thyroid function could keep normal for 1 year with an alternative therapy with thyroxine on subclinical hypothyroidism in children.Half a year later after stopping thyroxine,the thyroid function turned normal in most of the children.There were obvious differences in the ratio of cure and the ratio of effectiveness between treatment group and control group (t=20.2,3.2 Pa0.01).Conclusions In all of the causes of subclinical hypothyroidism in children,Hasgumoto′s thyroiditis is the main cause.Interventional treatment on it with thyroxine can improve its prognosis.

目的探讨曲安奈德、尿激酶、脂肪乳剂联合应用于预防动物肠粘连.方法将家兔腹部造成五种不同的损伤,在不同的时期,观察用药组与非用药组的表现及病理变化.结果曲安奈德、尿激酶、脂肪乳联合应用组与非用药组相比能显著减少炎症反应和渗出,能有效降低腹膜粘连和肠粘连的发生.结论曲安奈德、尿激酶、脂肪乳联合应用预防动物肠粘连是有效的.

目的:探讨多胎早产儿的观察和护理方法,提高早产儿成活率.方法:对我院收治的38例多胎早产儿的临床资料进行回顾性综合分析.结果:对多胎早产儿密切观察,全方位的护理可以有效提高早产儿成活率.结论:多胎早产儿的成活率与护理质量有密切关系,耐心细致的护理是提高多胎早产儿成活率的有效措施.

皮质盲在儿科比较少见,病因复杂.现对我院10年来收治的32例患儿进行分析,以了解其病因、发病机理、治疗、护理及预后,供同道们参考.

皮质盲在儿科比较少见,病因复杂,护理困难.现将我院10年来收治的32例进行分析,以了解其病因、发病机理及预后,并提出护理干预措施.现报告如下. 1 临床资料 1.1 一般资料本组均为我院1990年12月～2000年1月的住院患儿.临床上除原发病的症状外,均出现一过性黑蒙或视力丧失,眼底检查排除器质性病变.其中男18例,女14例.发病年龄生后0.5h～14岁,新生儿4例,婴幼儿22例,学龄前及学龄儿6例.

将86例Vit D缺乏性手足抽搐症患儿随机分为治疗组(42例)及对照组(44例).治疗组采用葡萄糖酸钙静脉滴注治疗;对照组采用静脉推注治疗.结果两组患儿在住院治疗期间均未再次出现抽搐;治疗后血清钙浓度上升幅度差异无显著性意义(P＞0.05);患儿不良反应发生率差异有显著性意义(P＜0.05,P＜0.01).提示静脉滴注与静脉推注给药方法均能获得满意疗效,而静脉滴注给药方法可减少不良反应的发生.