Transversus abdominis plane block is an anesthesia method that injects local anesthetics into the abdominal muscle fascia to produce analgesic effects. It is widely used in abdominal surgery and in pain management. This expert consensus introduces the relevant anatomy, and systematically describes the various techniques, common drugs, indications, contraindications and complications of transversus abdominis plane block, to guide the application of this method in the clinic.

Nerve block is an important part of postoperative multimodal analgesia. Rectus sheath block is one of the commonly used nerve block methods in clinical practice, which mainly blocks the anterior cutaneous branch of intercostal nerves. This method has a clear analgesic effect on midline abdominal incision, and has a good application in pain diagnosis and treatment. This expert consensus introduces the related anatomical structure, blocking method, commonly used drugs, complications and clinical application of rectus sheath block in order to guide the clinical practice.

目的探讨腹部闭合性损伤(Blunt abdominal traumeBAT)诊断中容易出现漏诊及误诊问题的环节,并采取相应措施。方法对我院近年来腹部闭合性损伤漏诊及误诊患者进行回顾性分析。结果腹部闭合性损伤诊断中漏诊误诊并不少见,可发生于诊断过程中各个环节。结论全面准确地采集病史,认真体格检查,合理有效的利用各种辅助检查,是正确诊断腹部闭合性损伤的关键。

目的比较阿立哌唑与氟哌啶醇对老年期精神分裂症的疗效和不良反应。方法对本院老年期精神分裂症住院患者89例(年龄≥60岁)随机给予阿立哌唑及氟哌啶醇6周。结果氟哌啶醇有效率为80%,阿立哌唑有效率为82%。结论两种药物对治疗老年期精神分裂症均有效,阿立哌唑较为安全。

目的观察米索前列醇在无痛人工流产(以下简称人流)术中的临床效果。方法将米索前列醇联合异丙酚、芬太尼用于无痛人流术与异丙酚、芬太尼用于无痛人流术相对比。观察宫颈松弛扩张情况、宫缩幅度、术中出血量及术后阴道流血时间。结果两组宫颈均明显松弛扩张;宫缩幅度观察组明显大于对照组;术中出血量、术后阴道流血时间观察组明显小于对照组。结论无痛人流术前舌下含服米索前列醇0.6mg,可增强宫缩幅度,具有术中出血少、手术易于操作、术后阴道流血时间短等优点,值得临床推广。

Objective To observe the efficacy of seretide dry powder inhaler in the treatment of COPD patients.Methods 80 patients who were diagnozed as COPD were divided into control group,given basic treatment such as antimicrobid therapy,spasmolysis,antiasthma,expelling phlegm,and test group whose patients were given seretide 50μg/250μg per inhale twice every day for 3 months besides the control group's treatment.Then clinic symptom and pulmonary function of the two groups before and after treatment were ob- served in order to evaluate the drug efficacy.Results The symptom and physical sign and FEV_1,FEV_1/ FVC,FEV_1% of test group improve seriously(P＜0.05),but the one of the control group hasnt.Conclusion Seretide can enhance the patients'pulmonary function and improve the symptom such as cough,expectora- tion,panting and moist crackles.