Objective To investigate the recognition of post-natal depression by psychiatrists and by obstetricians and the therapeutic effect.Methods 47 cases with post-natal depression were divided into 2 groups:psychiatrist group and obstetrician group.HAMD24,HAMA,SF-36 and SDSS were used to evaluate the therapeutic effect.Results(1)The recognition of post-natal depression by psychiatrists was much better than that by obstetricians(P0.01).(2)The treatment in psychiatrist group was much more effective than that in obstetrician group(P0.01),there existed a significant difference in HAMD and HAMA score reduction between the 2 groups 8 weeks and 12 weeks after treatment.(3)The factor scores of SF-36 in both groups after being treated for 12 weeks were raised greatly(P0.01).Conclusions The recognition and treatment for patients with post-natal depression of obstetricians should be further improved;related management system should be strengthened.

目前,新生儿缺氧缺血性脑病(HIE)治疗问题仍为国内外新生儿科和产科共同关注.Arery提出:目前谷氨酸受体拮抗剂,NO合成抑制剂,钙通道阻滞剂,氧自由基清除剂和抑制剂,神经节苷脂,亚低温,大剂量苯巴比妥等仅用于动物实验中,其利弊尚不清楚[1];亦有部分用于临床,其机理疗效还有待探讨.HIE是重症急症,预后极差,尚缺乏有效治疗手段,探讨有效治疗方法是我们共同的目标和任务,现就近几年来HIE有关治疗进展作一综述.

目的探讨原发性腹膜后肿瘤诊断与治疗.方法回顾性总结22例原发性腹膜后肿瘤的诊断治疗经验,并对诊断和治疗中的若干问题进行分析.结果 22例及早明确诊断,全组均行手术治疗,无手术死亡.结论详细询问病史,重视临床表现,早期诊断,及早手术是治疗原发性腹膜后肿瘤的有效方法.