目的:探讨大黄蛰虫丸联合血府逐瘀汤加减预防下肢动脉硬化闭塞症(ASO)球囊扩张及支架术后支架内再狭窄(ISR)的临床疗效及作用机制.方法:将拟行支架植入术的符合纳入标准的ASO患者60例按照随机数字表分为对照组和治疗组,对照组采用常规抗血小板及降脂治疗,治疗组在对照组基础上口服大黄蛰虫丸和血府逐瘀汤.比较两组支架植入后3个月和6个月的狭窄程度、踝肱指数,并在术前、术后6个月检测两组患者血液纤维蛋白原(Fib)、血脂(TC、TG、LDL-C、HDL-C)水平.结果:与对照组比较,治疗组术后6个月踝肱指数明显提升,差异有统计学意义(P<0.05),术后6个月重度狭窄患者的比例降低(20.0％vs 13.3％),但差异无统计学意义(P>0.05);与本组术前比较,两组术后6个月TC、TG、LDL-C均下降,HDL-C升高(P<0.05),且治疗组优于对照组(P<0.05);与本组术前比较,两组术后6个月Fib均下降(P<0.05),且治疗组优于对照组(P<0.05).结论:大黄蛰虫丸联合血府逐瘀汤加减可降低血脂、血浆纤维蛋白原,改善血液成分,具有防治ISR的作用.

目的 对血管内介入治疗技术在缺血性脑血管病中的运用效果进行分析.方法 选取2015年10月至2018年11月在我院接受缺血性脑血管疾病治疗的患者110例,随机分成观察组和参照组,参照组采用常规药物治疗,观察组患者采取血管内介入治疗法.观察两组患者临床治疗效果和并发症情况.结果 观察组患者总有效率为96.36％,远高于参照组90.90％;观察组患者并发症率为5.45％,远低于对照组患者病发率18.18％,(P<0.05).结论 血管内介入治疗技术在缺血性脑血管病中运用能够促进患者临床治疗有效性的提升,并降低患者并发症的概率,对患者康复帮助极大,值得在临床治疗中推广应用.

目的:对原发性肝癌综合介入治疗的现状与问题进行探究.方法:选取2016年10月-2018年12月本院接收的原发性肝癌患者100例为研究对象,根据患者的基本病情,采取综合介入治疗法.观察患者临床治疗效果和生存期变化情况.结果:患者的病情基本得到缓解和控制,患者治疗后的生存期也都得以延长.结论:原发性肝癌综合介入治疗已经全面在临床治疗中应用,并能够有效缓解和控制患者病情,延长患者生存期.其中的问题有缺乏治疗方案指导和参考、缺乏可信数据和引导、治疗完成后容易复发或转移.

OBJECTIVE To explore the postoperative infection‐related complications in liver cancer patients under‐going radiofrequency ablation and observe the clinical characteristics .METHODS A total of 781 patients who un‐derwent the radiofrequency ablation of liver tumor in invasive technology department from Mar 2010 to Mar 2016 were retrospectively analyzed ,the clinical data ,involving the size ,number ,and location of tumor and use of anti‐biotics as well as incidence of postoperative infections ,were collected from the patients ,the patients who presen‐ted with severe infection were treated with CT enhancement scanning ,the indwelling tube drainage was carried out after the local infection foci were confirmed ,the bacteriological test was performed for the drainage fluid ,and the drug susceptibility testing was conducted so as to adjust the usage of antibiotics .RESULTS The 781 patients under‐went 957 times of radiofrequency ablation in total ,and 35 patients had the postoperative infection ,with the infec‐tion rate 3 .66% .The major clinical manifestations of the patients with severe infection included the fever ,chills , liver pain and abdominal pain .After the foci were confirmed by the enhanced CT and the drainage fluid specimens were cultured ,totally 39 strains of bacteria were isolated .The high risk factors included the history of choledo‐chojejunostomy ,multiple liver tumors ,and tumor adjacent intestinal tract and open radiofrequency ablation .The infections in all of the patients were controlled after the antibiotics dressing change or the anti‐infection therapy was strengthened .CONCLUSION The radiofrequency ablation is effective in the treatment of the liver cancer pa‐tients but may induce the infection‐related complications such as liver abscess ,incision infection ,and cholesteato‐ma .The CT enhancement scanning and drug susceptibility testing may facilitate the identification of the infection‐relat‐ed complications and the treatment .

本文分析了SPACE LABS 1050型太空监护仪电源故障的现象、原因及排除方法.

Objective To evaluate the method, efficiency and complication of uterine artery emboliztion for uterine fibroids. Methods There were 56 patients. With Age ranged from 24- 51 years old with an average of 36.41 patients had solitary uterine fibroid, 15 patients multiple uterine fibroids. All patients underwent bilateral uterine artery embolization with polyvinyl aclcohol particles. Results The successful rate reached 100%, B-mode ultrasound exmination following 4 - 23 months after the proceduce, revealing a shrinkage of 40% -80% in volume of the masses. Expulsion of fibroids fragments or even whole fibroids after uterine embolization have been observed in 7 cases, which were proved by pathology. All patients symptoms were improved or disappeared. Conclusion Uterine artery embolization for treatment of uterine fibroids is effective and low complication method.