Objective To make diagnostical analysis on the cases of cystic duct stump by approaching the patients' ultrasound video features.Methods Through the technology of colored Doppler imaging,analyse retrospectively the ultrasonographic photos of eight stump patients diagnosed by our hospital since 2004.Results 5 of them were small cholecystitis with stones,2 were cholecystitis and 1 had gallbladder bed cyst.Conclusion Ultrasound imaging is the best way to diagnose and evaluate diseases of cystic duct stump.

本文报道了B超检查25例囊性畸胎瘤患者.经手术及病理对照证实,超声诊断符合率84%,由此可见B超检查可作为卵巢囊性畸胎瘤的首选检查方法.遇有肿瘤形态不规则,内部回声杂乱,近期迅速增大,有腹水征象者,应考虑恶变可能.故一旦发现,尽早手术.由于超声检查诊断卵巢囊性畸胎瘤具有可重复性,患者无痛苦诊断率高等优点,因此在临床上有重要的应用价值.

Objective:According to the investigation of blood transfusion departments among seven tertiary hospitals in a certain province,the results showed that there were many deficiencies to be improved,such as the establishment and implementation of blood transfusion management system,the normative technical operations,blood transfusion security,personnel allocation and so on.This survey made clear the importance on the future safe management of blood transfusion in hospitals and put forward corresponding management countermeasures.This article aimed to provide the scientific basis for hospitals and government functional departments to carry out relevant tactics for blood transfusion security.Methods:1.Literature method:Based on a systematic literature review of the CNKI,VIP database during past five years.2.Field survey:Investigated the situation of blood transfusion departments of seven tertiary hospitals in a certain province.Results:Among the seven investigated hospitals,the awareness rate of clinical blood transfusion management system was low,blood stored refrigerators were not monitored regularly,the observation of transfusion reaction from medical staff was not enough,the communication between medical staff and patients was good before the blood transfusion.Over 60% of hospitals have not built the voluntary reporting system of blood transfusion error,only 14% medical personnels would report after the adverse effects of transfusion happened.In the blood transfusion departments,less than 30% of medical staff were over 30 years old,66% of medical staff were under junior college,37% were major in test laboratory,and 8% of the medical staff had no formal education back ground.Conclusion:There were many problems in the blood transfusion safety management of hospitals:The awareness rate of clinical blood transfusion management system was low,the implementation was not in place,blood storage process was not monitored in accordance with relevant requirements.The personnels in the transfusion department were rejuvenation and also low level of qualifications.The professional background of medical staff was unitary.In conclusion,hospitals must take corresponding strategies according to the existing problems.

目的 了解高校中教职工血糖、血脂浓度水平.方法 早晨空腹采取静脉血,采用GOD-PAP法测血糖(Glu)、CHOD-PAP法检测总胆固醇(CHO)、聚乙烯硫酸沉淀法检测低密度脂蛋白胆固醇(LDL-C)、GPO-PAP法检测甘油三酯(TG),进行血清流行病学调查.分五组进行试验:<30岁组、30～39岁组、40～49岁组、50～59岁组、>60岁组.结果 GLu、CHO、LDL含量随着年龄增加而升高.50～59岁组达最高峰,>60岁组由于我校两地办学,离退休教师大部分留在原校区,参检人数少,所以结果不能代表真实的水平,仅供参考.40岁以下各组和>60岁组比较差别无显著性(P>0.05),其测定水平明显低于50～59岁组,分别与总均数比较,差异无显著性(P>0.05).50～59岁组与总均数及其它各组比较,差异有显著性(P<0.05).男性与女性比较,CHO、LDL两者之间总均数比较差异无显著性(P>0.05),GLU、TG则有明显差异(P<0.05),男性明显高于女性.结论 高校中教职工应注意健康自我监护,避免血糖血脂增高带来的危害,预防心脑血管疾病发生.

<正>1一般资料笔者1998年～2006年治疗顽固性失眠68例。其中男26例,女42例,年龄最大72岁,最小22岁,平均年龄53.8岁,病程最长者25年,最短1年,治疗前均服用安定等镇静药尚有效,后病情渐重,时彻夜不眠,伴有心中懊恼、烦燥易怒、头昏头痛、面色少华、口唇紫暗、舌红边有瘀斑或瘀点,脉弦数,女性常伴有痛经,月经不调等。分为两组,治疗组38例和对照组30例。2治疗方法对照组常规安定片、谷维素片口服。治疗组病人原用安定片剂量减半口服,同时服用以血府逐瘀汤加减的中药汤剂。处

近年来,随着糖尿病的高发,糖尿病足的患者也明显增多,笔者充分运用中医特色,结合西医治疗手段,内外同治,取得了一定的疗效,现报告如下.

目的:观察中西医结合治疗早期糖尿病肾病患者的临床疗效。方法:观察30例早期糖尿病肾病患者服用麦地消渴汤联合降糖药3个月后,血糖、糖化血红蛋白、血脂、尿微量白蛋白的变化。结果:中药麦地消渴汤具有较好的降低血糖、稳定糖化血红蛋白、调节血脂、降低尿微量白蛋白的作用。结论:中药麦地消渴汤具有保护肾功能,延缓早期糖尿病肾病进展的作用。

目的:运用中西医结合治肱骨髁上骨折临床疗效。方法:回顾性分析1993~2003年中医治疗的50例肱骨髁上骨折的临床资料。结果:本组50例通过中医对骨折的手法整复,诊治方法及效果6例合并症,患者均接受了手术治疗无后遗症发生。结论:中医对骨折诊治具有愈合快、时间短、功能恢复好、病人痛苦小、合并症和后遗症很少发生等优点。