Objective:To evaluate the effect of the Chinese traditional external therapy (Chinese medicine plaster on navel together with manipulation and madder foam foot) for infants with acute rotavirus enteritis.Methods:300 cases of infants with acute rotavirus enteritis were randomly divided into treatment group or control group.If there were dehydrators, intravenous transfusion would be taken to retrieve the anhydration and electrolyte disturbances.Patients with fever were given fever processing.The treatment group used the Chinese traditional external triple therapy (Chinese medicine plaster on navel+manipulation+madder foam foot), while the control group were given probiotics (MAMIAI) and Montmorillonite powder (Smecta).Results:The scores of clinical symptom on the admission day of the two groups have no statistically significant (P>0.05), indicating that the two groups are comparable.After 48h and 72h of treatment, the scores of clinical symptom of treatment group both are lower than those of control group (P<0.05), showing that the remission of clinical symptom of treatment group is more than that of control group.With the compareation of the clinical efficacy of the treatment group and the control group, we can get that there is significant difference (χ2=16.315, P<0.001) and the clinical efficacy of the treatment group is much better than that of the control group.As the compareation of hospital stays and hospitalization expenses showing, the hospital stays is shorter (P<0.05) and the hospitalization is lower (P<0.05) of treatment group Conclusion:Using Chinese external triple therapy for infants with acute rotavirus enteritis is more effective, with shorter hospital stay, lower cost of hospitalization, non-invasive, less painful, children willing to accepting, therefore has clinical value and is worth of promotion in primary hospital.

目的:研究辅酶Q10 联合赖氨肌醇维B12 口服液治疗轮状病毒肠炎心肌受损临床效果.方法:对我院2008 年9月~2011 年9月360 例轮状病毒肠炎住院患儿进行心肌酶检测,对心肌酶异常患儿196 例随机分为治疗组和对照组.治疗组给予"辅酶Q10 (1mg
kg
日)·分三次口服、赖氨肌醇维B12 口服液(2.5ml~5ml)·3 次
日口服",对照组静脉点滴"1,6 二磷酸果糖160mg
kg
日",观察两组患儿心肌酶学指标变化情况.结果:治疗组与对照组在治疗前具有可比性,治疗后两组自身对照比较心肌酶学四项观测指标均具有显著性差异(P 均<0.01); 治疗组与对照组治疗后的组间比较没有显著性差异,说明治疗组与常规对照组的治疗效果相当.结论:治疗组与对照组治疗效果一致,辅酶Q10 联合赖氨肌醇维B12 口服液治疗轮状病毒肠炎心肌受损患儿,该疗法疗效肯定,可居家口服,不必静脉输液,减少住院时间,减少院内感染机会,减少患儿痛苦,值得临床推广.

幽门螺杆菌(Hp)感染是小儿慢性胃炎及胃、十二指肠溃疡的重要病因之一[1].感染多发生在年龄较大的儿童,一般在6周岁以上,新生儿幽门螺杆菌感染未见报道.笔者对112例足月窒息新生儿胃液进行了幽门螺杆菌检测,现报道如下.

Objective:To study the harm of neonatal asphyxia to the function.of gastrointestinal tract.Method:Observe and detect the color,smell,content of grume,pH value,layered phenomenon,ocult blood test,latic acid and pepsin of the asphyxiant newborn's gastric juice.Results:Among 112 cases of Neonatal Asphyxia,14%gastric juice was chocolate brown,red or coffee;25%doesn't smell acid.24% pH Value hoists to 3.5～7.0,which is low acid.One pH Value hoists to above 7.0,which is anacidity.50%content of grume is increased; 58%lays obviously,upper layer grume,middle layer gastric juice,under layer blood or hypopharyngeal things.16%the result of ocult blood test is positive.100%latic acid deterministic test is negative;30%pepsin depressd.Conclusions:Neonatal asphyxia can lead to stess ulcer, poor digestion,hypanakinesis and infection of gastrointestinal tract.

1 病历摘要 患儿男,9岁.既往发育正常.家族中无遗传病史.入院前8个月因带状疱疹在当地口服过期四环素后出现多饮、多尿,日尿量在2500ml以上,全身乏力、明显消瘦、恶心、呕吐.入院查体:体温37℃,血压90/60 mmHg.身高128cm,体重20kg,体格发育迟缓,精神、运动发育正常,营养不良,精神可,脱水,方颅,心肺未见异常,腹平软,肝脾未触及,佝偻病手镯,膝外翻畸形,膝腱反射减低.

目的探讨婴幼儿颞浅静脉压与循环机能的关系,寻找一种能实用于临床的测量婴幼儿周围静脉压的方法.方法采用普通输液管法于肘静脉处穿刺测压,并同时采用L管法测肘静脉压(30例循环机能正常的婴幼儿)作自身对照;采用输液管法测量循环机能正常的100例新生儿、400例婴幼儿和200例心力衰竭或脱水性休克婴幼儿的颞浅静脉压.结果两种测压方法效果相同;循环机能正常的新生儿和婴幼儿的颞浅静脉压是相对稳定的(1.13～1.62kPa和1.18～1.67kPa),而心力衰竭或脱水性休克时颞浅静脉压均有显著性改变.结论婴幼儿颞浅静脉压测定对了解患儿循环机能有一定价值;采用输液管法代替L管法进行婴幼儿周围静脉压测定是可行的.