目的 探讨总结改良静脉腔内激光闭锁术治疗下肢静脉曲张的护理方法.方法 分析2007～2009年笔者所在医院应用改良静脉腔内激光闭锁术治疗下肢静脉曲张3210例患者的资料,总结术前、术中、术后的护理措施.结果 3210例患者全部康复出院,无一例发生深静脉栓塞.结论 积极有效的围手术期护理,对预防手术并发症、促进康复、保持手术的治疗效果具有极其重要的作用.

Objective:To investigate the relationship between quality of life,lower airway bacterial colonization(LABC)and airway inflammation patients with COPD.Methods:A total of 30 patients with moderate or severe COPD but stable at baseline were included in this study.As contradistinction,30 healthy controls were included in this study.The induced sputum were collected at the visit.The samples were analyzed for their bacterial loads based on the semi-quantitate bacterial culture,meanwhile the blood routine tests,the lung functions,the blood gas analysis,the levels of interleukin(IL)-8 and the St.George's Respiratory Questionnaire(SGRQ)were measured.Results:Out of 30 patients,8 patients(26.7%)showed LABC or LRI(lower respiratory infection),the bacterial loads≥+++ in sputum at the visit.Pathogenic bacterias including Streptococcus pneumoniae,Hemophilus influenza,Hemophilus parainfluenzae,Pseudomonas aeruginosa were found;IL-8 in patients with LABC were significantly higher than those without LABC and healthy controls(P0.01),but FEV1(% predicted),FEV1/FVC were significantly lower than those without LABC(P0.05).The presence of SGRQ total and symptom score had a positive correlation with the index number of smoking.The presence of SGRQ total and symptom score had a positive correlation with the results of the semi-quantitate bacterial culture(P0.05).The presence of SGRQ total,symptom,mobility and impacts score had a positive correlation with the levels of IL-8(P0.01).Conclusion:LABC were present in a portion of stable COPD patients.LABC may be stimulators which can induce airway inflammatory and lead to degrading of lung function.The patients with LABC suffer from poor quality of life than those patients without LABC.

我院自1991-1998年12月应用自行设计的尾端螺纹钉,经皮穿刺内固定,有选择性地治疗老年性新鲜粗隆间骨折82例,随访64例,疗效满意.

我科自1999年以来,应用静脉滴注丹参粉、黄芪注射液治疗冠心病40例,取得良好效果,现报告如下: 1临床资料 1.1对象诊断依据1980年12月全国内科学术会议上建议采用的诊断标准,全部病人住院治疗.治疗组40例,男29例,女11例,年龄61～85岁;其中隐匿型冠心病3例,稳定型心绞痛30例,不稳定型心绞痛4例,陈旧性心肌梗死3例,伴心律失常19例,伴高血压者15例;心功能Ⅱ级6例;心功能Ⅲ级2例;病程3个月～15年,平均6±1.2年.对照组27例,男19例;女8例;年龄58～75岁;其中隐匿型冠心病2例,稳定型心绞痛18例,不稳定型心绞痛4例,陈旧性心肌梗死3例;伴心律失常12例,伴高血压者9例;心功能Ⅱ级5例.

目的:评价自制尾端螺纹钉治疗老年性新鲜股骨颈骨折的临床效果.方法:对98例老年性新鲜股骨颈骨折,应用自制尾端螺纹钉治疗的临床资料进行分析和2～7年的随访.Garden Ⅰ型35例,Ⅱ型14例,Ⅲ型38例,Ⅳ型11例.头下型21例,头颈型42例,颈基底型35例.结果:骨折愈合时间,Garden Ⅰ型6～12周平均8周;Ⅱ型8～12周,平均10周;Ⅲ型10～18周,平均14周;Ⅳ型8～12周,平均16周.骨不连5例,股骨头缺血坏死6例.无1例螺纹钉滑脱折断.结论:该螺纹钉适用于股骨颈基底骨折和全身状况不佳或没有经济承受能力的不能接受人工关节置换的股骨颈头下型骨折和头颈型骨折.

我院自1994～1998年收治陈旧性外踝韧带断裂病人30例,应用腓骨膜瓣反转移位,重建踝关节稳定性,收到良好效果. 1 临床资料 本组30例,均为男性.年龄18～26岁,平均21岁.伤后时间10月～5年,平均2年11月.均为足内翻位踝关节扭伤.5例早期采用踝关节外翻位石膏固定,其余早期采用按摩、冷敷、外敷膏药等治疗,均遗留有踝关节不稳、复发性扭伤.28例反复扭伤在5次以上.术前足内翻位X线片显示,距骨倾斜角均大于12°,平均17.2°.距骨向前半脱位均大于6mm,平均10.3mm.