目的分析成人肺炎支原体肺炎临床特点，探讨诊断策略并评价抗生素联合治疗疗效。方法回顾性分析72例成人肺炎支原体肺炎患者的临床资料，统计治疗前后实验室检查及胸部X线检查情况。结果72例成人肺炎支原体肺炎患者治疗后显效率为100%，复查胸部X线显示肺部病变完全吸收，胸腔积液消失，48小时内体温降至37℃以下，72例患者随访均未见复发。结论肺炎支原体肺炎的临床诊断应对患者临床资料进行回顾性分析并结合影像学表现和血清学检查结果进行综合判断；治疗用大环内脂类加喹诺酮类抗生素联合抗感染，可取得良好的效果。

脑卒中是神经内科的常见疾病之一,常合并有严重的神经功能障碍,致残率较高,对患者的生活质量造成了较大的影响[1].常规治疗对患者神经功能改善作用具有一定局限,而近年来研究表明神经节苷脂(GM1)对脑卒中后神经功能的康复具有较好的作用[2].因此我院采用神经节苷脂对脑卒中患者进行了治疗,并对其临床疗效进行了对比分析,现将结果报告如下.

<正>1资料方法1.1一般资料选择本院2008年7月—2010年7月收治的80例高脂血症患者作为辛伐他丁组,男性64例,女性16例,年龄46~78岁,平均59.2岁;2例并发冠心病,12例并发高血压。另选择84例高血脂症患者作为对照组。2组患者性

【Objective】To explore the clinical effect of inhalation therapy in chronic obstructive pulmonary disease(COPD) and the compliance of patients.【Methods】Forty-nine patients with COPD were inhaled anti-cholinergics and β2 agonists,and the symptom scores and the changes of lung function were observed before and after treatment.The extent of getting the message of inhalation therapy and the reasons unable to insist on standard inhalation therapy were investigated by the means of questionnaire.【Results】There were significantly differences in the clinical symptom score(6.91±0.87 vs 5.04±0.59) and the FEV1 [(1.61±0.21)L vs(2.03±0.45)L] before and after treatment(P 0.05).For most patients,they rarely grasped the knowledge on the effects,precautions,and importance of inhalation therapy.【Conclusions】Inhalation therapy may improve the clinical symptoms of COPD.To popularize the knowledge of inhalation therapy and improve the compliance of the patients with COPD,various ways of health education should be taken.

<正>应激性溃疡亦称急性胃黏膜病变(AGML),是机体在各类严重创伤、危重疾病或严重心理应激状态下所引起的食管、胃或十二指肠等部位的急性黏膜糜烂和溃疡,其主要表现为上消

目的 分析肺炎支原体感染的临床特点,探讨诊断策略并评价大环内酯类与喹诺酮类抗牛素联合治疗的疗效.方法 回顾性分析我院69例肺炎支原体感染患者的临床资料,统计治疗前后实验室检查及X线胸片检查的情况.结果 69例患者治疗后显效率为100%,X线胸片复查显示肺部病变完全吸收,胸腔积液消失,24 h内体温降至37℃以下,对69例患者进行随访,均末见复发.结论 肺炎支原体为呼吸道感染的主要原因体之一,临床诊断时应结合影像学表现和血清学检查结果综合进行判断.

不稳定性心绞痛(UA)是一种常见的心血管急症,病情发展常难以预料,不及时治疗易导致心肌梗死或猝死.我院2005年2月～2007年12月对30例UA患者应用葛根素及奥扎格雷钠联合治疗,取得良好疗效.现报告如下.

Objective:To study the related dangerous factors of acute cerebral apoplexy (ACA) combined with upper gastrointestinal hemorrhage (UGH).Methods:By investigating the clinical data of 391 cases of acute cerebral apoplexy in hospital, we retrospectively analyze such aspects as age, the type of cerebral apoplexy, the position of pathological changes, the degree of the illness, the death rate of illness and the incidence rate of upper gastrointestinal hemorrhage.Results:There are 62(15.9%) cases of ACA combined with UGH in 391 cases of ACA. The incidence rate increases with the growing age, and the percentage is 51.6% when the age is ≥ 70 years. The rate of bleeding cerebral apoplexy is obviously larger than that of ischemia one(P0.01). The rate of thalamus bleeding, apoplexy entering cerebral ventricle is larger than that of bleeding at other positions (P0.05,P0.01).The rate of cerebral infarction in large area, frequent cerebral infarction is larger than that of other ones (P0.05,P0.010). The rate of the serious cerbral apoplexy is larger than that of the slight one or medium-degree one(P0.01). There is a very significant difference (P0.01)between the death rate of cerebral apoplexy combined with UGH (24.2%) and that of cerebral apoplexy combined with no UGH (3.6%). Conclusion:ACA combined with UGH is correlated with the type of cerebral apoplexy, the position of pathological changes and the degree of the illness.

1临床资料 患者,男,13岁,主因走路不急、说话不清2年,恶心、呕吐伴头痛、四肢抖动3 d而就诊.

急性胃粘膜病变(AGML)是机体在应激状态下或胃粘膜接触某些物质而引起的急性胃粘膜糜烂、坏死、溃疡形成的统称,其主要临床表现为上消化道不同程度出血.1995年5月至2000年10月间我院收治52例5km武装越野训练士兵急性胃粘膜病变上消化道出血病历,本文对其临床资料进行总结分析,以探讨防治AGML的对策.

[Objective] To find certain epidemic characteristics of peptic ulcer of young soldiers. [Method] A review analysis of gastro-scope materials of 2028 young soldiers and clinical materials of 426 peptic ulcer cases were made, along with a dynamic analysis, of detective rate of peptic ulcer, years of service, and combined hemorrhage. [ Result] The attack of peptic ulcer is more common among the young soldiers who are from the north area of China and have been in the army for less than 2 years. And the detective rate of peptic ulcer through gastroscope and the combined hemorrhage are gradually increasing yearly. [Conclusion] Prevention and treatment of peptic ulcer are still the major task of the army medical staff. If the prevention task is accomplished purposely and properly, the attack of peptic ulcer may be decreased.