目的:探讨电子鼻咽喉镜下咽鼓管置管并注药辅助治疗突发性耳聋的疗效.方法:在电子鼻咽喉镜下经咽鼓管置入改良F4型输尿管导管达鼓室端,注入甲强龙0.5ml,隔日一次,共五次,同时应用常规治疗方法.结果:共治疗32例病人,治愈13例(40.63％),显效7例(21.87％),有效7例(21.87％),无效5例(15.63％),总有效率达84.37％.结论:电子鼻咽喉镜下改良F4型输尿管导管经咽鼓管鼓室注药辅助治疗突发性耳聋,效果明显可靠,操作简单方便,无明显并发症,值得推广.

目的:观察痰热清注射液喉头滴入联合中频理疗治疗慢性喉炎的临床疗效.方法:选取我科近2年来慢性喉炎患者150例,随机分成实验组和对照组各75例,实验组患者给予痰热清注射液3ml喉头滴入联合中频理疗,对照组给予庆大霉素4万单位,糜蛋白酶2000U,醋酸泼尼松龙25mg,生理盐水1ml喉头滴入联合中频理疗,均每天1次,每次20分钟.7天为1疗程,连续2个疗程.对两组患者的临床治疗效果进行对比分析.结果:实验组患者的临床治疗有效率显著高于对照组,两者比较差异有统计学意义(P<0.05);另外实验组患者的药物安全性显著高于对照组患者.结论:采用痰热清注射液喉头滴入治疗慢性喉炎效果显著,可明显提高治疗有效率,缓解喉部症状,值得推广.

蒿属是我国东北地区夏秋季的主要变应原[1],其引起疾病者症状严重,季节性明显.本研究旨在通过比较蒿属皮肤点刺实验(skin prick test,SPT)不同皮肤风团直径以及不同皮肤反应指数(skin index,SI)对应的血清特异性IgE(specific IgE,slgE)阳性率以及SPT级别与血清slgE级别的关系,评估蒿属变应原SPT结果与血清slgE之间的相关性.

Objective To obtain the clinical features of the allergic rhinitis patients in Harbin through investigation of the clinical data on the patients suffered from high reactivity rhinopathy and to investigate the distribution of allergens.Methods The complete files of medical history were collected and AllergyScreen tests and IT tests were done in 518 high reactivity rhinopathy patients from July 2010 to June 2011.Results Four hundred and eleven(79.34%)AR cases were diagnosed in the 518 high reactivity rhinopathy patients.Moderate to severe persistent AR patients were found in 198 cases(48.18%).Moderate to severe intermittent AR patients were found in 127 cases(30.90%).Onset of AR was ranged from July to September.The complications of AR included asthma(25.55%)and dermatitis(2.67%).Among 411 AR,the most common allergen was dust mite(90.75%),wormwood(45.25%),moulds(33.58%)and pollen(tree mix)(30.65%).Conclusions AR in Harbin district has its own clinical characteristics and the major allergens were dust mites,wormwood,moulds and pollen(tree mix).

<正>翼腭窝(pterygopalatine fossa,PPF)是位于颅底交界处眶尖后下方的狭长骨性间隙,由蝶骨体、蝶骨翼突、腭骨垂直板与上颌骨体围成,是头颈交界区颅底的重要结构,位置深在、空间狭小、解剖关系复杂,分别与