目的：探讨经尺骨鹰嘴截骨内外侧柱双钛板固定治疗肱骨髁间骨折的临床疗效。方法对我院2009年1月-2012年10月收治的20例肱骨髁间骨折患者采用经尺骨鹰嘴截骨内外侧柱双钛板固定治疗。结果所有手术切口均甲级愈合，患者均获得随访，随访时间4个月~18个月，平均10个月，骨折愈合时间4个月~7个月，平均愈合时间5个月。疗效评价参照Cassebaum评分系统，优9例，良8例，可2例，差1例，优良率为85%。结论经尺骨鹰嘴截骨内外侧柱双钛板固定治疗肱骨髁间骨折，手术暴露好，便于骨折解剖复位和固定，使肘关节能早期活动，避免粘连，利于功能恢复，是目前治疗肱骨髁间骨折较理想的方法。

目的探讨微创穿刺术在重症颅脑损伤抢救治疗中的应用价值。方法回顾性分析2007-08-2010-11共收治重症颅脑损170例,均采用急诊微创穿刺术加开颅血肿清除术加外伤标准大骨瓣减压术,配合药物治疗尽快使移位脑组织复位等方法,取得了良好效果。结果微创穿刺手术可以为开颅手术赢得40～60min的时间,微创穿刺术加开颅血肿清除术加外伤标准大骨瓣减压术,能将病死率由40%～60%降为20%。结论重症颅脑损伤抢救治疗中,采用急诊微创穿刺术加开颅血肿清除术加外伤标准大骨瓣减压术,配合药物治疗尽快使移位脑组织复位等方法,能降低病残率和病死率,明显提高患者的生活质量,具有重要的临床意义。

Objective To study the endoscopic characteristics of bleeding from anastomotic ulcer and the efficacy of medical treatment.Methods Retrospective analysis of 40 patients with bleeding from anastomotic ulcer classified by Forrest Endoscopic Classification and the effect of medical treatment had been evaluated.Results After endoscopic examination and treatment of these patients,the amount of blood transfusion,hospitalization days,re-bleeding,and mortality rates were significantly higher(P0.05) than those of controls.There was no significant difference in emergency operation between these two groups(P0.05).Conclusion Antacids combined with endoscopic injection can effectively treat bleeding from anastomotic ulcer and injection according to endoscopic signs of bleeding can improve the efficacy of treatment.

目的:了解地拉普利联合毛花洋地黄甙丙治疗慢性肺源性心脏病心力衰竭的临床疗效。方法:选择100例慢性肺源性心脏病心功能失代偿期患者,随机分为治疗组和对照组各50例。对照组采用抗感染、强心利尿等常规治疗;治疗组在此基础上加用地拉普利联合毛花洋地黄甙丙,观察比较两组的疗效。结果:治疗组总有效率为96%,对照组总有效率为66%,两组比较,差异有统计学意义(P<0.05)。结论:地拉普利联合毛花洋地黄甙丙治疗慢性肺源性心脏病心力衰竭有显著效果,值得临床推广应用。

Objective The purpose summary is tiny to create a Shu double to flush to lead to flow blood while cure the chronic and hard film is swollen in of the experience and curative effect of the clinical application.Methotis Notrmal regulations wears to stab to lead to flow the act 36 and double to to flush to lead to flow set's 40 example curative effect to carry on contrast.Results Double to flushes to lead to flow a set all of 40 cure and accumulate spirit inside 3 a httle amount Lus.The normal regulations leads to flow a matched control 31 to cure and accumulate spirit inside 5 Lus.Conclusion It is more tiny to create a Shu double to to flush to lead to flow a set of curative effect the normal regulations wear to stab to lead to flow a set of good.

阿尔茨海默症为常见的中枢神经系统退行性疾病,临床表现为进行性认知功能障碍。Aβ的神经毒性作用在AD的形成过程中起着重要作用,但其机制相当复杂。本文对近十年来Aβ在AD中的毒性机制进行了综述。

> 港口与海上作业人员颅脑损伤机制复杂,产生的损伤类型较多,临床救治较陆地颅脑损伤复杂。我院于1998年10月至2008年5月共收治颅脑损伤患者109例,现报告如下。一、临床资料1.一般资料:1998年10月至2008年5月我院共收治港口与海上作业人员颅脑损伤109例,均为男性,年龄21～65岁,平均(36.2+4.4)岁。损伤类型:颅脑开放性损伤49

近年来我们对高血压性脑出血的患者,在急性期根据实际情况采取不同的手术治疗方法,应用个体化的治疗原则,取得了较好的效果.总结如下.

回顾我院对1990年3月～2002年3月收治跟腱断裂36例的治疗体会,认为新鲜病例大都疗效满意.但部分病例尤其是闭合性跟腱断裂伤容易误诊、漏诊.