肾性骨病是慢性肾脏病的常见并发症,是慢性肾脏病患者致死及生活质量下降的重要原因.CKD患者长期钙磷代谢紊乱可导致甲状旁腺功能亢进、矿物质及骨代谢异常,出现机体的免疫功能低下、转移性钙化等临床病理生理改变.目前,西医治疗主要集中在高磷血症和继发性甲状旁腺功能亢进的纠正上,而中医药治疗本病具有保护肾功能、改善临床症状及提高生活质量等优势和特点.

目的 了解精神分裂症血脂水平及药物对其血脂的影响.方法 精神病患者在服药前及服药后4W抽血测定血脂浓度并与对照组进行比较.结果 患者组服用抗精神病药物前与对照组比,TC、TG、HDL-C均无明显差异,LDL-C有显著差异.患者组用药后与用药前比,TC、TG、LDL-C均有明显差异,而HDL-C差异无统计学意义.结论 精神分裂症能引起血脂代谢紊乱,患者药物治疗后TC显著增高.

目的回顾性总结低血钾性麻痹的临床特点及护理。方法对45例低血钾性麻痹患者进行临床分析。结果 45例患者病情稳定,经过补钾和针对病因治疗,全部痊愈出院。结论低血钾性麻痹完全可以早期发现、早治疗,减少死亡。

目的观察口服米非司酮联合依沙吖啶羊膜腔内注射用于终止中期妊娠的临床效果。方法选择孕14～27周自愿终止妊娠孕妇284例,随机分2组:观察组142例,口服米非司酮联合依沙吖啶羊膜腔内注射终止妊娠;对照组142例,单纯依沙吖啶羊膜腔内注射终止妊娠。观察2组宫缩发动时间、宫缩至引产结束时间、引产总时间、出血量及胎盘胎膜残留量。结果观察组用药至正规宫缩发动时间、总产程时间、胎盘胎膜残留、产后出血量及宫颈软产道裂伤发生率与对照组比较,差异均有统计学意义(P<0.05或P<0.01)。观察组引产效果优于对照组(P<0.01)。结论口服米非司酮联合依沙吖啶经腹羊膜腔内注射用于中期妊娠引产是一种简单、安全、有效、快速的终止妊娠的方法,效果满意。

Objective To investigate the effect of laparoscopy combined with intraoperative medication on preventing persistent ectopic pregnancy after tubal pregnancy.Methods 41 cases of unruptured tubal pregnancy in our hospital were as the therapeutic group.42 cases of unruptured tubal pregnancy were as the control group at the same period.The therapeutic group received laparoscopic fenestration of extrusion technique of tubal pregnancy combined with local injection and peritoneal lavage using methotrexate.The control group received laparoscopy and postoperative muscular injection of methotrexate.Results The postoperative incidence rate of persistent ectopic pregnancy in the therapeutic group was lower than that of the control group.The difference was significantly different(P0.05).Conclusion Laparoscopy combined with intraoperative medication have satisfied effect to prevente persistent ectopic pregnancy after tubal pregnancy.

目的对该院应用碳酸锂治疗精神疾病患者的血锂浓度进行监测,为临床合理使用碳酸锂提供参考。方法对该院2005年1月至2010年12月453例长期服用碳酸锂的患者进行回顾性调查。结果 453例碳酸锂治疗患者中,有81例血锂浓度小0.60 mmol/L,363例在0.60～1.20 mmol/L,9例大于1.20 mmol/L,提示有80.13%的患者达到用药浓度,17.88%的患者未达到有效浓度,只有1.54%的患者出现早期中毒症状。结论该院临床对碳酸锂的运用基本合理。

Objective To investigate the effects of Yimucao Injection combined oxytocine to prevent postpartum hemorrhage and promote involution of uterus after vaginal delivery.Methods 285 cases of vaginal delivery in our hospital were randomly divided into the Yimucao group(A),Yimucao plus oxytocine group(B) and oxytocine group(C).The postpartum vaginal bleeding volume in various time intervals,involution of uterus,changes of postpartum hemoglobin,changes of lochia,changes of blood pressure,heart rate and drug adverse reactions were observed in various groups.Results The postpartum vaginal bleeding volume,involution of uterus and lochia time in the group A and B were lower,better and shoter than those in the group C.Among 3 groups,there were no significant changes in hemoglobin,blood pressure and heart rate during prepartum and postpartum periods,and no drug adverse reactions occurred.Conclusion Yimucao Injection can reduce the postpartum vaginal bleeding with slow and persistent uterine contraction effects,and its use in combination with oxytocine has better effects for preventing postpartum vaginal bleeding and better safety.

Objective:To discuss the technical insufficiency of removing the IUD failure in postmenopausal and the solution.Methods:Review analyze the 151 patients of removing the IUD failure in postmenopausal,the 151 patients were treated with cervical injections 1% lidocaine or oral Nylestriol by a week later or taking Mifepristone and Taking misoprostol in sequential after 2 hours to remove the IUD again.Results:That have poor treatment outcomes of Cervical injection of 1% lidocaine;Nylestriol with mifepristone and misoprostol have no significant difference in the effect to remove IUD,intraoperative pain,blood loss.Taking Mifepristone and misoprostol sequential have Best effect In the cervical dilation.Conclusion:Nylestriol mifepristone and misoprostol are safe and effective in postmenopausal intrauterine IUD removed before.

Objective:To investigate the clinical effect of hysteromyomectomy in cesarean section.Methods:41 cases of uterine fibroids with pregnancy in our hospital were as the therapeutic group.45 cases of uterine fibroids with pregnancy were as the control group at the same period.The therapeutic group was gave hysteromyomectomy in cesarean section.The control group was gave cesarean section.To compare the intraoperative and operative situation.Results:The operative time in the therapeutic group was longer than the control group.The blood loss in the therapeutic group was more than the control group.The differences was all statistically significant,p<0.05.The time of postoperative anal exhaust and being in hospital had not statistically significant differences,P>0.05.The incidence rate of puerperalism in the therapeutic group was 7.32%.The incidence rate of puerperalism in the control group was 4.44%.The difference was not statistically significant through test,P>0.05.Conclusion:Hysteromyomectomy in cesarean section was safe for the patients of uterine fibroids with pregnancy if we grasped the indication of hysteromyomectomy in caesarean section.

1 病例介绍 患者,男,42岁,因右侧腹股沟包块3月余,于2006年7月16日来本院就诊并收住院,查体见右侧腹股沟区可触及一约7 cm×3 cm×2 cm大小包块,质硬、压痛、局部红肿、周围浅表淋巴结未及肿大,腹软,无压痛及反跳痛,肝、脾肋下未触及,肝、肾区无扣击痛,移动性浊音(一),肠鸣音正常.

我们1997-01～2002-03应用生化汤防治药物流产后出血,效果良好,总结如下.