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Methods 180 patients with uterine myoma peri-menopausal period were randomly divided into three groups. Patients in treatmentⅠgroup (n=100) were given Yiqizhuyu decoction. Patients in treatmentⅡgroup (n=40) were given Yiqizhuyu powder (twice a day, by taking medicine after mixing with water). There was a discontinuation at menstruation. Patients in control group (n=40) were treated by cassia tuckahoe capsule (3 pills, thrice a day).

将180例围绝经期子宫肌瘤患者随机分为3组,治疗1组100例予益气逐瘀中药煎剂,日1剂,分2次口服;治疗2组40例予益气逐瘀中药颗粒,日1剂,分2次热水冲服;对照组40例予桂枝茯苓胶囊,每次3粒,每日3次口服。3组均经期停服,3个月为1个疗程,2个疗程后统计疗效。

Histopathologic examination demostrated cystic necrosis in 6 patients, mult ilocular cysticrenal cell carcinoma in 3, and unilocular cystic renal cell carcinoma in 3 patients. 11 patients have been followed up.l patient died of the disease at 9 months. 10 patients had no evidence of disease,whose suvival periods ranged 10 months to 10 years with an average of 3.5 years.

其中肾细胞癌囊性坏死型6例,单房囊肿性肾细胞癌3例,多房囊肿性肾细胞癌3例。11例获随访,其中1例以颅骨转移为首发症状者术后9个月死于肿瘤转移;10例存活至今,存活时间10个月—10年,平均3.5年。

Role of endothelial function and inflammation in patients with cardiovascular risk factors, with and without a history of myocardial infarction;Comparison of gated blood pool SPECT and multidetector row computed tomography for measurements of left ventricular volumes and ejection fraction in patients with atypical chest pain: Validation with radionuclide ventriculography;Plasma adiponectin, T94G gene polymorphism and PAI-1 in patients with and without hypertension;Prognostic value of myocardial perfusion imaging in symptomatic and asymptomatic patients after percutaneous coronary intervention;Impact of early initiation of intravenous therapy for acute decompeusated heart failure on outcomes in ADHERE……

文章摘要:内皮功能和炎症在有或无心肌梗死病史的具有心血管危险因素患者中的作用;门控血池SPECT和多层螺旋CT对于测量不典型胸痛患者左室容积和射血分数的比较:以放射性核素心室造影检查进行验证;有或无高血压的患者的血浆脂联素、T94G基因多态性和PAI-1;心肌灌注成像对经皮冠状动脉介入后有症状和无症状患者的预后评估价值;ADHERE中早期开始静脉用药治疗急性失代偿性心力衰竭对预后的影响

with the improvement of the general practitioner on treatment and communication,most old chronic patients can be reasonable treatment.The primary transfer reason is examinational equipment and drug deficiency,complication:treatment of hypertension and diabetis、the drug treatment need improve.choose self-register patients are more,exploit area health community aren't enough.As transfer patients all come back to commuty,we can recognize the patients' acceptive to general practitioners.

随着社区全科医生的业务水平和管理沟通能力的提高,绝大多数老年慢病病人可在社区得到妥善的救治,转诊的主要原因是医疗检查设备缺乏和药品不足,高血压、糖尿病的并发症治疗、冠心病的药物治疗是社区医生需要加强的,采用自行挂号到三级医院看病的老年患者较多,区域医疗共同体转诊途径利用不足,从经上级医生诊治后病人能全部回到社区医生手中可看出病人对社区医生的技术水平的认可。

METHODS 80 eyes of 47 patients with glaucoma (31 eyes of 18 patients with POAG , 27 eyes of 14 patients with NTG and 22 eyes of 15 patients with CACG ) and 44 normal eyes of 39 control subjects were tested by simultaneous ICGA and fluorescein angiography with Heidelberg retina angiograph. The occurrence and extent of peripapillary atrophy and indocyanine green angiographic anormalies of optic disk were compared between glaucoma and control group, and among the three types of glaucoma as well.

应用Heidelberg共焦激光扫描眼底血管造影仪(Heidelberg retina angiograph,HRA),对青光眼患者47例80只眼(POAG 18例31只眼;NTG 14例27只眼;CACG 15例22只眼)及正常对照组44例44只眼行吲哚青绿眼底血管造影(indocyanine green angiography,ICGA)和荧光素眼底血管造影(fundus fluorescein angiography,FFA)同步检查,比较青光眼与对照组及青光眼各组间视盘旁萎缩(peripapillary atrophy,PPA)以及视盘ICGA表现的差异。

Methods 104 patients with chronic cerebral circulation insufficiency were randomly divided into two groups.in basis of routine therapy, patients in treatment group (n=56) were treated by yangxue qingnao granules,4 g,three times a day; patients in control group (n=48) were treated by troxerutin, 3 pills a day.the course was 30 days in two groups.the indexes of hemorrheology and mca,aca,pca, va, ba and pi were observed before and after treatment.results there were significant differences between two groups in blood viscosity, plasma viscosity, mca,aca,pca,mca and pi after treatment (p.05).conclusion yangxue qingnao granules have definite effect on chronic cerebral circulation insufficiency, and decrease and hemorrheology in patients with ccci, relieve angiospasm and improve clinical symptoms.

将慢性脑供血不足患者104例随机分为2组。在常规治疗基础上治疗组56例加服养血清脑颗粒,每次4 g,每日3次口服。对照组48例在常规治疗基础上加服曲克芦丁,每次2片,每日3次口服。2组均30日为1个疗程。观察2组临床疗效,治疗前后血液流变学指标及大脑中动脉、大脑前动脉、大脑后动脉、左右椎动脉和基底动脉的搏动指数及阻力指数的变化。结果 2组治疗后全血黏度、血浆黏度,mca、aca、pca的pi及mca的ri及总有效率比较差异均有统计学意义(p<0.05)。结论养血清脑颗粒治疗慢性脑供血不足疗效确切,能降低ccci患者的血液黏稠度及血液流变学指标,增加脑供血,缓解血管痉挛,改善临床症状,改善脑供血不足。

Methods: Between November 2003 and December 2005, 67 patients with renal cell carcinoma underwent retroperitoneal laparoscopic radical nephrectomy (34 patients, group A) and open radical nephrectomy (33 patients, group B). Operating time, blond loss, amount of postoperative drainage, time to ambulation, recovery of intestinal function after operation, the postoperative hospital stay, use of antalgesic and transfusion blood and plasma were compared between group A and group B, retrospectively. Results: In group A, the operations of 31 patients were successful and 3 cases failed, then conversed to open surgery. Firstly, one case were not decented the prerenal fascia and the other two cases occurred complications, one case was due to injurying genital gland vein, with blood loss of 500m1, another fatty renal capsula was too thick to explose the renal pedicle. The operations of group B were all successful, only one case was died of intracerebral hemorrhage after two monthes.

回顾性分析和比较后腹腔镜肾癌根治性切除术(Retroperitoneal laparoscopic radical nephrectomy, RLRN)34例与开放性肾癌根治性切除术(Open radical nephrectomy, ORN)33例,比较两种方法的手术时间、术中出血、术后引流、术后最早下床活动时间、肠功能恢复情况、术后住院时间、术后镇痛剂使用量、术中术后输血、血浆量、术后随访时间及手术效果结果:A组中1例因最初对解剖结构难于辨认,无法分离肾前筋膜至肾门而改行开放手术,1例因损伤精索静脉出血难以控制而改行开放手术,1例因肾周脂肪过多,无法将肾脏掀起显露肾蒂而行开放手术,31例手术成功。B组手术均获成功,1例术后2个月因大面积脑出血死亡,余均无瘤生存。

Results Of 137 patients, 42 of them were complicated with hemorrhage, 53 patients with IFI developed candida anthema in the chest, abdomen and extremity, 49 patients suffering from IFI had organ dysfunction. The chest image revealed that infiltration caused by IFI especially occurred in apex of lung in some patients.

结果 137例IFI患者中并发出血42例;53例患者胸腹部、四肢出现念珠菌疹;49例并发器官功能损害;肺部影像学检查以累及肺尖的炎性渗出为其特征。

Of the 8 cases, 2 cases showed blood Tb-Ab positive, 1 case was positive to antiacid bacillus of sputum, the rest cases with negative TBAb. 3 patients with 2 showed organs infection, 6 patients passed the tissue biopsy diagnose, body temperature of 6 cases fall to normal after 3-7 days of antituberculotic treatment, mild liver dysfunction appeared in 2 patients, hyperuricemia occurred in 7 patients, in addition, 1 patient developed reject reaction. Among all the cases, 7 cases healed, 1 died of pulmonary fungal infection.

其中2例血Tb-Ab,1例腹水结核抗体阳性,1例痰抗酸杆菌阳性,其余结核抗体阴性,3例患者表现为2个脏器感染,6例通过病理组织活检诊断,6例发热者在抗结核治疗3~7d体温降至正常,2例患者在治疗过程中出现轻度肝功能异常,7例出现高尿酸血症,1例出现移植肾排斥反应。8例患者7例痊愈,1例肺结核患者死于肺部真菌感染。6例发热者在抗结核治疗3~7d体温降至正常。

Geotropic nystagmus was seen in 25 patients in Dix-Hallpike test and roll test, while apogeotropic nystagmus in 13 patients. The direction of nystagmus could not be ascertained clinically in 3 patients and the direction of nystagmus was the same during right and left positional test in 5 patients.

35例患者通过两种试验诱发出水平眼震,11例患者仅通过滚转试验诱发出水平眼震。25例患者眼震方向向地,13例患者眼震方向背地, 3例患者眼震方向不固定, 5例患者各种手法诱发出同一方向的眼震。29例患者在双侧手法中出现眼震, 17例患者在一侧手法中出现眼震。

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