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The response patterns were analyzed and categorized. The prolonged asystole was searched. Follow up was made at the outpatient clinic or by phone during October 2004. Two hundred forty-two patients (40.1%) had positive response. 172 patients (71.1%) with the mixed type, 60 patients (24.8%) with the vasodepressive type and only 10 patients (4.1%) with the cardioinhibitory type.

反应的型态皆加以分析及归类并寻找有长的心跳停止者而於2004年十月於门诊或电话做追踪。242位病人(40.1%)为阳性反应,其中172位(71.1%)为混合型,60位(24.8%)为血压下降型,而仅有10位(4.1%)为心跳抑制型。

Abstract] objective to discuss the effect of two kinds of nursing methods of male urinary incontinence patients to urinary tract infection and patient's comfortable influence of degree.methods 80 masculine urine incontinence patients in our hospital with voluntary will were chose,and divided them into the observation group and the comparison group,with 40 examples each.the observation group used bt-ⅰ high level chamber pot,the comparison group used the catheter.compared with 2 groups after nursing of the 3rd,7th,10th,14th day-long urethral meatus bacilliculture,the severance urine bacilliculture result and the urine road junction partial symptom.results compared the results of urine road and severance urine bacilliculture,and the urine road junction partial symptom of two groups,the observation group masculine positive rate was obviously lower than the comparison group,the difference had statistics significance(p.05).conclusion using bt-ⅰ chamber pot can effectively enhance the nursing effect of the masculine urine incontinence patients'perineum and periphery skin,enhance the patients' degree of comfort.

目的 探讨男性尿失禁患者两种护理方法对尿路感染及患者舒适度的影响。方法本着患者及家属自愿选择的原则将入住我院的男性尿失禁患者80名分为观察组和对照组各40例。观察组利用bt-ⅰ型高级透气接尿器,对照组采用留置导尿管,比较两组护理后第3、7、10、14天的尿道口的细菌培养结果及尿道口的局部症状。结果两组患者尿道口培养结果及尿道口局部不良症状比较,观察组阳性率明显低于对照组,差异有统计学意义(p<0.05)。结论使用bt-ⅰ型接尿器可有效提高男性尿失禁患者会阴及周围皮肤的护理效果,提高患者的舒适度。

Results: 43 cystic renal occupying lesions were found in 37 patients, According to ultrasound diagnostic criteria, l3 were hypoechogenic, l7 were isoechongnic and l3 were hyperechogenic. Category of these lesions under CT examination was based on the Bosniak system. 26 lesions of class Ⅱwere found in 24 patients, 12 lesions of class Ⅲin 8 patients and 5 lesions of class Ⅳ in 5 patients . Open operation was done on 18 cases including 4 cases of renal carcinoma.

结果:37例复杂性囊性肾脏,发现肾脏占位病变43个。B超以低回声为主病变13个,等回声病变为主17个,高回声病变为主13个;CT诊断Ⅱ类囊性病变24例(26个),Ⅲ类囊性病变8例(12个病变),Ⅳ类囊性病变5例(5个病变);手术18例,其中4例为肾脏恶性肿瘤。

RFA was undertaken percutaneously on an outpatient basis in 13 patients (25 lesions). The remaining patients underwent RFA via laparoscopy (21 patients; 58 lesions) or celiotomy (16 patients; 49 lesions); mean hospital stay was 1 and 5 days, respectively.

13位病人(25个病灶)的采用经皮下植入的射频治疗,其他病人包括21位病人(58个病灶)采用了腹腔镜下的射频消融手术和16位病人(49个病灶)开腹手术治疗;平均住院时间分别为1和5天。

Results All patients underwent percutaneous cholecystostomy with technical success without major periprocedural complications. 93 (96%) patients responded well clinically showing disappearance of right upper abdomen pain and fevers within 72hr. 4 patients complicated with common bile duct stones were underwent PTCD one day after the procedure because of no response clinically. After PTCD, all 4 patients attained clinical symptom relief within 72hr.

结果 所有97例患者均一次置管成功,无任何并发症。93例(96%)患者临床体征如右上腹疼痛、发热在72h内缓解;同时,血常规中的WBC及中性粒细胞均于72h内降至正常范围。4例患者由于肝总管内结石合并胆管炎临床症状缓解不明显而于第2天行经皮肝穿胆管引流术,术后临床症状于72h内亦缓解。

2The involvement of MFT in woman is more than that in man.(3)The patients showed multiple dome-shaped, skin-colored, firm papules on the face. Some patients also present the lesions on the scalp and neck. No lesion showed the malignant tendency.(4) The histologic findings of MFT are cornified cysts and some nests of basaloid epithelial cells.(5)There were variable clinical expressions in different patients of the same family.(6) Some pedigrees were also affected by feckle or symmetrical progressive erythrokeratoderma, which were not found in MFT patients of other origin.

MFT临床分析总结:①MFT遗传方式为常染色体显性遗传;②女性发病多于男性;③中国汉族人MFT的典型皮损特征为面部乳白色半球形或圆锥形丘疹,质地坚实,只有2个家系皮损分别发生于头皮及颈部,均无恶化倾向;④组织病理特征为角质囊肿和由基底样瘤细胞构成的肿瘤岛;④同一家系中不同的患者表现度不同;⑤个别家系可伴发雀斑及进行性对称性红斑角化症,其它家系不伴发其他疾病。

objective: to investigate diagnosis and treatment choice of detrusor hypoactivity with impaired contractile function on voiding function in benign prostatic hyperplasia.methods:the clinical date of 48 bph patients with dhic were analyzed,including clinical diagnosis,urodynamic parameters,treatment and follow-ups.results:37 patients with detrusor instability and over 40 cmh2o bladder pressure were treated successfully by turp.the time of indwelling suprapubic punctural cystostomy cathter was(1~8)weeks.11cases without di and under 40 cmh2o bladder pressure were treated by suprapubic punctural cystostomy,accepted the test of urodynamics after(1~3)months.7 cases with di were treated successfully by turp,4 cases without di were indwelled suprapubic punctural cystostomy cathter all life.conclusion:dhic worsens the voiding function of the patients with bph,and the test of urodynamic is helpful to diagnose and could provide more convinced evidences for treatment of patients.

分析膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力良性前列腺增生48例患者的临床资料,包括诊断,尿动力学检查,治疗及随访结果。结果:37例经尿流动力学检查,诱发存在逼尿肌不稳定,伴膀胱内压达40 cmh2o以上,采取turp,术后留置膀胱造瘘管(1~8)周后全部拔除,排尿通畅。11膀胱内压始终未达到40 cmh2o,且在膀胱注水充盈过程中无逼尿肌不稳定出现,行膀胱造瘘后出院,(1~3)个月后经尿动力学检查复查膀胱逼尿肌收缩力,其中7例膀胱逼尿肌收缩功能有恢复,行经尿道前列腺汽化电切术治愈;剩余4例膀胱逼尿肌收缩功能几乎无任何改善。长期留置膀胱造瘘治疗。结论:良性前列腺增生导致膀胱过度充盈所致逼尿肌损伤,引起膀胱逼尿肌收缩无力患者,术前应用尿流动力学检查对膀胱逼尿肌损伤程度进行认真分析,可进行有针对性的治疗。

Results there are 22 affected patients (10 males and 12 females with approximately equal sex ratio) and the mean age of onset was 16 years old.fifteen patients had positive family history.the major symptom experienced was itching.keratotic papules were invariably present in our patients and mixed pattern with seborrheic plus flexural involvement was the commonest phenotypic variation.all of them had acral signs; 36.36% patients had oral mucosal lesions.lesions were most frequently found on face,ears and back of ears,neck.focal acantholytic dyskeratosis with corps rounds and grains were the usual histopathological findings.

结果 22例患者中有女10例,男12例,男女比例基本相当。平均发病年龄16岁。其中15例有家族遗传史。主要的症状是瘙痒。多在皮脂溢出部位和屈侧皮肤可见油腻性角化性丘疹,且全部病例肢端受累,36.36%患者口腔有皮损。最常见部位依次为面部、耳部和耳后、颈部。局限性棘层松解性角化不良及其产生的圆体和谷粒是最常见的组织病理学改变。

Thirty four patients with dysphagic stroke were divided into 2 groups on the basis of MMSE score, in which 16 patients are dysphagia complicating cognition functional impairment and 18 patients were just swallowing functional disturbance. All patients accepted treatments including swallowing functional training and acupuncture therapy.

34例脑梗死并发摄食-吞咽功能障碍患者,根据MMSE认知功能评定将患者分为吞咽功能障碍合并认知功能缺损组16例,单纯吞咽功能障碍组18。B组患者给予吞咽功能训练并行针灸治疗,A组在B组治疗方法的基础上进行认知功能的评定、训练和心理疏导。

Adopt prospective study method that we divide 50 COPD patients into two group in random,the contrast group(25 patients) to treat by routine western medicine.The therapeutic group(25 patients) to treat by the Bailing capsule and the lung recovery medical gymnastics.After 6 months,we observe the patients' condition of lung ventilation,dyspneic respiration and disease resistance.

采用前瞻性研究方法将50例缓解期慢性阻塞性肺疾病患者随机分成2组,对照组(25例)单用常规西药治疗;治疗组(25例)加服百令胶囊并联合肺康复医疗体操治疗;疗程均为6个月,观察患者肺通气、呼吸困难、抗病能力的改善状况。

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The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应,而且减少跟风的可能性。

The new PS20 solar power tower collected sunlight through mirrors known as "heliostats" to produce steam that is converted into electricity by a turbine in Sanlucar la Mayor, Spain, Wednesday.

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