住院治疗

Because corticosteroid can modify the immunological process which is considered the major mechanism involved in AHS, it is used to treat AHS clinically. However, corticosteroid therapy may have deleterious effect (e.g., delayed healing of cutaneous lesions, infections, prolonged hospital stay). Therefore, the use of corticosteroids for AHS remains controversial. We reported a 54-year-old man who had underlying diabetes mellitus with chronic renal insufficiency, hypertension and hyperlipidemia. Allopurinol 100mg twice a day was initiated one month prior to admission. After taking the drug for 24 days, he developed a generalized mild itchy eruption on the trunk and upper extremities followed by chillness, fever, ocular discomfort and painful oral ulcer over one-week period and was admitted to the hospital. A skin biopsy revealed changes consistent with Stevens-Johnson syndrome.

本文报告一位54岁的男性患者，有高血压、高血脂、糖尿病及慢性肾脏功能不全的病史，最近发现有高尿酸血症(11.1mg/dL)而开始服用Allopurinol，在服用24日后，因为逐渐发生皮肤红疹搔痒、口腔溃疡、发烧、畏寒以及眼睛不适，一周之后到医院就医，经诊断为服用Allopurinol所造成之史帝文森－强生症候群(Stevens-Johnson syndrome)，因而在皮肤科住院接受治疗，由於病人有高血压、高血脂及糖尿病，所以入院后仅以支持疗法，并未给予全身性类固醇，然而病人之病况恶化，并有肾功能恶化，因而於住院两日后，转进肾脏科病房，在使用全身性类固醇治疗之后，病况持续改善，并在2周后出院。

3Clinical investigation: during the epidemicity of SARS, 21 SARS patients were admitted by Inner Mongolian Hospital between April and May , 2003. as a controlled group who were treated with anti-virus, antibiotic, immunization and allowance of nutrients: and another 21 SARS patients as clinical treatment group who were treated with both Erihemu-8 (3g once, twice a day, taken orally , ten days in all ) and the above medicines.

3临床观察：在SARS 暴发流行期间，对内蒙古自治区医院在2003年4～5月收治的SARS 住院患者选取21例作为临床对照组，给以抗病毒，预防感染，免疫调节，营养支持，对症；另选取21例SARS 住院病人作为治疗组，在上述治疗基础上加用蒙药额日赫木—8，3g/次，2次/日，冲服，疗程10天。

Lienal embolism of conclusion surgery splenectomy and partial sex treats hyperfunction of liver cirrhosis lienal function to all have exact curative effect, partial sex embolism is reducing time of patient be in hospital, reduce charge of be in hospital to reach maintain respect of patient immunity function to have an advantage more, but remedial program needs individual change.

结论外科脾切除和部分性脾栓塞治疗肝硬化脾功能亢进均有确切疗效，部分性栓塞在减少患者住院时间、降低住院费用及维持患者免疫功能方面更有优势，但治疗方案需个体化。

The CRS2280 Short Wave Hypertherm System applies treatment technic of no-hospitalization, no-operation, no-injection, no-fulgurate, no-cannula, no-sidelying, no-wound, no-pain, treated style of safety and comfortable, can go back just after treatment, it is deeply welcomed by patients, it is according with the treatment style of "no-intervention, no-pain, no-wound", which is extended with strength by WHO, it represents the development direction of medical and rehabilitation equipment.

CRS2280的医疗技术应用短波发热技术，是适用于无需住院、手术、注射等的治疗技术，无伤口，无痛苦，这种治疗方式安全舒适，治疗后即可立即回家，深受患者欢迎，这与"不干预，无痛苦，无伤口"的治疗方式相符合，深入广泛的被人们认可，体现了医学治疗与康复设备的发展。

Methods assessment and comparison were made with mini-mental state examination and sandoz clinical assessment geriatric to 31 hospitalized patients with senile dementia (15 cases with alzheimer disease, ad, and 16 cases with multi-infarct dementia, md) before treatment and 4 weeks after treatment.results small dosage of olazapine could improve the psychotic symptoms of the patients with senile dementia; the total score of mmse after treatment increased obviously, and each factor score of scag showed out improvement.conclusions olazapine is effective in improving the psychotic symptoms of the patients with senile dementia.

对31例老年性痴呆（阿尔茨海默病15例和多发性脑梗死性痴呆16例）住院患者在治疗前、治疗后4周，采用简易智能状态检查及老年临床评定量表进行评定、比较。结果应用奥氮平治疗老年性痴呆患者的精神症状用量小，治疗后mmse总分明显增加。scag各项因子分明显改善。结论奥氮平治疗老年性痴呆的精神病性症状临床疗效肯定。

Methods: We conducted a retrospective cohort study by reviewing medical records of patients with crotaline snakebite between 1991 and 2005. We used a structured questionnaire to abstract information on demographic variables, treatment, adverse effects of antivenom, and local/ systemic complications. T-test, chi-squared test, and multiple logistic regression were employed in data analyses.

我们回溯性地分析自1991-2005年台北荣民总医院有关毒蛇咬伤住院之个案，利用专属的问卷详细摘录这些住院病人的年龄、性别、过去病史、咬伤伤口的症状、全身性临床表徵、实验室资料、所有的治疗(包括抗蛇毒血清剂量与抗生素和其他药物)、临床预后结果、产生的并发症和住院的天数。

RESULTS Duodenal ulcer was the first cause of upper gastrointestinal hemorrhage. Gastric ulcer, cirrhosis, Mallory-Weiss syndrome or acute gastric mucous lesion was the second cause of the illness alternatively. The rate of endoscopy and emergent endoscopy has been going up year after year and got up to 80% in 1998. Bleeding and active hemorrhage, respectively were found in 24.3% and 14.9% of the patients underwent endoscopy before medication. Endoscopic hemostasis was performed in 108 patients by spraying hemostatics and a good response was achieved subsequently. Hemostatics were mainly cimetidine and yunnan baiyao before 1994. Reptilase, pPI, famotidine and ranitidine were used increasingly while cimetidine and yunnan baiyao were used decreasingly. Octreotide was used in patients with cirrhosis commonly. The length of hospital stay and the period from admission to bleeding cease tended to be shorter year by year, but the reduction rate was small. The uses of ranitidine, famotidine, pPI, reptilase, octreotide, early endoscopy and endoscopic therapy may play a role in improving the therapeutic effect of hemostasis, reducing the hospitalization and the mortality.

结果 十二指肠球部溃疡是历年上消化道出血的首要原因，胃溃疡、肝硬变、Mallory -Weiss综合征、急性胃粘膜病变则交替成为第2位出血原因；内镜诊断率和急诊内镜率逐年提高，1998年达到80%，内镜下见出血者占内镜检查的24.3%，而见到活动性出血者仅占内镜检查者的14.9%；内镜下止血108例次，成功率100%；1994年前治疗药物主要为云南白药和甲氰咪胍，之后，随着立止血、质子泵抑制剂、法莫替丁、雷尼替丁等药物使用的逐渐增多，前二者的使用逐渐减少，善得定多用于肝硬变出血；住院天数和止血天数呈逐年下降的趋势，但幅度微小；雷尼替丁、法莫替丁、PPI、立止血、善得定的使用以及及时的内镜检查和内镜下治疗在提高止血效果、缩短住院天数、降低死亡率方面可能起到了一定作用。

Materials and Methods: According to authoritative clinical diagnosis standards and evaluation standards, 90 cases of outpatients and inpatients were selected as the research subjects. These patients of H.pylori associated alimentary disease all failed on routine triple therapy and belonged to deficiency-cold of spleen and gaster, damp-heat of spleen and gaster as well as stagnant blood of gaster. 90 cases were divided into three groups stochastically. Among these patients, 30 cases were served as contrast groupⅠ treated by "Omeprazole, Clarithromycin, Metronidazole", 30 cases were served as contrast groupⅡtreated by "Omeprazole, Levofloxacin, Ornidazole", the other 30 cases were served as observation group treated by "Qingyou Soup" associated with above-mentioned routine medicines. The period of treatment of all three groups was 2 weeks.

资料与方法：根据2007年《第三次全国Hp共识会议》制定的Hp感染临床诊断标准、根除标准，以及2002年《中药新药临床研究指导原则》的病例选择标准、中医辨证标准、临床疗效判断标准，选择经西医常规三联疗法根除失败的Hp感染相关消化疾病，且中医辨证属脾胃虚寒、脾胃湿热、胃络瘀血证的门诊和住院患者90例，随机分为对照组Ⅰ、对照组Ⅱ、治疗组，对照组Ⅰ30例予常规三联药物&奥美拉唑、克拉霉素、甲硝唑&治疗，对照组Ⅱ30例予新三联药物&奥美拉唑、左氧氟沙星、奥硝唑&治疗，治疗组30例予中药方剂&清幽汤&联合上述常规三联药物治疗，三组均以1周为一个疗程，共治疗2个疗程。

The results suggest that clinical pathway the patient during period of hospitalization of surgical operation of panhysterectomy enable medical staff to fulfill intensive care, medical diagnosis and therapy in time, enable recourses to be used more efficiently, and help patients meet expected outcomes with a shorter hospital stay and in-hospital charges.

子宫肌瘤全子宫切除手术病人住院期间临床路径的实施可促使医护人员及时完成监护诊疗工作，提高医疗护理质量，缩短住院时间和住院费用，有效利用卫生资源；临床路径实施为病人治疗护理提供一标准化模式，促使医患双方共同促进病人的术后康复进程，最终达到提高病人满意度的目的。

Methods Vaginoplasty with sigmoid was applied to 18 cases,and vulvar inguinal skin flap transfer to 5 cases.

2 3例先天性无阴道患者，采用乙状结肠阴道成形术治疗 18例，行阴股沟皮瓣移植阴道成形术治疗 5例，对两种手术方法的疗效、手术时间、出血量、术后住院时间和住院费用进行比较。

And Pharaoh spoke to Joseph, saying, Your father and your brothers have come to you.

47：5 法老对约瑟说，你父亲和你弟兄们到你这里来了。

Additionally, the approximate flattening of surface strip using lines linking midpoints on perpendicular lines between geodesic curves and the unconditional extreme value method are discussed.

提出了用测地线方程、曲面上两点间短程线来计算膜结构曲面测地线的方法，同时，采用测地线间垂线的中点连线和用无约束极值法进行空间条状曲面近似展开的分析。