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Choose medicaments correctly, reasonable use medicaments, in order to make sure with medicine safety is mixed effective will be henceforth the main task that clinical medicine learns, for solution control hospital the clinical current situation that use drug reachs existence issue, promote the development of the reasonable job that use drug, raise a hospital reasonable the level that uses drug, the prescription of two place has outpatient service of author general hospital, be in hospital analytic research, summary goes out unreasonable a few big states that use drug, undertake classified at the same time. 1 clinical unreasonable with medical analysis each division all applies 1 abuse of 1 · or antibiotic of blind application antibiotic extensively, utilization rate amounts to 70% above, among them couplet is used rate be as high as 40%, appear even 2 couplet, triplex above, the commonnest abuse is infection of the upper respiratory tract, be admitted to hospital give 2~3 to plant antibiotic cure. 1 · of 1 · 1 without point to this kind to the cure that ask for uses drug unreasonable with medicine main show is in the person that the virus sex appeal such as hepatitis of sex of common cold, chicken pox, berpes zoster, virus is caught, in infection of not amalgamative bacterium, point to without what apply antibiotic ask for next using medicine. Incontrollable virus affects antibiotic, increase hepatic burden instead to patient of virus sex hepatitis.

梗概: 正确选择药物,并合理使用药物,以保证用药平安和有效是今后临床药学的重要任务,为了解把握医院临床用药目前状况及存在新问题,推动合理用药工作的发展,提高医院合理用药的水平,笔者将医院门诊、住院两处的处方进行分析探究,总结出不合理用药的几大状况,同时进行分类。1临床不合理用药的分析1·1滥用或盲目应用抗生素抗生素各科均广泛应用,使用率达70%以上,其中联用率高达40%,甚至出现二联、三联以上,最常见滥用为上呼吸道感染,入院给予2~3种抗生素治疗。1·1·1无指征的治疗用药这类不合理用药主要表现在普通感冒、水痘、带状疱疹、病毒性肝炎等病毒性感染者,在未合并细菌感染,无应用抗生素的指征下用药。

Methods The clinical data of 242 patients with senile spinal kyphotic deformity in PUFH from April 2003 to February 2007 was retrospectively analyzed. There were 68 males and 174 females, with the average age of 71.5 years.

回顾性分析北京大学第一医院2003年4月至2007年2月收入院,具有完整诊治记录及随访资料的242例老年性脊柱后凸畸形患者,男68例,女174例;年龄53~87岁,平均71.5岁。

RESULTS: In this series, 6 cases showed hematemesis, 2 showed melena and 5 showed both symptoms. All cases underwent endoscopic examination after being hospitalized; 11 cases received a positive diagnosis by endoscopy (11/13, 85%), the success rate of first endoscopic therapy was 91%(10/11), and 4 cases were treated by laparotomic surgery (4/13, 31%). Among them, definitive surgery was performed under the guidance of endoscopic hemoclipping in 2 patients who failed to be treated by endoscopy. In another 2 cases, diagnosis was missed by endoscopy and definite diagnosis was made only following exploratory operation or on the basis of pathology after the operation.

结果:13例患者临床表现为单纯呕血者6例,呕血伴黑便者5例,单纯黑便者2例,所有病例入院后均行内镜检查;其中11例经内镜确诊(11/13, 85%),首次内镜治疗成功率为91%(10/11)。4例经手术治疗(4/13, 31%),其中2例内镜治疗失败者在内镜钛夹指引下实施确定性手术,另2例内镜漏诊者靠手术探查或术后病理确诊。10例随访患者无1例复发。

Methods: With enzyme linked immunosorbent assay and micronize strengthening immunofixation, The serum OX-LDL and HS-CRP level of 215 patients with ACI was measured on the second day after hospitalization. In addition, 30 healthy volunteers were taken as the control group.

采用酶联免疫吸附试验、微粒化增强免疫固定试验测定215例ACI患者入院第2天血清中OX-LDL、HS-CRP含量水平,并与30例健康者作对照。

The speed is more obvious that the morbility of young and middle-aged large intestine cancer rises than the elder.

2.6 诊治情况 10年间确诊623例大肠癌,入院行根治手术的200例,占32.10%,其他患者有少部分到上一级医院做进一步治疗,而多数患者因经济原因而放弃治疗。

Methods 100 expectant mothers were randomly divided into intervention group(n=50) receiving individual consulation of mental intervention and control group(n=50) without mental intervention, and labor time,deliver mode,postpartum hemorrhage and neonatus Apgar score on birth observed.

将100例待产妇随机分为两组,每组各50例,干预组于入院后给予个体咨询等心理干预,对照组未进行心理干预,观察两组各产程时间、分娩方式、产妇产后出血以及新生儿出生时Apgar评分情况。

Intern: This 66-year-old woman was admitted to hospital in January 27 2000 with the nephritic syndrome.

实习旺:这是一位66岁的老年女性,因肾病综合症于2000年1月27日入院

Objective: Determination the neurotension content through the hypertension patients acupuncture treatment union pharmacotherapy around,further discusses the acupuncture treatment union pharmacotherapy to treat the action mechanism ofhypertension.

目的:通过测定高血压患者针药结合治疗前后神经降压素的含量,进一步探讨针药结合治疗高血压病的作用机理。方法:将75例患者按入院先后顺序随机分为2组:针刺加药物组45例及药物组30例,观察治疗前后神经降压素的变化情况。

Methods To compare levels of hsCRP and SF in 30 cases of progressive ischemic stroke with those in 30 cases of nonprogressive ischemic stroke on the 1st,3rd,7th and 14th day during hospitalization respectively. The relationship of levels of hsCRP and SF with condition in patients with ischemic stroke was analyzed.

方法分别于患者入院第1天、第3天、第7天和第14天分别检测缺血性脑卒中患者hsCRP和SF血清浓度,比较进展组与非进展组的差异,分析hsCRP和SF动态水平与缺血性脑卒中患者病情的关系。

Since long ago, our country mostly adopts the nonvoluntary in hospital way regarding the mental disease patient.

长期以来,我国对于精神疾病患者大多采取非自愿入院方式。

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你知道吗,我需要你回来

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1〕 杨银书,王祥生,李德昌。安徽省首次发现嗜群血蜱。

Chapter Three: Type classification of DE structure in Sino-Tibetan languages.

第三章汉藏语&的&字结构的类型划分。