内科

And many of these patients, who wouldn't normally get better, showed significant improvement, said Dr Christopher Bever, chief of neurology at the Veterans Administration Medical Centre in Baltimore, where one of the studies was conducted.

Baltimore退伍军人管理医学中心曾进行过一次类似的研究，医院的神经内科主任Christopher Bever称，在一般情况不会好起来的许多患者病情明显好转。

Objective:To investigate the clinical value of the observation for ocular fundus and bulbar conjunction at crisis of medical emergency.

目的：探讨以直接检眼镜观察眼底及球结膜微循环在内科急症危象时的临床价值。方法：采用直接检眼镜观察眼底微循环表征。

Therefore the treatment of esophageal and cardial cancer is often palliative: surgical resection is reserved only to selected cases. Endoscopic palliation was the treatment of choice in a total of 265 patients 174 of which received laser therapy and 91 prosthesis intubation. The results it good in about 80% of cases.

因此食管癌和贲门癌的治疗常常是姑息性的，外科的手术切除仅局限于一些精选的病例。265例病人选择了内科治疗，其中174例用放射治疗，91例用插管治疗，结果约有80%的病例有效。

Because of the undeniable fact that even the best of these devices are expected to significantly underperform surgically implanted aortic valves, the justification for their use has been designated as compassionate if the patient is regarded by cardiological and surgical expertise as the most significant or as having an unacceptably high risk for open heart surgery.

一个不争的事实是：即便是最好的经皮植入瓣膜也不如外科手术置换瓣膜效果好。经皮植入人工瓣膜的使用只适用于那些心内科和心外科专家认为开胸手术会有很大风险的患者。

Objective To explore the relationship between irritable hyperglycemia and the change of serum potassium,serum natrium,serum chloremia on stroke type,developing degree of stroke type,developing of illness and prognosis in ACVD. Methods We detected 4 indexes in 248 patients who suffered from ACVD in one week in our hospital from Jun 2004. to Jun 2005,including 89 cases were intracerebral hemorrhage and 159 cases were cerebral ischemia.

目的 探讨急性脑血管病患者应激性高血糖、血清钾、钠、氯的变化及其与中风类型、病情轻重、预后关系方法本文对我院神经内科2004年6月~2005年6月住院急性脑血管病患者248例进行研究，其中出血性中风89例，缺血性中风159例，于入院次日晨检测空腹血糖、血清钾、钠、氯，观察血糖、血钠、血氯、血钾值的变化及其与脑卒中类型、病情轻重、预后关系。

Objective To investigate curative effect between conservative medical treatment and decompressive craniectomy in patients with massive cerebral infarction, and to analyze relationship between GCS and prognosis.

目的 比较大面积脑梗死内科治疗和去骨瓣减压术治疗的疗效差异，并分析GCS评分与大面积脑梗死患者预后关系。

Objective: To analyse clinical appearance,therapy and prognosis of idiopathic IgA nephropathy with crescentic formation and capillary tuft necrosis,to find the clinical characters and discuss the therapy.

作者：徐艺作者单位：广东省深圳市第二人民医院肾内科，广东深圳 518035 目的：通过对IgA肾病患者中伴有新月体形成及毛细血管袢坏死者进行临床表现、治疗及预后指标的分析，了解此类患者的临床特点、探讨治疗方案。

Wounds such as road accidents, gunshot injuries, fire burns and some internal medicine diseases like diabetes, tumors and palsies always accompany with muscle injuries. Muscle regeneration is relatively difficult on the conditions of serious and large area of muscle injury or loss. Finally the raw surface will be replaced by fibrous connective tissue and form scar, which may disenable the movement of body and badly influence nerves and blood-vascular system, and eventually develop into obduracy wound.

各种创伤如车祸伤、枪弹伤、烧伤及部份内科疾病如糖尿病、肿瘤和瘫痪所致的肢体坏疽都常伴肌组织损伤，对于严重或面积较大的肌损伤或缺损，肌肉的再生相对困难，创面最终被纤维结缔组织替代而形成瘢痕，导致机体运动功能障碍并累及神经、血管系统，影响患者的预后和生活质量。

Participants:30 dyskinetic functional dyspepsia were all inpatients or outpatients ofthe department of gastroenterology of the second hospital affiliated to GuangzhouUniversity of Traditional Chinese Medicine from March,2001 to March.,2002. Among themthere were 16 stagnation of liver-qi type (GROUP 2) and 14 deficiency of spleen type(GROUP 3 ).20 healthy volunteers (GROUP 1) served as controls.

研究对象：选择动力障碍型FD患者共30例，均系2001年3月至2002年3月间广州中医药大学第二附属医院消化内科病房及门诊病人，其中肝郁气滞型16例，脾胃虚弱型14例。

Department of Electrodiagnosis ,Hospital of Jilin City,132001,China

作者：张俊新，吴传印，蒋爱松，田若文，谢辉作者单位：吉林市医院神经内科，吉林吉林 132001

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。