医院

Hospital should help medical staff fit the changing fole between doctors and patients and establish correct doctor-patient relationship. Hospital should adopt correct operational strategies, restructure revenue components, reduce medical costs, prohibit harmful medical behavior. Hospital bylaws should be strictly carried out by education and punishment which provides strong warning to the regulation breakers. Hospital should strengthen the frontier clinical workforce and establish an effective logistic service system able to meet clinical needs so as to secure medical safety.

医院应要求医务人员主动适应医患之间&角色&的变化，建立正确的医患关系；树立正确的经营思想，调整医疗收入的结构，降低医疗成本，杜绝一切不正当的经营行为；抓规章制度的落实重在教育和处罚，对违纪者应起到强有力的威慑作用；切实加强临床一线力量，并建立与医院业务发展相匹配的后勤保障系统，从而确保医疗安全。

Gerontal Gastroenterology Department, General Hospital of PLA, Beijing 100853, China

作者：赵擎，辛绍杰，侯俊，胡燕，貌盼勇作者单位：北京中国人民解放军总医院南楼消化科，100853；北京解放军第三〇二医院传染三科，100039北京解放军第三〇二医院传染病研究所病毒研究室，00039

Gerontal Gastroenterology Department, General Hospital of PLA, Beijing 100853, China

赵擎，北京中国人民解放军总医院南楼消化科，100853；辛绍杰，北京解放军第三〇二医院传染三科，100039；侯俊、胡燕、貌盼勇，北京解放军第三〇二医院传染病研究所病毒研究室，00039

We choose 20 cases of fungal rhinosinusitis who were treated in our department between the year 2007.4 and 2008.4 as our study group and 5 cases of purely nasal septum deviation as control group. The 20 cases contain 19 cases of fungus ball and 1 case of chronic invasive fungal rhinosinusitis. Their age fluctuate from 19 to 80, and the average age is 51 . All of the 25 cases blood samples were taken to detect the 1-3-β-D glucosan with the kit produced by Beijing jinshanchuan technology company and under the MB—80 quickly microorganismal detection system.

采用北京金山川科技公司生产的试剂盒及MB—80微生物快速检测系统分别检测中国医科大学附属盛京医院耳鼻喉科于2007年4月至2008年2月经鼻窦内窥镜手术治疗，并经术后病理证实为真菌性鼻窦炎患者(19例为真菌球型，1例为慢性侵袭性真菌性鼻窦炎)的血液样品20例，患者年龄19岁—80岁，平均年龄51岁，采取中国医科大学附属盛京医院耳鼻喉科于2008年1月住院单纯鼻中隔偏曲患者的血液样品5例作为对照组，患者年龄16—56岁，平均年龄32岁(以上血样标本的采集患者均已签署知情同意书)。

ABSTRACT Objective: In order to study the mechanism of guttatim epidural injection , the experiment was designed to research into the digestion of collagens of nucleus after injection and the relationship between the rate of injection and the dose level of collagenase.

上海第二医科大学附属新华医院伤科，上海 200092 ； 2 上海市伤骨科研究所，现：上海沐阳医院）摘要目的：观察盘外置管法注射胶原酶是否有利于髓核的溶解以及胶原酶的注射剂量与滴速对髓核的溶解是否有影响。

Hoping to learn more about health care within hospitals, I volunteered at the University of North Carolina's Resident OB/GYN Clinic in the Women's Hospital.

为了能在医院学会更多关于医疗保健的知识，我在妇女医院的北卡罗来纳大学常驻OB/GYN诊所做了一名志愿者。

The results showed that sevoflurane was the most prevalent volatility halogenate anesthetics and had the highest concentration at sampling areas. All study hospitals exceeded the exposure limit for halogenate anesthetics (2ppm) recommended by NIOSH (National Institute for Occupational Safety and Health).The median level of N2O at the two medical centers was 1.87 ppm. Although regional hospitals seldom use N2O, its concentration was very high (median 120.85 ppm).

结果显示，Sevoflurane为使用最多之挥发性卤化麻醉剂，环境浓度亦最高，各医院均有高於NIOSH对於单一卤化麻醉剂暴露建议值(2ppm)的情形；医学中心笑气浓度之中位数为1.87 ppm，然区域医院虽极少使用笑气，环境中位数浓度高达120.85 ppm，有管路或开关阀泄漏之可能性。

The three main departments with high incidence were ICU,special aged patients ward and herbal medicine at second level hospital;neuro ICU,ICU,and hemopathy at third level hospital.

感染的高发科室：二级医院以ICU、干部科、中医科为主；三级医院以神经ICU、ICU、血液科为主。

METHODS: From January 2001 to December 2008, 87 cases of Tile C type pelvic fracture were treated with the percutaneous iliosacral articulation screws and pelvis external fixation, and 39 cases treated through the anterior and/or posterior approach were selected as control group.

选择2001-01/2008-12广东省人民医院骨科收治采用经皮骶髂螺钉固定技术治疗的不稳定型骨盆骨折患者48例作为实验组。收集同期广东省人民医院科骨科收治行开放前路和/或后路手术治疗的不稳定型骨盆骨折患者39例作为对照组。

objective: to explore the methods of treatment by the operation of children's indirect inguinal hernia.

作者单位：1。广东医学院附属医院，广东湛江 524001 2。赣南医学院第一附属医院，江西赣州 341000

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。