2018/12/13 9:30:20 王　颖，安　梅 1102true ［Abstract］　Objective　To evaluate the efficacy and adverse effects of oxaliplatin combined with 5-fluorouracil(5-FU) and calcium folinate in the treatment of patients with advanced gastric cancer.Methods　Thirty patients with advanced gastric cancer received chemotherapy of regimen L-OHP 85 mg/m² 2 hours d1, CF 200 mg/m² 2 hours d1, d2, followed by 5-FU 400 mg/m² iv and 600 mg/m² 22 hours civ d1, d2, two weeks as one cycle. Efficacy was evaluated after 4 cycles.Results　Two patients achieved complete response (CR), 16 patients partial response (PR), 7 patients stable disease (SD), 5 patients progression disease (PD).Total effective rate was 60%. The major toxicity included nausea, vomiting, leucopenia and neurosensory.Conclusion　This study shows that the regimen of FOLFOX4 is effective and tolerable in advanced gastric cancer.]]> 2018/12/13 9:30:20 ZHANG Bo 1101true ［Abstract］　Objective　To explore the causes and solutions with the impact of large cerebral infarction for prognosis.Methods　The complications, the cause of death and the dynamic change of imaging in 68 patients with large cerebral infarction were analyzed. Results　There were 22 cases of progress， 16 cases of significant progress, 5 cases of the state of the cortex, 13 cases of death. 12 cases automatically discharged from hospital. 9 cases died during telephone follow-up. The total mortality rate was 32.35%.Conclusion　Hernia is the leading cause of death in acute stage, lung infection and function of the body in the poor state is the another important cause of death, combination of different segments of the various methods or drugs and at different stages of the disease have focused on is the best choice.]]> 2018/12/13 9:30:20 SHANGGUAN Wen, JIANG Zhong-feng 1100true ［Abstract］　Objective　To summarize and analyze clinical diagnosis and treatment for acute mesenteric venous thrombosis.Methods　The diagnosis and treatment of 7 cases with AMVT from 2002 to 2007 were analyzed retrospecttively.Results　 In 7 cases, 6 cases were cured, 1 case died from MODS.Conclusion　AMVT lacks specific clinical features in early stage, while CT is the most important diagnoses way. Anticoagulation and thromblysis can prevent thrombosis and recover blood circulation.The operation is necessary when peritonitis occurs.]]> 2018/12/13 9:30:20 BI Lian-chen, MAI Wei, QIN Qian-zi, et al. 1099true ［Abstract］　Objective　To observe the effect of etomidate/remifentanil in the anesthesia of pediatrics. Methods　Forty-four patiens (ASAⅠ～Ⅱ, aged 3～7 y；on operation time:1～1.5 h) were randomly divided into two group：propofol/fentanly, etomidate/remifentanil.The change of SBP、DBP、HR at the times T₁、T₂、T₃、T₄，time of regain consciousness、pull out the tube were evaluated. Results　When compared with T₁, HR in the study group fell at T₃、T₄，SBP in the study group fell at T₂(P<0.05).in comparison between two groups, SBP、DBP、HR in propofol/fentanyl group　fell at T₂、T₃、T₄、T₅(P<0.05)，time of regain consciousness、 pull out the tube in study group obviously reduced (P<0.01). Conclusion　Compared with propofol/fentaly the effect of short-time use of etomidat/ remifenani/ on in the study group obviously reduce in anesthesia of pediatrics.]]> 2018/12/13 9:30:20 WANG Hua, LIN Gao-xiang 1098true ［Abstract］　Objective　To investigate the clinical value of minimally invasive percutaneous nephrostomy(MPCN) in patients with upper urinary tract obstruction(UUTO).Methods　The clinical data of 182 cases of UUPO were retrospectively analyzed, F7 nephrostomy catheter were placed under B ultrasound guidance in all these cases.Results　MPCN was successively performed in 182 cases (232 kidneys) at the first attempt and no severe complications occurred. 218 kidneys were relieved of obstruction; Catheter replacement was performed in 6 cases due to catheter fall off; renal function improved in 56 cases of uraemia.80%(58/72) of suffered kidneys were preserved in serious hydronephrosis cases. Conclusion　Ultrasound-guided MPCN is a simple, safe and effective procedure for patients with UUTO.]]> 2018/12/13 9:30:20 LI Xin-zhong, LIANG Jian-bo, YU Hai, et al. 1097true 2018/12/13 9:30:20 孙淑梅 1096true ［Abstract］　Objective　To observe the clinical efficacy of Tongxinluo on depression in the hemodialysis patients with uremia.Methods　Forty-eight patients with hemodialysis and depression were randomly divided into two groups.Twenty-four patients in observation group were treated with Tongxinluo capsule and the other 24 patients in control group were treated with the basis of conventoinal health propaganda and education. The course of treatment for 2 groups lasted 6 weeks. The efficacy was evaluated by using HAMD before and 2, 4, 6 weeks after treatment.Results　The effective rates of the obersation group and control group were 74% and 18%, respectively (P<0.01).In observation group, the symptoms of patients was shown to improve and the scores of HAMD were decreased in the second week, Compared with control group the decrease of HAMD scores became more significant in the 4th, 6th week（P<0.01）.Conclusion　 Tongxinluo is effective in treating depressive symptom in the hemodialysis patients with uremia.]]> 2018/12/13 9:30:20 YAN Bin, LI Yue, MU Yi-qing, et al. 1095true ［Abstract］　Objective　To study the clinical significance of serum myocardial enzymogram and troponin 1 for juding the myocardial injury of hand foot mouth disease(HFMD) children.Methods　The myocardial enzymogram(AST, LDH, CK and CK-MB) in serum of 83 HFMD children collected in Nanning area from April 2008 to June 2009 were detected by Automatic Analyzer HITACHI 7600 120, and the cardiac troponin 1 (cTnl) in serum of 83 FHMD children were detected by Abbott AxSYM chemilumin-escent immunoassay.Results　Compared with healthy volunteers AST, LDH, CK, CK-MB and cTnl in serum of 83 HFMD children increased significantly(P<0.05 or P<0.01). Conclusion　Combined detection of serum cTnl and myocardial enzymogram especially(CK-MB) have the important clinical meaning for the early diagnosing HFMD and judging myocardial injury.]]> 2018/11/7 8:23:04 TANG Guo-quan, YU Jian-lin 1094true ［Abstract］　Objective　To study the clinical value of maternal serum marker screening for fetal Down′s syndrome.Methods　Serum AFP、β-hCG、μE3 in 1 502 pregnant women ranged from 15th to 22nd gestational week were detected by automatic immunochemiluminescence apparatus and its corollary reagent, and the test results were regarded as positive when risk probability was over 1∶380. The amniocentesis was done for prenatal diagnosis.Results　Forty-seven of 1 502 pregnant women were positive (3.13%). The prenatal diagnosis was performed in 45 pregnant women, of whom three were 21-Trisomy syndrome, two were neural tube defects and one was 18-Trisomy Syndrome.Conclusion　It is an effective method to reduce infants with Down′s syndrome by detecting second trimester maternal serum biochemical markers and combining prenatal diagnosis.]]> 2018/11/7 8:23:04 LUO Xiao-qiong, WEI Feng-lian, LUO Zhang-wei 1093true ［Abstract］　Objective　To explore the method and the effects of one-visit root canal therapy on molar teeth through a retrospective study among 76 cases received molar teeth′ root canal therapy. Methods　Molar teeth with chronic pulpitis and periapical periodontitis (non-sinus type or sinus type) were randomized into two groups, ie, experiment group (one-visit root canal therapy) and contrast group (multiple-visit root canal therapy). The patients in the experiment group were drained for 10 minutes after root canal preparation, then received root canal disinfection for 30 minutes followed by filling canals by gutta percha point with cold side pressure. The patients were reviewed three days, one week and one year after therapy. In the contrast group, the patients received multiple-visit root canal therapy. The effects were compared between the two groups.Results　Challenge signs appeared in 7 cases in experiment group against 6 in the contrast. The one -year effective rates in experiment group and contrast group were 89.9﹪ and 92.9﹪ respectively. There was no significant difference between two groups （P>0.05）.Conclusion　One-visit root canal therapy can be implemented to treat chronic pulpitis and periapical periodontitis if the doctor has a good understanding of the anatomy of molar teeth′ root canal. There is no significant difference in the occurrence of challenge sings and one year efficacy between one-visit and multiple-visit.The long-dated efficacy is waiting for the more studies.]]> 2018/11/7 8:23:04 WANG Feng-qiong, HUANG Wen, SONG Li-qun, et al. 1092true ［Abstract］　Objective　To study the blood lipid change after levothyroxine sodium tablets treatment in the 47 patients with subclinical hypothyroidism complicated with hyperlipemia.Methods　The thyroid-stimulating hormone (TSH), total cholesterol，triglyceride and low density lipoprotein cholesterol before treatment in all patients were recorded. Them these patients were treated with levothyroxine sodium tablets in an average dose of to 50～75 μg per day for 3 months, the average dose was appropriate to adjust TSH to normal value. After three months of treatment, the above indexes were determined and compared with those before treatment.Results　The levels of blood lipid after treatmeat were lower than those before treatment, there was a significant difference between them (P<0.01).Conclusion　It is a clinical significance to improve blood lipid for subclinical hypothyroidism with levothyroxine sodium tablets.]]> 2018/11/7 8:23:04 LI Fang 1091true ［Abstract］　Objective　To study the methods and effects of cervical spondylotic myelopathy (CSM) treated by interbody distraction, anterior decompression, bone graft and plate fixation.Methods　From January 2004 to June 2008 a total of 36 cases of cervical spondylotic myelopathy were treated, in which a single segmental lesions occurred in 30 cases, the two segmental lesions in 6 cases, with varying degrees of spinal cord nerve injury. All patients were treated by anterior interbody distraction decompression and bone graft rectangular plate fixation.The preoperative and postoperative diseased vertebral height and spinal cord function were compared, the therapeutic effects were evaluated by the Japanese Orthopedic Association (JOA) score standards.Results　Thirty-six cases were followed up for 6 to 12 months, with an average of 9 months, there were not the injury of cervical spinal cord and the superior recurrent laryngeal nerve, loosening of plate and screw and complications such as anterior hematoma.There were significant difference in scores of JOA and the intervertebral space between preoperation and postoperation, six month of postoperation, postoperation and the six month of postoperation (P<0.01). The spinal cord nerve function improved significantly, and the intervertebral space height and cervical physiological curvature were basically maintained 6 months after operation. Conclusion　Interbody distraction and anterior cervical rectangular decompression and bone graft and plate fixation is a common and reliable method in the treatment of cervical spondylotic myelopathy within two segments. It can thoroughly reduce pressure and effectively intervertebral space height and firmly fix vertebral body and reduce the degeneration of adjacent vertebral body.]]> 2018/11/7 8:23:04 NONG Xin-sheng 1090true ［Abstract］　Objective　To investigate the effect of supported treadmill ambulation training (STAT) combined with acupuncture treatment on the gaits of hemiplegic patients.Methods　Eighty hemiplegic patients enrolled in this study were randomly divided into two groups (treated and control groups). Patients of the treated group received STAT combined with acupuncture treatment, while only STAT was performed for the controls. The therapeutic effects of the two groups were compared.Results　Patients of the treated group had significantly more favorable therapeutic effect than the controls.Conclusion　STAT combined with acupuncture treatment can significantly increase the ambulatory capacity of hemiplegic patients.]]> 2018/11/7 8:23:04 LIU Qiang 1089true ［Abstract］　Objective　To compare the methods for platelet antibody detection and have a better choice of detection mothods.Methods　In 154 cases who had multiple platelet transfusion and didn′t have better effectiveness, the platelet antibody were detected by the methods of microcolumn gelatum and the method of insolubilized antibody Capture-P and the pems sofeware of statistics methods was used for kappa consistency checking.Results　Fifteen cases were strong positive, 63 cases were positive and 80 cases were nagative by the methods of microcolumn gelatum. On the other hand, 5 cases were strong positive, 45 cases were positive and 104 cases were nagative by the method of insolubilized antibody Capture-P. kappa index number was 0.63566.Conclusion　There is a better concordance of two methods, and agent of the methods of microcolumn gelatum has cheapper price and shorter checking time, it is suitable for primary level hospitals.]]> 2018/11/7 8:23:04 ZHANG Zhi-zhe 1088true ［Abstract］　Objective　To discuss the effect of mini-invasive puncture drainage in the treatment traumatic extradural hematoma of the posterior fossa.Methods　Before surgery，14 case were carried out on the localization of hematoma with CT, then the hematoma was punctured with YL-1 intracranial hematoma smashing puncture needle after the local anesthesia， and injected by urokinase and drainaged.Results　14 cases were cured completely, no death case occurred.Conclusion　The wound of mini-invasive puncture drainage for traumatic extradural hematoma of the posterior fossa is small, the curative effect is accurate, the operation is simple, convenient and safe.]]> 2018/11/7 8:23:04 MA Ling-bo 1087true ［Abstract］　Objective　To study the diagnostic value of MRI in patients with craniocerebral trauma.Methods　The 48 cases of cerebral trauma were examined with CT and MRI simultaneously using self-comparative method, and the advantages and disadvantages of both examination were analyzed.Results　In the light of subdural hematoma and epidural hematoma, both MRI and CT had the similar diagnostic significance, but considering traumatic subarachnoid hemorrhage and skull fracture, CT was more sensitive than MRI.However, MRI was more reliable than CT in diagnosing cortical cerebral contusion and laceration, and deep cerebral contusion and laceration. Conclusion　MRI can increase diagnostic sensitivity in recognizing cortical cerebral contusion and laceration, and deep cerebral contusion and laceration.]]> 2018/11/7 8:23:04 CEN Yu-ming, LI Jian-quan, OU Dong, et al. 1086true ［Abstract］　Objective　The discuss the surgical method and its security for AIDS patient with gastrointestinal foreign bodies.Methods　The clinical data and the treatment method of 16 AIDS patient with gastrointestinal foreign bodies were retrospectively arsalyzed.Results　Sixteen patients were cured.Of them, primary wound healing was achieved in 12 patients and delayed healing in 4 patients because of wound infection.Conclusion　The reasonable surgical treatment for AIDS patient with gastrointestinal foreign bodies is safe.]]> 2018/11/7 8:23:04 WEI Yong-zhong 1085true ［Abstract］　Objective　To observe the long-term efficacy and safety of new antiepileptic drug topiramate in children with epilepsy.Methods　Sixty-four children with epilepsy accorded with the classitication criteria established by international anti-epilepsy association in 1991, and whose EEG had a clear wave of epileptiform discharges were chose for topiratnate treatment.The onset dose of topiramate was 1 mg/(kg·d), the dose was weekly increased by 0.5 to 1 mg/(kg·d), and gradually reached the objective dose (4 ～8)mg/(kg·d).Thereafter this dose was maintaind and adjusted conditionally.The topiramate was continuously used for more than one year.The reduced times of seizures was used as the assessment of efficacy.Results　Epilepsy remission rate was 79.7%.The side effects included anorexia, lethargy, less sweat, paresthesia, etc.These side effects disappeared spontaneously after drug withdrawal.Conclusion　The efficacy of topiramate in treating different types of epilepsy is sure with minor side effects.]]> 2018/11/7 8:23:04 FENG Cheng -fang, ZHOU-Yan 1084true ［Abstract］　Objective　To investigate the effects of elderly patients with fumer intertrochanteric fractures treated with dynamic hip screw(DHS).Methods　Forty-six elderly patients with femur intertrochanteric fractures were treated with tractive reduction, DHS fixation and early postoperative rehabilitation. Results　All patients were followed up for 6～36 months and obtained bony union without complication. According to the han′s criteria, the results were excellent in 34 cases, good in 9 and fair in 3.Conclusion　It is a reliable method to treat elderly intertrochanteric fractures with DHS, which permits early exercise.]]> 2018/11/7 8:23:04 LI Hai-tao, ZHANG Zhan-he 1083true ［Abstract］　Objective　To explore the effectiveness of endoscopic varicosity ligation (EVL) combining with drug in the prophylaxis of esophageal varicosity bleeding.Methods　Sity-Four liver cirrhosis patients with esophageal varicosity bleeding were divided into the treatment and the control groups. In the treatment group 33 cases were treated with EVL combining with propranolol and isosorbide mononitrate, whereas 31 cases in the control group were merely treated with propranolol and isosorbide mononitrate. The rate of rebleeding, the condition of blood dynamics and esophageal varicosity were observed in the both groups.Results　Compared with before treatment, there were remarkable difference in the Indexes of Dpv, Dsv, Qpv and Qsv （P<0.05）; while, not difference in the Indexes of Vpv and Vsv (P>0.05). There was no statistical difference in the condition of blood dynamics between the both groups (P>0.05). 9%(3/33) cases, 19.4%(6/31) cases were respectively found rebleeding in 6 months after treatment in the treatment and the control groups （P<0.01）.In the mean time 12.1%(4/33)cases, 35.5%(11/31) cases were respectively found having rebleeding in 12 months after treatment in the treatment and the control groups, too （P<0.01）. The esophageal varicosity of 51.5% (17/33) cases in 6 months, 48.5%(16/33) in 12 months was found to alleviate or disappear after treatment in the treatment group; While in the control group 3.2%(1/31) cases equally were found to develop into middle and lower varicosity in 6 and 12 months under endoscope.Conclusion　The effectiveness of EVL combining with drug in the prophylaxis of esophageal varicosity bleeding is superior to only drugs, it is safe, ease and can be used as the first method in the prophylaxia of esophageal varicosity bleeding.]]> 2018/11/7 8:23:04 LU Rui-ming 1082true ［Abstract］　Objective　To study the clinical efficacy of the application of long handle artifical prosthetic replacement in the treatment of elderly patients with intertrochanteric fracture of femur.Methods　From 2002 to 2006 32 patients with intertrochanteric fracture were treated by long hardle artificial femoral head replacement, including 15 patients of male and 17 females, aged 73 to 91 years with average of 79.3 years.Results　The 32 patients were followed up, no patients died of complications due to surgery, all the incisions healed primarily, no infection, loosening of prosthesis and other things occurred. The restoration of 24 patients were similar to pre-injury status, 8 patients had partly self-care ability.Conclusion　Artificial long-handle prosthetic replacement in the treatment of elderly patients with intertrochanteric fracture of femur is an effective method.]]> 2018/11/7 8:23:04 LIN Wan- zhong, LAI Min-chun, HUANG Yong- xiong 1081true ［Abstract］　Objective　To observe the effects of the modified dingjing decoction in the treatment of infertility patients.Methods　Forty-two infertility patients were selected and were orally given the modified dingjing decoction in the luteal phase.Results　Among 42 infertility patients, 26 patients obtained successful pregnancy.Conclusion　The results suggest that the modified dingjing decoction can improve the luteal function and increase the rate of the pregnancy.]]> 2018/11/7 8:23:04 YI Lei 1080true ［Abstract］　Objective　To evaluate and analyse the effect of the application and dissemination of new resuscitation technique used at basic levels.Methods　The international new resuscitation guide was taken as the technical standard to apply and disseminate new resuscitation in every obstetric institution in Hengxian.The relation between the death rate of the newborn babies who died of suffocation and the application and dissemination of international new resuscitation guide in Hengxian in the past ten years were analysed.Results　During the ten years from 1998 to 2007 when new resuscitation was applied and disseminated in Hengxian the average of the death rate of the newborn babies who died of suffocation was 3.665‰.The highest rate was 6.94‰，and the lowest rate was 1.04‰.The number decreased year by year.100 percent of the medical personnel who manipulated new resuscitation technique had their credentials.Conclusion　The effect of the application and dissemination of new resuscitation is outstanding.It can effectively reduce the death rate of the newborn babies who die of suffocation.]]> 2018/11/7 8:23:04 JIANG Li-shuang, YAN Xiu-mei, ZHU Mao-ling, et al. 1079true ［Abstract］　Objective　To explore the curative effect and mechanism of hyperbaric oxygen(HBO) in the treatment of migraine without aura.Methods　Eighty patients with migraine without aura were randomly divided into routine group and HBO group. The routine group received flunarizine(5 mg, q.d. PO). The HBO group, besides the above mentioned treatment, was given HBO treatment The treatment course was 4 weeks.Results　The overall respone rate in HBO group was significantly higher than that in routine group(97.5% vs 82.5%, P<0.05). All patients were revisited after 6 months. The recurrence rate of routine group was 75%, and that of HBO group was 50%.There was statistically significant difference between the two groups（P<0.05）.Conclusion　HBO comprehensive therepy is of higher clinical value for treating migraine without aura.]]> 2018/11/7 8:23:04 WEI Zhi-ming 1078true ［Abstract］　Objective　To study the situation and trend of psychotropic drugs utilization in our hospital.Methods　The data of psychotropic drugs utilization in our hospital during 2005～2007 were statistically analyzed.Results　The amount and consumption sum of psychotropic drugs in our hospital increased year and year, the amount of Zolpidem tartrate tablet increased greatly, the amount of Methylphenidate hydrochloride tablets increased and the amount of Alprazolam tablets remained at the first position every year.Conclusion　The variety, formulation and administration routes of psychotropic drugs in our hospital has the reasonable tendency.]]> 2018/11/7 8:23:04 FU Cui-li, WEI Hua-ling, LI Yi 1077true ［Abstract］　Objective　To observe the clinical effect of the modified yinchenhao decoction in the treatment of acute jaundice hepatitis.Methods　Eighty-three cases which were consistent with the diagnostic criteria of acute jaundice hepatitis developed in the viral hepatitis prevention and treatment program were randomly divided into the treatment group and control group, 2 groups were daily given conventional potassium-magnesium aspartate injection and hepatamine injection by intravenous infusion, oral vitamin C, glucurolactone tabets, vitamin B₆;on the basis of above treatment 45 cases in the treatment group were given a daily modified Yinchenhao decoction, using water to decoct the drug and drink it.After 4 weeks of freatment the liver function were reexamined.Results　The cure rate had a very significant difference between 2 groups(P <0. 01), the total effective rate had significant difference between 2 groups (P <0. 05).Conclusion　Modified Yinchenhao decoction in the treatment of acute hepatitis is effective, it is worth clinical promoting.]]> 2018/11/7 8:23:04 QIN Bin-chan 1076true ［Abstract］　Objective　To Investigate the relationship of children′s simple hyperopic astigmatic axial distribution and amblyopia.Methods　Two hundred and seventy-seven eyes of 139 children aged 4 to 10 years with poor-sight and simple hyperopic astigmatism in the clinic of our visual science and optometry center, were classfied axially.The asthenopic incidence in each group were statistically analyzed by R×C table with squared algorithm.Results　Among 277 eyes, there were 197 eyes in the group of astigmatism against rule, accounted for 71.1 percent of the total number, 147 eyes were asthenopia, accounted for 74.6 percent of this group′s cases; 50 eyes were in the group of astigmatism with rule, accounted for for 18.1 percent of the total number，16 eyes were asthenopia，accounted for 32 percent of this group′s cases; 30 eyes were in the group of oblique astigmatism, accounted for 10.8 percent of the total number, 11 eyes were asthenopia, accounted for 36.7 percent of this group′s cases.The highest incidence rate of asthenopia was in the group of astigmatism against rule among the three groups, compared with the other two groups, the difference had statistic significance (P<0.01).Conclusion　In simple hyperopic astigmatism, astigmatism against rule has the highest incidence rate, and a highest incidence rate of asthenopia occurs also in this group.Prompting children′s vision care should notice the hazard to asthenopia by astigmatism against rule.]]> 2018/11/7 8:23:04 LI Zhi-chao, LIU Wei-min, LIU Hong-ting, et al. 1075true ［Abstract］　Objective　To investigate the clinical treatment programs of the patients with acute heart failure(AHF).Methods　The clinical data of 115 patients with AHF were analyzed retrospectively.Results　After 24 h of treatment, 73 patient were markedly effective, 22 patient were effective, 9 patient were ineffective, and the total effective rate was 82.61%.The time from medication to symptoms remission were 55 min～24 h; with an average of (1.7±0.4)h; The time from medication to the symptoms disappearance were 1.7～48 h;with an average of (2.3±0.8)h.Conclusion　AHF is characterized by acute incidence, rapid progression and poor prognosis.The proper treatment can quickly save lives, improve the survival rate.A timely, accurate, systematic rescue measures is the key of successful rescue.]]> 2018/11/7 8:23:05 ZHANG Ji-liang 1074true ［摘要］　目的　探讨Pilon骨折手术治疗的术前评估、手术时机、手术方法、手术注意问题及其疗效。方法　术前摄踝关节正侧位片及踝关节三维CT重建，待肿胀消退后行切开复位内固定术，术后石膏制动及指导功能训练。结果　参照1994年AOFAS提出的踝与后足的主观评分标准进行评分，优12例，良18例，优良率为76.9%。结论　Pilon骨折的手术治疗应根据骨折的类型、软组织损伤程度选择手术时机和方法，注意术后功能的锻炼，才能提高疗效，减少并发症。]]> 2018/11/7 8:23:05 覃宏明，李卓球 1073true ［Abstract］　Objective　To discuss the diagnostic value of color Doppler ultrasound in fetal umbilical cord around the neck.Methods　Fetal umbilical cord around the neck and fetal umbilical arterial blood flow parameters were diagnosed and examined through color Doppler ultrasound. And then the results of clinical delivery were compared and analyzed.Results　Of the 250 cases dianosed through color Doppler ultrasound, 243 cases were born with umbilical cord around the necks. The diagnosis rate is 97.2 percent; Umbilical artery S/D ratio> 3.0, RI> 0.8 in 17 cases.9 pregnant women turn better after taking oxygen and 7 cases had to be carried on cesarean section.One died before the birth.Conclusion　Color Doppler ultrasound can provide high-accuracy diagnosis level in fetal umbilical cord around the neck. so it is of great guiding significance for the perinatal health care and clinical delivery choice.]]> 2018/11/7 8:23:05 LIANG Ru-xin 1072true ［Abstract］　Objective　 To study the value of CT on dignosis and analysis of cause in urocystic blood tumor.Methods　Eleven cases of urocystic blood tumor were all males, their ages ranged from 36 to 78 yeas; Courses of attack ranged from 0.5 to 48 hours. They were all perfomed for routine CT scanning in different physical positions. According to their different forms of CT signs, compared with the results of the re-examinations of radiology after treatment or urocystic cystoscopic operation, then to judge their values of analysis of cause in urocystic blood tumor.Results　CT might make diagnosis surely among all eleven patients of urocystic blood tumor, and might understand their causes primarily.Eight cases were spoutaneus urocystic blood tumor, one case was tumorous urocystic blood tumor, one case was tranmatic urocystic blood tumor, and one case was therapentic urocystic blood tumor.Conclusion　CT may not only make diagnosis surely on the urocystic blood tumor, but also make the diagnosis of the analysis of cause in combination with the clinical details.]]> 2018/11/7 8:23:05 XIAO Zheng-wen, CHEN Yong 1071true ［Abstract］　Objective　To observe the clinical effect of integrafed traditional chinese and western medicine in the treatment of urinary calculi.Methods　Sixty patients with urinary calculi were randomly divided into the treatment group (n=30) and the control group (n=30). The untrol group received rortine western medicine treatment included progesterone treatment, taking large amount of drinking water, and spring exercise. The patients with low renal pole calculi were asked to take the head-low and feet-high position and flapping the renal region. The treatment group received oral traditional chinese medicine modified lithagogue decoction in addition to the above-mentioned treatment.Results　The curative was 56.7% and the total effective rate was 93.3% in the treatment group; while the curative rate was 20.0% and the total effective rate was 50.0% in the control group. The effect of the treatment group was better than that of the control group (P<0.01).Conclusion　The curative effect of integrated traditional chinese and western medicine in the treatment of urinary calculi is better than that of western medicine alone.]]> 2018/11/7 8:23:05 XU Wei-yong 1070true ［Abstract］　Objective　To compare the anesthetic effect of nitrous oxide and intravenous anesthesia in induced abortion. Methods　The nitrous oxide and fentanyl were respectively distributed to the 150 cases of analgesia, and then the analgesic effect was compared.Results　There was a significant difference of analgesic effect between the nitrous oxide group and intravenous anesthesia group (P <0.01), as well as the expanstion of cervical canal(P<0.01).The anesthetic effect of nitrous oxide group was inferior to that of intravenous anesthetic group.Conclusion　The anesthetic effect of these two types of anesthesia in induced abortion are satisfied. Intravenous anesthesia can be a greater degree of reducing the suffering of the patients during the operation. This type of anesthesia is suitable for being generalized in the hospital which can satisfy the conditions of general anesthesia care.]]> 2018/12/3 0:00:00 LING Dan, MA Gang, SHI Yue-qiu, et al. 1069true ［Abstract］　Objective　To investigate the application of RIA determination of anti-ds-DNA to diagnosis of SLE. Methods　RIA and indirect immunofluorescence method were respectively used to measure the level of anti-ds-DNA and ANA in serum in 50 patients with active SLE, 50 patients with SLE in remission and 40 healthy people. Results　In patients with active SLE the levels of anti-ds-DNA (RIA) was significantly higher than in controls (P<0.01), its positive rate was 94%, positive rates of anti-ds-DNA, ANA(indirect immunofluorescence) respectively were 62%, 98% ; In patiens with SLE in remission the positive rates respectively were 35.6%, 30%, 94%.Conclusion　RIA determination of anti-ds-DNA increased the sensitivity of diagnosis of SLE and has an important significance in diagnosis and treatment of SLE.]]> 2018/12/3 8:39:12 XIE Yong-shuang, QIN Wei-wu, GAN Ning 1068true ［Abstract］　Objective　To investigate an effect of the impaired glucose regulating in different stage and blood glucose level on bone formation and bone resorption and bone mass density. Methods　The level of plasma glucose(BG) and HbA1c, serum osteocalcin(BGP), urine deoxypyridinoline(DPD)in 148 cases with type 2 diabetes (T2DM), 30 cases with impaired glucose tolerance (IGT), 30 cases with impaired fasting blood glucose (IFG) were assayed.Bone mass density (BMD) at lumbar vertebrae, hip and forearm were determined by dual energy x-ray absorptiometry(DEXA). These results were compared with 50 healthy cases (Control)at the same time.Results　The analysis of variance in four groups revealed significantly difference on Ward triangle and L4 BMD（P<0.05）. The level of BGP in serum had a decrement tendency in Control and IFG, IGT and DM groups.DM was significantly lower than Control（P<0.05）.The level of DPD/Cr in urine had an increase tendency in Control and IFG, IGT and DM groups.IGT and DM were significantly higher than Control（P<0.05，P<0.001）. The analysis of variance in four groups revealed significantly difference on the level of DPD/Cr in urine （P<0.001）. BGP was fall-off following the level of HbA1c increase. DPD/Cr was increase gradually following the level of HbA1c increase.Conclusion　Bone resorption in IGT is higher than healthy group and had a negative balance in bone metabolism.BMD is lower than healthy because bone mass loss increase. Bone formation and BMD in diabetes are lower than healthy and bone resorption is higher in diabetes.The level of blood glucose is favourable control to make for decreasing bone resorption and bone mass lossing. The pretreatment for osteoporosis ought to begin on more early stage in impaired glucose regulation.]]> 2018/12/3 8:39:12 YAN Xiao-dong, HUANG Zhong, CHEN You-hua 1067true ［Abstract］　Objective　To explore the value of surgery of resecting giant benign ovarian cyst under laparoscopy.Methods　Clinical data of sixty cases of giant benign ovarian cyst removal surgery in our hospital between January 2005 and April 2009 were reviewed and analyzed. And SPSS13.0 was employed to statistically evaluate these data. Results　As control group, 32 cases underwent laparotomy. And as research group, 28 cases underwent laparoscopic surgery. The comparison between the two groups revealed that, there were significant statistical differences in opertive time, anal exsufflation time, spontaneous urinary voidance time, off-bed activity time, incidence rate after surgery, and hospitalization days, etc. However, there showed no difference in postoperative hemorrhage volumes and complications of surgery.Conclusion　Compared with laparotomy, laparoscopic surgery exhibits great superiority such as minimal invasion, faster recovery, lower surgical risk, and less complication. And it has been accepted by more and more patients, and has high application and popularization value.]]> 2018/12/3 8:39:12 ZHONG Xiao-miao 1066true ［Abstract］　Objective　To investigate the efficacy of the broncholavage and local drug injection by bronchoscopy combined with traditional internal therapy in the treatment of acute pulmonary abscess.Methods　Eighty-six patients with acute pulmonary abscess were allocated to two groups(the therapeutic group and the control group).46 patients of the therapeutic group received the broncholavage and local drug injection by bronchoscopy combined with traditional internal therapy treatment.40 patients of the control group were given only traditional internal treatment.Results　In the therapeutic group:treatment success, 45 patients;failure, 1 patient；in the control group: treatment success, 32 patients;failure, 8 patients.There was significantly statistical difference in healing rate between two groups(P<0.05). Temperature recovery， disappearance of cough and expectoration and the hospitalized time in the therapeutic group shortened more obviously than those in the control group(all the P<0.01). Conclusion　The broncholavage and local drug injection by bronchoscopy combined with traditional internal therapy in the treatment of acute pulmonary abscess can improve the efficacy and reduce the hospitalized time and be of value in clinical recommendation.]]> 2018/12/3 0:00:00 WANG Qiong 1065true ［Abstract］　Objective　To discuss the productive reasons of the artifacts of computed radiography （CR）and its solution.Methods　Through analysis of the characteristics of various kind of artifacts in CR system, from scanner′s mechanism, the principle of work, IP board′s structure, image process, operator′s errors and so on the CR artifacts productive reason were discussed.Results　The artifacts may been divided into: the artifacts induced by the overlap of pre and post images，the artifacts induced by the card in the TP board scanning, the artifacts induced by “the class spatial effect”， the artifacts induced by the dust, the artifacts induced by injured TP, the artifacts induced by the excessive photographic condition, the artifacts induced by the disperse beam, and the artifacts induced by the external optical fiber in the scanning process.Conclusion　Understood correctly the reason of the CR artifacts, can prevent the production of the artifacts as far as possible, greatly enhances the image quality of CR.]]> 2018/12/3 8:39:43 ZOU Cai-sheng 1064true ［Abstract］　Objective　To investigate the method of diagnosis and management of urolithiasis during pregnancy.Methods　The diagnostic procedure and clinical data of 28 pregnant women with urolithiasis were retrospectively analysed.Its clinical characteristic and methtods for diagnosis and management were retrospectively discussed in combination with related literatures.Results　Twenty-five cases were diagnosed by ultrasonography at first; all patients were treated with conservative management, double J stent was subsequently placed under monitoring of cystoscopy if recurrence of renal colic or urinary tract infection caused by ureteral obstruction was confirmed; one case of ureterolithiasis complicating with nephrohydrosis was treated by percutaneous nephrostomy(PCN); no obstetric event related to urolithiasis was found.Conclusion　Ultrasonograph is recommended as the first choice of diagnosis for urolithiasis during pregnancy. Conservative management is considered as first line treatment while invasive intervention is not advocated to avoid adverse obstetric events. Surgical intervention such as double J stent insertion, PCN or ureteroscopic stone removal is recommended when conservative management failed, renal function injury was detected or urinary tract infection was found.]]> 2018/12/3 8:39:43 GU Yong, QING Zhi-ming, JIANG zheng 1063true ［Abstract］　Objective　To analyses the related factors of causing postpartum hemorrhage and the preventive measures and treatments.Methods　Retrospective analysis on the clinical data of 58 cases of postpartum hemorrhage were performed.Results　Over the same period，the incidence of postpartum hemorrhage was 3.18%， 56 cases were cured by conservative treatment，two cases were treated by hysterectomy，there was no case of death. Conclusion　The key of the prevention of postpartum hemorrhage is to find the causes of bleeding accurately and timely take right and effective preventive measures and treatments.]]> 2018/12/3 0:00:00 CHEN Wei 1062true ［Abstract］　Objective　To discuss the surgical treatment of acute obstructive gallstone pancreatitis (AOGP).Methods　The clinial date of 65 patients with AOGP were analysed retrospectively. In 42 patients with mild acute obstructive gallstone pancreatitis (MAOGP), 38 patients received conservative therapy, 4 patients underwent delayed operation.All 23 patients with severe acute obstructive gallstone pancreatitis (SAOGP), underwent early or emergency surgery.Results　Among 65 patients with AOGP, 64 patients were cured, 1 patients died of concomitant heart disease, diabetes, the multi-organ function failure and the abdominal cavity infection in 2 weeks after operation.Conclusion　It is necessary to take the early emergency surgery for the patients with AOGP accompanied by the suppurative cholangitis and take the early positive non-surgery treatment for the patients with MAOGP; taking the selective operation for the patients with cholelithiasis in 2 to 4 weeks after the pancreatitis was cured, may reduce the recurrence rate, the occurrence complication and the case fatality rate.]]> 2018/12/3 8:39:43 GONG Fu-xiang, ZHANG Di-ping, CHENG Ling-cai, et al. 1061true ［Abstract］　Objective　To investigate the condition of the neonatal HBV infection in hepatitis B virus (HBV)-positive pregnant women.Methods　Among 511 hepatitis B surface antigen (HBsAg)-positive pregnant women, 191 women with HBsAg, HBeAg, anti-HBc positive were divided into “great three positive” group, 320 women with HBsAg, anti-HBe, anti-HBc positive were divided into “small three positive” group. And their newborns born within 24 h after birth were tested out five indicators of hepatitis B.Results　In “great three positive” group 92 neonates were infected by HBV, the infection rate was 48.17%; In “small three positive” group 12 neonates were infected by HBV, the infection rate was 3.75%; The difference between two groups had statistical significance P<0.01. Conclusion　The “great three positive” in pregnant women are risk factors of neonatal HBV infection, It should be necessary to strengthen the blocking of the HBV intrauterine infection of HBV-positive pregnant women, In order to reduce the occurrence of HBV infection in newborns.]]> 2018/12/3 8:39:43 GAN Zhi-yuan 1060true ［Abstract］　Objective　To analyze the clinical effects of treating hemiparalysis complicated with hip fracture through minimally invasive internal fixation with intracutaneous hollow pressure screws.Methods　A summary was made on the clinical effects of treating 35 patients with hemiplegic hip fracture through internal fixation with intracutaneous hollow pressure screws, of whem 24 complicated with fracture of neck of femur and 11 intertrochanteric fractures. A C-shape brachionus X-machine was used to close reduction and join the fracture again, then fix it internally with placing 2 or 3 intracutaneous hollow pressure screws intracutaneously. Meanwhile, the indexes are recorded on operative wound, hospitalization period, perioperation complication, early daily activities, early complication, death rate, etc.Results　Operations of 35 patients had been successfully performed, with surgical incision of 1.5 to 2 cm individually, an average of 12 days in hospitalization, 5 patients with perioperation complication, 6 patients with early operatative complication, and 5 patients with follow-up death.Conclusion　Good clinical results can be achieved in the treatment of hemiparalysis complicated with hip fracture using minimally invasive internal fixation, if proper indications are selected.]]> 2018/12/3 8:39:43 LUO Fa-jun, ZHAO Li-min, NONG Zeng-bo, et al. 1059true ［Abstract］　Objective　To evaluatethe the effectiveness of multiple spiral CT angiography （MSCTA） in diagnosis of pulmonary embolism. Methods　Fitteen patients with pulmonary embolism diagnosed with MSCTA were retrospectively analyzed.Results　Ten patients were diagnosed as multiple pulmonary embolism, among them, 7cases were bilaterally involved, PE located only at the left side in one patient, and at the right side in two patients.Five patients were diagnosed as solitary pulmonary embolism, among them the locations were within the pulmonary trunk in two patients, within the lobular arterial branch in one patient, and within the segmental branch in two patients.Direct signs of pulmonary embolism included filling defect within pulmonary trunk or its braches; diminution of the pulmonary artery lumen at its cross section images, and heterogeneous decrease of attenuation within the lumen.Indirect signs included“mosaic sign”, wedge or linearshaped opacities in lung, pulmonary effusion or plural thickening.Conclusion　MSCTA is a fast, effective, and noninvasive diagnostic method for PE.It may replace the pulmonary angiography(DSA). It will be the gdden standard for diagnosis of pulmonary embolism.]]> 2018/12/3 8:39:43 TANG Yi-bing, HUANG Jian-ning, HUANG Yu 1058true ［Abstract］　Objective　To investigate the diagnosis and treatment of severe craniocerebral trauma with severe chest trauma. Methods　The clinical data of 32 cases of severe craniocerebral trauma with severe chest trauma were analysed.Results　According to GOS :good recovery 14 cases; residues 9 cases; severely disabled 3 cases; plant survival 2 cases; death 4 cases.Conclusion　The severe craniocerebral trauma with severe chest trauma is a complex and serious injury and the disability and mortality rates is high. Making a full review in the diagnosis and treatment, correctly handling the relationship of craniocerebral trauma and chest trauma, controling ARDS and complications such as pulmonary infection was required in the process and the success rate of rescue could be improved.]]> 2018/12/3 8:39:43 ZHU Zhi-qing, ZHANG Wu-rong, MAO Ren-sheng, et al. 1057true ［Abstract］　Objective　To study the effect of early acupuncture combined with rehabilitation training on functional recovery of the patients with dysphagia after stroke.Methods　Sixty-three stroke inpatients were randomly divided into treatment group and control group. The treatment group received acupuncture combined with modern swallowing function rehabilitation training, control group received the modern rehabilitation training. The therapeutic effects were evaluated by water swamp Harada functional evaluation method.Results　Compared with the control group, the swallowing functional reovery in the treatment group was better with less complications (P<0.01).Conclusion　The patients with swallowing disorders after stroke should been treated by early acupuncture combined with swallowing function rehabilitation training.]]> 2018/12/3 8:39:43 LU An-ying 1056true ［Abstract］　Objective　To understand the pathogen distribution and drug resistance of community-acquired pneumonia (CAP), in order to provide the basis for the rational use of antibiotics.Methods　From March 1, 2007 to June 1，2008 the sputum from 50 cases of community-acquired pneumonia were collected for conventional bacterial culture and for drug sensitive test, with guidelines recommended NCCL2005 paper KB vitro method.Results　In the pathogens, resistance of gram-negative bacteria (74%) to cefazolin, ampicillin, ciprofloxacin is more prominent, sensitive to amikacin; resistance of gram-positive bacteria to penicillin, erythromycin, amoxicillin is more prominent, sensitive to cefepime, vancomycin.Conclusion　The clinical treatment should pay attention to pathogen detection and resistance test, in order to provide the clinical basis for the rational use of antibiotics to prevent bacterial resistance, increase the cure rate and reduce medical expenses.]]> 2018/12/3 8:39:43 LIAO Dian-chang, RAO Xiao-hui, LI Wen-wei 1055true ［Abstract］　Objective　To investigate the clinical effect of dengzhanxixin injection for acute cerebral infarction (ACI) and its side effect.Methods　Ninety-one patients with ACI between 6 hours and 3 days of ACI onset were randomly divided into dengzhanxixin injection treated group and danshen injection treated group（the control group）. The clinical effect, the side effect and the hemorheology of two groups after treatment were observed.Results　The recovery and excellence rate and the total effective rate were 60.87% and 82.61% in dengzhanxixin injection treated group, respectively, higher than danshen injection treated group, the relative data were 46.67% and 62.22%, respectively. The difference between the results of two groups was significant (P<0.05). All parameters of hemorheology of two groups were significantly improved after treatment(P<0.05 or P<0.01), and there were very significant in dengzhanxixin injection group(P<0.01).Conclusion　The effect and improvement of hemorheology of dengzhanxixin injection in the treatment of ACI patients are better than danshen injection treated groups, and there no side effect. Thus, the dengzhanxixin injection is an effective and safe drug in ACI treatment.]]> 2018/12/3 8:39:43 WANG Jun, ZHANG Ren-yi 1054true ［Abstract］　Objective　To investigate the high risk factors of dysglycemia in premature infants and its Clinical Characteristics.Methods　Peripheral blood glucose level was detected by micromethod in all 92 premature infants.Results　In all cases, 28 cases showed normal blood glucose and 64 cases were of dysglycemia, account for 30.5% and 69.5% respectively. The premature infants with gestational age less than 31 weeks were all of dysglycemia.All eight infants with low birth weight (1 200～1 500 g) were of hyperglycemia. In all cases, there were 18 cases of hyperglycemia and hypoglycemia alternately, account for 19.6%.The average and longest treatment time of returning blood glucose to normal was 4.5days and 45 days, respectively. The level of blood glucose in all premature infants with severe asphyxia was abnormal, of which 8 cases was hyperglycemia, and 3 patients died of irreversible hyperglycemia.Conclusion　Low birth weight, gestational age and 1st min Apgar score are the high risk factors of dysglycemia in premature infants, and the lower birth weight, gestational age and 1st min Apgar score, the higher the occurrence rate of dysglycemia.Irreversible hyperglycemia may imply the critical condition and poor prognosis.]]> 2018/12/3 8:39:43 LIAO Ji-wen 1053true ［Abstract］　Objective　To evaluate the curative effect of operation and non-operation for spontaneous rupture with hemorrhage of primary hepatic carcinoma(SRHC).Methods　The data were retrospectively analyzed on the curative effect of operation and non-operation 65 cases of SRHC in my hospital from 1998 to 2008.Results　All 65 cases had the manifestations of acute abdomen ache and acute peritonitis, and all positive with iconography inspection and abdomen puncture.In 13 cases of non-operation (20%), death occurred in 6 cases (46.2% of non-operation cases). In 52 cases of operation (80% of total cases), death occurred in 3 caese (5.8% of operation cases).Conclusion　The case history, clinical manifestations, iconography inspection and abdomen puneture are important in the diagnosis of SRHC. The emergency operation is must effective therapeutic method for SRHC.]]> 2018/12/3 8:39:43 HUANG Shang-peng 1052true ［Abstract］　Objective　To evaluate the long-term benefits of tonsillectomy in patients with chronic tonsillitis. Methods　The outcomes of 200 patients undergoing tonsillectomy for chronic tonsillitis at our institution were respectively analysed. Results　The follow-up results of 1 year after surgery showed, the percentage of patients whose symptom disappeared of fever, pharyngalgia, foreign body sensation and snore was 96.0%(168/175)、85.1%(149/175)、100%(20/20) and 100%(5/5) respectively.7 cases had inefficacy complicating upper respiratory infection ;41 cases (22.7%, 41/180) had postoperative dry pharynx.Conclusion　Tonsillectomy plays important role in the management of chronic tonsillitis.The indications for tonsillectomy should been controlled reasonably, the majority of tonsillectomy are performed for recurrent or chronic tonsillitis.]]> 2018/12/3 8:39:43 XU Hai-bing 1051true ［Abstract］　Objective　To investigate the clinical value of laparoscopic technique in the diagnosis and treatment of infertility.Methods　Fifty-nine cases of infertility were examed by laparoscopy, the causes of the disease and the result of treatment were analyzed.Results　Chronic pelvic inflammatory， endometriosis and polycystic ovary syndrome were the main causes of infertility.Conclusion　Laparoscopy plays an important role for the diagnosis and treatment of infertility, and can provide direct vision for laparoscopic operation when hydrotubation of oviduct was conducted, which can improve the result of the treatment.]]> 2018/12/3 8:39:43 LU Jin-ling, LING Dan 1050true ［Abstract］　Objective　To discuss the effective treatment method reducing the perinatal stage complication of gestational hypertension patients and improving the mother and fetal prognosis.Methods　The clinical data of 325 cases of gestational hypertension which admitted to gynecology and obstetrics department from January, 2003 to December, 2008 were retrospectively analysed.Results　Through adopting the positive and effective treatment measures such as spasmolysis, sedation, depressurization, treating postpartum hemorrhage positively and so on 325 cases of gestational hypertension were treated completely successfully, no death occrred in the pregnant woman, the perinatal mortality rate was 0.92%.Conclusion　Strengthening the gestation period management, taking the positive, effective preventive and remedial measures, may obviously improve the gestation hypertension patient′s prognosis.]]> 2018/12/3 8:39:43 CHEN Yuan-yuan 1049true ［Abstract］　Objective　To discuss possibility and advantage of adenoidectomy that was performed under indirect laryngoscope. Methods　The clinical data of 96 patients whose adenoidectomy were performed under indirect laryngoscope from January 2005 to January 2008 were retrospectively summarized.Results　All the patients followed up for 6 to 12 months were significantly improved in their clinical symptoms following the surgery. No patient complained of complications postoperatively. The surgical procedure was time-saving and the operative field was clear.Conclusion　Adenoidectomy under indirect laryngoscope is easier performed than traditional adenoidectomy and it is more effective, economical surgical procedure. As well, it is safer and it satisfies surgeons and patients.]]> 2018/12/6 8:49:55 YU Hong，WU Yong-shou.YUAN Su-xian 1048true ［Abstract］　Objective　To compare the clinical effect of propofol combined with butorphanol and propofol alone in painless induced abortion and further confirm the advantage of propofol combined with butorphanol in painless induced abortion. Methods　 Eighty pregnant women ASAⅠ～Ⅱ, no history of vaginal delivery undergoing painless induced abortion were randomly divided into two groups(group A: propofol alone, group B: propofol plus butorphanol).The vital signs and incidence rate of adverse effect in two groups were observed respectively. The amount of propofol, recovery time and the VAS score of postoperative uterine contraction pain were recorded.Results　Compared with group A, the amount of propofol was less, the incidence of injection pain was lower, the recovery time was shorter and the VAS score of postoperative uterine contraction pain was lower in group B (P<0.01).Conclusion　Propofol combined with butorphanol is effective anesthesia in painless induced abortion.]]> 2018/12/6 8:49:55 FENG Ji-feng, ZHOU Shu-ke 1047true ［Abstract］　Objective　To evaluate the curative effect of transurethral plasma kinetic resection of prostate (PKRP) in the treatment of prostatic hyperplasia. Methods　Forty patients with prostatic hyperplasia were treated by PKRP with Gyrus made in English and had been followed-up from 2 to 12 months. The changes of voiding symptoms, maximum urinary flow rate (Qmax)，international prostate symptom score (IPSS)，residual urine volume(RUV) and quality of life score(QOL) were compared between pre-operation and post-operation.Results　The operation time of PKRP was 30～110 minutes, the mean volume of blood loss was 20～180 ml.There was no case of blood transfusion and no transurethral prostate resection syndrome occurred. Qmax of post-operation increased from 7.5±3.1 ml/s to 18.9±2.1 ml/s after two months, RUV decreased from 85.8±32.2 ml to 17.3±13.0 ml, IPSS decreased from 23.8±4.2 to 4.9±3.2, QOL decreased from 5.8±1.9 to 1.7±0.6. Conclusion　PKRP for treatment of prostatic hyperplasia is effeetive, safe, less bleeding and complications, and it had application value of spreading.]]> 2018/12/6 0:00:00 LIANG Qing-zu, HUANG Hua-wu, WEI Li-huang, et al. 1046true ［Abstract］　Objective　To discuss the clinical efficacy of nasal endoscopic surgery for chronic sinusitis and nasal polyps. Methods　The clinical data of 128 patienls who were treated by nasal endoscopic surgery and fullowed up for more than 6 months after the operation were analysed. Results　The cure rate (symptoms completely disappeared)was 79.7%, improvement rate was 15.6%, ineffective rate was 4.7 %, the total effective rate was 95.3%.Conclusion　Nasal endoscopic surgery in the treatment of chronic sinusitis and nasal polyps is effective. The treatment of the middle turbinate and nasal septum deviation and preoperative disease estimation are important influencing factors on the cure rate. Strengthening the comprehensive treatment and postoperative follow-up are the key to improve the cure rate.]]> 2018/12/6 8:49:55 MO Yuan-jiang, ZENG Rong, DENG Chang-jian 1045true ［Abstract］　Objective　To obserre the therapeutic effect of endoscopic heat probe therapy for stomach uplift lesions.Methods　The endoscopic heat probe were applied to treat stomach verrucous gastritis, gastric xanthoma and gastric polyps and its effects were obserred. Results　Forty-two patients with verrucous gastritis （185 projections）, 11patients with xanthoma(16 projections) and 17 patients with gastric polyps (30 projections) were treated, Four weeks after treatment, the patients were reexamined by gastroscope.The results showed verrucons gastritis and gastric xanthoma were all cured, the healing rate was 100%.Gastric polyps disappeared in16 patients after one time treatment, the healing rate was 93.33%.Two polyps(diameter>1.5 cm) in one patients had still ulcer surface which disappeared completely after second treatment.Conclusion　Heat probe treatment is a new safe, effective therapeutic method for stomach uplift.]]> 2018/12/6 8:49:55 LUO Zhi 1044true ［Abstract］　Objective　To investigate the curative effect of sodium nitroprusside on severe heart failure. Methods　Sodium nitroprusside was continuously intravenously pumped. Dopamine was added for patients with low blood pressure. The curative effect of 28 dilated cardiomyopathy patients with severe heart failure were studied.Results　Fifteen patients were marked effective (53.6%). 11 patients were effective (39.3%). 2 patients were ineffective (7.1%). Conclusion　Sodium nitroprusside in the treatment of dilated cardiomyopathy patients with severe heart failure is safe and effective.]]> 2018/12/6 8:49:55 QIN Xue-mei 1043true ［Abstract］　Objective　To study the clinical features of duodenal trauma and the surgical methods in improving therapeutic effects.Methods　The clinical data of 12 patients with duodenal trauma were analyzed retrospectively.Results　9 cases underwent single neoplasty of duodenum, 2 Roux-en-Y anastomosis and 1 duodenopancrea-tectomy. In 12 cases, 11 were cured, 1 died. Conclusion　Early diagnosis of duodenal trauma is difficult.The proper choice of operation based on the injury types and the condition of duodenal trauma may be beneficial for improvement of survival rates and decrease of complication occurrence.]]> 2018/12/6 8:49:55 BI Lian-chen, MAI Wei, HUANG Shun-rong, et al. 1042true ［Abstract］　Objective　To probe the accuracy of ultrasound diagnosis of carcinoma in ampulla of vater(CAV), and the differentiation between carcinoma of head of pancreas(CHP) and carcinoma of bile duct(CBD). Methods　Retrospective review of 54 patients sufering from periampullary carcinoma from 2007 to 2009 was performed.Results　The ultrasonography results of 54 patients of periampullary carcinoma accorded with operation pathological results with accuracy of 87.04% on average.The differences in longest diamieters of cacinomas between CAV、CHP and CBD were remarkable(P<0.05), significant difference between CAV and CHP (P<0.01). Prominent differences between CAV、CBD and CHP existed in the ratio of dilation of the exrahepaticbihe duct（P<0.05）.The ratio of dilation of ductus pancreaticus were not markedly different respectively.Conclusion　The ultrasound is the chief diagnostic method of carcinoma in ampulla of vater and is helpful to differentlal diagnosis between CAV, CHP and CBD.]]> 2018/12/6 0:00:00 LIANG Ping 1041true ［Abstract］　Objective　To study the effect of baclofen with rehabilitation therapy on poststroke spasticity. Methods　Sixty patients accepted baclofen with rehabilitation for 3～6 months. Blood and urine routine test, hepatic and renal function were monitored before and every 1 months after treatment. Modified Ashworth scale was used for evaluation of the spasticity and Fugl-Meyer Motor Scale (FMMS) was used for evaluation of the motor function.Results　Their muscular tension was significantly improved (P<0.01) after treatment, as well as the FMMS (P< 0.01). 3 patients were very effective, 27 patients were effective, 24 patients were improved, 6 patients were not effective. No side-effect was observed.Conclusion　Baclofen combined with rehabilitation can effectively relieve spasticity and improve the motor function of the stroke patients with spastic hemiplegia.]]> 2018/12/6 8:49:55 CHEN Xiu-qiong, YANG Chu-yu, XU Wei, et al. 1040true ［Abstract］　Objective　To appraise the clinical curative effect of elbow lateral operative approach internal fixation treatment for humerus intercondylar bone fracture. Methods　Thirty-two case of humerus intercondylar bone fracture, according to bone fracture AO/ASIF classification: The C1 17 cases, the C2 9 cases, and the C3 6 cases, received the elbow lateral approach internal fixation treatment, using the Kirschner wire, the steel plate or the screw to make the bone fracture fixed.Results　Followed-up time was ranging from 6 to 18 months, the average was 10 months, the bone united completely, average 4.5 months.There were 21 excellent cases, 6 good cases, fair 4 cases and 1 bad case, The excellent and good rate was 84.3%. Conclusion　The elbow joint lateral approach internal fixation treatment for humerus intercondylar bone fracture, which does not damage the extension of the elbow installment, is an effective method. The coordination with early function exercise, can restore the elbow joint function to the greatest.]]> 2018/12/6 8:49:55 CHEN Shi-ping 1039true ［Abstract］　Objective　To investigate the treatment effect of the combination of penehyclidine hydrochloride injection and hemoperfusion for acute organophosphorus pesticide poisoning (AOPP).Methods　Forty-three patients with AOPP were randomly divided into two groups.They were atropine combined with hemoperfusion group (A group, 21 cases), penehyclidine hydrochloride injection combined with Hemoperfusion group (B group, 22 cases), the treatment effects of two groups were estimated by observing the times of taking the medicine, the total amount of taking the medicine, the times of hemoperfusion, the rate of cure, the average days of treatment and the occurrence rate of adverse reaction. Results　The times of taking the medicine, the total amount of taking the medicine, the times of hemoperfusion, the average days of treatment and the adverse reaction of B group were less than that of A group(P<0.05). Conclusion　The treatment effect of penehyclidine hydrochloride injection combined with hemoperfusion for AOPP is better than that of atropine combined with hemoperfusion, and the adverse reaction is less.]]> 2018/12/6 8:49:55 WANG Fu-xu, LONG Jian-zhong, HE Xue-ming, et al. 1038true ［Abstract］　Objective　To study the ultrasound diagnosis and clinical value of color Doppler ultrasonography in the diagnosis of carotid atherosclerosis(CAS). Methods　Sixty-eight patients with CAS were examined by color Doppler ultrasonography to obsever the conditions of internal diameter of arterial lumen, carotid intima-media thickness(IMT), formation and distribution of carotid atherosclerotic plaques, degree of luminal stenosis and hemodynamic change in the carotid.Results　Among 68 patients with CAS, simple increase of carotid intima thickness and rough intimal surface were found in 16 patients, carotid atherosclerotic plaques were found in 52 patients, carotid srenosis were found in 42 patients, filling defects on flow imaging were found in 41 cpatients.Conclusion　Color Doppler ultrasonography is an accurate and effective method in the diagnosis of CAS and it has important clinical value in the early diagnosis of CAS.]]> 2018/12/6 8:49:55 SHEN Gui-xin 1037true ［Abstract］　Objective　To explore the effect of oligohydramnios on the perinatal infants in late pregnancy. Methods　The clinical data of 56 oligohydramnios pregnant women retrospectively were analysed.Results　Oligohydramnios often happened after 40 weeks of women pregnancy.It led to intrauterine growth retardation, delayed pregnancy and prolonged pregnancy. Oligohydramnios had poor effect on the perinatal infants. And the poor prognosis rate is higher than normal pregnant women (P<0.05).Conclusion　Oligohydramnios is a signal for chronical intrauterine fetal anoxia. When the diagnosis is clear, cesarean section should be first considered.]]> 2018/12/6 8:49:55 CHEN Yan 1036true ［Abstract］　Objective　To investigate the application value and indications of laparoscopy in abdominal trauma patients.Methods　The clinical data of 40 abdominal trauma patients diagnosed and treated with laparoscopy were retrospectively analysed.Results　In 30 patients out of 40 patients, the surgeries were completed laparoscopically; in two patients, the surgeries were completed with laparoscopy and thoracoscopy-assisted minithoracotomy; 8 patients (20%) were converted to laparotomy. No complications or deaths appeared in all patients. Conclusion　Laparoscopy is minimally invasive, safe and reliable in the diagnosis and treatment of abdominal trauma patients, and has greater advantages in the diagnosis of abdominal trauma.]]> 2018/12/6 8:49:55 WEI Ge, LI Hong-fei, QING Hong-bin 1035true ［Abstract］　Objective　To investigate the correlation of the hyperlipemia with cerebral infarction in country dweller and compare patients of country dweller with the city citizen.Methods　One hundred and forty-six cases of cerebral infarction of country dweller, 79 cases cerebral infarction of city citizen, and 148 cases of non-cardiocerebral vascular discase（ control group） were collected, their blood lipid data were analyzed. Results　TC, TG, HDL-C and LDL-C levels of patients with cerebral infarction both in country dweller and city citizen were obviously higher than those of the control group（P<0.05）, while the detection rate of the hyperlipoidemia was no significant difference between the country dweller groups and citizen group（P>0.05）, but there has a obvious difference between the two research groups compareed with the control group（P<0.05）.Conclusion　There also have a close relationship between the hyperlipoidemia and the cerebral infarction in country dweller.]]> 2018/12/6 8:49:55 TANG Yun-li 1034true ［Abstract］　Objective　 To discuss pre-hospital emergency methods for mass trauma and improve the level of pre-hospital emergency.Methods　The data of pre-hospital emergency for mass trauma in which each case of casualties referred to 3 or more persons in Kunming in 2007 were analysed.Results　There were 424 cases of mass trauma in Kunming in 2007,among which,203 cases(47.9%) were traffic accidents, 173 cases(40.8%) were group affray, 22 cases(5.2%) were food poisoning, 7 cases(1.7%) were carbon monoxide poisoning, 19 cases were others. Total number of patients was 1672, 26 died. All patients got timely and effective pre-hospital emergency.Conclusion　Traffic accidents and group affray are main events in kunming′s mass trauma in 2007, timely and effective pre-hospital emergency should be provided to reduce casualty.]]> 2018/12/12 16:20:04 PU Li-fen, XIAO Li-ping, HUANG Shao-xian 1033true ［Abstract］　Objective　 To evaluate the effect of pressurized air and barium enema under X-ray monitoring for infant intussusception.Methods　Among the 86 cases of infant intussusception diagnosed by clinical and X-ray examinations,38 were treated by pressurized air enema, another 48 were treated by barium enema.Results　Reduction was successfully completed in 35 of the 38 cases in the group of pressurized air enema, reduction rate was 92.11%；while in the group of pressurized barium enema,reduction was successfully completed in all of the 48 cases, reduction rate reached 100%. There was statistical difference in the red uction rate between two grougs (χ²=3.93,P<0.05).Conclusion　compared with the pressurized air enema, barium enema is more preferable mothod for the infant intussusception.]]> 2018/12/12 16:20:04 SHEN Guo-guang,DU Xi-mei,SHEN Yi,et al. 1032true ［Abstract］　Objective　To analyse the prevention and treatment of reactional psychosis after thoracic and cardiovascular operation.Methods　The clinical data of 23 cases of reactional psychosis after throcic and cardiovascular operation were analysed retrospectively.Results　Twenty-there cases were cured without recurrence. Conclusion　To improve environment in the ward, medication and psychological treatment are effective methods of reactional psychosis after thoracic and cardiovascular operation with eusemia.]]> 2018/12/12 0:00:00 LU Chang-cao, WEN Zhao-ke, LU Wei-jun 1031true ［Abstract］　Objective　To investigate the features of occurrence of neural tube defect in Heng county and its relevant factors.Methods　The clinical data of 35 cases of neural tube defect discovered in hospitalization parturition monitoring during a period of 6 years were collected and were a retrospectively analysed.Results　Out of 35 cases 20 cases were anencephalus, 8 were encephalocele, 7 were spina bifida, the number of occurrence accounted for 3.88% of the total number of birth defect of the same period. Antenatal ultrasonic diagnosis rate was 74.2%, puerperal diagnosis rate was 25.7%. The relevant factors included occupation, educational background, lack of health care before and during pregnancy, no prevention by taking folic acid, contact with toxic and deleterious article and environment.Conclusion　It is key to reduction of the occurrence of neural tube defect to popularize pre-pregnancy and pregnancy education, instruct the pregnant women to correctly take folic acid and keep away from contact with toxic and deleterious article, and improve antenatal ultrasonic diagnosis rate through prenuptial checkup.]]> 2018/12/12 16:20:04 ZHANG Miao-lan, YAN Xiu-mei 1030true ［Abstract］　Objective　To estimate clinical efficacy and safety of amphotericin B liposome(L-AmB) in the treatment of invasive fungal infections(IFI) in Surgical Intensive Care Unit(SICU).Methods　Thirteen patients with IFI in SICU were treated by low dose of L-AmB 1 mg/(kg·d),and the clinical efficacy and adverse reaction during the treatment period were observed.Results　There were cure in 7 cases, marked effect in 3,progress in 2,ineffective in 1 respectively. The clinical total effective rate was 76.9%.The adverse reaction was relatively small. Conclusion　The low dose of L-AmB 1 mg/(kg·d) has definite therapeutic effect in the treatment of the patients with IFI in SICU. The adverse reaction is relatively small. It deserves further clinical applications.]]> 2018/12/12 16:20:04 HUANG Peng, HUANG Zhai 1029true ［Abstract］　Objective　To provide reference for the diagnosis and treatment of hemolytic disease of newborn.Methods　The major detecting methods included the identification of Identifying ABO and Rh blood type，direct coombs′ test, serum free antibodies test and antibodies dispersion test.Results　In 416 case doubted as HDN, 243 cases of HDN（58.41%）caused by maternal-fetal blood type incompatibility were identified, thereinto, 242 cases belonged to ABO-HDN（99.59%）and 1 case belonged to Rh-HDN（0. 41%）. In those ABO-HDN cases, 103 cases（42.56%） were A blood type and 139 cases（57.44%）were B blood type. The rate of the distributions of A blood type and B blood type in ABO-HDN case had no statistically significant difference (χ²=3.1157, P=0.0775). Conclusion　A majority of cases of HDN which caused by maternal-fetal blood type incompatibility is ABO-HDN. Antibodies dispersion test is the most sensitive and is the most effectual method in the three kind of HDN test.]]> 2018/12/12 16:20:04 LI Hai-lan, JIAO Wei, WU Huan-xiu 1028true ［Abstract］　Objective　To understand the sex, age, complicated infective disease, symptoms, laboratory examination and therapy of 103 patients with acute urticaria.Methods　The data were collected on 103 patients with acute urticaria due to infection .The cause, course and treatment were analyzed.Results　Bacterial or viral infection were the principal cause of acute urticaria.Antibacterial or antiviral therapy was effective.Conclusion　There may be a certain degree of particularity between infection and acute urticaria.]]> 2018/12/12 16:20:04 HE Guo-hua 1027true ［Abstract］　Objective　To evaluate the effectiveness of urokinase and microwave therapy for secretory otitis media.Methods　Sixty patients with secretory otitis media were treated with urokinase and microwave therapy.Results　The most patients had a sitisfactary effectiveness. There was no complication in any patients.Conclusion　The urokinase and microwave therapy was safe and effective for secretory otitis media.]]> 2018/12/12 16:20:04 ZHANG Yan-zhe,LIU Shuang-yun, WANG Man 1026true ［Abstract］　Objective　To evaluate effectivity and safety of an alternating regimen of irinotecan/5-FU/folinic acid and oxaliplatin/ 5-FU/folinic acid in advanced colorectal cancer(CRC).Methods　Advanced CRC patients received irinotecan 125mg/m², LV 100mg/m², 5-FU 500mg/m² on days 1, 8. oxaliplatin 65mg/m², LV 100mg/m², 5-FU 500mg/m² on days 15, 16, every 28 days.Results　Thirty-six patients enrolled into this study. RR was 50.00%, clinical benefic rate(CBR) 88.89%， overal survival(OS) 6～28 months, mean time to progression(MST) 15 months，mTTP 10.3 months.Conclusion　This regimen is an effective, acceptable and salfe methods in patients with advanced colorectal cancer.]]> 2018/12/12 0:00:00 WU Hong-ye, GAO De-xiang 1025true ［Abstract］　Objective　To investigate the safe and effective surgical method of senior and high risk patient with benign prostatic hyperplasia （BPH）.Methods　 Partial transurethral electrovaporization of prostate（TUVP） combined with transurethral resection of prostate（TURP） were used in 121 senior and high risk patients with BPH.Results　The weight of resected tissue was 15 to 70g，average being 47.5g，the operative time was 30 to 105 min，average being 55 min；the amount of blood loss was 80 to 210 ml.The IPSS and QOL obviously decreased after operation.Conclusion　Partial TUVP combined with TURP is safe and effective for the treatment of senior and high risk patient with BPH.]]> 2018/12/12 0:00:00 WANG Shi-jian, WANG Wei, LUO Xiao 1024true ［Abstract］　Objective　To summarize the experience of the diagnosis and treatment of acute abdomen in pregnancy.Methods　Fifty-one cases of acute abdomen in pregnancy in our hospital during Jan.1997 to Dec.2007 were analyzed retrospectively.Results　There were 34 cases(66.67%) of acute appendicitis, 2 cases(3.92%) of acute pancreatitis, 3 cases(5.88%) of billiary ascarids;5 cases (9.8%) of acute cholecystitis; 2 cases(3.92%) of adhesion intestinal obstruction; 3 cases(5.88%) of urolithiasis; 2 cases(3.92%) of abdominal trauma.Thirty-two cases were operated, accounting for 62.75%. In all cases, abortion were found in 3 cases, fetal death in 1 case and mother death in 1 case.Conclusion　 For special anatomical and physiological changes of pregnant women with acute abdominal diseases, diagnosis and treatment would be delayed and maternity and children′s lives would be threatened as results of the difficulty in detecting typical symptoms and signs. Therefore, it is significant to perform early diagnosis and treatment.]]> 2018/12/12 16:20:31 LUO Yong, SUN Jin 1023true 2018/12/12 16:20:31 李　印 1022true ［Abstract］　Objective　To Study clinical effect of integrated traditional chinese and western nedincie in treating hepato-cirrhosis ascites with spontanous bacterial peritomtis(SBP).Methods　Sixty-two paients with hepato-cirrhosis ascites with spontanous beaterial peritonitis were randomly divided into treatment group　(n=31) and control group　(n=31). There were not signifiant difference between treament group and control group in the child-pugh ABC patients.On the basis of comprrehensive cure, the treatment group was given integrated traditional chinese and western medcine once day. The contral group was only given the comprehensive cure.Results　 The serum level of TBil TBA and ALT were more lower in the treamtent group than that in the control group(P<0.01) after treatmont. After treatmen, PTA was increased in the treatment group than that in the control group(P<0.01). Infection index was more lower in the treatment group than that in the control group(P<0.01). The tocal effiacy rate was 70.9% in the treatment group and 32.2% in the control group. There were singnifiant difference between two group(P<0.01). Conclusion　It is significant effective using integrated traditional chinese and western medicine treatment to patients with hepato-cirrhosis ascites with spontanous beaterial peritonitis(SBP).]]> 2018/12/12 16:20:31 JI Xian-li, JI Rui-ying 1021true 2018/12/12 16:20:31 潘荣南，陈　民，吴雪松，李　文 1020true ［Abstract］　Objective　To investigate the clinical behaviors of puerperas undergoing acute hysterectomy.Methods　 A restrospective analysis was performed on 13 puerperas undergoing acute obstetrical hysterectomy (AH) from 2004 to 2008 in our hospital.Results　The indications for AH among the 13 cases were placenta praevia with placenta accreta, postpartum hemorrhage due to uterine inertia, disseminated intravascular coagulation(DIC), amniotic fluid embolism, rhexis of uterine aneurysm, respectively. The volume of bleeding ranged from 1000～17000ml and the average volume was about 5800ml. The severe postoperative complications included DIC, acute renal failure, multiple organ dysfunction syndrome，and no maternal death occurred. Perinatal infants were 13 cases, one of them was died.Conclusion　Hysterectomy is one of the effective measures to treat the acute obstetrical hemorrahage. Some means, such as strengthening the screening and administration of pregnant women and puerperas at high risk, preventing the occurrence of severe complications and lowering the esarean birth rate, may reduce the incidence of the obstetrical hysterectomy.]]> 2018/12/12 16:20:31 LIAO Qi, LIANG Lan, SHI Yue-qiu, et al. 1019true ［Abstract］　Objective　 To explore the clinical efficiency of the hemoperfusion and mechanical ventilation therapy in the treatment of patients with severe organic phosphorus poisoning.Methods　Forty-one patients with severe organic phosphorus poisoning were randomly divided into two groups which included conventional treatment(the comparative group) and applying hemoperfusion and mechanical ventilation therapy (the treating group) by randomized sampling.Results　The time of coma and time in hospital of the treating group were obviously shorter than thoses of the comparative group，meanwhile the cure rate of the former was higher than that of the latter，the death rate of the former was lower than that of the latter（P<0.05 or P<0.01）.Conclusion　The effects of hemoperfusion and mechanical ventilation therapy is better than that of conventional therapy in the treatment of patients with severe organic phosphorus poisoning.]]> 2018/12/12 16:20:31 LI Jian-guo, NIU Huan-xiang, JIA Ai-tang, et al. 1018true ［Abstract］　Objective　 To study how to reduce the misdiagnosis of pelvic abscess (PA)and treate.Methods　The data about medical history， treatment and prognosis of twelve patients with PA were reviewed.Results　The misdiagnosis rate in this group was 41.7%, eleven patients were treated by surgery, there was 1 case of surgical treatment history. Ten patients could be linked to were followe-up for one year, There were no history of abdominal pain and pelvic mass.Conclusion　Collecting detailed medical history (especially menstrual history, past history) and earnest examination will be helpful to differential diagnosis. Surgery for PA have advantages as prompt diagnosis, rapid effect, and quick recovery.]]> 2018/12/12 16:20:31 CHEN Pei-yu, HU Wei-dong 1017true ［Abstract］　Objective　 To analyze the clinical effect of gynecological laparoscopic operation.Methods　One hundred and twenty-six cases of gynecological laparoscopic operations, including ectopic pregnancy, uterine perforation, ovary tumor, hysteromyoma, sterility and so on, were analyzed retrospectively.Results　One hundred and twenty-four cases of 126 cases(98.41%) were successfully in laparoscopic operation except 2 cases who were converted to open surgery. And there were few bleeding, less pain, faster recovery and fewer days in hospital with nicer abdominal skin.Conclusion　Laparoscopic trerapy is more and more applicable to gynecological diseases, becoming one of major diagnotic and therapeaic technologies.]]> 2018/12/12 16:20:31 HUANG Cui-yun 1016true ［Abstract］　Objective　 To observe the clinical effect of small needle-knife therapy combined acupoint injection with the compound safflower injection in the treatment of the third lumbar vertebra transverse process syndrome. Methods　Fifty-two patients with the third lumbar vertebra transverse process syndrome were treated with small needle-knife therapy combined acupoin tinjection with the compound safflower injection.Then, the therapeutic efects were evaluated after 3 weeks. Results　There were 17 patients showed clinical cure, 28 significant effect, 7 effective effect and no patient showed inefficiency with the general efficient rate of 100%.Conclusion　Small needle-knife therapy combined acupoint injection with the compound safflower injection is significantly effective to improve manifestations of the third lumbar vertebra transverse process syndrome and is worth using in clinic.]]> 2018/12/12 0:00:00 YANG Si-qiang 1015true ［Abstract］　Objective　 To discuss the safety of non-pain endoscopic checking in the elderly. Methods　From 2007 to 2008, 859 patients were divided into group A(n=172, aged over or equal 60 years) and group B(n=687, aged below 60 years).The clinical data, complications and non-pain endoscopic checking successful rate were retrospectively reviewed between two groups.Results　（1）The incidence of important chronic concomitant diseases were significantly higher in group A than those in group B(61.0% vs 9.6%, P<0.01).（2）The non-pain endoscopic checking successful rate in group A and B was 99.4% and 100%, respectively(P>0.05).（3）Two patients in group A had complications, three patients had complications in group B, respectively(P>0.05).No fatal complications were caused in two groups.（4）The patients took a rest an hour after checking and left hospital without abnormal reaction.there was no difference between two groups (P>0.05).Conclusion　 The non-pain endoscopic checking is safe and effective in the elderly.]]> 2018/12/12 16:20:31 YU Qian, SONG Yu, ZHOU Yun-xia 1014true ［Abstract］　Objective　 To investigate the value of transvaginal color doppler flow imaging(CDFI) in diagnosing incomplete drug abortion.Methods　Thirty-six cases of medical abortion residual organizations were diagnosed by CDFI.All the cases were confirmed after cleaning their uterus.Results　In examination of intrauterine residual organizations in 36 cases with residual organizations, CDFI clearly indicated that there was residual embryonic tissue blood flow in the uterine cavity and there was abundant focal blood flow areas in the site of uterine endometrium and uterine muscle walls near the uterine cavity. Low-frequency spectrum of arterial blood flow was also measured. Resistance index (RI)was 0.45 ± 0.08.Conclusion　CDFI indicate abundant signals of focal blood flow areas in the site of uterine endometrium and uterine muscle walls near the uterine cavity are major imaging signs for diagnosing incomplete drug abortion, which can guide clinical treatment and has important clinical value.]]> 2018/12/12 16:20:31 LIANG Ru-xin 1013true 2018/12/12 16:20:31 周卫民，李建煌，詹画香 1012true ［Abstract］　Objective　To explore the safe method of perioperative management of high dangerous benign prostatic hyperplasia.Methods　The clinical data，diagnosis and surgical effect of 39 cases with benign prostatic hyperplasia treated from l998 to 2007 were retrospectively analyzed.Results　All of the patients spent the peroperative period safely and qreatly improved their living quality.Conclusion　All patients with high dangerous prostatic hyperplasia can be manaaged with different surgery if only proper perioperative management is made.]]> 2018/12/13 9:29:22 LUO Jiang-guo，ZHOU Li-chao 1011true ［Abstract］　Objective　To investigate the clinical characteristics and prognostic factors in breast cancer patients over 70 year of age.Methods　From 1997 to 2007, 39 female breast cancer patients over 70 years old were treated and the data were retrospectively reviewed. The clinical features including age, comorbidity, initial symptom, approaches. and overall survival were analyzed.Results　These 39 patients accounted for 28.26% of all breast cancer patients registered in our institution during the same period. Presentation of breast lump as initial symptom accounted for 89.7% of the patients. 53.8% patients had comorbidity such as coronary heart disease, hypertention, diabetes, etc. Major pathological type was invasive ductal carcinorna(82.1%). Estrogen or progesterone receptor was found to be positive in 66.9% by immunohistochemical staining.Conclusion　 Female breast cancer patients over 70 years of age exhibit distinctive clinical and pathological characteristics. Surgery and endocrine therapty are main and effective treatment methods.]]> 2018/12/13 9:29:22 ZHANG Jin-xue, WANG Hong-mei 1010true ［Abstract］　Objective　To observe the treatment effect of MEBO in the burn patients having different burn area and depth.Methods　Besides the comprehensive treatments including anti-shock, anti-infection, cardiac stimulus and protection of inportant organs, the 2340 burn patients were treated with MEBO.Results　All patients were healed, especially, there was no scar left on the wound Ⅱ and self-healing on the wound Ⅲ.Conclusion　The effect of MEBO which treats the burn of different area and depth is obvious.]]> 2018/12/13 9:29:22 YAO Ming-shan 1009true ［Abstract］　Objective　To investigate the diagnostic value of high-frequency color ultrasound in the invasive ductal carcinoma of breast.Methods　 Analysis of sonogram was performed in 66 patients with invasive ductal carcinoma of breast confirmed by operation.Results　Ultrasound had high rate of diagnosis for the invasive ductal carcinoma of breast, Border infiltration, microcalciffcation and penetration of blood flow were all its characteristics.Conclusion　High-frequency color ultrasound is the preferred examination method in the clinical diagnosis of breast cancer.]]> 2018/12/13 9:29:22 ZHAN Lin， TANG Jian-hua, LEI Fang, et al. 1008true ［Abstract］　Objective　To study the curative effect and the feasibility of the treatment of synchronized intermittent mandatory ventilation (SIMV) for breath failure of the newborn infant in basic hospitals.Methods　SIMV were used to treat 46 newborn infant with breath failure and the clinical effects were observed.Results　among the 46 newborn infant, 32 were cured, and the percent was 69.6%. 14 of them died or gave up their treatments and the percent was 30.4%.Conclusion　 The curative effect of SIMV in the treatment of breath failure in newborn infants is positive. In basic hospitals the mechanical ventilation can be used to treat breath failure in newborn infants.]]> 2018/12/13 9:29:22 JIANG Li-shuang, YAN Xiu-mei 1007true ［Abstract］　Objective　To investigate the value of ultrasonic examination in the diagnosis of newborn hypoxiciscemic encephalopathy(HIE).Methods　 The features of ultrasonic examine in 131 cases of newborn HIE were analyzed retrospectively.Results　There were different degree of brain damage in 131 cases HIE children, there were slight degree in 108 cases(82.44%), middle degree in 20 cases(15.27%), severe degree in three cases (2.29%).Conclusion　Ultrasonic examination is a reliable technigue for the diagnosis of newborn HIE, which was helpful to monitoring treatmant and course of disease. This method is simple and safe.]]> 2018/12/13 9:29:22 HUANG Guang-Yong 1006true ［Abstract］　Objective　To observe the etfect of anterior debridement, spinal decompression, posterior fixation and bone fusion in the treatment of thoracic and lumbar tuberculosis combined with huge cold abscess.Methods　 From January 1999 to December 2005, the 22 cases of thoracic and lumbar tuberculosis combined with huge cold abccess were treated, by simulfaneous operation of anterior debridement, pedicle screw fixation, and the treatment of auto-fusion.Results　The patients were followed up 6 to 24 months, with an average of 9 months, The 22 patients of spinal tuberculosis were cured. The symptoms disappeared. There was no local recurrence of tuberculosis, all plant bone were bone fusion, the fusion time was 5 to 7 months. The posterior convex correction rate was 80%.Conclusion　In surgery of the thoracic and lumbar tuberculosis, the posterior fixation and anterior debridement and grafting may be made at the same time, in order to effectively stabilitze the diseased vertebrae, correct deformities in part, eradicate lesions and shorten the time in bed.]]> 2018/12/13 9:29:22 LIU Chang-sheng, LIAO Yong-fa, WEI Jia-ning, et al. 1005true ［Abstract］　Objective　 To investigate effectiveness in the treatment of the 50 cases of nentigo with naloxone hydrochloride injection.Methods　Fifty pationts in the treatment group were given naloxone hydrochloride injection 0.8 mg/d for three days （mixed with 0.9%NaCl Injection 200ml, 30～40 drops/min） and fifty patients in the control group were given betahistine 500 ml/d.For the patients of transient ischemic attack, there were given extra thenapies of anti-clotting anti-platelet, for three days.Results　the effectiveness in the treatment group was better than that in the control group P<0.05.Conclusion　The effectiveness of naloxone hydrochloride injection in the treatment of ventigo is significant.]]> 2018/12/13 9:29:22 LI Zhong-yan 1004true ［Abstract］　Objective　To explore the clinical characteristic of patients with candiduria., and to provide information to guide the clinician in the treatment of candiduria.Methods　 A retrospective analysis was made on the candiduria and their clinical data during the period of Jan. 2007 to June 2008 with WHONET 5.4 software.Results　The predominant causative organism in candiduria is candida albicans (48.7%), the most patients are from intensive care units(61.8%).Conclusion　Risk factors for candiduria included urinary indwelling catheters, cerebrovascular accident, use of antibiotics, elderly age, underlying genitourinary tract abnormality, malignant tumor, CRI, presence of diabetes mellitus. Presence of candiduria may represent only colonization and there are no consistent diagnostic criteria to define invasive fungal infection.Most cases are asymptomatic, and does not require local or systemic antifungal therapy.]]> 2018/12/13 9:29:22 CHEN Xing-chun, ZHAO Li, LIN Wei, et al. 1003true ［Abstract］　Objective　 To observe the effect of surgery for spondylolisthesis.Methods　Sixteen cases of lumbar spondylolisthesis were treated by nucleus pulposus discectomy, interbody fusion plus RF.Results　 After follow up for a mean of 24 months, 10 cases were excellent, 5 cases were good and 1 cases were general.Conclusion　Spondylolithesis is a more common desease and may be obtained satisfactory effect by correcting spondylolithesis, discectomy and interbody fusion.]]> 2018/12/13 9:29:22 LU Mao-de, LI Yu-xiang, GE Shun-jie, et al. 1002true ［Abstract］　Objective　 To discuss the clinical value of hysteroscopy in therapy of young woman′s cervical pregnancy.Methods　Eighteen cervical pregnancy patients adopted therapy of injection of MTX 50mg into gestational sac under the guidance of color doppler ultrasound to kill the embryo, waiting for the death of the embryo and the necrosis of gestational sac occurred to use hysteroscopy, and cure it with electric ring-shaped dissection and rolling sphere. Results　Eighteen cervical pregnancy patients were cured by this method; the cure rate was 100%, and the average hospitalization time was 13(11～17)d.Conclusion　When the injection of MTX into gestational sac under the guidance of color doppler ultrasound killed the embryo, decreased the activity of villi, and reduced rich blood supply, hysteroscopy can be used in therapy of cervical pregnancy.]]> 2018/12/13 9:29:22 HUANG Ju-ying, LI Ling-yun, HUANG Yan, et al. 1001true ［Abstract］　Objective　 To observe the effect of ondansetran，dexamethasone and droperidol for prevention of postoperative nausea and vomiting（PONV） caused by using the pain-killer fentanyl.Methods　One hundred and eighty patients considered to have I or II level of surgery were enrolled and divided into six groups randomly, each group 30 patients. The fundamental prescription for pain-killer was to use fentanyl 0.7～1.0mg plus physiological saline to dilute to 100 ml. The infusion speed was 2ml/h. The A group were injected dexamethasone 10mg through veins. The B group: dexamethasone 10mg plus droperidol 5mg contained in analgesia pumps.The C group: dexamethasone 10mg plus droperidol 2.5mg contained in analgesia pumps. The D group: dexamethasone 10 mg plus ondansetran 8mg.The E group:dexamethasone 10mg plus ondansetran 8mg plus droperidol 2.5mg contained in analgesia pumps. The F group (the comparative group) were injected physiological saline 5ml through veins. The PONV situations of patients for the postoperative 24 hours were observed and recorded.Results　The formation rate of postoperative nausea and vomiting in group E was the lowest, surpassing A group significantly (P<0.05) and B，C，D，F groups (P<0.01) and achieved the anticipated treatment goal.Conclusion　The compound medication of ondansetran，dexamethasone and droperidol can significantly reduce postoperative nausea and vomiting（PONV）caused by using the pain-killer fentanyl. Meanwhile it′s safe and effective and is worth applying to clinical application.]]> 2018/12/13 9:29:22 BA Wei-dong, XU Qin, LU Li-juan 1000true ［Abstract］　Objective　 To investigate the clinical features of primary central nervous system lymphoma (PCNSL) and its cause of misdiagnosis.Methods　The date of 19 patients with PCNSL, which were confirmed by the operation and pathological and immunohistochemical examinations, were clinically analyzed retrospectively. Results　All cases were misdiagnosed preoperatively. Of the misdiagnosed, 8 were diagnosed as neurospongioma, 4 as brain metastatic tumor, 5 as meningothelioma, and 2 as demyelinating disease. According to the pathological and the immunohistochemical examinations, 18 cases were B-cell lymphoma， only 1 case was T-cell lymphoma.Conclusion　There are no specific clinical manifestations of PCNSL and the disease is often misdiagnosed preoperatively. Although certain characteristic performance may be found on CT and MRI scans, the final diagnosis of this disease depends on pathological examination. Comprehensive treatments may prolong the survival time of the patients. Brain biopsy with pathological examination may be the only reliable method to confirm the diagnosis.]]> 2018/12/13 9:29:22 WEI Feng, CHEN Jian, ZHU Sheng, et al. 999true ［Abstract］　Objective　 To discuss the CT manifestations and CT diagnostic value of adrenal gland injury.Methods　The CT data and clinical data of 8 cases adrenal injury verified by operation or following up were analyzed retrospectively.Results　The manifestations of CT scanning in acute stage (one day to 7 days) after injury disclosed, there are 8 cases of adrenal hematomas, which exhibited round or roundish shadow, there were 6 cases of periadrenal tissue injury, 4 of which had stripe-like or plaque-like vague hemorrhagic shadows with high density in periadrenal fat and 3 of which showed vague margin of the crura of diaphragm or local increased density in the crura of diaphragm, 8 patients reexamined in subacute stage (8 days to one month) and chronic stage (after one month), after injury and it was found that the density of shadow reduced from margin of hematoma and that the shapes of adrenal gland recovered gradually.Conclusion　CT scanning discloses the pathoanatomic changes of adrenal injury, and is the main way to diagnose the adrenal injury.]]> 2018/12/13 9:29:22 WEI Yin 998true ［Abstract］　Objective　 To investigate and analyze the psychological status of female patients with venereal disease.Methods　Questionnaire and interview and symptom checklist (SCL-90) were applied to the investigation of psychological status of female patients with venereal disease.Results　There were mental illnesses in the female patients with venereal diseases and the mental problems of depression accounted for 38.3%, anxiety accounted for 45.8%. The most concerned issue of patients was afraid of transferring diseases to their husband and fetus.Conclusion　Most female patients with venereal disease have different degree of mental problems and need to undergo psychotherapy.]]> 2018/12/13 9:29:22 ZHOU Min-ling, XU Wen-qing, XU Zhi-xue, et al. 997true ［Abstract］　Objective　 To study the effect of Sanjin tablets combined with antibiotics in the treatment of chronic prostatitis.Methods　One hundred and fifty outpatients with chronic prostatitis were divided into three groups randomly. Each group included 50 cases. First group was treated with antibiotics levofloxacin and roxithromycin tablets. Second group was treated with Sanjin tablets only. Third group was treated with Sanjin tablets combined with antibiotics levofloxacin and roxithromycin tablets.30 days later the clinical effect were evaluated. Results　The total effective rate and recovery and excellence rate in antibiotics treated group were 26% and 66%, respectively. In the Sanjin tablets treated group, the total effective rate and recovery and excellence rate were 38% and 78%, respectively. There was significant difference between the two groups in the total effective rate (P<0.01). In the Sanjin tablets combined with antibiotics treated group, the total effective rate and recovery and excellence rate were 50% and 92%, respectively. Compared with antibiotics treated group and Sanjin tablets treated group, the Sanjin tablets combined antibiotics treated group had higher total effective rate (P<0.01).Conclusion　The effect of Sanjin tablets combined with antibiotics in the treatment of chronic prostatitis is significant.]]> 2018/12/13 9:29:22 ZHANG Ren-yi, LIU Qian 996true ［Abstract］　Objective　 To explore the anti-inflammation effects of Qingkailing injection in treating sepsis.Methods　Sixty patients with sepsis were randomly divided into the treatment group and the contrast group.Both groups were treated by normal westem medicine and Qingkailing injection was added to the treatment group. The activation of NF-κB and the level of TNF-α were examined by ELISA method in both group before and after the treatment, and the complications were observed in both group after the treatment.Results　The activation of NF-κB and the level of TNF-α in the treatment group were decreased obviously after treatment while no diference was found in the contrast group.The occurrence ratio of complication in the treatment group was significantly lower than that in the contrast group. Conclusion　Qingkailing injection can resist the inflammation reaction of sepsis，interdict the pathology response process of systemic inflammatory response syndrome(SIRS)and improve the prognosis of sepsis.]]> 2018/12/13 9:29:22 LIAO Dian-chang 995true ［摘要］　目的　探讨水针注射雪莲治疗强直性脊柱炎(AS)的临床疗效。方法　将符合诊断标准的90例AS患者随机以2∶1 的比例分为两组：(1)治疗组60例，以雪莲注射液为主运用水针注射疗法，选取5个华佗夹脊穴和腰俞穴交替使用，同时配合中医辨证分型用药和电磁波灸疗；(2)对照组30例，以红茴香注射液为主运用水针注射疗法，选取与治疗组相同的穴位和方法进行治疗。比较观察两组的临床疗效和不良反应。结果　治疗组治愈率63.3%，有效率100%；对照组治愈率13.3%，有效率100% 。结论　以雪莲注射液为主运用水针注射疗法，选取5个华佗夹脊穴和腰俞穴交替使用，同时配合中医辨证分型用药和电磁波灸疗治疗强直性脊柱炎(AS)是一种目前疗效较好、治愈率相对高、短期内复发率低、经济简便的方法，十分适宜在广大基层医疗单位康复理疗科推广应用。]]> 2018/12/13 9:29:22 黄庆华 994true ［Abstract］　Objective　 To evaluate the effect of the treatment of vertebro-basilar ischemia with tongxinluo adding flunarizine（group B 102 cases） and compare with group A 77 cases only treated with flunarizine.Methods　 The patients in group A were treated with flunarizine 10mg po, one time every day.The patients in group B were treated with adding tongxinluo 3-4pills po, three times every day on the basis of group A.15-day was designed as one course of treatment and the intermittent time were 5 to 7 days. Then the second would be proceeded according to patients conditions.Results　The therapeutic results after the first course of treatment were estimated in group A and group B respectively 40 cases and 73 cases were cured;Remarkable effective cases were 15 and 20;effective cases were 11 and 5.Ineffective cases were 11 and 4 cure rate were 52% in group A and 71.6% in group B （χ²=7.94，P<0.01）.Remarkable effective rate were 71.4% in group A and 91.2% in group B（χ²=12.96，P<0.01）.Total effective rate were 85.7%（group A）and 96.0% (group B)(χ²=4.69，P<0.05).The effective cases were followed for two months.The rate no recurrence were 63.6% in group A and 76.5% in group B（χ²=6.31，P<0.05）. Conclusion　Tongxinluo adding flanarizine has a better effect on vertebro-basilar ischemia than only flanarizine.]]> 2018/12/13 9:29:51 WANG Fei 993true ［Abstract］　Objective　 To describe the toxicity and efficacy of Gefitinib (Iressa, ZD1839) used as an “ultimum refugium” for patients with recurrent NSCLC. Methods　Seventy-five patients presenting with advanced NSCLC were treated with 250mg oral gefitinib daily afer the breakfast, the agent were sponsored by the drug company astrazenica. Eligibility criteria for this study included recurrent or metastatic NSCLC.Results　The response rate (CR+PR+SD)was 37.5% with CR 2.7%, PR 29.3%and SD 24%. Adverse events: rash, diarrhea, step-up of aminotransferase, nausea and vomiting were reported by 46.7%, 28%, 12% and 13.3% respectively. No interstitial lung disease was found.Conclusion　 ZD1839 has single-agent activity in advanced NSCLC with a satisfactory toxicity profile. It shows good prospect to patients which suffer from advanced and metastatic NSCLC.]]> 2018/12/13 9:29:51 WANG Zhi-wei 992true ［Abstract］　Objective　To explore combination of normobaric and hyperbaric oxygen therapy′s value which can detect the viability of the old hypertersion cerebral infarction. Methods　 Sixty-six cases of the old hypertension cerebral infarction which the blood pressure were not stabilize with two kinds of different methods of oxygen therapy.Group A was treated with combination of normobaric and hyperbaric oxygen therapy, group B with hyperbacric oxygen therapy, their results were compared.Results　The efficacy rate was highter in group A when compared with group B(P<0.01).The earlier the treatment begins, the highter the efficacy rate (P<0.01). Conclusion　A resonable application of normobaric and hyperbaric oxygen therapies as early as possible was an effective measurement, it could be performed safely and successfully.]]> 2018/12/13 9:29:51 PAN Xiao-rong, XU Li-min, FAN Qiu-ping, et al. 991true ［摘要］　目的　探讨小儿麻疹误诊原因。方法　 对15例小儿麻疹误诊病例的发病年龄、季节、临床表现、实验室检查、诊断及治疗进行分析。结果　误诊为荨麻疹1例，风疹1例，鹅口疮2例，药疹2例，急性肠炎4例，肺炎5例 。结论　 临床表现不典型是本组小儿麻疹误诊的主要原因。]]> 2018/12/13 9:29:51 秦伟玲 990true ［Abstract］　Objective　To seek a new micro-invasive and effective therapentic method for old anal fissure.Methods　Take the place of a knife with hanging thread, respectively, the anal fissure bottom and the two sides and from top to bottom both ends slowly were cut.The part of interior sphincter at 3 point of the lithotomy position were cut off by small knife.Results　Forty-five patients were cured in 48 patients, account for 94%, 3 patients were not cured. Conclusion　This method is simple, convenient, safe, reliable and is easy to popularizing in the basic medical department.]]> 2018/12/13 9:29:51 YANG Yu-long, YANG Tao 989true ［Abstract］　Objective　To evaluate the conditions of fasting plasma glucose(FPG) in the patients with coronary heart disease(CHD).Methods　A total of 483 patients with coronaty heart disease (male was 292 cases, female was 191 cases, their average age was 61.8.5±9.3 years) and 132 subjects without CHD and diabetes mellitus were studied. FPG were detected and analyzed.Results　 The value of FPG in CHD group (5.7±1.8 mmol/L), was significantly higher than that in the control group(5.3±1.9 mmol/L). The detecting rate of high FPG in the CHD group was significantly higher than that in the control group.Conclusion　The patients with CHD easy combine abnormal glucose metabolism, their glucose metabolism should be timely evaluated and managed.]]> 2018/12/13 9:29:51 ZANG Lin-chao, HU Shi-hong, WEI Chun-lin 988true ［摘要］　目的　观察自拟三黄汤熏洗治疗外伤性溃疡的疗效。方法　采用自拟三黄汤熏洗治疗外伤性溃疡46例与单用双氧水、生理盐水清洗创面，局部用凡士林纱布覆盖治疗的38例进行对照观察。结果　治疗组46例中显效36例，有效8例，无效2例，总有效率95.6%。两组比较χ²=23.94，P<0.05。结论　三黄汤熏洗治疗外伤性溃疡疗效较好, 治疗时间短。]]> 2018/12/13 9:29:51 章兆兵，张　潇，凌来庆，谢文清，李　曦，谢伟坤 987true ［Abstract］　Objective　To evaluate the clinical effects of pedicle screw system in the treatment of thoracolumbar fractures and spine cord injuries.Methods　A total of 46 cases with thoracolumbar fractures and spine cord injuries were reviewed.All patients were treated by pedicle screw system. Their clinical signs, X-ray and CT before and after operation were analyzed.Results　With mean follow-up of 20 months (8～36 months), the neurological function recovered 1.6 grades, the height of compressed vertebral bodies was restored more than 95% postoperatively, no case occurred severe neurological complication.Conclusion　Pedicle screw system is an effective method for thoracolumbar fractures and spine cord injuries.]]> 2018/12/13 9:29:51 LU Gui-cheng, CHEN Fu-jun 986true ［Abstract］　Objective　To investigate the effect of autogenous skull replantation at earlier period after repairing dura mate on late post-traumatic epilepsy(LPTE).Methods　One hundred and twenty patients with severe brain injury were admitted from January 2004 to december 2006 and treated with autogenous skull replantation at earlier period after repairing dura mate.Its role in LPTE were analyzed statistically by SPSS statistic system.Results　The incidence rate of LPTE in the group treated with autogenous skull replantation at earlier period after repairing dura mate was 18.7% and the incidence rate of LPTE in the control group was 37.3%. The differences between the two groups were significant (P<0.05).Conclusion　Autogenous skull replantatioo at earlier period after repairing dura mate can prevent LPTE.]]> 2018/12/13 9:29:51 XU Sheng-hong, ZHANG Wu-rong, ZHU Zhi-qing, et al. 985true ［Abstract］　Objective　To investigate the therapeutic effcts of RF-Ⅱ type pedicle screw systems fixation and posterior lumbar interbody fusion with bone grafting for the lumbar spondylolisthesis.Methods　 Thirty-seven cases of lumbar spondylolisthesis were treated with RF-Ⅱ-for pedicle screw reduction and internal fixation, decompression laminectomy and wrecked marrow extraction. At the same time, after the intervertebral bone joint, articular process fusion between lateral transverse process were performed.After 6 to 8 weeks of surgery the patients were allowed out of bed with waist.Results　The patients were followed up six months to 3 years, an average of 27 months. The average rate of vertebral spondylolisthesis reduction was 86% (80%～100%).By the X-ray examination, there were a intervertebral space fusion rate of 97.6% in 37 vertebral bodies, patients′ symptoms disappeared.Both bone fusion were good, without a fixed screw loosened, re-slipped and faulted.Good rate was 83.5%. Conclusion　The effects of RF-Ⅱ type pedicle screw fixation for the treatment of lumbar spondylolisthesis is satisfying.]]> 2018/12/13 9:29:51 YANG De-yan, LIU Chang-sheng, LIAO Yong-fa, et al. 984true ［Abstract］　Objective　To compare curative effects of low molecular weight heparin and ordinary heparin in the treatment of unstable angina.Methods　Forty-three patients with unstable angina corresponding to diagnosis criteria were divided into treatment group and control group on the basis of conventional treatment.On the basis of conventional treatment, at first the control group was given intravenous ordinary heparin 5000U, then ordinary dose was maintained in dose of 1000U/h and continuously adjusted.When activate part of prothrombin time(aPTT) reached up 1.5～2 times of the normal reference value, maintained for seven days. The treatment group was given routine treatment and low molecular weight heparin calcium 4100U subcutaneously Q12h, for 7 days. The number of anginal attack, duration, ECG changes, coagulation and hemorrhage index before and after treatment were observed.Results　The anginal attack freguency and duration, ischemia load in two groups significantly reduced(P<0.01), but after treatment, there was significant difference between treatment group and control group(P<0.05).The change of coagulation index in the treatment group was no obvious(P>0.05), but the change of coagulation index in the control group was statistically significant(P<0.01).Conclusion　The efficacy of ordinary heparin and low molecular weight heparin is similar, but low molecular weight heparin is more obvious effective, simple and safe with low side effects.]]> 2018/12/13 9:29:51 LI Li-ding 983true ［Abstract］　Objective　To study the correlation factors of placental abruption, the importance of early diagnosis and timely treatment.Methods　Clinical data of 43 cases of placental abruption in our hospital from January 2006 to september 2008 were analysed retrospectively.Results　Placental abruption incidence was 0.88%; its major cause were pregnancy-induced hypertension, mechanical factors and premature rupture of membranes, each 34.88%, 25.58%, 16.27% respectively; b-typeultrasonic diagnosis rate was 69.69%; cesarean section rate 62.79%; postpartum hemorrhage rate was 23.26%; the incidence of uteroplacental apoplexy was 32.56%; the shock was 16.28%; DIC rate was 23.26%; the hysterectomy rate was 2.33%; perinatal mortality rate was 5.11‰.Conclusion　Strengthening prenatal examination and health education during pregnancy, paying attention to incentives and clinical manifestations, early diagnosis and timely treatment can reduce maternal and perinatal mortality.]]> 2018/12/13 9:29:51 HUANG Xue-mei, ZENG Ai-huang, HUANG Ying-li 982true ［摘要］　目的　分析脱髓鞘假瘤误诊原因，探讨其与胶质瘤的鉴别诊断。方法　对4例脱髓鞘假瘤临床资料、影像学及病理改变进行回顾性分析。结果　3例临床表现、影像学考虑为肿瘤，手术后病理示脱髓鞘假瘤；1例临床诊断是多发性硬化，影像学考虑为肿瘤，在外院手术冰冻及常规切片诊断为胶质瘤，后经重切病理蜡块，行免疫组化染色，确诊为脱髓鞘假瘤。结论　脱髓鞘假瘤极易误诊为胶质瘤，提高对其不典型影像学表现认识，并密切结合临床是降低误诊的关键，对难以分辨者，可给予激素进行诊断性治疗。]]> 2018/12/13 9:29:51 滕晓茗，丁志敏，李瑶宣 981true ［Abstract］　Objective　To explore the mainly indications and method and therapeutic effect of bone flap operation in the treatment of chronic subdural hematoma.Methods　The clinical data of 20 patients with chronic subdural hematoma cured by bone flap operation from Jan, 1998 to Dec, 2007 were reviewed.Results　Among 20 patients, 17 got completely recovery, 1 postoperative contralateral acute epidural hematoma and operation again, 1 motor disturbance complication, 1 mixed aphasia complication.The follow up for 0.5～1 years showed none recurrence.Conclusion　In flap operation for recurrence′s and difficult cured chronic subdural hematoma, clear hematoma and cyst wall completely are helpful to provent recurrence, and obtain satisfactory therapeutic effect.]]> 2018/12/13 9:29:51 TANG Bing-hong, QIN Zong-ming 980true ［Abstract］　Objective　To discuss the efficacy, onset time of drug effect and symptom remission time of different dose naloxon in the treatment of vertigo. Methods　One hundred and eighteen patients with vertigo were divided into 3 groups randomly. 39 patients were assigned to control group, 39 patients to the small dose naloxon group, 40 patients to the large dose naloxon group. The condition of symptoms remission and the onset time of drug effect and symptom remission time were observed. Results　The remission rate of the large dose naloxon group was 72.5%, totally effective rate was 95.00%. And the remission rate of the small dose group was 61.54%, totally effective rate was 92.31%. Their remission rate and totally effective rate were all higher than control group (41.03%、 69.23%). The totally effective rate between the naloxon groups and the control group have significantly difference (P<0.05). About the onset time of drug effect and symptom remission time, the large dose naloxon group (1.72±1.70、 1.79±1.31 days） was significantly faster than control group （2.27±1.91、 3.59±1.69 days） and the small dose naloxon group （2.00±1.90、3.31±1.79 days） (P<0.05). Conclusion　The curative effect of naloxon in the treatment of vertigo is significant, and the effects of large dose naloxon is faster.]]> 2018/10/22 8:14:38 XIAO Zhong, ZHUANG Jiong-yu, CAI Jia-ji 979true ［Abstract］　Objective　To investigate the curative effect of amiodarone in treatment of the acute left ventricular failure complicated with tachyarrhythmia. Methods　Forty-five patients with acute left ventricular failure complicated with tachyarrhythmia were treated by intravenous administrition of amiodarone. Results　In the 45 patients, 25 patients were significant effective(55.6%), 15 patients were effective(33.3%). The total effective rate was 88.9%. The change of ventricular rate had higher significant difference before and after treatment (P<0.01), While the blood pressure had significant difference before and after treatment (P﹤0.05). The cardiac function of these 40 patients were improved significantly. They were no serious complications such as hypotension and sinus bradycardia. Conclusion　Intravenous administrition of amiodarone is safe and effective for the treatment of acute left ventricular failure complicated tachyarrhythmia.]]> 2018/10/22 8:14:38 YANG Hai-ping 978true ［Abstract］　Objective　To investigate the effect of the four-port vitrectomy in pationts with proliferative diabetic retinopathy (PDR).Methods　The data of 22 eyes of 18 patients with PDR, who were undergone 4-port pars plana vitrectomy were analyzed retrospectively.All the patients were followed-up for 6-18 months.Results　Visual acuity (VA) improved in 17 eyes (77.27%), no changes in VA was found in 3 eyes (13.64%) and VA decreased in 2 eyes (9.09%).Conclusion　For PDR, the four-port pars plana vitrectomy with bimanual manipulations of membrane peeling is safe and effective.]]> 2018/10/22 8:14:38 YANG Sheng, CHEN Guang-sheng, LI Huan 977true ［Abstract］　Objective　To study curative effect compavison between the low temperature plasma ablation technique and the UPPP technique for obstructive sleep apnea hypopnea syndrome (OSAHS). Methods　Sixty-eight cases of OSAHS were divided into two groups stochastically. Furty-four cases in treatment group received the low temperature plasma ablation technique, 24 cases in observation received routine UPPP techniques and two groups were followed-up visit for 6 months. Results　63 cases were cured completely, 5 examples were invalid. Cure rate in treatment group was 93.18%, cure rate in observation group was 91.67%, total cure rate was 92.65%. Conclusion　In the treatment of OSAHS patient, the low temperature plasma ablation technique has the good curative effect, which is similar to the curative effect of the UPPP technique, this new method is worth promoting.]]> 2018/10/22 8:14:38 CHEN De-rong, ZHANG Li-ping 976true ［Abstract］　Objective　Retrospective analysis of MRI of 10 cases of space-occupying lesion in sellar region were performed to explore the value of the MRI in diagnosis of space-occupying lesion in sellar region.Methods　Ten cases of space-occupying lesion in sellar received line plain and enhanced MRI scans. Of them 9 cases were confirmed by pathology;another one case was confirmed during return visit after treatment.Their characteristic of MRI were analysed.Results　The accuracy rate of MRI in the diagnosis of space- occupying lesion in sellar region was 100% with visual display of space-occupying lesion.Conclusion　MRI in the localization and qualitative diagnosis of space-occupying lesion in sellar region has important value.]]> 2018/10/22 8:14:38 ZHENG Jian-gang, MEI Li, XU Jian-xing, et al. 975true ［Abstract］　Objective　To explore Ultrasound diagnostic value of Crohn′s disease.Methods　The cases with fixed abdominal pain location were checked by ultrasound to exclude other organs′ diseases，then the routine examination for gastrointestinal tract by a color Doppler ultrasound were performed. Via combining abdominal probe and high-frequency probe，the sonographic screening changes of full-thickness wall structure of the gastrointestinal tract and its characteristics，were mainly observed and studied. The result were meanwhile compared with surgical pathology findings and the clinical diagnosis and treatment.Finally, the ultrasound performance and characteristics of Crohn′s disease were analyzed and summarized to evaluate the clinical value.Results　Of 30 cases, 22 were definitely diagnosed as Crohn Disease by color Doppler ultrasound examination，representing a coincidence rate with clinical diagnosis treatment results up to 91% (20/22 cases), while 67% (4/6 cases) as for pathological findings of surgical treatment. Conclusion　Color Doppler ultrasonographic sound image of Crohn′s disease have idiosyncratic chages. It can provide a more accurate evidence for the clinic diagnosis. and be of great value for clinic to decide therapeutic schedule and observe curative effect.]]> 2018/10/22 8:14:38 HANG Gui-fang 974true ［Abstract］　Objective　To probe into the application time and causes of emergency hysterectomy in obstetrical bleeding as well as the precautionary measures to reduce the application of obstetrical hysterectomy. Methods　The retrospective analysis of related factors of 36 cases of emergency hysterectomy was performed. Results　Among 36 cases, 2 cases died. The main causes of the application of hysterectomy during pregnancy and laboring was placenta factor, myoma and infection factor in post partum. Conclusion　Hysterectomy is the effective measure to restrain uncontrollable uterus bleeding and to save puerpera′s life. The possible precautionary measures to reduce the application of obstetrical hysterectomy is to strengthen family planning and strictly control of the caesarean birth, and to elaborately select notch during caesarean birth.]]> 2018/10/22 8:14:38 MENG Wen-xia, CHEN Ying 973true ［Abstract］　Objective　To Investigate the clinical effect of phloroglucinol in the treatment of late threatened abortion.Methods　Sixty cases of late threatened abortion were divided into the abserved group （30 cases） and the control group （30 cases）. The observed group was given intravenous drip of phloroglucinol for treatment, the control group was given intravenous drip of magnesium sulfate for treatment.The medication days, hospital days, the treatment result as well as the medicine side reaction in two groups were observed.Results　There were no significant difference in medication days, hospital days, and treatment effect side reation between two groups（P>0.05）, But there were significant differences in the medicine side reation between two groups(P<0.05).Conclusion　The phloroglucinol uses in treating the late threatened abortion has a certain efficacy, and the side effect is small.]]> 2018/10/22 8:14:38 WANG Xing-hong 972true ［Abstract］　Objective　To explore the reasons and treatment efficacy of failed back surgery syndrome（FBSS）. Methods　A retrospective analysis was carried out for 41 cases of FBSS admitted from 2005 to 2009. The pre-operative diagnosis of first operation and clinical manifestations and images before reoperation were evaluated to discuss the fail reasons for the first operation and assess the reoperation efficacy.Results　The main problem after the first operation were postoperative recurrence of symptoms, lumbar instability, spinal canal stenosis and so on.Conclusion　The reasons for FBSS should be avoided in the first opration to reduce re-operation rate.]]> 2018/10/22 8:14:38 DENG Ning, YANG Xian-chun, CHEN Qing 971true ［Abstract］　Objective　To explore the effect of the resection of improved partial toenail for treatment of obstinate paronychia.Methods　Three hundred and twenty-six patients with toe paronychia were selected for removal of improved partial toenail in our hospital from January 1978 to May 2009.Results　Among 326 patients, 319 patients were cured. The cure rate was 97.9%, 7 patients relapsed, recurrence rate was 2.1%; in 44 patients with toenail deformation, the deformation rate was 13.5%, the toenails in 39 patients return to normal patterns, the restoration rate was 88.6%, 5 patients deformation was of a marked improvement, the improvement rate was 11.4%; 11 patients complicated with osteomyelitis were cured after operation, the recovery rate was 3.4%.Conclusion　Resection of improved partial toenail for treatment of obstinate paronychia is a favorable method.]]> 2018/10/22 8:14:38 HOU Mao-jin, YIN Zhong-sheng 970true ［Abstract］　Objective　To study the clinical effete of retrograde femoral intramedullary interlocking nail fixation combined with CPM treatment for comminuted supracondylar femoral fracture.Methods　Retrograde interlocking intramedullary nail were used for treating 27 cases of comminuted supracondylor femoral fracture of the femoral condyle, the early postoperative CPM exercise was performed.Results　Of 27 cases of follow-up 6～18 months, an average of 10 months, fracture was healed in 6～10.5 months, knee function was well and good rate was 93%.Conclusion　Retrograde interlocking intramedullary nail fixation for the comminuted supracondylar femoral fracture has actvantages of simple operation, safety, high reliability, high stability of fracture, no need for cast immobilization after surgery, early CPM exercise to prevent knee adhesions, fewer complications, faster healing fracture and soon, is a idea treatment for supracondylar femarol, comminuted fracture.]]> 2018/10/22 8:14:38 YUAN Wei-xing, TANG Tong-jun, ZHENG Wei-wei, et al. 969true ［Abstract］　Objective　The discuss the easy-happening factors, clinical processing and the pregnancy result of preterm premature rupture of the membrane (PPROM).Methods　The clinical data of 115 cases of PPROM from jannary 2003 to December 2008 were retrospedively analysed.Results　There were some easy happening factors in 30%～60% of PPROM.The neonatal asphyxia rate, the complication rate and the mortality rate in the 28 to 33⁺⁶ gestational weeks group were 46.77%, 19.35%, 17.74%, respectively, while those in the 34 to 36⁺⁶ gestational weeks group were 17.74%, 3.23%, 3.23%, respectively. There was significant difference between two groups(P<0.01).Conclusion　It should be necessary to adopt anticipation therapy in PPROM of 28 to 36⁺⁶ gestational weeks to reduce the newborn complication occurrence.]]> 2018/10/22 8:14:38 CHEN Yuan-yuan 968true ［Abstract］　Objective　To compare the value of CT and ultrasonography in the diagosis of calculus of bile duct.Methods　Thirty-four patients with calculus of bile duct diagnosed clinically underwent ultrasonography. Among them, 23 patients underwent routine CT scan with 5mm cmpt thickness and cmpt spinula. The calculus in inferior extremity of bile common duct and collum vesicae biliarista, or the extremely skeptic calculus, were scan by lamellar routine CT scan with 3mm cmpt thickness and cmpt spinula, then rebuilt with 3mm cmpt thickness and 1mm cmpt spinula. All diagosis were confirmed by operation. Eventually, the diagnosis accuracy rate of CT and ultrasonography were summarized.Results　Calculus of bile duct were confirmed by operation in 32 patients; calculus were not confirmed in 2 patients. Calculus were confirmed by ultrasonography in 31 patients; false positive was found in 1 patient, false negative in 2 patients, the diagnosis accuracy rate was 91%(31/34); calculus were confirmed by CT in 22 patients, fasle nogative in 1 patient, the diagnosis accuracy rate was 96%(22/23).Conclusion　CT was an effective mothod in diagnosing the calculus of bile duct, its diagnosis accuracy rate surpass ultrasonography, especially in the calculus patients with compliations.]]> 2018/10/22 8:14:38 XU Jian-xiong 967true ［Abstract］　Objective　To evaluate the application value and sonographic features of Color Doppler Ultrasonography (CDU) in carotid atherosclerosis.Methods　The intima - media thickness(IMT), distribution of plaques, degree of stenosis and changes of hemodynamics on the stricture in the common carotid artery, which came from the clinical diagnosis of 41 patients of hypertension, 33 patients with diabetes and 17 cases of hypertension with diabetes mellitus, were retrospectively summarized and analysed the changes of ultrasonographic in their carotid artery.Results　In 91 patients, there were different degrees of changes at the aspect of IMT, 71 patients had plaque formation, and mostly occured in the bifurcation, the internal carotid artery stenosis existed in 13 patients, there were significantly increased at peak systolic velocity(PSV) in the internal carotid artery stenosis of 6 cases, the occlusion was occurred in 2 patients.Conclusion　Detected by CDU, there is high sensitivity in diagnosis of carotid atherosclerosis in the patients with hypertension, diabetes mellitus, which can take a more accurate evaluation of common carotid artery IMT, plaque characteristics, degree of stenosis and the hemodynamic changes at the stenosis, then in an effort to provide a useful evidence for the clinical diagnosis and treatment.]]> 2018/10/22 8:14:38 LAN Chun-yong, WANG Xiao-yan, LING Bing, et al. 966true ［Abstract］　Objective　To carry out syphilis early intervention, early diagnosis and early treatment for neonates with congenital syphilis to reduce the rate of neonatal morbidity and mortality.Methods　The clinical data of 28 neonates with congenital syphilis were analyzed to illustrate the importance of early prevention and treatment.Results　The clinical symptems basically disappeared in 25 cases after treatment. TPHA test became negative 3 months after discharge.Conclusion　The high risk pregnant women and neonates should been performed rouline screening and following up in order to given early intervention, diagnosis and treatment.]]> 2018/10/22 8:15:02 LIAO LI-hong 965true ［Abstract］　Objective　To investigate the clinical effect of the imitation McBurney′s small incision retroperitoneal varicocele ligation in the treatment of varicocele. Methods　One hundred and forty-firve patients with varicocele were treated by imitation McBurney′s small incision retroperitoneal spermatic vein ligation. Results　In 145 patients, the mean operative time was 15 min. One hundred and twenty-six patients were reexamined 3 months after operation, of them symptoms and signs markedly improved in 119 patients;the improvement was not obvious in 7 patients. In 33 with secondary infertility patients due to varicocele, the number and viability of sperm markedly improved in 30 patients;no improvement were found in 3 patients. During continuative follow-up for 6～12 months, lost of follow up was found in 9 patients;no recurrence, testicular atrophy and scrotal edema were found. Conclusion　The technique has advantages such as simple operration, shorter operation time, less trauma, better efficacy, and low relapse rate and is suitable for widely clinical application.]]> 2018/10/22 8:15:02 DANG Xiang-yang, XU Wei 964true ［Abstract］　Objective　To investigate the cause，therapy and prevention of residual gallbladder combined with cholelithiasis after cholecystectomy.Methods　Retrospective analysis was used for 15 cases of residual gallbladder combined with cholelithiasis admitted to our hospital in recent four years.Results　All 15 cases underwent operation with satisfactory recovery.Conclusion　The main symptoms and signs of residual gallbiadder combined with cholelithiasis after cholecystectomy is similar to those of intact gallbladder with stones.The main reason caused residual gallbladder combined with cholelithiasis is misidentification of anatomy of calot′s triangle or irregularity of operation in the first cholecystectomy and surgery is the effective treatment for this disease.]]> 2018/10/22 8:15:02 NING Hai-bo 963true ［Abstract］　Objective　To observe the therapeutic effects of amniotic membrane transplantation for deep corneal ulcer.Methods　In a group of 35 eyes in 35 patients with deep corneal ulcer whose conservative therapy was uneffective, 25 eyes were treated by amniotic membrane transplantation, 10 eyes were treated by amniotic membrane transplantation combined with lamellar keratoplasty.Results　Thirty-four of 35 eyes (97.1%) were healed successfully. The visual acuities of 28 eyes were improved and the best acuities was 0.1.Conclusion　For patients with deep corneal ulcer whose conservative therapy was uneffective, amniotic membrane transplantation or combined with lamellar keratoplasty is an effective approach for preservation of eyeballs and restoration of visual function.]]> 2018/10/22 8:15:02 CHEN Qi, LU Ke-wei 962true ［Abstract］　Objective　To study the reason, diagnosis, prevention and treatment of postoperative diabetes insipidus after removal of pituitary tumor through micrurgy, to decrease the incidence of postoperative complications and improve the treatment of pituitary tumor.Methods　The clinical data of 55 cases of resection of pituitary tumor by micrurgy in 5 years were retrospectively reviewed.Results　There were 17 cases of postoperative diabetes insipidus in total of 55 operations, 6 of them occurred in the fisrt postoperative 24 hours, 11 of them occurred in the second and the third postoperative 24 hours.Eleren recovered within 1 W, 5 recovered within 2 W, 1 recovered within 3 W, no persistent diabetes insipidus was found.Conclusion　The key points to prevent postoperative diabetes insipidus lay in the improvement of operative skills, careful protection during operation and avoidance of unnecessary injury.In case of diabetes insipidus, rational use of antidiuretics and correction of electrolyte balance were effective in the treatment of postoperative diabetes in sipidus.]]> 2018/10/22 8:15:02 PANG Rong-nan, CHEN Ming, WU Wen-chang, et al. 961true ［Abstract］　Objective　To summarize the method and curative effect of preoperative preparations for digestive tract in the patients with esophageal carcinoma.Methods　Before operations of excision of esophagus and anastomosis of esophagus-stomach on 173 patients with esophageal during January 2005 and December 2008, the methods of regular oral nursing, rinsing of esophagus, laxation of motions, also using antibiotic medicine or intubation of stomach in case of esophageal obstruction was used.Results　No case of incidence was related to narrowing of sewing up the incision, leaking of fluid or pyothorax, obvious abdominal distension, constipation. Lower rate of lung iffection and earlier intestinal nutrition support after the operation were achieved.Conclusion　Well-made preparation of digestive tract before operation can play a better role on prevention and reduction of series of complications as post-operative narrowing of sewing up the incision, leaking of fluid or pyothorax, thoracic and lung iffections etc. and promotion of recovery of intestinal function.]]> 2018/10/22 8:15:02 HUANG Guo-wu, ZHANG Chun, LI Chan-bo, et al. 960true ［Abstract］　Objective　To explore the meaning of the changes of ECG and serum myocardial zymogram in the patients with acute arsenic poisoning.Methods　The comparative analysis on the changes of ECG and serum myocardial zymogram between the patients with acute arsenic poisoning(the poisoning group) and healthy people(the control group) were performed.Results　The abnormal rate of ECG and the level of serum myocardial zymogram in the poisoning group were significantly higher than those in the control group(P<0.01). Conclusion　The determination of ECG and serum myocardial zymogram have the clinical meaning for the observation of the patients with acute arsenic poisoning.]]> 2018/10/22 8:15:02 CHEN Nian-fen 959true ［Abstract］　Objective　To study the efficacy and prognosis of emergency intravenous thrombolytic therapy for acute myocardial infarction (AMI).Methods　Thirty-six cases of AMI in emergency were treated by intravenous thrombolytic therapy with urokinase. The recanalization rate of cases of AMI were determined and the occurrence of cardiac events in acute phase were observed.Results　In all 36 cases of AMI, there were 23 cases obtained the coronary recanalization, the recanalization rate was 63.9%. Of 36 cases 27 cases were treated with thrombolysis within 6h of incidence, 21 cases obtained the coronary recanalization, the recanalization rate was 21/27 (77.8%). 9 cases were treated greater than 6h of incidence the thrombolytic recanalization rate was 2/9 (22.2%). There was significant differences in the thrombolytic recanalization rate between two groups (P<0.05).Conclusion　Emergency intravenous thrombolytic therapy for AMI is a timely and effective practical ways. The patients of AMI will be treated early, and more patients were be successfully salvaged.]]> 2018/10/22 8:15:02 LIU Ben-guang 958true ［Abstract］　Objective　To assess the feasibility and process of laparoscopic curative resection of rectal cancers.Methods　Laparoscopic procedures(Miles or Bacon or Dixon method) were performed on 36 patients.Results　The average duration of operation was 195 min.The mean blood loss was less than 150 ml.The time for recovering bowel function and taking diet was 2 days after operation. Average hospital stay was 10 days.Conclusion　Compared with open surgery，laparoscopy is an effective alternative techniqhe for redcial operation of rectal cancer with minimal invasion.]]> 2018/10/22 8:15:02 LIANG Chong, LAO Jing-mao, HE Wen-hai 957true ［Abstract］　Objective　To evaluate the safety and feasibility of cesarean myomectomy.Methods　In this retrospective case-control study, 38 patients underwent cesarean myomectomy from Jan.2004 to Jan.2009 were compared with the control group consisted of 38 patients without uterine myoma who underwent cesarean section alone.Results　The average duration of operation was longer in the patients who underwent cesarean myomectomy than those underwent cesarean alone (P<0.05), but the amount of blood loss or postoperative morbidity, postoperative anal exhaust time, and hospital days were similar between them.Conclusion　In selective patients, cesarean myomectomy is not a hazardous procedure and can be performed safely by experienced obstetricians.]]> 2018/10/22 8:15:02 HUANG Zhen- zhen 956true ［Abstract］　Objective　To study the Clinical features and surgical treatment of intracranial arteriovenous malformations.Methods　Two patients with intracranial arteriovenous malformations were treated by surgical treatment. The image features, clinical manifestations, treatment of intracranial arteriovenous malformations ware studied.Results　Total resection was performed in 59 cases (92%), partial resection performed in 5 cases (8%).Conclusion　Surgical treatment is an effective method in treating intracranial arteriovenous malformations with hemorrhage.]]> 2018/10/22 8:15:02 HUANG Qi-dan, HUANG Zhi-wei, LU Jian-wu, et al. 955true ［Abstract］　Objective　To study the therapeutic effect of procaine in the treatment of elderly patients with cardiovascular disease combined with hemoptysis. Methods　Treatment Group (n=60) was treated with procaine 280 mg plus 250 ml of 5% glucose or normal saline injection by intravenous drip infusion, maintaining the fluid speed of 10 drops /min. Control group (n=60) was treated with ethamsylate, vitaminK-1 and aminocaproic acid in conventional way. Then, the curative effects in two groups were observed. Results　There was significant difference between the two groups in total hemostatic rate (P<0.05). Conclusion　Efficacy of procaine in the treatment of elderly patients with cardiovascular disease combined with hemoptysis is superior to that of the conventional hemostatic method.]]> 2018/10/22 8:15:02 OU Yang-hui, LIU Gao-chun, GUO Yong 954true ［Abstract］　Objective　To study the feasibility of laparoscopic treatment for ectopic prenancy.Methods　Sixty-five cases of ectopic pregnancy received laparoscpic treatment in our hospital from May 2008 to April 2009 were selected as laparoscopic gourp, another 65 cases of ectopic pregnancy received open surgery in our hospitol form August 2003 to June 2005 were selected as open surgery group (control group).On the basis of the disease condition and the patients′ requirement for the preserving fertility, salpingctomy or orduct fenestration were performed in these patients. The operation time, intraoperative blood loss volume, hospitalization days, recovery time of post operative free activities and anal exsufflation time between two groups were compared.Results　The operative were successfully completed in 65 cases in the laparoscopic groups.Among them 65 cases were diagnosed during operation.The preoperative diagnostic coincidence rate was 100%.Of 65 cases, 4 cases were complicated with ovarian cyst, 18 cases were complicated with pelvic cavity adhesion, 8 cases were complicated with infertility.The above-mentioned five index in the laparoscopic group were significantly superior to those in the open surgery group (all P<0.01).Conclusion　Laproscopic operation has the advantages such as safety, minimal invasion, and rapid, and so on.The short-term and long-term effects of laparoscopic operation in the treatment of ectopic pregnancy were superior to those of open surgery.Laparoscopic operation has become one of the standard operation methods for the treatment of ectopic pregnancy.]]> 2018/10/22 8:15:02 ZEN Li-Li 953true ［Abstract］　Objective　To discuss the clinical effect of transurethral vaporization of prostate for the treatment of benign prostatic hyperplasia（BPH）. Methods　 Transurethral vaporization of prostate was used for the treatment of 106 patients with BPH.Results　The mean operative time was 80min, with smooth operation, less bleeding, no TURS syndrome, and efficacy satisfaction.Conclusion　Transurethral vaporization of prostate is an ideal method for the treatment of BPH, and it has advantages such as safety, significant efficacy, fewer disease complications, and so on. It is worth promoting.]]> 2018/10/22 8:15:02 LIANG Ying-xue 952true ［Abstract］　Objective　To observes the curative effect of aciclovir in the treatment of the hand and foot mouth disease.Methods　The clinical data of 36 chidren with hand foot and mouth disease treated by aciclovir in our department from January to April 2009 were retrospectively aralyzed.Results　Thirty-Six children with hand foot and mouth disease obtained obvious curative effect, without obvious side effect.Conclusion　Aciclovir is the drug of choice for treatment of children with hand foot and mouth disease.]]> 2018/10/22 8:15:02 NONG Ming- Jin 951true ［Abstract］　Objective　To observe the clinical curative effect of simiao pills plus voltaren tablets in the treatment of elderly patients with gonarthromeningitis. Methods　Ninety-four elderly outpatient whit gonarthromeningitis were randomly divides into two groups according to visiting sequence.The treatment group (46 patients) were treated by oral administration of simiuo pills plus voltaren tablets. The control group (48 patients) were treated by oral administration of voltaren tablets alone. Their curative effects were observed after 4 weeks of continuous therapy. Results　The cure rate of treatment group was 67.4%, total effective rate was 98%; the cure rate of control group was 48%, the total effective rate was 89.4%. There were significant difference in the cure rate and total effective rate between` two groups (all P<0.05). Conclusion　The curative effect of simiao pills plus voltaren tablets in the reatment of elderly patients with gonarthromeningitis is significantly better than that of voltaren tablets alone.]]> 2018/10/22 8:15:02 FENG Sui, GOU Ling-yun 950true ［Abstract］　Objective　To investigate the choise of different catheter in coronary angiography (CAG) by transradial artery approach.Methods　Two hundred and three patients were randomly divided into two groups, one group used multi-functional imaging catheter (100 cases); the other group selected Judkins-type catheter (n=103 cases). The success rate of coronary angiography, X-ray fluoroscopy time and the operation time between the two groups were observed.Results　In multi-catheter group the success rate was 98.0%, 2 cases was unsuccessful ; In Judkins catheter group the success rate was 99.0% (102/103). And the X-ray fluoroscopy time between groups was also significant different (P<0.05).Conclusion　The use of multi-functional catheter is safe and reliable in CAG, and also can reduce the X ray exposure.]]> 2018/10/22 8:15:02 WANG Hao, YANG Bo, LIN Ying- zhong, et al. 949true ［Abstract］　Objective　To analyze the echocardiography of 72 patients with type 2 diabetes mellitus and explore the changes of the cardiac morphous and function.Methods　Seventy-two patients with type 2 diabetes mellitus whose blood glucose were not controlled very well were divided into DM1 group (n=42) and DM2 group (n=30). The disease course of patents in DM1 group were less than 5 years，but those in the DM2 group were more than 5 years. The echocardiography was used to measure the size of cardiac chamber, the myocardium thickness and left ventricular systolic and diastolic function and to observe the resonance of myocardium.Results　Among 72 patients, cardiac chamber dilation were found in 48 patients, myocardium thickening in 19 patients, echo enhancement in 11 patients, left ventricular diastolic function decline in 58 patients and left ventricular systolic function decline in 9 patients.Conclusion　The disorder of the internal environment can lead to myocardial damage. Echocardiography can reflect the change early, accurately and non-invasively, and then offer the information to clinical therapy.]]> 2018/10/22 8:15:02 PENG Nai-shi 948true ［Abstract］　Objective　To improve the veteran′knowledge of hypertension control, and chage their unhealthy life-styles and behaviors was adopted.Methods　The health education of the trinity for the hypertension patient, high-risky group and normotensive crowd.Results　After one year of the hypertension health education, were adopted veteran′ knowledge of hypertension awareness, treatment and control rates were significantly improved than pre-education, especially in changes of the bad way of life and behavior.Conclusion　The hypertension health education in veteran is effective, It should be necessary to deeply develop hypertension health education in older age groups.]]> 2018/10/22 8:15:02 NONG Xiao-bao, HUANG Cai-fang 947true ［Abstract］　Objective　To study the efficacy of esophageal stenting of CZES stents on treating benign and malignant esophageal stenosis.Methods　Esophageal stenosis were dilated by Savary bougie under endoscopy, then followed by esophageal stenting of CZES stents.Results　Among 18 patients with esophageal stenosis including swallowing difficulty in varying degrees，22 CZES esophageal stents were placed in one-time，which successful rate was 100%. Two patients had obvious chest pain and one patient had low-grade fever. All patients could have ordinary diet after operation.Conclusion　CZES stent has good stability，good tolerance and less complications，so it should be widely used.]]> 2018/11/7 8:22:37 QIN Jiang, ZHENG Qin-fang, NONG Bing, et al. 946true ［Abstract］　Objective　To study the anaesthetic effect of cervial plexus block with ropivacaine, assisted by remifentanil.Methods　Forty patients(ASA Ⅰ～Ⅱ) who underwent hypothyroid adenoma operations were divided two groups randomly, A group(Remifentanil), and B group(Droperidol+ Fentanyl）. The BP, HR, SpO₂ and the satisfaction degree of anaesthesia were evaluated at different time points: T₀(pre- anaesthesia), T₁(5min afte block), T₂（cutting the skin）, T₃ (separating hypothyroid), T₄ (excising hypothyroid), T₅ (postoperation).Results　BP, HR and SpO₂ of A group were basicly stable, BP and HR of B group were higher than those of A group signficantly at T₃ and T₄（P<0.05）. The satisfaction degree of anaesthesia (VSA grade) of A group was much better than that of B group(P<0.01).Conclusion　The cervial plexus block assisted by small dose of remifentanil is a safe and effective method of anaesthesia.]]> 2018/11/7 8:22:37 TANG Xue-feng, ZHANG Xue-gang, HUANG Bin 945true ［Abstract］　Objective　To observe the preventive effect of hemabate for postpartum hemorrhage induced by uterine atony.Methods　360 pregnant women were divided randomly into two groups：experimental group(group A)and control group (group B).The group A was given hemabate 250μg into uterine muscle after delivery of the fetus，while for the group B，oxytocin 20 IU was injected into uterine muscle immediately after delivery of the fetus and 20 IU given by intrarenous drip.The amount of bleeding and the incidence of bleeding within 2 hours and 24 hours after delivery for the two group were recorded and compared.Results　The amount of bleeding and the incidence of bleeding within 2 and 24 hours after delivery in group A were both much less than those in group B(P<0.01).Conclusion　Hemabate is more effective in reduction and prevention of atonic postpartum hemorrhage than oxytocin.]]> 2018/11/7 8:22:37 HUANG Guo-wei, CHENG Ying 944true ［Abstract］　Objective　To investigate the effect of reduced glutathione adjuvant therapy for severe hepatitis B.Methods　The treatment group and control group receired the basc comprehensive treatment; on the treatment basis the treatment group were given glutathion treatment. The liver function changes before and after administration between two groups were compared.Results　In the improvement in serum total bilirubin, prothrombin time normalization, cure effect the treatment group was superious to the control group (P<0.05).Conclusion　The integrated basic comprehensire treatment and glutathione therapy is a safe and effective method for the chronic severe hepatitis B; it has very important significance for prognosis and outcome of the disease.]]> 2018/11/7 8:22:37 LI Wen-hong, ZHANG-Jun, TANG Xiao-qi 943true ［Abstract］　Objective　To investigate the preventive and therapeutic effect of early use of high -dose ambroxol hydrochloride (trade names Mucosolvan, Boehringer Ingelheim company) for respiratory distress syndrome (RDS) in very low birth weight newborns.Methods　Fifty-four very low birth weight newborns of birth weight <1 500 grams, were randomly divided into the treatment group (28 cases) and the control group(26 cases). The treatment group was given ambroxol hydrochloride 7.5 mg/kg, per 6 hours, intravenous drip in 6 hours after birth. The 26 cases of the contral group were used as clinical control. At the same time, the close observation was performed in the two groups for 72 hours. When the progressive decline of percutaneous oxygen saturation, faster respiratory rate, groaning, etc.Occurred during observation period, the newborns should be examined by chest X-ray. Once as RDS were diagnosed, the nasal CPAP treatment immediately was used.Results　The incidence of RDS in the treatment group was 21.4%, the incidence of NRDS in the control group was 50%, the difference between two groups was significant (P<0.05).The cure rate of the treatment group was 92.9%, that of the control group was 69.2%, the difference between two groups was significant (P <0.05).Conclusion　High-dose ambroxol hydrochloride can reduce the incidence of RDS in the very low birth weight premature newborns. When RDS happened, the joint application of CPAP can reduce its mortality.]]> 2018/11/7 8:22:37 LIU Xiao, ZHAO Yong-qing, HU Bin-tang, et al. 942true ［Abstract］　Objective　To investigate the clinical features and the morbidity rules of patients with chronic obstructive pulmonary disease(COPD) complicated with community acquired pneumonia(CAP) and to provide the good treatment experiences.Methods　The clinical diagnosis and treatment of 311 patients with COPD complicated with CAP were analyzed retrospectively.Results　Two hundred and sixty-four of the 311 patients were male, others female. All agaed 42～88 years old and the average age was 72.2 years old. This disease was prone to occur in the elderly.Most of the patients were lack of typical clinical manifestations, hemogram and chest imaging feature. All the patients were apt to get serious complication and the fatality rate was high. It is important to take early combined therapy to reduce the fatality rate.Conclusion　Since COPD with complicated CAP is common disease, Raising the awareness of the clinical features and the morbidity rules, can contribute to diagnose and treat early and improve prognosis.]]> 2018/11/7 8:22:37 LU Fa-yong, LIU Hang 941true ［Abstract］　Objective　To study the cause of the upper gastrointestinal hemorrhage and the clinical practice value of emergency gastroscopy in the upper gastrointestinal hemorrhage.Methods　After visiting or admission, the 358 cause of upper gastrointestinal hemorrhage received the gastroscopy immediately.The patients with unstable life signs and the advanced age patient were given the establishement of the vein channel, the fluid infusion, the restraint acid, the hematischesis, the blood transfusion, the multi-purpose heart electricity guardianship, on the basis of patients condition and immediately the gastroscopy, after the blood pressure restored.The hemorrhage was judged on the basis of the Forrest classification.Results　Of 358 cases digestive ulcer were found in 232 cases (65.0%), the acute stomach mucous membrane pathological change in 50 cases (14.0%), the stomach cancer in 31 cases (8.6%), the esophageal and gastric fundus varices hemorrhage in 27 cases (7.5%), Dieulafoy disense in 7 cases (1.9%), Mallory-Weiss syndrome in 4 cases (1.2%), no definite bleeding focus in 7 cases.No worse or death case occurred during emergency gastroscopy.Conclusion　The common causes of upper gastrointestinal hemorrhage are the digestive ulcer, the acute stomach mucous membrane pathological change, the stomach cancer, the esophageal and gastric fundus varices hemorrhage, the Dieulafoy disease. The emergency gastroscopy may enhance the diagnosis rate, and it is safe.]]> 2018/11/7 8:22:37 LU Hai-ying 940true ［Abstract］　Objective　To study the main points of treatment in complications caused by double-eyelid surgery.Methods　One thousand cases of complications were reviewed. The complications included bilateral asymmetry, shallow or extinctive double-eyelid lines, too wide double-eyelid, dissatisfactory figure of interior and exterior canthi, exposure of line nodes, subcutaneous foreign body nodes.epidermoid cysts, upper eyelid lower.The causes of the above complications were analyzed and were dealt with.Results　Reoperations were performed on the above mentioned 1000 cases and received promising results.Conclusion　Although double-eyelid surgery is simpler and easy, but complications are often to occur, which should cause close attention.]]> 2018/11/7 8:22:37 HU Ya-lan, HU Ya-xin, WANG Wei-wei, et al. 939true ［Abstract］　Objective　To perform early advanced life support (ACLS) with mechanical ventilation to ensure the successful transportation of the infants.Methods　The indications for mechanical ventilation in the transportation of the critical infants with deteriorating respiratory and cardiovascular function were properly broadened.Results　There are 818 successful cases.Conclusion　The properly broadening the indications for mechanical ventilation can ensures the successful transportation of the critical infants.]]> 2018/11/7 8:22:37 SUN Riu-min, WEI Rong 938true ［Abstract］　Objective　To discuss the feasibility and clinical effects of elerctrovaporization for large intestine polyps under video colonoscopy. Methods　A total of 180 cases were treated with electrovaporization under the Japanese PENTAX 3830 MK colonoscopy by olympus PSD-20 for the extirpation of large intestine polyps and the clinical effects were observed.Results　There were 130 cases of adenomatous polyps(72.3%), 31 cases of imflammatory polyps(17.2%), 19 cases of hyperplasia and adenoma cancerization(10.5%), 171cases were curded in the first treatment(95%), 9 cases were cured in the second treatment(5%), perforation occurred in 1 case.Conclusion　Electrovaporization for large intestine polyps under videocolonoscopy is reliable and acceptable, it can prevent cancer in large intestine, it deserves extending in clinic.]]> 2018/11/7 8:22:37 SUN Bing-jun 937true ［Abstract］　Objective　To conclude the diagnosis and treatment experience of parapelvic cyst.Methods　The clinical characteristics of 13 cases of parapelvic cyst were analyzed retrospectively.These cases were examined with type-B ultrasound, CT and IVU for evaluating their diagnostic value and making a summary about the efficacy of renal cyst decortication.Results　Eleven cases received the renal cyst decortication or exsection, these cases were followed up for 3 to 42 months after operation.No recurrence and complications occurred;in 2 cases with hypertension their blood pressure returned to normal value;in the another 2 cases of no symptoms not received operation and followed up for 2 to 3 years, their lesions were maintained in a basically stable situation.Conclusion　Type-B ultrasound, CT and IVU are the perfect dignosis methods for parapelvic cyst, first choice is type-B ultrasound.The renal cyst decortication could be a nice treatment.]]> 2018/11/7 8:22:37 CHEN Chun-yan 936true ［Abstract］　Objective　To discuss the imaging findings of periphery bronchogenic carcinoma(PBC) and its differential diagnosis, so as to further improve diagnosising level of iconography for PBC. Methods　The imaging findings and the clinical data of 20 patients with PBC were retrospectively analyzed. The main point of diagnosis and differential diagnosis be proposed. Chest X-ray and CT inspection were performed in all patient with PBC. Results　The main signs of PBC were:(1)lobulated sign; (2)burr sign; (3)pleural indentation. The secondary imaging performance were： bronchial vascular convergence sign, cavity sign， air bronchogram sign as well as vacuolating sign, and so on. Conclusion　PBC has the typical imaging features，but the performance of lung lesions is complex， therefore， attention should be paid to the differential diagnosis.]]> 2018/11/7 8:22:37 LI Dong-yuan, FANG Hua-sheng 935true ［Abstract］　Objective　To explore the feasibility of splenic salvage in situ using collateral vessels of perisplenic ligaments in the treatment of severe traumatic splenic rupture.Methods　Thirteen cases of severe traumatic splenic rupture with injured splenic hilum underwent splenic pedicle ligation and irregular greater partial splenectomy preserving the splenic upper pole or /and the splenic lower pole.Results　All the operation were successful, no cases occurred complication, the function of residual spleen recovered well.Conclusion　The partial splenic salvage in situ using perisplenic ligaments in the treatment of severe traumatic splenic rupture with injured splenic hilum is feasible.]]> 2018/11/7 8:22:37 TAN Dong-xin, HUANG Jie, SHI Bao-qiu 934true ［Abstract］　Objective　To investigate the efficacy of ultra-small dose ropivacaine for single spinal anesthesia in elderly patients and the safety of intravenous sufentanil in the midanaphase of operation.Methods　Ninety patients aged 70 to 99 years andⅡ ～ Ⅳ grade with ASA for elective operation of lower extremity were randomly divided into single spinal anesthesia group (group A ) and epidural anesthesia group (group B), group A received 0.75% ropivacaine 0.5 ～ 1.1 ml (collecting cerebrospinal fluid and was diluted to 0.5% concentration).Administration of intravenous 5 μg sufentanil when patients felt pain or else indisposition. Group B received epidural anesthesia with 0.375% ropivacaine. Onset and duration of the sensory block, the degree of the block, the time when plus sufentanil after spinal anesthesia,sensory blockade level,dose of local anesthetics, complications and effect on respiratory and cardiovascular system were assessed.Results　The spinal anesthesia effectiveness of group A was good.There was no effect on respiratory and cardiovascular system after administrating sufentanil.The epidural anesthesia effectveness of group B is not good.Incidence of hypotension of group B was significantly higher than that of group A (P<0.01).Conclusion　Efficacy of ultra-small dose ropivacaine for single spinal anesthesia in elderly patients is certain.Combined with intravenous sufentanil is safe clinically and has little effect on respiration and circulation.]]> 2018/9/10 8:34:49 YAN Jue-ji, LI Li-hua, CHEN Can,et al. 933true ［Abstract］　Objective　To investigate the therapeutic effects of tension-free hernia repair and traditional surgery for inguinal hernia in adults.Methods　A retrospective study on inguinal hernia in adults in our hospital during 1999～2008 years was performed.One hundred and sixty-six patients treated by tension-free hernia repair were used as the observation group; another one hundred and seventy-eight patients treated by traditional surgery were used as the control group.The therapentic effects between the two groups were compared.Results　Compared with the control group the observation group was superior in intraoperative blood loss, postoperative anal exhaust time and postoperative hospital stay(P=0.001). The recurrence rate in observation group was 0.30%;the recurrence rate in the control group was 10.6%,the difference between the two groups had statistical significance (P<0.001).Conclusion　Compared with traditional surgery the tension-free hernia repair for adult inguinal hernia has advantages,such as less bleeding,rapid postoperative recovery,shorter hospital time,lower recurrence rate, is suitable for popularization and application in the grassroots hospitals.]]> 2018/9/10 8:34:49 ZHANG Yu-wei 932true ［Abstract］　Objective　To investigate the therapeutic effect of clomiphene combined with traditional Chinese medicine in the treatment of infertility due to ovulation dysfunction.Methods　One hundred and twenty patients with infertility due to ovulation dysfunction were randomly divided into two groups. The observation group(60 patients) was treated with clomiphene plus guipi pills;the control group(60 patients) was treated with clomiphene.Results　The curative rate of the observation group (63.3%) was higher than that of the control group (40.0%) (P<0.05). The total effective rate of the observation group( 96.7%) was higher than that of the control group (81.7%) (P <0.01).Conclusion　Guipi pills adjunctive therapy can benefit heart and spleen, strengthen blood flowing, improve the body internal environment, promote follicle development and ovulation, enhance the implantation capacity of fertilized ovum, and reduce the side effects of western medicine.]]> 2018/9/10 8:34:49 WANG Li-xiong 931true ［Abstract］　Objective　To improve the understanding of CT manifestations of cervical lymph node tuberculosis.Methods　The clinical data of 25 patients of lymph node tuberculosis confimed by pathologically, including 8 men and 17 women, underwent enhanced CT scan,were retrospectively analyzed.Results　Multiple lymph nodes were involved in 84% of all patients, the inferier internal jugular and supraclavicular lymph nodes were involved, in 60% of all patients,the posterior triangle lymph node were involved.The enhanced patterns on CT scan were divided into four type. Type 1:homogeneous enhancement;Type 2: Thin rim enhancement; Type 3: Corolla-like enhancement; Type 4: Heterogeneous enhancement.Various combinations of these types occurred in these patients.Two or more features mixed together were seen in 84% of all patients; a separate ring-like enhancement and/or integration of multi-ring-like enhancement were the most characteristic features.Conclusion　Cervical lymph node tuberculosis has certain CT characteristics, and the CT scan has the important value for diagnosing this disease.]]> 2018/9/10 8:34:49 LI Rui-xiong 930true ［Abstract］　Objective　To value the therapeutic effects of endoscopic local injection of chemotherapentic drugs combined with stent implantation in the treatment of esophageal cancerous stricture.Methods　Thirty patients with endoscopically and pathologically proved esophageal cancerous stricture received endoscopic local injection of 5-FU and cisplatin around cancer body and in the centre and the basement of cancer body,and then received stent implantation.Results　The reminssion rate of dysphagia was 100%;the effective reduction rate of cancer body was 60%.Conclusion　Endoscopic local injection of chemotherapentic drugs combined with stent implantation in the treatment of esophageal cancerous stricture is a comparative effective method. It is simple and easy to master.]]> 2018/9/10 8:34:49 PENG Yu-lun 929true ［Abstract］　Objective　To study the value of endoscopy during exploratory laparotomy for the diagnosis and treatment of obscure gastrointestinal bleeding. Methods　The clinical data of 26 patients with obscure intestinal bleeding undergoing endoscopy during exploratory laparotomy, in our hospital from 2003 to 2009 were retrospectively analyzed to assess efficacy. Results　The causes and the sits of bleeding in 26 patients were clearly identified by intraoperative endoscopy and no further bleeding was found in 26 patients after operation. Conclusion　Endoscopy during exploratory laparotomy in the diagnosis and treatment of obscure gastrointestinal bleeding can improve the detection rate of lesions, and accurately, safely and quickly determine the location and nature of lesions.]]> 2018/9/10 8:34:49 LIANG Yong 928true ［Abstract］　Objective　To observe the clinical therapeutic effect of Shengmai injection in the adjuvant treatment of patients with acute exacerbation of chronic pulmonary heart disease.Methods　One hundred patients with acute exacerbation of chronic pulmonary heart disease were randomly divided into the Shengmai group (50 patients) and the control group (50 patients).The patients in two groups were treated with conventional western medicine treatment. On the basis of above treatment, the patients in the Shengmai group were given intravenous drip of Shengmai injection 60 ml added into 5% glucose injection,once daily. The treatment course was 14 days. Results　Increasing of PaO₂ level and decreasing of PcO₂ level in the Shengmai group were more remarkable than those in the control group (all P<0.01). Total effective rate in the Shengmai group (92%) was higher than that in the control group (68%)( P<0.01). Except xerostomia which occured in 2 patients, there was no obvious adverse reaction in the Shengmai group. Conclusion　Shengmai injection in the adjuvant treatment of patients with acute exacerbation of chronic pulmonary heart disease has obvious therapeutic effect and less adverse reaction. It is worthy of further application.]]> 2018/9/10 8:34:49 CHEN Zhi-juan 927true ［Abstract］　Objective　To analyze the treatment of severe chest injury in traffic accidents was performed.Methods　A retrospective analysis of 72 cases of serious chest injury in traffic accidents.Results　The mortality was 9.7% (7/7.2), 65 cases were discharged and 7 cases were died from Awesome yoga chest, great blood vessels rupture, hemorrhagic shock, severe head trauma, multiple organ failure and spleen injury, respectively.Conclusion　Establishing a efficient green channel and treating the injuries properly are very important to improving the survival of severe thoracic injuries in traffic accidents.]]> 2018/9/10 8:34:49 TAN Ning，MENG Wei-ping，WANG Qing-huai 926true ［Abstract］　Objective　To observe the short term effect of one-time hemoperfusion on severe hyperlipidemia.Methods　The changes of blood lipids in 23 hyperlipidemia patients with diabetes before and after the one-time hemoperfusion were observed.Results　The levels of serum fotal cholesterol(TCH),low-densitylipoprotein-cholesterol (LDL-ch),triglyceride (TG) and apolipoprotein B decreased after the treatment of hemoperfusim (P<0.05)；The level of high-density lipoprotein-cholesterol(HDL- ch) and apolipoprotein A had no significant changes after treament(P>0.05).Conclusion　The one-time hemoperfusion is a efective method for treatment of hyperlipidemia patients with diabetes.It can excellently decrease the levels of the patients.]]> 2018/9/10 8:34:49 MENG Lu-dan,，ZHANG Xi-yuan，PAN Song-qiu, et al. 925true ［Abstract］　Objective　To observe the clinical effect in the treatment of tubal infertility with oral,topical and enema treatments of traditional Chinese medicine after laparoscopic lysis.Methods　Ninety patients of tubal infertility were randomly divided into two groups and each group included 45 patients. The observed group received the treatment of laparoscopic lysis of tubal adhesions combined with the postoperative assistant treatment of oral,topical and enema traditional chinese medicine;the control group received the intravenous drip of clindamycin and Fauopian tubal instillation.Results　The total effective rate was 91.11% and the cure rate was 75.55% in the observed group.And the total effective rate was 62.22% and cure rate 48.89% in the control group.Compared the two groups,the differences was obvious (P<0.05). Conclusion　Laparoscopic lysis of tubal adhesions combined with postoperative assistant treatment of oral, topical and enema tradirlonal chinese medicine has significant effect for tubal infertility.]]> 2018/9/10 8:34:49 ZENG Li-li 924true ［Abstract］　Objective　To explore the effect of felodipine tablets combined with metoprolol in the treatment of elderly patients with hypertension.Methods　One hundred and nineteen elderly patients with hypertension were randomly divided into two groups: observation group of 65 patients and control group of 54 patients. Observation group were given oral administration of felodipine tablets 5 mg/d, 1 time/d, metoprolol tablets 25 mg/d. The control group were given felodipine tablets 5 mg/d. The treatment course of both groups was 4 weeks. Both were observed and compared in the clinical efficacy.Results　The total effective rate of observation group was 96.92%, compared with 88.89% of the control group, the difference was statistically significant (P<0.05).Conclusion　The felodipine combined with metoprolol in the treatment of elderly essential hypertension has a better efficacy and fewer side effects than pure felodipine tablets.]]> 2018/9/10 8:34:49 WANG Jia-en 923true ［Abstract］　Objective　To explore the efficacy of bipolar femoral head replacement on Evans Ⅲ、Ⅳ intertrochanteric fracture in aged people.Methods　Bipolar artificial femoral head replacement was adopted in 26 cases of Evans Ⅲ、Ⅳ intertrochanteric fracture with mean operation age of 78.6 years. Additionally, the femoral calcar was reshaped and bone cement was used flexibly for femoral calcar defect.Results　All patients were followed up for 6～48 months and obtained bony union without complication.According to the han′s criteria,the results were excellent in 15 cases,good in 8 and fair in 3.Conclusion　Artificial femoral head replacement as supplement of the internal fixation treatment is an optional method for Evans Ⅲ、Ⅳ intertrochanteric fracture in aged people.]]> 2018/9/10 8:34:49 LI Hai-tao,ZHANG Zhan-he 922true ［Abstract］　Objective　To observe the efficacy of laparoscopic treatment of ectopic pregnancy.Methods　From January 2009 to February 2010,36 cases of ectopic pregnancy in the observation group received laparoscopic surgery,48 cases of ectopic pregnancy in the control group received open surgery.Results　The results between two groups were compared. The minimally invasive laparoscopic treatment of ectopic pregnancy had the advantages of less bleeding during operation, quicker post operative recovery, shorter hospital stay, with no complications.Conclusion　With the increased popularity of laparoscopic techniques and equipment updates, laparoscopic treatment of ectopic pregnancy becomes a ideal surgical method.]]> 2018/9/10 8:34:49 NIE Gui-xiang 921true ［Abstract］　Objective　To explore the clinical significance of changes of serum creatine kinase isozyme MB(CK-MB) in children with mycoplasma pneumoniae pneumonia(MPP).Methods　Detection of serum myocardial enzymes, electrocardiogram and X-ray examination were performed in all of 128 children with mycoplasma pneumoniae pneumonia. The results were analyzed and children were followed up.Results　The increase of serum CK-MB was found in 34 children (26.56%); abnormal electrocardiogram was found in 13 children (10.16%) in 128 children. After treatment,serum myocardial enzymes and electrocardiogram in most of children can return to normal. Cardiothoracic ratio was normal during course of disease.Conclusion　Myocardial damage is a relative common phenomenon in process of mycoplasma pneumoniae pneumonia. The absence of expression ability, the untypical symptoms and signs in children might lead to a missed diagnosis. The serum CK-MB is more sensitive to the diagnosis of myocardial damage in children than the electrocardiogram. In order to diagnose the disease early, serum myocardial enzymes should be used as a routine test in children with mycoplasma pneumoniae pneumonia.So the timely measures of protecting myocardium could be carried out in those children.]]> 2018/9/10 8:34:49 LI Nian, HE Ming 920true ［Abstract］　Objective　To discuss the clinical effect of mytomycin C, 5-Fluorouracil in nasal endoscopic dacryocystorhinostomy for curing chronic dacryocystitis.Methods　Ninty-five patients with chronic dacryocystitis were divided into mytomycin C group,5-Fluorouracil group and control group.The patients in mytomycin C group received 0.4 mg/ml of mytomycin C when undergoing nasal endoscopic dacryocystorhinostomy. The patients in 5-Fluorouracil group received 50 mg/ml of 5-Fluorouracil when undergoing nasal endoscopic dacryocystorhinostomy, while the patients in control group received no medicine when undergoing endoscopic dacryocystorhinostomy.After 12 months of follow-up，the patients were observed the patency of lacrimal passage，measured the area of ostomy with nasal endoscope and examined the recovery of nasal passage.Results　(1)Of all 39 eyes，38 eyes were cured in 35 patients in mytomycin C group，the cure rate was 97%；of all 33 eyes，30 eyes were cured in 30 patients in 5-Fluorouracil group，the cure rate was 87%；of all 34 eyes，26 eyes were cured in 30 patients in control group，the cure rate was 76%.There was a significant differences in cure rate between antimetabolites groups and control group (P<0.05). (2)There was a significant differences in the area of ostomy between mytomycin C group and 5-Fluorouracil group (P<0.05).Conclusion　The application of antimetabolites in nasal endoscopic dacryocystorhinostomy is a simple,safe and effective way to treating the chronic dacryocystitis,because it possesses the advantages of small atresia of ostomy，and high successful rate. The clinical effect of mytomycin C is better than 5-Fluorouracil′s.]]> 2018/9/10 8:34:49 QIN Zhi-yong,LU Zhang-min, LIANG Zhi-jian 919true ［Abstract］　Objective　To explore the effects and significance of the application of diprivan combined with small dosage of fentanyl in analgesia artificial abortion.Methods　Two hundred patients received analgesia artificial abortion voluntarily were divided into control group (n=100) and observation group (n=100). In the control group, the patients received diprivan and in the observation group, the patients received diprivan combined with small dosage of fentanyl. The blood pressure, mean arterial blood pressure, heart rate, saturation of blood oxygen, total dosage of diprivan, wake up time, analgesia effect during and after operation and side effects were monitored in both groups.Results　The amount of diprivan, wake up time after surgery, analgesia effect, side effects rates between two groups were statistically significant of the difference（P<0.05）.Conclusion　It is effective and safe to apply diprivan combined with fentanyl in analgesia artificial abortion with less side effects and high cost-effect, which is a good method for analgesia artificial abortion at present.]]> 2018/9/10 8:34:49 QIN Zi-he 918true ［Abstract］　Objective　To study the safety and effectiveness of mechanical ventilation in the treatment of severe thoracic trauma patients with acute respiratory distress syndrome. Methods　Fifty-two thoracic trauma patients with ARDS were chosen for study. All patients were treated by PB760 breathing machine(SIMV + PVS + PEEP). These patients were either treated by regular ventilation mode (control group, 26 cases) or lung protective ventilation mode (also 26 cases). Distribution of patients in groups was random. The arterial blood gas indexes including PaO₂, PaCO₂ and oxygenation index(PaO₂/FiO₂) were taken before at 8 h and 24 h respectively and after mechanical ventilation. Each group′s time length of assisted respiration and success rate were also recorded for analysis. Results　Better oxygenation index and PaO₂ at 8 h and 24 h were observed in the lung protective mechanical ventilation group when compared with the control（P<0.01）. Time required for mechanical respiration was shorter in lung protective mechanical ventilation group（P<0.01）. Mortality rate in the lung protective mechanical ventilation group was lewer than that in control grop（P<0.05）. Conclusion　Lung protective mechanical ventilation is a more effective way in the treatment of severe thoracic trauma patients with ARDS.]]> 2018/9/10 8:34:49 LUO Yi-gen, HE Wu-jian,LUI Yong-li,et al. 917true ［Abstract］　Objective　To observe the different ways of nutrition support in the treatment of chronic obstructive pulmonary disease patients (COPD) with respiratory failure.Methods　Seventy hospitalized COPD patients with respiratory failure in the department of respiratory diseases were randomly divided into the enteral nutrition group and the parenteral nutrition group and were given enteral or parenteral nutrition preparation the same heat and nitrogen respectively, and the nutrition index changing, mortality, adverse reactions，etc were compared.Results　The nutrition index (albumin, prealbumin) ′s difference between two groups was statistically significant (P<0. 05). In the enteral nutrition group,hemoglobin was increased, mortality was reduced compared with parenteral nutrition group, but the difference in the mortality and the hemoglobin between two groups was not statistically significant (P> 0.05).Conclusion　For COPD patients with respiratory failure, the support treatment of nutrition is very essential; for patients with a complete gastrointestinal function, the enteral nutrition should be preferred, the enteral nutrition support can improve the nutritional status of criticall ill patients, thereby enhancing the combined effect of the treatment.]]> 2018/9/10 8:34:49 HUANG Wei-jian 916true ［Abstract］　Objective　To discuss the clinical results of using misoprostol in curettage surgery of postmenopausal women.Methods　Ninety-eight women whose vaginal is bleeding after menopause were selected and divided them into observation group (n=49 cases) and comparison group (n=49 cases). Misoprostol were put into the vaginal of observation group，and the Metronidazole were put into the vaginal of comparison group. The index of the condition of cervical softening，the general response degree，the surgical time and bleeding volume during the operation and so on were observed.Results　The observation group was batter than the comparison group on the cervical softening and general response degree，and the difference had a significance on statistics (P<0.01)；comparing the operative time and blood volume of the observation groups with those of the comparison group，the difference had a significance on statistics (P<0.01).Conclusion　It is a simple，effective，safe way to put the misoprostol into postmenopausal women′s vaginal tow hours earlier before the curettage surgery，and it is worthy to be popularized.]]> 2018/9/10 8:34:49 YU Shan-zhi,MA Gang,CHEN Chang-yi, et al. 915true ［Abstract］　Objective　To observe the effect of racecadotril combined with cimitidine in the treatment of infants with rotaviral enteritis. Methods　One hundred and twelve infants with rotaviral enteritis were randomly divided into two groups， each 56. Conventional treatment included infusion to correct dehydration and acidosis, the treatment of symptoms and supportive management. On this basis, observation group took racecadotril and cimetidine and control group direct montmorillonite powder. Results　The total effective rates of observation group and control group were 94.6% and 80.4% respectively, the difference of the therapeutic effect between the two groups was significantl(P<0.05). The observation group was better than control group. The adverse reaction rates in the obserration group and control group were 5.3% and 1.7% respectively. Conclusion　The therapy of racecadotril combined with cimitidine was effective and safe for the treatment of infants rotaviral enteritis.]]> 2018/9/10 8:34:49 DENG Yin-ye 914true ［Abstract］　Objective　To observe the curative effect of repairing hand soft tissue defects by cutaneous antebrachii lateralis nerve supplying retrograde island shape skin flap.Methods　During June 2006 to January 2009,22 patients（16～52 years,16 male and 6 female）were operated to repair hand soft tissue defects,including 9 cases with machine twisting injury,7 cases with traffic accident injury,4 cases with thermal burn,2 cases with electric burn. Wound surfaces were debrided by emergency operation and changed dressings till the conditions improved,then cutaneous antebrachii lateralis nerve supplying retrograde skin flap were used for repairing the wound.The supplying skin regions were cover by free skin graft.Results　Skin flaps and supplying skin regions all survived after operation.Follow-up of 7～24 months showed,hand color was nomal,and the protective sensation resumed.Conclusion　Retrogradely transplanting cutaneous antebrachii lateralis nerve supplying skin flap is an ideal method for repairing hand soft tissue defect, and has reliable effect.The operation do not damage the main artery of forearm,also could resume the protective sensation.]]> 2018/9/10 8:34:49 YUAN Wei-qing 913true ［Abstract］　Objective　To investigate the clinical efficacy and safety of interscalene brachial plexus block with lidocaine carbonates.Methods　Sixty cases with forearm fracture scheduled for undergoing open reduction and internal fixation were randomly assigned to two groups: groupⅠ (30 cases) recervied brachial plexus block with lidocaine carbonates 15 ml and NS 15 ml,while the groupⅡ (30 cases) recervied brachial plexus block with lidocaine carbonates 15 ml, NS 15 ml and adrenaline 50 μg. Parameters of circulation and respiration were monitored to observe anesthesia efficacy, complications and adverse reactions. The onset and duration of sensory and motor nerve blockade in two groups were compared.Results　There was no significante difference between the two groups in the hemodynamic changes and onset of total bolockade of sensory and motor never between two groups (P>0.05). But duration of sensoty nerve blockade in groupⅡ was longer than that in groupⅠ(P<0.05). Conclusion　Brachial plexus block with lidocaine carbonates is safe and satisfactory in forearm fracture surgery.]]> 2018/9/10 8:34:49 ZENG Yu 912true ［Abstract］　Objective　To study the method and curative effect of removing cornenl scrap iron foreign bodies and rust ring under slit lamp.Methods　In 278 patients(296 eyes) with cornenl scrap iron foreign bodies and rust riny,the clinical effects of removing corneal scrap iron foreign bodies and rust ring using stamp type remove method under slit lamp were observed.Thier foreign bodies were removed in one time affer surface anesthesia.Results　In these patients,the cornenl scrap iron foreign bodies and rust ring were removed in one time.No infection and complication were found,and no residual foreign bodies was found.Residual corneal nebula were found in 32 patients.Conclusion　Removing corneal scrap iron foreign bodies using stamp type remove method under slit lamp is a safe and effective remove method with slight injury.]]> 2018/9/10 8:34:49 FU Yan-li 911true ［Abstract］　Objective　To observe the treating effects of chronic functional abdominal pain syndrome(FAPS) by means of integration of traditioanl Chinese medicine (TCM)and western medicine(WM),and to investigate its mechanism.Methods　Ninety cases were divided into two groups at random. Forty-eight cases in the treatment group were treated with modified tongxieyaofang with western medicine,while 42 cases in the contrast group with western medicine only. The general effective rates and pain relief condition were observed.Results　The pain index in the treatment group was significantly different before and after treatment(P<0.01), and its differences with the contrast group′s were of statistic significance(P<0.01). The effect in the treatment group was better than that in the contrast group (P<0.01). Conclusion　The treating of chronic FAPS by integration of TCM and WM is of better effects. Modified tongxieyaofang can relieve FAPS effectively.]]> 2018/9/10 8:35:16 HE Tian-fu, HUANG Gu-ye, LONG Fu-li, et al. 910true ［Abstract］　Objective　To study the value of the color Doppler flow dynamics of skuall and intracranial structural change in the diagnosis of neonatal hypoxic-ischemic encephalopathy (HIE).Methods　Color Doppler and two-dimensional ultrasound were used in 58 children patients of HIE and 20 normal newborns within 1～2 days for testing the parameters of the middle cerebral artery and anterior cerebral artery and structural changes in brain tissue.Results　The systolic and diastolic blood flow relocithy of middle cerebral artery and anterior cerebral artery in preterm children and full-term children of asphyxin decreased compared with the control group and the resistance index was higher than the control group. These differences between two groups were obvious (P<0.01).The front angle of curonal plane in bilateral or unilateral lateral ventricle became smaller, or even disappear.The echo in the brain tissue around the lateral ventricle was enhanced radially or the echo was mildly enhanced, and evenly distributed widely within the brain parenchyma. Conclusion　Color Doppler and two-dimensional ultrasound in the diagnosis of HIE and guiding therapy is of great significance.]]> 2018/9/10 8:35:16 QIN Yan-ling，LIU Chun-bin 909true ［Abstract］　Objective　To explore the effects and significance of first-aid fast track in the treatment of severe multiple trauma.Methods　A retrospective study was done on 120 trauma patients (fast track group)treated by means of first-aid fast track from June 2006 to June 2009 to observe the effect of first-aid fast track. Another 106 trauma patients treated from June 2003 to May 2006 were used as control group.Results　There was no statistical difference in aspects of sex, age, injury mechanism, ISS and pre-hospital time between both groups(P>0.05). The mortality rate in fast track group (4.2%) was significantly lower than that in the control group (13.2%)(P<0.05); Compared with the control group, the time of emergency room care, the time of special examination, the time from the emergency room to the operating room and the time from hospital admission to the beginning of emergency operation were shorter in fast track group(P<0.01).Conclusion　First-aid fast track can shorten the time in treatment of severe multiple trauma, decrease the mortality rate, enhance success rate of treatment. Fast track is a first-aid model should be promoted.]]> 2018/9/10 8:35:16 CUI Lian-min, LIU Yong-ling, YUE Wen-ming 908true ［Abstract］　Objective　To observe the efficiency of aminophylline combined with naloxone in treatment of premature infants with primary apnea.Methods　Fifty-two patients were randomly divided into two groups:the treatment group and the control group, each group contained 26 cases. Aminophylline were used in both groups,the first dose was 5 mg/kg，after 12 hours，followed by 2.5 mg/kg，one time per 12 hours.The treatment group was added naloxone in an initial dose of 0.1 mg/kg intravenous injection on the basis of the control group, followed by naloxone 0.1～0.2 mg/kg, at a speed of 0.03～0.05 mg/(kg·h), 6～8 h every day, continuous intravenous infusion for 3～5 days.Results　In the treatment group，marked effect was found in 19 cases（73.07%）, improvement in 6 cases (23.07%）and no effect in 1 case（3.84%）; In the control group marked effect in 10 cases (38.46%）,improvement in 8 cases（30.76%）,no effect in 8 cases （30.76%）.The total effective rate of the treatment group was 96.15%, that of the control group was 69.23%.The difference of the total effective rates between two groups was significant (χ²=4.84，P<0.05).Conclusion　Aminophylline plus naloxone in treatment of premature infant with primary apnea is effective.]]> 2018/9/10 8:35:16 MAO Ying,ZHANG Gang,LI Hua 907true ［Abstract］　Objective　To investigate factors related to postoperative nosocomial infection in patients with severe brain injury undergoing craniotomy.Methods　The clinical data of 115 postoperative patients with severe brain injury undergoing craniotomy from January 2005 to January 2008 were retrospectively analysed. The multiple factors, including gender, age, open wound, operation time, incision of trachea, and hospital stay were statistically analysed by SPSS statistic system.Results　The postoperative nosocomial infection rate was 28.7﹪ in these patients.Factors that might have an impact on nosocomial infection were ranked in the following likelihood sequence: age, hospital stay, incision of trachea and operation time. Gender and open wound were found to have little impact on the nosocomial infection.Conclusion　Age is the most critical factor that influences the prognosis of nosocomial infection. As important controllable factors, hospital stay, incision of trachea and operation time, are closely related to postoperative nosocomial infection in patients with severe brain injury undergoing craniotomy.]]> 2018/9/10 8:35:16 JIANG Guo-rong 906true ［Abstract］　Objective　To observe the therapeutic effect of danhong injection (referred to as danhong) combined with ozagrel sodium in the treatment of patients with acute cerebral infarction.Methods　130 patients with acute cerebral infarction were randomly divided into two groups, the treatment group (70 patients) was treated with danhong combined with ozagrel; the control group of (60 patients) was treated with compound danshen injection plus brain protein hydrolyzate.Results　The total effective rate in the treatment group and the control group were 98.57% and 86.67% respectively. Difference in total effective rate between the two groups was statistically significant（P<0.05）.Conclusion　The therapentic effect of danhong combined with ozagrel sodium in the treatment of patients with acute cerebral infarction is good.]]> 2018/9/10 8:35:16 LUO Jian-ning 905true ［Abstract］　Objective　To study the Helicobacter pylori(H.pylori) infection rate in the children with digestive tract symptom.Methods　¹⁴C- urea breath test was performed in 875 children with digestive tract symptom.Results　The total positive rate was 36.9 %，the infection rate in boys and girls was 38.9%, 34% respectively, in preschool children and school-ager was 19.0%,30.4% respectively, in adolescaria was 51.1%. The positive rate of H.pylori was 76.5% in those children with parents with H.pylori(+);H.pylori were negative in 79 children with non-canonical specimen collection, of them 12 children were positive in re-examination after one week.Conclusion　Helicobacter pylori infection rate was high in the children with digestive tract symptom,and infection rate increases with age, and the H.pylori infection rate is high in those children with parents with H.pylori(+).In comparision of male with female the infection rate was no significant difference.]]> 2018/9/10 8:35:16 JIANG Qing-an，TANG Jun-mei，WANG Xian-chun, et al. 904true ［Abstract］　Objective　To study the value of ultrasonic diagnosis in cryptorchidism.Methods　The ultrasonic imaging characteristics of 204 cases (242 side) of cryptorchidism were retrospectively analyzed,and contrasted with the operative result.Results　Two hundred and nineteen cases of cryptorchidism were accurately diaognosed by ultrasonnography.Operation confirmed false negative in 18 cases, false positives in 5 cases. Ultrasound diagnostic accuracy was 90.5% (219/242). The most common sites of cryptorchidism was groin and its near place. Echoes of side with cryptorchidism was lower than those of normal testis.Conclusion　Ultrasonic diagnosis can display the size and the internal structure of cryptorchidism, its location accuracy of cryptorchidism was higher.It provide important instruction for the operation plan. In ultrasonic examination surgeon should pay attention to the examination skills, familiarize oneself with the position and drop path of testis, focus on nearby lymph nodes, and the identification of cryptorchidism and the lymph nodes.]]> 2018/9/10 8:35:16 HUANG Li, QIN Dong-qiong 903true ［Abstract］　Objective　To summarize the experience of combined treatment of internal medicine in aged patients.with acute pancreatitis(AP).Methods　The combined treatmen methods of 51 aged patients with AP were analyzed retrospectively.Results　Based on routine treatment,51 aged patients with AP received treatment such as inhibiting the pancreatic enzyme secreting and pancreatic enzyme activity,using the broad-spectrum antibiotics early,giving the enteral nutrition in time.Among 51 cases,39 cases(76.5%) were cured,8 cases(15.7%) were better,2 cases(3.9%) were transferred to surgical treatment and 2 cases(3.9%) died.The laboratory examination resnlts showed higher urinary calcium in 5 cases(10%),the other indicators returned to normal values.Conclusion　Combined treatment of interal medicine for the aged with AP is effective and may lessen complications and reduce mortality.]]> 2018/9/10 8:35:16 LI Ding-feng 902true ［Abstract］　Objective　To contrast the clinical curative effect of GC Fuji Ⅸ GP with those 3M Z250 in repairing the midrange wedge-shaped defect of dental cervix.Methods　Tooth of wedge-shaped defect were randomly divided into 2 groups.Group A were repaired by GC Fuji Ⅸ GP, Group B were repaired by 3M Z250. The curative effect were reexamined after one year.Results　The sucess rate of group A was 91.3%, that of group B was 81.1%.the sucess rate of group A was significant higher than that of group B.Conclusion　GC Fuji Ⅸ GP is an ideal material to repair wedge-shaped defect. It possess favourable biocompatility.The coefficient of expansion due to heat is similar to odontal tissue.The block of the wedge is well.It can prevent caries through releasing fluorine.]]> 2018/9/10 8:35:16 FANG Ping,CHEN Yan,Li Si-jian, et al. 901true ［Abstract］　Objective　To investigate the diagnostic value of Multi-slice spiral CT and post processing imaging in diagnosing the foreign bodies in trachea and bronchi of children.Methods　A retrospectivel analysis was performed on the imaging of axial view scanning of Multi-slice spiral CT, multi-planar reconstruction, contour reconstruction and volume reconstruction in 12 children who had the foreign bodies in trachea and bronchi. All cases were confirmed with clinical bronchoscopy.Results　The rate of confirmed diagnosis with Multi-slice spiral CT was 100%.Conclusion　Multi-slice spiral CT is the most accurate, simple and safety method in diagnosing the foreign bodies in trachea and bronchi of children.]]> 2018/9/10 8:35:16 HUANG Ze-he, ZHONG De-jun, CHEN Guang, et al. 900true ［Abstract］　Objective　To understand the status of syphilis infection of unpaid blood donors in recent years, and to provide a scientific basis for the development of the strategy of recruitment of voluntary blood donation.Methods　Toluidine red unheated serum test (TRUST) and double antigen sandwich enzyme-linked immunosorbent assay were used in unpaid blood donors in Baise to detect syphilis antibody in samples.Grouped according to different years, different ages, different occupations, or the different sexes, the results of syphilis decection in all groups were respectively compared.Chi-square test was used for statistical analysis.Results　Of 80 221 specimens, the detection results of 1 017 specimens were syphilis-positive,the detection rate was 1.27%, of which the results of 439 specimens of non-regular employment unpaid blood donors were positive and the detection rate was 2.43%; and the results of 43 specimens of voluntary blood donors from colleges and universities were positive,the detected rate was only 0.27%. Between 2006 and 2009 the difference in detection rate between the different years groups or different occupational distribution groups were statistically significant (P<0.05), the difference in detection rate between different sex groups or different age groups was not statistically significant (P> 0.05). Conclusion　Despite the falling trend in syphilis antibody positive rate in blood donors in Baise, but the syphilis infection rates remain high.In college students and military personnel the syphilis infection rates are low. In the formulation of future strategy, it should be mainly considered to recruit the unpaid blood donors from these low-risk population.]]> 2018/9/10 8:35:16 Blood Center of Baise,Guangxi 533000,China 899true ［Abstract］　Objective　To investigate the effects of acute mormovolemic hemodilution and autologons blood transfusion on circulatory function and blood cagulatory function during and after operation in the patients undergoing orthopedic operation.Methods　Before operation the autologous blood in 22 patients were collected by radial artery puncture for autotransfusion and 2～3 times of Changyuan Xue′an and balanced salt solution were infused at same time. During the operation, the changes of HR、MAP、CVP、SpO₂ and urine output were monitored. Then the changes of HCT, Hb, PLT, RBC at 30 minutes before and after arterial blood sampling,at 30 minutes before and after autotransfusion, at 1 day, and 7 days after operation were monitored.Results　In the course of operation, no distinct change (P>0.05) of HR, MAP, CVP, SpO₂ was observed. ECG showed no performance of myocardial ischemia. After hemodilution HCT and Hb declined significantly (P<0.01), but not lower than the minimum value (0.25). PLT and RBC dropped down a little (P<0.05). Seven days after operation, HCT, Hb and RBC recovered quickly; PLT increased significantly. Conclusion　Application of acute normovolemic hemodilution and autologons blood transfusion in orthopedic operation can guarantee the stabilization of circulatory function and blood coagulatory function during and after operation. After operation the blood coagilatory function recover distinctly and the complication due to heterogenous blood transfusion reduce. It is a safe and effective autotransfusion method.]]> 2018/9/10 8:35:16 LIANG Chun-mei 898true ［Abstract］　Objective　To evaluate the effectiveness of transvaginal hysterectomy plus anterior and/ or posterior colporrhaphy in treating patients with uterine prolapse.Methods　The postoperative conditions of vaginal hysterectomy were analyzed in 48 patients who were admitted from March 2006 to March 2008 to our department. All patients were followed up for 2 years.Results　The operative effects were satisfactory and no re-operation case was found in this group.Conclusion　Transvaginal hysterectomy plus anterior and/ or posterior colporrhaphy in treating patients with uterine prolapse has many merits，such as less trauma，quicker recovery, no scar in abdomen and should be widely used in clinic practice.]]> 2018/9/10 8:35:16 ZENG Yong-qun，SHE Yuan-ping 897true ［Abstract］　Objective　To observe the clinical curative effect treatment of lumbar disc herniation by lumbar intervertebral foramen injection combined with high frequenly heat therapy.Methods　2% lidocaine 5 ml injection， triamcinolane acetonide injection 40 mg，vitamin B₁₂ injection 0.5 mg，0.9% chloride injection 20 ml were mixed and used by lumbar intervertebral foramen injection，once every 7 ds，during the intermission， high frequency interval heate therapy was used，once a day，5 ds for a couse of treatment.Results　Of 386 patients 313 cases were cured，improvement was found in 49 cases，no effect in 24 cases，The effective rate was 93.7%. Conclusion　The clinical effect of cumbar intervertebral foramen injection cumbined with high frequenly heat therapy in the treatment of lumbar disc herniation is positive.]]> 2018/9/17 8:12:27 SU Yi-sheng 896true ［Abstract］　Objective　To explore the clinical effectiveness of composite transurethral balloon dilatation of prostate (TUDP) in the treatment of benign prostatic hyperplasia and management of complications. Methods　The clinical data of 44 patients with benign prostatic hyperplasia who had TUDP were reviewed and analyzed. Results　TUDP was successful in 41 patients with the success rate of 93.18%. The incidence of complications was 4.5%. The patients were followed up for 3 months to 1 year, the preoperative residual urine volume and IPSS standard indicators were significantly different from postoperative ones (P<0.05). Conclusion　TUDP has the advantages of minimal trauma, short time, little blood loss and rapid postoperative recovery.]]> 2018/9/17 8:12:27 LI Hui-ning 895true ［Abstract］　Objective　To investigate the effects of chronic pulmonary heart disease patients with heart failure as main manifeatation treatied by digoxin combined with yiqiyangyin decoction after the acute lung infections was control led. Methods　Ninety-six chronic pulmonary heart disease patients (class Ⅱand Ⅲ), whose lung infections was control led and primary symptom was heart failure were randomly divided into two groups. In control group, 48 patients were given orally digoxin tablets 0.25 mg once daily. In treatment group, 48 patients were given orally digoxin tablets 0.25 mg once daily and yiqiyangyin decoction daily. Results　In treatment group, significant effect was found in 25 patients, effect in 21 patients and no effect in 2 patients with a total cure rate of 95.83%, while in the control group, the dates were 20, 19, 9 patients respectively, and the total effective rate was 81.13%. The difference between the two groups were significant (P<0.05). Conclusion　Digoxin combined with yiqiyangyin decoction in the treatment of chronic pulmonary heart disease patients with heat failure has positive effect with less adverse effect.]]> 2018/9/17 8:12:27 WEI Yang, ZOU Shi-chang 894true ［Abstract］　Objective　To observe the efficiency and safety on low-dose metoprolol combined with digoxin in the treatment of heart failure with rapid atrial fibrillation.Methods　Sixty patients with atrial fibrillation and organic heart disease were randomly divided into the treatment group (n=30) and the control group (n=30), the control group were treated by the conventional diuresis, blood vessel dilatation medicine and digoxin, the treatment group were treated by small dosage metoprolol treatment on the foundation of above treatment, and after three months, the data of two groups of patients were compared and analysed on cardiac function, ventricular rate and left ventricular ejection fraction (LVEF).Results　The treatment group was better than the control group on reducing ventricle rate, improving cardiac function and enhancing LVEF (P<0.05).Conclusion　Small dosage metoprolol combined the digoxin can safely, efficiently reduce ventricular vate and improve cardiac function in patients with heart failure and rapid atrial fibrillation.]]> 2018/9/17 8:12:27 LIU Gui-qiu 893true ［Abstract］　Objective　To explore the causes and affecting factors of cesarean section and to the provide information for lowering cesarean section rate. Methods　The clinical data of obstetric hospital delivery parturient women from January 2005 to December 2009 were analyzed retrospectively. The changes in cesarean section rate and indications of cesarean section variation, and the conditions of painless childbirth were analyzed retrospectively. Results　The cesarean section rate decreased yearly, rate of vaginal delivery increased and there was a gradual descending trend and the social factors in cesarean section (χ² = 118.17, P<0.01). Conclusion　Increasing government investment in public health programs and performing timely painless childbirth can effectively reduce the cesarean section rate.]]> 2018/9/17 8:12:27 WEI Xiao-na,WEI Mei-hu,LI Hui 892true ［Abstract］　Objective　To observe short-term efficacy and toxicity of paclitaxel and cisplatin in the treatment of Ⅲ-Ⅳ non-small cell lung cancer.Methods　Forty-six cases of Ⅲ-Ⅳ non-small cell lung cancer were treared by intravenous drip of paclitaxel 150 mg/m² in 5% glucose injection 500 ml, within 3 hours, d₁; cisplatin 60 mg in 100 ml normal saline injection, intravenous drip, d_2,3. A cycle lasted for 3 to 4 weeks.After 2 to 5 cycles the treatment effects were evaluated.Results　In Forty-six cases the response rate was 39.13%(18/46). The main toxicities inclnded blood toxicity, alopecia, and digestive tract reaction.Conclusion　Paclitaxel combined with cisplatin for treatment of advanced non-small cell lung cancer have better efficacy, less toxicity and can be tolerated.]]> 2018/9/17 8:12:27 WEI Ai-fang,LAN Chuan,ZHANG Ji-jun 891true ［Abstract］　Objective　To investigate the diagnosis and treatment of hepatocellular carcinoma (HCC) with bile duct tumor thrombus.Methods　The clinical date of 10 cases of HCC with bile duct tumor thrombus were analyzed retrospectively.Results　Six cases patients received primary tumor radical resection combined with bile duct tumor thrombus removal，their median survival time was 2.5 years；4 cases patients received simple bile duct tumor thrombus removal, heir median survival time was less than 6 months.Conclusion　The primary tumor radical resection combined with bile duct tumor thrombus removal for the treatment of HCC with bile duct tumor thrombus was the effective ways to prolong survival time.]]> 2018/9/17 8:12:27 LI Shi-Wen, XU Xu, FANG Fu-Yi 890true ［Abstract］　Objective　To investigate the effect of pars plana capsulotomy and vitrectomy with infusion through the limbus to remove the posterior capsule opacification (PCO). Methods　The data of 27 eyes of 23 patients with PCO, who were undergone pars plana capsulotomy and vitrectomy with infusion through the limbus, were respectively analysed. All the patients were followed-up for 6～18 months. Results　The central opaque posterior capsule and anterior vitreous were successfully removed in all patients without complication. A round hole with 3.0～6.0 mm diameter was obtained at the posterior capsule. The visual acuity in all patients was improved; There were no complication during the postoperative follow-up period, such as dislocation or damage of the IOL, retina detachment and PCO again. Conclusion　Pars plana capsulotomy and vitrectomy with infusion through the limbus is a safe and effective to remove the PCO.]]> 2018/9/17 8:12:27 YANG Sheng, CHEN Guang-sheng, LI Huan 889true ［Abstract］　Objective　To explore the diagnostic value of high color frequency ultrasound on the pathological changes of knee joint and the surrounding tissues. Methods　Ninety-seven pathologic joints were examined with high-frequency color ultrasound for observing location, size, number and changes of imaging of the diseases. Results　All the 97 pathologic joints showed corresponding ultrasonographic changes with high-frequency ultrasound imaging. Conclusion　High frequency ultrasound is non-invasive, convenient, fast and repeatable with ultrasound imaging, which is an important aid to examine knee joint diseases.]]> 2018/9/17 8:12:27 MA He-qun, LIAN Dan 888true ［Abstract］　Objective　To explore the rational treatment of nitrite poisoning.Methods　The Clinical manifestation and treatment of 80 patients with acute nitrite poisoning admitted to department of emergency in our hospital from July 2000 to July 2008 were retrospectively analyzed.Results　Eighty patients were treated by slow intravenous injection of 1% methylene blue 1～2 mg/kg diluted in 5% glucose 20 ml (10～15min); of them, 36 patients discharged after 24 h observation;23 patients still had dizziness, weakness, palpitation and other symptoms, and were continuously treated with vitamin C,B vitamins,energy compounds and so on, on the second day,12 patients discharged from hospital after 48 h;9 patients had syncope or convulsions, in the same time symptomatic treatment of them, were treated by acetyl-glutamine infusion, and discharged after 72 h observation. Follow-up of 1 month showed there were no remaining sequelae.Conclusion　The reasonable application of small dose methylene blue(1～2 mg/kg) can quickly relieve symptoms, and improve the cure rate.]]> 2018/9/17 8:12:27 MA Rui, LUO Yan-hong, YANG Zeng-ye 887true ［Abstract］　Objective　To summarize the methods and clinical effect of the application of the bipolar coagulation forceps and electrocoagulation hook in laparoscopic cholecystectomy (LC).Methods　First the cystic artery was coagulated and closed by bipolar electrocoagulation forceps, then was cut off by the electricity coagulation hook. The surgical field bleeding points was coagulated with bipolar electrocoagulation forceps to stop bleeding. Other surgical steps were basically the same as conventional LC.Results　In this group, 32 cases were cured and discharged from hospital. The mean hospital stay was 3.5 d; the average operative time was 55min; the average intraoperative bleeding volume 4.5 ml.There were no postoperative intra-abdominal hemorrhage, bile leakage, poke holes infections and other complications. No case was of tranferred to laparotomy.Conclusion　Appliation of bipolar coagulation forceps and electrocautery hook in laparoscopic cholecystectomy had the advantages of simple operation, good hemostatic effect, security and feasibility.]]> 2018/9/17 8:12:27 ZHANG Liang-qing, GAO Hai-hong, WU Hao-yuan 886true ［Abstract］　Objective　To assess the correlation between the MRI features of meningioma and related pathology.Methods　Thirty-eight cases of meningioma confirmed by surgery and pathology were reviewed, and their MRI features of the meningioma and histological type were analyzed, including the signal appearance of the tumor, tumor-brain interface status, peritumorous edema, tail sign, and the signal uniformity after enhance.Results　MRI signal features of meningioma included low SI on T₁W images, high and mixed SI on T₂W images, and there was diagnostic values of tail sign.Conclusion　The MRI features of meningiomas have high sensitivity and characteristic feature,and most of meningiomas could be diagnosed before operation according to MRI features.]]> 2018/9/17 8:12:27 LAN Li, GUI Yun-rong, XIE Jia-liang, et al. 885true ［Abstract］　Objective　To observe the long-term clinical effect of　molars with chronic apical periodontitis treated by empty root canal medication.Methods　Two hundred thirty-eight molars with chronic apical periodontitis were treated by empty root canal medication.Results　Five years after operation，213 molars were successfully treated and the success rate was 89.49%.Conclusion　Empty root canal medication is a feasible and effective method for the treatment of molars with chronic apical periodontitis.]]> 2018/9/17 8:12:27 LU He-xin 884true ［Abstract］　Objective　To study the pathogenesis of antineutrophil cytoplasmic antibody-positive vasculitis induced by propylthiouracil(PTU).Methods　By reporting three cases of antineutrophil cytoplasmic antibody-positive vasculitis induced by PTU，the related literature was reviewed and discussion was made.Results　Three cases presented with hematuria，proteinuria， renal function damage，injury of lung and positive antineutrophil cytoplasmic antibody.Three cases had been treated with PTU for months because of Graves disease.The PTU was withdrawn，and prednisone and immunosuppressant were used.After the treatment，the symptoms were maruedly improved，and the renal function returned.Conclusion　PTU may induce antineutrophil cytoplasmic antibodypositive vasculilis.Early diagnosis，withdraw of PTU and administration of glucocortocoid can improve its prognosis.]]> 2018/9/17 8:12:27 LU Qiu-wei 883true ［Abstract］　Objective　To study the clinical value of multi-slice spiral CT（MSCT）in the diagnosis of cervical neurilemmoma.Methods　Axial MSCT and multi-planar reconstruction(MPR) images of thirty cases of cervical neurilemmoma proved by surgery and pathology were analyzed.Results　Twenty-two cases were located in carotid space，sixteen cases were located in the paravertebral space. MSCT plain scan indicated that there were nine cases with uniform density, the other with uneven density. Homogeneous mass showed uniform soft tissular density or capsule density. Inhomogeneous mass showed lower density in soft tissue, and there were two cases with high density calculus. There were nine cases with markedly homogeneous enhancement by enhanced MSCT, the other twenty one cases were inhomogeneous enhancement, while inhomogeneous enhancement showed mottled enhancement, with irregular shapes.Conclusion　MSCT could clearly show the relationship between tumor and the surrounding blood vessels，intervertebral foramen and vertebral canal, it has an important value in the localization and qualitative determination of cervical neurilemmoma.]]> 2018/9/17 8:13:20 LV Yong-ge, ZHUAN Qing-chun, HUANG Chun-yuan, et al. 882true ［Abstract］　Objective　To observe the clinical effect of continued negative pressure drainage in treating chronic wound in the aged people. Methods　Thirty-eight patients over 60 years old suffered from the above wound and hospitalized into our section from December 2005 to July 2009 were divided into negative pressure treatment group (Ⅰ group) and normal treatment group (Ⅱ group) at random. In Ⅰ group, the device of continued negative pressure drainage was used after clearing the wound to drain at the negative pressure of 200 to 400 mmHg. As soon as the inflammation faded away and new issues grew up, it was necessary to recover the wound by making skin grafts. In the Ⅱ group,methods like conservative changing medicine, clearing wound and skin graft as well as skin flap were used to recover the wound. Results　The Ⅱ group was obviously lower than the Ⅱ group in treatment period, times of changing medicine and treatment expense(P<0.05). Conclusion　In comparison with the Ⅱ group, the application of the continued negative pressure drainge may obviously shorten the healing period of chronic wound, decrease times of changing medicine and treatment expense with evident effect.]]> 2018/9/17 8:13:20 YANG Li,ZHU Xiao-ping,PAN Sheng-xin 881true ［Abstract］　Objective　To analyze the values, advantages and disadvantages of X-ray examination and CT scan for the diagnosis of spinal injuries. Methods　The data of 176 clinically confirmed cases of spinal injury were analyzed retrospectively, and the values of X-ray and CT in the diagnosis of these cases were compared. Results　CT scan was superior to X-ray film in the display of vertebrae, vertebral lamina, small joints, spinal canal stenosis, and fracture injury classification, and X-ray film was superior to CT scan in the display of the extent of vertebral compression, vertebral kyphosis angle and vertebral body displacement. Conclusion　X-ray examination combined with CT examination can improve the level in the diagnosis of vertebral injury.]]> 2018/9/17 8:13:20 GAO Hong-wu 880true ［Abstract］　Objective　To understand the therapeutic prognosis of the children with urinary system calculi due to melamine. Methods　The clinical data of 83 hospitalized children with urinary system calculi of 105 children with urinary system calculi whose urinary system calculi were found in the melamine poisoning screening in 5 873 children under 10 years of age (mainly infants and young children) performed in our hospital in Sanlu milk powder poisoning event from September 15 to December 31, 2008, were retrospectively analyzed. Results　In 83 hospitalized children with single (or double) renal or ureteral calculi confirmed by color ultrasound, urine test, etc, urinary system calculi complicated with hydrops were found in 11 children with urinary system calculi, microscopic hematuria were found in 7 children with urinary system calculi, increase of urine white blood cell count (higher than the normal value) were found in 6 children with urinary system calculi, urine protein qualitative test showed mild to moderate positive reaction in 4 children with urinary system calculi. Of 8 children with urinary system calculi who were examined by abdominal X-ray photography, positive calculi shadow was found in 1 child. The majority of children with urinary system calculi had mild symptoms or no symptoms. All 83 children with urinary system calculi were treated in accordance with the therapeutic scheme recommended by health ministry and cured. After the following up of more than one year, no case of relapse or exacerbation was found in 83 cured cases. Conclusion　There are many reasons that cause urinary system calculi and hydrops in the children.In this study, the incidence of these diseases is correlated with the ingestion of melamine-contaminated milk powder. Therefore, it is important to stop the ingestion of this melamine-contaminated milk powder. The urinary system calculi due to melamine poisoning are looser, and B-type ultrasound is the main diagnostic tools for such calculi.The majority of children with urinary system calculi can be treated in accordance with the therapeutic scheme recommended by health ministry, and the therapeutic effects are good.]]> 2018/9/17 8:13:20 YANG Wen-sheng 879true ［Abstract］　Objective　To study the effective methods of maternal-infant transmission block in pregnant women with HIV/AIDS.Methods　Fifty-four HIV/AIDS pregnant women who had birth demand received triad antiviral therapy during pregnancy and selective caesarean birth as well as artificial feeding of the infant. And the infants were required to take zidovudine oral liquid within 12 hours. Monitoring of HIV-RNA and CD4⁺ T lymphocyte of the pregnant women and HIV-RNA of the infants at the age of 1 month and 4 months as well as HIV antibody of infants at the age of 1.5 years was also required.Results　HIV-RNA in 54 pregnant women dropped obviously after therapy,and HIV-DNA in 53 infants appeared negative.Conclusion　Taking comprehensive intervention measures is effective in HIV/AIDS pregnant women maternal-infant transmission block.]]> 2018/9/17 8:13:20 DOU Yan-yun, LU Rui-chao 878true ［Abstract］　Objective　To explore the effect of CT-guided perataneous injection of ozone in the treatment of lumbar disc herniation.Methods　Sixty-eight patients with lumbar disc herniation were treated with ozone therapy，their were efficacy analyzed.Results　The patients were followed up for 3 to 18 months.On the basis of the modified Macnab criteria,cure was obtained in 30 cases,marked effect in 20 cases,effectiveness in 12cases,noect in 6 cases.The total effective rate was 91.1%.Conclusion　CT-guided perutaneaus injection of ozone is an easy and safe method for the treat ment of lumbar disc herniation.It is an effective intervention treatment.]]> 2018/9/17 8:13:20 李卓才 877true ［Abstract］　Objective　To explore the clinical therapeuric effect of the intrathecal injection with vancomycin for intrcranial infection.Methods　Twenty-five patients with intracranial infection were treated by 20.0 mg vancomycin diluted with 5.0 ml sodium chloride injection into lumber tube by its the external drainage once a day. The drainage tube had two hours occlusion after drug injection. When the temperature and white blood cell in cerebrospinal fluid of patients were normal the drainage tubes were removed.Results　Twenty cases were cured, four cases had favourable outcome. One case was dead(4.0%).Conclusion　The treatment of intrathecal injection with vancomycin for patient with intracranial infection could be satisfactory.]]> 2018/9/17 8:13:20 ZHENG Hong,XIE Ren- heng,WANG Xue-zhong,et al. 876true ［Abstract］　Objective　To explore a safe and effective method for treating pericardial fluid. Methods　Twenty-six patients with moderate-to-large pericardial fluid located by two dimensional echocardiography, were drained pericardial fluid with central venous catheter and the curative effect, savety and advere effect were abserved. Results　The tube insertion were successfully performed in the first puncture in all patients. The detained tube time ranged from 2 to 5 days and detained fluid amount were 300 to 3 800 ml. Conclusion　This method is simple, save, reliable and effective in draining pericardial fluid.]]> 2018/9/17 8:13:20 SHI Ai-mei 875true ［Abstract］　Objective　To summerize the perioperative treatment methods and results of senile patients with femoral neck fracture undergoing hip joint displacement technique.Methods　There were twenty-seven senile patients with femoral fracture, also suffered from other senile diseases. The hip joint displacement technique were adopted in twelve patients and femoral head prosthetic replacement in fifteen patients. The perioperative treatment of all the patients were highly valued, which consisted of evaluating the systemic conditions of patients before operation, monitoring patients′ physical sign and curtailing operation time during operation, and paying much attention to the treatment of complicating diseases after operation.Results　As a result, among the sixteen patients who suffered from complicating diseases after operation, one suffered from myocardial infarction after anaesthetization; one suffered from arrhythmia after operation; four suffered from vein thrombus of low limbs; four suffered urinary tract infection, three suffered pulmonary infection; two suffered both urinary tract infection and pulmonary infection; one suffered both vein thrombus of low limbs and pulmonary infection. Except one patient died from myocardial infarction after anaesthetization, the other twenty-six patients were recovered and discharged from hospital, the function of their hip joints were excellently recovered.Conclusion　It′s crucial to value the perioperative treatment of senile patients with femoral neck fracture undergoing hip joint displacement in order to get the successful operation.]]> 2018/9/17 8:13:20 ZHANG Ye-guang, CHANG Yun-bing, KE Yu-hong, et al. 874true ［Abstract］　Objective　To investigate the effect of early ice compress on prognosis of patients with severe head injury. Methods　A retrospective analysis was performed in 50 patients with severe head injury who were not treated by ice compress from April 2005 to March 2007 (control group) and in another 50 patients with severe head injury who were treated by ice compress from April 2007 to March 2009 (experimental group). The vital signs， high temperature time，average coma time， Fatality rate between two groups were compared. Results　The two groups has significant difference in the above indexes. Conclusion　Early ice compress has exact curative effect for patients with severe head injury, can reduce fatality rate.]]> 2018/9/17 8:13:20 WEI Yu,LI Hui 873true ［Abstract］　Objective　To explore the cause, clinical manifestations and treatment of the scar pregnancy (CPS), to enhance the awareness of the disease, diagnosis and treatment.Methods　The clinical data of 10 cases of CPS were analyzed retrospectively.Results　Of 3 cases treated by the vagina injection of methotrexate (MTX) under the supersonic guidance，2 cases were effective and 1 case received open surgery and lesion resection due to no satisfying serum β-HCG decline, of 6 cases of heavy bleeding in the curettage, 3 cases received the rapid uterine artery embolization (UAE) and hemostasis was effective, and received uterine curettage in 24 hours after embolization under the supersonic guidance; 2 cases received uterine cavity pressure with gauze packing to stop bleeding, the abdominal local lesion injection of MTX (50 mg/m²) under the supersonic guidance, and received lesion resection under supersonic guidance after serum β-HCG was close to normal; the other one cases received open surgery and lesion resection due to poor drug treatment effect. one cases from outside hospital with vaginal bleeding and unstable vital signs, received emergency hysterectomy in the condition of anti-shock, blood transfusion and infusion at the same time.Conclusion　Women with a history of cesarean section in early pregnancy should be routinely performed the conventional vagina supersonic examination; the patients with suspected CPS should avoid blind curettage or drug abortion；uterine artery embolization, MTX conservative treatment and surgical treatment are effective alternative treatments.]]> 2018/9/17 8:13:20 LIANG Gui-ling, XU Li-ping, LIANG Nin-an 872true ［Abstract］　Objective　To observe the therapeutic efficacy of topical application of moist exposed burn ointment (MEBO) in the treatment of electrocautery wounds of skin and explore the effective treatment.Methods　Seventy-seven cases of electrocautery wounds of skin were randomly divided into two groups. The treatment groups treated with MEBO, the control group treated with erythromycin ointment.Results　The wound healing time in the treatment group was significantly shorter than that in the control group.Conclusion　Topical application of MEBO is a better therapeutic method for electrocautery wounds of skin. It has the advantages such as shorter course of treatment, reliable efficacy, convenient operation, no side effects.]]> 2018/9/17 8:13:20 PAN Gao-tian 871true ［Abstract］　Objective　To investigate the clinical characteristics of acute myocardial infarction complicated by acute left heart failure, summarize the experience in clinical diagnosis and treatment.Methods　Fifty-seven patients with acute myocardial infarction complicated by acute left heart failure in our hospital were analyzed retrospectively.Results　The clinical manifestations mainly were chest tightness, chest pain, shortness of breath, difficulty breathing, ischemic ST changes were found in 34 cases, pathological Q waves in 10 cases, cTnI higher than normal in 43 cases.Conclusion　Acute myocardial infarction complicated by acute left heart failure is in critical condition, its clinical manifestations is various, diverse, timely treatment is the key.]]> 2018/9/17 8:13:20 NONG Xiao-bao,LIN Zhen-qiang,LU He-xing 870true ［Abstract］　Objective　To investigate the effect of oligohydramnios on perinatal infants, find the right approach to reduce perinatal mortality.Methods　One hundred and five cases of oligohydramnios（observation group）were analyzed retrospectively,and compared with 105 normal pregnant women（control group）.Results　In generally, oligohydramnios occurred in pregnant women with more than 40 pregnant weeks. The incidences of meconium-stained amniotic fluid, fetal distress, neonatal asphyxia, and cesarean section rate in observation group were significantly higher than those in control groups.Conclusion　Oligohydramnios was a sensitive indicator of fetal distress, prenatal care should be strengthened, and the pregnancy should be terminated timely to improve perinatal prognosis.]]> 2018/9/17 8:13:20 LAN Li-wen 869true ［Abstract］　Objective　To summarize the experience of the diagnosis and surgical treatment of pulmonary sequestration.Methods　The clinical and pathological data from 20 patients with pulmonary sequestration undergoing surgical operation in our hospital from July 2003 to October 2009 were analyzed retrospectively.Results　All of the patients received surgical treatment;smooth recovery were achieved in all patients. No perioperative death and complication occurred.Conclusion　Pulmonary sequestration is a rare congenital pulmonary malformation, and is always misdiagnosed as bronchiec tasis, pulmonary cyst and lung cancer. Operation is a safe and effective method for the treatment of pulmonary sequestration.]]> 2018/9/17 8:13:20 SHI Zi-li,LIU Xiao-fei 868true ［Abstract］　Objective　To evaluate the main causes of deep vein thrombosis. Methods　From 2006 to 2009 the causes and treatment of 28 hospitalized patients with deep vein thrombosis were analyzed. Results　Adopting such the methods as the use of anti-platelet aggregation, supporting the fibrin formation, the lifting risk factors for thrombosis and so on achieved better effect. Of them, 24 patients were cured, 4 patients with pelvic tumor obtained partial remission of vein throm bosis. Conclusion　Early detection and treatment of deep vein thrombosis are important.]]> 2018/9/17 8:13:20 HUANG Yong-kang 867true ［Abstract］　Objective　To discuss the diagnosis and treatment of the neonatal polycythaemia. Methods　The clinical data of 50 cases of neonatal polycythaemia were analyzed. Results　Forty-eight cases were discharged from hospital, 2 cases gave up trearment. Conclusion　The clinical manifestations and blood routine examination are the important basis for the diagnosis of the disease. The key of the treatment is to take active measures to reduce the levels of the hematocrit and hemoglobin, lower the blood viscosity, improve the microcirculation, thereby improving the blood flow and the function of the tissues and organs, reducing the incidence of complications.]]> 2018/9/28 10:50:38 HE Mei-ling 866true ［Abstract］　Objective　To discuss the effect of the related anatomy of superior mesenteric artery （SMA）and abdominal aorta（AA）on left renal vein （LRV）in normal and nutcracker syndrome（NCS）using multislice spiral computed tomography. Methods　Ten patient with NCS confirmed by clinic and correlated examinations (patient group) and 29 subjects with normal kidneys and renal vessels(control group) were retrospectively reviewed. The normal group was grouped according to sex and age（below 40 year was Ⅰgroup and above 40 year was Ⅱ group）. The anatomy，course and relationship to the adjacent structure of left renal vein（LRV） and its branches were observed. The angle（α） between SMA and AA, the cross section area (S ) between SMA and AA at the level of LRV passing through the anyle. The caliber of the LRV through the angle (D1) and the largest caliber near the renal hilar(D2) were measured and the ratio (Q) of D2 to D1 was calculated. Results　(1)In patient group all LRVs were compressed and showed dilatation, 4 of them combined with dodecadactylon stasis and 6 of them with by pass circuit; (2)The value of α, Q, S in the patients group and the control group were: 20.60±5.79、 56.17±17.20； 3.67±1.34、 1.46±0.29； 30.93±14.62， 92.92±39.93, the differences were significant between the two groups (P<0.01); (3)The differences in values of different sex and Ⅰ, Ⅱ age groups in the control group were not statistically significant (P>0.05). Conclusion　The angle between SMA and AA and the related anatomy data could be well delineated on the MSCT, wich provides a relative ideal noninvasive technique for diagnosis of NCS.]]> 2018/9/28 10:50:38 WEI Hong-xing,PAN Qi-chong,NONG Nan-le,et al. 865true ［Abstract］　Objective　To observe the effect of the the general anesthesia and general anesthesia plus caudal block anesthesia on postoperatire recovery processes of children undergoing the radical surgery on congenital Hirschsprung′s disease.Methods　Forty children with congenital Hirschsprung′s disease,aged from 3 to 12 months, were treated for selective radical operation on congenital Hirschsprung′s disease via the anus. They were randomly divided into two groups: group of general anesthesia (group Ⅰ, n=20) and group of anesthesia plus caudal block anesthesia (group Ⅱ, n=20).Group Ⅰ was given ketamine, fentanyl,propofol and vecuronium to maintenance of anesthesia. Group Ⅱ was given ketamine, fentanyl，propofol and vecuronium to maintenance of anesthesia, with a supplement of 0.5%lidocaine to have a single line of caudal block.Results　The two groups had satisfied anesthetic effect and stable vital signs. There were no significant differences in incidences of postoperative agitation, nausea and vomiting between two groups. The average body temperature of group Ⅰ was higher than that of group Ⅱ during the perioperative period. The postoperative awakeness time, and the extubation time in group Ⅰ were obviously shorter than those in group Ⅱ.Conclusion　Comparing with the general anesthesia combining with caudal block anesthesia for children undergoing radical surgery on congenital Hirschsprung′s disease via the anus, the simple general anesthesia is more conducive to keep warm,and more conducive to postoperative recovery.]]> 2018/9/28 10:50:38 LIU Xiao-hui 864true ［Abstract］　Objective　To observe the effect of using nitroglycerin and dobutamine through continue venous pump for refractory heart failure.Methods　Ninety patients with 3～4 rank heart function were selected who were treated invalidly for 2～3 days by conventional therapy.Based on above treatment,these patients were treated with nitroglycerin and dobutamine by continue venous pump,for 5 to 7 days.Clinical symptoms,signs and heart function were observed.Results　The clinical symptoms,signs and heart function were improved obviously after using nitroglycerin and dobutamine by continue venous pump.The total effective rate reached 95.5%.Of them marked effect were found in 73 patients(81.1%),effective in 13 patients (14.4%),invalid 4 patients (4.5%).There were positive curative effects and not more adverse reactions.Conclusion　The way of using nitroglycerin and dobutamine by continue venous pump can play a role in treating refractory heart failure.]]> 2018/9/28 10:50:38 HE Shi-cong,LV Xiao-qiang 863true ［Abstract］　Objective　To find a convenient, easy and effective way to treat cracked molar or vertical fractured molar, so as to retain their normal shape and function. Methods　To begin with, the teeth were fixed with appropriate band externally. Secondly, root canal therapy (RCT) were carried out to control the infection. Thirdly, self-threading pin were inserted into root canal, light-cured composite resin were filled to fixation, and then full crown were made to restore molar shape and function. Results　Of 34 teeth, 28 cases were successful, which accounted for 82.35%. 6 cases were unsuccessful, which accounted for 17.65%. Conclusion　As long as taking timely treatments, and adopting appropriate measures, the above-mentioned series of treatments would be effective to retain cracked molar or vertical fractured molar, meanwhile, to maintain denture integrity and to restore masticatory function.]]> 2018/9/28 10:50:38 HUANG Zhao-yang 862true ［Abstract］　Objective　To investigate the relationship between the uric acid， non-high density lipoprotein cholesterol (non-HDL-C) in serum and the extents of lesion on coronary arteris.Methods　Three hundred and twenty-six suspected coronary artery disease(CAD)patients underwent coronary angiography (CAG) were evaluated. Control group (n=160) was negative in CAG,CAD group (n=166)was positive in CAG. The uric acid and non-HDL-C between two group were compared,and furthermore CAD group diagnosised by CAG was divided into single branch group and two or three branches group by disease degree,also their uric acid and non-HDL-C among these groups were compared.Results　The levels of serum uric acid，and non-HDL-C in CAD group were higher than that of the control group(P<0. 05). With the increased severity of coronary stenosis, their levers increased. Their increase in the three-vessel group was the highest.The levels of uric acid and non-HDL-C in serum in the three-vessel group was higher compaired with single branch and two branch groups(P<0. 05).Conclusion　A positive correlation exists between the level of serum UA ，non-HDL-C in serum and the severity of coronary atherosclerosis. Non-HDL-C can more effectively predict and evaluate the occurrence of CHD than LDL-C;high serum UA might be a risk factor for CHD.]]> 2018/9/28 10:50:38 SHENG Chun-mei 861true ［Abstract］　Objective　To observe the curative effect of local drug injection combining with manual joint mobilization for treating periarthritis of shoulder. Methods　In the treatment group, 63 patients with periarthritis of shoulder were treated by intraarticular injection of medications made up with 1% lidocaine 5 ml and zonolysin 10 000 U and 0.9 % physiological saline 15 ml combining with joint mobilization for treatment; while in control group, 63 patients with periarthritis of shoulder were treated by buprofen sustained release capsules combining with dirigation for treatment. At the same time, the clinic effect between two groups were observed and compared. Results　Forty-six patients were fully recovered from illness in the treatment group and the total effective rate was 96.83%; while 16 patients were fully recovered from illness in the control group and the total effective rate was 58.73%. The difference in total effective rate between two groups had statistical significance（P<0.01）. Conclusion　Intraarticular injection of zonolysin as main medcation contributes to eliminating inflammation, dissolving fibrous protein tissue, promoting the circulation of blood and body fluid, simultaneously,it will give a help to prevent the development of edema and accelerate the absorption of edema, what is more, it enhances the clinical efficacy noticeably when combining with manual shoulder mobilization.]]> 2018/9/28 10:50:38 SHI Lai 860true ［Abstract］　Objective　To study the impact of different doses of atorvastatin on inflammatory cytokines and lipid-lowering efficacy of patients with unstable angina pectoris.Methods　Fifty patients with unstable angina were randomly divided into atorvastatin 10 mg group (A group,24 cases), 20 mg group (B group, 26 cases), before treatment and after 3 months of the treatment fasting blood samples were collected and the concentrations of serum high-sensitivity C-reaction protein (hs-CRP) and troponin I (CTnI) and the levels of serum lipid were measured.Results　After treatment, compared with A group, concentrations of hs-CRP and CTnI lowed more obviously in B group(P<0.01), and levels of lipid lowered in both of the two groups, but the decrease of the level of LDL-C in B group was more obvious than A group (P<0.05). Conclusion　Levels of CTnT and hs-CRP of patients with unstable angina pectoris are high. Atorvastatin can lower levels of hs-CRP, CTnI and LDL-C of patients with unstable angina pectoris, and 20 mg atorvastatin has better efficacy compared with 10 mg atorvastatin.]]> 2018/9/28 10:50:38 HE Xiao-song 859true ［Abstract］　Objective　To analyze the risk factors of cerebral infarction in young and middle aged patients with cerebral infarction,and clinical features,to guide treatment.Methods　The clinical data of 86 young and middle aged patients with cerebral infarction were restrospectively analyzed.Results　The main risk factors were hypertension,diabetes,hyperlipidemia and smoking,alcohol consumption,high hyperhomocysteinemia etc.Conclusion　The incidence of cerebral infarction in young and middle aged people increases gradually.Its causes is complex.In addition to the main causes,the rare causes is still needed to pay attention. The individual differences in clinical presentations is large.So its treatment should be individualized.]]> 2018/9/28 10:50:38 MAO Zhong-chen,FU Zhi-xin,GAO Yuan-lin,et al. 858true ［Abstract］　Objective　To probe the relativities among the ABO blood types and the occurrence of gynecological tumors.Methods　The phenotype and distribution of the gene frequency of ABO blood types of 749 Zhuang monorities women with gynecological tumors were compared and analyzed with 912 healthy ones.Results　There was no statistical significance among the ABO blood types and the occurrence of gynecological tumors.Conclusion　There was no significant relativities among the occurrence of cervical cancer，ovary tumor and leiomyoma and the ABO blood types.]]> 2018/9/28 10:50:38 ZHONG Yue-hua, XU Rui-jun 857true ［Abstract］　Objective　To explore the clinical curative effect of infantile diarrhea.Methods　The comprehensive treatments such as gastrointestinal mucosa protection, microorganism modulator, zinc supplement and dietary structure adjustment etc were used in 66 cases of infantile diarrhea and the treatment effect were observed.Results　Without any antibiotics, through comprehensive treatment, 26 cases had obvious effect which accounted for 39.39%;34 cases had effect which accounted for 51.52%. The total effective rate was 90.91%, and there were not any special adverse reactions during the medication period.Conclusion　When treating the infantile diarrhea, antibiotics should be cautiously used which is crucial to enhance the curative rate.]]> 2018/9/28 10:50:38 LI Chen-shan 856true ［Abstract］　Objective　To sumarize the technique of clipping the intracranial aneurysm by microneurosurgery via pterion approach.Methods　Retrospective analysis of 13 cases treated by the technique of clipping the intracranial aneurysm under microneurosurgery via pterion approach were performed.Results　All the aneurysms were clipped successfully.The early pstoperatiye effects showed,there were 10 cases with fine postoperative healing, 2 cases with light residual, 1 cases with severe residual,no death case occurred.Conclusion　The clipping intracranial aneurysm by microneurosurgery via pterion approach is the main treatment method for intracranial aneurysm.The aneurysm can wen be exposed through this technique,besides,the artery can be blocked more easily,so, the therapeutic effect of intracranial aneurysm must be elevated.]]> 2018/9/28 10:50:38 PANG Rong-nan,CHEN Ming,LIU Zheng-qing,et al. 855true ［Abstract］　Objective　To explore the surgical treatment in children with hydrocele and the children with indirect inguinal hernia.Methods　The clinical date of 36 children with hydrocele and 24 children with indirect inguinal hernia treated by high ligation of processus vaginalis and high hernia sac ligation small transverse incision via outer ring were summarized.Results　All 60 children were cured,without recurrence and post-operative scar.Conclusion　The small transverse incision via outer ring in treatment of children with hydrocele and indirect inguinal hernia,has advantages such as small incision. less damage and exact curative effect, and it is worth promoting.]]> 2018/9/28 10:50:38 LIANG Ying-xue 854true ［Abstract］　Objective　To study the prevention and treatment of the common complications after liver cancer resection,as much as possibly to keep the operation safe.Methods　The data 89 case of liver cancer resection in our hospital were retrospectively analyzed,and the canses and the motheds of treatment and prevention of the complications were analyzed.Results　The common complications included secondary intraperitoneal hemorrhage,5 cases;hemorrhage of digestive tract, 2 cases;liver failure,4 cases;biliary fistula,1 cases;hydrothorax,12 cases;subphrenic infection,4 cases. 5 cases died of complications;the mortality was 5.6%.Conclusion　Mastering the surgical indication correctly, improving operation technique, addressing the question in the peri- operation period actively,and all the step will reduce the incidence of the complication and operative mortality.]]> 2018/9/28 10:50:38 HUANG Xiao-ting 853true ［Abstract］　Objective　To observe the effectine method of the treatment of tubal infertility.Methods　The clinical date of 96 patients with tubal infertility were analyzed.All patients were treated with menstrual fluid anti-inflammatory, hydrotubation combined with traditional Chinese medicine high enema and high-frequency hyperthermia three days after menstruation clean.Results　Of 96 patients, 55 patients obtained pregnancy, 35 patients obtained effective treatment.Conclusion　The combination of hydrotubation with menstrual fluid anti-inflammatory, high-frequency hyperthermia, Chinese medicine high enema in the treatment of tubal infertility can clear the fallopian tube, recover tubal function, so as to achieve pregnancy purpose.Its efficacy is reliable.]]> 2018/9/28 10:50:38 HE Juan 852true ［Abstract］　Objective　To analyze of adverse drug reaction (ADR) of the traditional chinese medicine injection in the clinical practice, sum up experience and instruct clinical reasonable application.Methods　AOR clinical case and clinical AOR reports relating to traditional chinese medicine injection in recaent years were summarized, the influencing factors of AOR were analysed.Results　The causes of ADR of traditional chinese medicine injection are various and complex. The main factors inclued medicine itself factor,quality control in preparation production process, clinical use link and individual difference.Conclusion　The AOR rate of traditional chinese medicine injection is high, its harms is big. It is important to strengthen the monitor, the diagnosis and treatment, the reasonable application in order to enhance the operational safety of traditional chinese medicine injection and guarantee the safety and efficacy of clinical medication.]]> 2018/9/28 10:50:38 XIE Zi-ren 851true ［Abstract］　Objective　To investigate the value of ultrasound in evaluating ovarian cystic tumor.Methods　A total of 73 patients who had ovarian cystic tumor were involved in this study. The ultrasonic diagnosis was compared with that of histopathology.Results　The overall ultrasonic diagnostic accuracy was 97%(73/71). Conclusion　Utrasound is a sensitive method in diagnosing ovarian cystic tumor and play an important role in clinic evaluation.]]> 2018/9/28 10:50:38 PENG Nai-shi 850true ［Abstract］　Objective　To evaluate the diagnostic value of transvaginal ultrasound in gynecological diseases and some urinary diseases.Methods　Transvaginal ultrasound was applied on 409 patients suffering from gynecological diseases,2 patients suffering from the lower urinary stones, 1 patient suffering from the small tumour. Sixty-five babies and infants were examined for urinary diseases by scanning belly with intralumen probe. The results were compared with pathology after operations or clinical examination.Results　The diagnosing accordance rates of gynecological diseases and babies and infants′s urinary stones were 95.84%、89.23%.Conclusion　In the diagnosis of gynecological diseases and some urinary diseases transvaginal ultrasound examination has advantage such as no need of filling the bladder, less intestinal gas interference, fast and accurate and so on, and has a high clinical value.]]> 2018/9/28 10:51:43 ZHENG Wen 849true ［Abstract］　Objective　To observe the therapeutic effect of acupuncture treatment for voiding dysfunction caused by spinal cord injury.Methods　Thirty-two hospitalized patients with voiding dysfunction caused by spinal cord injury from June 2005 to October 2009 were randomly divided into two groups: the treatment group and control group. The treatment group was treated with acupuncture treatment, the control group was treated with conventional rehabilitation training.Results　After treatment, voiding frequency and residual urine volume significantly reduced compared with pre-treatment (P<0.05 or P<0.01), maximum voided volume increased significantly (P<0.01), the condition of improvements in the treatment group significantly better than that in the control group (P<0.05).Conclusion　Acupuncture can improve the voiding dysfunction caused by spinal cord injury.]]> 2018/9/28 10:51:43 CHEN Qi-bo 848true ［Abstract］　Objective　To develop a test system of radiation field characteristics based on the relationship between grey scale and absorption dose of photosensitive picture. The conditions of dose distribution was mensurated by testing the photosensitive picture. Methods　After our program was inputted to the computer, which lined to scanner and color printer, the photosensitive picture would be tested according to operater′s order. Results　By testing the photosensitive picture, the off-axis dose distribution curves of two principal axis and two diagonal lines on the beam vertical plane were got. On the central plane which was paralleled to the beam, the central axis depth dose distribution curves were got. Many kind of parameters of radiation fields characteristics were calculated antommatically. At the same time, the dose distribution conditions were showed in isodose curves. Conclusion　By testing radiation fields in this system, the dimemsional dose distribution condition of radiation fields can be realized. It is a convenient and useful tool for quality assurance (QA) and quality control (QC).]]> 2018/9/28 10:51:43 WANG Ji- yu, ZHUANG Mei-sheng,WANG Yan-tong, et al. 847true ［Abstract］　Objective　To study the cause, the diagnosis and the treatment of the spontaneous intracerbral hemorrhage in children. Methods　The clinical data of 17 children with spontaneous intracerebral hemorrhage were retrospectively analyzed. Results　Amomg the 17 cases, there were 9 cases with vascular malformation, 1 case with tardive avitaminosis of vitamin K₁, and 7 cases with unknown cause. The outcome of 3 cases were excellent, 12 cases were improved, 2 cases were unimproved, and no dead case was found. Conclusion　The vascular malformation is mainly responsible for the spontaneous intracerbral hemorrhage in children. The mostly causes of the spontaneous intracerbral hemorrhage in children could be identified by CT, MRI and DSA.These patients must be diagnosed and treated in time, and their outcome would be favourable.]]> 2018/9/28 10:51:43 ZHAO Qian,LIU Chuang-xi,HAN Guo-qiang,et al. 846true ［Abstract］　Objective　To advance physician′cognitive level on alcoholic cardiomyopathy(ACM) by nailed down clinic character of it. Methods　Clinic data of 75 ACM patients were analyzecd. The clinic characters of symptom,electrocardiogram, chest X-ray and heart ultrasonographic test of ACM were summed up; Difference of outcome of patients were contrasted between controlled drinking group and non-controlled drinking group. Results　Patients′main symptoms included palpitation, dyspnea, chest discomtort; ECG test result might be one of any arrhythmia; chest X-ray and heart ultrasonograohic test could detect heart enlarged and ejection, fraction of left ventricle reduced, the heart might be enlarged generally, but left ventricle hypertrophy was more familiar, after controlled drinking the enlarged heart reduced, ejection fiaction of left ventricle increased and heart function ameliorated. Conclusion　Sympoms of ACM patient is lack of character, but X-ray and heart ultrasonograplic test could help to define diagnosis for ACM. Severity and outcome of ACM patient could be ameliorated if patient controlled drinking.]]> 2018/9/28 10:51:43 SU Shun-ting,WU Hua-xiong,SU Shu-juan 845true ［Abstract］　Objective　To explore the method and efficacy in the treatment of acute contact organophosphate poisoning.Methods　The data of the diagnosis and treatment in the 8-cases of acute contact organophosphate poisoning during May 2007 to November 2007 were retrospectively analysed.Results　Seven cases were cured, one case died.Conclusion　The key of success to treat the acute contact organophosphorus pesticide poisoning is removalling toxic substance timely and thoroughly, using antidotes as soon as possibly and adequately.]]> 2018/9/28 10:51:43 LONG Fei-hua, ZHAO Pei-an, Tao Yu-xin 844true ［Abstract］　Objective　To summarize the clinical effect and complication of heparin-free hemodialysis in the treatment of old patients with uraemia and cerebral hemorrhage.Methods　The pipage was filled with heparin saline for 30 mins, then the heparin saline was douched with 2 000 ml normal saline. The dialyzator was douched quickly with 150～250 ml normal saline every 15～30 mins during hemvodialysis.Results　The observation on 300 cases of hemodiafiltration in 26 old patients with uraemia and cerebral hemorrhage showed no further aggravation in hemorrhage. All cases above were accomplished successfully, excluding 10 cases had to change filter because of blood clotting due to the insufficient of blood volume. The survival rate was 65.22%, death rate was 34.78%.Conclusion　The treatment of heparin-free hemodialysis is suitable for old patients with uraemia and cerebral hemorrhage.]]> 2018/9/28 10:51:43 WU Qiu-xia, GONG Zhi-feng, PENG Xiao-mei 843true ［Abstract］　Objective　To investigate the clinical application of laparoscopy in urinary surgery.Methods　The clinic data of 186 patients who suffered from urological diseases and treated with laparoscopy were analyzed retrospectively.Results　One hundred and sixty-nine of 186 patients had a successful operation and the average hospitalization time were 5 days. These patients had no intraoperative blood transfusion and severe intraoperative and postoperative complications.Conclusion　The laparoscopy has the advantages such as small damage, lesc suffering, faster postoperative recovery and shorter average hospitalization time in the treatment of urological diseases. It has a great potential clinical prospect.]]> 2018/9/28 10:51:43 DANG Xiang-yang,Wang Xiang-lin,LIU Chem-bei,et al. 842true ［Abstract］　Objective　To study the relationship between the levels of serum uric acid and bilirubin and type 2 diabetes mellitus （T2DM）.Methods　Sixty-five cases with T2DM（32 cases with angiopathy） and 57 healthy persons（control group）were randomly chosen for observation and comparison of the levels of serum uric acid, total bilirubin, direct and indirect bilirubin.Results　The levels of serum uric acid in the T2DM group were significantly higher than that in the control group(P<0.05),however the levels of total bilirubin,direct and indirect bilirubin were significantly lower than that in the control group(P<0.05). The cases with level of total bilirubin lower than 10 μmol/L in the cases with angiopathy were more than the control group（χ²=13.2，P<0.01）. The cases with level of serum uric acid higher than 430 μmol/L were more than the control group(χ²=32.6，P<0.01).Conclusion　The determinations of the levels of uric acid and bilinbin have some clinical significance in the prediction and evaluation for T2DM.]]> 2018/9/28 10:51:43 LIU Hua-xiang, LIN Yan 841true ［Abstract］　Objective　To investigate the operating matching problems of multi-slice spiral computed tomography angiography (MSCTA) and using high-pressure mechanical injector in multi-slice spiral computed tomography(MSCT).Methods　Seven hundred and twenty cases aged from 18 to 85 were studied.The average age was 60.2 years. In these cases, 465 cases were male and 255 cases were female. SOMATOM sensation 64-slice spiral CT, ulich high-pressure mechanical injector and 370 mgI/ml ultravist for injection were used.Results　Good imaging quality can be achieved when high-pressure mechanical injector was employed reasonably during MSCTA.Conclusion　Skillful mastering of operating high-pressure mechanical injector and matching MSCTA scanning time with injection speed and dose are very helpful to raise the accuracy of clinical diagnosis.]]> 2018/9/28 10:51:43 LI Hong-yao 840true ［Abstract］　Objective　To evaluate the clinical value of CT-guided percutaneous intracytic injection of ethanol (CT-PIIE) in the treatment of liver cysts.Methods　CT-PIIE was used to treat 23 liver cysts in 19 patients.The lesions included simple liver cyst(n=15) and polycystic liver (n=4).The complications and the therapeutic effects were observed.Results　CT-PIIE was successfully used to treat 23 liver cysts in 19 patients,without complications.Twenty-three cysts were followed up for 6～12 months, CT reviewed more than 50% cysts was narrowed in 2 cases, more than 70% in 9 cases, 8 cases was closed.Conclusion　CT-PIIE is a safe and effective therapeutic procedure for the treatment of liver cysts.]]> 2018/9/28 10:51:43 ZHAO Guo-ming 839true ［Abstract］　Objective　To observe the clinical efficacy of internal fixation with anatomical plate for Pilon fractures.Methods　The damage condition of tissue of 60 patieents with Pilon was rightly appreciated and processed. All the patients were treated by open reduction,internal fixation and most patients were additionally treated with plant bone.Results　The patients were followed for an of 1.5 years. Fracture healing time ranged from 10 to 20 weeks, with an average of 15 weeks. Of them 7 patients had superficial infection and skin incision edge of black necrosis, 2 patients had deep infection and soft tissue defect. Ankle joint function was evaluated by mazur standard: and the results were as follows：excellent in 28 patiats, good in 22 patiats, fair in 6 patiats and poor in 4 patiats, the excellont and good rate was 83.33%. Conclusion　The therapeutic effect of the open reduction and internal fixation with anatomical plate for Pilon fractures is excellent.]]> 2018/9/28 10:51:43 HUANG Shan-neng, WEI Jia-ning, LIAO Yong-fa, et al. 838true ［Abstract］　Objective　To explore the use of caput mediale musculi gastrocnemii island myocutaneous flap in repairing soft tissue defect in the knee.Methods　Thirteen patients who have lap soft tissue defect in the knee were given caput mediale musculi gastrocnemii island myocutaneous flap.Results　All of the flap were achived primary healing,the function of lap were good.Conclusion　The caput mediale musculi gastrocnemii island myocutaneous flap can be used to repair the soft tissue defect in the knee(except the lateral of the knee).]]> 2018/9/28 10:51:43 ZHANG Bo,DU Gang,HUANG Ke, et al. 837true ［Abstract］　Objective　To explore the clinical application value of adopting tissue culture-end point staining-computer image analysis (TECIA) in chemotherapy of breast cancer.Methods　Ten commonly applied drugs and 5 sets of combined chemotherapy for chemotherapy of breast cancer were chosen and TECIA was adopted to analyze 75 apecimens of breast cancer treated by modified radical mastectomy so as to evaluate the tumor cells′ sensitivity to chemotherapeutic drugs and choice of combined chemotherapy.Results　The chemotherapeutic drugs were obviously different in their individual abilities to kill breast cancer cells. Sensitivities of the 10 chemotherapeutic drugs were respectively: 5-Fu 33.3%, DDP 37.5%, CTX 29.2%, VP-16 16.7%, MMC 22.0%, EPI 41.7%, NVB 45.8%, ADM 41.7%, PTX 54.2%, and MTX 25.0%. Sentisivities of the 5 sets of combined chemotherapy were respectively: CAF: CTX+ ADM+ 5-Fu 33.2%; CMF: CTX+ MTX+ 5-Fu 26.6%; TA: PTX+ADM 31.2%; NP: NVB+ DDP 45.2%; TP: PTX+ DDP 40.1%.Conclusion　The anti-cancer drug sensitivity test plays a significant role in guiding the clinical medication and individual chemotherapy of breast cancer. Its testing resulits have a good correlation with the actual curative effect, so it can be used to drect the post-operative chemotherapy for breast cancer.]]> 2018/9/28 10:51:43 LUO Ye-chun,CHEN Yong-fu 836true ［Abstract］　Objective　To summarize the experience of early continuous emergency intubation in the patients with respiratory failure due to severe drug poisoning,improve the success rate of rescuing.Methods　The oral and respiratory secretions were cleared as soon as possible,and the access of portable mask respirator oxygen-assisted breathing was rapidly established to improve oxygen status and win the intubation time. And then mechanical ventilation was used to support breathing, appropriate adjustments were made on the basis of the condition of patients.While the respiratory tract management was strengthened, sedative drugs were properly used, and the retention time and extubation intubation indications were properly grasped.Results　Forty-three of 53 cases in this group were successfully rescued. Success rate of resuscitation was 81%. Conclusion　Early sustained tracheal intubation for severe drug-induced respiratory failure is an effective rscuing method and worth promoting. However, it should be emphasized that affter the success of the intubation, in addition to closely observing the conditions change,and making treatment accordingly, the special attention to airway management is essential.]]> 2018/9/28 10:51:43 YANG Xin-jiang 835true ［Abstract］　Objective　To explore the choice of surgical approach and observe the clinical efficaly of surgical treatment in the fracture and dislocation of lower cervical spine and spinal cord injury.Methods　From January 2005 to January 2009 68 cases of lower cervical spine fracture dislocation with cervical spinal cord injury were treated by surgical treatment: anterior decompression, reduction, bone graft and cervical spine locking titanium plate fixation in 51 cases; posterior lateral open reduction and blocking plate fixation in 12 cases; anterior-posterior decompression fixation for severe fracture-dislocation in 5 cases.Results　All patients were followed up for 6-28 months, with an average of 11.8 months.Bone graft received bone fusion in 3 months or so, cervical intervertebral height and cervical lordosis and stability were excellently maintained, according to Frankel points grade, except 3 cases without neurological recovery,the restoration or improvement reached to at least 1-3 level and above in the remaining cases.Conclusion　The anterior, posterior, or anterior-posterior approach for surgical treatment of lower cervical fracture dislocation may early make an injured segment into stable condition, taking the appropriate surgical approach according to cervical spine injury mechanism, injury location and type is the key to successful operation.]]> 2018/9/28 10:51:43 TAO Hai-nan, JIANG Shou-nian, FANG Gang, et al. 834true ［Abstract］　Objective　To investigate the conclition of occurrence of birth defects in the region，discover the suspicious factors which affects the birth defects timely，offer the clues for etiology research, propose the prevention measures and provide the basis for evaluating its effectiveness.Methods　Experimental investigation on 207 cases of birth defects in our region for 6 years was retruspedirdy analyzed.Results　The regional average incidence of birth defects was 11.59‰. The incidence in rural areas was significantly higher than that in urban, and incidence in male sex was higher than female sex；the first one is fetalis edema syndrome, with a prevalence of 4.48 ‰, accounting for 33.33%.Conclusion　In view of the high incidence of fetal edema syndrome in the region，developing thal screening is the key to control fetal hydrops and decrease birth defects； the work in rural areas is the working emphasis； B-Ultrasound in pregnancy plays an irreplaceable role in definite diagnosis.]]> 2018/9/28 10:51:43 YANG Ying,SHEN Zhi-yi 833true ［Abstract］　Objective　To analyze the etiology and clinical feature of drug induced liver injury(DILI), and increase the recognition of DILI. Methods　The retrospective study on the clinical data of 41 cases of DILI in our hospita1 from 2006 to 2009 was performed, based on the history of taking medicine, clinical situation, type of DILI, the general evaluation was performed and the clinical feature of DILI was summarized. Results　In these patients, the first three drugs injuring liver were in order: Chinese traditional medicine (14 cases, 32.6%）, antibiotics(10 cases, 23.3%), hypotensive drug (5 cases, 11.6%）. The clinical types included hepatocellular injury type (13 cases, 31.7%), cholestatic injury type (15 cases, 36.6%), mixed type (12 cases, 39.3%). Conclusion　DILI could be induced by lots of medicines, the hepatic function should be examined in time when take those medicines in order to find and treat the patients early.]]> 2018/9/28 10:51:43 PENG Peng,ZHANG Fa-can, ZHANG Guo 832true ［Abstract］　Objective　To explore the effect of early comprehensive rehabilitation in the treatment of high risk infants with brain injury.Methods　Fifty infants with brain injury received the rehabilitation therapy of combining traditional Chinese and western medicine.Results　Obvious effective rate was 96% in 50 cases，of them 35 (70%) healed ;13 (26%) improved,2 cases (4%) failed.Conclusion　Within postnatal 6 months, especially postnatal less than 3 months, early comprehensive rehabilitation can be effective in treating infants′ brain injury,and minimize the degree of disability in severe cases.]]> 2018/9/28 10:51:44 LIAO Ji-wen,CHEN Zhong-ping,LI Chang,et al. 831true ［Abstract］　Objective　To explore the effects of trimetazidine on congestive heart failure in patients with ischemic cardiomyopathy and dilated cardiomyopathy. Methods　Thirty cardiomyopathy patients (16 with ischemic cardiomyopathy and 14 with dilated cardiomyopathy) took trimetazidine 20 mg after each of the three meals, besides routine therapy. Clinical effects were evaluated after 6 weeks of treatment. Left ventricular end diastolic diameter(LVEDD), left ventricular ejection fraction(LVEF) of echocardiography and cardiac function(NYHA) were measured before and after the treatment of trimetazidine. Results　After 6 weeks of therapy, LVEDD decreased significaently［（68.3±7.2）mm vs （53.2±5.4）mm, P<0.01］, LVEF increased ［（0.36±0.02）% vs （0.49±0.04）%, P<0.05］, cardiac function(NYHA) improved 1～2 grade. There were no adverse reactions related to the drug. Conclusion　Trimetazidine can improve the heart failure in patients with ischemic cardiomyopathy and dilated cardiomyopathy.]]> 2018/10/8 8:27:44 WU Qi-zhi,LI Li-xue 830true ［Abstract］　Objective　To explore the effect and security about propofol and fentanyl combined with propofol in aponia gastroscope.Methods　Eighty patients received aponia gastroscope were randomly devided into 2 groups:Propofol group and Fentanyl combined with propofol group,40 patients per group.Hemodynamic changes during general anesthesia were observed. The time from drugs infusion to lash reflex vanishing,analepsia time at the end of operation,body movement frequency and total drugs dosage were recorded.Results　The effects of fentanyl combined with propofol was better than those of control propofol group in aponia gastroscope.Conclusion　The effect of propofol combined with fentanyl was sure and secure in aponia gastroscope.]]> 2018/10/8 8:27:44 ZHOU Ying,LI Zhi-yi 829true ［Abstract］　Objective　To investigate the safety and reliability of applying common silk suture to ligate appendicular artery and appendix root in laparoscopic appendectomy(LA).Methods　The clinical data of 29 patients who were treated with LA without using titanium clips in our hospital were analyzed from December 2008 to October 2009.Results　LA in all patients were successfully completed, without the conversion to laparotomy. The average operation time was 39.2 min and the average length of stay was 4.5 d. No intestinal adhesion, intestinal obstruction, incisional hernia and other complications occurred.Conclusion　Applying common silk suture to ligate appendicular artery and appendix root has not injury to human body,and is safe and reliable.]]> 2018/10/8 8:27:44 HUANG Yong-fa,HUANG Jia-cong,TANG Tao 828true ［Abstract］　Objective　To observe the role of preemptive analgesia of pentazocine in laparoscopic cholecystectomy (LC).Methods　Sixty patients with elective LC (ASA grade Ⅰ to grade Ⅱ) were randomly divided into pre-emptive analgesia group and the control group. Within 24 h, the incidence of nausea, vomiting, itching, etc. were observed. Pre-emptive analgesia group (A group) received intravenous slow bolus injection of pentazocine 0.5 mg/kg, induction of general anesthesia. The control group (B group) were injected with saline. The spontaneous breathing recovery time, eyes open time and extubation time and pain assessment at 1, 2, 4, 8, 12, 24 h of treatment were recorded.Results　The difference in breathing recovery time, eyes open time and extubation time between two groups was not statistically significant (P>0.05). The pain intensity in A group was significantly lower than that in group (P<0.05). The occurrence of postoperative complications between two groups was no significant difference (P>0.05). Conclusion　Preoperative application of pentazocine 0.5 mg/kg can effectively reduce the postoperative laparoscopic cholecystectomy pain, with a role of preemptive analgesia,is an ideal long-term central analgesia.]]> 2018/10/8 8:27:44 SUN Nai,LIU Xiao-gang,LI Zheng-kai 827true ［Abstract］　Objective　To study the value of mesh in anterior pelvic floor reconstruction surgery.Methods　Anterior pelvic floor reconstruction surgery using transobturator tension-free propene polymer mesh was performed in 60 patients with anterior vaginal prolapse and PFDI-20 was used to evaluate the life quality.Results　Efficacy rate was 100%, and symptom of urinary incontinence and life quality were improved. There was no recurrence in 1 year.Conclusion　Anterior pelvic floor reconstruction surgery using transobturator tension-free propene polymer mesh combined with transobturator inside-out tension-free vaginal tape surgery can effectively improve the symptom of urinary incontinence and life qulity.]]> 2018/10/8 8:27:44 GAN Yu-jie,XIONG Xiao-ying,ZHENG Shu-zhong,et al. 826true ［Abstract］　Objective　To investigate the clinic features of nosocomial infection in patients with chronic renal failure (CRF).Methods　Sixty-four patients with CRF from 2003 to 2007 were retrospectively analyzed.Results　Nosocomial infection rate in CRF was 8.4 %. It occurred mainly in the cases complicated with diabetic nephropathy (40.6%). The dominant infectious location was respiratory tract (58.3%). Gram-negative bacilli were the dominant bacteria in the infections (63.0%). The nosocomial infection showed a close relationship with the severity of CRF, the level of serum albumin, nutrition and duration in hospital.Conclusion　Nosocomial infection rate in patients with CRF is high, especially in the patients complicated with diabetic nephropathy. It can be reduced by shortening duration in hospital, improving medical care and nutrition condition, and dealing with complications effectively.]]> 2018/10/8 8:27:44 LI Ling,Qin Xue-yong,Liao Ming 825true ［Abstract］　Objective　To observe and analyse the clinical effects of patients with angina pectoris(AP) treated by integrated traditional chineses and western medicine group.Methods　One hundren and sixty-five patients with AP were divided into two groups randomly: the control group(82 cases) was treated with conventional western medicine; the treatment group(83 cases) was given intravenous dirp of puerarin injection on the basis of conventional western medicine and chinese medicine decoction.Before and after therapy,the indexes such as infrequency and sustained time of onset of AP per week,changes of ECG and total effective rate of ECG and total effective rate in two groups were compared and satistically analysed.Results　After treatment,mean infrequeney and sutained time of onest of AP were significantly shorter than that before of treatment in the two groups(P<0.01);the effects of the treatment group were better than those of the control group(P<0.05).Changes of ECG were significantly improved in the two groups,the effects rate of ECG in the treatment group was 91.6% and that in the control group was 70.7%，showing significant difference between the two groups(P<0.01).The total effective rate in the treatment group and the control group were 92.8% and 69.5% respectively,there were more statistical significance between the two groups(P<0.01).In treatment,no obvious adverse effects were found in both two groups.Conclusion　The clinic effects of treatmeant in patients with AP by integrated traditional chinese and western medicine was ascertainable without obvious adverse effects,its effects were better than those of the control group and it was worth recommending in clinic.]]> 2018/10/8 8:27:44 LIU Li-jun 824true ［Abstract］　Objective　To explore the highfregqueucy image feature of foreign bodies in superficial soft tissue. Methods　The contrast between the result of ultrasonographic diagnosis and the result of operation was performed. Results　In 186 cases of ultrasonographic diagnosis, the accuracy rate and spectficity was 97% and 100%, respectively. The type of foreign body included metal, bamboo or woodiness, contamination class (sand or plastics), and qauzes etc. Conclusion　When high echo, middle echo or spot echo with acoustic shadow in the distal of hyperechogenic areas appears and echo in the tissue around strong echo is low or appears to be blending of virtuality and liquid, foreign body of soft tissue is highly suspected, but for metal foreign body which is fairly small and deep its results may be compared with the result of X-ray. Beside, ultrasonographic diangosis has great value with operation cure to point out the place of focus of probe desease.]]> 2018/10/8 8:27:44 HUANG Wen-ping 823true ［Abstract］　Objective　To evaluate the treatment and prognosis of children with traumatic hyphema.Methods　The clinical data of 76 children with traumatic hyphema were retrospectively analyzed.Results　Of 76 children with traumatic hyphema the hyphema in 56 children were absorbed within 2～5 days; the hyphema in 71 children were absorbed within 7 days. Visual acuity at discharged was than 0.3 in 70 children.Conclusion　Children with traumatic hyphema should be treated according to its own characteristics for better results.]]> 2018/10/8 8:27:44 FU Yan-li 822true ［Abstract］　Objective　To evaluate the efficacy of ligustrazine phosphate used via vein as an add-on therapy for treatment of bronchiolitis.Methods　One hundred cases of bronchiolitis were separated randomly into the therapy group and the control group (fifty cases for each). Both groups received the same routine treatment, but the therapy group used ligustrazine phosphate via vein as an add-on therapy for 3～7 days besides routine treatment.Results　Therapy group′s total effective rate was 96.00% and control group′s was 80.00%. There was a statistic difference between two groups（P<0.05），and there was also a statistic difference in curative rate between two groups（64.00% vs 42.00%，P<0.05）. The therapy group cost shorter time for the release of asthma、wheeze and cough ［(2.21±1.14)d、(4.69±1.32)d、(5.56±1.62)d］ and took fewer days in hospital (7.58±1.82) days than the control group［ (2.95±1.35)d、（5.64±1.58）d、（6.35±1.84）d、（8.74±2.03） d， P<0.01］.Conclusion　Ligustrazine phosphate used via vein as an add-on therapy for bronchiolitis has remarkable and expected effects with little side one，it is worthy of application.]]> 2018/10/8 8:27:44 WU Qi-fu 821true ［Abstract］　Objective　To investigate the clinical characteristics, diagnosis and treatment of deep infection after posterior lumbar internal fixation.Methods　The clinical characteristics of 18 cases of deep wound infection were analyzed. The diagnosis was established by clinical manifestation and B-ultrasound examination. Sensitive antibiotics, debridement and wound irrigation was used; the internal implantation were reserved.Results　Lumbar incision B-ultrasound examination could help to early discover deep infection; back pain of all cases was relieved after one week, and disappeared after two weeks.Conclusion　Through early diagnosis and complete debridement and irrigation and effective antibiotic use, deep infection after posterior lumbar internal fixation could be cured.]]> 2018/10/8 8:27:44 HUANG Kai, LIAO Yong-fa, LI Zhen-hong,et al. 820true ［Abstract］　Objective　To discuss the effective method of treatment for chemotherapy induced highly vomiting in patients with gastric cancer.Methods　Eighty-four patients with gastric cancer were randomly divided into the experimental group (n=42 ) and the control group (n=42).Two group received the same chemotherapy plan ECF.During chemotherapy,the treatment methods for acute and sudden vomiting were:the experimental group was given the metoclopramide and diazepamum;the control group was given granisetron. The controlling vomiting rate, hospital time and the compliance were observed in two groups.Results　The effective controlling rate for acute and sudden nausea was 54.1%, the effective controlling rate for vomiting was 71.4% in the control group,and 85.7%,92.9% in the experimental group,respectively,there was significant statistic difference in curative effects between two group(P<0.05).Conclusion　The combined application of metoclopramide, diazepamum and granisetron in chemotherapy induced acute and sudden nausea and vomiting, can obviously increase the controlling vomiting rate, with good the compliance and less hospital time. Also it is an economic, highly effective and safe method.]]> 2018/10/8 8:27:44 ZHANG Ji-jun,WEI Song,WEI Ai-fang 819true ［Abstract］　Objective　To study the clinical curative effect of new adjuvant chemotherapy combined with limb salvage surgery for limb osteosarcoma.Methods　Thirty-three patients with limb osteosarcoma were treated by limb salvage. Among those patients, new adjuvant chemotherapy before and after surgery were completed in 21 patients. And because of various reason, the chemotherapy can not be completed in 10 patients after operation. According to Enneking Staging,ⅡA stage was 7 patients; ⅡB stage 19;ⅠB stage 5.Results　The follow-up time was 9～78 months, with an average of 36 months. The limbs function reconstruction valuation demonstrated, excellent in 9, good in 15, fair in 5, poor in 2, the excellent and good rate was 72.7%.Conclusion　Combined limb salvage surgery with new adjuvant chemotherapy is the more ideal treatment method for osteosarcoma. The valid chemotherapy before the surgical operation is the key of the successful limb salvage.]]> 2018/10/8 8:27:44 YUAN Hua-jun 818true ［Abstract］　Objective　To investigate the treatment methods of extremities fracture with brain injury.Methods　The effect of surgical internal fixation and non-surgical treatment in 103 patients hospitalized from January 2003 to December 2008 were analyzed. According to Glasgow coma scale, the scores of brain injury ranged from 5 to 15. Among the patients, 50 were treated with early surgical internal fixation, and 53 were assigned to non-surgical treatment.Results　Compared with non-surgical treatment, early surgical internal fixation showed advantages,such as low rate of complications, good reduction of the fracture, and fine resume of the brain and limb function.Conclusion　For the treatment of extremities fracture with brain injury, early surgical internal fixation could significantly decrease the complications and death rate, and improve the recovery of brain function. Moreover, appropriate topic treatment is helpful to treatment of whole body injury, and creates conditions for the recovery of limb function.]]> 2018/10/8 8:27:44 HUANG Chu-ji, HUANG Fu-yun 817true ［Abstract］　Objective　To explore new methods of treatment of foreskin incarceration.Methods　Thirty-six cases were punctured at the distal site of incarceration with coarse needle,then the manual reduction was performed.Results　Satisfactory result was obtained without any complication.Conclusion　Manual reduction after puncture of incarcerated foreskin has advantages of simplicity,inexpensiveness and good curative effect, especially applying to patients in busy season.]]> 2018/10/8 8:27:44 LUO Zhi-zhong 816true ［Abstract］　Objective　To compare the advantage and disadvantage between temperature-controlled radiofrequency and powered microdebrider in the treatment of adenoid hypertrophy.Methods　Clinical data of 62 cases who received adenoidectomy were studied and the rate of residual adenoid, volume of bleeding, the average length of stay between the two groups after operation were compared. Of 62 cases, there were 24 cases in temperature-controlled radiofrequency group, 38 cases in powered microdebrider group.Results　Residual adenoid was found in 1 case(4.16%) in temperature-controlled radiofrequency group and 6 cases（15.78%） in the powered microdebrider group;The volume of bleeding during surgical procedures in temperature-controlled radiofrequency group is (20±3)ml, while (80±5)ml in the powered microdebrider group, the average length of stay in temperature-controlled radiofrequency group is (5±2)d, while (10±3)d in the powered microdebrider group. The afteroperation tamponade in temperature-controlled radiofrequency group is 1 case(4.16%), while 38 cases(100%) in the powered microdebrider group.Conclusion　It is safe, simple and effective to resect adenoid by temperature-controlled radiofrequency. The temperature-controlled radiofrequency is better than powered microdebrider in the treatment of adenoid hypertrophy, this approach is worth generalization.]]> 2018/10/8 8:28:25 YANG Guo-hua,GAO Hui-cheng 815true ［Abstract］　Objective　To study the clinical valve of triple therapy in the treatment of unstable angina pectoris.Methods　One hundred and fifty patients with unstable angina pectoris were randomly divided into the triple therapy group, the bigemina therapy group and the control group with 50 patients in each group. The triple therapy group was given nitroglycerin(NTG) 10 mg and heparin sodium 2 500～10 000 U in 500 ml 5% glucose injection by intravenous drip infusion once or twice daily;papaverine 30 mg by muscle injection once or twice daily.Seven days were used as a treatment course. The second treatment course was started after drug withdrawal of 1～2days.The bigeminy therap group was given NTG and heparin sodium whose administration methods were the same as those of the triple therapy group.The control group was given salvia injection (Chiatai Qingchunbao Pharmacentical Co. Ltd) 20 ml in 500 ml 5% glucose injection by intravenous drip infusion once or twice daily. Seven days were used as a treatment course.The second treatment course was started after drug withdrawal of 1～2 days.Results　The remission rate of angina pectoris within a doy,the recovery rate of electrocardiogram within 7 days and the total effective rate in the triple therapy group were significantly better than those in the bigeminy therapy group and the control group (all P<0.01).Conclusion　The triple therapy has advantages of significant curative effect, no side effects,convenient operation,economy and practicality.It is suitable for basic hospital and worth using widely.]]> 2018/10/8 8:28:25 DU Sheng-hua, LV Xing-wang 814true ［Abstract］　Objective　To investigate the effect of B-ultrasonography in the diagnosis of varicoele.Methods　High frequency B-ultrasonography was applied to measure the bilateral spermatic vein of 46 healthy controls and the left spermatic vein of 66 infertile patients.Results　（1）The DR in quiet respiration, the DV by Valsalva test, the Vmax, and the TR of the bilateral spermatic vein were not significantly different in the control group (P>0.05). （2）The DR, DV, Vmax, and TR were significantly different between the varicoele and the control group (P<0.01).Conclusion　High frequency B-ultrasonography is able to provide objective parameters such as accurate spermatic vein DR and hemodynamics for infertile varicoele patients, helping to further understand the cause, treatment, and prognosis of male infertility resulting from varicoele.]]> 2018/10/8 8:28:25 LONG-Ping,LI Xi-zhu,YANG Wen-tao 813true ［Abstract］　Objective　To explore the feasible methods of filling and the effect of occlusal adjustment on the filling of wedge-shaped defect.Methods　One hundred and twenty upper jaw double tines that were randomly divided into 3 groups,40 teeth in each group, were filled with light solidification compound resin directly, after making undercut retention and after making undercut retention and occlusal adjustment.The success rate was calculated.Results　The success rates of the direct filling group, the undercut group, and the undercut and occlusal adjustment group were 75.0%,80.0% and 92.50% respectively.The success rate of the undercut and occlusal adjustment group was highest in 3 groups and different from those of the other groups obviously（P<0.05）.Conclusion　The better clinical effect can be obtained if those teeth are treated by undercut retention, filling of the light solidification compound resin and occlusal adjustment.]]> 2018/10/8 8:28:25 LI Gang, GUO Hong-jian 812true ［Abstract］　Objective　To analyze the clinical features, diagnosis and surgical treatment of gastric remnant carcinoma. Methods　Fifty-one cases of gastric remnant carcinoma admitted in our hospital were analyzed for the clinical features, diagnosis, surgical treatment and follow-up data retrospectively, and were compared with 982 cases of other gastric cancers in the same time period.Results　In gastric remnant carcinoma group,most majority of the patients were male (43 /51), the median age was 58, first-operation in most of patients was BillrothⅡprocedure for gastric ulcer, in 96%（48/51）of the patients the tumor located in the anastomotic stoma, removal rate was 56.86%（29/51） and radical resection rate was 25.49%（13/51）.The incidence of postoperative complications in gastric remnant carcinoma group was 5.88% （3/51）, while the control group was 5.192%, there were no statistical differences between them (P=0.637).In gastric remnant carcinoma group, overall 1、3、5-year survival rate was 78.43%、29.41%、13.73% respectively, compared with the control group (74.95%、46.95%、26.07%, respectively), there was no statistical difference (P=0.085).Conclusion　Surgical treatment for gastric remnant carcinoma is safe and effective,and the curative effect amounts to gastric cancer.]]> 2018/10/8 8:28:25 ZHENG Wei-wei.ZHANG Chuan-min,JIN Qin-wen 811true ［Abstract］　Objective　To explore the causes, clinical manifestations and outcome of pregnancy three types of placenta previa.Methods　One hundred and fifty-nine cases of placenta previa during ten years were separated into three groups according to type: Marginal type (80 cases), partial type (32 cases) and complete type (47 cases). Meanwhile, the clinical data were retrospectively analyzed.Results　The incidence of placenta previa was 1.98%. 0.99% of them were marginal type;0.4% of them were partial type;0.58% of them were complete type. Advanced reproductive age, prolificacy, abortion and the occurrence of cesarean section were the high risk factors causing the placenta previa. Compared between the three groups of patients who had placenta previa in terms of antepartum haemorrhage, blood transfusion, diagnosis gestational age, birth gestational age, vaginal delivery, prematurity and cesarean section rates, it showed the differences were significant (P<0.05);But compared between three groups in trems of postpartum hemorrhage, hemorrhagic shock, removal of the uterus, emergency cesarean section, cesarean section optional, birth weight, asphyxia and perinatal death, it showed no significant difference (P> 0.05). And the average birth weight of a complete type′s newborn baby was only 2 470.2 grams.Conclusion　The clinical manifestations of placenta previa and its pregnancy outcome is related to its type. The complete and partial types of placenta previa show more serious clinical symptoms and poor maternal and fetal prognosis. Early diagnosis and early treatment can reduce the incidence of complications.]]> 2018/10/8 8:28:25 WEI Jian-wei 810true ［Abstract］　Objective　To explore the offects of locking compression plate fixation for proximal humeral fracture. Methods　Thirty-nine cases of proximal humeral fractures were treated with locking compression plate fixation from June 2005 to June 2008. Early exercises were implemented after surgery.Results　The mean follow-up time was 9 months after surgery. In accordance with assessment criteria of Constant, the average score was 88 score(41～95 score).Of them the scores were excellent in 26 cases, good in 10 cases, general in 2 cases, poor in 1 cases. Fine rate was 92.3%.Conclusion　Locking compression plate fixation for proximal humerus fractures is a safe and effective surgical method.]]> 2018/10/8 8:28:25 LONG Yu, YIN Dong 809true ［Abstract］　Objective　To investigate the clinical value of nasal endoscope for treating intractable epistaxis. Methods　Ninety-six patients with epistaxis were treated with nasal endoscope in whom the bleeding points were not found and the hemorrhage was not controlled with standard nasal packing. Results　There were no complications during a followed-up for 3 months after mangagement. Among the 96 cases, bleeding were stopped in 87 cases without recurrence. Conclusion　Endoscopy can give direct management for the deeply-sited bleeding points. The method provides an effective and safe way to control intractable expistaxis.]]> 2018/10/8 8:28:25 WANG Wei 808true ［Abstract］　Objective　To discuss the cause and its prevention and treatment of early complication after Billroth II partial gastrectomy.Methods　A retrospective analysis of the data of 58 patients with early complication after Billroth II partial gastrectomy in our hospital were performed.Results　In 58 patients with early complication after Billroth II partial gastrectomy 47 patients were cured；7 patients of abandoned treatment,or were transferred to superior hospital for medical treatment.Conclusion　The occurrence of early complication after Billroth II partial gastrectomy is related to technical operations. Analysing the causes correctly, and treating timely and correctly can effectively avoid the occurrence of complications.]]> 2018/10/8 8:28:25 HAN Jia 807true ［Abstract］　Objective　To investigate the clinical value of CT guided ozone injection for the treatment of lumbar disc herniation.Methods　Three hundred patients with lumbar disc herniation were treated with ozone injection. At first,5～20 ml ozone (60μg/ml) were injected into the disc center and the disc herniation, and then 5 ml ozone (40 μg/ml) into the vicinity of intervertebral foramina.Results　CT scan right after the ozone injection showed that the distribution of ozone in lumbar discs showed localized shape, cranny shape or dispersion shape.Results were evaluated with the modified MacNab classification after 3～12 months of follow-up. Excellent therapeutic response, partial response and none response was found in 174 patients (54%), 102 patients (32%) and 42 patients (14%), respectively. The total effective rate was 86%. No complication occurred after the treatment. Conclusion　CT guided percutaneous puncture is a simple procedure. If the indications are under strict control, CT guided percutaneous ozone injection is a safe and effective method for the treatment of lumbar disc herniation.]]> 2018/10/8 8:28:25 LIANG Shi-wei, SHEN Guo-guang, LIANG Tian-sen, et al. 806true ［Abstract］　Objective　To investigate the clinical characteristics of elderly patients with acute cholecystitis and to raise awareness of this disease and reduce mortality rate.Methods　Through the comparisom between the clinical data of 86 cases confirmed by pathology cases and surgery and those of 34 cases of non-surgical group at the same period, the better choice and the timing of surgery on the treatment of this disease were obtained.Results　In operation group,80 cases were cured,2 cases were improved,4 cases died;mortality rate was 4.6%. In the non-surgical group of 34 case,29 cases were improved,5 cases died, mortality rate was 14.7%.Conclusion　It should be necessary to advocate an active surgical treatment for elderly patients with early stage,do not advocate too much emphasis on using non-surgical control at acute cholecytitis at the first and then elective operation.]]> 2018/10/8 8:28:25 ZHOU Li-song 805true ［Abstract］　Objective　To evaluate the clinical application effect of thoracoscopic-assisted minimal incision surgery for recurrent pneumothorax.Methods　Retrospective analysis of the clinical data of 14 patients with recurrent pneumothorax underwent video-assisted thoracoscopic surgery with minimal incision was performed.Results　All patients in this group had achieved good therapeutic effect, there was no perioperative death,all patients were followed up for 2 to 24 months, there was no recurrent patient.Conclusion　Video-assisted thoracoscopic surgery with minimal incision for recurrent pneumothorax is easily accepted by the patients and thoracic surgeon,and should be promoted at the grass-roots hospital.]]> 2018/10/8 8:28:25 ZHOU Man-xin, YANG Xun-jun, CHEN Jia-fu, et al. 804true ［Abstract］　Objective　To summarize the clinical rescue experience of fluoroacetamide poisoning patients.Methods　Clinical data of 35 cases of fluoroacetamide poisoning were analyzed retrospectively.Results　Thirty-three cases were cured(94.3%) and 2 cases died(5.7%).The two death patients were in the state of coma, frequent convulsion, respiratory failure and shock on admission.Conclusion　Early comfirming diagnosis, prompt cleaning poison and using specific antitoxicagents are the key to rescuing fluoroacetamide poisoning patients successfully.]]> 2018/10/8 8:28:25 MO Shan 803true ［Abstract］　Objective　To observe and analyze the clinical manifestations, pathogenesis and therapeutic effects of diabetes with sencondary epilepsy. Methods　The clinicalo data of 39 middle-aged and aged patients of diabetes with secondary epilepsy were analyzed. Results　Diabetes with secondary epilepsy were more likely happened to middle-aged and aged people with diabetes or recessive diabetes history and attacked in a way of focal motor seizures or generalized seizures continuance. Lowering blood sugar could alleviate or terminate the seizures while the therapeutic effects of antiepileptic drugs were not obvious. Conclusion　The seizures of diabetes with secondary epilepsy in middle-aged and aged people are highly relevant to elevation of blood sugar, therefore, middle-aged and aged epileptics with no explicit diabetic history can be treated according to the therapy of the symptom mentioned above.]]> 2018/10/8 8:28:25 XU Yuan-sheng 802true ［Abstract］　Objective　To explore the method of diagnosis and treatment of spleen cyst.Methods　The data of 7 patients with spleen cyst admitted to our hospital from January 1990 to January 2009 were retrospecfively analysed.Results　All 7 patients were treated with operation.Five patients had complete splenectomy,among them 1 had accessory spleen reserved,1 underwent spleen flake transplantation;2 patients underwent semisplenectomy and cyst resection.All patients were cured.Conclusion　Spleen cyst is not very common.Its pathogeny is still not very clear.The diagnosis mainly depends on medical history,BUS and CT.Surgery is the main treatment.The operation mode selection is based on the position,size and property of the cyst.And accordingly complete splenectomy,semisplenectomy or spleen ablation is selected.]]> 2018/10/8 8:28:25 TANG Jian -zhou,HUANG Zhong-hai,HUANG Jun-min 801true ［Abstract］　Objective　To summarize the experience in diagnosis and treatment of 51 cases of acute ammonia poisoning.Methods　The retrospective analysis was performed in patients with acute ammonia poisoning.Results　Following the urgent rescue measure,majority of patients in hospitalization and treatment were improved and discharged from hospital during treatment of three days. Small part of patients in hospitalization and treatment were improved after treatment of fifteen days and individual patient need long-term rehabilitation care.Returning visit after 45 days showed,the patients with burnning of ocular region were healed except one patient′s eyesight descended and the patients with burnning of skin had no secondary infection.Conclusion　It is the key point of success in rescue that the rescue measure is correct and timely.]]> 2018/10/8 8:28:25 HOU Guang-ming, SUN Wei, SHEN Feng, et al. 800true ［Abstract］　Objective　To determine content of sophocarpine of kexieling capsule.Methods　Developing agent was benzene-acetonum-acetoacetate-acetoacetate (7∶3∶3∶0.5) and was saturated with aqueous ammonia, segregating sophocarpine using GF₂₅₄ thin layer plate. Content of sophocarpine was determined by UV and located by fluorescence.Results　There was a good linear relationship of sophocarpine in the range of 2.16～10.8 μg/ml (r=0.9999). The extraction recovery was 98.2%, RSD% was 0.57%(n=5).Conclusion　The proposed method was simple, rapid, accurate and reliable, and can be used for content determination of sophocarpine.]]> 2018/10/8 8:28:25 LIANG Xiu-qun 799true ［Abstract］　Objective　To study the features of electrocardiogram(ECG) in the longevity elderly in Bama area, in order to improve the level of diagnosis and treatment of the elderly′ heart-disease.Methods　Bedside routine the 12-lead ECG in 120 longevity elderly,ago 90 to 113 years, were examined by the 6511 single-lead ECG machine.Results　The abnormal ECG were found in 78 cases, accounted for 65%, of them two abnormal were found in 38 cases, accounted for 31.66%.Conclusion　In abnormal ECG in the longevity elderly, the ST-T change ranks in the first position, followed successively by atrial premature beats, left ventricular high voltage and ventricular premature beats.]]> 2018/10/8 8:28:25 SHI Wen, LIANG Ji-ying, LU Ze-ping, et al. 798true ［Abstract］　Objective　To analyze the use statius of antimicrobial agents in hospital out-patient and emergency prescriptions in order to standardize the use of antimicrobial agents and improve the level of clinical application of antimicrobial agents.Methods　5 072 prescriptions of hospital out-patient and emergency were randomly selected in January 2008 to April. And statistical analysis of antimicrobial agents was performed.Results　The antimicrobial agent utilization rate was 48.28%. The prescriptions of combined use of antimicrobial agents accounted for 46.27% of antimicrobial agents prescriptions, of which the prescriptions of unreasonable combined use accounted for 28.30%.Conclusion　The reasonable application of out-patient and emergency antibiotics should be strengthened. The use of antimicrobial agents should to be strictly regulated and constrained in accordance with the “clinical use of antimicrobial drugs guiding principles” jointly issued by the Ministry of Health, the State Administration of Traditional Chinese Medicine, the General Logistics Department of the Ministry of Health to improve our hospital level of out-patient and emergency reasonable use of antimicrobial agents.]]> 2018/10/8 8:28:25 SONG Zheng 797true ［Abstract］　Objective　To investigate the distribution and drug resistance spectrum of pathogens in general surgical wards so as to guide clinical rational administration. Methods　The distribution and drug resistance of pathogens of abdominal infection, incision infection and wound infection in general surgical wards from July 2007 to July 2009 were retrospectively analyzed. Results　Gram-negative bacilli were main pathogens in abdominal infection, incision infection and wound infection, accounted for 72.7%; of which escherichia coli accounted for 41.3%. And next was staphylococcus aureus and enterobacter, accounted for 9.1%, 7.7%, respectively. The resistance rate of gram-negative bacilli to meropenem was low, while the resistance rate to ampicillin and gentamicin was high. The resistance rate of gram-positive bacteria to vancomycin was low, while the resistance rate to clindamycin and compaund sinomin was high. Conclusion　The hospital infection diseases are more common in general surgical wards, therefore, strengthening medical momtoring of infection diseases and rationally using antimicrobial agents have important clinical significance.]]> 2018/10/8 8:28:25 WANG Jun-xia 796true ［Abstract］　Objective　To observe clinical efficacy of phentolamine, dopamine, and dexamethasone in treatment of pulmonary heart failure.Methods　Fifty-eight hospitalized heart failure patients with pulmonary heart disease were randomly divided into treatment group (32 patients) and control group (26 patients). All patients were given oxygen, infection control, antispasmodic, diuretic, treatment as cardiac timely conventional therapy. Based on the normal treatment,treatment group was given phentolamine, dopamine and dexamethasone treatment.Results　By comparing the two groups,treatment group were better than the control group in the correct time and shortening the course of disease (P<0.01). The total effective rate in treatment group was 93.7%,while the control group was 76.9%, the difference was statistically significant (P<0.01).Conclusion　The combination of phentolamine, dopamine and dexamethasone treatment has remarkable effect in treatment of pulmonary heart failure.]]> 2018/10/8 8:28:53 LUO Yong-ping, REN Hui-ping, SONG Li-qiang 795true ［Abstract］　Objective　To summarize the clinical characteristics and curative effect in treating the elderly patients with chronic subdural hematoma (CSDH). Methods　The clinical data of 28 elderly patients with CSDH treated at our department in recent four years were retrospectively analyzed and all patients with the evidence of cranial computed tomography(CT) underwent operations. Results　Among these patients, 28 had good results, and not recurred during 1 months follow-up period. Conclusion　The elderly patients with CSDH has the clinical features such as the older age, concealed history, slow onset and symptom of intracranial hypertension. And operation is the first choice to treat the elderly patients with CSDH.]]> 2018/10/8 8:28:53 YANG Wei-xin 794true ［Abstract］　Objective　To investigate the relationship between malignant tumor and venous thromboembolism (VTE). Methods　Patients hospitalized in the same period were divided into malignant tumor group and control group. The incidence of VTE of the two groups were analyzed. Results　The incidence of VTE of the malignant tumor group and control group were separately 9.6%(61/633) and 3.1%(18/582). Difference between the two groups was statistically significant (P=0.000). Conclusion　The malignant tumor is closely related to VTE， incidence of VTE of patients with malignant tumor is significantly higher than that of patients with non-malignant tumors.]]> 2018/10/8 8:28:53 LI WAN-lang, WU Jia-ming, LIU Gui, et al. 793true ［Abstract］　Objective　To discuss the clinical effects of mifepristone combined with amniotic cavity injection of ethacridine in mid-trimester pregnancy induction delivery.Methods　The pregnant women were randomly divided into two group: observation group(n=88) and control group(n=67 ), the clinical conditions of two group were compared. The observation group received mifepristone and ethacridine.The control group only received ethacridine.Results　The abortion time of observation group was significantly shorter than that of control group,and the incidence of placenta adhesion was dramatly lower. At the same time,the incidence of soft birth canal injury and the volume of residues of uterine curettage was more less.Conclusion　Mifepristone combined with amniotic cavity injection of ethacridine in mid-trimester pregnancy induction delivery has the adventages,such as shorter abortion time,lower the incidence of placenta adhesion and soft birth canal injury, so it is really worth to popularize.]]> 2018/10/8 8:28:53 ZHU Gui-Lian, LUO Zhao-Lian,XU Xiao-fei,et al. 792true ［Abstract］　Objective　To observe the efficacy of bacterial pneumonia.Methods　Sixty elderly patients with bacterial pneumonia were randomly divided into observation group and comparison group, each 30. Two groups were given intravenous drip of 0.3 g/d of azithromycin, 2 times per day.On the basis of the above treatment observation group was added intravenous drip of 2.5 g of cefotaxime once daily. Period of treatment for the 2 groups were 14ds.Results　The general effective rate of the observation group was 93.3%, while that of the comparison group was 66.7%. The difference in the general effective rate between the 2 groups has statistical significance (P<0.05).Conclusion　The combined treatment of cefotaxime and azithromycin for the bacterial pneumonia in the elderly has good efficacy.]]> 2018/10/8 8:28:53 SU Zhong 791true ［Abstract］　Objective　To discuss the clinical application value of DSA dignosis and interventionnal embolism therapy for refactory gynecological massive hemorrhage.Methods　The emergency treatment of double arteriae hypogastrica′s DSA visualization with seldinger technoligy were carried out in 10 cases of refractory gynecological massvie hemorrhage.On the basis of particular situation it was decided whether super-selectivity arteriae uterine visualization should be caried out;all patients were used gelfoma sponge to embolize hemorrhagic arteriae hapogasstrica or double arteriae hypogastrica or double arteriae uterine.Results　It was found that the contrast medium was exuded and gathered uterus in 7cases of arteriae hypogastrica visualization.The constrast medium was not obviously exuded in 3 cases of double arteriae hypogastrica visualization,and double arteriae uterine visualization were caried out,in 2 cases amang them,the contrast medium was exuded and gathered at the anacrotic limb of right arteriae uterine,in 1 case,the contrast medium was exuded at the right fundus uteri,the double artriae uterine was obviously thickened.The 10 hemorrhage patients were all used gelfoam sponge for embolism.In 1 case among them can not stopped hemorrhage, after transferred to superior hospital for treatment,it was found that the patient suffered haemophilia.In 1 patient underwent cesarean section, after embolism the hemorrhage was reduced,but can not be stopped completely, after transferred for surgical operation treatment,a 3 cm split was found at the fundus uteri. After embolism, other patients′s hemorrhage was stopped immediately,blood pressure recovered normally. After one week of observation no hemorrhage occurred again,all patients discharged from hopital. Conclusion　DSA can locate and diagnose the gynecological massive hemorrhage,treating the refrectory gynecological massive hemorrhage with interventional embolism is safe and effective.]]> 2018/10/8 8:28:53 PAN Shao- yong, LI Lian, WANG Li- min,et al. 790true ［Abstract］　Objective　To observe the efficacy and security with intravenous amiodarone for paroxysmal atrial fibrillation and fast ventricular rate with organic heart disease.Methods　Sixty-four patients of paroxysmal atrial fibrillation and fast ventricular rate with organic heart disease were treated with loaded intravenous amiodarone (150 mg),and dripped 1 mg/min for 6 hours,then 0.5 mg/min for 18 hours in proper order.Results　The conversion rate to sinus rhythm was 78.1%.The incidence of side effects was 9.4%.Conclusion　The results showed it is effective and safe with intravenons amiodarone in treatment of paroxysmal atrial fibrillation and fast ventricular rate with organic heart disease.]]> 2018/10/8 8:28:53 OU Yan-mian 789true ［Abstract］　Objective　To explore the clinical curative effect of lumbar decompression 360°circumferential fusion internal fixation for lumbar spondylolisthesis.Methods　The restospective analysis of 32 patients with lumbar spondylolisthesis treeted by circumferential fusion internal fixation were performed.Results　The patients by 360°circumferential fusion internal fixation were followed-up for 1～2 years, and the curative effect was satisfactory and the recovery rate was 78%.Conclusion　360°circumferential fusion internal fixation can raise bone graft fusion rate and degrade postoperation lower back pain rate.]]> 2018/10/8 8:28:53 LUO Yuan-jian, HUANG De-zheng, LU Yu-yan 788true ［Abstract］　Objective　To summarize the clinical features, diagnosis, treatment and its efficacy of bronchial carcinoid tumor.Methods　The clinical data of 11 cases of bronchial carcinoid tumor in 697 cases of lung tumors were retrospectively analyzed, reviewed and summed up the literatures.Results　All of 11 cases received surgical treatment,of which, 9 lobectomy routine and 2 sleeve resection,and diagnosed as bronchial carcinoid in postoperation pathological examination.There was no perioperative death.Conclusion　The bronchial carcinoid is lack of characteristic change symptoms and eventually was confirmed by pathology.Surgical resection is preferred, and has a favorable prognosis.]]> 2018/10/8 8:28:53 HE Zhi-xing, LIU Zhi-yong, JIANG Pei-ming, et al. 787true ［Abstract］　Objective　To explore the effect of RF-Ⅲ combined with intervertebral bone graft on treatment of lumber spondylolisthesis.Methods　Thirty-five cases of lumber spondylolisthesis were treated with RF-Ⅲ combined with intervertebral bone graft since Jul 2004 to Jan 2008 in our hospital. All the cases were followed up for 2.2 years and X-rays were taken regularly.Results　Nineteen cases were excellent, 13 cases were good, 2 cases were moderate and 1 case was poor according to the scoring system. The rate of excellent and good was 91.4%. All the patients achieved bony union in 10 to 12 months.Conclusion　RF-Ⅲ can provide good reduction and rigid fixation. RF-Ⅲ combined with intervertebral bone graft is a effective method in treating lumber spondylolisthesis, for it can get high rate of excellent and good, is simple to operate and has less complications.]]> 2018/10/8 8:28:53 ZHANG Wen-zuo,CHEN Dong, GAO Chao-you,et al. 786true ［Abstract］　Objective　To explore the shorter-term cause of death after minimally invasive removal of intracranial hematoma hematoma dut to hypertensive cerebral hemorrhage.Methods　The short-term cases of death after minimally inrasive puncture in 23 patients of intracranial hematoma due to hypertensive cerebral hemorrhage were analyzed retrospectively.Results　Of 23 patients in this group, 8 died, the mortality rate was 34.8%.Of them, 6 died of cerebral hernia, 1 died of diabetic hypertonic hyperlipidemia and multiple organ failure and 1 died of pulmonary infection and respiratory failure.The relationship between dysfunction of consciousness and death: Of the 15 patients of coma, 7 died which accounted for 46.7%. Of the 8 patients whose consciousness was in waking to lethargic state, 1 died which accounted for 12.5%.The relationship between age and death: Of the 8 patients above the age of 70 years (including 70), 2 died and accounted for 25%;Of the 15 patients under the age of 70 years, 6 died which accounts for 40%.Conclusion　The main short-term cause of death after minimally invasive removal of intracranial hematoma due to hypertensive cerebral hemorrhage is the cerebral hernia.The dysfunction of consciousness is positively related to the severity of the illness.]]> 2018/10/8 8:28:53 LIN Chun-guang 785true ［Abstract］　Objective　To discuss the clinncal application value of the laproscobic infra-facial hysterectomy(LH) and the open abdomen hysterectomy (OH). Methods　The clinical effects between the(LH) group and (OH) group were compared. Results　There was no difference in the surgery time between two groups (P>0.05). There were significant difference in intraoperative blood loss and postoperative recovery between two groups (P<0.05 or P<0.01). Conclusion　LH may substitute for the majority of classical open abdomen surgery.]]> 2018/10/8 8:28:53 QIN Chun-hua,LU Hai-ying 784true ［Abstract］　Objective　To discuss the role of catheterization examination in diagnosis of congenital heart disease.Methods　The right and left catheterization were pertormed in 216 patients with congenital heart disease diagnosed by echocardiography.Results　The tetralog of Fallot were confirmed in 73 patients;complicated congenital heart disease in 21 patients, and simple congenital heart disease including patent ductus arteriosus, ventricular septal defect, atrial septal defect and pulmonary valve stenosis in 122 patients.Conclusion　Cardiac catheterization is an important and indispensable tool in diagnosis of congenital heart disease, it is useful in understanding the lesion nature, the location and degree of the heart malformations. Furthermore, it is helpful in determining the operability and surgical technology.]]> 2018/10/8 8:28:53 CHEN Li-yuan, YAN Hua, FU Chun-hui, et al. 783true ［Abstract］　Objective　To explore effective treatment method for secretory otitis media among children patients.Methods　A retrospective study was made among 60 children (96 ears) with secretory otitis media treated by combined therapy. Results　Of the 96 ears, 76 (79.2% ) showed clinical cure, 12 (12.5% ) improvement,and 8(8.3%) inefficacy.The total effective rate was 91.7%.Conclusion　Combined therapy is an effective treatment method for secretory otitis media among children patients.]]> 2018/10/8 8:28:53 HUANG Ye-wu 782true ［Abstract］　Objective　To analyze the specific symptoms of acute myocardial infarction and causes of misdiagnosis of the type to improve the success rate of treatment.Methods　The clinical data of 36 patients with atypical symptoms of acute myocardial infarction were retrospectively analyzed.The data included the age, the signs and symptoms, infarct location, and misdiagnosing status.Results　Because of neurodegenerative diseases and a variety of chronic diseases, in the event of acute myocardial infarction, the highly atypical symptoms were easy to occur and caused misdiagnosis.Conclusion　The first-aid medical personnel should know the diversity of the symptoms in elderly patients with acute myocardial infarction and have an in-depth understanding of the symptoms to avoid serious consequences of misdiagnosis and mistreatment.]]> 2018/10/8 8:28:53 PU Li-feng, ZHU Yong-fu, PU Jie-yuan 781true ［Abstract］　Objective　To probe into the treatment effect of rehabilitation on children with cerebral palsy from different age groups.Methods　One hundred and four children with cerebral palsy were divided into 3 groups according to the disparity in age. Group one was from 0 month to 6 months, group two 7 to 12 months and group three 13 to 54 months. Each group children were given directional treatment. The differentials and the mean result of GMFM before treatment and after treatment were compared.Results　The treatment result differences of the three groups were of great significance(P<0.01).Conclusion　It shows that the early diagnosis and treatment may reduce the children function disorder degree and then obtain better treatment effects and more importantly, the earlier the accurate dianogsis and treatment begin, the better the results is.]]> 2018/10/8 8:28:53 LIU Shu-fen,CHEN Hai-yan 780true ［Abstract］　Objective　To investigate the ultrasound diagnostic value for children intussusception through color doppler flow imaging （CDFI）. Methods　The ultrasonographic characteristics, medical history and clinical manifestation in 85 cases of children′s intussusception were retrospectively analyied,and their characteristics of CDFI were summarized.Results　In 77 cases whose ultrasonic features were ypical, the main characteristics of CDFI was that the cross section showed “concentric circles sign”,while the longitudinal section showed“sleeve sign”. In another 8 cases of intussusception whose ultrasonic fcatures were not typical,ultrasonography showed “false kidney sign” and irregular mass.Conclusion　Ultrasonography is the first choice of imaging diagnostic methods for children′s intussusception.]]> 2018/10/8 8:28:53 NONG Mei-fen,WANG Xiao-yan,XIAO yan-ju,et al. 779true ［Abstract］　Objective　To observe the efficacy and side effect of the As₂O₃ combined with TA for refractory acute myeloid leukemia (AML).Methods　Thirty patients with refractory AML were treated by As₂O₃ combined with TA（As₂O₃ 10 mg d1-10，THP 20 mg/m² d1-3, Ara-C 0.2 d1-7）.Results　Complete remission (CR) rate of 30 patients was 60%, partial remission rate was 20%, and the non remission rate was 20%.Conclusion　As₂O₃ combined with TA can treat refractory AML with higher CR rate and slight side effects.]]> 2018/10/8 8:28:53 LIU Xiao-lian, ZHU Wan-shou, DENG Zhi-ping, et al. 778true ［Abstract］　Objective　To discuss the clinical curative effect of lanqin oral liquid in the treatment of infantile hand-foot-mouth disease.Methods　The treatment group received lanqin oral liqnid and the conventional treatment.The control group received the conventional medicine treatment.Results　The course of disease, fever clearance time, and the blister measles retrogression time in the treatment group were obviously shorter than those in the control group.Conclusion　Using lanqin oral liquid for the treatment of hand - foot -mouth disease can shorten course of disease, bring down a fever quickly, obtain remarkable effect, so is worth the clinical promotion.]]> 2018/10/8 8:28:53 NIE Huai-lian 777true ［Abstract］　Objective　To compare the efficacy and safety of citalopram and paroxetine in treating the depression patients with anxiety. Methods　Fifty depression patients with anxiety were randomly divided into two groups and treated with citalopram and paroxetine for six weeks respectively. The efficacy was assessed by HAMD, HAMA and the safety by TESS.Results　The clinical efficacy in the two groups had no significant difference. At the end of the 2nd week of treatment,the HAND and HANA scores of both groups lowered very significantly(P<0.01),with few adverse reaction.Conclusion　Citalopram is as effective and safe as paroxetine in treating the depression patients with anxiety and have higher safety,but citalopram has fewer untoward reactions.]]> 2018/10/8 8:28:53 HUANG Yong-hong 776true ［Abstract］　Objective　To investigate the clinical effect of the percutaneous medical ozone ablation in treatment of lumbar disc herniation.Methods　From June 2007 to October 2008 the ozone prepared by intelligent preparation of the occurrence of ozone made by Shaanxi Kim Miriam was used in the percutaneous ozone ablation in the treatment of 68 cases of lumbar disc herniation, with a total of 84 disc. All cases in this group were followed with an average follow-up time of 7 months. Results　According to Macnab criteria: excellent in 61 cases, good in 4 cases and poor in 3 cases,the excellent and good rate was 95.5%.Conclusion　Percutaneous interventional medical ozone ablation method has the characteritics,such as high safety factor, less risk,almost painless, obvious effect, very low chances of infection, etc, it is a good choice for lumbar disc herniation, easy to be promoted in grass-roots hospitals.]]> 2018/10/8 8:28:53 YU Yong, ZHANG Feng-yin,ZHANG Xian-chuang,et al. 775true ［Abstract］　Objective　To summarize the treatment experience of ultrasound-guided water enema (USWE) for childhood intussusception.Methods　USWE reduction was performed in 276 children with intussusception at the Eighth Affiliated Hospital of Guangxi Medical University between January 2004 and December 2009. The treatment effectiveness was analyzed according to clinical manifestation before and after USWE reduction.Results　There were 276 cases who had paroxysmal crying, vomiting, and jam-like stool. In 245 cases symptoms disappeared after USWE reduction; 245 cases can be touched abnormal masses in the abdomen before reduction, and 240 cases disappeared after reduction; 276 cases were discovered the abdomen abnormal masses by ultrasound and 265 cases disappeared after reduction. Through carbon test(4～8 h after reduction) 263 cases can discharge carbon in stools, 4 cases did not discharged carbon. Ultrasound diagnostic accordance rate was 100%.The success rate of USWE was 95.3%(263 cases).Conclusion　Ultrasound-guided water enema reduction for children intussusception has advantages of convenient operation and higher success rate and is worthy of clinical application.]]> 2018/8/27 8:16:11 ZHOU Wei-mo,LI Qiang-hui,LONG Xue-feng 774true ［Abstract］　Objective　To reduce and（or） avoid the adverse reaction of transfusion and ensure the security of transfusion.Methods　Irregular antibody screenings with polybrene-method were compared with the ones with microplate-method. For those whose antibody testing were positive, the specific testing was performed by panel cell method.Results　The antibody screening for the twelve blood receivers demonstrated all positive both in polybrene and microplate method, the coincidence rate was 100%.Conclusion　There were no statistically significant differences between these two methods on the test of the irregular antibodies, however, the sensitivity to the antibody of the microplate-method was higher than the one of the polybrene-method, meanwhile the microplate-method was not only easy to be performed standarizationally, automatically and repeatetionally, but also was required small sample and was easy to read, therefore, microplate-method was recommended to be the first choice tool for the antibody screening.]]> 2018/8/27 8:16:11 ZHONG Yue-hua, TAN Jing, CHEN Ying, et al. 773true ［Abstract］　Objective　To study the clinical value of endarterectomy and（or） artificial vascular bypass, autologous transplantation of bone-marrow stem cells in the treatment of arterial occlusive disease of the lower extremity.Methods　A retrospective analysis was performed on the pathogeny, the clinical characteristics, the diagnostisc and the therapeutic methods in 185 patients with arterial occlusive disease of the lower extremity.Results　These patients were treated by endarterectomy and antologous transplantation of bone-marrow stem cell.The symptoms alleviated in 3 months,6 months,12 months and 24 months after operations.Conclusion　Arterial occlusive disease can be treated and get the good result by using the endarterectomy and(or) artificial vascular bypass and autologous transplantation of bone-marrow stem cells.]]> 2018/8/27 8:16:11 TONG Lin-long,TONG Xian-zhou 772true ［Abstract］　Objective　To explore the clinical value of mesh plug hernia tension-free repair in the treatment of ascites due to cirrhosis complicated by abdominal wall hernia.Methods　The clinical data of 25 patients who suffered from ascites due to cirrhosis complicated by abdominal wall hernias and treated by mesh plug tension-free hernia repair from February 1999 to December 2008 were retrospectively analyzed.Results　The operations were successfully completed in all patients. The complications were found in 6 patients who were cured by appropriate treatment. All patients were cured and discharged.Conclusion　Mesh plug tension-free hernia repair is an ideal type of surgery in the treatment of patients with ascites due to cirrhosis complicated by abdominal wall hernia. It has many advantages, such as security, less trauma, quicker recovery, satisfactory curative effect, lower relapse rate etc.]]> 2018/8/27 8:16:11 WEI Yong-zhong 771true ［Abstract］　Objective　To analyze the causes of posterior capsule rupture during cataract phacoemulsification and put forward the prevention measures. Methods　In 216 cataract patients (278 eyes) treated by phacoemulsification the causes of posterior capsule rupture during opeation were analyzed in 32 patients(32 eyes) (11.5%). Results　The causes of posterior capsule rupture included improper capsulorhexis (3 patients accounted for 9.4%), inappropriate water separating (2 patients, 6.3%), cataract nuclear block (21 patients, 65.6%), factors related to lens cortex aspiration (5 patients, 15.6%), inadrertent intraocular lens implantation(1 patient, 3.1%). Conclusion　Taking appropriate countermeasures according to different levels of nuclei, skillfully controlling energy, maintaining the effective space of anterir charnber by negatire pressure and improving the split neucleus emulsion skills can be effectivly prevent posterior capsule rupture.]]> 2018/8/27 8:16:11 LI Yan, HUANG Jing-he, YE Shu, et al. 770true ［Abstract］　Objective　To explore the therapeutic effects of the traditional Chinese medicine and western medical surgery in the treatment of elderly patients with femoral intertrochanteric fracture.Methods　All the patients with femoral intertrochanteric fracture in this study were treated by western medical surgery,and treated by traditional Chinese medicine before and after surgery.Results　Among 125 patients in this study,96 patients were followed up over 6 months. The results of functional assessment showed the excellent results were obtained in 80 patients,good in 10 patients,and poor in 6 patients. The excellent and good rate was 93.8%.Conclusion　Using western medical surgery combined with traditional Chinese medicine having the treating and conditioning effects during perioperative period in the treatment of elderly patients with femoral intertrochanteric fracture can obtain better therapeutic effects with less complications.]]> 2018/8/27 8:16:11 ZHANG Hui,WEN Dong-dong 769true ［Abstract］　Objective　To probe for the clinical features of the patients with uterine leiomyoma combined with hypertension.Methods　Fifty-six patients with uterine leiomyoma combined with hypertension treated in our hospital from March 2008 to June 2009 were selected. The blood pressure of patients before and after treatment were compared.Results　After surgery blood pressure returned to normal in 51 patients (91.07%), decreased in 3 patients (5.36%), did not change obviously in 2 patients (3.57%). Compared with those before surgery, systolic and diastolic blood pressure significantly reduced, The differences were statistically significant (P<0.05). Conclusion　The results show the blood pressure of patients with uterine leiomgoma conbined with hypertension reduced significantly after operation,and its cause should be explored further.]]> 2018/8/27 8:16:11 SU Xiao-rong 768true ［Abstract］　Objective　To analyze the performance and diagnostic significance of the MRI in spinal injury.Methods　One hundred patients with spinal injury were examined by MRI.Results　Of 100 patients, cervical vertebral injury was found in 25 patients, thoracic vertebral injury in 36 patients, lumbar vertebral injury in 39 patients, among them included the vertebral fracture, vertebral dislocation, dish berniation, ligaments injury, and spinal cord injury.Conclusion　The MRI is the best imaging diagnostic method for the spinal injury, and it is helpful in guiding the clinical treatment.]]> 2018/8/27 8:16:11 SUN Jun 767true ［Abstract］　Objective　To study the effect of reducted glutathione(GSH) in scrub typhus pantients complicated liver function damage.Methods　A total of 53 scrub typhus patients complicated with hepatic damage were randomly divided into two groups. Thirty patients were given GSH in a dose of 1.2 g/d through intravenous drip for 7 days as GSH group, and 23 pantients were not given GSH to serve as control group.The same treatment was given to both groups other than GSH.The liver function related items were determined.Results　After the treatment,serum total alanine aminotransferase(ALT),aspartate aminotransferase(AST),plasma,alkaline phosphatase(ALP) and bilirubin(TBil) singnificantly decreased in two groups(P<0.05),but the decrease of alanine aminotransferase(ALT) and aspartate aminotransferase (AST) was more marked in GSH group (P<0.05). Conclusion　GSH has beneficial effects in protecting liver function in scrub typhus patients with liver damage.]]> 2018/8/27 8:16:11 WANG Yi 766true ［Abstract］　Objective　To analyze the manifestations of Multi- slice computed tomography( MSCT ) of pulmonary aspergillosis in order to improve the level of diagnosis of pulmonary aspergillosis.Methods　The clinical data and the data of MSCT of 12 cases of pulmonary aspergillosis confirmed by pathology and treatment were retrospectively analyzed.Results　Among 12 cases aspergilloma was found in 8 cases,invasive pulmonary aspergillosis in 4 cases. The lesions were located at the right lung in 7 cases,at left in 3 cases,at both lung in 2 cases.The images of MSCT of aspergillomas showed a hollow nodule in 8 cases, of which thin wall cavity accompanying a nodule with the“meniscus sign” was seen in 6 cases.The images of MSCT of invasive pulmonary aspergillosis showed the anomalous spotted patchy opacification, the mottling infiltration shadow and the ground glass shadow in 2 cases,the pulmonary nodular and subpleural wedge-shaped consolidation with the “halo sign” in 2 cases. Conclusion　Understanding the characteristic manifestations of pulmonary aspergillosis is valuable to the earlier diagnosis and treatment of pulmonary aspergillosis.]]> 2018/8/27 8:16:11 LIANG Yu-an 765true ［Abstract］　Objective　To analyze the clinical therapeutic effects and side effects of pirarubicin(THP) combined with Ara-C for acute myelogeneous leukemia (AML). Methods　Twenty patients with AML (8 untreated, 2 relapsed, and 10 postremission) were treated by THP combined with Ara-C. Results　All of 2 patients with relapsed AML achieved complete remission(CR) after one course of chemotherapy and among 8 untreated patients with AML, 2 achieved CR and 1 died after one course of chemotherapy. Ten patients with postremission showed different degree of decrease in WBC、 Hb and pletelet counting. The marrow suppression and digestive side effect of TA regimen were observed in 85% and 55% to 95% of AML patients separately. Conclusion　TA chemotherapy regimen for AML has definitive effects and slight side effects.]]> 2018/8/27 8:16:11 XU Min, ZHANG Xu-hui, HE Xue-feng,et al. 764true ［Abstract］　Objective　To evaluate the safety and effectiveness of firebird drug eluting stent (DES) in acute ST-segment elevation myocardial infarction. Methods　216 patients with acute ST-segment elevation myocardial infarction from March 2004 to April 2009 were divided into two groups: DES group(n=117) and BMS group(n=99). The occurrence rate of in-stent restenosis(ISR) and major adverse cardiovascular event (sudden death, reinfarction, revascularization) were analyzed after 12 months of implantation. Results　Both groups showed a success rate of 100% in stenting. DES group was much better than BMS group in aspect of ISR（P<0.05）. There were no statistic difference in aspect of major adverse cardiovascular event (P>0.05) after 3 to 12 months of implantation. Conclusion　DES implanted in patients with acute ST-segment elevation myocardial infarction is safety and effectiveness, DES is much better than BMS in aspect of ISR（P<0.05）.]]> 2018/8/27 8:16:11 LIU Ling, LIN Ying-zhong, WU Guang-wei,et al. 763true ［Abstract］　Objective　To explore the therapeutic effects of artificial femoral head replacement in the treatment of elderly patients with femoral neck fracture. Methods　Forty-eight elderly patients with femoral neck fracture were treated by artificial femoral head replacement. Of them the operations in 35 patients were performed by lateral approach;the operations in 13 patients were performed by posterolateral approach. The bipolar artificial femoral head were adopted in all patients. All the femoral prothesis stems were bone cement type. Results　The patients were followed up for two to six years with an average of 4.5 years. According to the Harris score standard, excellent effect were obtained in 44 patients, good in 2 patients, fair in 2 patients. No poor effect was found. The excellent and good rate was 95.83%. Conclusion　Using bipolar artificial femoral head replacement in the treatment of elderly patients with femoral neck fracture can obtain satisfactory therapeutic effects.]]> 2018/8/27 8:16:11 HE Zhong 762true ［Abstract］　Objective　To study whether prosthesis-patient mismatch (PPM) would exist in patients with small aortic root treated with ATS.AP replacement. Methods　Twenty patients with small aortic root (< 20 mm in diameter) receiving ATS.AP valve replacement (experimental group) and 20 patients with normal size root receiving mechanical valves replacement （control group）were selected. All of them were admitted from January 2008 to March 2010 to our hospital. Various data on left ventricular function before and after operation were obtained by color Doppler ultrasound and compared.Results　After operation in experimental group there was a significant reduction in left ventricular mass index pressure gradient,peak pressure gradients across aortic value, and left ventricular posterior wall thickness (all P<0.01),and a significant increase in left ventricular ejection fraction and EOA index of aortic valve (all P<0.01).After operation there was a significant difference in peak pressure gradients across aortic valve (P<0.01) and no significant difference in other indexes (all P>0.05) between two groups.Conclusion　Patients with aortic root treated with ATS.AP replacement have no prosthesis-patient mismatch.Left heart function of ATS.AP replacement is close to or the same as that of normal mechanical valves replacement.]]> 2018/8/27 8:16:11 CHEN Wei-min, WANG Qi, LIU Yuan 761true ［Abstract］　Objective　To explore the clinical curative effect of micro-traumatic evacuation of intracranial hemotomas in the treatment of patients with hypertensive cerebral hemorrhage.Methods　According to different treatment,210 patients with hypertensive cerebral hemorrhage were divided into group of micro-traumatic evacuation of intracranial hematomas (surgical group; n=156) and medical conservative group (conservative group; n=54).The patients in two groups were treated by conventional treatment including oxygen inhalation, maintenance of airway patency, use of furosemide or mannitol for elimination of edema and lowering blood pressure, use of magnesium sulfate, nitroprusside or nimodipine for controlling blood pressure, prevention of complications such as infection, gastrointestinal bleeding and renal failure and so on. On above basis, the surgical group received micro-traumatic evacuation of intracranial hematomas. The clinical curative effect, complication rate and mortality were compared between two groups.Results　The curative effect of surgical group was better than that of conservative group(P<0.01);the complication rate and mortality of surgical group were significantly reduced than those of conservative group(P<0.01);the clinical effects in the patients undergoing surgery within 6 hours of onset were better than those in the patients undergoing surgery between 7 and 12 hours of onset(P<0.05).Conclusion　Use of micro-treatment in patients with hypertensive cerebral hemorrhage can significantly increase the basic cure rate, effectively reduce complication rate and mortality. In particular, its cure effects is better for the patients undergoing surgery within 6 hours of onset.]]> 2018/8/27 8:16:11 HE Shen-liu 760true ［Abstract］　Objective　To explore the relation between blood pressure load (BPL), blood pressure circadian rhythm and target organ damage in elderly patients with hypertension.Methods　The 24-hour ambulatory blood pressure were monitored in the 214 elderly patients with hypertension. According to whether there were target organ damage, these patients were divided into isolated hypertension group (A group), and target organ damage group (B group). BPL and blood pressure circadian rhythm were analyzed in two groups.Results　The BPL especially night BPL and blood pressure circadian rhythm in B group was significantly higher than that in the A group (P<0.01).Conclusion　In the treatment of elderly hypertension, we should pay attention to reducing the blood pressure load, especially the nighttime blood pressure load, correcting disorder of blood pressure circadian rhythms.]]> 2018/8/27 8:16:11 CHEN Xiao-jie, TANG Wen-hong, ZHANG Qin 759true ［Abstract］　Objective　 To explore the method of treatment of open limb injury in earthquake. Methods　 In 15 patients with open wounds on the limbs in earthquake, the wounds were treated with debridement and vacuum sealing drainage. Then the wounds were closed with suturation, skin grafting and pedaled skin flap. The sensitive antibiotics were administrated according to the cultural result of the wounds. Results　Fifteen patients with wounds healed in time. Conclusion　Applying vacuum sealing drainage to limbs open jury in earthquake, the wound healing would be accelerated and the function of limbs would be quickly recovered.]]> 2018/8/27 8:24:30 YUAN Yan, YIN Dong, JIN Xian-yue,et al. 758true ［Abstract］　Objective　To explore the effects of misoprostol combined with nilestriol in removal of intrauterine device(IUD) in postmenopausal women. Methods　Eighty menopausal women were randomly divided into two groups. Forty cases in study group were given nilestriol 4 mg at a draught one week before surgery. The patients returned to the hospital for removal of IUD on 8 th day after medication, misoprostol 200 μg was placed in posterior foenix at 3 hours before surgery. 40 cases of control group were not given any medication before surgery, blood loss volume and success rate the cevial dialation degree, require time for removal of IUD in two groups were observed.Results　The study group was superior to the control group in the cervical dilation degree, required time for removal of IUD, blood loss volume, the success rate and comprehensive response levels (P<0.05）. ConclusionNilestriol combined with misoprostol in removal of IUD in postmenopansal women has better effect and is worthy of clinic application.]]> 2018/8/27 8:24:30 WU Yu-bi,JIANG Hui-chun 757true ［Abstract］　Objective　 To investigate the clinical features and the early diagnosis of mucocutaneous lymph node syndrome. Methods　The clinical data of eight babies who were diagnosed as mucocutaneous lymph node syndrome,including gender,age,fever days,ESR,C-reactive protein,PLT and Echocardiography and so on were analyzed. Results　Among these babies coronary artery dilatation were found in 1 case, perianal red in 2 cases, significant increase of platelet count in 3 cases and significant faster of ESR in 4 cases. Conclusion　Coronary artery dilatation, perianal red, significant increase in platelet count and significant faster of ESR can be considered as the valuable basis of the early diagnosis of mucocutaneous lymph node syndrome.]]> 2018/8/27 8:24:30 LU Dong-mei,XIAO Nian-ying, YANG yang 756true ［Abstract］　Objective　To investigate the diseases characteristics and relevant exposure factors of pulmonary tuberculosis in peasant workers and provide scientific basis for developing the strategies of prevention and control.Methods　On the basis of the data of patient history in the institutions of prevention and treatment in our county, the conditions of pulmonary tuberculosis in peasant workers in our county were investigated by questionaires and the diseases conditions, relevant factors and control measures for pulmonary tuberculosis were fully analyzed by descriptive statistical methods.Results　Six hundred and twenty-seven cases of pulomonary tuberculosis in peasant workers were investigated from 2006 to 2008. The incidence cases of pulmonary tuberculosis in peasant workers accounted for 31.65% of total incidence cases of pulmonary tuberculosis in our county. Pulmonary tuberculosis in peasant workers mostly occurred between the ages of 25 and 45 years. The ratio of male to female was 1.25∶1. Pulmonary tuberculosis in peasant workers mostly occurred in peasant workers who worked in coastal areas and had a longer working years and mild-moderate work. Type 3 pulmonary tuberculosis was the common type in pulmonary tuberculosis of peasant workers, accounted for 84.37% of pulmonary tuberculosis in peasant workers. The cure rate was 90.91%. Three main exposure factors of pulmonary tuberculosis in peasant workers included less rest, poor nutrition and long-term overtime work, there was no significant difference in above factors between male and female (P>0.05). The patients had better knowledges on prevention and treatment, indicating the health education work during visting a doctor was implemented.Conclusion　Due to the mobility of peasant workers,who are susceptible to tuberculosis.It′s importment to prevention and treatment of pulmonary tuberculosis in peasant workers.]]> 2018/8/27 8:24:30 ZHANG Yuan-jian, HUANG Li-ying 755true ［Abstract］　Objective　To research the clinical characteristics and treatments of hepatic cirrhosis with hepatic diabetes.Methods　Forty-one patients with hepatic cirrhosis and hepatic diabetes were retrospectively analysed of the clinical characteristics, treatments and prognosis.Results　The symptoms were mainly from hepatic cirrhosis and seldomly from diabetes in the patients with hepatic cirrhosis and hepatic diabetes;the postprandial hyperglycemia was quite obvious;the blood sugar could go better after controling diet and protecting liver,and using insulin when necessary.Conclusion　The clinical manifestations of diabetes are atypical and a characteristic as postprandial hyperglycemia is found in the patients with hepatic cirrhosis and hepatic diabetes.The therapy of hepatic diabetes must be synthetically treatments and insulin is used as soon as possible, the blood sugar can go better with the improvement of liver function in most of the patients.]]> 2018/8/27 8:24:30 REN Gui-mei 754true ［Abstract］　Objective　To investigate the female pre-exposure prevention before unprotected intercourse and pregnancy of the couples or sexual partners in which the female with HIV-negative and the male with HIV-positive by using the method of pre-exposure prevention.Methods　Fifteen couples or sexual partners with the expectation of pregnancy and childbearing will have pre-pregnancy consultation, and the female need to know that the risk of HIV infection may decrease, but cannot be excluded. The female should record their basal body temperature by themselves about 3 months before the first insemination, and identify the general ovulation date. The male were patients with HIV-positive, the CD⁺₄ T lymphocytes> 250/μl, viral load< 50 copies/ml. The female sexual partners will be inseminated twice in each ovulation cycle, and will take Zidovudine(300 mg, b.i.d.); Lamivudine(300mg, q.d.), and Kaletra(500mg, b.i.d.) 24 hours before unprotected sexual intercourse, and discontinue prevention 24 hours after the second insemination. The above cycle will be repeated until pregnancy. After the first unprotected sexual intercourse, the female HIV antibody will be tested at month 1, 3, 6, 12 and 18.Results　Seven out of 15 couples and sexual partners with unprotected sexual intercourse got pregnant and childbearing by using the method of pre-exposure prevention, and the pregnancy rate was 47% (7/15). No infection was found in females.Conclusion　The method of pre-exposure prevention can decrease the vulnerability of uninfected females, and provide a help to the HIV infected males with childbearing expectation.]]> 2018/8/27 8:24:30 ZHANG Yong, LU Rui-chao, MENG Zhi-hao, et al. 753true ［Abstract］　Objective　To explore the association between high sensitive C-reactive protein (hsCRP)and coronary heart disease(CHD).Methods　One hundred and three patients with suspected CHD received coronary angiography were selected. Sixty-one patients with CHD proved by angiography and forty-two control subjects without CHD were included in this study， hsCRP were detected.Results　hsCRP levels ［(0.961±0.814)mg/L］ in CHD patients were significantly higher than those ［(0.156±0.412)mg/L］ of control subjects(P<0.05). Correlation analysis showed that hsCRP levels were positively related to coronary stenosis index(P<0.05). Through multivariate logistic regression analysis, hsCRP was related with the occurrence of CHD.Conclusion　hsCRP have a close relationship with CHD and is one of independent risk factors in CHD.]]> 2018/8/27 8:24:30 ZHAO Ke-lin,LIU Li-gang 752true ［Abstract］　Objective　To evaluate the outcome of pedicle screw combind with intervertebral bone grafting fusion for severe lumbar spondylolisthesis. Methods　Fifteen patients with severe scere lumbar spondylolisthesis were treated with the method of laminectomy, resection of nucleus pulposus, installing the pedicle screw fixation, diaplasis, intervertebral, facet joint or intervertebral bone grafting fusion. After 4～6 weeks of bed rest, patients were allowed to perform with the kummerbund. Results　The fallow-up time ranged from 18 to 26 months with average of 19.6 months, 3 of 10 patients of Ⅲ spondylolisthesis obtained completel disaplasis, 7 patients remained Ⅰspondylolisthesis. The diaplasis rate was 90%. In 5 patients of Ⅳ spondylolisthesis diaplasis rate was 75%～90%. After 1.5 years, X-ray showed all the patients had fusion.In one patient with RSS fixation the pedide srew broken. All the patients symptom achieved complete remission. Judged by ZOU De-wei standard, excellent outcome was found in 11 patients, good outcome in 4 patients. Conclusion　Pedicle screw combined with intervertebral bone grafting fusion for severe severe lumbar spondylolisthesis has a satisfactory effect.]]> 2018/8/27 8:24:30 LIU Chang-sheng, WEI Jia-ning，LIAO Yong-fa, et al. 751true ［Abstract］　Objective　To analyze the recurrent causes of pterygium after the new surgery : pterygium excision and limbal stem cell transplantation and to improve surgery quality.Methods　Two hundred and sixty-five cases (365 eyes) of pterygium were treated by pterygium excision and limbal stem cell transplantation under local anesthesia from May 2003 to May 2008.Results　The follow-up time ranged from 6 to 12 months,in 265 cases(365 eyes),recurrence was found in 26 cases(26 eyes),the recurrence rate was 7.3%.Conclusion　The recurrence is mainly connected with factors,such as doctor′s proficiency in this surgery,diseased eye′s lesion degree,diseased eye′s inflammation control status and infection before the surgery,etc.]]> 2018/8/27 8:24:30 SONG Han-yi,ZHOU Ze-liang 750true ［Abstract］　Objective　To evaluate the clinical characteristics, diagnosis and treament in patients with spontaneous perforations of the sigmoid colon. Methods　Clinical data and pathological materials of 16 patients with spontaneous perforations of the sigmoid colon, who were treated in Guangxi Napo County People′s Hospital，were reviewed. Results　The patient′s average age in our study was 67.8 years old, 9 patients accompanied with hypertension， 11 patients with chronic bronchitis， 7 patients with prostatic hyperplasia， 6 patients with DM. The sixteen patients who was diagnosed by surgery and pathology, the misdiagnostic rate was 81.2%. The postoperative complications occurred in 9 patients, including incision disruption, anastomotic leakage, wound infection and lung infection. Twelve patients were healed well except 4 patients died from lung infection and toxic shock after operation. Conclusion　Spontaneous perforation of sigmoid colon is noteworthy due to its more complications, high misdiagnosis rate and high mortality rate in elderly patients. It is important to raise awareness of the acute abdomen.The best way to treat the spontaneous perforations of the sigmoid colon is careful history taking, early diagnosis and treatment. For the treatment of spontaneous perforations of the sigmoid colon, correct perforation treatment, thorough cleaning, adequate drainage and treatment of related complications are critical.]]> 2018/8/27 8:24:30 HUANG Hong-neng, PAN Liu-yong 749true ［Abstract］　Objective　To explore the role of descriptive study in determining the cause of a fever cluster occurred in hospital. Methods　The principle of descriptive study was used for investigating the cause of the simultaneous occurrence of fever in multiple patients in a hospital. The descriptive analyses of time, location and population distribution of the fever, were performed in order to identify the cause of the fever cluster. Results　The result showed the source of the fever came from a bottle of contaminated heparin saline solution. The heparin saline solution was contaminated due to a deficiency in the preparation process of the diluted solution. Conclusion　Simple epidemiologic investigation using the principle of descriptive study is very helpful in rapidly identifying the cause of fever cluster and preventing further spread of the fever in a large municipal hospital.]]> 2018/8/27 8:24:30 LI Yuan-hui，QIN Yu-xiu，ZENG Shun-zhen 748true ［Abstract］　Objective　To evaluate the application of autologous blood transfusion in patients with traumatic hemothorax.Methods　Twelve patients with traumatic hemothorax were treated by autologous intrathoracic blood collected by closed thoracic drainage device.Results　Among the 12 patients with hemathorax,all patients were cured.No serious adverse effects occurred.Conclusion　Autologous intrathoracic blood transfusion is a safe and effective method for treating the patients with hemathorax, especially for patients with acute thoracic trauma.]]> 2018/8/27 8:24:30 LIN Guo-yi 747true ［Abstract］　Objective　To evaluate the clinical application of ultrasound and mammography in the qualitative diagnosis of breast disease.Methods　One hundred and twenty-eight female patients with palpable breast nodules were evaluated by ultrasound and mammography, and the results were also compared with the histopathology following the operation.Results　The diagnostic accuracy of malignant breast nodules with ultrasound, mammography, and in combination with ultrasound and mammography were 94.4%, 91.6%, and 97.2%, respectively. In the qualitative diagnosis accuracy of benign breast nodules, ultrasound was higher than mammography. Conclusion　Combined application of ultrasound and mammography can improve the diagnostic accuracy of malignant breast nodules and thus can detect the early breast carcinoma.]]> 2018/8/27 8:24:30 WEI Cai-fen 746true ［Abstract］　Objective　To observe the curative effect and adverse reaction of amlodipine in treating essential hypertension.Methods　One hundred and fifty patients with essential hypertension were treated with oral dose of 5 mg/d of amlodipine,the treatment lasted for 2 weeks.The dose could be increase to 10 mg/d if blood pressure did not reach the standard level,the treatment lasted for 4 weeks.Before,during and after treatment,the changes of pressure and adverse were observed.Results　The results showed marked effect in 117 patients (78.0%),effectiveness in 21 patients (14.0%),no effect in 12 patients (8.0%).The total effective rate was 92.0%.The systolic pressure decreased from (153.6±19.4)mmHg before treatment to (130.6±16.2)mmHg after treatment (P<0.01).No obvions adverse reaction was found. Conclusion　Amlodipine is an ideal drug which is effective in treatment of essential hypertension with good compliance.]]> 2018/8/27 8:24:30 OU Yan-mian 745true ［Abstract］　Objective　To observe the clinical efficacy of methylprednisolone combined with gamma globulin in the treatment of acute myelitis.Methods　Forty-two cases of acute myelitis were randomly divided into treatment group and control group with 21 cases in each group；treatment group received methylprednisolone and gamma globulin infusion；control group received instavenous dexamethasone and gamma globulin.The course of treatment was 5～7d.At the end of treatment，their treatment effects were compared.Results　Total effective rate in the treatment group was higer than that in the control group（P<0.01）；the micturition reflex recovery time，muscle strength improvement time and activity recovery time in the treatment group were shorter compared with the control group （P<0.01）.Conclusion　Methylprednisolone in the treatment of acute myelitis is safe,fast and effective.Methylprednisolone combined with gamma globulin can increase efficacy.]]> 2018/8/27 8:24:30 LI Li-ping，HU Wen-biao 744true ［Abstract］　Objective　To evaluate the efficacy and toxicity reaction of FOLFOX4 chemotherapy with radiotherapy in the treatment of advanced recurrent rectal cancer.Methods　Fifty-six patients with advanced recurrent rectal cancer received radiotherapy administered to the pelvic，and the FOLFOX4 chemotherapy were given during week 1 and 5 of standard radiotherapy（treatment group）.Fifty-six patients with advanced recurrent rectal cancer received the same chemotherapy alone were as control group.Results　The overall response rate was 66.1% in control group and 83.9% in treatment group (P<0.05). The pain of anus and perineum rate were 30.4% and 55.4% respectively;the mucous secretion and blood stool relief rate were 17.9% and 30.4%.The median time to progression (TTP) was 10.8 months and 12.6 months(P>0.05).The middle survival time (MST) was 17.2 months and 21.8 months(P<0.05). The main acute toxicities, including digestive tract reaction，neuritis sensory toxicity，bone marrow suppression, were tolerated in patients.Conclusion　The FOLFOX4 chemotherapy combined with pelvic radiotherapy is more effecttive than chemotherapy alone and is tolerated in patients with advanced recurrent rectal cancer.]]> 2018/8/27 8:24:30 ZHANG Ji-jun,WEI Jin-hua,WEI Ai-fang,et al. 743true ［Abstract］　Objective　To explore the effect of manipulative reduction combined with Kirschner wire internal fixation for humeral supracondylar fractures in children. Methods　Twenty children with humeral supracondylar fractures were treated by manipulative reduction and Kirschner wire internal fixation under C- arm machine. Results　The postoperative follow-up time ranged from 3 to 6 months,all fracture were healed, no complication was found, 18 were cured and 2 were improved. Conclusion　Manipulative reduction and Kirschner wire internal fixation for children humeral supracondylar fractures has the characteristics of less trauma and low complications rate. It is suitable for clinical popularization.]]> 2018/8/27 8:24:30 SHI Neng-huai, ZHU Zhan-biao, LIU Ting,et al. 742true ［Abstract］　Objective　To observe the therapeutic effect of lingguishugan decoction combined with acupuncture in the treatment of the disease of phlegm and fluid.Methods　Sixty patients with disease of phlegm and fluid were randomly divided into two groups. The patients in treatment were treated with lingguishugan decoction combined with acupuncture,the patients in control group were treated with western medicine.Results　The curative rate in treatment group was 63.3%,that in control group was 16.9%.The total effective rate in treatment group was 96.7%,that in control group was 76.7%.The therapeutic effect of treatment group was better than that of control group(u^c=3.865，P<0.01) .Conclusion　Lingguishugan decoction combined with acupuncture has a significant therapeutic effect in the treatment of disease of phlegm and fluid.]]> 2018/8/27 8:24:30 NONG Zi-biao 741true ［Abstract］　Objective　To explore the short-term effects of fiberbranchoscopic lung lavage and injecting medicine combined with systemic chemotherapy in the treatment of multidrug-resistant cavitary pulmonary tuberculosis (MDR-TB).Methods　The control group (120 cases) received simple systemic chemotherapy.The treatment group(120 cases) received fiberbranchoscopic lung lavage and injection with isoniazid, rifampicin, amikacin and levofloxacin, 1 time per week for 8 weeks, combined with systemic chemotherapy.The effects were compared.Results　The sputum negartive conversion rate,cavity closure rate or cavity reduction rate in the treatment group were significantly higher than those in the control group.Conclusion　The therapantic effects of the fiberbranchoscopic lung lavage and injecting medicine combined with systemic chemotherapy in the treatment of MDR-TB is significant.This therapentic method is worth promoting.]]> 2018/8/31 16:02:31 HUANG Xiang-yong, WU Qing-guo, HUANG Da-yong 740true ［Abstract］　Objective　To summarize the experience in diagnosis and surgical treatment of pulmonary arteriovenous fistula.Methods　Clinical data of 13 patients with pulmonary arteriovenous fistula were retrospectively analyzed.Results　Eleven patients were diagnosed by chest spiral CT scan and vascular three-dimensional reconstruction, two patients were diagnosed by pulmonary angiography. Twelve patients received surgical operation successfully, lobectomy in 10 patients, pulmonary wedge resections in 2 patients. Symptoms disappeared or improved after operation, and clinical results were satisfactory. One patient with diffuse lesion gave up treatment. Conclusion　Spiral CT scanning and vascular three-dimensional reconstruction are the most common diagnostic tools for pulmonary arteriovenous fistula.Surgery for limited pulmonary arteriovenous fistula has a good effect, and surgical procedure should be flexibly used on the basis of disease conditions.]]> 2018/8/31 16:02:31 LUO Yu-zhong, HE Wei, QIN Jia-jin, et al. 739true ［Abstract］　Objective　To observe the clincal effect of early orthodontic therapy in 81 infants and children with functional crossbite caused by poor feeding posture.Methods　From 2002 September to 2009 June, 81 infants and children with functional crossbite caused by poor fooding posture, between the age 8 months and 2.5 years, were given early orthodontic therapy in the outpatient department.Results　All cases obtained effect during 3 weeks～2 months of early orthodontic intervention.Between 6 months and 6.5 years or more of observtion, no crossbite recurrence.Conclusion　The early orthodontic therapy in the infant and children with functional crossbite caused by poor feeding posture is effective. Furthermore,attention should be paid to the impact of feeding posture on the stomatognathic function and body development of the infant and children.]]> 2018/8/31 16:02:31 WEI Jing,ZHANG Jian-wei,YAN Jun 738true ［Abstract］　Objective　To choose a convenient, and accurate method for determining levels of HBV-DNA in the parturient maternal serum and the milk, and provide a breastfeeding guidance based on two test results, especially hepatitis B viral load in breast milk. Methods　In two hundred and thirty-two HBsAg-positive parturient women, levels of HBV-DNA of maternal serum and the milk were detectcd using real-time fluorescence quantitative polymerase chain reaction method(FQ-PCR). Results　In the 232 serum HBsAg-positive parturient women, there were 177 serum HBV-DNA positive women. According to the content of serum HBV-DNA these patients were divided into ≥ 10⁵ copy/ml and <10⁵ copy/ml groups, their milk HBV-DNA positive rate was 54.4% and 14.9% respectively, there was highly significant difference between two groups (P<0.01). In serum HBV-DNA negative women, HBV-DNA in milk were negative;in serum HBV-DNA positive women the milk HBV-DNA positive rate was 37.9%. Conclusion　Serum HBV-DNA positive parturient women have a higher milk HBV-DNA-positive rate, and the milk HBV-DNA content is proportional to serum viral load. Detection of the HBV-DNA content of breast milk in HBV-infective parturient women has great signficance for interrupting mother to child transmission for HBV infection and providing a basis for guidance for the choice of breast-feeding mothers.]]> 2018/8/31 16:02:31 YAN Shan-Huo, ZHUO Yong-guang 737true ［Abstract］　Objective　To investigate the characteristics of the island skin flap of frontal region to repair the nasal defect after surgery.Methods　The island skin flap of frontal region was designed on the base of side middle-frontal skin flap and oblique-frontal skin flap. One-side supratrochlear artery was used as the pedicle of skin flap. The boots-tube part of skin flap was used as the pedicle of the deflected skin flap. The main body of skin flap was the transversal skin flap which crossed the median line of frontal region and reached transversal skin flap in temporal region at opposite-side temvoral region.Results　One-stage repair of the surgical defect of nose was successful in 10 patients with this kind of skin flap after postoperative follow-up for 6 to 9 months, all patients were satisfied with their nasal shapes and ventilation function.Conclusion　 The frontal island skin flap is an easy-operated for the procedure of the repair of nasal defect. The blood supply of skin flap is reliable and the procedure can be completed by one-stage operation. Nasal shape after repair receives high-degree satisfaction. It is an option to repair nasal defect.]]> 2018/8/31 16:02:31 BAI Jian-wen，QU Shen-hong 736true ［Abstract］　Objective　To investigate the best surgery treatment in osteoporotic fractures of proximal femur. Methods　Sixty patients with osteoporotic fractures of proximal femur corresponding to diagnostic criteria were randomly divided into two groups. The preoperative medical conditions were controlled, the comprehensive assessment of tolerance of surgical time was peformed; the time in bed was minimized as much as possible. In internal fixation group (32 patients), dynamic hip screw (DHS) was used in 12 patients, reconstruction nail in 8 patients, Gamma nail in 7 patients, proximal femoral nail (PFN) in 5 patients. In prosthetic replacement group (28 patients), bone cement bipolar unit bone replacement was used in 28 patients. After operation the patients were followed up for 8 to 24 months. Results　The excellent rate in internal fixation group was 67%, and that in the prosthetic replacement group was 89%. The excellent rate in prosthetic replacement group was higher. Conclusion　For the patients with osteoporotic fracture of proximal femer without surgical contraindications the prosthetic replacement should be adopted as far as possible in order to improve the quality of life of patients and reduce complications.]]> 2018/8/31 16:02:31 HUA Shu-liang, WEI Wen, LU Wen-zhong, et al. 735true ［Abstract］　Objective　To study the measures to reduce social-factor cesaroan section rate within indications for C-section and to provide an reference for the provision of detailed solutions to lower C-section rate.Methods　Term delivery parturients in the department of obsteterics and gynecology of our hospital from 2006 to 2008 were retrospectively analyzed.Results　C-section rate had been increasing in past years, and the occurrence of fetal distress in uterus, abnormal fetal position, cephalopelvic disproportion and social factors have been increasing year by year.Conclusion　Currently the indications for C-section are far beyond its simple definition as medical indications, the rise in C-section rate is largely due to the increase of social factors which present no medical indications. Excessive diagnosis on fetal distress in uterus and cephalopelvic disproportion is also a major cause in the execution increase of C-section; proper selection regarding the manner of delivery has been baffled by subjective opinions from pregnant women and doctors. The key to lower C-section rate lies in strictly grasping the indications for C-section and redcuing, as far as possible, the possibility of C-section caused by artificial factors.]]> 2018/8/31 16:02:31 HUANG Li-xing 734true ［Abstract］　Objective　To search the ways of diagnosis and treatment of the severe chest injury and raise the rescue success rate.Methods　The clinical data were retrospetively analyzed on the 182 patients with severe chest injury treated in our hospital from 2000 to 2009.Results　One hundred and sixty patients with severe chest injury were cured but 22 died,the death rate was 12.1%. The main causes of death included the injury combined with other important organ, acute respiratory distress syndrome after operation (14 patients ) or multiple organ failure (8 patients ).Conclusion　Severe chest injury,especially combined with severe craniocerebral injury or liver and spleen ruture and hemorrhage,that has the clinical features such as severe damage, dyspnea, circulation disorders, shock, hypoxia, consciousness or a high mortality rate. The principle of the treatment is making a definite diagnosis, restoring the respiratory and circulatory stability, applying surgical treatmen as soon as possible, dealing with a fatal wound quickly and controlling complications positively.]]> 2018/8/31 16:02:31 LI Shou-nan, BAI Chun-gao, LU Chao-qiang 733true ［Abstract］　Objective　To explore the surgical management of colon cancer complicated by acute intestinal obstruction.Methods　The treatment of 49 cases of colon cancer complicated by acute intestinal obstruction was retrospectively analyzed.Results　One stage resection and anastomosis were performed in 38 cases; One stage resection and the proximal colostomy 6 cases; Simple colostomy 5 cases. Wound infection were found in 5 cases;Postoperative anastomotic fistula 3 cases, and 2 cases died postoperatively.Conclusion　Paying attention to the treatment of perioperative period and choosing surgical method according to the specific circumstances of the patients are very important. In the possible condition,one stage resection and anastomosis is still a viable safe method.]]> 2018/8/31 16:02:31 KANG Guo-hua 732true ［Abstract］　Objective　To explore the clinical characteristics of silicosis patients combined with chronic obstructive pulmonary disease (COPD). Methods　Clinical manifestation and therapeutic effectiveness in 41 silicosis patients combined with COPD were analyzed. Results　The degree of dyspnea in silicosis patients combined with COPD was more serious than that in simple silicosis patients, and the hypoxemia in silicosis patients combined with COPD was more common than simple silicosis patients. Not all of those silicosis patients who combined with chronic powder dust bronchitis or emphysema were combined with COPD in the same time. Conclusion　Summarizing the clinical characteristics of silicosis patients combined with COPD is helpful to the early diagnosis and treatment of silicosis patients combined with COPD, so as to increase life quality of the silicosis patient and lower the mortality rate.]]> 2018/8/31 16:02:31 YE Shao-se， BAI Mei 731true ［Abstract］　Objective　To investigate the factors affecting the clinical application of the Asthma Control Test（ACT） table.Methods　One hundred and twenty-six asthma patients with first diagnosis in a 3 A grade hospital from May 2008 to November 2009 were selected.The patient′s general situation were recorded and patients were guided to use the ACT table，and the application condition of ACT table and influencing factors were analyzed after three months.Results　Twenty-eight patients can not regularly use the ACT table,which included twelve patients with uncontrolled asthma.Eighty-eight patients can regularly use the ACT table,which included seven patients with uncontrolled asthma.Conclusion　The influencing factors included irregular work and rest, economic pressures and non-asthmatic family members.Individualized guidance should be applied to improve the effect of using the ACT table.]]> 2018/8/31 16:02:31 FANG Gui-ju, XUE Qing, DENG Xin-yu 730true ［Abstract］　Objective　To explore the clinical diagnostic value of serum levels of CA199 and CEA in malignant tumors of digestive system. Methods　Serum levels of CA199 and CEA were detected by radioimmunoassay in 29 patients with gastric carcinoma,41 patients with gallbladder carcinoma,12 patients with pancreatic carcinoma, 20 patients with colorectal carcinoma.Another 35 healthy subjects were served as controls.Results　Serum levels of CA199 and CEA in all patients with malignant tumors were significantly higher than those in normal controls.Conclusion　 Serum CA199 and CEA are good marks in diagnosing malignant tumors of digestive system.]]> 2018/8/31 16:02:31 LI Xiao -yan,CHEN Zhuo-lin 729true ［Abstract］　Objective　To investigate clinical applications of the imaging technology of 64-slice spiral CT coronary angiography (MSCTA) and the impact factors of image quality.Methods　Evaluation of clinical application was performed and the factors affecting image quality were analyed in one hundred patients underwent 64-slice spiral CT coronary angiography, including thirteen patients received coronary artery stent implantation review, three patients received coronary artery by pass grafting review.Results　Thirty-five patients showed normal image, sixty-five patients with coronary artery showed different levels of calcified plaque and stenosis, including ten patients with heart rate greater than 80 beats/min or respiratory control bad showed poor image quality and ladder-like artifacts appearance, eleven patients were suspected as the myocardial bridge, and three patients after coronary artery bypass grafts showed good bridge, thirteen patients after coronary stent implantation showed stent lumen patency, no significant stenosis phenomenon.Conclusion　64-slice CT coronary angiography with high image quality can be used as screening tools for coronary artery disease and the preferred review method of postoperative coronary artery.Image quality was affected by heart rate,respiratory control and contrast application and so on.]]> 2018/8/31 16:02:31 WANG Zuo-quan，GUAN Xiao-hui, LI Chuan 728true ［Abstract］　Objective　To discuss the ultrasonic feature of the carcinoma of head of pancreas and the value of ultrasound B in diagonosing carcinoma of head of pancreas.Methods　Thirty-eight cases suspected to have the carcinoma of head of the pancreas were given ultrasound B and CT scan respectively,the results were judged by pathology. In addition,compared to CT,the value of ultrasound B in diagnosing carcinoma of head of pancreas was analyzed.Results　Twenty-eight of 38 cases suspected to have carcinoma of head of the pancreas were verified by pathology, ultrasound B found 21 cases with the diagnostic rate of 75.0%. CT uncovered 24 cases with the diagnostic rate of 85.7%. Compared with CT,ultrasound B had no significant difference statistically in exposing liver metastasis, the infiltration in retroperitoneal lymphadenectasis,dilated choledoch and hepaticopancreatic duct,et al.Conclusion　Ultrasound B and CT were paralleled in diagnosis of carcinoma of head of pancreas.]]> 2018/8/31 16:02:31 LIANG Ping 727true ［Abstract］　Objective　To observe effectiveness of transnasal 70° endoscopic surgery of aspergillus mycetomas of the maxillary sinus. Methods　Forty patients were treated with 0° endoscopic surgical procedure(A group), forty patients were treated with 70° endoscopic surgical procedure(B group). One year after surgery,pediatric rhinolarynx electronic video endoscope was used to examined all patients so as to identify whether there was mycotic concretion existing in the maxillary sinuses. Results　All surgical ostia were well open. Mycotic concretion was observed in 9 of A group and 1 of B group, respectively (χ²=7.31， P<0.01). Conclusion　Endonasal middle meatus antrostomy under 70° endoscopic surgical procedure is a safe, reliable and effective methods to treat fungus ball in maxillary sinus, better than 0°endoscopic surgical procedure.]]> 2018/8/31 16:02:31 XU Cheng-li, LIANG Jian-ping, LU Qiu-tian,et al. 726true ［Abstract］　Objective　To analyze the clinical effect of ligustrazine in the treatment of chronic pulmonary heart disease.Methods　All patients received foundation therapeutic measure,the treatment group （36 cases） was treated with ligustrazine;the control group （36 cases） was treated with digitalis and nitroglycerin etc.Results　The treatment group′s total effective rate was 88.9%, the control group′s total effective rate was 69.4%, therapentic effect in the treatment group was better than that in the control group( P<0.05).Conclusion　Ligustrazine can improve the blood microcirculation of patients with chronic pulmonary heart disease,lower pulmonary hypertension, and improve cardiorespiatory function.]]> 2018/8/31 16:02:31 QIN Li-ren 725true ［Abstract］　Objective　To evaluate the value of clinical application of the three dimensional (3D) and multiplanar reconstruction (MPR) with multislice spiral CT (MSCT) in skull and maxillofacial fracture.Methods　Twenty-eight cases of facial fractures were examined with spiral CT and performed MPR,SSDreconstrucion in work-station.Results　3D(SSD) images provided the importment information for defining fracture location,type,scopte,and so on.Conclusion　MSCT MPR imaging in combination with 3D imaging is of high value in diagnosis and treatment of skull and dmaxillofacial fracture.]]> 2018/8/31 16:02:31 TANG Yi-bing， HUANG Yu，LIANG Zhen 724true ［Abstract］　Objective　To evaluate the therapeutic effects of nonivasive bi-level positive airway pressure(BiPAP) ventilation for acute left heart failure. Methods　First 30 patients with acute left heart failure received general treatments and then received BiPAP ventilation. Before and after the treatment, the blood gas index, blood pressure(BP), heart rate (HR) and breathing rate(RR) were recorded. Results　RR and HR were significantly lower and PaO₂ and SaO₂ were significantly higher after the BiPAP ventilation (P<0.01). The total effective rate was 80%. Conclusion　Noninvasive BiPAP ventilation combined with traditional treatment has a good therapeutic effect for the patients with acute left heart failure.]]> 2018/7/16 16:35:42 YUAN Shuai 723true ［Abstract］　Objective　To explore the high-frequency sonographic features of pigmented villonodular synovitis (PVNS). Methods　High-frequency ultrasound were applied to observing 9 patients with pigmented villonodular synovitis, and thier ultrasound images were contrasted to the results of surgery and pathology. Results　The synovium in the pathological changing parts in 9 patients could be seen thickening in varying degrees, showing diffuse tuberous lumps or forming substantial masses of irregular shapes. Among these patients, 6 patients were observed rich blood flow signals in the thickening synovium. Conclusion　Sonographic manifestation of pigmented villonodular synovitis has certain features, yet the final diagnosis shall rely on biopsy or surgery.]]> 2018/7/16 16:35:42 HUANG Pei-jun, NING Hui-wei 722true ［Abstract］　Objective　To explore the causes of cervical endometriosis after loop electrosurgical excision procedure (LEEP) and to provide the theoretical basis and clinical evidence of cervical endometriosis after LEEP. Methods　The clinical data of 25 cases of cervical endometriosis after LEEP were retrospectively analyzed. Results　The occurrence of 25 cases of cervical endometriosis after LEEP was related to many factors, such as advancing of postoperative menstrual cycle, improper operation timing, lengthening of bleeding time due to postoperative decrustation, wound infection and so on. Conclusion　Proper operation timing, standardized operation procedure and strengthening postoperative nursing can reduce and prevent the incidence of cervical endometriosis and improve the success rate of LEEP.]]> 2018/7/16 16:35:42 ZHOU Ying-hui,WU Yuan-yuan 721true ［Abstract］　Objective　To investigate the diagnosis and treatment of traumatic splenic rupture and improve the level of rescue and treatment. Methods　The clinical data, treatment methods and effects of 46 patients with traumatic rupture were retrospectively analyzed. Results　Forty-six patients were diagnosed clearly by clinical and laboratory examinations; 3 patients were cured by conservative treatment, 5 patients underwent splenic repair; 3 patients underwent partial splenectomy, 29 patients underwent whole splenectomy plus autologous spleen transplantation, 6 patients underwent whole splenectomy alone. 45 patients were cured (97.83%) and 1 patient died (2.17%). Conclusion　Detailed history, careful physical examination, peritoneocentesis repeatedly and ultrasonic diagnosis can increase the diagnosis rate of splenic rupture. It is necessary to choose the treatment methods rationally according to the degree of splenic injury and clinical manifestations. Surgical treatment is the main treatment method and the whole splenectomy plus autologous spleen transplantation is the main surgery pattern of traumatic splenic rupture in primary hospital.]]> 2018/7/16 16:35:42 LI Kai-xuan,LU Fu-ming,LIAO Yong-feng 720true ［Abstract］　Objective　To analyse the therapeutic effect of emergency surgery for appendiceal abscess. Methods　The clinical data of 65 patients received appendix removed emergency and celiac drainage because of appendiceal abscess were retrospectively analyzed. Results　Sixty-two patients underwent regular one-time removal of the appendix, celiac flush and celiac drainage. The appendixes among three of them can′ t not be found because of appendix autolysis and necrotic tissue had to be removed and celiac drainage, after the joint use of anti-infection treatment and general supportive therapy, except 4 patients′ incision healed secondarily, others healed primarily, all recovered after they were in hospital for 7～24 days, no complications such as residual end fistula, obstruction and abdominal abscess happend. Conclusion　Appendix removed emergency and celiac drainage because of appendiceal abscess are the positive, reliable and safe treatments. Remove the focus early, keep drainage unblocked, use antibiotics reasonably, the patients who suffer from appendiceal abscess can be healed one-time.]]> 2018/7/16 16:35:42 XIAO Yuan-chao 719true ［Abstract］　Objective　To evaluate the rationality in administration of methylphenidate hydrochloride tablets for child patients in health hospital for women and children. Methods　Two hundred and seventy-eight prescriptions of methylphenidate hydrochloride tablets in out patient clinic of our hospital from June to December 2010 were counted. A analysis of gender, age, medication frequency and the use condition was performed. Defined daily dose (DDD) and drug use index (DUI) were designated as indexes for statistics, analysis and evaluation. Results　The proportion of male and female children received the prescriptions of methylphenidate hydrochloride tablets in our hospital was 4∶1. In all the prescriptions, 70.00% was for 7 to 10 year old children. The methylphenidate hydrochloride was given once in morning or once in morning and midday, respectively. The DUI value was 0.81. Conclusion　The use of methylphenidate hydrochloride tablets in our hospital was essentially reasonable.]]> 2018/7/16 16:35:42 LIU Fu, ZHAO Jian-jiang 718true ［摘要］　目的　了解门诊性病高危妇女的性病感染情况。方法　对门诊500名性病高危妇女进行临床及实验室筛检。结果　500名高危性病妇女中检出淋病63例，尖锐湿疣53例，衣原体感染46例，滴虫性阴道炎26例，霉菌性阴道炎22例，双重性病感染者34例。结论　对门诊性病高危妇女进行筛检，能早预防、早发现、早治疗。]]> 2018/7/16 16:35:42 李日兰 717true ［Abstract］　Objective　To explore the etiology and prehospital emergency measures of patients with coma. Methods　The clinical data of 463 patients with coma received prehospital emergency provided by our emergency department were retrospectively analyzed. Results　The most common reason of coma in 463 patients was cerebrovascular accident. The second was poisoning, serious trauma, metabolic disease, cardiovascular disease. After prehospital care, improved effect was found in 180 patients (38.9%), stable in 236 patients (51.0%), deteriorating in 29 patients (6.3%), death on-site in 13 patients, death on the way in 5 patients, the mortality was 3.9%. Conclusion　The key to improve rescue success rate of patients with coma is judge the coma cause quickly and accurately, and implement the efficient first-aid measures timely.]]> 2018/7/16 16:35:42 ZENG Yu, ZHAO Kai-liang, MAI Quan-yun 716true ［Abstract］　Objective　To explore the therapeutic effect of small bone window craniotomy in the treatment of patients with hypertensive intracerebral hemorrhage. Methods　Evacuation of hematoma were performed by small bone window craniotomy under CT orientation in 36 patients with hypertensive intracerebral hemorrhage. Activity of daily living(ADL) was used for evaluating the therapeutic effect three months after operation. Results　Evaluated by ADL, ADL GradeⅠwas found in 7 patients, Grade Ⅱ in 9 patients, Grade Ⅲ in 10 patients, Grade Ⅳ in 4 patients, GradeⅤin 3 patients, 3 patients died. The good recovery rate was 72.2%(26/36). Conclusion　The small bone window craniotomy is a simple and effective therapeutic method in the treatment of patients with hypertensive intracerebral hemorrhage.]]> 2018/7/16 16:35:42 CHEN Yong-wei 715true ［Abstract］　Objective　To evaluate the effects of CO₂ laser in the treatment of filiform warts. Methods　One hundred and eighty cases of filiform warts were randomly divided into two groups. The treatment group (n=95) received the treatment of CO₂ laser. The control group (n=85) received the treatment of liquid nitrogen. The effects were observed after 4 weeks. Results　The cure rate of the treatment group (97.89%), was higher than that (82.35%) of the control group(P<0.05). The rate of adverse reaction in the treatment group (2.1%), was lower than that (41.18%) in the control group (P<0.05). Conclusion　CO₂ laser therapy is an effective and safe method for the treatment of filiform warts, with better effect than the treatment of liquid nitrogen.It is worthy of clinical generalizing.]]> 2018/7/16 16:35:42 WEN Jing,MEI Ce-fang 714true ［Abstract］　Objective　To investigate therapeutic effects of artifical hip arthroplasty in the treatment of elderly patients with femoral neck fractures. Methods　From August 2004 to May 2009, 15 elderly patients(over 65 years of age) with femoral neck fractures were treated by artifical femoral head arthroplasty (10 patients) and total hip arthroplasty (5 patients). Results　Fifteen patients were fellowed up for 4～22 months, with an average of 8.5 months. All patients were restored to normal activities in 3～4 weeks. According to Harris hip score standard: excellent effect were achieved in 9 patients, good in 5 patients, fair in 1 patient, no poor patients was found; the excellent and good rate was 93.3%. Conclusion　Artificial hip arthroplasty in the treatment of elderly patients with femoral neck fracture is safe and effective way, it can early restore patients′, activities and improve patients′, quality of life. The reasonable peroperative treatment is the key to gain success.]]> 2018/7/16 16:35:42 ZHAN Shi-bin, DONG Wei, ZI Tian-lai 713true ［Abstract］　Objective　To study the effect of duloxetine in treatment of patients with somatization disorder. Methods　Eighty-two patients with somatization disorder were treated with duloxetine 20～40 mg/d for weeks. The clinical effect and side effects was assessed by SCL-90 and TESS respectively. Results　At the end of 6 weeks of treatment, the responsive rate was 84. 7%. All item scores of SCL-90 decreased(P<0. 05) and its side effects were less. Conclusion　Duloxetine is effective in the treatment of patients with somatization disorder and its side effects were less.]]> 2018/7/16 16:36:20 ZHOU Gang-zhu 712true ［Abstract］　Objective　To explore the value and limitation of ultrasonography in the diagnosis of fetal deformities. Methods　The clinical data of 22 fetues with deforminities were retrospectively analyzed and the ultrasonographic characteristics of fetuses with deformities that were diagnosed by prenatal ultrasonography were analyzed. Results　Among 22 fetuses with deformities, single deformity were found in 15 fetuses(68. 2%), complex deformities in 3 fetuses(13. 6%), mutiple deformities in 4 fetuses(18. 2%). The deformities in 22 fetuses were proved by clinical examination after natural birth or by outopsies after induced abortion. Among 22 fetuses with deformities, the deformities were diagnosed by prenatal ultrasonography in 19 fetuses, the ultrasonographic diagnosis rate was 86. 4%; the deformities were not detected by prenatal ultrasonography in 3 fetuses, the ultrasonography missed diagnosis rate was 13. 6%. Conclusion　The development status of feta organs can be visualized by ultrasonography. Ultrasonography can not only detect the presence of fetal deformities, but also can indicate the variety of deformities. It has important value in the diagnosis of fetal deformities, but there are also limitations in its clinical use.]]> 2018/7/16 16:36:20 LI Yu-qiong 711true ［Abstract］　Objective　To summarized the experience of diagnosis and surgical treatment of Boerhaave syndrome, reduce death rate. Methods　From Feb. 1990 to Dec. 2010, seven patients were diagnosed as hydropneumothorax or pyopneumothorax in primary hospital, and all patients were performed thoracic closed drainage in primary hospital. After the patients were transferred to our hospital, all patients received continued thoracic closed drainage. According to the history, signs and character of drainage liquid, Boerhaave syndrome was initially considered, then Boerhaave syndrome were identified by emergency chest CT, e-gastroscopy examination and the drainage liquid stained blue after oral blue. Managements after diagnosis included of fasting, gastrointestinal decompression, antibiotics, nutritional support, correct water-electrolyte disturbance and maintain acid-base balance in all patients. Six patients received emergency operation and one patient received continued thoracic closed drainage and supportive therapy. Results　In six patients who received emergency operations the operations were successful. No postoperative complications such as pneumonia, atelectasis, empyema, esophageal fistula, respiratory failure and heart failure occurred. Postoprative X-ray examination showed lung expansion were better. One patient who received conservative therapy died of septic shock on 5 days after onset. Conclusion　Making a diagnosis as soon as possible, early closed thoracic drainage, thotacic surgical repair in timely, postoperative adequate drainage and nutritional support, all these are the key to improve cure rate.]]> 2018/7/16 16:36:20 HUANG Xi-feng, WEI Ming, LIAO Yong, et al. 710true ［Abstract］　Objective　To summarize the experience in diagnosis and treatment of adult congenital choledochal cyst. Methods　Clinical data of 9 patients with adult congenital choledochal cyst treated in our hospital from 2002 to 2009 were analyzed retrospectively. Results　All patients were female, cholangitis was found in 7 patients, jaundice in 5 patients and carcinogenesis in one patient. Ultrasonic examination and CT scan examination were performed in all patients. All of the patients were diagnosed correctly before operation. The main procedure was excision of choledochal cyst combined with internal drainage. All patients were discharged from hospital after operation. The follow up of two years showed there was on patient with stone recurrance in all patients. One patient with carcinogenesis died of extensive matestasis of tumor two years after operation. Conclusion　Cyst excision with Roux-en-Y hepaticojejunostomy is recommended as the treatment choice for adult congenital choledochal cyst.]]> 2018/7/16 16:36:20 LIU Jie, YANG Jing-hong, YUAN Shen-guan, et al. 709true ［Abstract］　Objective　To explore the treatment schemes of cervical pregnancy. Methods　Seven cases of cervical pregnancy were retrospectly analyzed which were treated in our centre for the last ten years. Results　In all of 7 cases of cervical pregnancy, 4 cases were treated with cervix scratching, MTX and Mifepristone. 3 cases were exterminated the embryo under B ultrasound guidance. The therapeutic effects in 7 cases were satisfacty. Conclusion　Early diagnosing and selecting propriety methods to treat the cervical pregnancy can obtain the good outcomes.]]> 2018/7/16 16:36:20 MO Lu,TAN Da-xian,WANG Juan,et al. 708true ［Abstract］　Objective　To research the pregnancy outcomes of intrahepatic cholestasis of pregnancy （ICP）. Methods　The pregnancy outcomes of 32 ICP（study group）and 70 cases whithout ICP（control group）were analysed. Results　Premature, neonatal asphyxia and mortality rate in study group were increased significantly compared with control group (all P<0. 01）. There was significant difference in incidence of premature rupture of membrane, the postpartum hemorrhage, caesarean operation between the two groups (all P<0. 01）. Conclusion　The main pregnancy outcomes were the increase of the premature delivery rates, caesarean operation, neonatal asphyxia rates and the mortality rates.]]> 2018/7/16 16:36:20 HU Mei-xiu, LUO Yan-hong 707true ［Abstract］　Objective　To explore the clinical characteristics and the experiences of diagnosis and treatment of disseminated intravascular coagulation (DIC). Methods　Clinical and laboratory data of 35 patients with DIC in our hospital from January 2007 to May 2010 were retrospectively analyzed. Results　In 35 patients with DIC, 22 patients were cured, 13 patients died. The patients with different primary disease had different clinical characteristics. Conclusion　The treatment for primary disease is the key to successful therapy； early detecting DIC routine indices and early treating are very important for managing the patients with DIC through integrated therapy.]]> 2018/7/16 16:36:20 HUANG Xiao-chun，LI Xiao-feng，QIN Li-juan 706true ［Abstract］　Objective　To observe efficacy of gan aluminum hydroxyl combined with quadruple therapy (proton pump inhibitor, bismuth potassium citrate, furazolidone and amoxicillin) in the treatment of recurrent peptic ulcer. Methods　Eighty-four patients with recurrent peptic ulcer were randomly divided into treatment and control groups who were willing to receive the gan hydroxyl aluminum combined with quadruple therapy or quadruple therapy respectively, the total course of treatment was 14 days. Results　In the end of treatment, the total effective rate was 97. 6% in the treatment group, the total effective rate was 88. 4% in control group. There is no statistically significant difference between two groups (P>0. 05), but in the treatment group, the number of days of symptoms resolved was less than the control group (P<0. 05). In negative rates of both Helicobacter pylori and ulcer healing rates there were no significant differences between two groups (P>0. 05). Conclusion　The gan hydroxyl aluminum combined with quadruple therapy and quadruple therapy in the treatment of recurrent peptic ulcer are safe and effective, but the gan hydroxyl aluminum combined with quadruple therapy is faster in relieving symptoms, and has better compliance. It is a better solution for treating recurrent peptic ulcer.]]> 2018/7/16 16:36:20 CHI Gui-chun 705true ［Abstract］　Objective　To observe the therapeatic effect of the eliminating phlegm and removing blood stasis method combined with routine western medicine treatment in the treatment of acute cerebral infarction. Methods　One hundred patients with acute cerebral infarction were randomly divided into two groups. The control group (50 patients ) received routine western medicine treatment; the treatment group (50 patients) were treated with the eliminating phlegm and removing blood stasis method on the basis of routine western medicine treatment. The clinical therapeutic effect and hemorheology changes in two groups were observed. Results　In the treatment group, 8 patients were cured; marked effect were found in 27 patients; effectiveness in 15 patients; no effect in 2 patients; the total effeetive rate was 96%. In the control group, 4 patients were cured; marked effect in 18 patients; effectiveness in 21 patients; no effect in 5 patients; the total effect rate was 90%. There was a significant statistical difference in the therapentic effect between two groups (P<0. 05). In the treatment group, there were significant statistical difference in whole blood viscosity (high shear, low shear), plasma viscosity and plasma fibrinogen before and after treatment (P<0. 05). After treatment, there were significant statistical difference in above indexes between the two groups (P<0. 05). Conclusion　The eliminating phlegm and removing blood stasis method in the treatment of patients with acute cerebral infarction has a good therapeutic effect. It can decrease blood viscosity, improve blood rheologic property, improve cerebral blood supply and contribute to recovery of neural function.]]> 2018/7/16 16:36:20 LI Ding-feng 704true ［Abstract］　Objective　To investigate the risk factors of nosocomial infection in elderly patients with diabetes. Methods　The condition and the risk factors of nosocomial infections of elclerly patients with diabetes hospitalized in our hospital from january 2009 to january 2011 were retrospectively analyzed. Results　32 of 153 (20. 92%) elderly patients with diabetes had nosocomial infection. The main infection sites were respiratory tract and lungs（37. 5%）, secondly were urinary tract (28. 13%). The main risk factors included old ages (≥60 years), long duration of hospitalization, too high blood glucose, complications of diabetes and massive use of broad spectrum antibitic drugs. Conclusion　The elderly patients with diabetes have a higher rate of nosocomial infection and its treatment and prevention should be strengthened.]]> 2018/7/16 16:36:20 HUANG Hua-yan 703true ［Abstract］　Objective　To investigate the risk factors causing delayed traumatic intracranial hematoma (DTICH) in the non-operative area after craniotomy for craniocerebral trauma. Methods　The clinical data of 21 patients with DTICH in the non-operative area, which occurred after craniotomy for craniocerebral trauma, were retrospectively analysed. Results　The patients of this group constituted 7. 5% of the patients undergoing craniotomy for craniocerebral trauma during the corresponding period. Eighty-six percent of the patients were accompanied with cerebral contusion-laceration, 58. 6% with skull fracture. The blood volumes of the primarily traumatic intracranial hematomas occurring before the first operation were larger, averaging 56. 4 ml. A bony flap was removed from the skull for decompression and the conventional extracranial drainage was performed in 69% of the patients after the operation. DTICH in the non-operative area, including chiefly extradural hematomas, cerebral contusion-laceration, mixed intracerebral and extradural hematomas, were discovered within 72 h after the operation. All the patients with postoperative DTICH underwent a second craniotomy to eliminate the hematoma. After the operation, 5 patients recovered well, 5 were disabled moderately and 6 seriously, 5 died (23. 8%). Conclusion　Cerebral contusion-laceration and skull fracture are the reason about DTICH in the non-operative area. The sharply decreased intracranial pressure resulting from craniotomy for craniocerebral trauma is a major risk factor of DTICH occurring after the operation.]]> 2018/7/16 16:36:20 WEI Fei-wen，CHEN Jiang 702true ［Abstract］　Objective　To compare the influence of incision closing and pressing hemostasis on the recovery of the surgical injured area of tonsilla after tonsillectomy in children. Methods　A total of 68 randomly selected chronic tonsillitis children were studied. Of them, 34 were managed with incision closing after tonsillectomy, while the others were treated with routine pressing hemostasis. Parameters analyzed include volume of bleeding, formation of pseudomembrane, tumescence and congestion of the palatine arch and uvula, empyema of incision, diet after operation. Results　The influence of incision closing on the recovery of the surgical injured area of tonsilla is less than that of routine pressing hemostasis after tonsillectomy in children (P<0. 05). Conclusion　Incision closing of the surgical injured area after tonsillectomy of children has fewer complications and favors the recovery of surgical injured area of tonsilla.]]> 2018/7/16 16:36:20 WEN Li-hui, YANG Zheng-guang, HUANG Bo, et al. 701true ［Abstract］　Objective　To investigate the efficacy of bilateral craniotomy in the treatment of severe brain injury. Methods　A retrospective analysis of the clinical data of 41 patients with severe brain injury treated by bilateral craniotomy was performed. Results　Of them, good effect were obtained in 14 patients, moderate disability in 12 patients, severe disability in 3 patients, vegetative survival in 2 patients and 10 patients died. Conclusion　Bilateral craniotomy is an effective therapeutic method for severe brain injury.]]> 2018/7/16 16:36:20 HUANG Hang，CHEN Xing-you，CHEN Yu-hua,et al. 700true ［Abstract］　Objective　To study the clinical characteristics of patients with liver abscess complicated by diabetes mellitus (LA-DM). Methods　Clinical data of 85 patients with LA-DM and 66 patients with LA were reviewed. Results　Age of the LA-DM was significantly higher than that of LA group(P<0. 05); LA-DM often was found in type 2 diabetes, the level of serum potassium and albumen in LA-DM group were lower than those in LA group(P<0. 05). The incidence of symptomy of C. N. S, circulatory system, digestive system, MODS and mortality in LA-DM group were higher than those in LA group (P<0. 01). Conclusion　LA-DM often appears in type 2 diabetes, has features of hyper-consumption, has conspicuous clinical manifestation of gastrointestinal tract or center nervous system, circulatory system and poor prognosis.]]> 2018/7/16 16:36:20 HUANG Yu,LIANG Hua-sheng 699true ［Abstract］　Objective　To explore the operability of theoretical teaching of the “action-oriented” approach. Methods　Students majoring in nursing from 5 classes of Grade 2009 were randomly divided into observation group and control group which learning the nursing of the respiratory and circulatory system diseases in medical nursing classes. The observation group was taught with the teaching method of synchronous subgroup learning in different sections and the control group was still taught in the traditional teaching mode. After the mid-term examination, the two groups′ results were statistically analyzed. Results　The results of the observation group were significantly better than that of the control group (P <0. 05). Conclusion　The method can both develop the students′ initiative and help to complete the syllabus. As a result, it can be one of the most operable teaching methods of the action-oriented approach.]]> 2018/7/16 16:36:20 HUANG Yi-gang，YANG Hua-liang，HE Jian-zhong，et al. 698true ［Abstract］　Objective　To explore the treatment and prognosis of patients with severe craniocerebral injury combined with multiple trauma.Methods　The data of 33 patients with severe craniocerebral injury combined with multiple trauma were analyzed retrospectively.Results　After treatment,22 patients survived and the survived rate was 66.7%;11 patients died and the mortality rate was 33.3%.Based on GOS score of 6 months after treatment,in 22 survived patients,good recovery were found in 8 patients (36.4%); moderate disability in 5 patients (22.7%);severe disability in 6 patients (27.3%);vegetative state in 2 patients (9.1%);one patients died (4.5%).Conclusion　The mortality rate and the disability rate is high in the patients with severe craniocerebral injury combined with multiple trauma.Eealy diagnosis,timely treatment,correctly handling the life-threatening associated injuries,maintaining the function of important organs,postoperative intensive care and prevention of complications should play an important role in successful treatment and prognostic improvement of patients with severe craniocerebral injury combined with multiple trauma.]]> 2018/7/16 16:37:43 HE Shen-liu,XIE Nai-shen 697true ［Abstract］　Objective　To observe the clinical therapeutic effect and safety of small dose oral evythromycin in the treatment of premature infants with feeding intolerance.Methods　Fifty-six premature infants with feeding intolerance who needed feeding by nasogastric tube hospitalized in our newborn ward were randomly divided into two groups :the treatment growp(n=28) and the control growp(n=28).The premature infants in both groups were fed with the same premature infants formula milk by nasogastric tube and received parenteral nutrition. On the basis of above treatment, The premature infants in the treatment gronp were treated with small dose oral erythromycin （3～5 mg/kg^-1·d^-1）.Results　The treatment group was superior to the control group in the therapeutic effect and the total effective rate (all P<0.01).Conclusion　Small dose oral erythromycin in the treatment of premature infants with feeding intolerance has the advantages of exact therapeutic effect, convenient administration,small dose, short course of treatment,no obvious side effects,and so on, and is worthy of promotion and application in clinics.]]> 2018/7/16 16:37:43 LIN Mei-hua 696true ［Abstract］　Objective　To explore the effect and complication of treating distal radial fracture by locking plate internal fixation through palmar approach.Methods　The clinical data of 45 patients with distal radial fracture treated by locking plate internal fixation through palmar approach in our hospital form 2004 to 2010 were retrospectively analyzed and compared including healing time of fracture, reset loss, internal fixation failure, wrist activity recovery, tendon injuries incidence, incidence rates of carpal tunnel syndrome and complex local pain syndrome.Results　Forty-five patients had fracture healing among 5～8 months. Of them,complication of carpal tunnel syndrome was found in one patient, thumb long flexor tendon injury in one patient, stretching tendons injury in 2 patients, internal fixation failure in 2 patients, and local pain syndrome in one patient. tendon rupture did not be found in all patients. According to the wrist joint function standards of Werley and Garland scoring: excellent effect were found in 26 patients, good in 12 patients, fair in 4 patients, poor in 3 patients.Conclusion　Locking plate internal fixation through palmar approach is an effective way for treating distal radial fracture. Incorrect operation can lead to the occurrence of complications, and proper and timely treatment is the main measures to avoid or reduce the accurence of complications.]]> 2018/7/16 16:37:43 YUAN Wei-qing 695true ［Abstract］　Objective　To observe the clinical effect on mycoplasma and chlamydia infectious chronic prostatitis treated with the combination of wu wei xiaoduyin with azithromycin.Methods　Sixty patients were randomly divided into the treated group and the control group. The control group was treated with azithromycin, and the treated group was treated with the combination of wu wei xiaoduyin with azithromycin. Curative effect was compared between two groups.Results　The curative effect of the treated group was better than that of control group (P<0.05), and the total effective rates (100.00%) of the treated group was higher than that of the control group (66.7%,P<0.05).Conclusion　The combined treatment of traditional Chinese medicine and western medicine is very effective in treating mycoplasma and chlamydia infectious prostatitis.]]> 2018/7/16 16:37:43 MAO Sheng-fu 694true ［Abstract］　Objective　To observe the effects of metoprolol and ginkgo leaf capsule in treating chronic congestive heart failure（CHF）. Methods　Sixty CHF patients were treated with metoprolol and ginkgo leaf capsule besides conventional therapy. The initial does of metoprolol was 6.25 g, twice a day, then does increased 12.5 mg every week. Cardiac functional indices were determined and analyzed before therapy and 3 months and 6 months after therapy.Results　Patients′ heart function was obviously improved. The overall response rate was 86.67%. Time limits of 6 min walking test was increased compared with the time before treatment (P<0.05). Heart rate and blood pressure was falling obviously (P<0.01 or P<0.05). And it is easy to take and be accepted by patients with less complications.Conclusion　Metoprolol and ginkgo leaf capsule can greatly improve CHF patients′ cardiac function. It is a simple, safe method and worth of spreading.]]> 2018/7/16 16:37:43 WEI Yang 693true ［Abstract］　Objective　To explore the effect and security of arthroscopic debridements combined with postoperation cold compress and herb fumigation in the treatment of osteoarthritis of the knee.Methods　Eighty-seven patients with early and middle osteoarthritis of the knee in our hospital were selected from May 2007 to July 2010. After arthroscopic debridements the hyaluronic acid injection, medical device cold compress, herb fumigation and continuous passive motion(CPM) were used for rehabititation treatment and among these patients 73 patients were followed up for 0.5 to 2.5 years, mean follow up time was 1.5 years.Results　Among the 73 follow-up patients, 41 patients were cured and 17 patients had markedly effect, 13 patients effective, 2 patients invalid, The fine rate was 82.2%.Conclusion　Arthroscopic debridements combined with postoperation cold compress and herb fumigation is effective method of the treatment of osteoarthritis of the knee.]]> 2018/7/16 16:37:43 QIN Xin，YANG Wen-Bin，WEI Guo-ping，et al. 692true ［Abstract］　Objective　To study the effects of treatment of lumbar disc herniation by smallincision surgery.Methods　One hundred and six patients with lumbar disc herniation were treated by removal of nucleus pulposus of smallincisional fenestration,undercutting laminectomy and neurolysis of nerve roots.Results　Ninety -five patients were followed up for 6～23 months.The good and excellent rate of the operation was 95.8%.Excellent effect was found in 83 patients，good in 8,fair in 4.Conclusion　The effects of lumbar disc herniation treated by smallincisionl fenestration and undercutting laminectomy is confirmed with little trauma and the method have the value for expansion and application.]]> 2018/7/16 16:37:43 MO Jing-mu, MA Zhi-fang, WEI Qing,et al. 691true ［Abstract］　Objective　To investigate the conditions of female genital mycoplasma infection and drug resistance to guide clinical rational drug use. Methods　From October 2009 to October 2010 the culture of genital mycoplasma and its antimicrobial susceptibility test were performed in 188 female patients with myoplasma PCR positive.Results　From 188 specimens mycoplasma were detected in 97 specimens, the positive rate was 51.59%.The results of antimicrobial susceptibility test showed: that the sensitivity of female reproductive tract mycoplasma to clarithromycin and doxycycline was the most high, followed by josamycin and minocycline. The resistance of mycoplasma to levofloxacin and ciprofloxacinesd was high.Conclusion　Female genital mycoplasma infection commonly caused by Uu, then by Uu plus Mh,the culture of female genital mycoplasma and drug susceptibility test is very important for guiding clinical medication.]]> 2018/7/16 16:37:43 LONG Xu-hua 690true ［Abstract］　Objective　To explore the clinical efficacy and safety of the amoxicillin/sulbactam combined with ammonia bromine cable in the treatment of chronic bronchitis.Methods　According to the sequence of trentment,78 patients with chronic asthmatic bronchitis were randomly divided into observation group(n=39) and control group (n=39). The observation group was treated by amoxicillin/sulbactam combined with ammonia bromine cable,the control group was treated by amoxicillin/sulbactam.The treatment course was 14 days.The changes of symptoms and signs after treatment between two groups were compared.Results　The observation group was superior to the control group in improvement of asthma, cough and disappearance time of lungs rales.Conclusion　Amoxicillin/sulbactam combined with ammonia bromine cable in the treatment of chronic bronchitis can quickly and effectively relieve symptoms and its efficacy is obvious.]]> 2018/7/16 16:37:43 ZENG Shao-ming 689true ［Abstract］　Objective　To investigate the status of prophylactic use of antimicrobials for type Ⅰ incision operation in perioperative period.Methods　Use of antimicrobials of 179 patients received type Ⅰ incision operation sampled randomly was investigated in respect of the choice of drugs，dosage and administration，medication time，course of treatment，and drug combination ect.Results　In 179 patients, irrational use of antimicrobials were found in 67 cases, accounted for 37.4%；of which，the irrational choice of drugs accounted for 13.4%， the irrational medication time accounted for 12.3%，incomplete progress note accounted for 7.8%，irrational dosage and administration accounted for 2.8%，irrational drug combination accounted for 1.1%.Conclusion　Prophylactic use of antimicrobials for type Ⅰ incision operation in perioperative period is improved in our hospital. But it is necessary to further strengthen the management of antimicrobials.]]> 2018/7/16 16:37:43 LEI Yu，HUANG Tian-wen，PAN Wen，et al. 688true ［Abstract］　Objective　To explore the couses of complications in CT-guided percuaneous lung biopsy and its methods in prevention and treatment.Methods　In order to determine the complication, the whole course scanning tracking was performed in 180 patients undergoing CT-guided percutaneous lung biopsy in whole period of percutaneous lung biopsy.Results　Of 180 patients undergoing percutaneous lung biopsy, the complitions were found in 45 patients, the incidence was 25% (45/180). Of them pneumothorax were found in 27 patients,accounted for 60% of complicaion (27/45); pulmonary hemorhage were found in 18 patients, accounted for 40% complications (18/45).Conclusion　In order to reduce the incidence of complications in CT-guided porcutaneous lung biopsy, it is necessary to strictly master the indications and contraindications of this biopsy.]]> 2018/7/16 16:37:43 WANG Zuo-quan 687true ［摘要］　目的　探讨糖皮质激素治疗急性前葡萄膜炎的临床效果。方法　对52例(84眼)急性前葡萄膜炎行糖皮质激素滴眼治疗，观察治疗后病情恢复、视力、眼压及其他并发症的情况。结果　糖皮质激素滴眼治疗后病情得到有效控制，并发症少，治愈39例（62眼），好转9例（15眼），无效4例（7眼），治疗前、后视力比较差异有统计学意义（P<0.05）。结论　采用糖皮质激素滴眼治疗急性前葡萄膜炎能有效地减少视力降低的发生，该项技术操作简单、临床效果确切。]]> 2018/7/16 16:37:43 梁大全 686true ［Abstract］　Objective　To investigate the etiology,clinical characteristics,preventive measures and treatment of pancreatitis after biliary tract surgery.Methods　The clinical data of 12 patients with pancreatitis after biliary tract surgery in our hospital from October 2007 to March 2010 were analyzed retrospectively.Results　Twelve patients received non-surgical treatment and there was no death patient in 12 patients. The average hospital stay was (34±11) days and the longest hospital staye was 86 days.Four patients appeared repeated attack,of them 1 patient appeared condition deferment, and was complicated by electrolyte disorder and re-feeding syndrome.Conclusion　Patients with pancreatitis after biliary tract surgery have various clinical manifestations,and easily appear repeated attack. The importance of treating this disease depends on prophylaxis,early diagnosis and timely treatment.]]> 2018/7/31 15:05:07 SHEN Bo-ming,Zhou Li-xin,YU Wei-jun 685true ［Abstract］　Objective　To explore the clinical character of symptomatic epilepsy secondary to acute cerebrovascular disease. Methods　The incidence, way, time and clinical therapeutic effects of symptomatic epilepsy secondary to acute cerebrovascular disease in 841 acute cerebrovascular disease patients with no epileptic history and confirmed by cranial CT scan were retrospectively analyzed. Results　The incidence of secondary epilepsy following acute cerebrovascular disease was 11.65%(98/841). The epilepsy seizures were relevant to lesion site. The patients whose lesions of acute cerebrovascular disease located in or near cortex were more likely to suffer secondary epilepsy. The patients whose epilepsy seizures occurred in a half year after acute cerebrovascular attack accounted for 73.46%(72/98). Among 98 patients in this study, reappearance of epilepsy seizures were found in 3 patients. Conclusion　Acute cerebrovascular disease is a cause of symptomatic epilepsy. Most of patients mentioned above have secondary epilepsy seizures in a half year after acute cerebrovascular attack and epilepsy is the first symptom in some patients.]]> 2018/7/31 15:05:07 XU Yuan-sheng 684true ［Abstract］　Objective　To discuss the value of ultrasound diagnosis in clincal trearment of uterus incision poor healing after cesarean section.Methods　The data of the ultrasonic images and clinical treatment in 14 cases of uterus incision poor healing treated in our hospital from March 2003 to June 2009 were restrospeatively analyzed.Results　Uterus incision poor healing after cesarean sectioin had characteristic ulrasonic images.It can provide guidance for clinical treatment.Conclusion　Ultraonic scan can diagnose acurately uterus incision poor healing after cesarean section,and provide important basis for clinical treatmen.]]> 2018/7/31 15:05:07 LIU Liang-hua, LI Dong-mei, LIANG Gu-ling 683true ［Abstract］　Objective　To explore the methods of prevention and treatment of complications after repair of skull defects.Methods　The occurrence of postoperative complications in 43 patients with skull defects undergoing repair of skull defects in our hospital from Februay 2000 to December 2010 were retrospectively analyzed.Results　In 29 patients with skull defects repaired with titanium mesh, the postoperative complications were found in 2 patients; in 3 patients with skull defects repaired with autogenous skull bone, the postoperative complications was found in 1 patievt; in 11 patients with skull defects repaired with silica gel, the postoperafive complications were found in 3 patients.Conclusion　In order to reduce the incidence of postoperative complications and improve the success rate of treatment, it is necessary to strictly master the indications and contraindications of repair of skull defects and reasonably choose the repair materials.]]> 2018/7/31 15:05:07 LI Jian 682true ［Abstract］　Objective　To evaluate the value of multi-slice CT (MS-CT) in the diagnosis of atypical acute appendicitis.Methods　Eighteen patients with atypical acute appendicitis underwent CT scan, plus CT enhanced scan in 5 patients. The original cross-sectional CT images were reconstructed with MPR, CPR.Results　In the 18 patients with atypical acute appendicitis, CT scan showed: 11 patients (61%) were simple acute appendicitis; 4 patients(22%) were acute appendicitis with periappendicular inflammation; 2 patients (11%) were acute appendicitis with periappendicular abscesses； 1 patient(6%) was suspected to be acute appendicitis. Conclusion　MS-CT scan has significant value in the diagnosis of acute appendicitis that have atypical clinical features and its complications.]]> 2018/7/31 15:05:07 HUANG Ze-he,ZHONG De-jun,LIU Liu-heng,et al. 681true ［Abstract］　Objective　To improve the knowledge of the clinical X-ray features of tracheobronchial laceration and evaluate the application value of X-ray examination in the earlier diagnosis of tracheobronchial laceration.Methods　A retrospective analysis of the clinical and radiological features of 16 patients with tracheobronchial laceration was performed.All patients received operation and bronchofiberscope.Results　All tracheobronchial laceration in 16 patients were induced by trauma.The main clinical manifestations inclued varying degree of chest pain in 11 patients,dyspnea in 9 patients,cyanosis in 6 patients,cough in 8 patients,hemoptysis in 5 patients.The main radiographic findings of tracheobronchial laceration included pneumothorax or together with pleural effusion in 13 patients,pneumomediastinum and subcutaneous emphysema in 9 patients,interrupted trachea- bronchial air column in 5 patients,lung atrophy or atelectasis in 13 patients,lung atrophy or atelectasis showed “lung falling sign” in 6 patients.Conclusion　The combination of clinical manifestation with X-ray findings has important value in improving the early diagnosis accuracy rate of the patients with tracheobronchial laceration.]]> 2018/7/31 15:05:07 QIN Yong-ping, FENG Xie-ping, LIANG Hui-ming 680true ［Abstract］　Objective　To conclude common issues in fine needle aspiration cytological examination and the factors that might cause the issue as well as solution.Methods　The clinical data, cell smear, and data of cytology and histopathology of 3,300 cases of superficial tumor in Guangxi People′s Hospital and Qinzhou 2nd People′s Hospital were retrospctirely analyzed from May 2005 to September 2010.Results　Puncture failure were found in 38 cases, poor smear quality in 19 cases, misdiagnosis in 10 cases, missed diagnosis (false negative) in 37 cases, needle syncope in 5 cases, swelling pin hole or hematoma in 3 cases.Conclusion　There might be some issues in the fine needle aspiration cytology, but the negative influence can be minimized by taking proper solutions and remedial measures.]]> 2018/7/31 15:05:07 LAN li, YE Jian -bo, HUANG Mo -huan,et al. 679true ［Abstract］　Objective　To study the influences of two years′ insertion of intrauterine devices(IUD) on menstruation.Methods　A questionnaire investigation and physical examination were performed in 112 women who received IUD,and the menstruation were compared before and after inserting IUD for 2 years.Results　After inserting IUD, the menstruation cycle shortened（Z=-2.115，P<0.05）, but there were no changes in menstrual period and menstrual blood loss（P>0.05）, and no significant improvement in dysmenorrhea（P>0.05）.Conclusion　IUD had no effect on menstruation except menstrual cycle in childbearing-age women.]]> 2018/7/31 15:05:07 MO Yong-ning 678true ［Abstract］　Objective　To explore an anesthesia method of safety, effective, small side-effects and good analgesic effects for termination of early pregnancies. Methods　Induced abortions were performed in ninety voluntary women in early pregnancies. Results　The analgesia was satisfaction, cervix relaxation was good, vital signs were stable and with a low incidence of abortion syndrome. Conclusion　Propofol combined with sufentanil in induced abortions is a safe, reliable, simple, and analgesic effect exact method, which can be widely used in clinical practices.]]> 2018/7/31 15:05:07 YANG Fu-gui 677true ［Abstract］　Objective　To explore the etiology,and the methods of diagnosis and treatment of drug-induced esophngitis in the elderly people.Methods　The clinical data of 21 elderly patients with drug-induced esophagitis were retrospectively analyzed.Results　The patients had taken varidus drugs and there was a clear correlation between the incidence of disease and the drugs. The patients were cured after proper treatment.Conclusion　The incorrect method of taking medicine and physiological changes of the elderly people is the main causes of drug-induced esophagitis in the elderly people.]]> 2018/7/31 15:05:07 BAI Wei-min 676true ［Abstract］　Objective　To study the clinical conditions and the measures of prevention and treatment of complications of very low birth weight infants. Methods　The clinical date of 45 very low birth weight infants (including 3 extremely low birth weight infants) hospitalized in our hospital from January 2008 to October 2010 were retrospectively analyzed. Results　In 45 cases very low and extremely low birth weight infants, the complication rate was 100%, with a total of 175 case-times of complications and an average of 3.89 case-times. The top five conplicaing were in order of hypoproteinemia (28 cases: 62.22%), hyperbilirubinemia ( 25 cases:55.55%), hypoglycemia (24 cases:53.33%), anemia (23 cases: 51.11%), hyaline membrane disease (14 cases:31.11%). Two or more complications were found in 43 cases accounted for 95.55%. The incidence of 1, 2, 3, 4, 5, 6, 7, 8 complication were 4.44%, 24.44%, 13.33%, 20%, 20% 11.11%, 4.44%, 2.22% respectively; in 45 very low birth weight infants 34 survived, the survival rate was 75.56%, 2 cases died. Nine cases gave up treatment who died within one or two days after giving up the treatment, the mortality was 24.44 %. In 11 dead cases hyaline membrane disease were found in 9 cases (81.82%). Conclusion　The life skills of very low birth weight infants is low, with more complications, and high mortality. The main cases of death is hyaline membrane disease. The prevention of hyaline membrane disease is expected to reduce the mortality of very low birth weight infants.]]> 2018/8/1 8:23:53 DUAN Jie-hua 675true ［Abstract］　Objective　To observe the clinical efficacy of lactulose in treaing endotoxemia in patients with hepatic cirrhosis due to hepatitis B.Methods　Seventy patients with hepatic cirrhosis due to hepatitis B were randomly divided into the treated group(n=35) and the control group(n=35). Patients in the control group received conventional treatments for 20 days. Besides conventional treatments, patients in the treated group received lactulose for 20 days.Results　In the treated group, the improvement rate of endotoxemia was 85.7%,significantly better than the control group 45.6% （χ²=10.94, P<0.01）. Serum endotoxin, ALT、AST and TBIL were all lower in the treated group than those in the control group (P<0.05 or P<0.01).Conclusion　Lacunose can decrease the level of serum endotoxin. Lactulose is significant effective in the treatment of endotoxemia in patients with hepatic cirrhosis due to hepatitis B, and better than the control group.]]> 2018/8/1 8:23:53 XU Hong, LI Cheng, JIN Shui-zhong 674true ［Abstract］　Objective　To evaluate the effects on removal of intrauterine foreign bodies by hysteroscope.Methods　Twelve cases of intrauterine foreign bodies which led to sterility, abnormity hemorrhage of vagina and bellyache were analyzed on removing of the intrauterine foreign bodies.Results　Uterine foreign bodies were successfully removed by hysteroscope.Conclusion　In diagnosis and treatment of intrauterine foreign bodies, hysteroscope has advantages such as definite diagnosis, accurate positioning, safety, credibility and less trauma, and can be used for the first choice method.]]> 2018/8/1 8:23:53 MO Lu,LIN Xiu,TAN Da-xian 673true ［Abstract］　Objective　To investigate the efficacy and safety of dinoprostone for cervical ripening and inducing labor in full term pregnancies.Methods　In the prospective, randomized, controlled study, ninety pregnant women with single cephalic term pregnancies (Bishop score 3～5) were divided randomly into dinoprostone group (n=45, treated with dinoprostone) and oxytocin group (n=45, treated with oxytocin).Results　The Bishop score in the dinoprostone group was significantly higher and the parturient time, time of ruptured membranes, labor duration were significantly shorter than those in the oxytocin group at 12 h after treatment. The success rate of labor induction was 77.78% in the dinoprostone group, which was significantly higher than 33.33% in the oxytocin group.Conclusion　Dinoprostone is a safe and effective agent for cervical ripening and inducing labor, and worthy of spreading in clinical practice.]]> 2018/8/1 8:23:53 ZHANG Gui-ping, SU Xiao-rong, HONG Hong 672true ［Abstract］　Objective　To explore the effective treatment of severe thoracic trauma and its complicated trauma. Methods　The treatment measures in 60 patients with thoracic trauma were analyzed rethropectively. Results　In all of the 60 patients,57 patients were cured，3 patients died(2 patients died from hemorrhagic shock, 1 patient died from acute renal failure). Conclusion　The severe thoracic trauma and its complicated trauma should be diagnosed early and treated immediately. Effective anti-shock treatment，early operation，and protection of visceral functions are the most important measures to guarantee the success of the treatment.]]> 2018/8/1 8:23:53 YANG Xun-jun, DENG Yu-jiang, ZHOU Man-xin, et al. 671true ［Abstract］　Objective　To expore the best treatment methods for peritonsillar abscess in the abscess attack.Methods　A retrospective analysis was performed surgical procedure on and postoperative treatment of peritonsillar abscess in abscess attack in 116 patients.Results　No complication was found in 116 patients and all patients were cured after tonsillectomy.Conclusion　Tonsillectomy can quickly relieve pain of patients in peritonsillar abscess attack.Because the abscess incision and drainage and the tonsillectomy were performed at the same time, so save time and cost of hospitalization of patients.]]> 2018/8/1 8:23:53 WANG Xuan-sheng, JIANG Hong-tao, JIA Ling-qiang 670true ［Abstract］　Objective　To observe the theraperutic effect of ¹³¹Iodine (¹³¹I) on Graves disease without withdrawal of anti-thyroid drugs (ATD), and to determine the corresponding clinical efficacy, indications and value.Methods　Seventy-five patients with Graves disease under the treatment of ATD were divided into two groups randomly, observation group (n=28) received ¹³¹I treatment without withdrawal of ATD; control group (n=47) received ¹³¹I treatment after 2 ～ 4 weeks of withdrawal of ATD.The therapeutic efficacy was determined at the end of six months after the treatment of ¹³¹I.Results　In observation group the cure rate was 17.9%; inefficiency rate was 32.1%, improved rate was 35.7%. In control group the cure rate was 59.6%; inefficiency rate was 10.6%; improvement rate was 19.1%. The clinical efficiency in observation group was worse than the control group (P <0.05). The side effect rate showed no significant difference between the two groups (P>0.05). Conclusion　Although the administration of ¹³¹I without withdrawal of ATD resulted in poor efficacy in the treatment of Graves disease, but this method still can alleviate the severity of Graves disease, which could provide the opportunity for further treatment.This method could be applied in severe cases which are not suitable for withdrawal of ATD.]]> 2018/8/1 8:23:53 TANG Zhen-wu,HUANG Jiang-he 669true ［Abstract］　Objective　To observe the effects of peritoned lavage with hydrogen peroxide by McBurney incision in treatment of patients with acute purulent gangrenous appendicitis.Methods　One hundred and twelve patients with acute purulent, gangrenous appendicitis underwent the operation by McBurney incision.The operating table was tilted 15 to 30 degrees, and to the right down respectively, with the oval clamp the abdominal drainage tube was placed in the pelvic cavity, left middle position of abdominal cavity and the left right side recess of the liver and kidney,then 1.5% hydrogen peroxide (3% hydrogen peroxide stock solution was diluted with equivalent volume of saline） was infused from the drainage tube into abdominal savity for the peritoneal lavage,and the efficacy was evaluated.Results　The average hospital stay was 8 days, wound infection was found in 2 cases, wound liquefaction in 1 case, no abdominal residual abscess, portal vein infection, sepsis and diaphragm stimulation symptoms were found.No dead case was found.Conclusion　The effect of peritoneal lavage with hydrogen peroxide by McBurney incision in the treatment of patients with acute purulent,ganrenous appendicitis is effective. This method has advantages such less damage, little pain,and is worthy of clinical application.]]> 2018/8/1 8:23:53 LUO Qi-jun,XIAO Yuan-chao,QIN Kai-chong 668true ［Abstract］　Objective　To explore the clinical therapentic effect of low dose of intravenous immune globulin (LDIVIG) combined with methylprednisolone in the treatment of refractory immunologic thrombocytopenic purpura(RITP).Methods　Twenty inpatients with RITP,who did not respand to hormone therapy and splenectomy,were trented with intravenous drip of LDIVIG 0.1 g·kg^-1·d^-1 and oral administration of methylprednisolone tablets for 5 days,the blood pletelet count were recorded and the clinical manifestation of mucosal and visceal hemorrhage were observed before and affer treatment.Results　The symptoms of hemorrhage disappeared 72 hours afler treatment,of them marked effect were found in 6 patients,good effect in 4 patients,improvement effect in 2 patients,no effect in 8 patients.The total effective rate was 60%.Conclusion　The therapentic effect of LDIVIG combined with methylprednisolone in the treatment of RITP is significant.This therpy can quickly reduce symptom of hemorrhage,and is an effective way to treat RITP.]]> 2018/8/1 8:23:53 SU Shi-yong 667true ［Abstract］　Objective　To expore the effect and clinical application of anterior decompression， autologous bone graft fusion and titanium plate internal fixation for treatment of thoracolumbar vertebral burst fracture. Methods　Twelve cases of thoracolumbar vertebral burst fracture were trested with anterior decompression， internal fixation and fusion by the same operative approach. Results　All the 12 patients were followed up for 6 to 36 months， all patients obtained intervertebral bane fusion. There was no patient got exacerbation of the nerve symptom, 6 patients obtained obvious improvement of the function of the nerves. Conclusion　Anterior decompression， tutologous bone graft fusion and titanium plate internal fixation is a effective way to cure thoracolumbar vertebral burst fractures.]]> 2018/8/1 8:23:53 HUANG Shun-yong, GUO An-ming, QIN Sheng-ming, et al. 666true ［Abstract］　Objective　To investigate the condition of nosocomial infection in patients with cerebrovascular accident in order to take precautionary measures to prevent nosocomial infections.Methods　The condition of nosocomial infections in 751 hospitalized patients with cerebrovascular accidents from January 2010 to December 2010 were retrospectively analgzed.Results　There were 54 case-times of nosocomial infection in 751 patrents and infection rate was 7.19%, of which the lower respiratory nosocomial infections ranked in the first position. There were 20 case-times,accounted for 37.03%. There were 12 case-times of upper respiratory nosocomial infections, accounted for 22.22%. There were 9 case-times of urinary infections, accounted for 16.67%. There were 8 case-times of oral infections, accounted for 14.82%. There were 3 case-times of gastrointestinal infections, accounted for 5.56%.There were 2 case-times of other infections, accounted for 3.70%.Conclusion　It is necessary to strengthen the basic nursing on patients with cerebral vascular accident, and rationally use antibterial drugs to prevent the occurrence of nosocomial infections.]]> 2018/8/1 8:23:53 WEI Shu-Long 665true ［Abstract］　Objective　To observe the clinical efficacy of facial acne vulgaris treated with intrgrated bateri qiwei wan and jianghuang xiaocuo chaji.Methods　The patients were divided into the treatment group and the control group randomly. The patients of the control group were treated with jianghuang xiaocuo chaji for 4 consecutive weeks. The treatment group were treated with intrgrated bateri qiwei wan and jianghuang xiaocuo chaji.Results　The effective rate of treatment group and the control group were 92.9% and 76.2% respectively.The two groups had statistically significant differences (P<0.05). The effect of treatment group was higher than that of the control group.Conclusion　Intrgrated bateri qiwei wan and jianghuang xiaocuo chaji can significantly improve efficacy in the treatment of facial acne vulgaris.]]> 2018/8/1 9:43:06 WEN Wu-jian 664true ［Abstract］　Objective　To summarize the experience of surgical treatment of pleural empyema in infants.Methods　The clinical data of 21 infants with pleural empyema undergone surgical operation in our hospital from January 2005 to August 2010 were retrospectively analyzed.Results　All of the infants received surgical operation; 5 patients underwent pulmonary wedge resection, 3 patients underwent lobectomy. Smooth recovery were achieved in all patients; No perioperative death and complication occurred.Conclusion　Surgical operation is an effective method for pleural empyema in infants.]]> 2018/8/1 9:43:06 LUO Yu-zhong, HE Wei, ZHOU Hua-fu, et al. 663true ［Abstract］　Objective　To compare the effect of section of common bile duct and calculus remove plus left lateral lobectomy of liver with that of section of section of common bile duct and calculus remove only in the treatment of patients with intra- and extra-hepatic multiple bile duct calculi.Methods　The clinical data of 91 patients with intra- and extra-hepatic multiple bile duct calculi were restrospectively analyzed. These patients were divided into two groups and treated by two methods of surgical treatment in the same period. A group (48 patients) were treated by section of common bile duct and calculus remove,left lateral lobectomy of liver and drainge with T-tube; B group (43 patients) were treated by section of common bile duct,calculus remove and drainge with T-tube.The rate of residual calculus and the relapse rate of calculus after surgical treatment were analyzed.Results　The operations in two groups were successfully completed. The rate of residual calculus after surgical treatment and the relapse rate of calculus within two years after surgical treatment were 29.2% and 12.5% respectively in A group,69.7% and 39.5% respectively in B group.The rate of residual calculus and the relapse rate of calculus after surgical treatment in A group were lower than those in B group (P<0.05﹚.Conclusion　The clinical effect of the section of common bile duct and calculus remove plus left lateral lobectomy of liver in the treatment of patients with intra- and extra-hepatic multiple bile duct calculi is better,its rate of residual calculus and relapse rate of calculus after surgical treatment are lower than those of the section of common bile duct and calculus remove only.]]> 2018/8/1 9:43:06 HUANG Xiao-ting,QIU Hui-mo 662true ［Abstract］　Objective　To evaluate the efficacy of calicecotomy combined with pneumatic lithotripsy in the treatment of patients with complex huge staghorn renal calculi.Methods　The clinical data of 9 patients with complex huge staghorn renal calculi were retrospectively analyzed.Results　The stones were removed at one time in 7 patients, residual stones were found in 2 patients, the intraoperative bleeding was less, the operative time was shorter, the surgical procedure was simple, the result of IVP reexamination after operation showed the renal images of patients were significantly improved.Conclusion　This operative method has advantages of higher stone clearance rate,no effect on renal function of patient,less intraoperative bleeding and less complication. It is suitable for the treatment of patients with complex huge staghorn renal calculi.]]> 2018/8/1 9:43:06 MA Yong,HUANG Xian-hong 661true ［Abstract］　Objective　To explore the curative effect of acupotomy in treatment of knee osteoarthritis.Methods　Among 126 patients with knee osteoarthritis, acupotomy was used for releasing soft tissue lesions and then patients were treated by cupping therapy. The therapeutic effects were analyzed.Results　Among 126 patients, 62 patients cured, 51 patients obtained marked effect, 13 patients obtained improved effect, ineffective patient was not found. The total effective was 100%. Conclusion　Treating knee osteoarthritis by acupotomy is evident effective and worth application and popularization.]]> 2018/8/1 9:43:06 PENG Jie 660true ［Abstract］　Objective　To explore the diagnostic ways and treatment methods of various kinds of traumatic soft-tissus foreign bodies.Methods　The diagnosis and the treatment of 162 patients with traumatic soft-tissus foreign bodies were retrospectivery analyzed.Results　Among 95 patients with metallic foreign bodies, the final diagnosis rate was 100% and the successful extraction rate was is 97.9%; but among 67 patients with non-metallic foreign bodies, the final diagnosis rate was 95.5% and the successful extraction rate was 92.5%.Conclusion　The diagnosis of the foreign bodies mainly depends on detailed inquiry, the medical examination, X-ray and ultrasonic examination. The mostly superficial foreign bodies always can be taven out easily, but a few foreign bodies, such as the deep, scatteredand multiple foreign bodies, may be tronblesome.]]> 2018/8/1 9:43:06 ZHOU Li-song, WANG Yi, LIAO Ying,et al. 659true ［Abstract］　Objective　To explore the role ICU in the treatment of severe acute pancreatitis.Methods　The clinical data and experience of 19 patients with severe acute pancreatitis were analyzed retrospectively from January 2008 to May 2010, including 15 patients undergone mechanical ventilator, 4 patients received tracheotomy, 2 patients received blood purification therapy, 6 patients undergone peritoneal drainage.Results　The stay time of 19 patients with severe acute pancreatitis in ICU were 9～20 days, 16 patients transferred to general ward in stable condition after ICU treatment, 1 case died of MOF, 2 cases gave up treatment.Conclusion　Early intervention of ICU can improve the success rate of resuscitation in severe acute pancreatitis.]]> 2018/8/1 9:43:06 QIAN Jun 658true ［Abstract］　Objective　To summarize the causes of the failure of ureteroscopic pneumatic lithotripsy(URSL) treating ureteral calculus and the corresponding countermeasures.Methods　The clinical data of 77 failure cases from 617 cases of ureteral calculus treated by URSL were analyzed retrospectively.Results　The success rate of URSL was 88.3% (581/658) after one-time treatment; 77 cases failed, accounting for 11.7%. Among the failure cases, 2 cases were stricture of ureteral orifice, 23 cases were that ureteroscopy can′t touch the stones because of the tortuous or narrow ureters, and these 25 cases ended with open surgery. And in other 46 cases, stones moved up to pelvis, thus double J was placed, combined with the treatment of ESWL after operation. The remaining 6 cases were ureteral perforation: double J was placed combined with the treatment of ESWL after operation in 4 cases, and open surgery were performd in 2 cases.Conclusion　URSL is an effective treatment for ureteral calculus. Selecting the proper cases before operation, carefully operating during surgery, improving operating technique, combined with other intracavity lithotripsy are the key to boost surgery′s success rate.]]> 2018/8/1 9:43:06 LI Bao-an, HE Chang-hai, ZHAO Qi 657true ［Abstract］　Objective　To evaluate the safety and compplications of renal biopsy.Methods　A retrospective analysis of sampling results and complications of 120 cases undergone renal biopsy was performed.Results　The success rate was 97.5%，the rate of microscopic hematuria was 100%,the rate of gross hematuria was 1.67%, the rate of perinephric hematoma was 41.7%,the rate of postoperative lumbago was 2.5%.Conclusion　Ultrasonic guided renal biopsy technology is a safe, convenient and effective technology.]]> 2018/8/1 9:43:06 SUN Zhi-hua，ZHANG Shu-wei，LIU Lin-wei，et al. 656true ［Abstract］　Objective　To observe the efficacy of two different ways to treat Helicobacter pylori(Hp) infection-associated diseases, in order to find the best solution to eradicate Hp infection.Methods　One hundred and twenty patients with complete Hp were randomly divided into two groups. The control group (60 patients) received using the traditional quadruple therapy (rabeprazole+clarithromycin Su+metronidazole+colloidal bismuth subcitrate) for 7 days, the observation group (60 patients) received quadruple therapy (rabeprazole+amoxicillin+levofloxacin+colloidal bismuth subcitrate) for 7 days. After 4 weeks, ¹³C urease breath test were performed for comparison.Results　Hp eradication rate in the control group was 70.9%, Hp eradication rate in the observation group was 92.9%, the difference of Hp eradication rates between two groups had significant statistical significance (P<0.05).Conclusion　Choosing quadruple therapy (rabeprazole+amoxicillin+levofloxacin+colloidal bismuth subcitrate) can be more effective in eradication of Hp.]]> 2018/8/1 9:43:06 YANG Qi-xu 655true ［Abstract］　Objective　To evaluate the CT features of adrenal tumors so as to improve the accuracy of diagnosis. Methods　CT findings of 53 patients with various adrenal tumors proved by pathological examination and follow up were rotrospetively analyzed. Results　Of 53 cases，23 adenomas tumors were small，low and homogeneous density with slight enhancement； 8 pheochromocytomas were large, inhomogeneous in density and enhanced markedly after contrast administion；5 adenocarcinomas were larger than 7.3 cm in the diameter of the tumor with inhomogeneous in density； 12 metastasis were different in size and inhomogeneous in density； 4 myelolipomas presented low density area of fat contents. One leiomyoma was very difficult for its qualitative diagnosis. Conclusion　Most of adrenal tumors can be correctly diagnosed by comprehensive analysis of CT features and a combinaion of clinical sign with laboratory data.]]> 2018/8/1 9:43:06 LIANG De-ren 654true ［Abstract］　Objective　To evaluate the clinical characteristics and prognosis of children with hand foot-mouth disease (HFMD). Methods　The clinical data of 55 child patients with HFMD from January 2009 to July 2010, including symptoms, signs, blood, liver and kidney function, myocardial enzymes, blood glucose and cerebral spinal fluid(CSF) were colleted. Results　The prognosis of ordinary HFMD was better than severe HFMD. The main damage of severe HFMD is nervous system, followed by the heart. Timely treatment for the severe HFMD can achieve satisfatory with the results. Conclusion　The key to improve the cure rate and reduce mortality of HFMD is early discovery, early diagnosis, and standard treatment.]]> 2018/8/1 9:43:06 MAI Ling-ling, WEN Zhi-hong,DU Hua,et al. 653true ［Abstract］　Objective　To evaluate the effect of locking anatomical plate internal fixation in the treatment of femoral intertrochanteric fractures. Methods　Thirty-two patients with intertrochanteric fractures were treated by locking anatomical plate internal fixation, The efficacy was observed and the method was evaluated. Results　Thirty-two patients were following up for 2 to 18 months, good fracture reduction and internal fixation, bone union were reached in 30 patients, a few callus growth in a patients because of their relatively short treatment time, and no hip varus, no plate or screw fracture and screw pine off in all patients. Conclusion　Locking anatomical plate is an ideal internal fixtures in the treatment of femoral intertrochanteric fracture because of its design to meet anatomical biomechanical features, soild performance,and the dual function of pressure and sliding.]]> 2018/8/1 9:43:06 HUANG Yong-guang,HUANG Ming-tu,LI Pei-hao,et al. 652true ［Abstract］　Objective　To explore the methods and curative effect of treating open tibial fracture.Methods　Twenty-three patients with open tibial fracture were treated by external fixator and axial pattern skin flap.Results　All patients obtained good fracture healing after the operation.Conclusion　Fracture healing rate can be strikingly improved by use of external fixator and axial pattern skin flap in the treatment of open tibial fracture.]]> 2018/8/1 9:43:06 NONG Zeng-bo,ZHAO Li-min,ZHAO Mao-sheng 651true ［Abstract］　Objective　To discuss the feasibility of the development of laparoscopy surgery in basic hospital.Methods　The clinical date of 445 cases of laparoscopic surgery, including the surgery type, the treatment result, doctor′s technology, the experience were summarized.Results　Among 445 cases of laparoscopic surgery, conversion to open surgery were required in 15 cases, operative complication occurred in 6 cases,all cases were cured.Conclusion　It is practical and feasible to develop the laparoscopic surgery in the basic hospital.]]> 2018/8/1 9:43:06 YU Shuang-fu, TIAN Xiao-lin, WANG Hai-peng, et al. 650true ［Abstract］　Objective　To explore the clinical effect of modified anastomosis in arteriovenous fistula operation.Methods　The data of 36 patients received modified anastomosis were retrospectively analyzed,and comparred with the data of 21 patients received common end-to-side anastomosis at the same time.Results　In 36 patients received modified anastomosis, the anastomosis were successfully parformed in all patients at first time, the mean vascular anastomosis time was (15±3）min, the patency rate was 97.2% during a follow-up of 2 years without obviously complications; in 21 patients received common end to side anastomosis one-time anastomosis successful rate were 95.2%. the mean vascular anastomosis was （38±2）min, the patency rate was 85.7% during a follow-up of 2 years and dialysis fistula was occluded 3 patients.Conclusion　The modified anastomosis is a ideal technology,it has adraages of simple operation,short operation time, good effects and few complications, and is suitable for clinical application and promotion.]]> 2018/8/1 9:43:06 YANG Lei, PU Tao, QIU Zhi-cheng,et al. 649true ［Abstract］　Objective　To observe the clinical effect of ultrasond-guided percutaneous nephrostomy in the treatment of urinary tract obstruction due to calculus.Methods　One hundred and ninety-seven patients with renal insufficiency and hydronephrosis due to urinary calculus(unilateral or bilateral) were treated with percutaneous nephrostomy before operation and double-J tube internal drainage. The patients′renal function were checked and urine volume were observed before and 1 week after percutaneous nephrostomy.Results　Compared with Scr，BUN，UA and urine volume in patients before nephrostomy, Scr，BUN，UA in patients significantly decreased,and urine volume significantly increased after nephrostomy (P<0.01).Conclusion　Percutaneous nephrostomy guided by ultrasound can relieve urinary tract obstruction safely and effectively, alleviate kidney′s intracapsular pressure,keep the patients′urine volume,protect the patients′renal function and reduce the Scr，BUN，UA of the patients with renal insufficiency obviously.Percutaneaus nephrostomy is a better method for treating hydronephrosis due to calculus.]]> 2018/8/17 8:09:35 DENG Zhao-yan,CAI Xin-ming,ZHUO Tao,et al. 648true ［Abstract］　Objective　To observe the effect of sulfur ointment combined with hydrocortisone butyrate cream for treatment of children papular urticaria. Methods　One hundred and four patients were divided randomly into treatment group and control group. Fifty patients in treatment group were coated with the mixture of sulfur ointment and hydrocortisone butyrate cream on their skin lesions, three times a day for 6 days. Fifty-four patients in control group were coated with clobetasol cream on their skin lesions, three times a day for 6 days. Results　Two days after treatment, the cure rate and significant efficiency rate in the treatment group and control group were 74.0% and 40.7% respectively, treatment group was significantly higher than control group (χ²=11.70,P<0.01). The cured proportion in treatment group (48.0%) was higher than that in control group (25.9%) with statistical significance (χ²=5.46,P<0.05). The average healing time in treatment group (3.08±1.09 days) was shorter than that in control group (3.78±1.09 days) in which the difference was statistically significant (t=3.66, P<0.01). Conclusion　The effect of sulfur ointment combined with hydrocortisone butyrate cream in the treatment of children papular urticaria is fast and significant, and the course of treatment is short.]]> 2018/8/17 8:09:35 TAO Ping，HUANG Zhi-qiang 647true ［Abstract］　Objective　To investigate the short-term and long-term therapeutic effects of pegylated-interferon α-2a combined with ribavirin in the treatment of chronic hepatitis C.Methods　All patients were randomly divided into two groups. In the treatment group 20 patients were treated with pegylated interferon α-2a 180 μg subcutaneously, 1 time/week, for 48 weeks, combined with oral ribavirin 500 mg tid, followed up for 2 years. In the control group, 18 patients, with injection of IFNa-2b, 300 MU, 3 times/week. Oral ribavirin 500 mg tid. Treatment period lasted 48 weeks.Results　12,24 and 48 weeks after treatment, ALT normalization rate in the treatment group were 45.0%, 80.0%, 95.0% respectively. Those in the control group were 38.90%,61% and 66.7% respectively HCV-RNA negative conversion rates in the control group were 22.2% and 50.0%, 77.8%, those in the treatment group were 25.0%, 70.0% and 80.0% respectively within group comparison showed there were significant differences in the two groups. After 48 weeks, HCV-RNA conversion rate was no significant statistical difference between two groups (P> 0.05). After 48 weeks the ALT normalization rates between treatment group and control group were significantly different (P<0.05).Conclusion　The short-term and long-term therapeutic effects of pegylated-interferon α-2a combined with ribavirin in treating patients with chronic hepatitis C were good. It is better than IFN combined with ribavirin in reducing aminotransferase, treatment convenience and patient compliance is good.]]> 2018/8/17 8:09:35 LUO Xiao-xia 646true ［Abstract］　Objective　To evaluate the effect of combined injection of pinyangmycin and dexamethasone in treatment of hemangiomas in oral and maxillofacial regions.Methods　The clinical data of 104 patients with hemangiomas in oral andmaxillofacial regions were analyzed retrospectively. Pinyangmycin and dexamethasone concurrently were injected into the cavity of the hemangiomas. The injection might be repeated every 5 to 7 days,and this process might be repeated 3 to 5 times.Results　The patients were followed up for 6 to 24 months. The cure were found in 88 case (84.62%),primary cure in case (10.57%),improvement in 5 case (4.81%).There was no ineffective case in this study.Conclusion　This therapy is safe, simple and effective for treatment of hemangiomas in oral and maxillofacial regions.]]> 2018/8/17 8:09:35 MENG Zhen-gen 645true ［Abstract］　Objective　To explore the diagnosis and treatment of congenital omphalomesenteric fistula and complication of intestinal prolapse.Methods　The clinical data of 10 newborn with congenital omphalomesenteric fistula from 1985 to 2009 were retrospectively analyzed. All of them were treated by operation, including 2 cases of complication of intestinal prolapse.Seven cases were selected straight incision next to the right of the umbilicus, 2 cases curved incision under umbilicus, 1 cases fusiform incision around the umbilicus.Results　Nine casas were cured and 1 cases died from suffocation.Conclusion　Congenital omphalomesenteric fistula is rare in clinic and is easy to be misdiagnosed. Should the complications take place, the consequences would can be fatal.Once diagnosed，timely surgery would get a good effect.]]> 2018/8/17 8:09:35 XU Bing, SUN Chuan-cheng, LIU Hu 644true ［Abstract］　Objective　To summary the clinical treatment results in treated children of hemangiom by operation with intestinal clamp.Methods　In operation of 20 of hemamgiomas in children,hemangioma were cut at the base of tumor by intestinal clamp.Results　The hemangiomas were successfully removed in all cases.All cases were cured and discharged from hospital.Conclusion　Application of intestinal clamp in operation of hemangioma in children has advantages such as simple operation and less blooding and is worthy of clinical application.]]> 2018/8/17 8:09:35 LI Xu-gui 643true ［Abstract］　Objective　To summarize imaging characteristics of juvenile cervical vertebropathy, and to evaluate the different imaging methods in its diagnosis. Methods　A retrospective analysis of the imaging features of 87 cases of clinically diagnosed juvenile cervical vertebropathy under age of 30 years seen recently in our hospital was performed. All cases received with X-ray, CT and MRI examinations. Results　The imaging features of juvenile cervical vertebropathy had following characteristics: (1)The change of physiological curve is one of the most common. It mainly presented as over-curvature, hypo-curvature, the straightened cervix, backward curvature, multiple curvatures and other change; (2)instable cervical spine. It mainly presented as displacement, olisthy, and the dual images of the posterior edge of vertebral body or “double contour sign”; (3)Degenerative changes were relatively seldom among juvenile cervical vertebropathy. It mainly presented as intervertebral joint degeneration, ligament calcification, stenosis of foramen intervertebrale, joint space narrowing or formation of osteophyte; (4)Characteristic CT features included disc Herniation, ligament hypertrophy, hypertrophy of the facet joint capsule, hyperplasia of uncovertebral joint; (5)MRI could early find abnormal signal changes of the intervertebral disc degeneration than X-ray and CT. Conclusion　The imaging of juvenile cervical vertebropathy has typical characteristics. The X-ray is the most basic of the examination method, it can find most of abnormal changes of cervical vertebrae. Juvenile cervical vertebropathy were better shown by CT than by plain film; MRI could early find abnormal signal changes of the intervertebral disc degeneration, MRI is of higher vaue for the typing of cervical vertebropathy.]]> 2018/8/17 8:09:35 QIN Yong-ping 642true ［Abstract］　Objective　To compare two temporary restorative materials′ sealability in root canal therapy.Methods　One hundred and fifty-eight patients who needed to do root canal therapy were randomly divided into 2 groups. Their teeth were instrumented and filled with zinc phosphate cement and Cavition temporary restorative ointment respectively. The sealability of two materials were compared in sinple cavity and complex cavity.Results　The success rate of Cavition group was 98.98%, zinc phosphate group cement was 84.34%, the success rate of Cavition group was significant higher than that of zinc phosphate cement group(P<0.01). Conclusion　Cavition temporary restorative ointment shows good sealability. It was an ideal temporary restorative materials.]]> 2018/8/17 8:09:35 FANG Ping,CHEN Yan,WEI Yi, et al. 641true ［Abstract］　Objective　To investigate the clinical characteristics and surgical treatments of the aged patients with lumbar disc herniation (LDH).Methods　The clinical data of the operated 68 patients aged over 60 years old with LDH were retrospectively analyzed. Operation ways were as follows： the nucleus pulposus were extirpated by fenestration in 10 cases， half vertebral lamina resection in 12 cases， resecting half vertebral lamina and inside part of intervertebral joints， expanding lateral recess， decompressing and exploring nerve root canal in 38 cases. Laminectomy and decompression， extirpated nucleus pulposus in 8 cases， 4 of them had lumbar unstability, so did posterior pedicel screw instrumentation and combine bone graft.Results　After follow - up for 6 months to 10 years， the effects were evaluated by Macnab standard.The results showed,excellent effect were obtained in 48 patients， good in 8 patients，fair in 6 patients， and poor in 6 patients. The excellent and good rate was 82.4%.Conclusion　The choice of operation modes such as nucleus pulposus extirpation and half vertebral lamina resection in the elderly with LDH should depend on their clinical characteristics.]]> 2018/8/17 8:09:35 SHI Wei-ye 640true ［Abstract］　Objective　To explore the effects of circumcision in the treatment of redundant prepuce.Methods　In this clinical study, 32 patients received sleeve circumcision of prepuce in the base of penis. The clinical effects were summarized and analyzed.Results　All the operations were successfully performed, there were no major common complication in 32 patients. The operative time and the restoring time were short, the length of removal was appropriate.Conclusion　Treatment of the redundant prepuce through circumcision from the base of penis is a new surgical operation. It has the advantage of slight trauma, mild pain, short operative time, less complication, early recovery and little scar,and is worthy of being widely used in clinical treatment.]]> 2018/8/17 8:09:35 SUN Yi 639true ［Abstract］　Objective　To investigate the effects of the patients / family members in the evaluation of the satisfaction with medical services of clinical medical staff and the patients / family and staffs in the evaluation of the satisfaction with sections′ service quality.Methods　The satisfaction obtained by the patients / family members in the evaluation of service quality of the clinical medical staff during 2008 was used as the control group. Another satisfaction obtained by patients / family and staff in the evaluation of sections′ service quality during 2009 was used as the experimental group. Satisfaction scores were converted. The two kinds of satisfaction were compared in hospital-wide average scores, and the scores were linked with the section′s merit pay.Results　The difference of satisfactions between two evaluation methods was significantly(P<0.01). Satisfaction was significantly higher in the experimental group.Conclusion　The method which evaluated by experimental group is very effective for all sections in improving the quality of service.]]> 2018/8/17 8:09:35 WEI Yang，QIU Hua-min，LIANG Shi-ying 638true ［Abstract］　Objective　To investigate the reasons of iatrogenic ureter and bladder injury and explore right time and method of the operation.Methods　Restrospective analysis of clinical data of patients with iatrogenic ureter and bladder injury from January 1990 to June 2010 was performed.Results　All patients were cured,no complicatin occurred and no death case was found.Conclusion　If the injury before the operation was found,the ureter and bladder injury can be avoiding by reviewed the CT and installing urinary catheter or the stent before operation.]]> 2018/8/17 8:10:44 XU Zu-gang,LUO Qian, LIU Wen-cai, et al. 637true ［Abstract］　Objective　To explore the value of color Doppler flow imaging (CDFI) in the diagnosis and treatment of testicular torsion. Methods　Manifestations of color Doppler ultrasonography in the 42 patients with testicular torsion confirmed by surgery were analyzed.Results　Forty-two patients with testicular torsion detected by ultrasound were all confirmed by surgery, the diagnostic accordance was 100%(42/42). Tests with decreased testicular blood flow and incresed testicular artery blood flow resistance index(RI) in 6 patients (mean 0.91) were alive after manual reduction, with 100% survival rate, suggesting that this characteristics was a reliable indicating of closed reduction. In 8 patients with closed reduction, CDFI showed decreased blood flow in 6 patients and disappeared blood flow in 2 patients, indicating that closed reduction should not just be limited to decreased blood flow with increased RI in this condition. In patients of visiting hospital within 24 h the reduction survival rate was 70%; in patients of visiting hospital after 24 h the reduction survival rate was only 21.43%. In patients with survived testis CDFI review showed survived testicular blood flow returned to normal.Conclusion　Color Doppler ultrasound can accurately determine the degree of torsion and the severity of developmental stage, it has greater guidance significance in diagnosis, choice of surgical approach and postoperative evaluation of therapeutic value and should be regarded as the first choice for testicular torsion examinations.]]> 2018/8/17 8:10:44 DENG Ai-hua 636true ［Abstract］　Objective　To explore the influence of right ventricular outflow tract abnormal muscle band on ultrasound diagnosis of ventricular septal defect, improve the diagnostic level of ultrasoud diagnosis muscular outflow ventricular septal defect. Methods　The data of 11 cases of muscular ouflow ventricular septal defect with right ventricular outflow tract abnormal muscle band were analyzed and the influence of the abnormal muscle band on the diagnosis of the defect was explored. Results　It was easy to find the abnormal muscle band straddling right ventricular outflow tract or leading to stenosis, but it was difficult to diagnosis if the abnormal muscle band did not be straddling. And it will make the error in ultrasound scan if it cover the septal defect. Conclusion　Improving the level of ultraound scan in the diagnosis of the ventricular septal defect with right ventricular outflow tract abnormal muscle band has great value in choosing opportunity and program of surgical treatment.]]> 2018/8/17 8:10:44 LIU Liang-hua, DU Zheng-long, YAN Hua 635true ［Abstract］　Objective　To explore the feasibility and clinical precautions of one-time treatment in children with perianal abscess.Methods　The clinical data of 36 children with perianal abscess undergoing one-time surgery were retrospectively analyzed.Results　All patients were cured by one-time surgery，no serious complications occurred during follow-up period.Conclusion　One-time surgery in the treatment of children with perianal abscess is effective.The understanding of preoperative diagnosis，intraoperative management，and postoperative local care should be strengthened and active treatment should be performed，in order to promote wound healing, and reduce of recurrence，and occurrence of complications.]]> 2018/8/17 8:10:44 LI Yan-hui 634true ［Abstract］　Objective　To explore the clinical application value of tension-free hernia repair in hernia treatment.Methods　The USA company′s hernia ring filling and mesh patch were used for tension-free hernia repair treatment of 100 cases of abdominal hernia.Results　All the cases were healed, and were discharged from hospital after 3～7 days of operation. No recurrence was found during follow up until now.Conclusion　The tension-free hernia repair is a surgical method of quick and painless, lower recurrence rate.]]> 2018/8/17 8:10:44 CHEN Tao, TONG Lin-long, TONG Xian-zhou 633true ［Abstract］　Objective　To summarize the curative effects of patients with paroxysmal supraventricular tachycardia（PSVT） treated by combining verapamil with potassium magnesium aspartate.Methods　The data about 27 patients with PSVT treated by combining verapamil with potassium magnesium aspartate were retrospectively analyzed. Results　After 27 patients were injected and instilled intravenously with verapamil and potassium magnesium aspartate respectively, 25 of them ended tachycardia and were converted to normal sinus rhythm. The successful conversion rate was 92.6%. Most patients ended tachycardia and were converted to normal sinus rhythm in 3 to 15 minutes after the treatment.Conclusion　Combining verapamil with potassium magnesium aspartate to treat patients with PSVT is effective and simple and the result is exact and safe, with high percentage of conversion to normal sinus rhythm and little side effect.]]> 2018/8/17 8:10:44 QIN Yong-min，CHEN Xiu-fang，OU Yan-mian 632true ［Abstract］　Objective　To compare the efficacy of insulin detemir and insulin pump in the treatment of patients with type 2 diabetes mellitus who can not to eat normally.Methods　Forty-five eligible patients were divided into two groups(insulin detemir group and insulin pump group), and were given insulin detemir and insulin pump to control blood sugar, respectively. The time to control blood sugar, the dose of insulin, random blood glucose, the incidence of low blood sugar and the cost were compared after treatment.Results　There are no significantly difference between insulin detemir group and insulin pump group in the dose of insulin, the time to control blood sugar, random blood glucose and the incidence of low blood sugar (P>0.05). The average cost of insulin detemir group was significantly lower than that of insulin pump group（P<0.05）.Conclusion　In patients with type 2 diabetes mellitus who can not to eat normally, the efficacy of insulin detemir was nearly equal to that of insulin pump. However, the cost was significantly lower than insulin pump.]]> 2018/8/17 8:10:44 WU Kun 631true ［Abstract］　Objective　To analyze the typical ECG characteristics of patients with early acute myocardial infarction （AMI）， in order to reduce misdiagnosis and improve level of the diagnosis of AMI. Methods　Atypical ECG was respectively analyzed in 8 patients with early AMI. Results　The atypical ECG was found in patients with the early AMI.ST segment arched like elevation and T wave invertion were found in 3 patients； right chest leads V1～V3 showed a QRS wave of anteroseptal myocardial infarction in 2 patients， Qv3～Qv6 pathological Q wave did not meet the standard, but the depth and width of the Q wave>next lead Q wave，that was Qv3>Qv4, Qv5>Qv6 in 2 patients； V4～V6 lead R-wave showed frustration at starting department or notch >0.5 mm negative wave in one patient. Conclusion　It is necessary to continuously observe the dynamic ECG to suspected AMI， and compare the ECG before and after， if necessary, select the appropriate add-lead tracings to improve the diagnosis rate of AMI.]]> 2018/8/17 8:10:44 MO Zong-qiu 630true ［Abstract］　Objective　To stuty the clinical effects of the surgical treatment of patellar fractures with tension band.Methods　The modified tension band fixation were used for the treatment of 38 cases patellar fractures,including 11 cases of comminuted fracture and their postoperative efficacy were evaluated.Results　Patients were followed up for 6 to 24 months.Of them 34 patients achieved good results.Conclusion　Use of modified tension band in the surgical treatment of patellar fractures including comminuted fracture of patella,has a reliable, good results.]]> 2018/8/17 8:10:44 QIAN Jun, LIN Jian 629true ［Abstract］　Objective　To investigate the imaging features and diagnosis of postpartum posterior reversible encephalopathy syndrome(PRES).Methods　The clinical and imaging data of 4 postpartum PRES patients were analyzed retrospectively. 4 underwent CT, including enhancement scanning(2 cases).Results　PRES occurred between 3 days and 28 days after partum. The lesions involved two sides fronto-apical lobe and end-lobe in 1 case, left fronto-apical lobe in 1case, two sides apical lobe in 2 cases.The lesions appeared mainly as low density in alba on CT, the hemorrhage by the side of longitudinal sinus adjacent to lesions or sporadic hemorrhage in lesions occurred in 2 cases.Two patients′ follow-up scan showed decreased or disappear of abnormal signals.Two cases enhancement scanning showed no enhanced lesions.Conclusion　Postpartum PRES has certain clinic and imaging characteristis. Early diacrisis can improve the prognosis of PRES.]]> 2018/8/17 8:10:44 WEI Hong-xing，SU Guang-lin 628true ［Abstract］　Objective　Study the effect of the functional uterine bleeding treated by nourishing kidney tonifying qi, strenthening the spleen and stomach, and eliminating stasis. Methods　Eighty-two cases of functional uterine bleeding were treated by nourishing kidney tonifying qi and strenthening the spleen and stomach and eliminating stasis, orally taking a dose of Chinese herbal medicine everyday in the days of bleeding and treated by nourishing kidney and tonifying qi after stop-bleeding, orally taking a dose of Chinese herbal medicine everyday for 1～3 menstrual cycle. Results　Of observed 82 cases, 56 cases were cured (cure rate was 68.3%), marked effect was found in 17 cases (marked rate was 20.7%), effective result in 6 cases (effective rate was 7.3%), no effect in 3 cases (noneffective rate was 3.7%), the total effective rate was 96.7%. Conclusion　The effect of the functional uterine bleeding treated by nourishing kidney, tonifying qi, strenthening the spleen and stomach, stop bleeding and eliminating stasis is marked.]]> 2018/8/17 8:10:44 GAO Ning 627true ［Abstract］　Objective　To understand the condition of prevalence of metabolic syndrome in administrative cardres of county, town and village, and provide a basis for the preventive health care of administrative cardres.Methods　The indicators of health physical examination of administrative cardres of county, town and village from May to July 2010 were compared. Their prevalence of metabolic syndrome was analyzed.Results　The investigation of prevalence of the metabolic syndrome of administrative cardres in county, town and village showed there was a statistically differences between different genders (P<0.01),a statistically differences between different ages (P<0.01),and a statistically differences between different administrative levels (P<0.01).Conclusion　The prevalence of metabolic syndrome in administrative cardres and the elderly was higher than that other areas. Therefore health education should be strengthened, lifestyles should timely be changed and drug intervention should timely be performed.]]> 2018/8/17 8:10:44 ZHAO Ying-yi,LAO Ju-hong,MA Qian 626true ［Abstract］　Objective　To observe the effects of tropisetron combined with dexamethasone in the prevention and treatment of nausea and vomiting caused by epidural morphine analgesia after cesarean section.Methods　Three hundred and twenty patients undergoing cesarean section under the combined spinal-epidural anesthesia were randomly divided into 4 groups：received intravenous injection of physiological saline 4 ml at closing peritoneum during operation as group Ⅰ，5 mg of tropisetron as group Ⅱ，10 mg of dexamethasone as group Ⅲ and 10 mg dexamethasone plus 5 mg of tropisetron as group Ⅳ.All patients received epidural morphine analgesia after operation. The result of analgesia，nausea and vomiting of patients within 48 hours after operation were observed.Results　There was no distinct difference in analgesia results between the groups.The occurring rate of nausea and vomiting in group Ⅰ was obviously higher than that in group Ⅱ and Ⅲ (P<0.05)； while compared occurring rate of nausea and vomiting in group Ⅳ with that of group Ⅰ the difference was distinct(P<0.01)；with that of group Ⅱ and Ⅲ the difference was distinct (P<0.05).Conclusion　Tropisetron combined with dexamethasone can more effectively reduce the incidence nausea and vomiting caused by epidural morphine analgesia after cesarean section than individual use.It is worthy of clinical popularization and application.]]> 2018/8/17 8:12:31 TAN Wen-hao，HUANG Qing，LU Bin-tang 625true ［Abstract］　Objective　To observe the clinical curative effect of phentolamine and dopamine in the treatment of child pneumonia combined with heart failure.Methods　Fifty children with pneumonia combined with heart failure were randomly divided into the treatment group (25 cases) and the control group (25 cases).The control group received the conventional treatment;the treatment group received intravenous drip of phentolamine and dopamine on the basis of above treatment.The curative effect between two groups were compared.Results　The obvious effective rate in the treatment group （80.0%) was higher than that in the control group(32.0%)（χ²=11.69,P<0.01）;the total effective rate in the treatment group ( 96.0%) was higher than that in the control group (72.0%)（χ²=4.46， P<0.05）. Conclusion　Phentolamine and dopamine in the treatment of child pneumonia combined with heart failure may reduce the heart afterload，distinctly improve heart function， and raise the rescue success rate.]]> 2018/8/17 8:12:31 QIU Shi-jiang 624true ［Abstract］　Objective　To observe the changes of brainstem auditory function in neonates with hyperbilirubinemia.Methods　The brainstem auditory evoked potential (BAEP) were determined in 350 neonates with hyperbilirubinemia without obvious symptom.Results　In 350 neonates with hyperbilirubinemia, the abnormal rate of BAEP was 55.14%.The abnormal changes of wave Ⅲ and wave Ⅴ were more than others.Conclusion　Brainstem auditory function could be damaged in neonates with hyperbilirubinemia without obvious symptom and determination of BAEP may play an important role in the valuation of brainstem auditory function in neonates with hyperbilirubinemia without obvious symptom.]]> 2018/8/17 8:12:31 LING Xiu-ming 623true ［Abstract］　Objective　To observe the clinical effects of yupingfeng capsule in the treatment of ¹³¹I odine (¹³¹I) induced early-onset hypothyroidism.Methods　One hundred and forty-five cases of ¹³¹I induced early-onset hypothyroidism were separated randomly into the treatment group and the control group.The treatment group (83 cases) was treated by yupingfeng capsule plus levothyroxine sodium tablets (euthyrox), the control group (62 cases) was treated by simple euthyrox tablets, all patients were treated for three months;the effects were observed 1 month after drug.Results　In the treatment group,the curative rate was 65.1%, improvement rate was 16.9%, total effective rate was 81.9%.In the control group,the curative rate was 51.6%, improvement rate was 11.3%, total effective rate was 62.9%.The difference in total effective between two groups was statistically significant (P<0.01).Conclusion　The therapeutic effect of yupingfeng capsule plus euthyrox tablets in the treatment of ¹³¹I induced early-onset hypothyroidism is better than that of simple enthyrox tablets.]]> 2018/8/17 8:12:31 TANG Zhen-wu 622true ［Abstract］　Objective　To understand the application condition and trend of antihypertensive drugs in outpatient prescriptions.Methods　The prescriptions within three days were monthly extracted from January 2008 to December 2009 for counting and analyzing the types and the application frequency of antihypertensive drugs.Results　Angiotensin 1-conversing enzyme inhibitors,calcium antagonists,beta blockers were runked in the first three places in constituent ratio respectively. Conclusion　The application of antihypertensive drugs in our hospital is basically reasonable,and the application of long-term antihypertensive drugs is a trend of clinical medicines.]]> 2018/8/17 8:12:31 HE Shu-hua 621true ［Abstract］　Objective　To investigate the feature of hospital infection in the inpatients and provide reference for preventing and controlling infections occurring in hospital.Methods　The clinical data involving 28 865 patients who were hospitalized in our hospital from 2007 to 2009 were retrospectively analyzed.Results　The hospital infection of 659 cases were found,the hospital infection rate was 2.28%; the most rate happened in department of hematologic oncology（5.35%）; the most infection site was lower respiratory tract(44.21%) and the main cause of infection was gram-negative bacilli（68.48%）.Conclusion　Supervision and management should be strengthened, and effective measures in accordance with related factors should be taken, so as to reduce the infection rate in hospitals.]]> 2018/8/17 8:12:31 LI Jing 620true ［Abstract］　Objective　To study the method and effect of closed replacement and one-way krischner wire in the treatment of children with humerus supraccondylar fracture.Methods　One hundred and twenty-six children with humerus supracondylar fracture treated in our hospital from 1999 to 2008 were retrospectively analyzed.These patients were treated by closed replacement and one-way kirschner wire under brachial plerus anesthesia plus intravenous combined auesthesis and simple perspective. The follow up time ranged from 6～13 months.Results　The bone healing were obtained in all patients. The average healing time was 6.5 weeks. The curative effect evaluation was performed on the basis of the Dodgt′s standard, excellent effect were obtained in 89 patients,good in 34 patients, 3 patients were transferred to surgery for further treatment.Conclusion　The closed replacement plus one-way kirschner wire internal fixation in treatment of humerus supracondylar fracture has advantages such as less damage, reliable internal fixation, shorter hospital time, scarless healing of elbow and so on.]]> 2018/8/17 8:12:31 LI Jia-li 619true ［Abstract］　Objective　To analyze the causes of the conversion to laparotomy during laparoscopic colorectal cancer radical surgery.Methods　The clinical data of 108 laparoscopic colorectal cancer radical surgery from February 2006 to February 2010 were retrospectively analyzed, 15 of which underwent an immediate conversion to laparotomy. Causes of conversion were analyzed. Results　The clinical data revealed the causes of conversion included intra-abdominal hemorrhage (5 cases), low position tumor (1 case), larger tumor(2 cases), Endo-abdominal internal organs damage (2 cases), abdominal cavity serious adhesion (3 cases), overweight (1 case), and anastomtic leakage(1 case). Conclusion　Laparoscopic colorectal cancer radical surgery has a certain rate of coversion to laparotomy. Endo-abdominal internal organs damage and intra-abdominal hemorrhage are the major causes of the conversion to laparotomy during laparoscopic colorectal cancer radical surgery.]]> 2018/8/17 8:12:32 QIU Hui-mo,LAO Jing-mao,HE Wen-hai 618true ［Abstract］　Objective　To investigate the use of antibacterial drugs during the perioperative period of lumbar discectomy in our hospital to provide a basis for reasonable application of these drugs.Methods　The application of antibacterial drugs in 79 medial records of lumbar discectomy from January 2008 to December 2009 were retrospectively and statistically analyzed.Results　In 79 cases of surgery,the use rate of perioperative antibacterial drugs was 100%.The use of single drug accounted for 55.69%; the use of two drugs accounted for 43.04% and the use of triple drugs accounted for 1.27%.A total of 4 kinds were used for prevention,of which cephalosporins accounted for 47.83%,which maily were the second and third generations of cephalosporins.Conclusion　In the prophylactic application of antibacterial drugs in lumbar discectomy, there exists following questions:high utilization druy rate, wrong use of drugs types and long-term use ect. These problem must be addressed, the key to problem must be grasped and strengthened and the doctors must be trained in order to use antibacterial drugs reasonably.]]> 2018/8/17 8:12:32 WEI Shu-long 617true ［Abstract］　Objective　To investigate the effect of Ventriculo-peritoneal shunt in the treatment of tuberculous meningitis patients with severe hydrocephalus. Methods　Ten tuberculous meningitis patients with severe hydrocephalus received Ventriculo-peritoneal shunt. Their effect were observed. Results　In 10 patients， the disturbance of consciousinss in 9 patients were improved after treatment； symptoms of increased intracranial pressure were relieved. In one patient the improvement of headache and dizziness was not obvious， but gradually improved after 4 days of treatment. Shunt tube obstruction was found in one patient 2 months after treatment， and no case of tubercular peritonitis was found. Conclusion　Ventriculo-peritoneal shunt is an effective treatment of tuberculous meningitis patients with severe hydrocephalus.]]> 2018/8/17 8:12:32 QIN Zhu-yi,NONG Yong-dong, CAI Heng-sen，et al. 616true ［Abstract］　Objective　To observe the therapeutic effect of acupuncture combined with climbing bar movement therapy for cervical spondylosis.Methods　One hundred cases of cervical spondylosis were randomly divided into two groups.The observation group (50 cases) received acupuncture combined with climbing bar movement therapy.The coutrol group (50 cases) received simple acupuncture treatment. After 2 courses of treatment, the therapeutic effects were evaluated.Results　The total effective rate in the observation group was 80.0%. The total effective rate in the coutrol group was 62.0%.There was a statistical significant difference between two groups(P<0.05).Conclusion　Acupuncture combined with climbing bar movement in the treatment of cervical spondylosis has better therapeutic effects.Its operation is simple and it has better extension value in primary hospitals.]]> 2018/8/17 8:12:32 WEI Cheng-wei 615true ［Abstract］　Objective　To evaluate the value of color doppler ultrasound in the diagnosis of cesarean scar ectopic pregnancies.Methods　The data of cesarean scar ectopic pregnancies and the characters of ultrasound image were analyzed.Results　The types of gestational sac and mass were showed in ultrasound diagnosis of cesarean scar ectopic pregnancies.Conclusion　Ultrasound scan is the first choice in diagnosis of cesarean scar ectopic pregnancies.]]> 2018/8/17 8:12:32 LIU Liang-hua, LIANG Gui-ling 614true ［Abstract］　Objective　To study the clinical effect of the limited internal fixation plus external fixation supporting frame in the treatment of tibia Ⅲ type Pilon fractures. Methods　The limited internal fixation plus external fixation supporting frame was used to treat 16 cases with tibia Ⅲ type Pilon fractures. Results　All fractures were healed with an average of 6 months,and according to Mazur anklebone function grading standards, the excellent rate was 81%. Conclusion　The application of limited internal fixation plus external fixation supporting frame can maximally reserve the blood supply at the site of fracture, stabilize the fracture alignment, and has less the surgery trauma, few complications and affirmative curative effect, it is a good way for treating tibia Ⅲ type Pilon fractures.]]> 2018/8/17 8:12:32 LU Rong-hui 613true ［Abstract］　Objective　To investigate the effect of Humalog Mix50 in the treatment of the patients with newly diagnosed type 2 diabetes mellitus. Methods　Eighty patients with newly diagnosed type 2 diabetes mellitus were treated with Humalog Mix50 for 12 weeks. Fasting and 2-hour postprandial blood glucose, glycosylated hemoglobin, fast insulin, insulin secretion index and insulin resistance index were measured before and after treatment. Results　Compared with those before treatment, fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin, insulin resistance index decreased significantly after treatment(P<0.05), while fast insulin, insulin secretion index increased significantly after treatment(P<0.01). Conclusion　Humalog Mix50 therapy can improve blood glucose control and insulin secretion function in the patients with newly diagnosed type 2 diabetic patients.]]> 2018/8/17 8:12:32 CHEN Jin-hong 612true ［Abstract］　Objective　To explore the application value of MRA in the diagnosis of cerebrovascular disease.Methods　Siemens 0.35T magnetic resonance was used for carrying on the MRA to 33 cases of common skull cerebrovascular disease.Results　MRA can demonstrate main intracal vessel shape clearly,and discover the adnormal change in vascular disease.Conclusion　Skull MRA,as one kind of non-invasive examination method, plays a vital role in the diagnosis of common cerebrovascular disease.]]> 2018/8/17 8:12:32 GUI Jun,GUI Yun-rong,MA Chun-yan, et al. 611true ［Abstract］　Objective　To evaluate the clinical effects in the treatment of femoral intertrochanteric fracture with proximal femoral nail Anti-rotation(PFNA). Methods　In a prospective study 12 patients with proximal femoral fractures were treated with PFNA. Results　12 patients were followed up for 6～24 months(with an average of 12 months). All fractures were healed. According to Harris criterion， the excellent results in 9 patients, good results in 2 patients and poor results in 1 patient were obtained. The excellent and good rate of the function of the hip joint was 91.7%. Conclusion　PFNA has the advantages of less surgical trauma， stable fixation，anti-rotation and anti-cutout.So it is a useful device in the treatment of femoral intertrochanteric fracture.]]> 2018/8/17 8:12:32 HUANG Shan-neng, WEI Jia-ning, WEI Han-peng, et al. 610true ［Abstract］　Objective　To investigate the clinical features and treatment method of nephrotic syndrome with pregnancy-induced hypertension. Methods　The clinical data of 11 cases of nephrotic syndrome with pregnancy-induced hypertension (the group with renal syndrome) admitted to the hospital in the past three years, and 53 cases of pure pregnancy-induced hypertension patients (the control group) in the same period were retrospectively analyzed including the observed indicators such as clinical manitestation, treatment method, complications, prognosis and perinatal outcome.Results　Nephrotic syndrome with pregnancy-induced hypertension had the feature of pregnancy induced hypertension,in addition the manifestations were massive proteinuria (>3.5 g/24 h), hypoalbuminemia (<30 g/L), severe edema and hyperlipidemia, serious complications can occur. The main treatment included comprehensive treatment, and timely termination of pregnancy. Conclusion　The diseaser condition of nephrotic syndrome with pregnancy-induced hypertension is severe, the prognosis of mother and infant is poor. For their treatment,the comprehensive treatment is main, but the timely termination of pregnancy is an important part of treatment, which can improve the prognosis of mother and infant.]]> 2018/8/17 8:12:32 GUO Hao, WANG Lan 609true ［Abstract］　Objective　To investigate the surgical treatment method for traumatic liver rupture.Methods　The clinical data of 75 patients with traumatic liver rupture treated by surgical treatment in our hospital from January 1994 to December 2008 were retrospectively analyzed.Results　Of 75 patients, 40 patients were treated by simple suture;33 patients were treated by bandage packing or partial suture plus bandage packing；2 patients were treated by debridement and hepatectomy. Four patients died,the mortality rate was 5.3%.No severe complication was found in the survived patients.Conclusion　For severe liver rupture,bandage packing can be used as a special surgical treatment method in damage control surgery, and is suitable for the application in the primary hospital.]]> 2018/8/17 8:12:32 YANG Xi-lun 608true ［Abstract］　Using reversed case-based teaching method in medical immunology teaching can activate the stomatological students′ study interesting,train their ability to think,analyze and solve problems and improve the teaching effect.]]> 2018/8/17 8:12:32 WANG Xiao-juan，LI Bo，LIU Ai-ping，et al. 607true ［Abstract］　Objective　To explore the role of immunotherapy in the treatment of recurrent spontaneous abortion.Methods　The patients with negative blocking antibodies, and unexplained recurrent spontaneous abortion, aged 25～35, were divided into treatment group(n=89) and control group(n=57). Both groups received conventional tocolytic therapy, in addition the treatment group received lymphocyte injection.Results　There were significant difference in the results(P<0.01). The success rate of the treatment group and the control group were 84.27% and 43.86%,respectively.Conclusion　The active immunotherapy in unexplained recurrent spontaneous abortion has the advantages of good effect, simple operation, no side-effect and so on.]]> 2018/6/28 8:50:28 WEI Miao-cheng 606true ［Abstract］　Objective　To observed the relationship between times and effects of treatment with varenicline for smoking cessation.Methods　Twenty-five smokers who wish smoking cessation were observed. They were treated by varenicline, and the telephone follow-up were performed at weeks 2, 4, 6, 8 and 12 after treatment，and the times of treatments and abstinence were recorded and analysis.Results　The numbers of continuous abstinence participants were 12 from 9 to 12 weeks, and continuous abstinence rates were 48% (12/25). The number of discontinuing abstinence participants were 13, and discontinuation rates were 52% (13/25). The average duration of treatment with varenicline was 7.23 weeks in continuous abstinence participants, and it was longer than that in discontinuing abstinence participants (P=0.011). The continuous abstinence rates in longer-times of treatment (8～12 weeks) was higher than that in shorter-times of treatment (P=0.027).Conclusion　Varenicline was an efficacious pharmacotherapy for smoking cessation. The effect of treatment was related to times of treatment with varenicline.]]> 2018/6/28 8:50:28 LIANG Da-hua, LIU Hang, WEI Cai-zhou 605true ［Abstract］　Objective　To explore the toxicity and efficacy of reduning injection combined with interferon in the treatment of rotaviral enteritis in children. Methods　Thirty children with rotaviral enteritis were randomly divided into control group and therapy group. Patients in the control group were treated with intramuscular injection of interferon. Patients in the therapy group were treated with intravenous drip of reduning injection combined with intramuscular injection of interferon. After three days of treatment, defervescence time, vomiting time, diarrhea time, course of disease, effective rate and adverse reaction were analyzed. Results　Compared with control group, defervescence time, vomiting time, diarrhea time and course of disease significantly reduced in the therapy group (P<0.05). The effective rate in the therapy group and control group were 93.33 % and 60.00 %, respectively (P<0.05). The side effect was not found in therapy group. In the control group, 2 children had fever symptom, 2 children had irritability symptom. Conclusion　Reduning injection combined with interferon is feasible and effective in the treatment in children of rotaviral enteritis.]]> 2018/6/28 8:50:28 HUANG Yuan-jun 604true ［Abstract］　Objective　To analyze the clinical features of elderly hypoglycemia mainly represented as acute brain damage.Methods　The clinical date of 30 case-times of hypoglycemia in patients older than 75 years were retrospectively analyzed.Results　Hypoglycemia occurred at night or early morning in 23 cases.The causes of hypoglycemia included less food intake,lack of effective blood glucose monitoring affter use of hypoglycemia agents,no timely eating after taking medication and subcutaneous injections of insulin or excessive use of drugs.The patients blood sugar levels ranged between 0.8 and 2.8 mmol/L. The main clinical manifestations were acute brain damage,including confusion, epilepsy,hemiparesis, lethargy, coma and so on. After the prompt added glucose liquid brain damage rapidly improved. Twenty-eight cases were cured after therapy, 2 cases died of multiple organ failure.Conclusion　The elderly hypoglycemia mainly represents as acute brain damage, with mild symptoms of sympathetic excitement or a lack of its symptoms.]]> 2018/6/28 8:50:28 ZHAO Shao-rong, LIN Hui-ke 603true ［Abstract］　Objective　To improve the level of diagnosis and treatment of traumatic rupture of small intestine.Methods　The clinical data of 43 patients with traumatic rupture of small intestine were summarized.Results　In this group, 43 patients were cured. Of them, wound infection were combined in 6 patients, wound dehiscence in 1 patient, partial adhension intestinal obstraction in 3 patients,multiple intra-abdominal abscess in 1 patient.Conclusion　During treatment of patients with traumatic rupture of small intestine, the disease condition of patients should be considered systemastically and carefully. For patients with suspicious abdominal organ injuries, continual and careful observation should be performed. For patients with definite diagnosis, surgical treatment should be performed timely.]]> 2018/6/28 8:50:28 LI Qing-jun 602true ［Abstract］　Objective　To evaluate the clinical effects of radiofrequency ablation for dysfunctional uterine bleeding (DUB).Methods　One hundred and five patients with DUB retaining the uterine without fertility requirements received vaginal endometrial ablation using self-curing knife. All patients were followed up regularly. Results　Radiofrequency ablation for DUB has advantages of shorter operative time and less blood loss. Complete amenorrheas were found in 96 patients; menstruation was significantly reduced in 9 patients. The effective rate was 100%, and no organ injury was found.Conclusion　Radiofrequency ablation is a safe, effective, simple, rapid method for DUB with fewer side effects, especially suitable for patients over the age of 45 years.]]> 2018/6/28 8:50:28 CHEN Mei-juan, OU You-ying 601true ［Abstract］　Objective　To understand the clinical characteristics, diagnosis, treatment and prognosis of the severe very severe epidemic encephalitis B in Henan area.Methods　The clinical date of 37 cases of severe very severe epidemic encephalitis B in department of intensive medicine in our hospital from August 2010 to September 2010 were retrospectively analyzed.Results　Of 37 cases, 20 cases were cured, the cure rate was 54.1%, 16 cases improved, 1 cases died, the mortality rate was 2.7%.Conclusion　This epidemiological characterstics of epidemic encephalitis B occurs mainly in rural area, and suburbs,and highly distributed. Age of onset mainly was within 6 years, boys more than girls. Timely, symptomatic treatment, early endotracheal intubation, and mechanical ventilation are the key to reduce the mortality rate.]]> 2018/6/28 8:50:28 YANG Yue-jie，REN Ying-jie，YAO Xue-hua， et al. 600true ［Abstract］　Objective　To observe the clinical efficacy of procedure for prolapse and hemorrhoids (PPH) in the treatment of patients with haemorrhoids grade Ⅱor Ⅳ.Methods　Thirty-four patients with haemorrhoids grade Ⅱ or Ⅳ were treated by PPH.Their clinical effect were analyzed.Results　The operations in 34 patients were completed successfully.The operating time ranged from 20 to 45 minutes.All patients′prolapsing haemorrhoids were completely resolved after the operation.The patients were followed-up for 3～19 months.The follow-up results showed that 32 patients obtained a satisfatory results.Recurrent bleeding were found in 2 patients.No anal incontinence and stenosis were found.Conclusion　PPH is an easy,safe,effective method for mixed haemorrhoids gradeⅡ～Ⅳ and its short-term efficacy is satisfactory.]]> 2018/6/28 8:50:28 HUANG Jia-cong,HUANG Yong-fa,TANG Tao,et al. 599true ［Abstract］　Objective　To explore the anesthesia method in patients with obstructive sleep apnea-hypopnea syndrome (OSAS) undergoing uvulopalatopharyngoplasty (UPPP).Methods　In a restrospective study the anesthesia conditions of 386 patients undergoing UPPP in general anesthesia in our hospital from August 2008 to August 2010, were analyzed.Results　All 386 patients were conducted in general with slow-inducted awake-amnesia-analgesia in nasotracheal tube.None of them had the adverse consquences.Conclusion　General anesthesia with slow-induced awake-amnesia-analgesia in nasotracheal tube in uvulopalatopharyngoplasty is feasible.]]> 2018/6/28 8:50:28 LIU Dong-dong, YAN Guo-zhong,AN Jing,et al. 598true ［Abstract］　Objective　To explore the clinical character of nasociliary neuralgia and improve the level of diagnosis and treatment.Methods　The clinical data of 18 patients with nasociliary neuralgia diagnosed and treated in our hospital were analyzed retrospectively.Results　In 18 patients with nasociliary neuralgia,10 patients were misdiagnosed as nervous headache;5 patients were misdiagnosed as rhinitis or sinusitis;3 patients were misdiagnosed as cerical spondylosis.The patients received appropriate treatment inclucling partial resection of middle turbinate,relocation surgery of middle turbinate and correction surgery of nasal septum. 18 patients were followed up for 12 months.All patients were cured.Conclusion　Nasociliary neuralgia was easily misdiagnosed as nervous headaches,cervical spondylosis and sinusitis. Careful examination of nasal cavity and CT scan in sinus play an important role in avoiding misdiagnosis.The corrective surgery of middle turbinate and nasal septum are effective treatment.]]> 2018/6/28 8:50:28 ZOU Bing, TONG Wei, LING Wei,et al. 597true ［Abstract］　Objective　To explore the treatment experience of patients with ST-segment elevation myocardial infarction(STEMI) and ventricular fibrillation. Methods　The clinical data of 12 patients with STEMI and ventricular fibrillation treated in our hospital were restrospetively analyzed.Results　All patients with STEMI and ventricular fibrillation can be saved in primary hospital,11 patients were cured,1 patients died.Conclusion　The patients with STEMI and ventricular fibrillation in the hospital without percutaneous coronary intervention should be treated with use the method of intravenous thrombulytic therapy and platelet activation. During ventricular fibrillation electric defibrillation is first choice, which can improve treatment effect.]]> 2018/6/28 8:50:28 XIE Wen-tao，LI Gui-fen，LI Wen-ming，et al. 596true ［Abstract］　Objective　To explore the opplication of simultaneous minimally invasive surgery in the treatment of patients with benign prostatic hyperplasia (BPH) compticated by bladder stones in primary hospital.Methods　Seventy-two patients with BPH compticated by bladder stones were simultaneously treated by transurethral ureteroscopic pneumatic lithotripsy and transurethral vapor-resection of the prostate.Results　The operation time ranged from 80 to 160 min, with an average of 120 min. The urinary catheter was pulled 2～3 d after operation. No complications such as prostate resection syndrome, bleeding, perforation of bladder and bowel, water intoxication, urinary incontinece and so on was found. Pathological results of 72 patients showed BPH.Conclusion　This simultaneous minimally invasive surgery method is safe and effective in the treatment of BPH complicated by bladder stones with characteristics of less bleeding, less injury,fewer complications, faster recovery, shorter hospital stay.]]> 2018/6/28 8:50:28 LI Jian-xin 595true ［Abstract］　Objective　To evaluate the role of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for diagnosis of focal pancreatic lesion.Methods　16 patients with focal pancreatic lesions who underwent EUS-FNA from May 2009 to June 2011 were retrospectively analyzed. Surgical-pathological result was used as the reference standard for diagnosis.Results　Sixteen patients were diagnosed by EUS-FNA as adenocarcinomas (n=8),pseudo-papillomas (n=1),intraductal papillary mucinous tumor (n=1),inflammation (n=6).The diagnostic sensitivity and accuracy of focal pancreatic lesion by EUS-FNA were 62.5% and 75% respectively.Conclusion　EUS-FNA was an accurate and safe modality in diagnosis of focal pancreatic lesion.]]> 2018/6/28 8:51:28 QIN Liu,LIANG Lie-xin,Nong Bing,et al. 594true ［Abstract］　Objective　To investigate the pathogen of nosocomial infection and antimicrobial susceptibility results in nosocomial infection patients with cather in emergency intensive care unit (EICU).Methods　The clinical data and the conditions of bacterial cultures in lower respiratory secretions,blood and urethral discharge of 132 nosocomial infection patients in EICU were retrospectively analyzed.Results　In EICU patients with catheter nosocomial infection rate was 17.19%.Main pathogens were G-bacteria,including Pseudomonas aeruginosa, Acinetobacter baumannii, Klebsiella pneumoniae, Escherichia coli and Staphylococcus aureus as the main pathogenic bacteria and their drug resistance were seriously.Conclusion　In order to reduce nosocomial infection rate in EICU patients with catheter pathogen monitoring and rational use of antibiotics should be strengthened.]]> 2018/6/28 8:51:28 YANG Xin -jiang，ZHAO Kai -liang，MAI Quan -yun 593true ［Abstract］　Objective　To study the effects of the treatment of liver cirrhosis with spontaneous bacterial peritonitis by ceftriaxone combined with levofloxacin. Methods　Seventy-two liver cirrhosis patients with spontaneous bacterial peritonitis were randomly divided into treatment group (37 patients) and control group (35 patients). The treatment group received ceftriaxone 2 g plus levofloxacin 0.3 g, the control group received cefoperazone/sulbactam 2 g intravenously two times, one per day.Patients were observed from 14 to 21 days after the treatment was administered. Results　The total effective effect of the treatment group and the control group were 89.19% and 68.57% respectively.The efficiency of the treatment group was significantly higher than the control group ( P<0.05). Conclusion　The ceftriaxone sodium combined with levofloxacin had a significant effect for the treatment of liver cirrhosis with spontaneous bacterial peritonitis.]]> 2018/6/28 8:51:28 WU Dong-ming 592true ［Abstract］　Objective　To investigate the short and long term clinical effects of modified neostomy of bartholin′s gland abscess.Methods　Sixty patients with bartholin′s gland abscess were randomly divided into two groups： modified neostomy of bartholin′s gland abscess group (study group, n=30), traditional neostomy group (control group, n=30). The operation time, cure time, postoperative coital pain rate, and postoperative recurrence rate between two groups were compared.Results　The operation time and cure time were shorter, postoperative coital pain rate and postoperative recurrence rate were lower in study group than those in the control group. Conclusion　The modified neostomy of bartholin′s gland abscess has advantages of simple operation, lower postoperative recurrence rate and no effect on sex life. Thus, it is worthy of generalizing.]]> 2018/6/28 8:51:28 YU Shan-zhi, WU Yu-ying, LIU Yuan-yuan 591true ［Abstract］　Objective　To observe the clinical efficacy of Metoprolol on the premature ventricular beats of hemodialysis patients.Methods　Eighty-three hemodialysis patients with premature ventricular beats were chosen and divided into group A with fast heart rate and group B with slow heart rate. Both groups were given Metoprolol tablets.Results　Metoprolol can reduce the occurrence of premature ventricular beats and relieve symptoms. The total effective rate was 90.5% in group A, while 73.2% in group B. The difference between them was statistical significance (P<0.05). No adverse reactions were found during the process of treatment.Conclusion　The treatment of Metoprolol tablet on premature ventricular beats of hemodialysis patients is effective and safe.]]> 2018/6/28 8:51:28 HUANG Xing 590true ［Abstract］　Objective　To investigate the incidence rate of postpartum depression, and to explore the efficacy of EDPS in the diagnosis of postpartum depression. Methods　Three hundred pregnant women delivered in our hospital were elected randomly, EPDS was used for follow-up, and “mental disorders Diagnostic and Statistical Manual” (DSM-Ⅳ) was used as diagnostic criteria for the diagnosis of postpartum depression. Maternal depression were observed, and the diagnostic value of EPDS was evaluated. Results　According to EPDS, greater or equal 13 points were found in 73 cases of 300 cases. According to DSM-Ⅳ diagnostic criteria 58 cases were diagnosed as postpartum depression, accounting for 19.3%. When 12 points was used as cut off points to diagnose pstepartum, the sensitivity was 91.4%, specificity was 91.7%, positive predictive value was 72.6%, negative predictive value was 96.5%; receiver operating characteristic curve (ROC) area was 0.950 ( 0.912,0.989), P= 0.019. Conclusion　Pregnant women had severe depression; EPDS can be used as clinical screening tools.]]> 2018/6/28 8:51:28 YE Xue-ying 589true ［Abstract］　Objective　To study the diagnostic value of high-frequency ultrasound examination in chronic soft tissue injury.Methods　High-frequency ultrasound examination were performed in 187 consecutive patients with chronic soft tissue injury diagnosed in our hospital orthopedic clinic.Results　High-frequency ultrasound clearly demonstrated the fine soft tissue lesion in anatomy, with a total compliance rate of 77.5%.Conclusion　High-frequency ultrasound in the diagnosis of chronic soft tissue injury has an important auxiliary role. It is simple, inexpensive, accurate method, and is worthy of promotion.]]> 2018/6/28 8:51:28 WEI Lan-chun, WEI Jiang-bo 588true ［Abstract］　Objective　To investigate the clinical and EMG features in patients with polymyositis(PM) and dermatomyositis(DM).Methods　The clinical and EMG features were analyzed in 38 patients with PM and DM.Results　The most common first onset symptoms were muscular weakness in limbs (88.0%) in patients with PM,DM, the other symptoms were orderly dermal damage (31.0%) and fever (10.5%) and EMG showed myogenic changes in 32 cases and neurogenic damages in 1 case. The abnormality rate was 86.8%. EMG abnormalities mainly showed prolonged insertion potential (9.5%), increased spontaneous potential (52.3%),decreased MUP duration (74.6%) and amplitude (6.3%) as well as increased polyphasic ware (34.1%). The abnormality rate of waveform was 44.4%,and the positive rate of decreased peak amplitude was 37.3% in heavy contraction.The positive rate of spontaneous activity of quadriceps,sernocleidomastoid and ante-rior tibial muscles was aignificantly higher than that of short abductor muscles of thumb. The highest positive rate of decreased MUP duration and increased polyphasic waves was found in anterior tibial muscles.Conclusion　EMG might be an important mean of diagnosing PM and DM. Selection of quadriceps, sernocleidomastoid and terioribial muscles for EMG might be helpful in increasing the positive rate of EMG.]]> 2018/6/28 8:51:28 LING Xiu-ming,HUANG Zai-wen 587true ［Abstract］　Objective　To investigate the method of diagnosis and treatment and the therapeutic effect of radiation nasosinusitis by nasal endoscope.Methods　The method of diagnosis and treatment and the therapeutic effect of 35 patients with sinusitis after radiotherapy for nasopharyneal caacinoma by nasal endoscopic sinus surgery were retrospectively aralyzed.Results　No orbital or cerebral complications were observed in all patients. Of them 25 patients (71.4%) were cured, 8 patients (22.9%) were improved, 2 patients were invalid and the total effective rate was 94.3%. Moreover, no tumor recurrence was observed during the fellow-up period. Conclusion　Nasal endoscope is a significant tool in diagnosis and treatment for nasosinusitis with better therapeutic effect.]]> 2018/6/28 8:51:28 WU Wei-ming 586true ［Abstract］　Objective　To evaluate the effect of treating oral lichen planus with western medicine combined with traditional Chinese medicine treatment based on different symptoms and signs.Methods　One hundred and six patients with oral lichen planus were randomly divided into two groups,with 53 in the treatment group and 53 in the control group. The treatment group was treated with oral western medicine and topical use of tretinoin cream，adding traditional Chinese medicine treatment based on different symptoms and signs. The control group was treated with oral western medicine and topical use of tretinoin cream only. The effect was compared between two groups.Results　The total effective rate of treatment group was 88.67%, and that of the control group was 67.92%. There was a significant difference in above parameters between two groups （P<0.01 ）.Conclusion　The effect of oral lichen planus treated with western medicine combined with traditional Chinese medicine treatment based on different symptoms and signs is good and this method is worth of extensive application.]]> 2018/6/28 8:51:28 JIANG Jun-song 585true ［Abstract］　Objective　To explore the effect of combined treatment with perindopril, spironolactone and metoprolol in patients with dilated cardiomyopathy complicated with chronic heart failure. Methods　One hundred and thirty-eight patients with dilated cardiomyopathy complicated with mild to moderate chronic heart failure were randomly divided into two groups. The control group(70 patients) received conventional treatment, and the treatment group (68 patients) received conventional treatment combined with perindopril, spironolactone and metoprolol. The therapeutic effect and the changes of the heart rate (HR), LVEDD and LVEF before the treatment and after 4 weeks of treatment between two groups were compared. Results　The therapeutic effect of the treatment group was better than that of the control group (P<0.05). Before the treatment there were no significant difference in HR, LVEDD and LVEF between the two groups (P>0.05). There were significant difference in HR, LVEDD and LVEF between the two groups after 4 weeks of treatment (P<0.01). The treatment group was superior to the control group in the improvement of above three indexes. Conclusion　The effect of combined treatment with perindopril, spironolactone and metoprolol in patients with dilated cardiomyopathy complicated with mild to moderate heart failure is good. There is no serious adverse reation.]]> 2018/6/28 8:51:28 WU Wen-you,YANG Ming-liao,WEI Ke-dong,et al. 584true ［Abstract］　Objective　To compare the effect between triple therapy of amoxicillin, omeprazole and glutamine granules and bigeminy therapy of omeprazole and glutamine granules in the Helicobacter pylori-negative superficial chronic gastritis.Methods　Eighty-six patients met the study criteria were included in this study and were randomly assigned to the experimental group (amoxicillin, omeprazole and glutamine granules, n=42) and control group (omeprazole and glutamine granules, n=44). Medication for 2 weeks，the remission conditions of clinical symptoms were observed and gastroscopy were repeated again one month after drug withdrawal.Results　The total effective rate in experimental group was 92.86% and 90.90% in the control group, there were no significant difference in the overall effect between the two groups (P> 0.05).Conclusion　There are no difference effects between the triple therapy of amoxicillin, omeprazole and glutamine granules and the bigeminy therapy of the omeprazole and glutamine granules in the treatment of superficial chronic gastritis. Therefore, antibiotics may be unnecessary in treatment of Hp negative superficial chronic gastritis, and also reduce the financial burden.]]> 2018/6/28 8:51:28 WU Chang-zhen 583true ［Abstract］　Objective　To explore the clinical effect of laparoscopically assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy(TAH). Methods　The clinical data of forty-three patients undergoing LAVH were compared with those of 50 patients undergoing TAH.Results　Two groups were performed smoothly, with no complications. The bleeding measurement during surgery, anal exhaust time, hospitalization time, in group LAVH were less than those in group TAH（P<0.01）. And the time of the operation in LAVH was longer than that in group TAH（P<0.01）. Conclusion　LAVH has advantages of faster recovery, wound beautiful appearance, and good healing. LAVH is worth clinical application.]]> 2018/7/2 15:40:24 QIAN Li-song 582true ［Abstract］　Objective　To explore the general pattern and characteristics of adverse drug reactions(ADRs) induced by Acanthopanax senticosus injection so as to provide references for clinical rational drug use.Methods　A statistical analysis was conducted on 228 Acanthopanax senticosus induced ADR cases reported in domestic medical journals.Results　Acanthopanax senticosus injection could cause the ADRs of multi-system and multi-organ including the skin and its appendages, cardiovascular system,nervous system, respiratory system,gastrointestinal trace, blood system, immune system, ect, seriously leading to death. Conclusion　The clinical responses should be investigated carefully during the usage of Acanthopanax senticosus injection, and the combination with other drugs should be avoided to the greatest extend.]]> 2018/7/2 15:40:24 DU Ya-ming 581true ［Abstract］　Objective　To explore the feasibility of rotary cobalt 60 radiotherapy system (gamma knife) in the fractionated treatment of the skull base tumor. Methods　The early clinical therapeutic effects of Gamma knife in the fractionated treatment of skull base tumor were retrospectively analyzed. Results　In patients received gamma knife treatment, good local control role of tumor was obtained in short period and tumor disappeared. No early or late postoperative radioactive reaction were found, and no abnorncal changes of normal tissue structure and function and complications were found. Conclusion　Gamma knife fractionted treatment is a new alternative method for the treatment of skull base tumor. Its therapeutic effect is better.]]> 2018/7/2 15:40:24 LUO Guang-hua, LU Yao-zhen, LONG Jiang-zhen,et al. 580true ［Abstract］　Objective　To evaluate the efficacy and safeness of patients with tachyarrhythmia treated by electrical cardioversion.Methods　Forty-three patients with tachyarrhythmia were treated by electrical cardioversion.Results　After cardioversion,sinus rhythm was restored in 41 patients. The success rate of cardioversion was 95.3%.Two patients died from carcinogenic shock.Less complications were found in other patients.Conclusion　The electrical cardioversion in the treatment of patients with tachyarrhythmia has good curative effectiveness and safety. It is thought that as long as proper indications are chosen, the success rate of cardioversion can be increased.]]> 2018/7/2 15:40:24 LI Wen-ming,XIE Wen-gang,XIE Wen-tao, et al. 579true ［Abstract］　Objective　To investigate the clinical curative effect of bloodletting therapy in the treatment of acute gouty arthritis.Methods　Forty-five patients with acute gouty arthritis were treated by bloodletting therapy. According to the lesion site the bloodletting points were selected optional 2～5 points, once a week. The total number was three times.Results　The total effective rate was 97.8%, cure rate 57.8%,improvement rate 40%, invalid rate 2.2%.Conclusion　The threapeutis effect of acute bloodletting therapy in the treatment of pafieats with gouty arthritis is significant and worthy of clinical application.]]> 2018/7/2 15:40:24 XIANG Rong, WANG Yang 578true ［Abstract］　Objective　To observe the effects of misoprostol in prevention of postpartum hemorrhage in cesarean section.Methods　Two hundred parturients women undergoing cesarean sections were randomized into two groups.Misoprostol group(n=100)：400 μg misoprostol was given by anal administration immediately after cesarean section；Oxytocin group (n=100)：20 U oxytocin was given by intravenous drip immediately after cesarean section. The amount of bleeding within 2 h and 24 h after delivery，the blood pressure and the side effects after using medicine was observed.Results　The mean amount of bleeding in misoprostol group within 2 h and 24 h was much less than that in oxytocin group (P<0.05 )；there was no significant differences in blood pressure between two groups (P>0.05)；there was no significant difference in the side effects between two groups (P>0.05).Conclusion　Misoprostol is more effective in prevention of postpartum hemorrhage in cesaream section than oxytocin.]]> 2018/7/2 15:40:24 LIAO Jing 577true ［Abstract］　Objective　To create a kind of minimally invasive self-verruca embedding technique which can treat verruca plana and study its clinical value. Methods　Sixty patients with verruca plana were randomly divided into 2 groups. The minimally invasive group (30 patients) received minimally invasive needle operation, in which the patients′ self-verruca were embedded under the skin of forearm flexor side, the control group (30 patients) received the traditional method, in which patients′ self-verruca were embedded under the skin of forearm flexor side through the traditional method. The pain degree, clinical efficacy, long-term scars in embedding area between two groups were compared. Results　The clinical effect of the minimally invasive group was better than that of the control group (P<0.05 or P<0.01). Conclusion　Minimally invasive self-verruca embedding technique has advanges of mild pain, good efficacy, low cost, less trauma and no signs, etc. So it is worthy to promotion.]]> 2018/7/2 15:40:24 LIN Quan,CHENG Xian-gui,LI Qiang,et al. 576true ［Abstract］　Objective　To explore the result of rivanol combined with mifepristone in the induced abortion for the women with middle and late pregnancy. Methods　The observation group (n=50) was treated by injecting rivanol in the cavity of the amnion as well as taking mifepristone at the same time. The control group (n=50) was treated by only injecting rivanol in the cavity of the amnion.The effects between two groups were compared. Results　There were significant statistically differences between the two groups in the length of the operation, the total stage of labor, the amount of bleeding, mission success rate (P<0.01). Conclusion　Rivanol combined with mifepristone in the induced abortion for the women with middle and late pregnancy will lead to higher mission success rate, more safety as well as less complication. Therefore, it′s a good induced abortion way for women with middle and late pregnancy, and is worthy of clinical popularization.]]> 2018/7/2 15:40:24 LU Li-hua, YE Jing,LEI Qian-qian 575true ［Abstract］　Objective　To investigate the clinical effects of one-time endodontic treatment in patient with chronic pulpitis and periapical periodontitis.Methods　50 patients (50 teeth)with chronic pulpitis and periapical periodontitis were randomly divided into treatment group and control group. The treatment group was given the one-time endodontic treatment and the control group was given the multiple root canal filling treatment. Three months after treatment the clinical effect was evaluated, the postoperative complication was observed.Results　The treatment group′s clinical effect better than the control group′s, the difference between two groups was significant (P<0.05); A week after therapy, the rate of painful response of the treatment group was 16.0%, it was significantly lower than that of the control group (36.0%).The difference between two groups was significant (P<0.05).Conclusion　The one-time endodontic treatment in patients with chronic pulpitis and periapical periodontitis has better clinical efficacy and low complication. It is worthy of clinical application.]]> 2018/7/2 15:40:24 YANG Zhen 574true ［Abstract］　Objective　To investigate the clinical application of anesthesia of fentanyl combined with propofol in the radiofrequency ablation of liver tumors. Methods　Forty patients who underwent radiofrequency ablation of liver tumors were included in the study. When the patients went into the operating room, fentanyl and then propofol were given to them, and the propofol target-controlled infusion was given to them after they lost consciousness. The analgesic effect and the tolerance on operation were observed. Results　The effective rate of analgesia was 100%. The heart rate and the blood pressure slightly decreased after anesthesia, but all within normal range, there were no difference (P>0.05). Conclusion　The application of anesthesia of fentanyl combined with propofol in the radiofrequency ablation of liver tumor may reduce the fear of the patients, lessen the waking up time. Its effect of anesthesia was reliable. This method can meet the need for surgery, and is worthy of promotion.]]> 2018/7/2 15:40:24 WANG Xing-qiao,KONG Lian-mei,GU Xiao-na 573true ［Abstract］　Objective　To explore the misdiagnosis causes of primary hypothyroidism in elderly patients.Methods　The clinical data of 54 elderly patients with hypothyroidisim whose disease was misdiagnosed in our institute from June 2003 to December 2009 were retrospectively analyzed.Results　Among 54 misdiagnosed patients,female patients accounted for 83.33%.Atypical hypothyroidisim in elderly patients was easily misdiagnosed as heart disease,digestive system disease,diseases of the nervous system,urinary tract disease,endocrine system diseases,etc.The primary survey was performed in other departments.The misdiagnosis time ranged from 5 months to 5 years.Conclusion　Because of lack of typical symptoms in elderly patients with hypothyroidism,this desease is easily misdiagnosed.Improving the understanding of the disease,combined with clinical manifestations and the necessary thyroid function examination is the key to decrease misdiagnosis rate.]]> 2018/7/2 15:40:24 JIANG Jia-jun，LIU An-ling 572true ［Abstract］　Objective　To observe the clinical therapeutic effect and security of yinertong in the treatment of oral ulcer.Methods　Eighty-eight children with oral ulcer were randomly divided into the treatment group and control group. The control group was treated with oral vitamin B₂ and oral smectite paste(oral ulcer area were pasted 3～6 times per day). The treatment group was treated with yinertong(oral ulcer area were sprayed 3～6 times per day). A treatment course was 3～6 days. Both safety and efficacy were observed.Results　The therapeutic effect of yinertong in the treatment of oral ulcer was obviously better than control group.Conclusion　The yinertong in the treatment of oral ulcer is the effective method,and worth of clinical application.]]> 2018/7/2 15:40:24 LI Xing-hong, LUO Jian-hua, TANG Hai-yan 571true ［Abstract］　Objective　To analyze the major cause of iron deficiency anemia (IDA). Methods　The clinical data of 136 in patients with IDA treated in our hospital from January 2007 to December 2010 was retrospectively analyzed.Results　Among 136 patients with IDA, single pathogenic factor was found in 90 patients, accounting for 66.18%; multiple pathogenic factors in 46 patients, accounting for 33.82 %; chronic gastritis was found in 49 patients, accounting for 36.03%; peptic ulcer in 19 patients, accounted for 13.97%; intestinal hookworm disease in 31 patients， accounting for 22.79%; the female reproductive tract bleeding in 22 patients， accounting for 16.18%; poor diet in 17 patients, accounting for 12.50%; bleeding hemorrhoids in 15 patients, accounting for 11.03%; urinary stones in 8 patients, accounting for 5.88%; gastrointestinal polyps in 8 patients, accounting for 4.41%; chronic colitis in 4 patients, accounting for 2.94%; gastric cancer in 4 patients, accounting for 2.94%; colon cancer in 4 patients, accounting for 2.94%; esophageal cancer in one patients, accounting for 0.74%; tuberculosis in 2 patients, accounting for 1.47%.Conclusion　The gastrointestinal disease is the major pathogenic factors for IDA, mainly including chronic gastritis and peptic ulcer; while intestinal hookworm disease, bleeding hemorrhoids, digestive tract cancer, poor diet, women menorrhea are common pathogenic factors for IDA.]]> 2018/4/27 8:24:40 WEI Ai-fang, WEI Jin-hua, ZHANG Fa-en, et al. 570true ［Abstract］　Objective　To evaluate the clinical effects of intrauterine injection of pituitrin in the treatment of uterine arteriovenous fistula.Methods　Intrauterine injection of pituitrin was used in 29 patients with uterine arteriovenous fistula, all patients were followed up at the 1st, 3rd,6th, 12th months after operation. Blood flow of uterine arteriovenous fistula and changes in clinical symptoms were observed.Results　After the treatment, transvaginal color doppler ultrasound displayed that high-speed, low-resistant flow disappeared. The follow-up study showed that all patients had normal menstrual periods, symptom of irregular vaginal bleeding disappeared.Conclusion　Intrauterine injection of pituitrin in the treatment of uterine arteriovenous fistula is simple, safe and effective procedure.]]> 2018/4/27 8:24:40 LEI Dong-lan 569true ［Abstract］　Objective　To explore the causes and manifestations of acupuncture syncope in order to prevent and treat it.Methods　The clinical data of 10 patients with acupuncture syncope was retrospectively analyzed for seeking its causes and clinical manifestations.Results　The main causes of acupuncture syncope included psychological factors, physical fitness, body position and so on. All occurred rapidly, with transient syncope,and symptoms improve rapidly.Conclusion　Psychological guidance and injection in recumbent position was the important measure to prevent acupuncture syncope, early identification of its nature is the key to the treatment.]]> 2018/4/27 8:24:40 YI Cheng-jin 568true ［Abstract］　Objective　To explore the feasibility of using prophylactic antibacterial drugs during perioperative period and provide the basis for the standardized and rational use of antibacterial drugs.Methods　A retrospective survey of 986 cases of surgical medical record in this hospital from June 2009 to June 2011 and a statistical analysis of the types and number of the used antibacterial drugs were performed.Results　The utilization rate of antibacterial drugs was 99.70%(use of a single kind of drug,13.02%; two kinds of drugs, 58.70%; three kinds of drugs,28.28%).The main antibacterial drug which was used cephalosporins,followed by nitroimidazoles. Conclusion　A high utilization rate, unreasonable use and abuse of antibacterial drugs exist in the surgery of this hospital. It is necessary to standardize the application of surgical antibacterial drugs, so as to reduce the poor consequences caused by antibacterial drug abuse by improving present situation of the unreasonable use.]]> 2018/4/27 8:24:40 HUANG Qin 567true ［Abstract］　Objective　To explore the significance of skin allergic test of cephalosporins.Methods　The results of skin allergic test of cephalosporins in our department were recorded and the related literatures were collected for carrying out statistics of case of anaphylactic shock caused by cephalosporins and its associated factors, and its incidence rate of adverse reactions, allergic reactions and anaphylactic shock were recorded; then the comparative analysis of the results was performed.Results　In our department from 2006 to 2011 the skin allergic test positive rate of cephalosporins was 2.59%，its false negative rate was 0.24%; the investigation of related literatures showed the incidence rate of adverse drug reactions,allergic reactions and anaphylactic shock of the cephalosporins separately were 2.34%, 1.65%, 0.54%.Conclusion　It is necessary to make skin allergic test before the first injection of cephalosporins. Using the original drug for preparing solution of skin allergic test has more practical significance.]]> 2018/4/27 8:24:40 CHEN Yong-bin, ZHAO Jin, YAO Guo-xian, et al. 566true ［Abstract］　Objective　To investigate the operation effect of the treatment of posterior condylar fractures of tibial plateau by posterolateral approach.Methods　From January 2004 to June 2009, 17 patients with posterior condylar fractures of tibial plateau were treated by internal fixation operation through the anteromedial and posterolateral approach in our hospital and their postoperative clinical curative effect was evaluated.Results　All patients were followed up for 13～21 months, with an average of mean （15.3±2）months. Patients′ knee function was evaluated according to the Hohl standard. The results showed excellent in 13 patients, good in 4 patients.The review of X-ray film showed good fracture reduction, no obvious collapse and inversion of articular surface.Conclusion　The posteromedial or posterolateral approach can fully expose the posterior tibial condyle, reduce the complications, due to wide range of stripping the soft tissue though anterior approach, obtain good reduction and rigid fixation of fracture block under direct vision, fully prevent force line change and fracture displacement, and is beneficial to patients with good functional recovery of knee joint.]]> 2018/4/27 8:24:40 YANG Bing,JIANG Ting-biao,WEI Jia-ning 565true ［Abstract］　Objective　To explore the effects of standard materials and reaction time on the determination resul in the bromocresol green method for determining serum albumin,in order to select the best standard material and reaction time.Methods　Automatic biochemical analyzer was used, and the albumin standard solution and the constant reference serum were used as a standard reference materials.The measured response time were:30 seconds, 60 seconds,120 seconds,180 seconds,300 seconds.The measured serum albumin contents were compared and analyzed.Results　When albumin solution and the standard reference serum as the standard materials,the measured results between the two materials had significant differences (P<0.05).When albumin standard solution as the standard reference material.The measured results had significant difference between 30 seconds and other time （P<0.05 or <0.01）,and when constant reference serum as the standard reference material,the measured results between 30 seconds and 60 seconds,120 seconds showed no significant diffierence （P>0.05）,but significant difference between 180 seconds, 300 seconds and 30 seconds group （P<0.05 or <0.01）.Conclusion　In determination of serum albumin by bromocresol green method, constant reference serum should be used as the standard material, and 30 seconds,60 seconds or 120 seconds should be selected for the optional reaction time.]]> 2018/5/14 8:34:42 HUANG Xin-gen,SUN Gui-lian,WU Jun-gen,et al. 564true ［Abstract］　Objective　To evaluate the value of CT in the diagnosis of lateral recess stenosis due to lumbar posterior marginal intraosseous cartilaginous node (LPMN).Methods　CT scanning of lumbar vertebrae was performed in 3 000 patients aching in the loins and legs from 2008 to 2010.Of them 84 cases with LPMN were selected and their clinical and CT manifestation were studied.Results　The characteristic CT manifestation of LPMN showed:　Round and irregular bony defect of uneven size, its density being similar to that of lumbar intervertebral disc, un-even sclerosis appearing on the edge, bar or ach shapes of bones bursting into the vertebral canal, all or part departing from the centrum, narrow vertebral canal, hard membrane vesicle being pressed; Most cases had combined lumbar intervertebral disc protrusion caused influences on lateral recess in various degree; single or multiple cartilaginous nodes was found and most of which caused lateral recess stenosis slightly, moderately or severely and remarkable differences existed.Conclusion　CT scanning can find LPMN and the its influences on lateral recess. It can also evaluate the stenosis degrees of lateral recess and have clinical significance in raising the diagnosis level of the lateral recess stenosis.]]> 2018/5/14 8:34:42 CHEN Hui-lin 563true ［Abstract］　Objective　To explore the efficacy and safety of extracorporeal shock wave lithotripsy(ESWL) combined with Chinese medicine in the treatment of urinary stones.Methods　The clinical data of 138 patients with urinary stones who were treated by alone ESWL(the contral group,n=68) or ESWL combined with Chinese medicine(the treatment group,n=70) in our hospital from February 2008 to February 2011 were postoperatively analyed.Results　One hundred and thirty-eight patients were operated successfully, and no serious complications occurred.The stone clearance rate,postoperative painkillers application rate, heating rate and duration of hospitalization in the treatment group were significantly better than those in the contral group(P<0.05).Conclusion　ESWL combined with Chinese medicine treatment for urinary stones can effectively remove all types of stones, significantly improve the efficiency of ESWL and is worthy of promotion.]]> 2018/5/14 8:34:42 MING Xin-qiu 562true ［Abstract］　Objective　To investigate the sickness status and influence factors of children′s rickets in Nanning Jiangnan district, to provide the basis for prevention and treatment of rickets.Methods　The whole year data on the community health examination of 3 678 children aged 0～3 years in 2011 was analyzed, and the investigation of related factors of rickets was performed in their mothers.Results　The prevalence rate of rickets was 27.3% in children, bone alkaline phosphatase increased significantly.The incidence of rickets were related to calcium deficiency in pregnancy, preterm birth, low birth weight, feedingway, sun exposure and mother′s educational level and other factors (P<0.05).Conclusion　The prevalence of rickets in children still is at a high level, the incidence of rickets results from multiple factors, so it is neccessery to strengthen the propaganda and education, popularize prevention knowledge of rickets, reasonably to add vitamin D, in order to prevent the occurrence of rickets.]]> 2018/5/14 8:34:42 MA Wei-ping 561true ［Abstract］　Objective　To analyze the status on prenatal screening and diagnosis of the gene of thalassemia in pregnant women.Methods　The complete blood count and hemoglobin electrophoresis were used for the analysis of MCV, MCH values, and abnormal hemoglobin electrophoresis zone in 358 pregnant women received prenatal screening of thalassemia.Results　Three cases of hemoglobinopathies were found, including 2 cases of HbK, 1 case of HbD.Conclusion　Gap-PCR and PCR binding reverse dot blot technique in the diagnosis of thalassemia has a certain undetected risk, such cases need to test in conjunction with DNA sequencing.]]> 2018/5/14 8:34:42 XIONG Biao, LIU Ming-bo, LI Chong-jian, et al. 560true ［Abstract］　Objective　To explore the relation between different reception methods and prognosis in patients with acute myocardial infarction(AMI) to improve the successful rate of rescue of AMI.Methods　One hundred and thirty-two patients with AMI receiving pre-hospital care of the emergency department of our hospital from 2000～2010 were used as observation group and during the same time 136 patients with AMI who were sent to hospital by family members or colleagues for rescue were used as the control group. Their clinical data were retrospectively compared and analyzed.Results　The mortality rate (12.12%) of the observation group was lower than that (22.79%) of control group (χ²=3.89,P<0.05）.Conclusion　The influence of different reception methods on the prognosis of AMI is different, and pre-hospital care can reduce mortality of AMI.]]> 2018/5/14 8:34:42 MAI Quan-yun, ZENG Yu, YANG Xin-jiang 559true ［Abstract］　Objective　To understand the circumstances of carrying out pre-marital medical examination in recent years in Yizhou, and promote the development of pre-marital medical examination healthfully and orderly.Methods　Retrospective analysis of the pre-marital medical examination in Yizhou from 2009 to 2011 was performed.Results　Pre-marital medical examination rates in Yizhou were 0.43% in 2009, 21.62% in 2010 and 99.18% in 2011 respectively, which showed a significant increased tendency.The detectable rates of disease in these people were 3.60%,mainly the appointed infectious diseases accounted for 1.50%.Conclusion　The attention of the government and optimization of service processes are critical for the development of the pre-marital medical examination. The improvement of health education and masses′ awareness of the pre-marital medical examination is the driving force for the continued development of pre-marital medical examination.]]> 2018/5/14 8:34:42 QIN Xiao-hong 558true ［Abstract］　Objective　To explore the clinical significance of neuroendoscope-assisted microsurgical technique for removing the hypertensive intracerebral hemorrhage（HICH） via keyhole approach.Methods　Nineteen cases of HICH were resected via keyhole approach by neuroendoscope-assisted microsurgical technique.Results　The patients were followed up for 3 months to 2 years after operation,19 cases of HICH got improvement of various degree.According to Glasgow outcome scale (GOS),good recovery was found in 4 cases,moderate disability in 14 cases,severe disability in 1 case,no persistent vegetative state was found.Conclusion　The neuroendoscope-assisted microsurgery via keyhole approach is proper for treating HICH.]]> 2018/5/14 8:34:42 TANG Xiu-wen,XIAO Quan,YE Jing, et al. 557true ［Abstract］　Objective　To explore the clinical significance of determination of γ-glutamyl transpeptidase (γ-GT) in neonatal hyperbilirubinemia.Methods　The intravenous blood serum in 206 neonates with hyperbilirubinemia and 60 neonates with physiological jaundice were separated, and total bilirubin (TBIL) and γ-GT were determined by the automatic biochemical analyzer.Results　The level of γ-GT in neonates with hyperbilirubinemia was higher than that in neonates with physiological jaundice (P <0.05).Conclusion　The determination of γ-GT in the neonates hyperbilirubinemia has certain clinical significance in the diagnosis and treatment of neonatal hyperbilirubinemia.]]> 2018/5/14 8:34:42 MA Zi-mei 556true ［Abstract］　Objective　To discuss the methods and the effect of mandibular nerve radiofrequency thermocoagulation for the treatment of trigeminal neuralgia.Methods　Twenty-four patients with trigeminal neuralgia underwent puncture of the mandibular nerve under local anesthesia, after accurate positioning by electrophysiological test, treated by 60 ℃-70 ℃-75 ℃-80 ℃ radiofrequency thermocoagulation.Results　The success rate of mandibular nerve puncture was 100.0%. Excellent and good rate was 95.8%(23/24). Common complication was hypoesthesia of face. Local swell was found in 2 cases, mild opening limitation in 1 case. The patients were followed up for 1 year after operation, relapse was found in 3 cases after 8 months.Conclusion　The treatment of trigminal neuralgia by mandibular nerve radiofrequency thermocoagulation is a microinvasive, safe and effective treatment method.]]> 2018/5/14 8:34:42 WANG Xiao-zhi 555true ［Abstract］　Objective　To comprehend the prevalence rate of nosocomial infection (NI).Methods　The statistical analysis was performed by bed-side visiting and medical records checking.Results　Among 610 investigated patients,nosocomial infection was found in 23 patients (3.77%).ICU, orthopedic surgery and neurosurgery were the departments with high risk.The common NI position were in order of lower respiratory thact, operative wound,skin and soft tissue;Nineteen strains of pathogenic bacteria were detected,among which 16 strains (84.21%) was Gram-negutive bacteria, the application rate of antibacterial drugs was 53.11%.Conclusion　It is recommended that specific surveillance should be conducted in the departments with high risk for nosocomial infection,in order to reduce the nosoconial infection.]]> 2018/5/14 8:35:38 HUANG Hua-yan 554true ［Abstract］　Objective　To investigate the preoperative preparation method in the operation of hyperthyroidism and the prevention of its complications.Methods　Seven hundred and twenty-two patients with primary hyperthyroidism which were diagnosed by pathology were orally administered methimazole,lugol′s solution and oryzanol, vitamin B₁, for the patients with heart rate greater than 90 beats/min and the ECG without complete atrioventricular block propranolol were administered for control of heart rate.The patients were administered intravenously dexamethasone 15 mg/day in the first three days after operation.Results　All patients were cured.No hyperthyroidism crisis intraoperative and post operative massive hemorrhage were found.No reccurrence was found during 5 years′ postoperative follow-up.Conclusion　Preoperative use of oral methimazol,lugol,s solution oryzanol vitamin B₁, propranolol for preoperative preparation and postoperative use of dexamethasone is effective in the prevention of postoperative complications of hyperthyroidism.]]> 2018/5/14 8:35:38 XIAO Yuan-chao, LUO Qi-jun,QIN Kai-chong 553true ［Abstract］　Objective　To investigate the diagnostic value of transabdominal and transvaginal color doppler ultrasonography in diagnosing ectopic pregnancy. Methods　Eighty-five cases with ectopic pregnancy confirmed by surgery and pathology between September 2004 and March 2012 in the hospital and outside hospital were examined by transabdominal color doppler ultrasonography(TAS) and transvaginal color doppler ultrasonography(TVS), and the contrast analysis were carried out on the inspection result.Results　Two methods combined with history and blood or urine human chorionic gonadotrophin (HCG) showed the ruptured ectopic pregnancy in 62 cases and unruptured ectopic pregnancy in 23 cases. The ruptured ectopic pregnancy was diagnosed by TAS in 62 cases(100%) and by TVS in 59 cases (96%);the unruptured ectopic pregnancy was diagnosed by TAS in 18 cases(78%) and by TVS in 23 cases(100%), the positive coincidence rate of combined use of TAS and TVS was 100%. Statistical analysis of the two methods showed no significant difference （P>0.05）.Conclusion　TAS is more sensitive in the diagnosis of ruptured ectopic pregnancy. TVS is more sensitive in the diagnosis of early unruptured ectopic pregnancy. Combined TAS and TVS can improve accuracy in diagnosing ectopic pregnancy with high clinical value.]]> 2018/5/14 8:35:38 HUANG Ling 552true ［Abstract］　Objective　To verify the performance of the i-CHROMA Reader immune fluorescence analyzer.Methods　C-reactive protein (CRP) was taken as an analytical indicator, precision, linearity, accuracy, anti-jamming capability of the instrument was verified.Results　The precision of inner batch and inter- batches were 2.60% and 3.66%, 1.76% and 3.34%, respectively. The linear experiments showed that the equation Y=1.0128X+0.445 and correlation coefficient r=0.996. The accuracy of experiment showed that the i- CHROMA Reader immunofluorescence analyzer was in accordance with Roche ISE-D-P module in test results (bias 4.52%); the effects of jaundice and chylous disruptors on the test results were -4.9%～2.45% and -4.22 ～ 2.71% respectively.Conclusion　The performance of the instrument is in accordance with what is declared by manufacturers, meeting the requirements of this laboratory, which can be used for the detection of clinical specimens.]]> 2018/5/14 8:35:38 DOU Li-Ling, DONG Jia-shu 551true ［Abstract］　Objective　To investigate the technique of establishing work tract of percutaneous nephrolithotomy guided by ultrasound.Methods　A total 289 patients with kidney stones underwent percutaneous nephrolithotomy though working tract by ultrasound-guidance.Results　The procedure of puncture was successful in 289 patients in first puncture. There was no pleural injury, abdominal organs injury, renal pelvis tearing and penetrating kidney injury. Stones clearance rate was 85.5%(247/289).Conclusion　It is safe and feasible to establish percutaneous nephrolithotomy work tract using ultrasound guidance,when mastering the operation techniques.]]> 2018/5/14 8:35:38 SU Fen-lian, QIN Bin, TAO Zong-xin, et al. 550true ［Abstract］　Objective　To observe the risk factors, diagnosis of placenta previa and delivery mode in late pregnancy women with placenta previa.Methods　Sixty-seven late pregnancy women with placenta previa in our hospital during August 2007 to August 2011 were analyzed.Results　The rate of placenta previa was higher in the first pregnancy women.The rates of premature delivery, postpartum hemorrhage, uterine packing were higher. Misdiagnosis and missed diagnosis rate of placenta previa was higher.Conclusion　For young pregnant women the collection of medical history should be carefully performed; Before termination of pregnancy the location of placenta should be clearly defined to improve the prenatal diagnosis rate;For women with low laying placenta, the trial vaginal delivery should be performed as much as possible to reduce the rate of cesarean section and postpartum hemorrhage.]]> 2018/5/14 8:35:38 MA Hai-yan 549true ［Abstract］　Objective　To investigate the clinical effect of augmentation mammoplasty with silicone prosthesis combined with injecting Botulinum toxin type A (BTXA) into pectoralis major muscle.Methods　A retrospective analysis of 53 cases who underwent augmentation mammoplasty with silicone prosthesis combined with multi-point injection of BTXA into the half-down part of pectoralis major muscle on both sides from December 2010 to May 2011 in our department was performed. The total dose of BTXA was 100 U. The 53 cases were follow-up for 6 to 10 months.Results　Fifty-two cases obtained satisfactory results, with nice contour and normal breast sensation without displacement of implants, in 1 case with hematomas capsular contracture was found after 3 months. Then it was cured after symptomatic treatment.Conclusion　The method of augmentation mammoplasty with silicone prosthesis combined with injecting BTXA into major muscle can increase the cutative effect and reduce complications.]]> 2018/5/14 8:35:38 WANG Yue-xing, JIA Wen-hong, TIAN Hui-jian, et al. 548true ［Abstract］　Objective　To research the prevention effect of different medication on mother-to-infant transmission of HIV.Methods　Seventy-three HIV-positive pregnant women were chosen. Of them, 26 women were treated by the Nevirapine tablet from 2005 to 2007 (scheme 1)，and 47 women were treated by the combined application of triple antiviral drug from 2008 to 2010 (scheme 2). Their infants were follow up for 18 months. All the infants were used artificial feeding.Results　There was no deformity infant within the two schemes. There were 2 HIV-positive infants in scheme 1.(One infant was from the group that the mathers and the infants were both treated, and the other infant was from the group that only the infants were treated). There was only 1 HIV-positive infant in scheme 2.(The infant was from the group that only the infants were treated). All the other infants were negative in scheme 2 in which the mathers and the infants were both treated.Conclusion　To take comprehensive intervention measures in the HIV-positive pregnant women is an effective way to block the mother-to-infant transmission of HIV. The measures include treating by antiviral drug and artificial feeding.]]> 2018/5/14 8:35:38 HUANG Nuan-ying, LIANG Yan-fen 547true ［Abstract］　Objective　To explore the clinical features, diagnosis and treatment of patients with naso-pharyngo-laryngeal leeches.Methods　The clinical data of 92 patients with naso-pharyngo-laryngeal leeches were retrospectively analyzed.Results　Of 92 patients, leeches were found in nasopharyngeal carity in 81 patients, leeches in laryngo pharyngeal carity in 11 patients.Main clinical manifestations were epistaxis or bloody sputum, including pure bleeding in 9 patients,foreign body sensation in 83 patients,throat pain in 7 patients, mild breathing difficulty in 3 patients.On the basis of medical history inquiry and signs performance the disease can be diagnosed. Postoperative residual leech foreign body weren′t found.Conclusion　The patients suspected of suffering from this disease should be asked for details of the history and received relevant clinical examination. The effective treatment method is removal of leeches surgically.]]> 2018/5/14 8:35:38 WEI Yong-biao,WANG Jun,LUO Wei-jian,et al. 546true ［Abstract］　Objective　To investigate the relationship between the mental change of elder and α rhythm in electroencephalogram(EEG). Methods　The cognitive function of 115 patients were assessed by mini mental state examination (MMSE), then the distribution of frequency, index and amplitude of αrhythm in EEG were calculated.Results　The index of α rhythm in EEG was lower in intelligence obstacle group than that in intelligence normal group. The distribution of frequency and amplitude had no significant difference.Conclusion　The mental level in elder who′s index of α rhythm in EEG was lower was decline distinctly.]]> 2018/5/21 9:01:32 YI Zu-fang, LI Jing-hong, ZHANG De-min 545true ［Abstract］　Objective　To explore the clinical effect of rivanol combined with misoprostol for termination of pregnancy.Methods　Ninety cases with 20 ～ 28 pregnant weeks received pregnancy termination randomly were divided into experimental group(n=45) and control group(n=45). Two groups received amniotic cavity injection of rivanol. For the experimental group, misoprostol was placed in the posterior fornix of vagina. The data of two groups were collected and compared.Results　In the experimental group, the success rate of induced labor within 24 hours was 100%,the rate of placental membranes spantaneous labor was 82.2%,average hospitalization time was (3.5±1.3)days, the average amount of bleeding were (30.2±10.5)ml; In control group there was no success case of induced labor with in 24 hours, between 24 and 48 h the success rate of induced labor was 80%; the rate of placental membranes spantaneous labor was 51.1%,the average hospitalization time was (5.5±2.0)days, the average amount of bleeding was (80.4±30.8)ml; in the experimental group, vaginal bleeding time was (6.3±3.7)days, in control group was (11.5±6.9)days. There were statistically significant difference in above indexes between two group(P<0.05 or P<0.01).Conclusion　Amniotic cavity injection of rivanol combined with application of misoprostol in vaginal fornix for terminating early mid-trimester has obvious effects, and it′s effect is superior to that of the amniotic cavity injection of rivanol and is worth promotion and application in the clinical pracitce.]]> 2018/5/21 9:01:32 ZHENG Mei-ling 544true ［Abstract］　Objective　To investigate the effect of injection of recombinant human interferon α2b combined with lactose-free milk powder in treating of infantile autumn diarrhea.Methods　Sixty infants with autumn diarrhea who had 4～18 months of age, the disease course less than one week, mainly formula milk,breast milk or regular feeding were randomly divided into three groups. Group A: rehydration and symptomatic treatment; Group B: Group A treatment combined with injection of recombinant human interferon α2b; Group C: Group B treatment plus lactose-free milk powder. Group A and group B continued formula milk breast milk or regular feeding, Group C lactose-free milk powder instead. The therapeutic effect, the time of temperature dropping to the normal and stopping diarrhea were observed.Results　there was statistically significant difference in therapentic effect among three goups(P<0.01).The time of temperature dropping to normal and stopping diarrhea in B and C group was shorter than that in A group(P<0.01);The time of stopping diarrhea in C group was shorter than that in B group(P<0.01).Conclusion　Injection of recombinant human interferon α 2 b combined with lactose-free milk powder in the treatment of infantile autumn can not only shorten duration of diarrhea, but also is effective and safe.]]> 2018/5/21 9:01:32 NONG Ming-jin 543true ［Abstract］　Objective　To explore how to better perform tonsillectomy in basic hospital under the existing condition.Methods　The experience on application of modified Dai′s mouth-gag combined with low energy electric coagulation pattern in 153 patients with tonsillectomy under general anesthesia were summarized.Results　In 153 patients, the surgery time were about 8～15 minutes, the intraoperative bleeding were about 5～10 ml, with an average of 7.5 ml.The growth of false membrane in the both sides amygdaline depression was good one day after operation.No bleeding was found during 24 h after operation, bleeding due to false membrane shedding were found in 3 patients one week after operation, which were improved after the partial pressure and other symptomatic treatment. The postoperative hospital stay were about 1～4 d, the average 2.5 d. The good wound healing were obtained in most patients after two week operation except wound infections were found in 2 patients one week after operation,which were improved after anti-inflammation and the partial atomization inhalation treatment.Conclusion　The application of modified Dai′s mouth-gag combined with low energy electric coagulation pattern in the tonsillectomy can reduce the intra operative bleeding obviously, shorten the surgery time obviously, and is worth popularizing in the basic hospital.]]> 2018/5/21 9:01:32 YU Jiang-ju, HUANG Hua, WEI Chun-jiao, et al. 542true ［Abstract］　Objective　To explore the clinic associated factors of FGR(fetal growth restriction).Methods　A retrospective analysis of clinical data of puerperas who had given birth and neonates with FGR in our hospital from January 2005 to December 2010 was performed to evaluate the FGR associated factors.Results　The incidence rates of FGR was 1.72% and showed a downward trend in 6 years. The incidence rate of asphyxia neonatorum was 2.5% and the incidence rate of severe asphyxia neonatorum was 1.25%. The incidence rates of oligohydramnios, hypertensive disorder complicating pregnancy moderate to severe anemia, placenta abnormality in FGR puerperas were significantly higher than those of control group (all P<0.05).Conclusion　Oligohydramnios, hypertensive disorder complicating pregnancy, moderate to severe anemia, placenta abnormality are the primary clinical factors leading to FGR instead of cord abnormality and mild anemia.]]> 2018/5/21 9:01:32 LI Wei 541true ［Abstract］　Objective　To investigates the distribution and drug resistance of local area pathogens in neonates with septicemia in order to direct the clinical reasonable usage of antibiotics.Methods　The result of detection and drug sensitivities of pathogens in the neonates with septicemia treated in our hospital from October 2008 to October 2011 were retrospectively analyzed.Results　Out of the blood samplies,41 strains were detected,including Gram-positive bacteria (32 strains, accounting for 78%) and Gram-negative bacteria (9 strains, accounting for 22%). The five most common pathogens were Staphylococcus pidermidis (14 strains 34.1%), Staphylococcus hominid (5 strains,12.2%),Staphylococcus aureus (4 strains, 9.8%) and Klebsiella pneumonia (4 strains,9.8%),Escherichia coli (3 stains,7.3%). The resistance of staphylococcus to penicillin was 100%.Conclusion　CNS is the most common pathogens of neonatal sepsis; the common antibiotics have different levels of drug resistance. Investigating pathogenic bacteria distribution in the region and resistance change can improve neonatal anti-infection treatment quality, control nosocpmial infection, and delay the occurrence of bacteria resistance.]]> 2018/5/21 9:01:32 WEI Qiu-ling 540true ［Abstract］　Objective　To compare the effects between two kinds of disinfectants in disinfection of oral silicone rubber impression.Methods　Seventy-five pairs of maxillomandibular samples were obtained, 25 pairs of samples were used as a positive control group, the remaining 50 pairs of samples were divided randomly into two groups.The samples in experimental group were immersed with 2% glutaraldehyde solution and the samples in control group with the 1% 84 disinfection solution.The disinfection effect between two groups were compared.Before and after immersion,the size of abutment MD, BL, OG were measured to determine the deformation. Results　One bacterial flora was found in 50 samples in the experimental group with a pass rate of 98%; nine bacterial flora was found in 50 sample in control group with pass rate of 82%;the difference of disinfection effect between two groups had statistical significance (P<0.01 ). After immersion, the deformation of more than 2% were found in 2 models in experimental group, the deformation of more than 2% in 12 models in control group. Between the two groups there was significant difference (P<0.01 ).Conclusion　The disinfection effect of 2% glutaraldehyde for oral silicone rubber impression is better than that of 1%84 disinfectant solution, with less deformation.]]> 2018/5/21 9:01:32 YAN Chao-yi,LI Xiong,CHEN-jie 539true ［Abstract］　Objective　To analyze the classification of causes of medical coma patients in order to provide evidence for treatment in coma patients.Methods　The clinical data of 187 patients with coma from Jan. 2001 to Jan. 2011 were retrospectively analyzed.Results　Most of the cases of coma were caused by acute cerebral vascular disease. Some were due to acute alcohol and pesticide poisoning. The number of male patients was more than female patients.Conclusion　Because of the complicated cause of coma in emergency internal medicine in primary hospital, doctors should get more emergency knowledge training and perform an in-time diagnosis and treatment for the patients to increase the successful rate of cure.]]> 2018/5/21 9:01:32 YANG Xin-qiu,XIAO Ri-yang 538true ［Abstract］　Objective　To study the correlations between the change of blood glucose and glycated hemoglobin A1c(HbA1c) in patients with type 2 diabetes, to provide guidance for the prevention of complication.Methods　From May 2009 to May 2011, 18 patients with type 2 diabetes were selected. The correlations between the change of blood glucose and HbA1c were observed by continuous glucose monitoring system(CGMS).Results　HbA1c was positively correlated with the daily blood glucose levels (P<0.05), while was not significantly correlated with postprandial glycemic excursions(PPGE)(P>0.05).Conclusion　CGMS can display the daily blood glucose fluctuation in detail, and HbA1c may comprehensively reveal the daily blood glucose levels.]]> 2018/5/28 8:15:14 ZOU Hui, ZHANG Yao 537true ［Abstract］　Objective　To observe the clinical effects of using metoprolol combined with trimetazidine on the basis of routine treatment of dilated cardiomyopathy (DCM) heart failure for the children.Methods　Sixty-four DCM children with mild and moderate systolic insufficiency heart failure (class NYHA Ⅱ～Ⅲ) were collected and randomly divided into control group (32 cases) and treatment group (32 cases). Both groups were given digitalis preparations, diuretics, vasodilators and angiotensin converting enzyme inhibitors. Added metoprolol and trimetazidine on the basis of the routine treatment in treatment group, a course of 6 months, two groups were compared.Results　The clinical effect and the total effective rate were better in treatment group compared with control group (P<0.05). The heart rate(HR), blood pressure(BP), left ventricular end-diastolic diameter (LVEDD), left ventricular end-stolic diameter (LVESD) and left ventricular ejection fraction (LVEF) were significantly improved after treatment in treatment group compared with those before treatment (P<0.05), these indicators also were significant differences between the two groups after treatment (P<0.05).Conclusion　For children with DCM heart failure, metoprolol combined with trimetazidine can improve heart function safely and effectively.]]> 2018/5/28 8:15:14 LIAO Chuan-de, XU Qiong-lian 536true ［Abstract］　Objective　To study the assisted effect of discharging stone of tamsulosin combined with wulinhuashi pill after the extracorporeal shock wave lithotripsy (ESWL) of lower ureteral stone.Methods　One hundred and twenty patients with lower ureteral stone were randomly divided into the control group (n=60) and the treatment group (n=60). After ESWL,the control group used wulinhuashi pill, the dose was 1.25 g three times daily,not used ureteral smooth muscle relaxation agent. After ESWL,on the base of treatment of the control group the treatment group used α₁ adrenaline receptor blocker tamsulosin, the dose was 0.4 mg daily as a single dose. The rate of discharging,the time of discharging stone and the complications renal colic, fever, hematuria,side effects of the drug were observed. The observation time of each patient wasn′t more than two weeks.Results　The rate of the discharging stone of the treatment group was 88.3%. The rate of discharging stone of the control group was 46.7%. The rate of the treatment group was higher than that of the control group (P<0.01).The control group′s incidence of renal colic,fever and hematuria were 35.0%, 20.0%, 23.3%,respectively. Those of the treatment group were 10.0%, 6.7%, 8.3%,those of the treatment group were lower than those of the control group (P<0.05). In the treatment group there was no other adverse reaction except the dizziness occurred in two cases.Conclusion　The combining of the both tamsulosin and wulinhuashi pill can have a synergic effect,improve the rate of discharging stone after ESWL and shorten the time of discharging stone. The incidence of renal colic,fever,hematuria and the side effects of drug are low. It is safe and effective method, and worth clinical application.]]> 2018/5/28 8:15:14 LI Shao-kang 535true ［Abstract］　Objective　To observe the clinical efficacy of combined therapy of traditional Chinese medicine and western medicine in chronic renal failure(CRF). Methods　Sixty patients with CRF were randomized divided into treatment group （n=30） treated with traditional Chinese medicine and western medicine and control group （n=30） treated with western medicine.Results　The total efficacy rate was 80.0% in treatment group and 53.3% in control group,there was a significant difference in total efficacy rate between two groups (P<0.01).Conclusion　Compared with single therapy of western medicine, the combined therapy of traditional Chinese medicine and western medicine has higher efficacy in the treatment of CRF.]]> 2018/5/28 8:15:14 DU Wen-xia 534true ［Abstract］　Objective　To investigate the curative effect of locking compression plate fixation for proximal humerus fractures.Methods　Taking anterior lateral approach of shoulder joint, 39 patients with proximal humerus fractures were treated by open reduction and locking compression plate fixation, these patients received early postoperative functional exercise.Results　Thirty-nine patients were followed up for 6 to 12 months,with an average of 9 months. The primary healing were obtained in 39 patients,and no broken plates, screws loosening, and further displacement occurred. Excellent effect were found in 26 cases, good in 8 cases,fair in 5 cases,excellent and good rate was 87.2%. Aseptic necrosis of the humeral head was found in one case.Conclusion　The locking compression plate fixation for proximal humerus fractures has the advantages of stable fixation, simple operation, allowing early exercise, good recovery of shoulder function, and is an ideal surgical method.]]> 2018/5/28 8:15:14 LIANG Sheng-wei, HUANG Ke 533true ［Abstract］　Objective　To explore the clinical efficacy and value of uterine artery embolization and hysterectomy for postpartum hemorrhage.Methods　Fifty-three postpartum hemorrhage patients with the failed non-surgical treatment were randomly divided into two groups: observation group（29 patients）was treated with uterine artery embolization; control group （24 patients）was treated with hysterectomy.Results　The cure rate of observation group was 86.2%, inefficiency rate was 3.4%;the cure rate of control group was 91.7%,inefficiency rate was 0.0%.There was no significant statistical difference between two groups(P>0.05). The incidence of complications between two groups were not statistically difference(P>0.05).The life quality of postoperative follow-up in observation group is better than that in the control group (P<0.05).Conclusion　Uterine artery embolization in the treatment of postpartum hemorrhage patients with the failed non-surgical treatment has the advantages of significant therapeutic effect, faster effect, less trauma, less side effects, and greater clinical value.]]> 2018/5/28 8:15:14 TANG Jia-hua 532true ［Abstract］　Objective　To explore the imaging manifestation of secondary pneumocystis carinii pneumonia in AIDS patients.Methods　A retrospective analysis of imaging manifestation of 28 AIDS with secondary pneumocystis carinii pneumonia diagnosed in our hospital from January 2009 to December 2011 was performed. Results　The typical imaging manifestation of secondary pneumocystis carinii pneumonia included the diffuse and exudative lesions distributing over the bilateral lung fields surrounding hilum of lung, lesions were ground-glass shape, grid, map-like or gravel sign.Conclusion　The chest X-ray and CT scan have important value in the diagnosis of secondary pneumocystis carinii pneumonia in AIDS patients.]]> 2018/5/28 8:15:14 LI Quan-ling 531true ［Abstract］　Objective　To explore the common causes and treatment methods of pregnant women with severe thrombocytopenia.Methods　The clinical data of 22 pregnant women with severe thrombocytopenia were retrospectively analyzed.Results　Twenty-two patients were given the comprehensive treatment, including glucocorticoids, gamma globulin, transfusion of platelets and so on.The early induced abortion were performed in 1 patient,the induced abortion in medpregnancy in 2 patients.The remaining patients underwent cesarean section.In the termination of pregnancy there were no serious complications.Conclusion　Thrombocytopenia in pregnancy is very harmful to the mother and infant. The active treatment to increase the platelet is the key to a good pregnancy outcome.]]> 2018/5/28 8:15:14 WU Jian, GUO Hao, SU Sheng-hong, et al. 530true ［Abstract］　Objective　To investigate the clinical effect of the combined spinal-epidural anesthesia in the elderly transurethral resection of prostate.Methods　Sixty patients undergoing transurethral resection of prostate were randomly divided into the epidural anesthesia group (EA group n=30) and combined spinal-epidural anesthesia group (CSEA group n=30). The blood pressure, heart rate, pulse oximetry, etc.were monitored during operation. The onset time of anesthesia, block perfect time, block plane and analgesia, intraoperative complications and the incidence of adverse reactions were recorded.Results　Compared with EA group,CSEA group had more rapid onset of anesthesia, a longer block time, better analgesic and muscle relaxant effect (P<0.05). There were no statistically significant difference in anesthesia complications and hemodynamic changes and incidence of adverse reactions between the two groups (P> 0.05).Conclusion　The two methods can meet the operation requirements. CSEA in the transurethral resection of prostate, has rapider onset of analgesia, less medication, less impact on the circulation and fewer complications.]]> 2018/5/28 8:17:42 WEI Jing-xiao 529true ［Abstract］　Objective　To investigate the clinical effect of artificial joint replacement in the treatment of 81 elderly patients with femoral neck fracture.Methods　Eighty -one elderly patients with femaral neck fracure in our hostital from August 2005 to August 2011 were treated by artifical joint replacement, including sub-head type frature(28 cases), via neck type fracure 26 cases, head - neck type fracure(17cases), basal-neck type fracure (10 cases).Results　One patient, who suffered from hypertension and diabetes before operation, died of of stroke 24 h after operation. One patient with dislocation of Dorr Ⅰ class was cured by manual reduction and the use of skin traction. About 1 week after operation, the remaining patients can resume partial weight-bearing walking ability, 1 month after operation patiants can gradually walk without crutcines, two months after operation the functional activities of normal hip joint were recovered in all patients. The primary wound healing was obtained in 80 patients. By sanders scoring the excellent effect (55 to 60 scores) was obtained in 46 patients, accounted for 56.8%; good (45～54 scores) in 25 patients, accounted for 30.9%; fair (35～44 scores) in 9 patients, accounted for 11.1%; poor in 1 patient, 1.2%. The average score was 50 scores.Conclusion　Artificial joint replacement in the treatment of elderly palials with femoral neck fracture has a fine care rate. It has advantates of shorter operative time, less blood loss, sharter hospital stay and bed time, lower re-operation rate,and is an effective method for treatment of elderly patients with femoral neck fracture.]]> 2018/5/28 8:17:42 HUANG Ke, LIANG Sheng-wei 528true ［Abstract］　Objective　To investigate the efficacy of plasma ablation of inferior turbinate associated with relocation of fracture for chronic hypertrophic rhinitism.Methods　Eighty-three patients suffering from chronic rhinitis with both hypertrophy of inferior turbinate mucosa and bone were classified into two groups in random: the experiental group and the control group.Forty-three patients of the experiental group were treated with plasma ablation of inferior turbinate associated with relocation of fracture.Forty in the control group were treated with plasma ablation of inferior turbinate. The two groups were evaluated the efficacy after six months.Results　The efficacy of the experiental group was better than the control group (P<0.01).Conclusion　The efficacy of plasma ablation of inferior turbinate associated of with relocation of fracture is satisfactory.It is provided with favorable clinical value.]]> 2018/5/28 8:17:42 LU Zhong,DENG Li-bo,WEN li-hui 527true ［Abstract］　Objective　To observe the effect of taking purgative jieyu soup in treating patients with depressive neurosis with perianal discomfort as the chief complaint.Methods　Sixty patients with depressive neurosis with perianal discomfort as the chief complaint randomly divided into treatment group (n=32) and control group (n=28).The treatment group took purgative jieyu soup combined with doxepin,control group took doxepin.Results　There were 20 patients (62.5%) being cured and 12 patients (37.5%)with excellent effect in the treatment group；There were 6 patients (21.43%) being cured, 6 patients (21.43%) with excellent effect, 16 patients (57.14%) with effertive effect in the control group. The difference in cured and excellent effective rate between two groups have statistical significance(Z_c=4.5279, P<0.05). Conclusion　Purgative jieyu soup has good curative effect in the treatment of the patients with depressive neurosis with perianal discomfort as the chief complaint.]]> 2018/5/28 8:17:42 GAO Pei-hua,CUI Feng-zhuo 526true ［Abstract］　Objective　To explore the effects of surgical treatment of lower lumbar vertebral tuberculosis.Methods　Twenty-three patients with lower lumbar vertebral tuberculosis received one-stage anterior focus elimination, interbody fusion with autogenous iliac bone and anterior Z-titanium plate internal fixation. After operation all patients were treated with the conventional triple anti-tuberculosis medicine for 9～12 months. After operation, local pain alleviation, the spinal nerves function restoration, kyphosis′ correction and the spinal column stable situation were observed.Results　All patients were followed up for the average 28.2 months. In all patients low back pain symptom disappeared. After operation, the average kyphosis Cobb angle was 29.2° (the average correction angle was 20.5°compared with that before the operation), average VAS grading was 27 points; the Frankel graduation showed the D level in 6 patients, the E level in 17 patients; no recurrence of tuberculosis was found. Conclusion　The effect of one-stage anterior focus elimination,interbody fusion with autogenous iliac bone and anterior Z-titanium plate internal fixation in the treatment of patients with lower lumbar vertebral tuberculosis is satisfactory.]]> 2018/5/28 8:17:42 CHEN Yong, HUANG Zhi-xi, ZHANG Chun-cheng 525true ［Abstract］　Objective　To evaluate the clinical efficacy of continuous vacuum sealing drainage (VSD) in managing chronic osteomyelitis.Methods　Twenty-three patients with chronic osteomyelitis and chronic ulcers were treated in our hospital.After the ulcer was completely debrided, they were treated with VSD. When the wound surface was clear,　the granulation tissue grew well and conditions permitted, the wounds in 12 patients were directly sutured, and the wounds in 8 patients were closed by skin graft, the wounds in 3 patients were closed by vicinal skin flap.Results　The exudates and the area of the wounds were both decreased after VSD procedure were used, for an average of 15 days and VSD were replaced for average of 2.5 times. After the second surgery, the disease cured. All patients were followed up for six to twenty-nine months, no recurrence was found.Conclusion　VSD in the treatment of chronic osteomyelitis has advantages of sufficient drainage, reducing wound area, promoting granulation tissue growth and reducing the recurrence rate and so on. Its therapeutic efficacy is exact.]]> 2018/5/28 8:17:42 CHEN Dong,MENG Jia-hui,ZHANG Wen-zuo,et al. 524true ［Abstract］　Objective　To explore the cause of coma,early diagnosis and treatment of coma patients in order to improve the success rate.Methods　The diagnosis and emergency treatment of 368 coma patients in emergency department of our hospital from 2008 to 2010 were retrospectively analyzed.Results　In 368 coma patients，cerebrovascular disease accident was most, followed by head injury,shock,poisoning, cardiovascular disease, endocrine and metabolic diseases.In all the patients, 11 died, the mortality rate was 2.99%.Conclusion　Coma patients with cerebral vascular accident is majority, a clear diagnosis of the cause as soon as possible and the first-aid treatment will improve the survival rate of coma patients and reduce mortality.]]> 2018/5/28 8:17:42 YANG Cong-he 523true ［Abstract］　Objective　To investigate treatment strategy of patients with severe thoracic trauma in acute phase.Methods　The clinical experience on treatment of 32 patients with severe thoracic trauma treated in our hospital from May 2008 to October 2011 was summarized.Results　Among 32 patients,3 patients (9.4%) died, and 29 patients (90.6%) recovered, or survived with slight disability after proper treatment.Conclusion　The proper treatment for patients with severe thoracic trauma will reduce the mortality of the patients.]]> 2018/5/28 8:17:42 YU Long-Hai,QIN Ying,YANG Yu 522true ［Abstract］　Objective　To investigate the imaging features of CT and MRI of tuberous sclerosis（TS），and evaluate the diagnostic value of CT and MRI for TS.Methods　A retrospective study was conducted on 39 patients with TS who were diagnosed by the clinic and operation.The analyses were performed on the imaging patterns of TS on the basis of the position of the focus in brain and whether it merging with other or not.Results　TypeⅠ （10 patients ）TS were distributed under endyma.Type Ⅱ(21 patients):of them,TS distributed under endyma and under the cortx of brain,in white matter of brain,in brain parechyma.TypeⅢ(8 patients)：merging with other organs.Conclusion　Imaging findings of CT and MRI are the major basis to diagnose TS.CT combined with MRI have important significance in the diagnosis of TS.It is necessary to pose the imaging patterns of TS.The position of the focus and complications are the determinants of the prognosis of patients with TS.]]> 2018/5/28 8:17:42 XIE Ling 521true ［Abstract］　Objective　To explore the method of surgical treatment of patients with appendiceal abscess in acute stage.Methods　The clinical data of 55 patients with appendiceal abscess were retrospectively analyzed.Results　Fifty-five patients with appendiceal abscess in acute stage received one stage resection and all patients were cured.Conclusion　The one stage resection of appendiceal abscess in acute stage has advantages of timely relieving the suffering of the patients,reducing the financial burden of the patients and preventing recurrence of the disease.]]> 2018/5/28 8:17:42 LI Qing-jun 520true ［Abstract］　Objective　To explore the therapeutic effect of endoscopic balloon dilatation in the treatment of achalasia.Methods　Eighteen patients with achalasia were treated by endoscopic ballon dilatation. After treatment repeated endoscopy or X-ray examination were performed to evaluate the effect.Results　The marked effect were obtained in 18 patient(100.0%). No perforation, hemorrhage and other complications occurred.Conclusion　Endoscopic balloon dilatation is an effective non- surgical operation method in the treatment of achalasia.]]> 2018/5/28 8:17:42 LU Hai-ying,TAN Feng-kang,MA Zhao 519true ［Abstract］　Objective　To investigate the success rate of trial labor with analgesia and no analgesia in birth process,analyze and compare the failure reason of trial labor and the related index after diverting to cesarean in two groups.Methods　The clinical data of primiparas who received combined spinal epidural analgesia in birth process (analgesia group,n=300) and who did not received analgesia in birth process (no analgesia group,n=300) was retrospectively analyzed.The success rate of trial labor,rate of oxytocin use,intraoperative bleeding volume,postpartum 24 h hemorrhage volume and neonatal Apgar score(Apgar) between two groups were compared. Results　Of 300 cases in analgesia group, 274 pregnant women were successful in trial labor(accounted for 91.3%). Another 300 cases in no analgesia group, 173 pregnant women were successful in trial labor(accounted for 57.7%). The main causes of the failure of trial labor in the two group were abnormal fetal position, fetal distress, active phase arrest and so on. The rates of abnormal fetal position, and active phase arrest in analgesia group were significantly higher than that in the no analgesia group(P<0.05 or <0.01 ), the rate of oxytocin use in analgesia group was higher than that in no analgesia group(P<0.01); intraoperative and postpartum 24 h bleeding volume in analgesia group were more than that in the no analgesia group(P<0.05 or <0.01). The Apgar score of newborns in the analgesia group was higher than that in no analgesia group(P<0.01). Conclusion　The combined spinal-epidural anesthesia analgesia and body position guidance in birth process can improve vaginal delivery rate, reduce the rate of cesarean section and neonatal asphyxia, but have a certain impact on uterine contractions, and increase the rate of oxytocin use and increase intraoperative and postoperative hemorrhage volume after failue of trial labor.]]> 2018/5/28 8:17:42 LIAO Dong-lin, LIAO Ling, CAI Yu-zhen, et al. 518true ［Abstract］　Objective　To evaluate the role of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for diagnosis and safety of focal celiac lesion.Methods　Nineteen patients with focal celiac lesions who underwent EUS-FNA from May 2009 to June 2011 were retrospectively analyzed. Surgical-pathological result was used as the reference standard for diagnosis.Results　Nineteen patients were diagnosed by EUS-FNA as adenocarcinomas (n=11), pseudo- papillomas (n=1),intraductal papillary mucinous tumor(n=1),inflammation (n=6).The diagnostic sensitivity and accuracy of focal celiac lesion by EUS-FNA were 68.4% and 86.0% respectively.Conclusion　EUS-FNA was an accurate and safe modality in diagnosis of focal celiac lesion.]]> 2018/6/4 8:29:26 QIN Liu,LIANG Lie-xin,NONG Bing,et al. 517true ［Abstract］　Objective　To explore the effect of treatment of comminuted calcaneal fracture involving in calcaneal-talus joint by anatomic plate internal fixation.Methods　Thirty-five patients suffered from comminuted calcaneal fracture involving in calcaneal-talus joint were treated with the anatomic plate internal fixation combined with cancellous bone screw and ilium grafting. The reduction of both the articular surface of the calcaneal-talus joint and the Bhler′s angle had been achieved during operation. The outcomes of both the treatment and the function of joints involved were graded into the excellent, the good, the fair and the poor according to Maryland Foot Score.Results　The patients had exercised early after operation. All the 35 cases had been followed up for an average duration of 6.5 months(ranging from 4 to 24 months). The average healing time of the fractures were 2.9 months postoperatively. Out of the 35 cases, the outcomes of both the treatment and the function of joints involved were excellent in 15 feet(15/40, 37.5%), good in 17 feet (17/40, 42.5%), fair in 5 feet (5/40, 12.5%) and poor in 3 feet (3/40, 7.5%) according to Maryland Foot Score, and the rate of both excellent and good was 80.0%.Conclusion　Being able to effectively support the articular surface of calcaneus, the anatomic plate is a fine internal fixation device for calcaneal fractures, and it is an ideal method for calcaneal fracture.]]> 2018/6/4 8:29:26 LIU Wen-he, XU Meng-yu, TANG Yong-zhi, et al. 516true ［Abstract］　Objective　To explore the clinical effects in senile knee osteoarthritis treated by arthroscopic debridement.Methods　All the 50 patients with osteoarthritis were treated by joint cavity irrigation, synovectomy, loose bodies removal, the repairing and partial resection of meniscus, etc, under arthroscopy. Then the clinical effects were observed.Results　A follow-up visit to the patients for 20 months in average (6～36 months) was performed. Among them, the clinical symptoms for 42 patients become better and the excellent and good rate was 84%.Conclusion　Arthroscopic debridement is quite effective on the treatment of knee osteoarthritis. But it needs to grasp the clinical adaptable indications.]]> 2018/6/4 8:29:26 GUO Zhou,ZHU Ning,WANG Hua 515true ［Abstract］　Objective　To explore the clinical value of fiberoptic bronchoscope in the treatment of acute atelectasis.Methods　Forty-five patients with acute atelectasis received fiberoptic bronchoscopy, attracting and local irrigation.Results　Thirty-six patients got lung recruitment after first bronchoscopic attraction and lavage;9 patients got lung recruitment after second bronchoscopic attraction and lavage, without incident.Conclusion　Fiberoptic bronchoscope is great valuable for the diagnosis and treatment of the patient with acute atelectasis, which can effectively remove blood clots, sputum and secretion in the airways, shorten the duration of symptoms. It is a better for the treatment of patients with acute atelectasis.]]> 2018/6/4 8:29:26 QIAN Yu -rong 514true ［Abstract］　Objective　To explore the indication and treatment effect of the transvafinal ultrasound interventional therapy in the treatment of fallopian tube pregnancy.Methods　By means of the transvaginal ultrasound,pregnant substance in fallopian tube were aspirated by COOK puncture needle and 50 mg/kg methotrexate was injected. Them blood HCG-β was monitored as well as the change condition of mass in the attachment area was observed.Results　Successful treatment was seen in 21 of 22 patients except one.Conclusion　The trans vaginal ultrasound interventional therapy in the treatment of fallopian tube pregnancy is effective, which enlarges the indication of fallopian tube pregnancy conservative therapy and protect the fertility of female.]]> 2018/6/4 8:29:26 LI Ya-jie, CHEN Xiu-ming 513true ［Abstract］　Objective　To avoid medical dispute caused by transfusion-transmitted diseases and prevent occupational infection.Methods　Serum HIV antibody, HCV antibody and TP antibody were detected by enzyme-linked immunosorbent assay (ELISA) in 11 606 patients before blood transfusion from January 2010 to March 2011. Results　The positive results of above three indicators were found in 856 patients.Conclusion　The detection of above three indicators before blood transfusion are important in the diagnosis and prevention of cross-infection between doctors and patients and reduction of the incidence of medical dispute.]]> 2018/6/4 8:29:26 XU Mei-rong 512true ［Abstract］　Objective　To explore the methods of preventing and correctly handling retained placenta in order to decrease postpartum hemorrhage and puerperal infection.Methods　The clinical data of 38 patients with retained placenta were retrospectively analyzed.Of them manual removal of placenta were successfully performed in 35 patients.In 3 patients with placenta implantation, manual removal of placenta was successfully perfomed in 1 patient, 2 patients were treated by hysterectomy because no dividing line was found between the uterine wall and the placenta and placenta implantation was considered.Results　In 38 patients with retained placenta，blood loss was 50～1 250 ml; average blood loss was 542.5 ml.Postpartum hemorrhage were found in 2 patients; puerperal infection in 2 patients.No other complications and mortality occurred.Thirty-eight patients with retained placenta were cured through treatments. The hospital stay period was 7～17 d; average hospital stay was 9.5 d. Conclusion　Among the natural labor, decideing conservative treatment or hysterectomy according to the specific conditions of patients, has important value in preventing postpartum hemorrhage and puerperal infection.]]> 2018/6/4 8:29:26 SU Qun-feng 511true ［Abstract］　Objective　To investigate the clinical features and the methods of diagnosis and treatment of acute pancreatitis(AP) in elderly people.Methods　The clinical data of 53 elderly patients with AP were retrospectively analyzed.Results　The majority of elderly patients with AP associated with underlying diseases.The major predisposing factor was biliary disease(39 cases,accounted for 73.6%).In 9 patients who underwent emergency operation, postoperative complications were found in 6 patients who were cured after symptomatic treatment, 3 patients died;21 patients underwent selective operation,postoperative complications were found in 10 patients who were cured after symptomatic treatment;the others (23 patients) were cured and discharged from the hospital after conservative treatment.Conclusion　The main cause of AP in the elderly people is biliary diseases.The clinical symptoms were acute and not typical in elderly patients with AP.Active conservative treatment can be helpful in improving the prognosis.]]> 2018/6/4 8:29:26 CHEN Xiang-wen 510true ［Abstract］　Objective　To explore the diagnosis and treatment of traumatic rupture of small intestine(TRSI).Methods　The data of clinical symptom, signs, image and laboratory detection of 51 patients with TRSI were analyzed and the diagnosis had be obtained. The simple repair were performed in 41 patients and partial interstinal resection and anastomosis in 10 patients. The control of complication and routine antibiotics were taken after operation.Results　All patients were cured with 100% of curative rate.Conclusion　The diagnosis of TRSI should be based priniarily on clinical symptom and signs of patients as well as the auxiliary examination. The simple repair or partial resection should be performed according to the situation of patients.]]> 2018/6/4 8:29:26 WEI Shao-li, ZHAN Shi-bin 509true ［Abstract］　Objective　To discuss the efficacy of treating lumbar disc herniation by thermal-magnetic wave motion physiotherapy instrument.Methods　Thirty-three patients with lumbar disc herniation were treated in our hospital between Mar. 2010 and Dec. 2010. There were 25 males and 8 females with their ages ranged from 27 to 40 years old, averaging at 32. The course of the disease ranged from 5 months to 1 years. They all were treated by thermal-magnetic wave motion physiotherapy instrument with drug therapy at the same time.Results　The symptoms of leg pain, numbness, and intermittent claudication disappeared completely or obviously improved after treatment. No symptoms of nerve root adhesions were found and all patients recovered the working ability. The good and excellent rate was 93.9 %. According to the Nakai curative standard, excellent were found in 26 patients, good in 5 patients, fair in 2 patients and poor in 0. All patients were followed up for more than six months, no recurrence were found.Conclusion　Thermal-magnetic wave motion physiotherapy instrument in the treatment of lumbar disc herniation can eliminate symptoms, reduce the recurrence rate of disease and has significant therapeutic effect.]]> 2018/6/4 8:29:26 GAO Chao-you,CHEN Dong,HUANG Xiao-fen,et al. 508true ［Abstract］　Objective　To investigate the curative effects and the operational methods of instabe femoral neck fracture treated with grafting of iliac bone flap with pedicels of deep circumflex iliac vessels combined with internal fixation with cancellous screws after open reduction in young adults.Methods　Twenty-one cases of femoral neck fracture of Garden Ⅲ,Ⅳ in the young adults were treated by the operation with grafting of iliac bone flap with pedicels of deep circumflex iliac vessels combined with internal fixation with cancellous screws after open reduction.Results　The 21 cases after operation were followed up from 2 years and 3 months to 6 years. The 20 cases after operation received union of fracture and a good recovery of function with coxa,which were not detected necrosis of femoral head. The one case was avascular necrosis of femoral head,which was displaced by a hip prosthesis.Conclusion　The operational method of grafting of iliac bone flap with pedicels of deep circumflex iliac vessels combined with internal fixation with cancellous screws after open reduction was an effective treatment to femoral neck fracture in the young adults, it could give a safe internal fixation, offer blood for the femoral head which suffered femoral neck fracture, elevate the percentage of union of fracture and reduce the percentage of avascular necrosis of the femoral head.]]> 2018/6/4 8:30:03 NONG Ming-shan, SHEN Guo-guang, YANG Xing, et al. 507true ［Abstract］　Objective　To explore the performance of reticulocytes detected by Coulter LH750 hematology analyzer and its clinical evaluation.Methods　Using the Coulter LH750 hematology analyzer, specimens from 160 persons in our hospital were used for detection of reticulocyte and compared with the manual method.Results　The values of 160 samples detected by Coulter LH750 hematology analyzer were significantly correlated with the values of manual method (r=0.997), and the results showed no significant statistical difference between two methods (P> 0.05).Conclusion　Application of Coulter LH750 hematology analyzer in detection of reticulocyte has the advantages of good repeatability,high precision and accuracy,easy operation,quick detection speed and so on. It can provide more relevant parameters of reticulocyte, and the samples don′t need special treatments. It′s worth to be widely used.]]> 2018/6/4 8:30:03 CHEN Xin-yao, MO Huan-tong, JIANG Hong 506true ［Abstract］　Objective　To discuss the relativity between ABO blood group and recurrent spontaneous abortion.Methods　Six hundred and eighty couples with recurrent spontaneous abortion were selected as experimentation group and 210 couples who give birth to a child successfully were selected as control group. Experimentation group and control group were divided into ABO blood group consistent and non-consistent types respectively according to the ABO blood group of couples. The data were managed by statistical method.Results　In experimentation group the proportion of ABO blood group consistent type was 38.8%, compared with 48.6% in control group. And in experimention group the proportion of ABO group non-consistent type was 61.2%,compared with 51.4% in control group.The difference was statistically significant（P<0.05）.Conclusion　ABO blood group non-consistent in couples is closely related to recurrent spontaneous abortion.]]> 2018/6/4 8:30:03 ZHONG Chun-ping, QIN Xiao-qing, SHEN Wei-dong, et al. 505true ［Abstract］　Objective　To compare the effects of olecranon plate internal fixation and Kirschner wire tension band internal fixation in treating olecranon fractures. Methods　Seventy-five patients with olecranon fractures from January 2006 to September 2010 were treated with olecranon plate internal fixation(40 patients, plate group) and Kirschner wire tension band internal fixation (35 patients, tension band group), and the effects were compared by the assessment of elbow joint function of American hospital of special surgery （HSS）. Results　In plate group, excellent effect were found in 25 patients, good effect in 7 patients,and the excellent and good rate was 80.0%. In tension band group,excellent effect in 20 patients,good effect in 9 patients, the excellent and good rate was 82.9%. There were no significant differences of the excellent and good rate between the two groups（χ²=0.66, P=0.417）. Conclusion　Kirschner wire tension band internal fixation and olecranon plate internal fixation in treating olecranon fractures have the same good effects.]]> 2018/6/4 8:30:03 LU Jian-bin,LUO Han-chao,LI Ning-hua,et al. 504true ［Abstract］　Objective　To observe the curative effect of He′s three promotions of acu-moxibustion in treating herpes zoster.Methods　One hundred and three patients with herpes zoster were randomly divided into two groups.In which 40 patients in treatment group were treated with He′s three promotions of acu-moxibustion while 50 patients in control group were treated with western medicine.Results　The total effective rate of the treatment group was 100.0% and the cure rate was 81.1 %, while the total effective rate of the control group was 82.0% and the cure rate was 56.0%.There was significant difference between the two groups (P<0.05).Conclusion　He′s three promotions of acu-moxibustion in the treatment of herpes zoster has advantages of obvious effect, faster pain relieving and incrustation, shorter couse of treatment and lower incidence of the postherpetic neuralgia and so on.]]> 2018/6/4 8:30:03 LIANG Xiu-shen 503true ［Abstract］　Objective　To investigate the effect of operative treatment of calcaneal fractures with calcaneal plate.Methods　Form May 2003 to May 2009, operative treatment of 24 cases of calcaneal fractures of all kinds(26 feet)were performed. Of them 18 cases were male and 6 cases were female.The average age was 24.6 years(20～42 years). Injury cause: 17 cases suffered drop, 5 cases surfered traffic accident, 2 cases surffered extrusion. According to Sanders classification system,19 cases of type Ⅲ and 5 cases of type Ⅳ.Results　All patients were fellowed-up for 8～36 months (average 10.4 months). According to Maryland Foot Score criteria,all cases recovered with good healing of fractures.The excellent outcome were found in 12 cases,good in 9 cases,fair in 2 cases,poor in 1 case.The excellent and good rate was 87.5%, delay healing were found in 3 cases ;no infection and necrotic skin of incision were found in all cases.Conclusion　It is important for treatment to regain the flatness of subtalar joint, select the surgery indication and reduction approach correctly.Plate internal fixation is an ideal measure to treat calcaneal fractures.]]> 2018/6/4 8:30:03 ZHAN Shi-bin 502true ［Abstract］　Objective　To explore the clinical features and cause of recurrence of acute biliary pancreatitis.Methods　The clinical date of 115 patients with acute biliary pancreatitis treated in our hospital from January 2004 to July 2008, were retrospectively analyzed. According to the conditions of patients, these patients were divided into the medical treatment group and the medical treatment plus cholecystectomy group. The recurrence rate of biliary pancreatitis were compared between two groups.Results　The average follow-up time was 27.6 months (6～54 months). In medical treatment group recurrence were found in 20 patients, recurrence rate was 31.7%(20/63). In the medical treatment plus cholecystectomy group, recurrence were found in 6 patients, recurrence rate was 11.5%(6/52). The recurrence rate in the medical treatment group was higher than that in the medical treatment plus cholecystectomy group (P<0.01).Conclusion　Gallbladder resection can reduce the recurrence rate of pancreatitis.Common bile duct calculi is the main cause of recurrence of pancreatitis after cholecystectomy.]]> 2018/6/4 8:30:03 BO You-xia 501true ［Abstract］　Objective　To evaluate the treatment effect of percutaneous injection of ozone for lumbar disc herniation.Methods　Fifty-eight patients with lumbar disc herniation received the C-arm guided puncture of herniated lumbar disc and intradiscal and paravertebral injection of ozone. All the patients were followed up for 6～12 months.Results　According to the modified Macnab′s criteria,excellent effect was found in 27 cases, good in 19 cases, effective in 10 cases and poor in 2 cases. The excellent and good rate was 79.3% (46/58).The total effective rate was 96.6%(56/58).Conclusion　This method in the treatment of lumbar disc herniation has advantages of satisfactory therapeatic effect,simple operation,less demage and lower cost,and is worthy of popularization and application.]]> 2018/6/4 8:30:03 OU Yang-zhong,LI Bei-song 500true ［Abstract］　Objective　To evaluate the rescuing in the transporting of neonates of pulmonary hemorrhage.Methods　Through the transport system, the neonates of pulmonary hemorrhage receiving or need mechanical ventilation were transferred form the primary or the countyside hospitals to NICU of our hospital, including on-site rescue deal, a continuous monitoring and treatment.Results　A total of 18 neonates of pulmonary hemorrhage were transferred. Of them, 16 cases improved or cured, 1 case given up treatment, and 1 case died.Conclusion　Fully preparing the drugs and equipment for rescue, attending to assessment and stabilization of diseases, predicting the development of the disease before transporting, and implementing a correct treatment and monitoring,closely observing patient′s condition in transporting,all these are the key for success in transferring of neonates of pulmonary hemorrhage.]]> 2018/6/4 8:30:03 LI Jing-guang,LIANG Wu-hua 499true ［Abstract］　Objective　To avoid the abusing nimesulide by studying the clinical cases.Methods　The clinical data of 7 child patients of abusing nimesulide treated at our hospital from Jan to Jul 2011 were retrospectively analyzed.Results　Seven child patients of abusing nimesulide mainly showed digestive system and neuro-system′s adverse drug reaction, and had bad prognosis. One child patient of them was dead.Conclusion　Abusing nimesulide to child under 1 year old will cause several side effects and death risk. Following the medical order and drug directions will help to avoid adverse drug reaction of abusing drug.]]> 2018/6/4 8:30:03 KONG Chen-su,ZHANG Hong-yan 498true ［Abstract］　Objective　To explore the significance of gyro rotary 60 cobalt radiation therapy in treatment of malignant tumor patients with cancer embolus in deep vein of lower extremities.Methods　Eleven malignant tumor patients with cancer embolus in deep vein of lower extremities accepted the treatment of gyro rotary 60 cobalt radiation treatment system (hereinafter referred to as gyro knife) the dose of radio therapy was 3.5 Gy per time,8～10 times and the curative effects were observed. Results　In all patients treated by gyro knife, symptoms improvement was found in 11 patients, color doppler ultrasound examination revealed narrowing or disappearance of cancer emboli in 9 patients. No change in 2 patients.Conclusion　The therapy with gyro rotary 60 cobalt radiation treatment system for malignant tumor patients with cancer emboli in deep vein of lower extremities has actively clinical significance.]]> 2018/6/22 16:33:56 LU Yao-zhen,HUANG Xian-shi,YE Zhen-kai,et al. 497true ［Abstract］　Objective　To explore the methods and effects of microsurgery for cerebral arteriovenous malformations (AVM) with intracranial hemorrhage. Methods　The clinical data of 37 cases of AVM with intracranial hemorrhage were retrospectively analyzed.Results　In this group,37 cases were followed up for 3 month to two years. 21 cases went back to work，10 cases resumed their daily activities，2 cases need assisting in life,4 cases died who had preoperative hernia for a long time.Conclusion　Choosing a suitable microsurgical method according to the patients′ condition can improve the prognosis，and hematoma cleaning combined with AVM resection is the preferred treatment for the disease.]]> 2018/6/22 16:33:56 HUANG Chang-jian,CEN Yuan-guang,JIANG Nan-kai, et al. 496true ［Abstract］　Objective　To analyze the cause and results of treatment of periprosthetic femoral fractures after total hip arthroplasty,and explore the best operative methods for these fractures.Methods　A retrospective analysis of the clinical data of 9 patients with periprosthetic femoral fracture after total hip arthroplasty treated in our hospital was performed.Two patients were treated by nonoperative methods;three patients by uncemented stems with distal fixation and one cemented stem.Three patients by bone grafting and Ni-Ti embracting fixation.Results　Non healing was found in one patient who received nonoperative method,one was cured with nonoperative methods.All of the seven patients treated by operative methods were cured.Conclusion　Type A fractures with well fixed stems can be treated by nonoperative methods ; type B2 fractures should be treated by uncemented stems with distal fixation,type B1 and type C fractures should be treated by bone grafting and Ni-Ti embracting fixation.]]> 2018/6/22 16:33:56 KANG Xin- feng 495true ［Abstract］　Objective　To explore the clinical features and treatment methods of patients with reflux esophagitis presented as pharyngeal paraesthesia.Methods　Sixty-three patients with reflux esophagitis accompanied by chronic pharyngitis were treated with acid-suppressing agents and prokinetic medication.Results　Marked effect was found in 29 patients, effective in 26 patients, no effect in 6 patients.The total effective rate was 87.30%.Conclusion　The effect of acid-suppressing agents and prokinetic drug therapy is obvious in the treatment of patients with reflux esaphagitis accompanied by chronic pharyngitis, but the patients should pay attention to controlling diet, and adhere to taking medication according to theatment course.]]> 2018/6/22 16:33:56 ZHANG Xue-jun 494true ［Abstract］　Objective　To explore the cause,diagnosis and treatment of recurrence acute pancreatitis.Methods　The clinical data of 42 patients with recurrent acute pancreatitis treated in our hospital from January 2005 to June 2011 were analysized retrospectively.Results　Among 42 patients,25 of them were biliogenic pancreatitis,9 patients were idiopathic pancreatitis,6 had alcoholic remote cause,one hyperlipidemia and one carcinoma of pancreas. All patients received medical treatment. Of them 14 patients received surgical treatment during medical treatment,recurrence were found in 9 patients in the others.Four patient died. Conclusion　The cause of recurrent acute pancreatitis was complex.The general cause include biliogenic cause,alcoholism,diet, idiopathic cause and so on.Optimistic treating the cause can reduce the recurrence rate of vancreatitis.]]> 2018/6/22 16:33:56 REN Xiu-mei,DONG Zhi-qiang 493true ［Abstract］　Objective　To explore the effect of application of small transverse incision and single-layer suture method in appendectomy.Methods　The clinical data of 317 cases undergoing appendectomy by using small transverse incision and the single-layer suture technique from January 2007 to July 2010 were retrospectively analyzed.Results　The patients were successfully implemented appendectomy, by using transverse incision and the single-layer suture. Compared with conventional surgery,this surgical method had advantages of shorter operative time, less postoperative pain, faster recovery, shorter incisions hidden, shorter hospital stay, lower wound infection rate, and low cost and so on.Conclusion　Small transverse incision and the single-layer suture technique in appendectomy is simple and feasible and has fewer complications. It is worthy of popularizing in the primary hospitals.]]> 2018/6/22 16:33:56 MING Xin-zhou，MING Xin-qiu 492true ［Abstract］　Objective　To explore the impact factors of the success rate of cardiopulmonary resuscitation.Methods　Totally 72 patients were carried out cardiopulmonary resuscitation in the emergency department of our hospital.The clinical data of the patients were retrospectively analyzed.Results　Twenty-four patients survived and 48 patients died,the success rate was 33.3%. During transit in an ambulance，cardiac arrest occurred in 19 patients. Of them,2 patients survived and 17 patients died, the success rate was 10.5%. The success rate of gender and age group had less difference (P>0.05). The success rate of recovery of non-trauma group was higher than that of the trauma group(P<0.05). With the extension of time from cardiac arrest to the beginning of recovery in the emergency department, the success rate of recovery declined(P<0.01). The success rate of recovery in the group with ≥6 people was higher than that in the group with ≤4 people of rescue work (P<0.05). Conclusion　The recovery success rate of non-trauma patients was higher than that of trauma patients.In critically ill patients with cardiac arrest in transit, recovery success rate is lower.Early recovery, adequate personnel in the rescue work can improve the success rate of resuscitation.]]> 2018/6/22 16:33:56 OU YANG Hou-hua,MAI Quan-yun 491true ［Abstract］　Objective　To evaluate the effect of the severe upper lacrimal duct obstruction treated by laser combined with annular silicone intubation.Methods　Seventy-four patients with severe lacrimal duct obstruction were divided randomly into two groups.Group A(34 eyes) were treated by laser.Group B(40 eyes) were treated by laser combined with annular silicone intubation,the silicone tube was kept in place for 3 months after surgery.The epiphora symptom changes,lacrimal conditions and the complications were observed during intraoperative,postoperative and the follow-up period after extubation.Results　The effects were compared between two groups affter 3 months operation.In group A:12 eyes(35.3%) were cured,6 eyes were improved,the total effective rate was 52.9%.In group B: 26 eyes(65.0%) were cured,10 eyes were improved,the effective rate was 90.0%(P<0.01).There were no intraoperative complications of two groups.Three cases of lacrimal point polyps were found in B group at 3 months after extubation.Conclusion　Laser combined with annular silicone tube intubation is an effective,simple and easy way to promote in the treatment of upper lacrimal duct obstruction.]]> 2018/6/22 16:33:56 ZHANG He-ping,GUO Jing,KE Min 490true ［Abstract］　Objective　To explore the ultrasonic performances of breast cancer.Methods　The preoperative ultrasonic data of 35 patients with breast cancer confirmed by surgery and pathology were retrospectively analyzed.Results　In 35 patients with breast cancer, ultrasound showed the irregular shape in 30 patients, hypoechoic heterogeneous type in 31 cases, hypoechoic homogeneous type in 3 patients, mixed echoic type in 1 patient, internal calcification in 5 patients, posterior echo attenuation in 23 patients, blood flow signal density grading within the massⅡ ～ Ⅲ grade in 15 patients, resistance index more than 0.7 in 10 patients.Conclusion　Two-dimensional gray scale sonography with color flow imaging in examination of breast cancer has high sensitivity and specificity, and it has advantages of less cost, simple operation painless, and no radiation damage,and is worthy of clinical expansion.]]> 2018/6/22 16:33:56 WEI Lan-chun 489true ［Abstract］　Objective　To explore the effect of methotrexate(MTX) combined with mifepristone and traditional Chinese medicine in the treatment of ectopic pregnancy.Methods　One hundred and ten patients with ectopic pregnancy were treated with a single intramuscular dose of MTX 50 mg/m²+mifepristone 50 mg, 3 times a day, orally, for 3 d, while oral administration of traditional Chinese medicine.Results　The successful treatment were obtained in 104 patients, treatment failure in 6 patients. The treatment success rate was 94.5%.Conclusion　Methotrexate combied with mifepristone and traditional Chinese medicine in the treatment of ectopic pregnancy can improve the treatment success rate of ectopic pregnancy and uterine pregnancy again. This method is a safe and effective, worthy of promotion.]]> 2018/6/22 16:33:56 WU Qun 488true ［Abstract］　Objective　To summarize the experience of conservative treatment of acute perforation of upper digestive tract ulcer.Methods　Clinical data of 96 patients with acute perforation of upper digestive tract ulcer received conservative treatment in our hospital from January 2008 to December 2009 were retrospectively analyzed.Results　Ninety-six patients with acute perforation of upper digestive ulcer were cured by conservative treatment. No patients with abdominal abscesses, re-perforation and death were found. All patients were followed up for six months, 84 patients had good prognosis, recurrence was found in 10 patients, 2 died. Conclusion　In the treatment of acute perforation of upper digestive tract ulcer, the indications of conservative treatment should be mastered strictly in order to achieve satisfactory results.]]> 2018/6/22 16:33:56 GUO Xiao-peng 487true ［Abstract］　Objective　To analyze the reasons of the first failure operation of lumbar intervertebral disc herniation and to explore the coping methods and treatment effect of the revision surgery.Methods　The reasons for 38 cases of recurrent lumbar intervertebral disc herniation in our hospital since May 2005 were analyzed,and the revision surgery was implemented.Results　The main reasons for the revision surgery were the first operation not thorough enough, many prominent clearance omission and postoperative lumbar spinal instability and so on.Conclusion　For recurrent lumbar interbertebral disc herniation implementation of between vertebra posterior fusion and vertebral pedicle fixation system can get satisfactory effect.]]> 2018/6/22 16:33:56 LIANG Bin, LI Hong-yu, QIU De-zan, et al. 486true ［Abstract］　Objective　To explore the relationship of pregnancy rate and form of tubal fimbria end after laparoscopic surgery of the distal tubal obstruction.Methods　The pregnancy rate and natural pregnancy time between 50 cases with integral tubal fimbria and 50 cases of deformative tubal fimbria after laparoscopic surgery of distal tubal obstruction were compared.Results　The postoperative pregnancy rate in tubal distal morphological integrity group (42%) was higher than that in tubal fimbria form deformation group(6%),the difference was statistically significant between two groups (P<0.01); Most of the natural pregnancy (23 cases) were formd within 1 year after the operation,only 1 case was formd more than 1 year after opration.Conclusion　Tubal fimbria morphological integrity is the key factor to woman pregnancy,the first postoperative year is the best time for natural pregnancy.]]> 2018/4/8 15:34:47 LV Xiao-hui,LI Xiao-hong 485true ［Abstract］　Objective　To explore the clinical characteristics and prognosis of oligohydramnios in late pregnancy.Methods　Between December 2010 and December 2011,90 pregnant women treated in our hospital were divided into normal amniotic fluid group(n=45) and oligohydramnios group(n=45) for comparison of delivery conditions between two groups.Results　The cesarean section rate in the oligohydramnios group was 73.33%(33/45), that in normal amniotic fluid group was 20.00%(9/45).There was significant difference in cesarean section rate between two groups（P<0.01）.There were significant difference in the incidence of amniotic fluid Ⅲ degrees pollution and fetal distress in the oligohydramnios group was higher than that in the normal amniotic fluid group (P all <0.05).Conclusion　Oligohydramnios in late pregnancy has serious influence on pregnant women and fetus, once diagnosed, the positive measures should be taken for ending delivery.]]> 2018/4/8 15:34:47 LU Hai- yan 484true ［Abstract］　Objective　To investigate effect and method of the anatomical locking plate for the treatment of intertrochanteric comminuted fractures in elderly patients.Methods　Forty-two patients were treated by small incision open reduction and locking plate internal fixation in our hospital from May 2008 to April 2010.Results　All patients were followed up 6～24 months (average 15 months), operation incision healed at first stage, no infection occurred, fracture healing time ranged 4～6 months, X-ray examination showed no nonunion, shortening, varus deformity of hip fracture, steel plate broken nails and internal fixation loosening were found. Femoral head necrosis occurred in 2 patients for severe comminuted fracture after 1 year. According to Sanders traumatic hip rating scale: excellent in 25 cases, good 12 cases, fair 3 cases, and poor 2 cases, the excellent and good rate was 88.1%.Conclusion　Locking plate for the treatment of senile intertrochanteric comminuted fracture is good for healing of the fracture and hip joint function recovery, reducing complications.]]> 2018/4/8 15:34:47 HUANG Guo-fu,SU Fu-jin 483true ［Abstract］　Objective　To analyze the manifestation of ultrasound images of liver and spleen in patients of AIDS complicated with penicilliosis marneffei(PSM).Methods　The ultrasound images of liver and spleen in 102 cases of AIDS comlicated with PSM（treatment group） and 102 patients of AIDS without PSM（control group） in the same period were analyzed retrospectively.Results　Ultrasonography showed that the oblique diameter of right liver lobe, diameter of hepatic portal vein and thickness of the spleen(mean) were (140.13± 14.15)mm,(10.51±1.22)mm,(41.48±9.51)mm respectively in the treatment group,and (135.91±12.34)mm,(10.86±1.19)mm,(37.77±8.71)mm respectively in the control group, there were statistically significant differences between two groups (P<0.05 or P<0.01). The rate of splenomegaly, hepatosplenomegaly and fatty liver were 54.90%,45.10%,45.10% respectively in the treatment group, and 40.20%,27.45%,10.78% respectively in the control group. There were significant differences between two groups（P<0.05 or P<0.01）.Conclusion　The rates of hepatosplenomegaly and fatty liver are higher in the patients of AIDS complicated with PSM. Hepatosplenomegaly and fatty liver are one of features in patients with AIDS complicated with PSM.]]> 2018/4/8 15:34:47 XIE Wei-xiong,LIANG Zhu-shi,MO Rang-hui,et al. 482true ［Abstract］　Objective　To discuss the feature of the ultrasonic image of fetus′ achondroplasia and the clinical value of ultrasonography in the diagnosis of this disease.Methods　Four cases of fetus′ achondroplasia were found in 19 987 pregnant women recerving prenatal examination and their ultrasonic image were observed.Results　The main features of the ultrasonic image of fetus′ achondroplasia included biparietal diameter,enlarged head, thoracostenosis, abdominal distention,increase in abdomen circumference, dumpy and tortuous limbs,poor calcification,echo decreased, almost normal trunk bone and so on.Conclusion　Ultrasonography in diagnosing fetus′ achondroplasia has the advantage of high efficiency, simple operation and so on.It has become the essential approaches of a routine medical examination in pregnant and delivery women, and possesses important clinical value in aristogenesis screening.]]> 2018/4/8 15:34:47 PAN Xiao-ling 481true ［Abstract］　Objective　To explore the supreiority of small incision retroperitoneal spermatic vein high ligation.Methods　A little separation of spermatic vein membrane and 0.5 cm segment of blood vessel were performed, the spermatic vessels ligation needle with a suture was used to pass the space between arfery and around the vein to make vein double ligation,but the vein didn′t be cut off.Results　The operations were successful, the operation time in every side was 14～20(17±3) min;the postoperative hospitalization time was 3～4(3.6±1) d.Conclusion　The curative effect of modified small incision retroperitoneal spermatic vein high ligation is exact, the operation is simple with a little injury. With a small operation space, it can achieve the effect of traditional operation.]]> 2018/4/8 15:34:47 LIU Yan,QIN Yi,LIU Rui-xiang,et al. 480true ［Abstract］　Objective　To understand the thalassemia′s gene carrier rate of pregnant women and explore the method of preventing and controlling the birth of severe thalassemia infant.Methods　The screening of thalassemia was performed in 1 132 pregnant women, some of women whose samples showed positive will have futher testing. If the couple had same type, they must do prenatal diagnosis.Results　Among 1 132 women, 232 women showed phenotypic positive, accounting for 20.49%. Of these women showed phenotypic positive, α- thalassemia was found in 82 women, accounting for 7.24%; β-thalassemia in 65 women, accounting for 5.74%.Conclusion　For the crowd with a higher thalassemia gene carriers rate, appropriate testing method should be chosen. For thalassemia gene carriers, the intervention should be taken, in order to effectively reduce the incidence rate of birth defects.]]> 2018/4/8 15:34:47 YANG Yan 479true ［Abstract］　Objective　To explore the clinical effect of epidural block anesthesia combined with general anesthesia in elderly patients undergoing upper-middle abdominal surgery.Methods　Twenty-four patients readied for upper-middle abdominal surgery were randomly divided into two groups: the control group (using general anesthesia) and the experimental group (epidural block anesthesia combined with general anesthesia), each were 12 cases, the life indexes,dosages of anesthesia and awake time were observed.Results　Before surgery,there were no statistical significant difference in blood pressure and heart rate between the two groups（P>0.05）.The life indexes in experimental group maintained at stable levels after its decrease,and those in the control group maintained at stable levels after its increase.Compared to the control group,the blood pressue and heart rate at every time points were lower （P<0.05）, dasages of anesthesia agents was less (P<0.05 or <0.01),postoperative awake time was shorter(P<0.01) in the experimental group.Conclusion　The effect of epidural block anesthesia combined with general anesthesia in elderly patients undergoing upper-middle abdominal surgery is very satisfactory.]]> 2018/4/8 15:34:47 LI Gen-xiang 478true ［Abstract］　Objective　To understand the present situation and tendency and characteristics of using lipid regulating drug in dyslipidemia patients and provide drug use data for clinicians, promote the rational drug use.Methods　One hundred and sixty-one inpatients with dyslipidemia treated in the cardiovascular department and endocrine department in a hospital form October 2009 to March 2010 were studied and drug use rationality was analyzed, and according to the evaluation results put forward the improving drug use measure.Results　The main lipid regulating drugs used in a hospital were atorvastatin, simvastatin, fluastatin, fenofibrate enhances capsule. Atorvastatin was first choice in lipid regulating drugs used in a hospital. The drug use is basic reasonable.Conclusion　The drug use of dyslipidemia patients in a hospital is basic reasonable.]]> 2018/4/8 15:34:47 TIAN Xiao-li 477true ［Abstract］　Objective　To seek a better preparation method for bowel preparation before colonoscopy and treatment inpatients with constipation.Methods　In observation group , 80 patients with constipation took macrogol 4000 powder for oral solution(forlax), and then took the mannitol and oral rehydration salts.In control group, 80 patients with constipation took the mannitol and oral rehydration salts. The degree of the colon cleanliness and the effective rates were compared between two groups, and serious adverse events were recorded.Results　The degree of the colon cleanliness of the observation group was superior to that of the contorl group (P<0.01);the effective rates of the observation group was higher than that of the control group（P<0.05）.No serious adverse events happened in the two groups.Conclusion　The effective rate of bowel preparation can be promoted when the patients with constipation were given macrogol 4000 powder for oral solution before they accept mannitol and oral rehydration salts for colon cleaning.]]> 2018/4/8 15:34:47 ZENG Zhi-yu 476true ［Abstract］　Objective　To explore the effect of artificial rupture of membrane in labor indution of late pregnancy.Methods　From July to November 2010 164 cases in line with the conditions for labor induction were divided into the study group (82 cases) and control group (82 cases),the study group received artificial rupture of membrance combined with intravenous drip of oxytocin and control group received intravenous drip of oxytocin only.Results　Compared with the control group,in the study group,labor pains appearance time,opening and closing time of uterus cervix and total duration of labor were shorter（P<0.01）,cesarean section rate was lower （P<0.01）,amount of postpartum bleeding was less（P<0.01）.Conclusion　Artificial rupture of membrane can reduce cesarean section rate, shorten the production process, and has important significance in ensuring health of mother and infant.]]> 2018/4/8 15:34:47 ZHOU Jin-zhi 475true ［Abstract］　Objective　To explore the effect of hyperbaric oxygen (HBO) in the supplementary treatment of severe brain injury.Methods　Fifty-eight patients with severe brain injury were randomly divided into two groups.On the basis of neurosurgical conventional therapy,30 patients with severe brain injury in the treatment group were treated by HBO;28 patients with severe brain injury in the control group were treated only by neurosurgical conventional therapy.The therapeutical effects were assessed with Glasgow outcome scale(GOS）6 months after treatment.Results　The therapeutic effect in the treatment group was better than that in the control group (P<0.01).Conclusion　HBO in the supplementary treatment of severe brain injury has better therapeutical effect and has better value in the clinical application.]]> 2018/4/11 8:05:21 WU Zu-shan 474true ［Abstract］　Objective　To investigate the efficacy of unreamed interlocking intramedullary nail in the treatment of open tibial and fibular fractures.Methods　From January 2007 to October 2011, the unreamed interlocking intramedullary nail was used for the treatment of 26 cases of open tibia and fibula fractures. Their clinical date was retrospectively analyzed.Results　All 26 cases were followed up for 5～18 months after operation with an average of 12 months. The average healing time was 16 weeks. According to Johner-Wruh score: excellent effect was found in 23 cases, good in 2 cases, fair in 1 case and poor in 0 case. All fractures healed.Conclusion　Unreamed interlocking intramedullary nail is a better internal fixation method in the treatment of open tibial and fibular fractures, it has the advantages of less trauma, relatively stable fixation, low rate of infection, high fracture healing rate and so on.]]> 2018/4/11 8:05:21 HUANG Bin 473true ［Abstract］　Objective　To investigate the operative methods of small incision non-phacoemulsification cataract extraction and intraocular lens implantation through small pupil.Methods　Fifty patients (50 eyes) with small pupil cataract received small incision non-phacoemulsification cataract extraction and intraocular lens implantation through small pupil.Results　After operation pupil remained round or oval. The postoperative visual acuity improved to varying degrees including best corrected visual acuity <0.05 in 4 cases, 0.05 to 0.1 in 8 cases, 0.12 to 0.25 in 20 cases, 0.3 to 0.5 in 14 cases, 0.8 to 1.0 in 4 cases. No serious complications was found.Conclusion　Small pupil cataract surgery is complex, but as long as reasonably dealing with small pupil and mastering the surgical techniques, the small incision non-phacoemulsification cataract surgery through small pupil also can achieve good clinical results.]]> 2018/4/11 8:05:21 FU Yan-li 472true ［Abstract］　Objective　To observe the efficacy of yanhuning injection in the treatment of pharyngeal conjunctival fever and viral enteritis.Methods　Seventy cases of pharyngeal conjunctival fever were randomly divided into treatment group (35 cases) and control group (35 cases); 70 cases of viral enteritis were randomly divided into treatment group (35 cases) and control groups (35 cases). All treatment groups were treated with intravenous drip of yanhuning injection; the control groups were treated with the intravenous drip of ribavirin injection. The therapeutic effect of two groups was compared after treatment between two groups.Results　For pharyngeal conjunctival fever, the effective rate in treatment group was 88.6%, that in control group was 57.1%. There was significant difference between two groups (χ²=8.74,P<0.01). For viral enteritis, the effective rate in treatment group was 80.0%, that in control group was 57.1%. There was significant difference between two groups (χ²=4.24,P<0.01).Conclusion　The therapeutic effect of yanhuning injection in the treatment of viral infection disease is better than ribavirin injection.]]> 2018/4/11 8:05:21 LI Shi-qiao, YAN Yun-ying, NONG Xiao-bao 471true ［Abstract］　Objective　To study the causes of premature rupture of fetal membranes and the influence of premature rupture of membranes on mode of delivery and delivery outcome.Methods　Three hunder with pregnant women premature rupture of membranes from July 2007 to September 2010 were randomly selected as early broken group, three hunder with pregnant women without the occurrence of premature rupture were randomly selected as control group. The causes and delivery outcomes were retrospectively analyzed.Results　The first causes of Premature rupture were reproductive tract infections,60.33%, followed by weight loss and multiple pregnancy, 26.00%. The preterm birth rate, incidence rate of fetal distress, cesarean section rate of research group was respectively 15.67%,19.00%,40.67%, compared with the control group with significant difference (P<0.01).Between two groups of uterine atony, incidence rate of neonatal asphyxia, the incidence rate of postpartum hemorrhage, postpartum urinary retention rate has no significant difference (P>0.05).Conclusion　Good prenatal care and advocacy work, good prevention and treatment of premature rupture of membranes, can reduce the incidence of prematurity, reduce the maternal and fetal adverse outcomes.]]> 2018/4/11 8:05:21 ZHANG Dong-mei, LIN Hong 470true ［Abstract］　Objective　To explore the method of the early diagnosis and treatment of cardiac rupture.Methods　A retrospective review was carried out on 12 patients with cardiac rupture, including 8 male and 4 female patients,the average age was 38 years. Of them,knife stab injury was found in 6 patients,high falling injury in 1 patient,traffic accident injury in 5 patients.Eight patients received cardiac pulmonary bypass.Results　Twelve patients were cured after operation.Conclusion　Early diagnosis and establishing the femorfemoral extracorporeal circulation as soon as possible is the key to a successful treatment for cardiac rupture.]]> 2018/4/11 8:05:21 ZHONG Qi-qing,DU Zheng-long,LING Yi 469true ［Abstract］　Objective　To compare the clinical effects of metal and fiber post and core in restoration of the residual roots and crown of maxillary anterior teeth.Methods　Seventy-eight residual teeth of 62 patients repaired with fiber post and core were compared with 70 residual teeth of 56 patients repaired with metal post and core from August 2007 to August 2008.Results　Fiber post and core was the best prosthesis in stability，shape，color，soft tissue reaction，marginal adaptation and periodontal health its success rate was 100%.In metal post and core restored group, root fractured was found in three teeth,post and core loosening and falling off in two teeth, and gingival margin coloring in twelve teeth,its success rate was 75.7%.The success rate of the fomer was higher than that of the latter（P<0.01）.Conclusion　Fiber post and core were better than metal post and core in repairing the residual roots and crown of maxillary anterior teeth.]]> 2018/4/11 8:05:21 YANG Zhen 468true ［Abstract］　Objective　To explore the clinical value of choledocholithiasis treated by laparoscopic and rigid ureteroscopic surgery.Methods　Chinical data of laparoscopic and rigid ureteroscopic surgery in the treatment of 30 patients with choledocholithiasis were analyzed retrospectively.Results　All patients were treated successfully. The mean operation time was 135 min (rage from 120 to 160 min), the operative bleeding volume was 80 ml (rage from 50 to 150 ml), the hospital stay time was 8 d (rage from 6 to 11 d). All patients recovered uneventfully. There was no reccurance of severe postoperative complication.Conclusion　Laparoscopic and rigid ureteroscopic surgery for choledocholithiasis is worth applying.]]> 2018/4/11 8:05:22 JIANG Han-cheng 467true ［Abstract］　Objective　To explore the curative effect of omeprazole triple therapy in the treatment of Helicobacter pylori (Hp)-related peptic ulcer.Methods　Sixty patients with Hp-positive peptic ulcer were randomly divided into treatment group and control group, with 30 patients in each group.The treatment group was treated with capsules of omeprazole,amoxicillin and metronidazole,while the control group was treated with rabeprazole, amoxicillin and metronidazole,continuously orally taking before meals for two weeks.After four weeks of treatment,the two curative effects were observed including the relief of clinical symptoms, the situation of ulcer healing and Hp eradication according to the gastroscopy examination.Results　In treatment group,the ulcer healing rate was 80%, the efficive rate was 13.3%, the total effective rate was 93.3%;In control group, the ulcer healing rate was 73.3%, the efficive rate was 16.7%, the total effective rate was 90.0%; Hp eradication rate was 90.0% in treatment group, and 93.3% in control group. There was no significant statistically difference was not significant in the curative effect between two groups (P>0.05).Conclusion　Triple therapy with omeprazole, amoxicillin and metronidazole for Helicobacter pylori-related peptic ulcer has advantages of good efficacy, short course, good compliance and low cost, and is suitable for primary hospitals to promote the application.]]> 2018/4/27 8:23:45 HUANG Yin-hua 466true ［Abstract］　Objective　To explore the treatment method and curative effect of microsurgery for the cerebral contusion.Methods　The clinical data was retrospectively analyzed on 26 patients with cerebral contusion who were treated by microsurgery in our department from January 2010 to January 2012.Results　Twenty-six patients were followed up for 3～6 months after operation.Of them, good recovery occurred in 16 patients, moderate disability in 5,severe disability in 3 and death in 2.Conclusion　The cerebral contusion can cause the intracerebral hematomas and hemorrhage,especially in deep cerebral area and cerebellum,which should be removed by microsurgery.]]> 2018/4/27 8:23:45 SHI Lei 465true ［Abstract］　Objective　To understand the clinical characteristics and prognosis of scrub typhus complicated with kidney damage.Methods　From 412 patients with scrub typhus treated in our hospital 244 patients complicated with kidney damage were selected for clinical analysis.Results　The total incidence of scrub typhus complicated with kidney damage was 59.2%, among them the elderly people accounted for 55.3%(135/244), and the others 44.87%(109/244).After anti-pathogen treatment, 236(96.7%) patients were cured, 8(3.3%) patients died.Conclusion　Scrub typhus complicated with kidney damage is common, elderly people has a high incidence.Timely anti-pathogen therapy is helpful in obtaining satisfactory effect.]]> 2018/4/27 8:23:45 WEI Qi-qi, LIANG Fei-li, WEI Yi-rong 464true ［Abstract］　Objective　To summarize clinical experience of surgical treatment in 105 patients with dorsal carpal ganglion. Methods　One hundred and five patients with dorsal carpal ganglion were treated by surgery.Results　Ⅰ/a wound healing were detained in 103 patients, postoperative wound skin slight-infection were found in 2 patients who were cured after changing dressing. The wrist joint pain completely disappeared in all patients,with joint normal activities, the grip strength were obviously improved. The patients were followed up for 1 to 4 years, the results showed recurrence within 1 year in 3 patients, recurrence within in 2 years in 2 patients. The total recurrence rate was 4.8%.Conclusion　In resetion of dorsal copal ganglion, proper large incision is the premise of complete exposure of surgical field; close to the carpal bone resection cyst is key of complete resection of cyst wall, and preventing recurrence; paying attention to protecting dorsal carpal branch of radial artesy can reduce the intraoperatie bleeding and postope rative hematoma formation; using the self-made negative pressure drainage device can reduce limb swelling, pain and discomfort caused by compression bandage.]]> 2018/4/27 8:23:45 SUN Yang,ZHOU Qi-na,JIANG Qing-gui,et al. 463true ［Abstract］　Objective　To explore the value of pleural biopsy in the diagnosis of the cause of pleural effusion.Methods　The clinical data of 120 patients with pleural effusion underwent pleural biopsy were retrospectively analyzed in our hospital from January 2009 to June 2011.Results　All patients accept the 142 pleural biopsy, 197 tissue pieces were successfully obtained in first biopsy in 105 patients,13 tissue pieces in second biopsy in 8 patients；10 tissue pieces in third biopsy in 7 patients. Tuberculous pleurisy was diagnosed in 52 patients, pleural metastases in 41, mesothelioma in 2, bronchial mucosa amyloidosis in 1, chronic eosinophilic granulocytes increased disease in 1, chronic inflammation in 12, and tissue was not obtained in 11. Adverse reactions included pleural reaction in 3 patients, merger pneumothorax in 6, bleeding in 16, postoperative fever in 17, tumor cells needle track implantation in 1.Conclusion　Pleural biopsy is simple, low cost, minimally invasive, easy to be accepted by the patients, and has a high diagnostic value of pleural effusion.]]> 2018/4/27 8:23:45 CHEN Shun-wang,FENG Shu-hong 462true ［Abstract］　Objective　To explore the clinical therapelutic of separable patella claw fixation combined with sature and cerclage by using absorbable thread in the treatment of patella fractures.Methods　Forty-six patients with patella fraoture were treated by the separable patellar claw fixation combined with suture and cerclage by using absorbable thread.Results　All patients were followed up for 6～ 20 months, primary healing was obtained in all incisions; bone union was achieved in all patients.The excellent and good rate was 100%.Conclusion　The separable patella claw fixation combined with suture and cerclage by using absorbable thread in the treatment of patella fracture, has the advantages of easy operation, less injury, firmly fixation, giving a continuous pressure on the fracture end, patients getting earlier activity, claw being taken out easily etc.]]> 2018/4/27 8:23:45 LU Yong-yong,LI Zhuo-qiu,TAN Hong-ming, et al. 461true ［Abstract］　Objective　To explore the clinical characteristics,diagnosis methods and remedies of mental disorder caused by Parkin′s disease.Methods　The clinical data of thirty-six patients suffering from mental disorder caused by Parkin′s disease were analyzed retrospectively.Results　The mental disorder caused by Parkin′s disease was mainly characterized by depression,anxiety as well as personality.The effective rate was 83.33% after drug therapy and psychotherapy.Conclusion　The appearance of mood disorder is an important characteristics of Parkin′s disease;some cases may start with depression as symptoms;and early prevention and treatment can bring satisfying effect.]]> 2018/4/27 8:23:45 HE Hong-cheng, GE Mao-hong, XU Ai-ping,et al. 460true ［Abstract］　Objective　To explore the clinical characteristics and characteristics of coronary artery lesions and related risk facters in the young and middle-aged female patient with coronary heart disease.Methods　Coronary angiography were performed in the young and middle-aged who had chest pain,coronary artery lesions was found in 21 women.The clinical characteristics and characteristics of coronary artery lesions and related risk factors were analyzed.Results　The single disease and lesion of anterior descending artery were more common.Conclusion　Young and middle-aged female patients with chest pain should receive coronary angiography and intervention treatment of coronary heart disease as soon as possible.]]> 2018/4/27 8:23:45 XIONG Gang 459true ［Abstract］　Objective　To evaluate the efficacy of bioabsorbable plates in the treatment of mandibular condylar neck fracture.Methods　Bioabsorbable plates internal-fixation was performed in 30 patients with mandibular condylar neck fracture.Through the postoperative X-ray examination and follow-up the clinical effects were analyzed.Results　The reexamination at 6 months after operation showed excellent effect was found in 28 patients, good in 2 patients,poor in 0 patient;the reexamination at 12 months after operation showed excellent in 29 patients,good in 1 patients,poor in 0 patient.Conclusion　Bioabsorbable plates shows good effect in condylar neck internal-fixation. It was no necessity for secondary operation.]]> 2018/4/27 8:23:45 LIANG Yi-lei, SU Wu 458true ［Abstract］　Objective　To investigate the relationship of brain natriuretic peptide(BNP) and cardiac function in congestive heart failure patients and the role of BNP in diagnosis, prognosis assessment in congestive heart failure.Methods　Eighty-two congestive heart failure patients and 30 normal subjects were collected. Cardiac left ventricular ejection fraction was assessed by cardiac color Doppler ultrasound; plasma BNP levels was measured by fluorescence immunoassay;the patients were followed up for 2 years and survival analysis was performed.Results　The plasma BNP levels in patients with heart failure is far higher than that in the normal healthy subjects（P<0.05）,and BNP negatively related to cardiac function; survival analysis showed that BNP levels was closely related to two end-point events.Conclusion　BNP levels and cardiac function is related, and BNP can be used for diagnosis and the prognosis assessment of congestive heart failure patients.]]> 2018/4/27 8:23:45 XIE Feng 457true ［Abstract］　Objective　To explore the effect of surgical treatment of constrictive pericarditis.Methods　Sixty-two patients underwent pericardiolysis under the condition of general anesthesia and endotracheal intubation starting with lightest parts of adhesion.The operation was performed through median sternotomy incision. The resection range was that two sides were phrenic nerve and surface of left and right ventricles,the upper border was the root of large vessels and the inferior border was diaphragmatic surface.Results　Detection of pericardium showed purulent pericarditis in 4 patients,chronic inflammation with fibrous tissue proliferation in 12 patients,tuberculous pericarditis in 46 patients.No patient died in our groups and one years of follow-up without complication.Conclusion　The pericardiectomy should be operated from the left side of heart to the right side, and from the effluent way to the influent way. Careful perioperative management is also necessary. These measures will play important roles for prevention of low cardiac output syndrome and accelerate the speed of recovery.]]> 2018/4/27 8:23:45 HE Jia-xian 456true ［Abstract］　Objective　To explore the characteristics of two-dimensional ultrasonic image of breast cancer,in order to improve the accuracy rate of breast cancer diagnosis.Methods　Two-dimensional ultrasonic images of 206 breast cancer cases were retrospectively analyzed with the focuses on the tumor size, shape, margin, capsule, inner and posterior echo, condition of calcification and so on.Results　Breast cancer′s manifestation on two-dimensional ultrasonic image was characteristic in a certain extent. For most of the breast cancer cases that have typical ultrasonic images, ultrasonic images can lead to correct diagnosis with an accuracy rate of 86%, misdiagnosis rate of 4%, and uncertain rate of 10%.Conclusion　Two-dimensional ultrasonic image has important value in diagnosing breast cancer, but it still has some limitations.]]> 2018/4/27 8:23:45 CHEN Li-li 455true ［Abstract］　Objective　To observe the clinical effect and toxicity of pemetrexed monotherapy in the treatment of advanced non-small cell lung cancer(NSCLC).Methods　Twenty-five patients with advanced NSCLC diagnosed by pathology or cytology were enrolled into the study. The patients received pemetrexed 500 mg/m² on d1, intravenously every 21 days as one cycle and the effects were evaluated after 2～4 cycles.Results　The total response rate was 8%. The clinical benefit rate was 72%. The main toxicity was Grade Ⅰ～Ⅱ hematological toxicity.Conclusion　Pemetrexed is an effective therapy for the patients with advanced NSCLC. Its efficacy is better,the toxicities can be tolerated and is worth clinical promotion.]]> 2018/1/29 9:17:02 HE Mei, WU Yu-zhi,LIU Wei-ping,et al. 454true ［Abstract］　Objective　To observe the antihypertensive effect of songlingxuemaikang capsule in the treatment of patients with grade 1 hypertension.Methods　Forty-five patients with primary hypertension first diagnosed in clinic of the Third People′s Hospital of Zhengzhou from September 2009 to June 2012 were treated with songlingxuemaikang capsule and the curative effects were observed.Results　Among 45 patients， marked-effect was found in 27 patients，good in 18 patients. The total effective rate was 100%.Conclusion　The antihypertensive effect of songlingxuemaikang is good, and it is safe and worthy of clinical promotion.]]> 2018/1/29 9:17:02 ZHAO Li-an，WU Qiao-yue 453true ［Abstract］　Objective　To discuss the clinical effect of interlocking intramedullary nail and compression plate fixation for the treatment of tibial fracture.Methods　Sixty-eight patients cases with tibal fracture from Feb 2010 to Apr 2012 in our hospital were randomly divided into A goup(n=35) and B group(n=33).A group were given internal fixation of interlocking intramedullary nail,while B group were given internal fixation of compression plate,and the clinical efficacy between two groups were compared and analyzed.Results　The difference in the operation time,bleeding volume during operation and fracture healing time between the two groups had no statistical significance(P>0.05);The therapeutic effect was 97.1% in group A and 97.0% in group B,it had no statistical significance between the two groups(P>0.05).Conclusion　Both interlocking intramedullary nail and compression plate are good methods in treating tibial fracture.]]> 2018/1/29 9:17:02 HUANG Zhong-yao, HUANG Jiang,ZHAO Hui 452true ［Abstract］　Objective　To investigate the effect of closed reduction and percutaneous screw fixation on the patella fractures by the knee arthroscopy.Methods　Twenty-two cases of the patella fractures were treated with absorbable screw through closed reduction and percutaneous screw fixation by the knee arthroscopy. Their clinical data were further analyzed.Results　All cases obtained bony union and good functional recovery. According to Xu Shaoting score, excellent effectiveness was found in 18 cases（81.8%）and good in 4 cases（18.2%）.Conclusion　The knee arthroscopic management of the patella fractures not only facilitated accurate reduction but also provied a chance to inspect other knee injuries and diseases. And the technique of closed reduction and percutaneous internal fixation can also make for early postoperative exercises and accelerate recovery. In addition, the second operation suffering may be avoided because of the absorbable screw being used for internal fixation. However, suitable patients should be considered for this therapeutic approach.]]> 2018/1/29 9:17:02 TIAN Peng,YANG Lei,JIA Shao-long, et al. 451true ［Abstract］　Objective　To investigate the treatment effect of proximal femoral nail anti-rotation(PFN-A) internal fixation for elderly intertrochanteric fracture.Methods　The efficacy of closed reduction and PFN-A internal fixation under C-arm fluoroscopy for 12 elderly patients with intertrochanteric fracture were analyzed retrospectively.Results　These patients were followed up for 6 to 12 months.All fractures were healed.The average healing time was 5 months.According to traumatic hip score standard,hip function was excellent in 7 cases,good in 4 cases,fair in 1 case.The joint function′s excellent and good rate was 91.7%.Conclusion　Closed reduction and PFN-A internal fixation in the invasive treatment of elderly intertrochanteric fractures have the advantages of exact curative effect,simple operation,less damage and fewer complications,and provide a stable fixation to help early postoperative functional exercise.]]> 2018/1/29 9:17:02 REN Qi,ZHONG Yun-bai 450true ［Abstract］　Objective　To investigate the clinical effect of one stage posterior lesion clearence combined with posterior interveterbral supporting bone autograft and posterior pedical screw fixation in thoraco-lumbar spinal tuberculosis.Methods　Forty-six patients with thoraco-lumbar spinal tuberculosis were sellected from Jan 2003 to Jun 2010. All the patients were treated with one stage lesion clearence combined with intervertebral supporting bone autograft and posterior pedical screw fixation. Then the conditions of bone graft fusion and the effect of correction of kyphosis were analyzed.Results　All 46 patients were followed up for one to three years with an average of 26 months.There was no loosening of the internal fixation, all bone grafts were healed and no lesion recurred; The time of healing was 3～7 months; The latest X-ray follow-up revealed the average Cobb′s angle was 16.5°compared to preoperative 35°.Conclusion　The method of one-stage lesion clearence combined with intervertebral supporting bone autograft and posterior pedical screw fixation for the treatment of thoraco-lumbar spinal tuberculosis could not only completely clear the lesions but also correct the kyphosis effectively and reconstruct the stability of the vertebral column.]]> 2018/1/29 9:17:02 LIU Chang-sheng,JIA Shi-qing, WEI Jia-ning,et al. 449true ［Abstract］　Objective　To analyze the health care service effect of pregnant and puerperal women in the community health service center,find out the weak link and to provide a reference for the health care work of pregnant and puerperal women in the community health service center.Methods　Our community health service center′s system management reports and data of pregnant and puerperal women in 2010, 2011, 2012 were retrospectively analyzed.Results　The resident population′s average postpartum visit rate reached 98.33%, the floating population′s average postpartum visit rate reached 96.23%.These two indicators reached the requirements of the women′s health indicators of community health service center of Shenzhen City(postpartum visit rate above 90.00%);the rate of early pregnancy card in the resident population establishing(97.18%),the health management rate of pregnant women(94.92%), and the system management rate(93.79%) were higher in 2012 than those in 2010 and 2011.The rate of establishing early pregnancy card in floating population(47.83%), the health management rate of pregnant women(43.48%), and the system management rate(41.30%) in 2012 were still relatively low.Conclusion　The community resident population′s management index of pregnant and puerperal women were finished well, the floating population′s management of pregnant and puerperal women needs to be strengthened.]]> 2018/1/29 9:17:02 YANG Cai-xuan 448true ［Abstract］　Objective　To observe the short-term clinical efficacy of the Prime & Bood NT bonding agents in the treatment of dentine hypersensitivity, and explore its mechanism.Methods　Five hundred and fifty-six teeth from 200 patients with dentine hypersensitivity were randomly divided into the experimental group（278 teeth） and the comparison group（278 teeth）. The experimental group was treted with the Prime & Bood NT bonding agents; the comparison group was treated with 75% sodium fluoride glycerin desensitization agents, and the short-term clinical effects between two groups were compared.Results　The clinical efficacy of the experimental group immediately after treatment and 3 months later was superior to that of control group(P<0.01).Conclusion　The Prime & Bood NT bonding agents in the treatment of dentine hypersensitivity has significant short-term clinical efficacy,and is worthy of clinical application.]]> 2018/1/29 9:17:02 FU Gang, XIANG Yuan-fang, CHEN Bo 447true ［Abstract］　Objective　To evalute the value of diffusion-weighted magnetic resonance imaging(DWI) in the diagnosis of renal cell carcinoma(RCC) and renal angiomyolipoma(RAML).Methods　Conventional magnetic resonance imaging and diffusion-weighted magnetic resonance imaging were performed on 85 patients with renal lesions(54 cases of RCC,31 cases of RAML).The apparent diffusion coefficient(ADC) value of the renal tumor in 800 s/mm² b value in ADC maps were measured with statistical package.Results　In 54 cases of RCC the solid component of tumors presented high signal on DWI, in 31 of cases of RAML, tumor showed mixed signal with clear margin on DWI, the solid component showed high signal and fat content showed low signal on DWI. When the b value was set at 800 s/mm², there were significant differences in the ADC value between the RCC and RAML(P<0.05).Conclusion　The study of ADC value in DWI can reveal the structure of renal tumors, which is beneficial for the diagnosis and differential diagnosis of benign and malignant renal tumors.]]> 2018/1/29 9:17:02 WANG Yu-xing 446true ［Abstract］　Objective　To discuss the clinical effect of the complicate removable partial denture in the repair of different dentition defect.Methods　According to patients′ oral, physical and mental conditions,260 proper complicate removable partial dentures were used for repair of dentition defects in 180 patients.Then periodic telephone interview and further consultation for any problems were performed during 3 to 5 years and the effects of the denture were observed and recorded.Results　The satisfaction was 96.2%,dissatisfaction was 3.8%.Conclusion　According to different situations of dentition defect, using the appropriate denture is easier to having good clinical effect.]]> 2018/1/29 9:17:02 TAN Huan-yan 445true ［Abstract］　Objective　To discuss the clinic effect of treating the broken instruments in apical root canal by tooth replantation.Methods　Twelve patients, who had the broken instruments in apical root canal, were treated by tooth replantation.Results　In 12 patients, 8 patients′ treatment was successful, while 4 patients′ treatment was unsuccessful.Conclusion　On the premise of strictly selecting indication, tooth replantation should be an effective treatment to the broken instruments in apical root canal. The treatment could succeed by minimally invaslve extraction, quick operation and stable fixation.]]> 2018/2/5 8:39:48 YANG Tuan-jie,ZHU Hong-ying,LIU Juan-juan 444true ［Abstract］　Objective　To discuss the curative effect of stemless hip replacement for young and middle-aged patients with late avascular necrosis of the femoral head.Methods　Twelve middle-aged and young patients with late avascular necrosis of the femoral head were treated by stemless hip replacement operation.Results　After operation,all the patients were received follow-up.Based on Harris′s scale on joint function score, the excellent result was seen in 9 patients,good in 2 patients, common in 1 patient, and fail in 0 patient,with total excellent and good rate of 91.7%.Conclusion　Stemless hip replacement has advantages in treating mid-late avascular necrosis of femoral head and the effect is satisfied.]]> 2018/2/5 8:39:48 LAO Gui-chang,LAO Shi-gao,HU Yong-hua,et al. 443true ［Abstract］　Objective　To study the treatment for the pelvic fracture combined with abdominal organ injuries.Methods　A retrospective analysis was perform on clinical data of 25 patients with severe pelvic fracture combined with abdominal organ injuries admitted to our department from 2000 to 2012.Results　Among 25 patients, 23 underwent early stage surgery, 22 of them had followed up records, 12 patients of them gained excellent treatment outcomes, 10 gained good outcomes, three patients died, the excellent and good rate was 88%.Conclusion　Early diagnosis and treatment of combined trauma after pelvic fracture can significantly increase the survival rate of patients with pelvic fractures combined with abdominal organ injuries.]]> 2018/2/5 8:39:48 LIAO Ji-wen,ZHOU Zhong-xia,HAN Xiao-ping 442true ［Abstract］　Objective　To explore the influencing factors of drug users dropping out methadone maintenance treatment（MMT）and their effect on treatment compliance in Guangxi from 2009 to 2011.Methods　Using unified questionnaire investigation of state of community drug users dropping out MMT, telephone or family interview was adopted to investigate the drug users dropping out MMT or their families to find out the reason dropping out MMT.Results　In total 374 cases dropped out MMT, the main reasons for dropping out MMT were as follows: unknown reason accounted for 31.6%, illegal crime for 27.0%, death/disease/pregnant for 15.5%, compulsory drug treatment or detention for 9.9%.Conclusion　Unknown reason, illegal crime, death/disease/pregnant, compulsory drug treatment or detention were the main reasons for dropping out MMT. It is necessary to take the corresponding measures for outpatients to reduce dropping out and improve compliance.]]> 2018/2/5 8:39:48 HUANG Yu-man, SHEN Zhi-yong, LAN Guang-hua, et al. 441true ［Abstract］　Objective　To evaluate the method of removing intranterine device(IUD) in postmenopausal women under the guide of B-ultrasound.Methods　One hundred and sixty patients who accepted the operation first time without contraindications, were randamly divided into two groups. Seveney-eight pcdients in obseruation group were done under the guide of B-ultrasound;but eighty-two patients in control group without B-ultrasound.The effects of operation in two groups were compared.Results　There were statistical differences in the success rates, the operation times, the volumes of intraoperative hemorrhage, the days of postoperative hemorrhage and the risks of infection after operation,between the two groups(P<0.05).Conclusion　Applying B-ultrasound during removing IUD in postmenopausal women is significantly better than common operation.]]> 2018/2/5 8:39:48 WU Cheng, SHI Xiao-fang, ZHAO Xiao-li 440true ［Abstract］　Objective　To explore the effect of absorbable suture fixation operation for ulna olecranon fracture in children.Methods　From March 2008 to October 2011, 36 children with ulna olecranon fracture were treated by open reduction combined with absorbable suture fixation in our hospital.Results　Thirty-six patients were followed up for 13 months on average, all fractures healed for 1.2 months on average. According to HSS2 elbow score for elbow joint function evaluation, the excellent and good rate was 94.4%.Conclusion　The treatment method for the ulna olecranon fracture in children had advantage of reliable fixation, good therapeutic effect, low cost, simple operation and is a feasible method for the treatment of ulna olecranon fracture in children.]]> 2018/2/5 8:39:48 LI Deng 439true ［Abstract］　Objective　To investigate the clinical features of pulmonary sequestration and improve its diagnosis and therapy.Methods　Retrospective analysis was performed on clinical data of 6 cases of pulmonary sequestration who were confirmed by surgery in our hospital from January 2002 to September 2012.Results　Six cases of pulmonary sequestration undergoing surgical treatment were intrapulmonary type and were misdiagnosed before surgery, they had a good effect after surgical treatment.No complications and death were found.Conclusion　The incidence of pulmonary sequestration is low and is easily misdiagnosed,the diagnostic key is imaging shows abnormal blood supply of the lesion. Surgery is an effective way of treatment of pulmonary sequestration.]]> 2018/2/5 8:39:48 CHEN Ting, LING Yi,DENG Hai-qing,et al. 438true ［Abstract］　Objective　To evaluate the clinical value of treating and preventing esophageal variceal bleeding by endoscopic variceal ligation(EVL).Methods　The clinical data of 142 liver cirrhosis patients with esophageal variceal bleeding treated in our hospital from January 2008 to January 2012 was collected, of them 74 patients received EVL(treatment group) and 68 patients received internal medicine treatment(control group),and their efficacy were followed up.Results　All the patients were follow-up for 6 months or more.The early rebleeding rate,the delayed rebleeding rate, varicose veins improvement rate, the recurrence rate,operation rate in the treatment group were lower than those in the control group.Comparing the two groups were significantly different（P<0.05 or P<0.01）.Conclusion　EVL can effectively reduce the extent of esophageal varices, reduce the rebleeding rate,recurrence rate, operation rate and mortality rate in the liver cirrhosis patients with portal hypertension,it is an effective methods of endoscopic therapy.]]> 2018/2/5 8:39:48 OU Jin-xi,ZHU Zhi-hua,ZHENG Hua-yin 437true ［Abstract］　Objective　To investigate the CT examination of lymph node metastasis in esophageal cancer in different regions.Methods　A total of 118 patients undergoing radical resection of esophageal cancer were retrospectively analyzed. These patients received preoperative CT scan on ower neck area, mediastinum, and the upper abdomen. The size and number of lymph nodes in different regions were observed and measured to determine the condition of metastasis. All the results were compared with the postoperative histopathology.Results　The whole group′s lymphatic metastasis rate was 38.1%. However, the rate was higher in mediastinal and upper abdominal region, and was 36.7% and 41.6%, respectively. The sensitivity, specificity, positive predictive value, and negative predictive value of the lymph node metastasis of esophageal cancer in different regions with preoperative CT were: lower neck area, 75.0%, 84.5%, 27.2%, 96.9%; mediastinum 63.0%, 90.1%, 65.3%, 92.1%; upper abdomen 70.0%, 97.2%, 70.0%, 97.2%, respectively.Conclusion　Preoperative CT examination of the lower neck area, mediastinum, and upper abdomen can more accurately reflect the distribution of lymph node metastasis in esophageal carcinoma, especially in the lower neck area.]]> 2018/2/5 8:39:48 CHEN Bao-jun, ZHI Li 436true ［Abstract］　Objective　To investigate the changes of blood sugar and cortisol in critically ill patients in stress state and their significance for the progression and prognosis of the disease.Methods　From Feb. 2008 to Feb. 2012, 46 critically ill patients were the research subjects. They were mainly cases with major organ failure. Cases of single organ failure were Group A. Cases of multiple organ failure were Group B. The blood sugar as well as related hormone secretion and the amount of insulin use of the two groups were compared.Results　The blood sugar, blood insulin, cortisol and glucagon of Group B were higher than those of Group A（P<0.01）. Also, the amount of insulin in Group B is higher（P<0.01）.Conclusion　For critically ill patients with stress state, their blood sugar as well as related hormone secretion will increase, which has the reference value to monitor the patients’ changes of blood sugar and related hormone dynamically and to judge their changes in condition.]]> 2018/2/5 8:39:26 SU Xiao-lin 435true ［Abstract］　Objective　To investigate the clinical efficacy of acupuncture in the treatment of post-stroke insomnia.Methods　Eighty-five patients with post-stroke insomnia were randomly divided into two groups: the acupuncture group(n=43) was given acupuncture,the drug group(n=42) was given conventional alprazolam.The improvements in sleep quality were compared after treatment.Results　The therapeutic effect of the acupuncture group was better than the drug group(P<0.05).Conclusion　Acupuncture has a good effect in the treatment of post-stroke insomnia.]]> 2018/2/5 8:39:26 YE Cui-he,OU Cai-di,XU Zu-jing,et al. 434true ［Abstract］　Objective　To investigate the value of combined laparoscopic and choledochoscopic in cholelithotomy with gallbladder preservation.Methods　The clinical data of 82 patients with cholecystolithiasis treated in author hospital by combined laparoscopic and choledochoscopic cholelithotomy with gallbladder preservation was retrospectively analyzed.Results　All operations were successful. No postoperative complications such as bile leaks， acute cholecystitis，pancreatitis， secondary cholecystolithiasis etc were found. No deaths case was found. No recurrence of gallbladder stone was found during 6～12 months following-up.Conclusion　Combined laparoscopic and choledochoscopic cholelithotomy with gallbladder preservation for cholecystolithiasis has the advantages of minimal invasion， safety， reliability， fewer complications and so on， and it retains a functional gallbladder at the same time，improves the patient’s quality of life，being worthy of popularizing.]]> 2018/2/5 8:39:26 LI Yan-hui 433true ［Abstract］　Objective　To discuss the feasibility and operation skills of difficult and complex laparoscopic hysterectomy.Methods　A retrospective analysis of clinical data was performed in 129 patients undergoing laparoscopic hysterectomy because of uterine fibroids with size >12 weeks pregnant uterine,endometriosis, fibroids within the broad ligament, uterine isthmus, and uterine cervix or other reasons for removal of the uterus.Results　In 125 patients, the laparoscopic operation were completed successfully， the operation time was (153 ± 42.7)min，the amount of bleeding in operation was (213 ± 65)ml，the postoperative hospital stay was 3～5 d.Four patients were transferred to laparotomy.No massive hemorrhage or injuries in ureter, bladder and rectum were found.Conclusion　Difficult and complex hysterectomy can be performed by laparoscope.It is important for the operator to be able to skillfully master the operation techniques and flexibly apply advanced laparoscopic equipment.]]> 2018/2/5 8:39:26 GAN Jing-hua,RUAN He-yun, NONG Wen-zheng 432true ［Abstract］　Objective　To explore the effect of community pharmacy intervention in the treatment of patients with diabetes mellitus.Methods　One hundred and eighty-eight patients with diabetes mellitus in community were selected，to receive organized and planned hypoglycemic drug knowledge education and individual pharmacy interventions. The medication rate, the regular medication rate, fasting blood glucose, 2 h postprandial plasma glucose and reaching standard rate of blood glucose before and after pharmacy interventions were compared.Results　After pharmacy intervention,the medication rate, the regular medication rate, fasting blood glucose,2 h postprandial plasma glucose and reaching standard rate of blood glucose and soon on were better than those before intervention(P<0.01).Conclusion　Community pharmacy intervention can improve the drug compliance of patients with diabetes mellitus, and improve the reaching standard rate of blood glucose.]]> 2018/2/5 8:39:26 CHEN Yong-bin 431true ［Abstract］　Objective　To explore the effect of comprehensive intervention on the rational use of antibiotics in perioperative period in department of general surgery in our hospital, to improve the rationality of antibiotics application.Methods　One hundred general surgery operation records from 2008 to 2009(non intervention group) and 100 medical records(intervention group) from 2010 to 2011 were randomly selected and reasonable application of antibacterials between the two groups were compared.Results　The irrationality indexes of antibiotics application in intervention group were significantly reduced than non intervention group(P all <0.01).The medication time, hospitalization time, cost of antibiotics in intervention group were significantly reduced than non intervention group(P all <0.01). There was no significant difference in incidence of incision infection between the two groups (P>0.05).Conclusion　The comprehensive intervention measures is effective and feasible. It can obviously improve the rationality of antibiotics application of department of general surgery during operation period, reduce the antibiotics adverse reaction,the cost of antibiotics and hospitalization time.]]> 2018/2/5 8:39:26 BAI Chun-tao 430true ［Abstract］　Objective　To investigate the effects of astragalus injection combined with Shenmai injection in the treatment of viral myocarditis.Methods　Forty-eight patients, including 28 male, 20 women, with an average age of （21.98±8.26）years old, were randomly divided into treatment group and control group. The control group only received basic treatment, beside the basic treatment the treatment group was treated with astragalus injection and shenmai injection. After treatment, the myocardial enzyme, TNF alpha and IL 2 were detected, and the cure rate was recorded.Results　In the control group, 9 patients were cured (37.5%), marked effect was found in 7 patients(29.2%), no effect in 8(33.3%). The treatment group patients, 14 patients were cured(58. 3%),marked effect in 8 patients(33.3%), no effect in 2 patients(8.4%) the curative effect of the treatment group was better than that of the control group（P<0.01）; After treatment serum TNF alpha, IL-2 content in two groups reduced than before treatment(P<0.01),but the decrease degree of the treatment group was better than control group(P<0.01); After treatment, CPK,AST,LDH and CK-MB in the treatment group had a great decrease than those in control group(P<0.05).Conclusion　Astragalus injection combined with shenmai injection can be effective in the treatment of viral myocarditis.]]> 2018/2/5 8:39:26 LU Jia 429true ［Abstract］　Objective　To investigate the clinical information on inpatients with dermatology consultation from the central hospital of Shaoyang in 2011 and provide references for the clinical consultation.Methods　The information about inpatients’ department, gender, age, type of disease and whether to outbreak during hospitalized time were recorded and analysed by Excel software.Results　The most common referral department among inpatients were internal medicine and paediatrics; the main composition of inpatients with dermatology consultation were allergic dermatosis,infectious dermatosis and skin disease caused by systemic disease, which accounted for 74.7%. Other skin disease, sexually transmitted disease, tumorous dermatosis accounted for 14.4%, 8.4%, 2.1% respectively.Conclusion　Allergic dermatosis was still the main type of disease in inpatients with dermatology consultation, especially all kinds of drug dermatitis, which implied us to pay more attention to drug safety; The composition of skin disease caused by systemic disease was higher, which suggested us to put more efforts in the study of internal medicine knowledge; The composition of syphilis serology positive of inpatients with dermatology consultation was increasing gradually, which suggested us to carry out syphilis serologic screen extensively for high-risk groups of outpatients.]]> 2018/2/5 8:39:26 ZENG Mei,ZHU Jiao-yuan, JIAN Xiao-ping, et al. 428true ［Abstract］　Objective　To explore the related factors of postpartum hemorrhage in cesarean section in order to provide reference for prevention and treatment of postpartum hemorrhage in cesarean section.Methods　By Chi-squarce test,the difference in the constituent of exposure factors were tested between 118 parturient women with postpartum hemorrhage in cesarean section(hemorrhage group) and 118 parturient women without postpartum hemorrhage in cesarean section(control group),with similar age in the same time. And then the Multivariat logistic regression analysis was performed to screen the independent high risk factors for postpartum hemorrhage.Results　Univariate analysis showed that in hemorrhage group,the constituent ratio in mental labour, gestational age <37 weeks, abnormal placenta(placenta adhesion or implantation), elective cesarean delivery, uterine inertia, uterine laceration, gestational hypertension disease, neonatal weight ≥4.0 kg were higher compared with the control group (P=0.001～0.045). Multivariate logistic regression analysis revealed that uterine inertia(OR=5.367; 95%CI: 5.367～11.755) and uterine laceration(OR=5.778; 95%CI:1.963～17.009) were the high-risk independent factors for postpartum hemorrhage.Conclusion　Uterine inertia and uterine laceration are the related high risk factors for postpartum hemorrhage, and should strengthen the prevention of them.]]> 2018/2/5 8:39:26 HE Qi-min 427true ［Abstract］　Objective　To analyze the reasonable mode of delivery of uterine scar pregnancy, and reduce maternal and infant complications.Methods　A retrospective analysis of the mode of delivery in 168 cases of full-term pregnancy after cesarean section were performed, including vaginal delivery 48 cases(observation group)，cesarean section in 120 cases(control group).Results　In 48 cases of vaginal delivery trial production obtained success in 42 cases, the success rate was 87.5%, without rupture of the uterus; The incidence rates of the postpartum hemorrhage,the intraoperative and postoperative complication in observation group were lower than those in control group（P all <0.05）.The expense and time of hospitalization in observation group were less than those in control group（P all <0.01）.Conclusion　For uterine scar pregnancy, implementation of vaginal delivery in accordance with the trial production conditions is feasible and safe.]]> 2018/2/5 8:39:26 LU Xiu-zhen 426true ［Abstract］　Objective　To study the feasibility and effectiveness of laparoscopic technique in treatment and diagnosis of acute abdomen.Methods　The clinical data of 1 035 cases of acute abdomen received laparoscopic operation in our department from March 2005 to Novermber 2012 were analyzed retrospectively.Results　Of 1 035 cases, 1 034 cases were correctly diagnosed laparoscopically,the correct diagnosis was 99.9%.In which 1 028 cases underwent laparoscopic operation successfully,6 cases were converted to open surgery, the exploration was negative in one case.Conclusion　Laparoscopic techniques in diagnosis and treatment of acute abdomen have better effects.It deserves to be expanded in basic hospital.]]> 2018/2/5 8:39:26 JI Yun-jun, SUN Wei-bing, MEI Ling, et al. 425true ［Abstract］　Objective　To observe the efficacy, safety, practicality and complications of composite trabeculectomy for primary glaucomae; explore the potential clinical application of the surgery in the treatment of glaucoma.Methods　Ninety-eight patients of the control group(n=110) received conventional trabeculectomy, 106 patients of the observation group(n=118) received composite trabeculectomy, the patients were followed up for 3～12 months, the intraocular pressure, vision, bleb and complications were observed.Results　In the observation group, the postoperative incidence of shallow anterior chamber was 2.5%, the average IOP was 14.8mmHg, the formation of functional blebs was 90.7%. The retardation rate of anterior chamber of the observation group was significantly lower than that of the control group; the intraocular pressure of the observation group was significantly better than that of the control group. The rate of the presence of functional blebs of the observation group was higher than that of the control group.Conclusion　The composite trabeculectomy for primary glaucoma is superior to the traditional trabeculectomy in preventing postoperative shallow anterior chamber, postoperative bleb formation and IOP control with obvious advantages of higher success rate, safe, and fewer complications.]]> 2018/2/5 8:39:26 QIN Han-lin 424true ［Abstract］　Objective　To explore the application value of emergency obstetric hysterectomy in the rescue of severe postpartum hemorrhage.Methods　A retrospective analysis was performed on the clinical data of 11 patients receiving emergency hysterectomy because of obstetric emergencies in department of obstetrics and gynecology of our hospital between January 2007 and January 2012. The related literatures were reviewed.Results　Of 11 patients, 8 patients received subtotal hysterectomy, 3 patients received total hysterectomy. All patients were recovered. The uterine resection rate of multipara was higher than that of primipara(0.152% vs 0.011%)(P=0.000);The uterine resection rate of parturient women undergoing uterine resection was higher than that of parturient women undergoing vaginal delivery(0.126% vs 0.012%,P=0.000).Conclusion　Emergency obstetric hysterectomy is one of the effective methods for the treatment of acute severe postpartum hemorrhage.]]> 2018/2/5 8:39:26 LONG Zheng-peng 423true ［Abstract］　Objective　To observe the clinical effect of arthroscopic minimally invasive treatment of tibial plateau fractures.Methods　From February 2010 to June 2012, 112 patients with tibial plateau fracture were randomly divided into two groups, control group’s patients received conventional surgical treatment, observation group’s patients received arthroscopic minimally invasive surgical treatment.Results　The therapeutic effect of observation group was better than that of control group (P<0.05), the excellent-good rate of the observation group was higher than that of the control group (P<0.05);Incision length, intraoperative amount of bleeding and healing time in the observation group were less than that in control group(P<0.01);And between two groups surgical time was no statistically significant difference (P>0.05).Conclusion　For patients with tibial plateau fracture taking arthroscopic minimally invasive treatment has less injury, faster postoperative recovery,and better clinical effect, it is worth the clinical application.]]> 2018/2/23 15:16:37 DOU Wen-jie, YAO Shu-yin, BIAN Ya-nan 422true ［Abstract］　Objective　To compare the clinical curative effect between intratympanic and intravenous administration of dexamethasone in the treatment of sudden sensorineural hearing loss(SSNHL).Methods　One hundred and eighty patients with SSNHL receiving primary treatment were randomly divided into group A and group B, each group of 90 cases. Then according to the degree of hearing loss, PTA≤70 dB patients were divided into A1 group and B1 group, PTA>70 dB patients divided into A2 group and B2 group. Group A was treated with conventional therapy combined with intravenous therapy of dexamethasone, group B with conventional therapy plus intratympanic administration of dexamethasone. The therapeutic effect between two groups were compared.Results　(1)The clinical effect and total effective rate in B group were better than those in A group（P all<0.05）.(2)A1 group’s total effective rate was 72.00%(36/50), A2 group’s total effective rate was 40.00%(16/40), B1 group’s total effective rate was 81.25%(39/48), B2 group’s total effective rate was 61.90%(26/42); Between A1 group and A2 group,between B1 group and B2 group and between A2 group and B2 group there were statistically significant difference(P<0.05), and between A1 group and B1 group there was no statistically significant difference(P>0.05).Conclusion　Between the degree of hearing loss and the curative effect there is a close relationship in the same kind of treatment.So to patients with PTA ≤70 dB,it should be necessary to select the route of administration on the basis of the actual situation of patients and to patients with PTA>70dB,if cirumstances permit intratympanic administration of dexamethasone should be used as far as possible.]]> 2018/2/23 15:16:37 XU Sheng-hui,GUO Yi-lian 421true ［Abstract］　Objective　To explore the clinical effects of volar fixation with T-shaped compression plate in the treatment of unstable distal radius fractures.Methods　Forty-three patients with unstable distal radius fractures were treated by volar fixation with T-shaped compression plate.Results　Forty-one patients were followed up for 3.5 to 26 months(mean 8.6 months), and bone healing was achieved in all patients. According to the joint function rating scale of Garland and Weley, the excellent results were achieved in 28 patients,good in 11,fair in 3,poor in 1,the excellent and good rate was 90.7%.Conclusion　Volar fixation with T-shaped compression plate in the treatment of unstable distal radius fractures has the advantages of high healing rate, early functional exercise and preventing osteoporosis, and is suitable for clinical expansion application.]]> 2018/2/23 15:16:37 HE Bing-xuan,SHU Peng, LI Qing-tian 420true ［Abstract］　Objective　To observe the clinical effect of pterygium excision combined with autologous corneal limbal stem cell transplantation in the treatment of pterygium in basic hospital.Methods　The data of 80 patients with pterygium treated in our hospital was retrospectively analyzed. The patients received pterygium excision combined with autologous corneal limbal stem cell transplantation were classified as the observation group, while the patients received simple pterygium excision as the control group.Results　The follow-up results showed the relapse rate of the observation group was lower than the control group(P<0.05).Conclusion　The operation of pterygium excision combined with autologous corneal limbal stem cell transplantation in the treatment of pterygium has lower relapse rate and is very suitable for basic hospital.]]> 2018/2/23 15:16:37 WEI Ying-li, ZHU Hong-yan 419true ［Abstract］　Objective　To evaluate the effect of oral montelukast in preventing asthma attack after bronchilitis.Methods　Eighty-seven bronchilitis infants were divided randomly into intervention group(n=46) and control group,two groups(n=41) received conventional therapy, and the interventiong group was given oral montelukast(4 mg daily for 3 months) on the basis of above therapy. Infants were followed up for 1 year, the effect on asthma attack 1 year after the treatment were observed and compared.Results　The recurrent rates of asthma of the intervention group were lower than that of the control group(P<0.01 or P<0.05). Conclusion　The oral montelukast can reduces the recurrences of asthma attacks after bronchilitis, asthma might be prevented.]]> 2018/2/23 15:16:37 LI Jin-yan, WEI Yuan-fang, LIANG Xiu-ye, et al. 418true ［Abstract］　Objective　To discuss the safety and efficacy of gemcitabine combined with cisplatin in the treatment of advanced non-small cell lung cancer.Methods　A retrospective analysis was performed on clinical data of 68 patiens with advanced non-small cell lung cancer treat with GP program(gemcitabine combined with cisplatin) in our hospital. Sixty-eight patients with advanced non-small cell lung cancer were treated with gemcitabine 1 000 mg/m² intravenous drip, on the day 1 and the day 8，Cisplatin 25 mg/m², intravenous drip from the day 1 to day 3, 21～28 days were used for a cycle. After two cycles the curative effects were evaluated.Results　Of 68 patients CR was found in 4 patients(5.9%), PR in 27 patients(39.7%), SD in 33 patients(48.5%), PD in 4 patients(5.9%), the total effective rate was 45.6%(31/68); the effective rate of Squamous cell carcinoma was 46.7%(14/30), gland carcinoma’s was 52.6%(20/38). Clinical remission was (4.6±3.4)months, 1 year survival rate was 44.1%(30/68).Conclusion　Gemcitabine combined with cisplatin for advanced non-small cell lung cancer has good curative effect, little side effects, and is worthy to be spreaded clinical.]]> 2018/2/23 15:16:37 FU Jun-min 417true ［Abstract］　Objective　To evaluate the efficacy and safety of treatment of the bilateral upper ureterolithiasis by bilateral percutaneous nephrolithotomy.Methods　Twenty-one patients with bilateral upper ureterolithiasis were treated by bilateral percutaneous nephrolithotomy.Results　Nineteen cases were successful ，2 cases were converted to open surgery because of difficulty in localizing the stones.The first stage stone clearance rate was 90.5%，the efficacy was very satisfing. The blood loss was 40 to 100 ml, with an average of 70 ml. The operation time was 80～130 min,with an average of （105±16）min.No major complications were found.Conclusion　Treatment of the bilateral upper ureterolithiasis by bilateral percutaneous nephrolithotomy is an effective and safe method.]]> 2018/2/23 15:16:37 PANG Gui-jian, LIU Cheng-bei, XU Wei, et al. 416true ［Abstract］　Objective　To explore the effect of B-Lynch stuture in the treatment of uterine atonic bleeding in cesarean section.Methods　B-Lynch stuture was used in 15 patients in cesarean section because bleeding was not stopped by conventional methods.Results　Fifteen patients achieved better hemostatic effect; no patient underwent hysterectomy, and the prognosis was good.Conclusion　B-Lynch stuture is an effective method for treatment of uterine atonic bleeding in cesarean section.]]> 2018/2/23 15:16:37 ZHANG Xin-yan 415true ［Abstract］　Objective　To investigate the efficacy of ginger nasal drops in the treatment of rhinitis.Methods　Fifty-three cases of rhinitis were randomly divided into treatment group(28 cases) and control group(25 cases).The treatment group was treated with ginger nasal drops made of the volatile components of ginger.The control group was treated with antibiotics and hormones. The efficacy between two groups were compared.Results　The cure rate was 67.86%, the total effective rate was 92.86% in the treatment group; cure rate was 32.00%, the total effective rate was 68.00% in the control group. There was statistically significant difference in efficacy between two groups (P<0.01 or P<0.05).Conclusion　The ginger nasal drops made of volatile constituents of ginger has satisfactory efficacy for the treatment of rhinitis.]]> 2018/2/23 15:16:37 YANG Xing-mian 414true ［Abstract］　Objective　To explore the relationship between infants’ chest X-ray quality and image density. Methods　The image density of high quality X-ray chest films in 90 infants were determined and analyzed.Results　In lung field diagnosis area(anterior second and the 4 intercostal space at the mid-clavicular line), the density in neonatal group was(1.05±0.45),that in 2～12 months group was（1.10±0.50）, that in 1～3 years old group was（1.15±0.48）; in right diaphragmatic area the density in neonatal group was（0.42±0.25）, that in 2～12 months group was（0.40±0.27）, that in 1～3 years old group was（0.43±0.28）; in air aeration area the density of neonatal group was（2.00±1.60）, that in 2～12 months was（2.15±1.51）, that in 1～3 years old group was（2.10±1.49）.Conclusion　The image density determination of infants’ chest X-ray films may be used as the objective basis of high quality X-ray chest films.]]> 2018/2/23 15:16:37 YANG Jian-shu 413true ［Abstract］　Objective　To evaluate the effect of health education on diabetic patients.Methods　The change of blood-sugar content，diabetic knowledge，self-management skills of 99 diabetic patients before and after intervention were compared.Results　The blood-sugar level decreased，diabetes knowledge and self-management skills increased after systemic diabetes health education（P<0.01）.Conclusion　Health education for diabetic patients can improve and control blood sugar levels, also improve diabetes knowledge level and self-management skills.]]> 2018/2/23 15:16:37 WANG Yu 412true ［Abstract］　Objective　To explore the curative effect of aerosal inhalation of budesonide combined with ribavirin and ambroxol in the treatment of bronchiolitis.Methods　One hundred and sixty patients with bronchiolitis were randomly divided into two groups,with 80 patients in each group.Two groups were given the conventional treatment.On the basis of above treatment,a group(observation group) was treated with aerosal inhalation of budesonide combined with ribavirin and ambroxol.The carative effects of two groups were analyzed.Results　The obvious effective rate and total effective rate in a group was 90.0% and 100.0% respectively,those in B group was 51.3% and 78.8% respectively.There were statistically significant difference between tow groups(P<0.01).The recovery time of symptoms and signs in A group were less than those in B group(P<0.01).Conclusion　Aerosal inhalation of budesonide combined with ribavirin and ambroxol in the treatment of bronchiolitis has significant effect and is worth popularizing.]]> 2018/2/23 15:17:06 PANG Ming-xing,HUANG Zhen 411true ［Abstract］　Objective　To explore the efficacy of naoxintong capsule combined with flunarizine capsule in the treatment of vertebrobasilar artery ischemic vertigo.Methods　One hundred patients with vertebrobasilar artery ischemic vertigo treated with routine treatment were randomly divided into the control group(n=48) and treatment group(n=52). The treatment group was treated with flunarizine capsules 10 mg once every night and naoxintong capsule 4 capsules , 3 times a day, 15 days for a course of treatment. Before treatment and after 15 days of treatment, vertigo, headache and other symptoms,and vertebrobasilar artery blood flow velocity and hemorrheologic changes were observed.Results　After treatment, the total effective rate of treatment group was 96.15%, the total effective rate of control group was 75.00%.There was statistically significant difference between two groups(P<0.05).Conclusion　Naoxintong capsule combined with flunarizine capsules in treatment of vertebrobasilar artery ischemic vertigo has good curative effect, and it is safe and reliable.]]> 2018/2/23 15:17:06 SHI Cui-e 410true ［Abstract］　Objective　To investigate the causes，prevention and cure measures of subcutaneous liquid accumulation after modified radical mastectomy operation.Methods　Total 156 patients with breast cancer underwent modified radical mastectomy in our hospital was retrospectively analyzed from January 2005 to June 2010.Results　Among 156 patients，12 had subcutaneous liquid accumulation，the incidence was 7.69%.All patients were confirmed by puncture and drainage, all the patients with subcutaneous liquid accumulation were eventually cured.Conclusion　Subcutaneous effusion after breast cancer operation is a variety of causes. In order to minimize the occurrence of complications,it is necessary to make the preoperative, intraoperative and postoperative reasonable and effective treatment.]]> 2018/2/23 15:17:06 ZHANG Lian-chen 409true ［Abstract］　Objective　To explore the clinical effect of using different operation modes to correct the nasal septum deviation in view of different deviations of nasal septum.Methods　The traditional submucosal nasal septum incision, the single “ L ” shape incision, the multiple “ L” shape incision was respectively used to correct the nasal septum deviation in 10 patients with total deviation, 24 patients with limited single position deviation, 19 patients with multi-localized limited deviation and the clinical effects were evaluated.Results　On the first postoperative week’s review, there was more exudate in 2 patients with total deviation and 2 patients with multi-localized limited deviation; 3 months after operation, the corrected nasal septum in all patients were in good shape. In addition, there was no perforation of the nasal septum and no septum swing. Although 5 patients still had minor alternate nasal obstruction, the other patients felt satisfied with the ventilation improvement and disappearance of headache.Conclusion　According to the location and type of deviation of nasal septum, selecting different operation modes for correction of nasal septum deviation had a good clinical effect. It can have less tissue damage and reduce the complications and the pain of patients.]]> 2018/2/23 15:17:06 XIE Sheng-quan, WEI Jia-feng 408true ［Abstract］　Objective　To explore the ultrasonographic features and differential diagnosis of chronic thyroiditis.Methods　High resolution two-dimensional ultrasonography combined with color doppler were used for routine examination of 67 patients with chronic thyroiditis.Results　Ultrasonic performance of chronic thyroiditis was varied. Chronic lymphocytic thyroiditis(Hashimotos thyroiditis, HT) was found in 45 patients, accounting for 67.2%. Chronic fibrous thyroiditis(Riedels thyroiditis, RT) in 22 patients, accounting for 32.8%. Ultrasonographic features of typical chronic thyroiditis were diffuse thyroid increase, marked thickened isthmus, more coarse networx-live echo, less worm-eaten-live change, and uneven echo. Ultrasonographic features of atypical chronic thyroiditis included multiple hypoechoic nodule type, light point echo thickening type and sheet-line echo reducing type.Conclusion　Mastering the ultrasonic characteristics and the pathological change of various types of chronic thyroiditis can reduce misdiagnosis and missed diagnosis and provide valuable diagnostic basis for clinic.]]> 2018/2/23 15:17:06 XIA Qin 407true ［Abstract］　Objective　To observe the therapeutic effects of percutaneous drainage and the pus cavity lavage repeated by placing an indwelling single cavity central venous catheter on pulmonary abscess.Methods　Twenty-six patients with pulmonary abscess were secleted. In these patients, a single cavity central venous catheters was inserted into the pus cavity through percutaneous puncture and after that, pus germicultures and drug sensitivity tests were performed as well as according to the results of drug sensitive test， 0.5% metronidazole or other antibiotics were applied to wash the pus cavity repeatedly.The catheters were pulled out until the sanies became few and clear and the pus cavity closed.Results　Twenty-four patients were cured between 15 and 46 days of treatment and no complications were found.Conclusion　It is safe and effective to treat pulmonary abscess with single cavity central venous catheters and it is worthy of clinical practice.]]> 2018/2/23 15:17:06 LIANG Zhi-qiang, LUO Zhao-gan, GAN Yuan, et al. 406true ［Abstract］　Objective　To explore the efficacy of self-blood acupoint injection combined with Chinese herbal fumigation and washing in the treatment of anal pruritus.Methods　One hundred twenty-six patients with anal pruritus were divided into two groups semi-randomly(control group, n=50;treatment group, n=76). Seventy-six patients in the treatment group were treated by self-blood acupoint injection combined with Chinese herbal fumigation and washing, fifty patients in the control group were simply treated by Chinese herbal fumigation and washing.Results　The total effective rate of the treatment group was 98.68%;that of the control group was 78.00%, there was a statisfically significant differences between two groups(P<0.05).Conclusion　Self-blood acupoint injection combined with Chinese herbal fumigation and washing in the treatment of anal pruritus showed significant efficacy.]]> 2018/2/23 15:17:06 XU Liu-tian 405true ［Abstract］　Objective　To investigate the curative effects and security of xuesaitong and tripterygium wilfordii polyglycoside in the treatment of diabetic nephropathy(DN).Methods　Eighty patients with early DN(below stage Ⅲ of DN) were divided into the treatment group and control group with 40 patients in each group according to their diagnosing order，the control group was treated with routine including the positive regulation of blood glucose, blood pressure, blood lipid, body weight, while oral tripterygium wilfordii polyglycoside was administrated；the treatment group was treated with xuesaitong injection on the basis of above treatment. The two groups were observed before and after treatment of urinary albumin excretion rate(UAE), serum cystatin C(CysC), glomerular filtration rate(GFR) and other changes.Results　In two groups after treatment, the UAE and CysC decreased, there was a statistically significant difference with each before treatment (P<0.05)；after treatment，the UAE and CysC in treatment group obviously decreased more than the control group, there was significant difference between two groups(P<0.05)；after treatment, Cys-eGFR(Mac) rose in the treatment group and was higher than that before treatment,there was a significant difference(P<0.05)；In the control group before and after treatment, there was no statistically significant difference in Cys-eGFR(Mac)(P>0.05).Conclusion　On the basis of conventional and tripterygium wilfordii polyglycoside treatment, the curative effect is better in treatment of early DN with xuesaitong injection，and no adverse reactions is found, security is good, and it is suitable for clinical application.]]> 2018/2/23 15:17:06 TANG Guo-chuan 404true ［Abstract］　Objective　To summarize the clinical features of middle-aged and older patients with ischemic colitis(IC), and elevate the level of diagnosis and treatment.Methods　A retrospective analysis was performed of 19 patients with of IC from 2005 to 2001, including the clinical symptoms, signs, the basic disease, endoscopic findings and pathological data.Results　This disease was mainly seen in the elderly patients aged over 50 years(male:female was 0.58∶1), and the majority of patients (89.47%) were complicated by cardiovascular diseases, hyperlipemia, diabetes, constipation and abdominal operation history. Clinical manifestations included the different levels of abdominal pain(100.00%). hematochezia after abdominal pain(100.00%), most accompanied by diarrhea. Colonoscopy showed, the site of lesion was mainly seen in left colon(94.74%), mainly manifested as longitudinal mucosal hyperemia, edema, erosions, ulcers and submucosal bleeding, clear demarcation between lesion mucosa and normal mucosa;transient and reversilde type was found in 16 cases, nattow type in 2 cases,gangrene in 1 case.Conclusion　The middle-aged and older patients with the atnerosclerosis risk factors, when acute abdominal pain, bloody stool and other symptoms occurred, should be suspected of suffering from IC.For these patients, endoscopy should be performed promptly and closely observed in order to early diagnose,early treat and to improve the diagnosis rate and cure rate.]]> 2018/2/23 15:17:06 YE Yun-hui, DENG You-hui, LUO Qing-yan 403true ［Abstract］　Objective　To observe the efficacy of the vacuum sealing drainage (VSD) technology in the treatment of Ⅲ,Ⅳ Phase sacrococcygeal bedsores.Methods　From february 2010 to July 2012, 33 patients with sacrococcygeal bedsores underwent debridement surgery, and the wound surfaces were covered by VSD dressing.After sealing the wound continuing suction was performed for 7～10 days. Then the dressing was removed and surgery was performed until wound inflammation subsided and the growth of granulation tissue.Results　Seventeen patients received 1～2 times of VSD treatment,13 patients 3～4 times of VSD treatment,3 patients 5～6 times of VSD treatment.the wound were healed in 27 patients with direct suture,6 patients underwent flap repair after VSD treatment.The follow-up results showed no recurrence. The results were satisfactory.Conclusion　VSD technology has solved the problems of bedsore treatment and is the ideal method for treatment of bedsores.]]> 2018/2/23 15:17:06 NONG Xin-sheng,HUANG Chao,CHEN Yong-xi,et al. 402true ［Abstract］　Objective　To investigate the distribution of anticardiolipin antibody（ACA） in the serum of patients with HBV infection and the detection of ACA.Methods　The gold standard method was used for detecting serum ACA in 158 patients with HBV infection and 150 normal controls.Results　ACA positive rate of HBV infection group was significantly higher than that of the normal control group(P<0.01).ACA positive rate in HBV infection patients with abnormal liver function was significantly higher than that HBV infection patients with normal liver function(P<0.01).Conclusion　ACA can be detected in the serum of patients with HBV infection,there is a certain correlation between ACA degree and the severity of the disease.]]> 2018/2/23 15:17:06 LI Li 401true ［Abstract］　Objective　To analyze the condition of inpatient’s antibacterial drug use in department of respiratory medine in our hospital in ordre to promote a rational drug use.Methods　Two hundred medical records of inpatients from department of respiratory medicine in 2011 were investigated and the condition of antibacterial drug use was retrospectirely analyzed.Results　Among those inpatients,the rate of antibacterial drug use was 94.0%, which involved 10 types and 38 kinds of antibacterial drugs, including single drug in 79 patients(39.4%), 2 drugs in 110 patients(55.0%), 3 drugs in 7 patients(3.5%),and 4 drugs in 4 patients(2.0%).Conclusion　There has some problems in antibacterial drug use in department of respiratory medicine in our hospital,including drug abuse,unreasonable drug use and so on,so it should be necessary to strengthen drug management and improve the level of rational drug use.]]> 2018/2/23 15:17:06 QIN Lu-cai，CHEN Jing-jie 400true ［Abstract］　Objective　To explore the psychological intervention measures in the patients with claustrophobia in magnetic resonance imaging(MRI) examination and evaluate its effect.Methods　From October 2009 to October 2012, 70 patients with claustrophobia in MRI examination were randomly divided into the control group (35 patients) and intervention group(35 patients), The patients in intervention group received the psychological intervention including the comprehensive measures of music therapy, relaxation training, and so on. The patients in control group received the regular psychological intervention. The total effective rate in two groups were analyzed.Results　In the intervention group the total effective rate was 94.3%, 33 patients successfully completed MRI examination and achieved good image effect. Because of serious fear, 2 patients given up MRI examination. In the control group the total effective rate was 28.6%， significantly less than the intervention group. There was a statistically significant different between two groups(P<0.01).Conclusion　The scientific proper psychological intervention measures can effectively relieve patients’ fear symptoms and help patients to successfully complete MRI examination.]]> 2018/3/12 9:42:55 LI Qing-ming, WU Wei-zhu 399true ［Abstract］　Objective　To investigate the usage and rationality of the common oral cardiovascular drugs.Methods　Nine hundread and thirty-five discharge records of cardiovascular department were extracted, and a survery on cardiovascular medicine usage were performed. The total dose and dosing days of these drugs were calculated to the DUI.Results　There were 9 class 15 kinds of cardiovascular drugs in our hospital.The DUI of amlodipine and fosinopril were greater than 1, the DUI of other 13 drugs were less than or equal to 1.Conclusion　The dose of amlodipine and fosinopril were too large, the dose of other 13 drugs were basic rational.]]> 2018/3/12 9:42:55 WEI Ning,LIAO Yi,QIN Jing,et al. 398true ［Abstract］　Objective　To explore the clinical efficacy of the intravenous injection of amiodarone in the treatment of heart failure with rapid atrial fibrillation.Methods　Data of 45 cases of heart failure with rapid atrial fibrillation in our hospital were investigated between February 2009 and March 2012,the patients were treated with intravenous injection of amiodarone.Results　The conversion rate of atrial fibrillation was 82.22%（37/45） in 24 h,the average ventricular rate was significantly lower than before treatment（P<0.05）；the ventricular rate was controlled at less than 100 beats/min in 8 patients who did not restored sinus rhythm;there were no serious adverse events during the administration.Conclusion　It is safe and effective to control ventricular rate with intravenous injection of amiodarone in treatment of heart failure with rapid atrial fibrillation,and atrial fibrillation can be converted to sinus rhythm in some patients.]]> 2018/3/12 9:42:55 CHEN Xiang-wen,YA Gui-lin,WEI Lin 397true ［Abstract］　Objective　To explore the feasibility, safety and superiority of the modified 3-port laparoscopic cholecystectomy(LC).Methods　Clinical data of 680 patients undergoing the modified 3-port LC with one trocar through linea alba below xiphoid were analyzed retrospectively.Results　Six hundred and seventy-eight patients oparations were performed successfully,and 2 pationts were converted to open surgery（0.29%）. There were no serious complications such as bleeding,bile leakage, biliary tract injury.The gallbladder with gallstones was easy to be taken out without hematoma at trocar site. All the patients were cured and left hospital.Conclusion　The modified 3-port LC is safe and feasible, more beneficial to take out the gallbladder with gallstones,can shorten operating time.]]> 2018/3/12 9:42:55 ZHAO Hua-ping，WANG Jian-hua，CHENG Hong 396true ［Abstract］　Objective　To analyze the misdiagnosed conditions of obstetric and gynecological diseases in order to improve the diagnostic quality of obstetric and gynecological disease.Methods　Twenty-six misdiagnosed patients were treated in department of obstetrics and gynecology of our hospital between March 2011 to March 2012.All patients were misdiagnosed clinically as acute appendicitis and received surgical treatment.Their clinical data and misdiagnosed conditions were retrospectively analyzed.Results　During surgical treatment for appendicitis all patients were confirmed to be suffering from obstetric and gynecological disease,and in the first time received appropriate symptomatic treatment and processing,including ovarian repair,pelvic drainage rinse,ectopic pregnancy surgery and ovarian cyst removal. All patients were cured after treament.Conclusion　In clinical diagnosis,because the clinical symptoms of acute appendicitis and other is very similar to that of obstetric and gynecological diseases,it is more prone to misdiagnosis. Thus it should be necessary to strengthen the diagnostic process in a variety of measures,and actively do various checks, constantly sum up experience,in order to improve the level of diagnosis and reduce the occurrence probabiliy of misdiagnosis.]]> 2018/3/12 9:42:55 LI Jin-lan 395true ［Abstract］　Objective　To explore clinical application of laparoscopic splenectomy.Methods　The clinical date of 21 patients with laparoscopic splenectomy were analyzed retrospectivly from January 2010 to December 2011 at our hospital.Results　Twenty-one patients were successfully operated,the average operation time was （178±36）min,mean blood loss was （335±68）ml,mean postoperative hospital stay was （10.2±1.3）d.There were no complications in patients after surgery and no conversion to open surgery.Conclusion　Laparoscopic splenectomy is a feasible and safe surgical method,that is the ideal way of minimally invasive operation to splenectomy. Preventing hemorrhage and thermal conductivity injury of adjacent organs in operation is the problems that should be paid attention to.]]> 2018/3/12 9:42:55 NING Hai-bo,LIU Lei,LU Hai-ming, et al. 394true ［Abstract］　Objective　To investigate the clinical characteristics, treatment measures and prognostic factors of elderly patients with acute pancreatitis.Methods　A retrospective analysis of clinic data of 110 elderly patients with acute pancreatitis (observation group) was performed and compared with that of 116 non-elderly patients with acute pancreatitis (control group).Results　In the observation group gallstones was the main pathogeny (70 patients,63.6%) ;abdominal pain and vomiting were the main symptoms.There were 50 patients with severe pancreatitis,including 35 patients in the observation group and 15 patients in the control group. In observation groups acute respiratory distress syndrome was outstanding manifestation of severe pancreatitis(10 patients,28.6%), secondly 6 patients(17.1%) complicated with shock and 5 patients(14.3%) with renal insufficiency.Conclusion　The clinical manifestation was not typical with severe disease condition in elderly patients with acute pancreatitis.Positive comprehensive treatment can improve the prognosis of elderly patients with acute pancreatitis.]]> 2018/3/12 9:42:55 CHEN Yang，LUO Yong-ping，CHEN Zhong-hua，et al. 393true ［Abstract］　Objective　To summarize the clinical manifestations and treatment methods of acute epiglottitis.Methods　The clinical data and treatment methods of 126 cases of acute epiglottitis were retrospectively analyzed.Results　All 126 cases who took antibiotic combined with glucocorticoid hormone, atomization inhalation and surgery treatment were cured. Of them, 117 cases who took antibiotics combined glucocorticoid hormone and atomization inhalation. On the other hand the tracheotomy was performed in 9 cases in which 6 cases received epiglottis abscess incision and drainage. The average hospital stays was (7±2.8）days, ranged 5～10 days.Conclusion　This disease should be early found and diagnosed, the change of disease severity in severe patients should be observed. At the time of high severity of the disease, tracheotomy should be performed in order to save the patients’ life.]]> 2018/3/12 9:42:55 YIN Xue-jin,WANG Xuan-sheng 392true ［Abstract］　Objective　To investigate the clinical effect of salmon calcitonin combined with alfacalcidol in treating primary osteoporosis.Methods　Sixty elderly patients with osteoporosis were randomly divided into treatment group (30 patients,treated with salmon calcitonin and alfacalcidol),and the control group (30 patients,treated with alfacalcidol).After treatment for 2 weeks the results were compared between the two groups.Results　The total effective rate of treatment group was 90.0%,ant that of control group was 66.7%, the difference between two groups was statistically significant (P<0.01).Conclusion　The salmon calcitonin combined with alfacalcidol for the treatment of primary osteoporosis can obtain good effect.]]> 2018/3/12 9:42:55 ZHOU Jian-dang 391true ［Abstract］　Objective　To compare the differences of two misoprostol’s route of administration in the early drug abortion scheme.Methods　One hundred and forty-six early pregnancy women who demanded drug abortion were randomly divided into group A and group B(each group=73).The abortion effects of two misoprostol’s route of administration in the early drug abortion scheme were abserved,including the oral administration（A gruop） and the vagina’administration(B group).Results　The rate of abortion of A group was 91.8% while that of B group was 97.3%. There was significant difference in the abortion rate between two groups (P<0.05).Conclusion　In the early drug abortion scheme,misoprostol’s vagina administration has better effect than oral administration.]]> 2018/3/12 9:43:40 SU Ze-ying 390true ［Abstract］　Objective　To study the causes and treatment method of the elderly patients with psychosis after fracture.Methods　A retrospective analysis was used for 40 elderly patients with psychosis after fracture in our hospital between July 2010 and May 2011.Results　Forty patients with hip fracture (including femoral neck and intertrochanteric fracture) were complicated by one or two more internal diseases. 38 patients were treated by operation, 1 patient was treated by skeletal traction, 1 patient discharged due to abandoning treatment. In addition, psychosis happened in 34 cases, incidence rate was 85.0% during December 2010 and February 2011.Conclusion　Elderly patients with hip fracture were commonly associated with psychosis in cold weather. These patients with psychosis should get through perioperative stage safely by prevention and reasonable treatment.]]> 2018/3/12 9:43:40 LI De-jian, ZHAO Feng 389true ［Abstract］　Objective　To discuss the causes of misdiagnosis of ectopic pregnancy and improve the level of diagnosis.Methods　In Laibin People’s Hospital from June 2011 to December 2011,the data of 20 cases of ectopic pregnancy who were misdiagnosed was reviewed and their related factors were analyzed.Results　The misdiagnosis of ectopic pregnancy had many sided reasons,mainly including clinicians’ lack of understanding of history,non-complete collection of signs, misleading of auxiliary examination,atypical clinical symptoms of ectopic pregnancy,and lack of cognition of ectopic pregnancy.Conclusion　Overall,careful,objective analysis for disease condition,grasping the scientific clinical thinking method,can make the misdiagnosed rate of ectopic pregnancy reducing to the lowest level.]]> 2018/3/12 9:43:40 WU Lan-fen 388true ［Abstract］　Objective　To understand the condition of drug use and the extent of demand for medication knowledge in patients with diabetes in the community.Methods　The condition of drug use in 139 diabetes patients in this community were investigated by questionnaire,including number of medication,regular medication rate and awareness rate of the adverse reaction.Results　In community diabetes patients the medication rate was 68.3%(95/139),the regular medication rate was 34.5%(48/139),awareness rate of the adverse reaction was 25.2%（35/139）.Conclusion　There are a wide range of medication mistakes in community diabetes patients,it is necessary to provide pharmacy services for the diabetes patients in community.]]> 2018/3/12 9:43:40 CHEN Yong-bin 387true ［Abstract］　Objective　To summarize the clinical effect of Qingrejiedu decoction combined with antibiotics in treatment of acute pelvic inflammatory disease(PID).Methods　Thirty-eight patients with acute PID were treated by oral modified Qingrejiedu decoction combined with intravenous drip of ceftriaxone sodium and metronidazole and other antibiotics for 7 days, then the use of above antibiotics was stopped and oral cefixime was used for 14 days, and the lucrative effects were observed.Results　The total effective rate in acute stage was 100.0%, chronic pelvic pain was found in 4 patients(10.5%), repeated inflammatory episodes in 5 patients（13.2%）.Conclusion　Using the combination of the traditional Chinese and western medicine in the treatment of patients with acute pelvic inflammatory can improve the cure rate.]]> 2018/3/12 9:43:40 LI Gui-fen,LIN Bao-hua,XIE Wen-tao, et al. 386true ［Abstract］　Objective　To investigate the anesthesia methods and effects for obese parturients undergoing caesarean section.Methods　In our hospital, 59 obese parturients underwent caesarean section under the combined spinal and epidural anesthesia.Their oxygen concentration, heart rate, blood pressure, breathing were monitored.Results　In 36 parturients,punctures was successfully completed, cerebrospinal fluid flow was unobstructed, excellent anesthetic effect was got. In 19 parturients cerebrospinal fluid flow was not smooth, these parturients underwent epidural anesthesia to complete the operation. Four parturients underwent endotracheal intubation general anesthesia because of puncture difficulties. In all infants, 1 min Apgar score was 7～10.The postpartum recovery was good in these parturients.Conclusion　For parturients undergoing caesarean section intraspinal anesthesia is preferred anesthesia, followed by epidural anesthesia.During anesthesia it should be paid special attention to the management of the airway and circulation.]]> 2018/3/12 9:43:40 ZHAO Yang 385true ［Abstract］　Objective　To investigate the anesthesia management and treatment of side-effects in mini-percutaneous nephrolithotomy(MPCNL) for ureteric calculi.Methods　Ninety-eight patients with ureteral calculi,ASAⅠ～Ⅱ Grade, were treated with MPCNL between March 2011 and April 2012 in our hospital.The data concerning general state of anesthesia methods, irrigation volume, temperature protection,the treatments of all side-effects were reviewed retrospectively.Results　Both spinal canal anesthesia and general anesthesia way achieved satisfactory analgesic effect.There were 6 patients complicated by lavage fluid absorption syndrome in varying degree,4 patients had hypothermia phenomenon,3 patients delayed recovery and 1 had serious nephrorrhagia.The others were successful.Conclusion　It is necessary to select the best anesthesia method and operative position according to the specific situation of the patients.It is important to rigorously monitor patients’vital signs during operation.And well heat preservation measures, shortening the operation time, lowering perfusion pressure, reducing perfusion fluid volume and reducing bleeding of wounds are the effective ways to decrease the occurrence of side-effect in MPCNL.]]> 2018/3/12 9:43:40 LIANG Yan-hong 384true ［Abstract］　Objective　To discuss the value of modified cerclage in the treatment of cervical incompetence.Methods　Forty-one patients with cervical incompetence in our hospital were stochastically divided into two groups: In Group A(n=20), the patients were performed cerclage using MeDonald type. In Group B(n=21), the patients were performed modified cerclage in the treatment.Results　In Group A, 19 patients resulted in live births (live births rate was 95.0%);including 13 cases resulted in mature births(65.0%); 6 cases of premature delivery (30.0%). In Group B, 20 cases resulted in live births (live births rate was 95.2%);including 18 cases of mature delivery(85.7%); 2 cases of premature delivery(9.5%). There was no significant difference between Group A and B in live births rate(P>0.05). There was significant difference in premature delivery rate(P<0.01).Conclusion　There was no significant difference between MeDonald type and modified cerclage in live births rate. Modified cerclage in the treatment of cervical incompetence can prolong pregnant period and reduced premature delivery rate.]]> 2018/3/12 9:43:40 HUANG Min 383true ［Abstract］　Objective　To explore the feasibility and safety of application balloon dissector-free, unstapled mesh, improved totally extraperitoneal laparoscopic hernia repair(TEP) by ring forceps.Methods　From May 2007 to December 2011,72 patients with inguinal hernia(76 sides) received above operation under epidural anesthesia. Among them, there were 62 patients with indirect inguinal hernia,10 patients with direct inguinal hernia.The patch was not fixed during operation.Results　The operations were successful in all patients. The operation time of single side was(70.8±23.8)min, the double side(115.0±20.6)min; the amount of bleeding during operation was(10.3±4.6)ml, the postoperative hospitalized time was(3.5±1.2)d, the resumed daily activity time was(5.2±1.3)d,the postoperative scrotal hydrocele or hematoma was found in 10 case-times(13.2%),the scrotum pneumatosis in 6 case-times(7.9%).These diseases can be cured by repeated puncture and aspiration. No other operation complications was found. During follow up of 12 months to 18 months, there was no recurrence and groin pain and other complications.Conclusion　The balloon dissector-free, unstapled mesh TEP is a feasible, safe and effective tension-free hernioplasty, and has advantages of less pain, quicker recovery and low recurrence rate.]]> 2018/3/21 8:06:39 LUO Ying, LIANG Yong-ming 382true ［Abstract］　Objective　To study the main forms and other relevant index feature of multiple myeloma (MM ) cells,understand pathogenesis features of myeloma,in order to reduce the rate of misdiagnosis.Methods　The data of laboratory examination in 30 MM patients were retrospectively analyzed.Results　Of 30 MM patients,22 patients(73.3%) were found to have an average hemoglobin of 88 g/L,and a different degree of anemia characteristics; 24 patients(80.0%) had an increased erythrocyte sedimentation rate,with an average of 117.6 mm/h;18 patients(60.0%) had proteinuria,with average of (++); 16 patients (53.3%) had the pathological changes of renal function,with an average of blood urea nitrogen of 19.26 mmol/L. In 30 patients urine Bence Jones positive was found in 13 patients,accounted for 43.3%; M protein was found in 26 patients(86.7%); in 28 patients’(93.3%) bone marrow slice abnormalities of the original,immature plasma cells and plasma in cell morphology was found. In 30 patients of immune typing,type IgG was found in 16 cases, accounted for 53.3%; type IgA was found in 8 patients, accounted for 26.7%; type IgM in one patient, accounted for 3.3%; free light chain type in 5 patients, accounted for 16.7%. In IgG,IgA type κ type was the main.Conclusion　The clinical manifestation of MM is complex,the misdiagnosis rate is higher,thus in the diagnosis of MM,the examination of laboratory related indicators and cell morphology should be used.]]> 2018/3/21 8:06:39 ZHAO Hong-ying,CHEN Zhi-zhong,TAN Chun-yan 381true ［Abstract］　Objective　To analyze the radiological features of pneumocystis carinii pneumonia(PCP) in AIDS patients in order to improve the diagnostic level of PCP.Methods　The data of 45 AIDS patients with PCP who had received chest X-ray and CT examination was collected and their imaging appearances were reviewed.Results　The bilateral lungs diffuse lesions was found in 45 cases which manifested as network shadows with mottle,punctate,patchy,nodular and ground-glass opacities. Unusual findings included a little amount of pleural effusion,air-containing cystic pattern,bullae,nodular,cavity, pneumothorax.Four patients were negative on chest film.Conclusion　X-ray and CT of chest have very important values in the diagnosis of PCP in AIDS patients.]]> 2018/3/21 8:06:39 LI Zhu-guo,LIU Kai,ZHANG Guang-zhi 380true ［Abstract］　Objective　To study the clinical features of traumatic flail chest and the effect of mechanical ventilation on it.Methods　A retrospective analysis on the clinical characteristics,diagnostic and therapeutic experience of 32 patients with flail chest was performed in our hospital from June 2006 to May 2012.Results　Twenty-six cases were cured,6 cases died. Ventilator-assisted breathing ventilation mode mainly included synchronized intermittent mandatory ventilation(SIMV）,pressure support (PSV） and positive end-expiratory pressure(PEEP).After mechanical ventilation,the arterial blood gas analysis of patients showed pH value,partial pressure of oxygen(PaO₂),partial pressure of carbon dioxide(PaCO₂) and oxygenation index(PaO₂/FiO₂) significantly improved compared with those before mechanical ventilation (P<0.05 or <0.01).Conclusion　Mechanical ventilation can maintain respiratory function and the stability of the chest wall of patients with traumatic flail chest,which is the key to treatment of traumatic flail chest.]]> 2018/3/21 8:06:39 SONG Jia-xiang, HE Fa-biao 379true ［Abstract］　Objective　To investigate the clinical value of one stage repair of penoscrotal hypospadias using improved pedicled scrotal septal skin flap.Methods　Twenty-eight patients with penoscrotal hypospadias were repaired by modified pedicled scrotal septal skin flap.Results　Twenty-eight patients were cured. No urethra stricture and urinary fistula was found,the penis shape was better.Conclusion　The clinical efficacy of modified pedicled scrotal septal skin flap in one stage repair of penoscrotal hypospadias is better,with the advantage of good blood supply,simple operation,and fewer complications, and as a preferred surgical method for penoscrotal hypospadias,it is worth popularizing in primary hospitals.]]> 2018/3/21 8:06:39 WU Chang-qin,TANG Ying-hao,LIAO Wan-tuan 378true ［Abstract］　Objective　To investigate the treatment methods and curative effect of hip central dislocation.Methods　Thirty-seven patients with hip central dislocation were treated by traction and selective operation.Results　These patients were followed up for 1～ 6 years, with an average of 3.2 years. The results showed excellent in 22 patients, good in 9 patients, fair in 4 patients, poor in 2 patients. The excellent and good rate was 83.8%.Conclusion　Hip central dislocation were more serious injury for acetabulum, whose most obtained good effect using traction treatment, the operation were selectively applied in a hard-reset hip central dislocation.]]> 2018/3/21 8:06:39 JIANG Ting-biao, YANG Bing, LIANG Yong 377true ［Abstract］　Objective　To analyse the reasons of conversion to laparotomy in laparoscopic radical surgery for rectal cancer.Methods　A retrospective analysis was performed on the clinical data of 64 patients undergoing laparotomy radical surgery for rectal cancer in our hospital from January 2005 to November 2011.Results　Of 64 patients,the conversion to laparotomy were found in 10 patients,the rate of conversion to laparotomy was 15.6%. The reasons for conversion to laparotomy:separation of severe adhesions leading to bleeding in 3 patients; cancer infiltration of the prostate in 1 patient; tumor infiltrating the vaginal wall in 1 patient; the ureter being inadvertently transected when transecting bowel in 1 patient; mesenteric vein bleeding in 1 patient; inferior mesenteric artery bleeding in 1 patient; damage of the left iliac vein leading to bleeding in 2 patients.Conclusion　The indications of laparoscopic radical surgery for rectal cancer should be strictly controlled,in the event of uncontrolled bleeding,injury and anatomical unclear adhesion,the patients should be immediately converted to laparotomy.]]> 2018/3/21 8:06:39 MAO Xian-shuang, CHEN Jian-ying, LIANG Bang-qiang, et al. 376true ［Abstract］　Objective　To understand the status of mastery and application of emergency contraception methods in childbearing women in order to provide the basis for the government further promoting the emergency contraceptive methods.Methods　Using random cluster sampling method.2 434 18～45 year-old childbearing women who visited the Dalian municipal institute of family planning technical guidance and lived in urban area in 2011 were investigated by the questionnaire survey.Results　These childbearing women lacked knowledge about emergency contraception drugs and sources of obtaining contraception drugs.Conclusion　The government should strengthen the construction of public service system of family planning and the publicity of family planning knowledge including emergency contraception methods.]]> 2018/3/21 8:06:39 PAN Ya-na,WU Xiong-fei 375true ［Abstract］　Objective　To explore the effect of oligohydramnios in late pregnancy on perinatal infants and the mode of delivery, and search for a right treatment method.Methods　The clinical data of 198 late pregnant women with oligohydramnios was retrospectively analyzed.Results　The incidence rate of oligohydramnios was 3.33 %(198/5827).The less the amniotic fluid volume, the severer the meconium-stained degree of amniotic fluid, the higher the cesarean section rate, and the higher the rates of fetal distress and neonatal asphyxia. The complication rate in pregnancy with oligohydramnios was 28.28%(56/198).Conclusion　The pregnant women with oligohydramnios should be closely monitored to ensure the timely termination of pregnancy and the safety of mother and infant.]]> 2018/3/21 8:07:41 LIANG Hong-huan 374true ［Abstract］　Objective　To study the effecf of laparoscopic conservative surgery combined with methotrexate for prerention and treatment of persistent ectopic pregnancy after tubal pregnancy.Methods　In our hospital from January 2010 to December 2011, 60 patients with tubal pregnancy received laparoscopic conservative surgery, and after removing the pregnancy by the operation, local injection of methotrexate 50 mg around the incision was paformed.Results　No persistent ectopic pregnancy was found in 60 patients.Conclusion　Injection of methotrexate 50 mg during lapariscopic conservative surgery can successfully prevent and treat persistent ectopic pregnancy after tubal pregnancy.]]> 2018/3/21 8:07:41 LONG Zheng-peng,QIN Li-hua 373true ［Abstract］　Objective　To observe the effect of phloroglucinol on the delay or stagnstion of active stage of labor.Methods　One hundred normal primipara,among them dilation of uterus cervix had reached 3 cm and the active stage of labor was in status of delay or stagnation,were randomly divided into two groups.The observation group(n=50),were given intravenous injection of phloroglucinol 80 mg;The control group(n=50),10 mg diazepam.After treatment the birth process changes in pregnancy women and perinatal outcomes in both groups were observed.Results　The time of active stage and the second stage of labor in observation group was significantly shorter than that in the control group (P<0.01 or <0.05);Primipara had no obvious discomfort in observation group,10 cases had dizziness,fatigue,tired feeling in control group;The normal rate of neonatal muscle tension in observation group was higher than that in control group(P<0.01);There was no statistically significant difference(P>0.05) between two groups in fetal heart rate changes,and the amout of postpartum hemorrhage.Conclusion　The effects of phloroglucinol in the treatment of delay or stagnation of active phase of labor is remarkable, without adverse effects on pregnancy women and fetus before and after delivery,is worth popularizing.]]> 2018/3/21 8:07:41 Ma Hai-yan 372true ［Abstract］　Objective　To explore the ultrasonic image features of acute appendicitis, in order to increase the accuracy rate of diagnosing this disease.Methods　The ultrasonic image features of 196 cases of acute appendicitis were analyzed and summarized retrospectively.Results　The echo patterns of acute appendicitis ultrasonic image can be categorized into 3 groups: those with direct signs, indirect signs and no signs.Conclusion　For those acute appendicitis that have typical manifestation on ultrasonic images, a high accuracy rate of diagnosis can be achieved; however, when it comes to those that have untypical patterns, ultrasonic images may lead to misdiagnosis and missed diagnosis.]]> 2018/3/21 8:07:41 CHEN Li-li 371true ［Abstract］　Objective　To study the main types and correspondin prevention measures of fetal malformation in pregnant women in Yulin city.Methods　The clinical data of 652 pregnant women in whom fetus with malformation was proved by conventional ultrasound examination in the Women and Children Health Hospital of Yuling city from January 2009 to December 2011 was retrospectively analyzed. All cases were followed up regularly. The final results were identified with ultrasound diagnosis.Results　Among 652 fetuses with malformation,the order of the top 10 malformation types from high to low was teratogeny (fetal ascites, hepatosplenomegaly), accounted for 29.9%(195/652)；cleft lip and palate accounted for 13.8%(90/652)；cardiac malformations accounted for11.5%(75/652);hydrocephalus accounted for 10.1%(66/652)；viscera eversions accounted for 8.0%（52/652）； anencephaly accounted for 6.9%（45/652）；cystic hygroma of the neck accounted for 3.8%（25/652）；holoprosencephaly accounted for 2.3%（15/652）；encephalocele accounted for 1.8%(12/652);achondroplasia accounted for 1.5% (10/652).The pregnant women with fetal malformation mainly distributed in the age groups 20～ years and 30～ years.Conclusion　In all fetal malformation types,teratogeny(fetal ascites, hepatosplenomegaly) is predominent.Ultrasonography is a simple method to found fetal malformation, and can provide technical support for reducing the rate of live births of fetuses with malformation.]]> 2018/3/21 8:07:41 ZHOU Hua 370true ［Abstract］　Objective　To understand the status of malnutrition in children with body weight < median number -2 of standard deviation under 5 years old in Yulin.Methods　The date of 414404 children with weight < median number -2 of standard deviation under 5 years old in Yulin was divided into 7 counties for statistical analysis.Results　In 414 404 children under 5 years old whose weights were measured,malnutrition were found in 9 549 children,the malnutrition rates was 2.30%.Conclusion　The nutritional status children under 5 years old in Yulin was better, advocating the reasonable diet, and developing good eating habits, can further reduce the incidence of malnutrition in children.]]> 2018/3/21 8:07:41 YE Ze-zhong 369true ［Abstract］　Objective　To investigate the risk factors, clinical characteristics and prognosis of neonatal hypoglycemia in order to provide the basis for clinical diagnosis, treatment and prevention.Methods　Routine monitoring of blood glucose was performed in all hospitalized neonates. The statistical analysis for the clinical data of neonates with confirmed hypoglycemia was performed.Results　The high risk factors of neonatal hypoglycemia included neonates with birth asphyxia, premature neonates, full-term small gestational age neonates, neonates with feeding difficulties, infection and hyperbilirubinemia, neonates of diabetic mothers. Dyskinesia and dysnoesia were found in 5 patients during follow-up after discharge from hospital.Conclusion　For neonates with risk factors of hypoglycemia,including preterm and term small gestational age neonates, neonates with potential infection, perinatal asphyxia, feeding difficulties,the close monitoring should be performed and given early feeding and strengthened feeding, if necessary intravenous supplement. Early diagnosis and treatment is the key to preventing hypoglycemic brain injury and brain development retardation.]]> 2018/3/21 8:07:41 LI Shi - qiao 368true ［Abstract］　Objective　To evaluate the value of clinical application of ultrasound-guided mammotome minimally invasive surgery in the treatment of breast abscess.Methods　From August 2011 to August 2012, 12 cases of breast abscess were treated by mammotome minimally invasive system. And the posteperative follow-up was performed to observe the therapeutic effect.Results　All of the 12 cases of breast abscess were cured. The average length of incision was（ 0. 31±0.01） cm. The average duration of hospital stays was （7±0.02）d. The surgical trauma was small, the course of illness was short, and the cosmetic appearance of the breasts was satisfactory. In the follow-up of 2～12 months, clinical and B- ultrasound examination were not found recurrence.Conclusion　Mammotone is a feasible and safe procedure with satisfactory cosmetic results for breast abscess. It can provide favorable condition for subsequent plastic nipple surgery.]]> 2018/3/21 8:07:41 LIAO Dan,WANG Yu-kun,FU Han-kun,et al. 367true ［Abstract］　Objective　To explore the indications and the prevention of complications of procedure for prolapse and hemorrhoids(PPH) with stapler.Methods　The clinical data of 136 patients received PPH with stapler in Qingpu Branch of Zhongshan Hospital from October 2010 to October 2012 were analyzed retrospectively.Results　The effective rate was 93.4% in 136 patients. While the complication incidence was 14.7%, mainly including postoperative bleeding,infection,anastomotic stenosis, anal pain and anal paresthesia.Conclusion　PPH with stapler is the preferred treatment method for the patients with severe hemorrhoids or rectum prolapse.Subtle operative manipulation,perfect perioperative management is the key to prevent the complications of PPH surgery.]]> 2018/1/24 8:18:05 SHEN Bo-ming，WANG Yong-feng，YU Wei-jun 366true ［Abstract］　Objective　To investigate the pathogenesis and the methods of diagnosis and treatment of central hyponatremia.Methods　The clinical data of 21 patients with central hyponatremia were retrospectively analyzed.Results　After treatment, serum sodium return to normal level in 19 cases of hyponatremia; 2 cases had unabating high fever due to intracranial infection,of them 1 case died, 1 case had normal serum sodium level, but still in a coma after infection being controlled.Conclusion　Low serum sodium, high urine sodium and change of consciousness state is the diagnostic basis of central hyponatremia, syndrome of inappropriate secretion of antidiuretic hormone(SIADH) patients should receive limiting water treatment, cerebral salt wasting syndrome(CSWS) patients should receive water and salt treatment.]]> 2018/1/24 8:18:05 HU Qing-rong, YIN Yuan, TANG Zhi-qing 365true ［Abstract］　Objective　To investigate curative effect of noninvasive bi-level positive airway pressure ventilation on severe bronchial asthma.Methods　Six-eight patients with severe bronchial asthma were randomly divided into 2 groups. The patients in 2 groups were given routine medication treatment after admission.While on the above basis,the treatment group(n=33) received bi-level positive airway pressure ventilation. The clinical symptoms and the indexes of arterial blood gas were observed before and after treatment.Results　After treatment, the clinical symptoms,and the indexes of blood gas had significant improvement in the treatment group, PaCO₂ decreased and PaO₂ and SaO₂ increased in the treatment group.The improvement in PaCO₂, PaO₂,and SaO₂ in the treatment group were better than that in the control group(P<0.05).Conclusion　Treatment of noninvasive bi-level positive airway pressure ventilation is effective for treating servere bronchial asthma.]]> 2018/1/24 8:18:05 YAN Wen-mei,LIN Su-qin 364true ［Abstract］　Objective　To analyze the imaging findings of digital radiography(DR) of pneumothorax in neonates and explore the value of DR in diagnosis of pneumothorax in neonates.Methods　Twenty-five cases of neonatal pneumothorax were taken supine chest anteroposterior DR, of 5 cases recived clinical treatment(many DR reviews were performed in 1～2 days).Results　Among 25 cases,20 cases were diagnosed by clinical features and DR finding, 5 cases were diagnosed by clinical treatment.According to DR findings of neonatal pneumothorax, neonatal pneumothorax were divided into 4 types: lateral(adult) type in 3 cases, medial type in 13 cases, lower lung pneumothorax in 3 cases, anterior type in 6 cases.Conclusion　Neonatal pneumothorax has certain image features. Producing image of high quality by DR post-processing technique can make correct diagnosis of pneumothorax in neonates.]]> 2018/1/24 8:18:05 LI Ying-yi 363true ［Abstract］　Objective　To explore the clinical value of echocardiography in the diagnosis of infective endocarditis.Methods　The conditions of damages of heart valves were observed by echocardiography and were compared with the tracked results of diagnosis and treatment in superior hospital.Results　Echocardiography can provide the attachment location，number，size，morphology，activity of the valve vegetations and corresponding hemodynamic changes.Conclusion　Echocardiography can qualitatively diagnose the valve vegetations in infective endocarditis，and plays an important role in the clinical treatment plan and prognosis evaluation.]]> 2018/1/24 8:18:05 CHEN Chang-e 362true ［Abstract］　Objective　To investigate the pathogenesis, early diagnosis and treatment measures of traumatic delayed intracranial hematoma(DTICH).Methods　The clinical data of 33 patients with DTICH was retrospectively analyzed.Results　The patients were followed up for 3～6 months.According to GOS evaluation prognosis,good recovery was found in 21 cases,moderate disability in 4 cases,severe disability in 3 cases,plant survival in 1 case,death in 4 cases.Conclusion　Early diagnosis and timely treatment can reduce the mortality and morbidity rate of DTICH,improve rescue success rate and improve patients′ prognosis.]]> 2018/1/24 8:18:05 TANG Zhi-qing,HU Ji-zhong,LIAO Shi-bao,et al. 361true ［Abstract］　Objective　To explore the features and CT diagnosis of brain lesions in patients with hypoparathyroidism.Methods　The brain CT data of 22 patients with hypoparathyroidism was collected, and the diagnostic points were summarize and analyzed.Results　Hypoparathyroidism brain CT showed symmetrical calcifications in typical region in most patients, but early lesion calcification was not typical in some patients.Conclusion　The value of CT in the diagnosis of brain lesions of patients with hypoparathyroidism is affirmative.]]> 2018/1/24 8:18:05 LIU Zheng, WANG Hai-qin, LI fang-yuan 360true ［Abstract］　Objective　To investigate the efficacy and safety of Miaolingbishuang nasal spray in the treatment of allergic rhinoconjunctivitis.Methods　One hundred patients with clinical diagnosis of allergic rhinoconjunctivitis were randomly divided into two groups.The treatment group（59 cases） was treated by nasal inhalation of Miaolingbishuang nasal spray, 1 ml each time, 2 times a day, each side nasal cavity 0.5 ml, for 20 d. The control group（41 cases） was treated by nasal spray inhalation of saline, 2 times a day, 1 ml each time, each side nasal cavity 0.5 ml, for 14 d, and oral administration of Loratadine tablets,1 tablet(4 mg/d), one time a day, for 14 d. Follow up was performed at one week, one month, three months and one year after treatment. The clinical data after treatment between two groups were compared.Results　In the treatment group, marked effectiveness was found in 38 cases(64.4%), effectiveness in 18 cases(30.5%), ineffectiveness in 3 cases(5.1%);In the control group,marked effectiveness in 11 cases(26.8%), effectiveness in 21 cases(51.2%), ineffectiveness in 9 cases(22.0%). The difference between two groups was statistically significant (P<0.05).Conclusion　Nasal inhalation of Miaolingbishuang nasal spray in treating allergic rhinoconjunctivitis has remarkable curative effect without side effect,and is worth popularizing clinically.]]> 2018/1/24 8:18:34 CHEN De-rong，ZHANG Li-ping 359true ［Abstract］　Objective　To explore the effect of damage control treatment with external fixators in the traumatic orthopedics repair.Methods　Ninety-two patients with traumatic femoral fracture treated in our hospital′s department of orthopedics from January 2011 to December 2012 were randomly divided into two groups. Forty-six patients in the control group received the primary open reduction and internal fixation, while the other 46 patients in the observation group received the first phase of external fixation. After the patients′ conditions became stable, the observation group received the sencondary open reduction. Comparison was carried out on the indicators such as the operation time, the incision length, the fracture healing time, the lactic acid duration, the clotting recovery time and so on between the two groups.Results　The operation time, the incision length, the fracture healing time, the lactic acid duration and the clotting recovery time of the observation group were remarkably shorter than those of the control group（P<0.01）.Conclusion　The effects of damage control treatment with external fixators are good in the traumatic orthopedics repair and therefore this kind of treatment is worth popularization in clinical use.]]> 2018/1/24 8:18:34 HUANG Jing-dong, CHEN Wei-qiang, BU Bo，et al. 358true ［Abstract］　Objective　To study the method of fetal extraction during caesarean section for breach presentation and shoulder presentation, reducing or avoiding femoral fracture and hip joint dislocation in neonates.Methods　Fetuses were extracted via breech extraction along the fetus sliding direction with strength.Results　Among 436 cases of breach presentation and shoulder presentation, fracture occurred in 2 cases of neonates, with the rate of 0.46%.Conclusion　During breech extraction, it is necessary to avoid violence and extract fetus along the fetus sliding direction with proper strength in order to reduce the occurrence of femoral fracture and hip joint dislocation in neonates.]]> 2018/1/24 8:18:34 HONG Hong,TANG Jia-hua,ZHANG Gui-ping 357true ［Abstract］　Objective　To explore the clinical characteristics and selection of surgical procedure of traumatic epidural hematoma straddling the transverse sinus.Methods　The clinical data,including operative methods and clinical curative effect of 36 cases of traumatic epidural hematoma straddling the transverse sinus was retrospectively analyzed.Results　Of 27 cases receiving surgical treatment, 22 cases had hematoma removal of satisfaction, 5 cases had hematoma part residual. According to GOS scores, prognosis estimating showed: 15 cases were cured, almost returned to normal in 8 cases, moderate disability in 2 cases, severe disability in 1 case, 1 case died.In 9 cases receiving of conservative treatment, all recovered well.Conclusion　Paying affection to clinical monitoring of patients with the traumatic epidural hematoma straddling the transverse sinus, dynamically reviewing head CT, choosing different operation method according to the different type of hematoma, can improve the clinical curative effect and the rescue success rate.]]> 2018/1/24 8:18:34 QIN Si-jie,YANG Bo-han 356true ［Abstract］　Objective　To analyze the failure causes of establishing percutaneous renal channel in mini-percutaneous nephrolithotomy(MPCNL) under B ultrasound guidance.Methods　The clinical data of 500 patients with upper urinary tract calculus who underwent MPCNL under B ultrasound guidance were reviewed.Results　The failure of establishing percutaneous renal channel found in 42 cases because of unsuccessful puncture or percutaneous channel lost due to puncture expansion failure.There were no complications such as puncture or expansion bleeding, perirenal hematoma, urinary fistula, colon and pleural damage.The causes of puncture failure included obesity（10 cases）, the spinal deformity（6 cases）, polycystic kidney disease(3 cases), kidney malrotation（3 cases）;the causes of renal channel lost included ill kidney having the history of open surgery for renal calculi(7 cases), severe hydronephrosis(4 cases), staghorn stone(9 cases).Conclusion　Obesity, spinal deformity, polycystic kidney disease, kidney malrotation, ill kidney having history of open surgery for renal calculi, severe hydronephrosis, staghorn stone may be failure causes of establishing percutaneous renal channel in MPCNL under B ultrasound guidance, and carefully channel design can reduce the incidence rate of failure of establishing percutaneous renal channel.]]> 2018/1/24 8:18:34 YANG Xin-biao, ZHUGE Dong-gui, LI Shan-jun 355true ［Abstract］　Objective　To analyze the drug resistance of pseudomonas aeruginosa, and to guide clinical rational drug use of pseudomonas aeruginosa.Methods　The Hunan TDR.200B was used for testing the susceptibility of pseudomonas aeruginosa isolated from clinical specimens, and analysis of drug resistance of 113 strains of pseudomonas aeruginosa were performed from February 2010 to February 2012.Results　In the 19 general kinds of antimicrobial drugs the resistance rate of pseudomonas aeruginosa to imipenem was lowest(10.6%),followed by amikacin(12.4%). Among them 7 strains were susceptible strains, accounted for 6.2%; 25 strains were multi-drug resistant strains, accounted for 22.1%; 8 strains were pan-drug resistant strains, accounted for 7.1%;the rest of resistant strains, 73 strains, accounted for 64.6%.Conclusion　Pseudomonas aeruginosa have different resistance to 19 kinds of antimicrobial agents, so it is necessary to strengthen the monitoring of drug resistance of pseudomonas aeruginosa, provide the basis for rational use of clinical antibiotics. At the same time,it is necessary to take effective preventive measures for multiple and pan-drug resistant pseudomonas aeruginosa,to avoid the outbreak of multiple and pan-resistant strains.]]> 2018/1/24 8:18:34 ZHOU Jia-shun 354true ［Abstract］　Objective　To investigate the clinical features and treatment measures of acute gastrointestinal perforation(AGP).Methods　The clinical data of 76 patients with AGP treated in Luhuo County People′s Hospital was analyzed retrospectively from March 2009 to March 2013.Results　Fifty-seven patients were cured by surgical treatment; 3 patients were cured conservatively; 6 patients were transferred to another hospital;6 patients discharged voluntarily; 4 patients died.Conclusion　Acute gastrointestinal perforation is a severe disease with acute onset and early diagnosis and reasonable and effective treatment can reduce the incidence of complications and improve the cure rate.]]> 2018/1/24 8:18:34 Ga wa zha ba 353true ［Abstract］　Objective　To investigate the use of endoscopic ultrasound(EUS) in combination with endoscopic mucosal resection(EMR)/endoscopic submucosal dissection(ESD) for the diagnosis and treatment of esophageal superficial elevated-type lesions to improve the diagnosis of esophageal superficial elevated-type lesions.Methods　Thirty-five patients with esophageal superficial elevated-type lesions diagnosed by endoscopic ultrasonography received EMR/ESD in our hospital from September 2009 to August 2012.The EUS and clinicopathologic data for 35 patients with esophageal superficial elevated-type lesions were retrospectively analyzed. All 35 patients were followed up.Results　Of 35 patients included, 21 underwent EMR and 14 underwent ESD. The pathologic type: early esophageal cancer, 9 cases; severe dysplasia, 5 cases; benign stromal tumor, 3 cases; adenomatous polyp, 4 cases; non-adenomatous polyp, 6 cases; leiomyoma, 8 cases. Endoscopic ultrasound and pathological examination showed the lesion source level of 35 cases were all located at mucosa, muscularis mucosa and submucosa.Conclusion　Endoscopic ultrasound in combination with EMR or ESD can improve the diagnosis of esophageal superficial elevated-type lesions. EMR and ESD are minimally invasive, effective, safe, fast for treating of early esophageal elevated-type lesions.]]> 2018/1/24 8:18:34 WU Fu-li, NONG Bing 352true ［Abstract］　Objective　To understand the condition of hepatitis B virus(HBV) infection in pulmonary tuberculosis patients in our hospital in 2012.Methods　From January 2012 to December 2012 serum hepatitis B surface antigen (HBsAg) was determined in 186 hospitalized tuberculosis patients by enzyme-linked immunosorbent assay(ELISA).Results　In 186 tuberculosis patients, HBsAg positive were found in 38 patients, accounting for 19.89%. In patients with different age, occupation, nationality and various types of tuberculosis, there was certain positive ratio but there were no statistically significant difference in positive ratio among them(P>0.05).Conclusion　Some pulmonary tuberculosis patients have hepatitis B virus infection in Guangxi, so it is necessary to streng then the determination of HBsAg in pulmonary tuberculosis patients and formulate reasonable treatment plan.]]> 2018/1/24 8:18:34 LI Shi-li, TANG Liu-sheng 351true ［Abstract］　Objective　To analyze the results of urine culture and drug sensitivity test of asymptomatic bacteriuria（ASB） pathogenic bacteria for female patients with type 2 diabetes mellitus (T2DM), and guide clinical the use of antibiotics.Methods　Retrospective analysis on the results of urine culture and drug sensitivity test for hospitalized female patients with T2DM associated with ASB was performed from June 2010 to December 2011.Results　The positive rate of urine culture was 65.7%, of which G^- bacilli accounted for 60.7%, G⁺ cocci accounts for 34.6%, candida accounts for 4.7%. Most G^- Bacillus were escherichia and coli,proteus, which had drug resistance to ampicillin, ciprofloxacin and compound nuomingduo, and sensitive to third generation cephalosporin. G⁺ cocci, most of which were enterococcus were insensitive to most drugs and were very little resistant to vancomycin.Conclusion　For female patients with T2DM associated with ASB, it is common to see Escherichia coli and Enterococcus in Pathogenic bacteria, which is insensitive to most commonly used antibiotics. Drug use should be guided by the results of drug sensitivity test.]]> 2018/1/24 8:18:34 ZHAO Yun-hui, LIU Xing-ying, LIU Gen-xian 350true ［Abstract］　Objective　To explore the clinical characteristics of no intubation tube intravenous anesthesia used for regional lymph node dissection.Methods　The 88 cases with cervical lymph node tuberculosis treated by no intubation tube intravenous anesthesia in our hospital were analyzed retrospectively. Intravenous anesthesia was injected midazolam, butorphanol, propofol.The monitor was used for monitoring patients′ vital signs, SpO₂ ECG, and others′ in during surgery.Results　Eighty-five cases respond quite satisfactorily to skin incision. Three cases had mild response. Blood pressure and beat of the heart was normally, SpO₂ stayed over 98%. Slow respiration was found in 6 cases. Glossoptosis in 2 cases. All patients were awaked postoperative （20.87±9.02）min after discontinuing of the drugs. Nausea and vomiting was found in 12 cases, postoperative slight dizziness in 11 cases.Conclusion　No intubation tube intravenous anesthesia used for regional lymph node dissection is a safe, effective and simple method of anesthesia with less complication. But the intubation tube should be available readily at any times of accident.]]> 2018/1/24 8:18:34 QIN Shao-jian,WU Feng-yao,LIANG Hao-feng,et al. 349true ［Abstract］　Objective　To analyze the etiology and clinical features of reversible posterior leukoencephalopathy syndrome, and search for the ways of early diagnosis and treatment.Methods　A retrospective analysis was performed in 16 patients with reversible posterior leukoencephalopathy syndrome treated in our hospital from February 2010 to February 2013 including the etiology, clinical characteristics, treatment and prognosis.Results　There were 16 patients including 6 males and 10 females. There were 7 cases with hypertensive encephalopathy including 4 cases with renal insufficiency；4 cases with eclampsia；2 cases with multiple aortitis；1 case with thrombotic thrombocytopenic purpura；1 case with systemic lupus erythematosus and 1 case with right internal carotid artery endarterectomy. The clinical manifestations mainly included headache, delirium, consciousness disorders, seizure disorder and visual hallucinations. Brain MRI examination showed the lesions for T1-weighted short signal and T2-weighted elongated signal in the white matter of the posterior cerebral hemispheres and invariably bilateral symmetry. After appropriate dehydration, depressing the intracranial pressure,and improving circulation and hyperbaric oxygen therapy in time,in all the 16 patients,the symptoms and signs disappeared in 14 patients(accounted for 87.5%),significantly improved in 2 patients(12.5%).Conclusion　The disease is a clinical syndrome with etiology and clinical characteristics. There is better prognosis for most of them by timely and effective treatment.]]> 2018/1/29 9:14:33 MAO Zhong-chen, GAO Yuan-lin, JIA Yong-lin, et al. 348true ［Abstract］　Objective　To understand the clinical significance of BNP in patients with chronic cardio-renal syndrome.Methods　The clinical data of 54 chronic heart failure patients with heart disease as underlying disease in the 416 Hospital of Nuclear Industry was retrospectively analyzed.Twenty-six hospitalized patients with simple chronic heart failure(simple heart failure group), and 28 hospitalized patients with chronic cardio-renal syndrome(cardio-renal syndrome group) were retrospectively analyzed.Results　The BNP level of chronic cardio-renal syndrome group was significantly higher than that of simple heart failure group［（1321.5± 93.88） vs （865.4 ±120.32）pg/L, P<0.05); The BNP levels of two groups were positively related to the LVEDD and negative related to LVEF(P<0.05).Conclusion　BNP can be as applied to cardiac function diagnosis, severity evaluation, therapy guide and prognosis evaluation in patients with chronic cardio-renal syndrome.]]> 2018/1/29 9:14:33 YIN Rui 347true ［Abstract］　Objective　To assess the clinical effectiveness of venous arterialization in the treatment of patients with critical limb ischemia（CLI）.Methods　From January 2000 to December 2011,91 patients with CLI,including 70 cases with thromboangiitis obliterans and 21 artherosclerosis obliterans,underwent venous arterializations.Ankle-brachial index（ABI） was 0～4.9（average 3.5） before operation.According to the different levels of the arterial occlusion,3 kinds of venous arterialization were performed: high deep venous arterialization group（n=30）:reversal produced between the common or superficial femoral artery and superficial vein;low deep venous arterialization group（n=32）:reversal produced the popliteal artery and the tibiaperoneal venous trunk;superficial venous arterialization group（n=29）:reversal produced between the femoral or popliteal artery and the distal potion of the long saphenous vein.Results　The technical success rate was 100%.All cases were followed up for 6～60 months,and 77 cases of them achieved satisfied results with disappearance of rest pain and absence of intermittent claudication or claudication distance >500 meters.In high deep venous arterializations group,4 cases replapsed because of graft occlusion at 12 months after procedure and then underwent amputation. During the follow-up period,graft occlustion without recurrent symptom was observed in 10 patients. Overall limb salvage rate,effective rate and secondary graft patency rate was 95.6%,84.6%,84.6%,respectively.Conclusion　When patients with CLI cannot be treated by any conventional treatment and require amputate,venous arterialization may be considered as unconventionality alternative to save limbs if indivcation was selected carefully and procedure was operated standardly.]]> 2018/1/29 9:14:33 TONG Xian-zhou, TONG Lin-long,CHEN Tao 346true ［Abstract］　Objective　To evaluation the clinical efficacy of Fuji Ⅸ glass ionomer in the treatment of wedge-shaped defects in elderly patients.Methods　Two hundred and thirty-four teeth with wedge-shaped defects in 56 patients aged over seventy years old were randomly divided into two groups: group A(119 teeth) was repaired by Fuji Ⅸ glass ionomer cements, group B(115 teeth) was repaired by light-curing composite resin. After 2 years of follow-up, their treatment effect were observed.Results　The success rate of group A was 92.4%,that of group B was 82.6%, there was a statistically significant difference in success rate between two groups(P<0.05).Conclusion　Fuji Ⅸ glass ionomer cement materials in repair of the wedge-shaped defects in the elderly patients has the advantages of convenient operation， beautiful color, and has better clinical value.]]> 2018/1/29 9:14:33 JIANG Rong-lin,CHEN Yan, TANG Ji-wei 345true ［Abstract］　Objective　To explore the recent curative efficacies and adverse responses of the transcatheter hepatic arterial chemomembolization （TACE）combined with stereotactic radiotherapy (SBRT) in the treatment of patients with primary liver cancer.Methods　Fifty-eight patients with primary liver cancer who had physical status score ≥2 were given TACE combined with gyro knife Co60 SBRT. All patients were followed up to observe curative effects and adverse responses.Results　Total 58 patients had received the treatment. Ten patients(17.24%) reached complete response, 21 patients(36.21%) partial response, 20(34.48%) stable disease and 7 (12.07%) disease progression. The overall objective rate was 53.45%, one year local control rate 36.21% and 1 year overall survival rate 62.07%.Conclusion　The TACE combined with SBRT in the treatmeng of primary liver cancer displayed good recent curative efficacies, but low response rate of side effects. The long-term efficacies deserve further observation.]]> 2018/1/29 9:14:33 CHEN Shi-jun,CHONG Ling 344true ［Abstract］　Objective　To explore the efficacy and complications of envelope posterior capsulectomy in the treatment of fibrous posterior capsule opacification(PCO).Methods　A retrospective analysis was performed of complete follow-up data of 32 patients fibrous PCO undergoing the evelope posterior capsulectomy including visual acuity, intraocular pressure,and postoperative complications before and after surgery.Results　All patients were successfully cut off the PCO tissue in the pupil area, the transparency recovered,visual acuity improved from preoperative average 0.15 to 0.3 at fist postoperative day and reached 0.6 at 1 week after operation. No cases of lens displacement, retinal detachment, macular edema and other complication were found.Conclusion　Envelope posterior capsulectomy in the treatment of fibrous PCO is an effective method, but the surgeon should have skilled technology and strictly grasp the indications for surgery.]]> 2018/1/29 9:14:33 WEI Le-qiang 343true ［Abstract］　Objective　To explore the effect of open reduction and internal fixation in the treatment of rib fracture.Methods　Twenty-five patients with rib fractures were treated by open reduction and clawshape rib bone plate internal fixation,and the curative effect were observed.Results　After operation,the patients obtained satisfactory curative effect,included postoperative thoracic stable fixation, the correction of fracture and dislocation,and the chest wall deformation and so on, patients, pain relief and pulmonary function being returned to normal.Conclusion　Using the clawshape rib bone plate for open reduction and internal fixation of rib fractures in the patients with severe rib fractures is an effective method.]]> 2018/1/29 9:14:33 ZHUANG Da-peng 342true ［Abstract］　Objective　To investigate the effect of standard bone flap decompressive craniectomy combined with drainage of the sylvian fissures cistern for treatment of patients with severe traumatic brain injury.Methods　A retrospective analysis was performed on the effect in using standard bone flap decompressive craniectomy and drainage of the sylvian fissures cistern for the treatment of 109 cases with severe traumatic brain injury in our department in recent 8 years, The outcome was judged by the Glasgow outcome score(GOS).Results　Of 109 cases, after 6 months follow-up, 93 cases survived(85.3%),including good in 41 cases(37.6%), moderate disability in 32(29.4%), severe disability in 14(12.8%), vegetables survival in 6(5.5%),and death in 16(14.7%).Conclusion　Standard bone flap decompressive craniectomy combined with drainage of the sylvian fissures cistern has exact curative effect for patients with severe traumatic brain injury, can reduce the mortality rate and the associated postoperative complications, and improve the life quality of patients.]]> 2018/1/29 9:14:33 ZENG Wen 341true ［Abstract］　Objective　To investigate the prevention and treatment of operative complication in laparoscopic cholecystectomy(LC) in primary hospital.Methods　The clinical data of 65 cases received LC were analyzed retrospectively.Results　Operation was successfully performed in 64 cases(98.5%) and one case was converted to laparotomy(1.5%); 3 patients suffered from complications(4.6%), which were corroborated that one patient was the bile duct injury(1.5%), another was the intraoperative and postoperative hemorrhage(1.5%) and the other was the intestinal tract injury(1.5%). These 3 patients all recovered after laparoscopic repair operation.Conclusion　Strengthening the thought on laparoscopic operation risk awareness, strictly controlling operation indications and choosing cases, ensuring intraoperative standard and fine operation can maximally reduce or even prevent the incidence of complications of LC.]]> 2018/1/29 9:14:33 HE Wen-zhen 340true ［Abstract］　Objective　To assess the efficacy and safety of aripiprazole in the treatment of first-episode schizophrenia.Methods　Eighty patients with first-episode schizophrenia were randomized into aripiprazole group(n=40) and risperidone group(n=40). The positive and negative syndrome scale(PANSS) and treatment emergent symptom scale(TESS) were used to assess the effectiveness and the safety of the treatment.Results　The scores of PANSS decreased significantly comparing to the base line in both groups(P<0.05) and without statistically difference between two groups(P>0.05) by the end of the 8 weeks treatment;There is no marked difference between two groups in the decrease of all elements of PANSS after 8-week treatment(P>0.05); The total efficacious rate of aripiprazole group was 72.5% and that of risperidone group was 70.0%, the secondary reaction of two groups was less.Conclusion　Aripiprazole is a safe and effective antipsychotics，it has similar efficacy to risperidon in the antipsychotic treatment.]]> 2018/1/29 9:14:33 ZHANG Hua, YU Yuan-yuan, PANG Li-juan 339true ［Abstract］　Objective　To analyze the clinical features and summarize treatment experience of early postoperative inflammatory bowel obstruction.Methods　A retrospective analysis was performed of clinical data of 30 patients with early inflammatory bowel obstruction after abdominal surgery in our hospital from January 2009 to June 2013.Results　After using somatostatin and other conservative treatment 30 patients with early postoperative inflammatory bowel obstruction were cured, the obstruction lifting time ranged from 3～7 d,with an average of 4.5 d.Conclusion　Early postoperative inflammatory bowel obstruction is common within one month after abdominal surgery. Its treatment methods mainly based on conservative therapy, somatostatin can significantly shorten the course of treatment of early postoperative inflammatory bowel obstruction,and is worthy populurization and application in primary hospital.]]> 2017/12/25 16:02:34 WEN Qin, HE Nuan-jian, LIAO Wei-ming, et al. 338true ［Abstract］　Objective　To study the diagnostic value digital manography breast cancer, and improve the detection rate of early breast cancer.Methods　The manifestations of digital manography of 62 cases of breast cancer, which was confirmed by surgery pathology were analyzed.Results　The manifestation included the lump in 34 cases(55%), small calcification in 19(30%), asymmetric breast parenchyma 29 cases(48%), focal denseness 18 cases(29%), blood vessels increased and distortion 35 cases, subcutaneous fat layer infiltration 27 cases, skin thickening 14 cases.Conclusion　Digital mamography can be used as a routine and the preferred examination method for mammary gland disease.It has higher sensitivity for the mammary gland disease detection,the dose of X-ray is decreasd significantly and can improve the quality of the image and the diagnostic positive rate of mammary gland disease.]]> 2017/12/25 16:02:34 LI Guo 337true ［Abstract］　Objective　To investigate the clinical effect of cervical loop electrosurgical excision procedure in the treatment of cervical lesions.Methods　Two hundred and seventy-eight patients with various cervical lesions underwent colposcopic biopsy, then were treated by cervical loop electrosurgical excision procedure. The operation time and bleeding volume were observed, the therapeutic effect and safety were analyzed retrospectively.Results　In 278 patients treated by cervical loop electrosurgical excision procedure all operations were successful. The operation time ranged from 5 to 20(average 7.5) min; intraoperative blood loss was 10 to 60(average 12.8) ml; 257 patients were cured, 13 patients improved, the total effective rate was 97.1%.Conclusion　Cervical loop electrosurgical excision procedure treatment of cervical lesions is safe and effective, and can improve the cure rate.]]> 2017/12/25 16:02:34 OU Shi-xian 336true ［Abstract］　Objective　To explore the first ovulation time in woman after removing subcutaneous implants, so as to guide the contraception and conception.Methods　Monitoring of the first ovulation time was performed in 200 women after removing subcutaneous implants under different conditions such as different embedment duration, different age, different dosage forms and so on, and postoperative pregnancy was followed up.Results　All the 200 women recovered ovulation. The first ovulation time was (41.4 ± 9.8)days. The first ovulation time in women with menstrual cycle was shorter than that in women with amenorrhea period; the first ovulation time in women whose implants were removed at due time was shorter than that in women whose implants were removed within 3 years due to different causes; the first ovulation time in women under 40 years of age was shorter than that in women over the age of 40 years, the differences were significant (P<0.05). There was no significant difference in the first ovulation time beween women receiving China-made implants type Ⅰ and women receiving China-made implants type Ⅱ(P>0.05). In 25 women with fertility intention who were followed up, the 1-year pregnancy rate was 88.0%.Conclusion　After removing subcutaneous implants, women can quickly restore ovulation and fertility.]]> 2017/12/25 16:02:34 SHEN Ai-mei 335true ［Abstract］　Objective　To investigate the effect of emergency and selective percutaneous coronary intervention in the treatment of acute left ventricular myocardial infarction.Methods　Eighty-six patients with acute left ventricular myocardial infarction were selected in our hospital and divided into the emergency group（n=29）， delay group 1（n=27） and delay group 2（n=30）.The LVEF and LVEDD were measured at the time of hospitalization and 6 months after treatment.Results　In the emergency group and delay group 1，LVEF and LVEDD improved significantly， the difference was statistically significant(P<0.05)， but there were no significant difference in LVEF and LVEDD in delay groups 2.Conclusion　Emergency PCI and 2 weeks-delayed PCI in the treatment of acute left ventricular myocardial infarction can improve cardiac function.]]> 2017/12/25 16:02:34 SUN Yong 334true ［Abstract］　Objective　To investigate the clinical effect of promethazine combined with salvia TMP in treatment of patients with vertigo.Methods　The treatment group(n=57) were treated with intramuscular injection of promethazine,and intra venous injection of salvia tetramethylpy;The control group(n=57) were treated with intramuscular injection of promethazine only.Results　After treatment for 3d,the total effective rate of the treatment group was significantly higher than that of the control group(P<0.05).Symptoms disappearing time of vertigo, autonomic symptoms, cochlear syndrome, vestibular dysfunction and other symptoms of treatment group were significantly less than that of the control group，symptoms scores of the treatment group was significantly lower than that of the control group（P<0.01）. The adverse reactions of two groups were mild and disappeared after taking appropriate measures.Conclusion　Clinical efficacy of promethazine combined with salvia TMP in treatment of patients with vertigo is significant.]]> 2017/12/25 16:02:34 WANG Jun 333true ［Abstract］　Objective　To investigate the clinical featurs of hyperthyroidism patients with periodic paralysis in order to dearease the rate of missed diagnosis and misdiagnosis.Methods　A retrospective analysis of the clinical data was performed of 26 patients with hyperthyroidism complicated by periodic paralysis.Results　Within 1to 18 h after potassium treatment, the patients′symptoms and signs quickly relieved, and after antithyroid drug treatment thyroid function returned to normal in 22 patients.Two patients experienced 2 times of recurrent attacks and their thyroid function returned to normal after adjusting antithyroid drug. Due to adverse reaction of oral drugs,2 patients were treated with ¹³¹I treatment instead of oral drugs and their thyroid function returned to normal after ¹³¹I treatment. Within 6 to 12 months of follow-up,no recurrence of periodic paralysis appeared in 26 patients.Conclusion　For patients with hyperthyroidism complicated by periodic paralysis,potassium supplementation can rapidly improve their symptoms; active and effective antithyroid drugs treatment is key to preventing recurrence; at the same time, it is necessary to avoid the predisposing factors such as overeat ingestion, infection, excessive exertion, and intravenous infusion of hypertonic glucose and so on,in order to prevent recurrence.]]> 2018/1/2 8:38:52 JIANG Jia-jun 332true ［Abstract］　Objective　To investigate the appalication effect of colon therapy machine in bowel preparation.Methods　Colon therapy machine was used for bowel preparation of 329 patients before enteroscopy. The main indexes for evaluation were the extent and range of intestinal tract clearing. Serious adverse events were recorded.Results　All the 329 patients didn′t have the serious complications such as intestinal perforation or bleeding. There was less pain during the operation and good compliance, high degree of bowel clearing and colon clearing were achieved.Conclusion　Using colon therapy machines for bowel preparation is a safe, efficient and fast way of bowel clearing with good patient tolerance and it is worthy of widespread.]]> 2018/1/2 8:38:52 SU Cai-ri, LAO You-yi, WEI Cai-xiang, et al. 331true ［Abstract］　Objective　To investigate the pathology method of early hydatidiform mole(HM) in tubal pregnancy.Methods　Specimens of 32 cases of tubal pregnancy were gotten for re-reading and obseving the changes of microscope, and the related literature were reviewed.Results　In the 32 cases, 25 cases showed edema of partial villi, 10 cases showed central pool forming, 7 cases showed individual villus with the form of scallops, 5 cases showed schistose trophoblast cells with mild atypia in intervillous space, 2 cases showed trophoblast cells with mild atypia at planting site, 2 cases showed individual villus trophoblast cells wrapping villus lacy hyperplasia of trophoblast cells.Conclusion　Tubal pregnancy could showed edema of villi, central pool formation, scallop-like villus, individual villus wrapping villus lacy hyperplasia of trophoblast cells,trophoblast cells atypia,and just through light microscopic morphology alone it could easily be misdiagnosed as hydatidiform mole. To avoid the misdiagnosis, it should be neccessary to found other method of differential diagnosis on the basis of light microscopic observation.]]> 2018/1/2 8:38:52 YUN Shi-juan, ZHAO Su-xiang, XIA Xin-yu,et al. 330true ［Abstract］　Objective　To explore the clinical curative effect of artificial femoral head replacement versus internal fixation in the treatment of intertrochanteric fractures in elderly patients.Methods　From May 2008 to August 2013 received 110 intertrochanteric fractures in the elderly patients were randomly divided into experimental group(n=55) and control group(n=55), and underwent artificial femoral head replacement or fracture internal fixation.Results　The operation time, hospitalization time and the time of started rehabilitation training in the experimental group were shorter than those in the control group（P<0.05);There was no significant difference in the perioperative complications between two groups(P>0.05);The short term success rate in experimental group was significantly higher than in control group and there was no statistically significant difference in the long-term success rate between two groups.Conclusion　The advantages of arthoplasty and internal fixation of fractures are different identical,compared with the internal fixation, artificial femoral head replacement is the scientific and rational choice for the treatment of intertrochanteric fractures.]]> 2018/1/2 8:38:52 ZHOU Peng-cheng 329true ［Abstract］　Objective　To explore the clinical efficacy and safety of binding pancreaticojejunostomy following pancreaticoduodenectomy in basic-level hospitals.Methods　Eleven patients received binding pancreaticojejunostomy following pancreaticoduodenectomy.Results　All 11 patients survived and no pancreatic leakage and other complications were found.Conclusion　Binding pancreaticojejunostomy is safe and effective, and it is worth popularizing in basic-level hospitals.]]> 2018/1/2 8:38:52 PAN Guan-ning, OU Qiang, WEI Yi 328true ［Abstract］　Objective　To explore the efficacy and safety of tubeless minimally invasive percutaneous nephrolithotomy（mPCNL) in the treatment of upper urinary tract calculi.Methods　A retrospective analysis was performed on clinical data of 31 cases of tubeless mPCNL.Results　The operations in 31 cases were successfully completed. Residual stones was found in one case, the stones were eliminated after extracorpoveal shock wave lithotripsy(ESWL) treatment. The stone free rate was 96.8%.The operation time was 34～56 min, with an average of 42.8 min. Blood transfusion after operation were in 2 cases, in which one case received highly selective renal artery embolization and got stopping bleeding. The postoperative hospitalization time was 3～7 d, with an average of 4.3 d.Conclusion　The tubeless of mPCNL was safe and efective when the patients are selected by certain criteria，it is worthy of clinical application.]]> 2018/1/2 8:38:52 WU Bin-quan, YANG Zhi-jian, LIU Zhao-hua, et al. 327true ［Abstract］　Objective　To investigate the value of 16-slice spiral CT in the diagrosis of duodenal diverticula and its complications.Methods　The data of 16-slice spiral CT images of 25 cases with duodenal diuerticula was retrospectively analyzed.Results　Twenty-eight of diverticula were found in 25 cases,24 located in the descending part of the duodenum, 4 located in the horizontal segment of the duodenum.Diverticula showed the pouch pocket shadow which contained liquid, gas, or gas and liquid in phases. Biliary system gallstones were found in 15 cases, pancreatitis in 4 cases, biliary and pancreatic duct dilatation in one case.Conclusion　16-slice CT has a higher value in the diagnosis of duodenal diverticulum, and can find out the diseasese of gallbladder and pancreas in time.]]> 2018/1/2 8:38:52 CEN Jia-ding 326true ［Abstract］　Objective　To analyze the pathogenic and influencing factors of facial recurrent dermatitis in Chongming area, to provide the basis for developing of strategies， prevention and treatment.Methods　Questionnaires were employed to analyze the etiology and the influence factors of 174 recurrent facial dermatitis patients. The results of patch test, serum total IgE concentration test, allergen screening test and absolute eosinophil count test were used as important references.Results　The inducements of facial recurrent dermatitis were in order of environment and seasonal factors, unexplained factors, cosmetics skin care products factors, food and drug factors. The distribution differences of patients in age, sex and season had statistical significance (P<0.05). The total serum IgE determination, the absolute eosinophil count determination, patch test and allergen screening can be positive.Conclusion　In Chongming area, young and middle-aged women are more likely to suffer from the facial recurrent dermatitis, especially in spring and autumn. The patch test, total serum IgE concentration determination, allergen screening and the absolute eosinophil count test are of certain value in the diagnosis and treatment of facial dermatitis.]]> 2018/1/2 8:38:52 ZHANG Juan，SONG Wan-li，MENG Ya-dong 325true ［Abstract］　Objective　To discuss the clinical features of the neonatal clavicular fracture caused by birth trauma, and the efficacious methods to prevent and treat it.Methods　Forty-seven cases of neonatal clavicular fracture caused by birth trauma were analysed retrospectively.Results　The clavicular fractures were missed diagnosis in 47 neonates in the obstetrical department，of them 36 cases of the neonates with birth clavicular fracture were found by the physical examination in pediatrics because of other diseases，11 cases of birth clavicular fracture were found during X-ray examination because of lung disease. Clinical symptoms were not typical and slight，but in most of patients undergoing physical examination, the obvious bone friction could be felt by palpation on the place of fractures. Thirty-five cases neonatal clavicular fracture occurred on the right clavicle,12 in the left clavicle. Forty-seven patients received conservative treatment,all the patient′s curative effect were satisfied,no complications were found.Conclusion　Neonatal clavicular fractures have a good prognosis and conservative treatment is main method for neonatal.]]> 2018/1/2 8:39:31 HUANG Shao-ling,JIN Xian-yue 324true ［Abstract］　Objective　To investigate the common cause of syncope.Methods　The clinical date of 73 syncope patients were analyzed to sum up its causes and clinical features.Results　Reflex syncope and cardiogenic syncope were the first cause of syncope. Reflex syncope accounted for 43.8%, cardiogenic syncope accounted for 41.1%.Among young and middle-age patients reflex syncope accounted for 71.9%,among elderly syncope patients cardiogenic syncope for 66.7%，while in the cardiogenic syncope the most common cause was arrhythmia.Conclusion　To find out the cause of syncope in time and give a reasonable treatment according to the cause can improve the prognosis of the patients.]]> 2018/1/2 8:39:31 FANG Zhi-rong， ZANG Lan， FANG Lin-yan 323true ［Abstract］　Objective　To explore the clinical efficacy of procedure for prolapse and hemorrhoids(PPH) combined with anal sectional forming in the treatment of severe mixed hemorrhoids.Methods　PPH combined with anal sectional forming were used for treatment of 34 cases of severe mixed hemorrhoids, including stage Ⅲ hemorrhoids in 16 cases, stage IV hemorrhoids in 18 cases, and their postoperative curative effects and complications were analyzed.Results　After operation,all patients′ hemorrhoids completely retracted and edema subsided. The postoperative complications included urinary retention in 8 cases and perianal numbness and discomfort in 3 cases. Within 3～7 days these signs and symptoms improved spontaneously. During follow-up with an average of 1.8 years, no stricture of anus, anal fissure,fecal incontinence, bleeding and recurrence were found.Conclusion　PPH combined with anal sectional forming in the treatment of severe mixed hemorrhoids is a safe effective ideal method]]> 2018/1/2 8:39:31 LUO Biao,HUANG Tao，ZHU Hong, et al. 322true ［Abstract］　Objective　To analyze the situation of general survey and treatment of gynecological diseases in female workers of Binyang County of Nanning City, and explore the actual corresponding control measures.Methods　The situation of general survey of gynecological diseases in female workers of Binyang County of Nanning City during 2011～2013 were compared and analyzed.Results　During 2011～2013 gynecological diseases prevalence of female workers were 79.17%, 78.48%, 71.77%, with a three-year average prevalence rate of 76.47%, appeared a decrease trend year by year(χ²=21.375，P=0.000）. The proportion of female workers and their common diseases were as follows: chronic cervicitis（46.4%～56.7%）; breast disease （39.8%～64.8%）; uterine prolapse （1.2%～3.3%）; vagina wall relaxation(0.8%～1.6%); uterine fibroids(6.1%～20.2%),appeared to be on the rise trend year by year(P<0.05）; pelvic fluid(6.6%～10.4%) ; adnexal mass(2.2%～5.2%); cervical cell abnormalities(2.2%～11.0%); appeared a adecrease trend year by year(P<0.05）.Conclusion　The general prevalence of gynecological disease from 2011 to 2013 appeared a decrease trend year by year, except some disease appeared to be on the rise trend.It should be put general survey of gynecological disease as the key elements of the health care, let female workers can guide them to prevent reproductive tract infections, to develop good habits, to understand their own health conditions, to detect the disease and receive symptomatic treatment, in order to reduce the prevalence of gynecological diseases.]]> 2018/1/2 8:39:31 ZHOU Li 321true ［Abstract］　Objective　To investigate the role of hospital information system(HIS) - an infectious disease reporting subsystem in improving the quality of infectious diseases reporting.Methods　Two hundred and forty copies of data about the hospital infectious disease report card were randomly drawn from January to December in each year of 2012(before the application of the reporting system) and 2013(after application of the reporting system). The SPSS19.0 software was used to deal with the statistical analysis of report card′s complete, accuracy and timeliness rates.Results　After using the hospital information systems to report infectious diseases, the sampled reporting cards showed a downward trend in the delayed-reporting rate（χ²=20.46，P=0.0000）, with the result of that in 2012(14.58%) and 2013(2.92%)；the quality of the sampled infectious-disease- reporting cards have all improved for various degree. Among them, the difference of the complete rate between 2012 and 2013(82.92% vs 92.92%) was statistically significant （χ²=11.30，P=0.0008）, the difference of accuracy rate between 2012 and 2013(87.92% vs 95.00%) was statistically significant（ χ²=7.71，P=0.0055） and the difference of timeliness rate between 2012 and 2013(85.42% vs 97.08%) was also statistically significant（χ²=20.46，P=0.0000）.Conclusion　Using the hospital information system to report infectious diseases can effectively improve the complete, accuracy and timeliness rate of the reporting cards, thus ensuring the reporting quality.]]> 2018/1/2 8:39:31 SHI Zong-hu, LI Xin-lin 320true ［Abstract］　Objective　To observe the effect of uterine body injection of carboprost tromethamine injection combined with motherwort injection for prevention of postpartum hemorrhage of cesarean section.Methods　From Jan 2012 to Jan 2014 80 parturients with bleeding tendency for cesarean section were randomly divided into experimental group and control group with 40 cases in each group. After delivery of fetus during cesarean section the experimental group received the uterine body injection of carboprost tromethamine injection 0.25 mg and motherwort injection (20 mg) 2 ml;and the control group received the uterine body injection of 20 U oxytocin.The postpartum hemorrhage rate and postpartum hemorrhage amount at 2 h and 24 h of postpartum,blood pressure changes before and after medication were compared between two groups.Results　In the experimental group,postpartum hemorrhage was found in 3 cases,the incidence rate was 7.5%;the bleeding volume at 2 h and 24 h was (356 ±30.5)ml and (420±26.1)ml respectively.In the control group, postpartum hemorrhage in 8 cases,the incidence rate was 20.0%;the bleeding volume at 2 h and 24 h was (425±28.1)ml and (550±27.5)ml respectively.There was significant difference between two groups(P<0.01).In the experimental group,the average blood pressure before treatment was (118±6.3)/(71±5.1)mmHg,the average blood pressure after treatment was (130±8.6)/(80±7.8)mmHg. In the control group,the average blood pressure before treatment was (121±7.7)/(75±6.8)mmHg,that after treatment was (124±6.3)/(77±5.9)mmHg.There was no significant differences between the two groups (P>0.05).In comparison within the groups before and after treatment, there were no significant differences in the changes of blood pressure(P>0.05).Conclusion　Carboprost tromethamine injection combined with motherwort injection in the prevention of cesarean section′s postpartum hemorrhage caused by uterine atony have a very good clinical effects,and the side effect is small,early use has important significance for the prevention and treatment of postpartum hemorrhage.]]> 2018/1/2 8:39:31 LI Jun-ling 319true ［Abstract］　Objective　To observe the clinical efficacy and safety of tanreqing injection and vitamin K₁ in the adjuvant treatment of children bronchial pneumonia.Methods　One hundred and twelve children with bronchial pneumonia were randomly divided into observation group and control group.The two groups were given antibiotic,antitussive cough medicine, expectorant,antifebrile and the maintenance of water and electrolyte balance and acid-base balance.And according to changes of disease given oxygen, suction sputum, sedative and other foundation treatment.On the basis of above routine treatment the observation group was gaved intravenous drip of tanreqing and vitamin K₁ and the control group was treated with intravenous drip of Yanhuning,the clinical efficacy and incidence of adverse drug reactions between the two groups were compared.Results　The total effective rate of observation group was higher than that of the control group(92.9% vs 78.6%),the difference was statistically significant(P<0.05).After treatment,in the days of fever, disappearance of cough,and pulmonary rales, the observation group was better than the control group,the difference was statistically significant(P<0.05).The two groups were not found significant adverse drug reactions.Conclusion　Tanreqing and vitamin K₁ in the adjuvant treatment in children bronchial pneumonia have better therapeutic effect,and no adverse reaction was found.It is worthy of clinical application.]]> 2018/1/2 0:00:00 WU Hua-he 318true ［Abstract］　Objective　To explore the value of adenosine deaminase in CSFs in diagnosis of tuberculous meningitis.Methods　The content of adenosine deaminase in CSFs in patients with tuberculous meningitis before and after treatment were compared and analyzed.Results　Patients with tuberculous meningitis got a increasing content of adenosine deaminase in CSFs in the early stage of disease. And with the improvement of the disease, the content of adenosine deaminase in CSFs decreased.Conclusion　The content of adenosine deaminase in CSFs plays an important role in diagnosis, therapeutic evaluation and prognostic estimation for tuberculous meningitis.]]> 2018/1/2 8:39:31 ZHANG Peng, LI Shi-ming 317true ［Abstract］　Objective　To summarise the experience of laparoscopic cholecystectomy（LC） in primary hospital.Methods　From October 2010 to September 2013, clinical data were retrospectively analyzed in 66 patients undergoing LC on complex cystic lesions and curative effect in our hospital.Results　The operations on 64 cases were sucessful, two cases was converted to laparotomy;one patient had postoperative bile leakage and received reoperation, and sixty-six patients were smoothly discharged.Conclusion　The basic skills training about LC should be strengthened beat the beginning; Cases and indications should be selected scrupulously; The operation must be performed carefully, and the gallbladder artery and cystic duct should be protected; To ensure the safety of LC, some other measures can be taken in case of difficulty, for instance, timely conversion to laparotomy and so on. The postoperativel condition should be observed, in order to finely treat the possible problems.]]> 2018/1/2 8:39:31 PENG Chang-yong 316true ［Abstract］　Objective　To analyze the value of the serum HCG and progesterone in the early diagnosis of ectopic pregnancy.Methods　Eighty patients with ectopic pregnancy were used as study group and 80 normal intrauterine pregnancy women as control group. The content of serum HCG and progesterone on the day of visit and after 48 h in the two groups were detected using direct chemiluminescent method.Results　The content of serum HCG and progesterone in the control group were significantly higher than that measured in the study group on the day of visit, the difference was statistically significant(P<0.01); There was no significant difference of serum HCG in the study group between the day of visit and 48 h after visit(P>0.05), while in the control group, the content of serum HCG at 48 h after visit doubled compared with the treatment day, there was statistically significant（P<0.05）.Conclusion　The dynamic detection of serum HCG is a sensitive method for early diagnosis of ectopic pregnancy. The combined determination of serum HCG and progesterone in the early diagnosis of ectopic pregnancy is of great significance.]]> 2018/1/2 9:44:23 LIANG Ya-fang, TIAN Hong-ju 315true ［Abstract］　Objective　To study the clinical effect of application of seamless coordination mode during anterior and posterior approach combined with internal fixation in the treatment of patients with cervical spondylosis.Methods　Eighty-eight patients with cervical spondylosis admitted to our hospital who received anterior and posterior approach combined with internal fixation operation were randomly divided into control group and observation group, with 44 patients in each group. The control group received conventional coordination; the observation group received seamless coordination mode of operation.Results　There was no difference in the therapeutic effect between the two group（P>0.05）; the internal fixation operation time, postoperative cervical function recovery time, postoperative treatment time in observation group were shorter than those in the control group（P<0.05）; the number of adverse reactions during perioperation period in observation group was less than that of the control group（P<0.05）; patients′ satisfaction with nursing mode of operation in observation group was significantly higher than that in the control group（P<0.05）; the postoperative relapse rate of cervical spondylosis in observation group was significantly lower than that in the control group（P<0.05）.Conclusion　The application of seamless coordination mode for patients with cervical spondylosis received anterior and posterior approach combined with internal fixation has better therapeutic effects.]]> 2018/1/2 9:44:23 PAN Yu-lin 314true ［Abstract］　Objective　To observe the therapeutic effects of percutaneous drainage and the pus cavity lavage repeated by placing an indwelling single cavity central venous catheter and transbronchoscopic aspiration in the treatment of pulmonary abscess.Methods　Totally 20 patients with pulmonary abscess were observed. In these patients, a single cavity central venous catheters were inserted into the pus cavity through percutaneous puncture and after that, pus germicultures and drug sensitivity tests were performed as well as 0.5% metronidazole or other antibiotics according to the results of drug sensitive test were applied to wash the pus cavity repeatedly by bronchoscopy.The catheters were pulled out until the washing fluid became clear and the pus cavity closed.Results　All patients were cured between 15 and 25 days and no complications were found.Conclusion　This way is safe and effective to treat the pulmonary abscess connected bronchi and it should be a more regularly used treatment method in clinic.]]> 2018/1/2 9:44:23 LIANG Zhi-qiang, LUO Zhao-gan, GAN Yuan, et al. 313true ［Abstract］　Objective　To summarize the experience of repeated cesarean in order to reduce operation damage and complication.Methods　A retrospective analysis on the different ways of operation and results on 720 patients who had repeated cesarean.Results　Fifty severe adhesion patients did not have any damage to their intestines or bladders, eighty patients who did not recover well from the last operation did not bleed between the menses. Twelve patients whose placentas were partly adhered to cesarean section scar bled much and stopped bleeding by sewing. A patient whose placenta was widely adhered to cesarean section scar bled much more and had her uterus excised, 2 patients who had prepositional placenta bled a little more after being treated and had their uterus excised.Conclusion　The way can be used not only to treat those who have repeated cesarean with severe adhesion,but it can also be used to treat the patients who do not recover from last cesarean. So the way is well worth popularizing.]]> 2018/1/2 9:44:23 HAO Shu-lian 312true ［Abstract］　Objective　To explore the clinical value of prepertoneal tension-free hernioplasty with EasyProsthesis Mesh to repair inguinal hernia.Methods　The date of 168 patients with inguinal hernia treated by prepertoneal tension-free hernioplasty with EasyProsthesis Mesh were reviewed and analyzed. The patients gender, age,operative technique,operative time,postoperative complications and rate of recurrence were observed.Results　All cases were healed and discharged from hospital.The operative time was 35～90 minutes. The average time when the patients can walk on foot out of hospital bed after opration was 6～12 hours. No cases had the chronic pain and foreign body sensation after opration. Postoperative complications:there were 32 cases of urinary retention; 3 cases of scrotal edema; 2 cases of scrotal hematoma; 1 case of incision infection.No recurrence was found in 62 patients in follow up of 6～18 months.Conclusion　Prepertoneal tension-free hernioplasty with EasyProsthesis Mesh to repair inguinal hernia is a safe and feasible effective surgical technique,and be worth to popularize.]]> 2018/1/2 9:44:23 FU Hui, DUAN Li-dong 311true ［Abstract］　Objective　To investigate the clinical efficacy of endoscopic sinus surgery(ESS) in treatment of chronic sinusitis.Methods　Retrospective summary was performed of the clinical data of 120 patients with chronic sinusitis received nasal endoscopic sinus operation in Du′an county hospital from February 2009 to February 2012.Results　After operation patients were followed-up for 6～12 months, 96 patients were cured(80.0%), significant effect was found in 17 patients(14.2%), invalid in 7 patients(5.8%), the total effective rate was 94.2%.Conclusion　Perioperative well-preparation, fine and proper rational operation,and insisting on the postoperative follow-up, strengthening measures such as cavity clean processing can improve operative results.]]> 2018/1/2 9:44:23 WEI Feng-yan, HUANG Jin-zhu, QIN Han-lin, et al. 310true ［Abstract］　Objective　To investigate the clinical features, diagnosis and treatment of primary colonic malignant lymphoma.Methods　A retrospective analysis of the clinical data of 26 patients primary colonic malignant lymphoma was performed.Results　Twenty-six patients were mainly characterized by abdominal pain, abdominal distension, and the all patients suffered from non-Hodgkin′s lymphoma. The diagnostic rate of endoscopic biopsies was 38.46%. After the operation and chemotheraphy,the patients′ condition has improved to different extents. Conclusion　The clinical manifestations of primary colonic malignant lymphoma are lack of specificity. It has a high rate of misdiagnosis.Operation combined with chemotherapy in the treatment of this disease has better effect.]]> 2018/1/2 9:44:23 LIANG Rong-zhong 309true ［Abstract］　Objective　To explore the value of platelet parameters in the diagnosis and differential diagnosis of pregnancy-emerged thrombocytopenia.Methods　The variation of platelet parameters of 110 cases of thrombocytopenia in pregnancy(PLT<100×10⁹/L) and 110 health controls were analyzed retrospectively.Among the 110 cases of thrombocytopenia in pregnancy, 77 were diagnosed having pregnancy-associated thrombocytopenia(PAT);18 had idiopathic thrombocytopenic purpura(ITP);15 had hemolysis，elevated liver enzymes，and low platelets(HELLP).Results　The levels of PLT in PAT group or HELLP group were lower than that in the healthy controls,the difference were statistically significant(P<0.05). The levels of PCT, MPV or PDW in PAT group and HELLP group did not change when compared with those in healthy controls(P>0.05); The levels of MPV and PDW were higher and the levels of PLT and PCT were lower in ITP group than those in the healthy controls,PAT group or HELLP group, the differences were statistically significant(P<0.05).Conclusion　As the basis of the differential diagnosis the detecting of platelet parameters(PLT, MPV, PDW, PCT）can be helpful in the identification of the cause of pregnancy-emerged thrombocytopenia.]]> 2018/1/2 9:44:23 YE Chang-cheng 308true ［Abstract］　Objective　To explore the influence factors of treatment effect and the treatment schemes of endometriosis with infertility.Methods　The clinical data of 65 inpatients with endometriosis and infertility treated in department of gynaecology and obstetrics of the Sixth People′s Hospital were analyzed retrospectively.Results　After treatment,the pregnancy rate in patients with stageⅠ～Ⅱ of endometriosis(58.8%) was significantly higher than that in patients with stage Ⅲ～Ⅳ(19.4%)(P<0.01); The pregnancy rate in patients with simple ovarian chocolate cyst as lesion site(48.0%) was higher than that in patients with other lesion site(13.3%)(P<0.05); The pregnancy rate of patients with secondary infertility(56.0%) was higher than that patients with primary infertility(30.0%)(P<0.05).Conclusion　The treatment effects of endometriosis with infertility have associated with lesion degree, lesion location and categories of infertility; Progesterone- operation-progesterone therapy is effective in treating patients with endometriosis associated with infertility.]]> 2018/1/2 9:44:48 LI Bao-zhen 307true ［Abstract］　Objective　To analyze the main reasons of relapse after orthodontic treatment, and provide better understanding of the diagnosis for retreatment.Methods　From September 2003 to October 2013, 603 patients received fixed orthodontic treatment in Laibin People′s Hospital,and of them relapse were found in 56 patients(18 patients went to retreatment).Six hundred and three patients were divided into relapse group （n=56）and non relapse group（n=547）, and the relevant clinical data were compared between two groups by univariate analysis.All clinical informations were collected in the two groups,including age, sex,retention period, growth pattern, the occlusion at the end of former treatment, wisdom teeth eruption, abnormal oral habit, and so on. The correlation analysis was performed between relapse and above factors. The efficacy of retreatment was assessed.Results　Between two groups,there were significant difference in first diagnosed age and treatment(P<0.01), but no statistical significance in gender(P>0.05). Analyzing the factors of relapse showed,there were significant difference in the retention period,former treatment and wisdom teeth eruption(P<0.05), but no statistical significance in growth pattern and abnormal oral habit(P>0.05).Fifty-six patients with relapse were properly handled and obtained satisfactory clinical results.Conclusion　Fixed orthodontic relapse is closely related to the correction plan, and scientific corrective plan should include sufficient retention,rational planning and good timing of treatment in order to facilitate stable curative effect,and proper retention is the key to reducing relapse.]]> 2018/1/2 9:44:48 TAN Huan-yan 306true ［Abstract］　Objective　To explore the clinical efficacy of conservative treatment of lower extremity deep vein thrombosis(LEDVT) after gynecological pelvic vaginal surgery.Methods　Forty patients who received gynecologic pelvic vaginal surgery and suffered from postoperative LEDVT were used as the research objects, their clinical characteristics, diagnosis and treatment were retrospectively analyzed.Results　The incidence of LEDVT was 1%(40/4000). The used drugs included compound danshen injection, low molecular heparin calcium injection, low molecular dextram injection danshen injection, or added with traditional Chinese medicine for activating blood circulation aspirin and soon.The postoperative follow-up of 3 months to 2 years showed, all patients had not sequelae.Conclusion　For the patients with LEDVT after gynecological pelvic vaginal surgery, it is necessary to perform early diagnosis and treatment in order to obtain better efficacy.]]> 2018/1/2 9:44:48 BAI Li-hua 305true ［Abstract］　Objective　To explore the therapeutic effect of percutaneous puncture and drainage of gallbladder plus chemical inactivation in elderly patients with acute cholecystitis.Methods　A retrospective analysis was performed of clinical data in 37 elderly patients with acute cholecystitis who were treated by percutaneous puncture and drainage gallbladder and chemical inactivation.Results　All the 37 patients successfully underwent percutaneous puncture and drainage of gallbladder and obtained effective drainage. Six weeks after operation via the drainage tube 95% anhydrous alcohol was injected for gallbladder chemical inactivation,without the occurrence of biliary fistula,bleeding and other complications, all patients were cured and discharged. Up to now,there were no longer ′cholecystitis′ symptoms.Conclusion　Percutaneous puncture and drainage of gallbladder plus chemical inactivation in elderly patients with acute cholecystitis is a simple safe and effective method with small trauma.]]> 2018/1/2 9:44:48 WEN Qin,HE Nuan-jian,LIAO Wei-ming,et al. 304true ［Abstract］　Objective　To explore the association between the early diagnosis as well as treatment and the prognosis of neonatal congenital syphilis.Methods　Thirty neonatal cases of congenital syphilis collected from 2005 to 2012 in our hospital were analyzed retrospectively.Results　The main manifestations of neonatal congenital syphilis were skin lesions, jaundice, and positive laboratory examinations of rapid plasma reagin test and treponema pallidum hemagglutination test. All patients were cured with two to three weeks treatment with penicillin.Conclusion　A satisfactory effectiveness would be attained with early treatment with intravenous penicillin for neonatal congenital syphilis. The morbidity and mortality of congenital syphilis could be greatly reduced with the routinely testing for syphilis in pregnant women for early diagnose and treatment.]]> 2018/1/2 9:44:48 PAN Yi-mei 303true ［Abstract］　Objective　To investigate the effects and odverse reations of clinical anesthesia in the elderly patients.Methods　One hundred and nineteen elderly patients were studied who were treated in the hospital of the Nandan County from March 2011 to May 2013. According to the anesthesia methods, the patients were divided into the intravertebral anesthesia group with 85 cases and the general anesthesia group with 34 cases. Anesthesia effects and the incidence of adverse reactions were observed.Results　The incidence rate of adverse reactions of intravertebral anesthesia group was 4.70%. The incidence rate of adverse reactions of general anesthesia group was 29.41%. The adverse reactions of the intravertebral anesthesia groups was lower than that of the general aresthesin group（P<0.05）.Conclusion　After the correct assessment of the elderly patients, appropriate anesthesia methods and anaesthetics should be used. In the meantime, effective preoperative conciliation and postoperative visits should can to reduce the incidence rate of adverse reaction of the elderly patients.]]> 2018/1/2 9:44:48 LI Yi-qin 302true ［Abstract］　Objective　To investigate the clinic value of color Doppler flow imaging(CDFI) in the diagnosis of placenta implantation(PI).Methods　Fifty-six cases of PI confirmed by surgery and pathology were retrospectively analyzed by two-dimensional characteristics, blood flow distribution and hemodynamic changes.Results　In 56 cases of PI, 38 cases were successfully detected by CDFI with a detection rate of 67.9%,but 18 cases were misdiagnosed.Conclusion　CDFI can improve the detection of PI, paying carefully attention to the clinic history and the characteristic of flow distribution is helpful for reducing the misdiagnosis rate.]]> 2018/1/2 9:44:48 LI Zhong-wen, PANG Ye-xiao 301true ［Abstract］　Objective　To summarize the clinical experience and effect of One-stage Fontan procedure in patients with complex cyanotic congenital heart disease.Methods　From June 2007 to December 2012,21 patients with complex cyanotic congenital heart disease underwent One-stage Fontan procedure, 8 patients underwent atrioventricular valve plastic operations at the same time.Surgical methods：intracardiac pipeline or tunnel were build in 12 patients, extracardiac pipeline were build in 8 patients, end-to-end suturing between main pulmonary artery and inferior vena cava was performed in 1 patient. Atrial septal defect were retained or trepanning of interatrial septum were performed in 5 patients.Results　The operations in 20 patients were successful，and 1 patient died of low cardiac output syndrome on the right postoperative day. One patient underwent artificial mechanical heart valve replacement because of severe regurgitation after the atrioventricular valve plasty was performed 25 months later. The preoperative percutaneous oxyhemoglobin saturation were between 67% and 91%,and postoperative percutaneous oxyhemoglobin saturation were between 88% and 95%.The cardiac function of all cases were in NYHA classⅠtoⅡ between 7 and 52 months of post-operation follow-up.Conclusion　One-stage Fontan procedure in patients with complex cyanotic congenital heart disease were safe and effective, without surgical wounds of reoperation,and saving medical resource,but the operation indication must be controlled.]]> 2018/1/8 8:50:20 LIU Lang，CHEN Kai-ming， LAI Feng-hua，et al. 300true ［Abstract］　Objective　To observe the curative effect of ¹²⁵I radioactive seeds implantation by CT guide for lung cancer.Methods　Fourteen lung cancer patients who were unsuitable or unwilling to surgery and chemotherapy were implanted ¹²⁵I radioactive seeds by CT guide.Results　Clinical symptoms alleviated obviously in 14 patients; pulmonary lesions significantly reduced.Conclusion　¹²⁵I radioactive seeds implantation by CT guide for lung cancer is a very effective,safe and feasible treatment method.It is worthy of clinical application.]]> 2018/1/8 8:50:20 GUO Hong-jie 299true ［Abstract］　Objective　To explore the feasibility, safety, efficacy and the experience of small incision extracapsular cataract extraction(ECCE) combined with intraocular lens(IOL) implantation in advanced aged patients with cataract in primary hospital.Methods　Small incision ECCE and IOL implantation were performed for 43 cases(52 eyes) of cataract with age more than 90 years old. The analgesia effect, the safety of operation and the clinical effects were analyzed.Results　All the 43 cases(52 eyes) of cataract underwent the surgery successfully, and the postoperative vision improved well. The corrected vision at one week after operation were ≥0.5 in 37 eyes(71.2%), 0.1～0.3 in 10 eyes(19.2%), and 0.05～0.08 in 5 eyes(9.6%). No serious complications such as retinal detachment, endophthalmitis, corneal endothelium decompensation and IOL dislocation were found.Conclusion　Small incision ECCE combined with IOL implantation can be effectively and safely performed on advanced aged cataract patients with appropriate indications in primary hospital, because of its fast wound healing, minor postoperative reaction, low postoperative astigmatism, easily handled and low costs.]]> 2018/1/8 8:50:20 XIE Zong-ze, XIE Jie-guang 298true ［Abstract］　Objective　To observe the clinical effect of combined application of sodium nitroprusside and dopamine in the treatment of refractory heart failure.Methods　Fifty refractory heart failure patients were given intravenous micro pump combination therapy of sodium nitroprusside and dopamine, the heart rate, blood pressure and heart function in patients were observed.Results　Excellent in 31 cases, effective in 14 cases, invalid in 5 cases, the total efficiency rate was 90.0%.Conclusion　The combination of sodium nitroprusside and dopamine in the treatment of refractory heart failure is effective, without obvious side reaction, and can be widely used in the clinic.]]> 2018/1/8 8:50:20 XIAO Qiu-yu 297true ［Abstract］　Objective　To investigate the anesthesia effect of small dose bupivacaine combined spinal-epidural anesthesia in the surgical treatment of femoral neck fracture in elderly patients.Methods　Fifty-eight ASAⅡ～Ⅲ grade elderly patients undergoing elective femoral neck fracture surgery received small dose(0.75% bupivacaine 6 mg) spinal-epidural anesthesia, and the anesthetic effect, intraoperative respiratory, hemodynamic changes, and the complications caused by anesthesia were observed.Results　There were no significant changes in preoperative, intraoperative respiratory, or hemodynamic indexes（P all >0.05）.Conclusion　Small dose bupivacaine combined spinal-epidural anesthesia for femoral neck fracture surgery in elderly patients has less inhibition effect on respiratory and circulatory system, with the advantages of exact anesthesia effect, higher safety, less adverse reactions, etc.]]> 2018/1/8 8:50:20 TIAN Wen-hua, GAO Song, YANG Fan,et al. 296true ［Abstract］　Objective　To observe the cost-effectiveness ratio of pharmaceutical intervention in the treatment of patients with diabetes mellitus in the community.Methods　One hundred and ninety patients with diabetes mellitus were selected for pharmacy intervention which lasted for a year，and the cost-effectiveness ratio of total effect hypoglycemic effect, antihypertensive effect and lipid-lowering effect in the treatment of patients with diabetes mellitus were analyzed before intervention and after 12 months of intervention.Results　The cost-effectiveness ratio of total effect hypoglycemic effect，antihypertensive effect and lipid-lowering effect after 12 months of intervention were 275.4, 157.0, 240.9 and 184.5 respectively, there was a substantial decline than before the intervention.Conclusion　Pharmaceutical interventions can improve the effect of the treatment of patients with diabetes mellitus in the community, thereby reducing the cost of treatment.]]> 2018/1/8 8:50:20 CHEN Yong-bin, ZHAO Jin 295true ［Abstract］　Objective　To explore the related factors and prevention or treatment of acute complication of maintenance hemodialysis(MHD) patients.Methods　A retrospective study was performed of common acute complications and treatment measures in MHD.Results　In 3881 case-times of MHD,acute complications were found in 287 case-times(7.40%, 287/3881). Of all the acute complications, there were 21 case-times of hypotension(7.32%), 63 case-times of hypertension(21.95%), 112 case-times of muscle cramps(39.02%), 8 case-times of arrhythmia(2.79%), 4 case-times of disequilibrium syndrome(1.39%), 2 case-times of first-use syndrome or dialyzer reaction(0.70%), 39 case-times of abdominal, chest or back pain(13.59%), 38 case-times of hypoglycemia acute left heart failure or other complication(13.24%). All of the complications were dealt with by giving symptomatic treatment.Conclusion　MHD is a well-used renal replacement therapy of uremia. Although the technic and equipment are improving, complications become more and more complex due to the increase of MHD cases and high-risk patients. It is necessary to pay more attention to the complication and deal with it properly to ensure the quality of MHD to improve the patients′ life quality.]]> 2018/1/8 8:50:20 GUO De-yue 294true ［Abstract］　Objective　To investigate the effect of different fluid infusion methods in early first aid of traumatic hemorrhagic shock.Methods　Eighty patients with traumatic hemorrhagic shock were divided into observation group and control group according to visiting time.Two groups were used different fluid infusion methods for first aid. The therapeutic effects were observed in two groups.Results　In 57 patients with injury treatment time ≤1 h, 3 died, the fatality rate was 5.26%, while in 23 patients with treatment time >1 h, 8 died, the fatality rate 34.78%, the fatality rate of the former was lower than that of the latter(P<0.01). In the observation group, in 30 min and perioperative period, the blood transfusion volume was significantly higher than the control group(P<0.01), the vital signs′ improvement was better than the control group(P<0.05 or P<0.01), and the fatality rate and complication rate in the observation group was significantly lower than those in the control group(P<0.05).Conclusion　The pressurized fluid infusion was better than traditional fluid infusion in early first aid of patients with traumatic hemorrhagic shock.]]> 2018/1/8 8:50:20 YANG ZHi-wen 293true ［Abstract］　Objective　To discuss the diagnosis, treatment of and efficacy adult hemophagocytic syndrome(HPS).Methods　Clinical data in 6 patients with HPS were retrospectively analyzed.Results　Two of six patients had good treatment effect. The others can′t complete the treatment.Conclusion　It′s difficult to diagnose adult HPS, costing longer time,and its therapeutic effect is poor. Timely and earlier diagnosis and treatment for HPS probably can prolong the patients lifetime.]]> 2018/1/8 8:50:20 YANG Wen-jie, LIN Jin-yin, HUANG Xiang-ying, et al. 292true ［Abstract］　Objective　To compare the clinical outcome of percutaneous nephrolithotomy（PCNL） and open surgery in the treatment of kidney stones.Methods　A retrospective analysis was performed of the clinical data in patients with kidney stones in the hospital from January 2011 to January 2012. Among them, 30 patients in the observation group underwent PCNL; 30 patients in the control group underwent open surgery for removing kidney stones. The stone clearance rate, operative time, ambulation time, blood loss, complications were compared between two groups.Results　The stone clearance rate of the observation group was 90.0%(27/30). The stone clearance rate of the control group were 66.7%(20/30), postoperative patients in both groups had better recovery, but the observation group were significantly superior to the group in stone clearance rate, the difference was statistically significant(P<0.05).The blood loss of the observation group was significantly less than that of the control group, postoperative ambulation time of observation group was significantly shorter than that of the control group, the difference was significant(P<0.05), but the operative time of observation group was significantly longer than that of control group(P<0.05). The complication rate of observation group and the control group was 10.0%, 33.3% respectively, the difference was significant(P <0.05).Conclusion　Compared with open surgery, PCNL have greater advantages, can reduce the amount of bleeding, reduce the incidence of complications, improve the therapeutic effect, and it is an ideal treatment for kidney surgical stones, should be popularized and applied.]]> 2018/1/8 8:50:20 HUANG Hui 291true ［Abstract］　Objective　To study the effect of early intervention therapy on high risk infants with brain injury.Methods　From September 2010 to September 2012,281 high risk infants with brain injury hospitalized in Maternal and Child Health Hospital of Zhengzhou were used as treatment group；232 high risk infants with brain injury receiving clinic follow-up monitoring were used as a control group. The treatment group was given early intervention, the control group was not given interventions. Regular monitoring and follow-up were performanced in two groups and the disease progression were compared between the two groups.Results　In the treatment group, normalization was found in 86 cases(30.6%), marked effect in 138 cases(49.1%), effective in 57 cases(20.3%), invalid 0 cases；In the control group, normalization 0 cases marked effect in 17 cases(7.3%), effective in 152 cases(65.5%), invalid in 63 cases(27.2%).After treatment, disease progression was significantly better in the treatment group than the control group.Conclusion　Early intervention on high risk infants with brain injury can improve infants′ condition.]]> 2018/1/8 8:50:54 ZHANG Xue-yan, XU Su-ling 290true ［Abstract］　Objective　To explore the effectiveness of neuroendoscopic treatment for obstructive hydrocephalus.Methods　Neuro-endoscopic third ventriculostomy was used for treating 25 cases of obstructive hydrocephalus, and its effectiveness of postoperative treatment was evaluated.Results　After operation 23 patients obtained marked improvement in postoperative imaging and clinical symptoms, 2 patients had no response.The effective rate was 92%.Conclusion　Neuro-endoscopic third ventric ulostomy is an effective treatment for the treatment of hydrocephalus.]]> 2018/1/8 8:50:54 CHEN Ya-qin 289true ［Abstract］　Objective　To study the risk factors and the pathogen of neonatal ventilator-associated pneumonia.Methods　A retrospective analysis of clinical data of 95 neonates patients who accepted mechanical ventilation was conducted.Results　The infection incidence rate of ventilator-associated pneumonia(VAP) was 36.84%(35/95). Statistical analysis showed that different gestational age, birth weight and ventilation duration were the risk factors associated with the development of VAP(P<0.05 or P<0.01). Main pathogenic bacteria were gram negative bacilli(75.6%), of which the first three kinds were Klebsiella pneumoniae(26.8%), Escherichia coli(22%) and Acinetobacter baumannii(12.2%) and most of them were drug resistant bacteria.Conclusion　The incidence rate of VAP in neonates high, the risk factors should been reduced and controled, rational use of drugs is done according to pathogens and drug sensitivity results.]]> 2018/1/8 8:50:54 XU Jin 288true ［Abstract］　Objective　To observe the clinical efficacy of conjunctival crescent resection and sclera fixation for the treatment of middle and severe conjunctivochalasis.Methods　Twenty-seven patients(41 eyes) with middle and severe conjunctivochalasis were operated by conjunctival crescent resection and sclera fixation. Their postoperative follow-up time was 1 year.Results　Postoperatively， slit-lamp microscopic examination showed relaxed conjunctiva disappeared completely in 37 eyes，and no conjunctival folds was found，conjunctival incision healed well. The effective rate was 90.24%.Conclusion　Conjunctival crescent resection and sclera fixation is a safe and effective method for the treatment of middle and severe conjunctivochalasis.]]> 2018/1/8 8:50:54 SONG Han，HAN Su-zhen,WANG Jie，et al. 287true ［Abstract］　Objective　To explore the methods and effect of additive antireflux surgery in the treatment of hiatus hernia(HH) in neonates.Methods　Six neonates with HH accepted surgical repair and Toupet fundoplication procedure in Kunming children′s hospital were reviewed(4 male, 2 female).Results　All procedures were carried out smoothly without serious compication. Six cases did well during follow-up.Conclusion　Early surgical repair and Toupet fundoplication procedure is still the main procedure for neonates with severe HH, which can reach satisfactory effect.]]> 2018/1/8 8:50:54 WU Jun, CAO Xin, HONG Wei, et al. 286true ［Abstract］　Objective　To analyze the symptoms, signs and assistant examinations of aged syncope patients with missed diagnosis of pulmonary embolism(PE),find out the possible diagnostic information,sum up experience,in order to reduce missed diagnosis rate.Methods　According to disease condition, patients with diagnosed PE，received anticoagulation therapy,including low molecular weight heparin calcium injection thrombolytic therapy with intravenous injection of urokinase and oral administration of the anticoagulant warfarin.Results　The disease condition was improved in 17 patients, all patients did not have syncopal attack.Conclusion　In addition to consider common cerebrovascular disease, it is necessary to improve the diagnosis consciousness of PE for aged patients when syncope occurs. Routine examinations including electrocardiogram,D-dimer,color Doppler ultrasound,blood gas analysis,spiral CT,pulmonary angiography can reduce the occurrence of missed diagnosis of PE.]]> 2018/1/8 8:50:54 LIN Dong-heng, HUANG Jian-long, ZHANG Zhi-yang, et al. 285true ［Abstract］　Objective　To summarize the treatment experience of bee stings in township hospital.Methods　The clinical data of 82 cases of bee stings were retrospectively analyzed.Results　The home bees stings were found in 29 cases, wasps stings in 53 cases.Skin wheal was found in 80 cases(97.6%), anaphylactic shock in 7 cases(8.5%).After symptomatic treatment such as elimination of toxicant, detoxification, antishock,desensitization and so on, the cure rate was 98.8%(81/82), 1 case died of shock and liver,kidney and lung function failure, the mortality rate was 1.2%.Conclusion　Bee stings is clinical severe case, the doctors of township hospital should constantly improve the knowledge and skills of bee stings treatment, in order to maximize the treatment success rate of bee stings.]]> 2018/1/8 8:50:54 CHEN Xi-wei 284true ［Abstract］　Objective　To explore the effect and safety of small incision non phacoemulsification exfracapsular cataract extraction and intravcnlar lens implantation operation for treating cataract.Methods　From February 2011 to February 2012, 639 patients with cataract received cataract surgery for treating blindness in department of ophthalmology in Red Cross Hospital of Liuzhou City, were randomly divided into two groups: 339 patients in experimental group were treated by small incision non phacoemulsification extracapsular cataract extraction and intraocular lens implantation operation; 300 patients in the control group were treated by ultrasonic emulsification operation, postoperative visual acuity and complications were compered between two groups.Results　The clinical effect of experimental group was better than that in the control group(P<0.05), there was no significant statistically difference in complications between the two groups(P>0.05).Conclusion　Small incision non phacoemulsification exfracapsular cataract extraction and intravcnlar lens implantation operation in the treatment of cataract has better clinical efficacy and safety, is the main method of treatment of cataract, and has important clinical application value.]]> 2018/1/15 8:41:56 FENG Gui-qiang 283true ［Abstract］　Objective　To explore the diagnostic value of multi-slice CT(MSCT) in the occult and subtle fractures of lisfranc joint.Methods　The clinical data was collected in 36 patients with occult and subtle fractures of lisfranc joint which were missed on conventional X-ray film at first diagnosis but diagnosed by MSCT and the main CT manifestations were analyzed.Results　In 36 cases of occult and subtle fractures of lisfranc joint the main MSCT manifestations included single subtle crack fracture and small avulsion fractures and a small part of mild depressed fracture,and more involvement of the middle column.Conclusion　On conventional X-ray plain film the diagnosis of the occult and subtle fractures of lisfranc joint was easily missed，but MSCT can accurately show the details of its damage,and has the great practical value in the diagnosis and the guide of treatment.]]> 2018/1/15 8:41:56 LIU Zheng，ZHAO You-li，YU Xiao-teng 282true ［Abstract］　Objective　To investigate the application effect of psychological intervention in artificial abortion in unmarried youths.Methods　Prospective study was performed in 58 unmarried youths received artificial abortion, in which there were two groups: A group received the comfortable psychological counseling(n=28), B group received the general psychological counseling(n=30). Before and after operation, the psychological status, the pain in the process of operation, cervix relaxation and the occurrence of artificial abortion syndrome were compared between the two groups.Results　In A group, mental tension, pain degree was lighter than B group, and the cervix relaxation degree was better than B group, there were statistically significant differences between these two groups(P<0.01). But there was no occurrence of artificial abortion syndrome in both two groups.Conclusion　Strengthening the psychological intervention can reduce the degree of pain in artificial abortion operation of the unmarried youths, it also can increase the degree of cervical dilatation, and more helps to prevent the occurrence of artificial abortion syndrome in unmarried youths, it is worthy of promotion.]]> 2018/1/15 8:41:56 LIANG Shao-hong, XIAO Ke-yuan, YANG Li-qun 281true ［Abstract］　Objective　To investigate the drug resistance of pathogens causing urinary tract infection in grass-roots hospital，so as to provide evidence for clinical management.Methods　From Jan. 2011 to Dec. 2011, a total of 316 strains of pathogens were isolated from urine specimens of inpatients and outpatients in the People′s Hospital of Hengxian,and drug sensitivity test was performed.Results　The predominant pathogens of urinary tract infections were gram-negative bacteria, accounted for 73.7%, in which Escherichia coli ranked the first(41.8%), followed by Klebsiella pneumoniae(11.1%) and Enterobacter cloacae(5.1%). Gram-positive bacteria accounted for 16.8%, in which Enterococcus and coagulase negative staphylococcus were common, accounted for 10.1%, 5.1%, respectively. Fungi accounted for 9.5%, in which Candida were the majority. In these isolated pathogenic bacteria, gram-negative bacterial were sensitive to carbapenems,piperacillin/tazobactam and amikacin. The sensitivity rate of gram-positive bacteria to glycopeptides antibiotics were high. Candida were sensitive to common antifungal agents.Conclusion　Enterobacteriaceae was the major pathogens causing urinary tract infection,and had higher degree of drug resistance rate. Etiological examination and drug sensitivity test of pathogens of urine should be performed before initiation antibiotics treatment for urinary tract infection, so as to guide the reasonable use of antibiotics and reduce the generation and dissemination of drug-resistant.]]> 2018/1/15 8:41:56 JIANG Xin，GAN Zheng-duan 280true ［Abstract］　Objective　To investigate the effect of peritoneal dialysis in the treatment of children with low cardiac output after cardiosurgery.Methods　A retrospective analysis was performed on the therapeutic effect of 12 children with low cardiac output after surgery of congenital heart disease by the early peritoneal dialysis in our hospital, 2.5% low calcium peritoneal dialysis solution was selected.The single amount of peritoneal dialysis was 15～20 ml/kg, and dialysis fluid retention time was 20～30 min. After 30 min reservation, dialysis fluid was drained for about 20 min according to the blood pressure. Peritoneal dialysis interval time was extended gradually after the urine occurred. Retention time of peritoneal dialysis was extended if patients were suffered from hyperlactacidemia. The frequency of dialysis was adjusted according to the the level of serum creatinine and lactate. The blood glucose, electrolytes as well as arterial and venous blood gas was monitored, and the colloid was supplied when necessary. The peritoneal dialysis start, duration and the urine recovery time was recorded.Results　The urine recovery time was 5～22 h. The application time of ventilator was 70～128 h, and the time in ICU was 5～18 d. The complications of peritoneal dialysis included catheter blockage(3 cases), hypoglycemia(3 cases), hyperglycemia(1 case) and hypokalemia(2 cases). No patients suffered from peritonitis and intestinal perforation. Two cases of tetralogy of fallot were died of severe low cardiac output and multiple organ dysfunction.Conclusion　Early application of peritoneal dialysis can reduce the burden of heart, lung and kidney, maintain the stability of internal environment, and reduce mortality.]]> 2018/1/15 8:41:56 WANG Feng 279true ［Abstract］　Objective　To explore the clinical feature of recurrent Guillain-Barre syndrome(GBS).Methods　The predisposition, pathogenetic process, clinical manifestations, electrophysiologic examination, cerebrospinal fluid examination, therapeutic process and prognosis were analyzed in 3 patients with recurrent GBS in accord with diagnostic criteria of Asbury in 1990.Results　Complete recovery was abstained in one patient 3 months after treatment, and in one patient 5 months after treatment, and mild decrease of limbs muscle strength was left in one patient.Conclusion　Recurrent GBS was characterized by acute onset,rapid deterioration,long and critical course. The main treatment included intravenous immunoglobulin or plasma exchange.Clinical prognosis was relatively good.But severe nerve function damage maybe leaved in the patients with repeated relapse of GBS.]]> 2018/1/15 8:42:20 ZHAO Yan,FU Zhi-xin,ZHANG Jin-hua 278true ［Abstract］　Objective　To observe the clinical curative effect of light cured composite resin and GC FUJI Ⅸ glass ionomer in filling dental caries.Methods　One hundred and eight patients with 326 caries teeth were randomly divided into light cured resin group(54 cases, 150 teeth) and GC FUJI Ⅸ group(54 cases, 176 teeth) and were treated respectively by light cured composite resin and GC FUJI Ⅸ glass ionomer for restorations of dental caries. One year after filling, the clinical efficacy was compared between the two groups.Results　The restoration success rate of GC FUJI Ⅸ group(97.2%) was higher than that of light cured resin group(87.3%)（P<0.01）.Conclusion　The efficacy of deep caries filling of GC FUJI Ⅸ glass ionomer is better than that of light cured composite resin.]]> 2018/1/15 8:42:20 ZHOU Li 277true ［Abstract］　Objective　To explore the effective methods of diagnosis and treatment of closed abdominal injury.Methods　The clinical data was retrospectively analyzed on 38 patients with closed abdominal injury undergoing percutaneous peritoneal catheter drainage(PPCD) in the hospital of Dahua county from Janury 2010 to December 2012.Results　Of 38 patients with closed abdominal injury received PPCD, 30 patients were cured by the non-operative treatment, 6 patients received operative treatment during non-operative treatment, 3 patients with liver rupture received repair of liver, 3 patients with splenic rupture received splenectomy, 2 patients with intstine rupture received repair of intestine perforation. There was no death case.Conclusion　PPCD can provide the conditions of the disease progress in the patients with closed abdominal injury and is a simple, safe and effective method for diagnosis and treatment of closed abdominal injury.]]> 2018/1/15 8:42:20 WANG Sheng,TAN Wen 276true ［Abstract］　Objective　To explore the common causes of dyspnea in uremic patients in order to provide the guidance for making treament and prevention measures.Methods　Clinical data of 198 uremic inpatients with dyspnea were analyzed retrospectively.Results　After strengthening hemodialysis three times a week and using other internal medicine treatment, The improvement was obtained in 196 patients, 2 patients died.Conclusion　The common causes of dyspnea in uremic patients included acute heart failure, seriously metabolic acidosis, acute heart failure combined with seriously metabolic acidosis, massive pleural effusions and so on. The risk factors included inadeguate hemodialysis, the hypertension not being well controlled, anemia, metabolic acidosis, infection and so on.]]> 2018/1/15 8:42:20 HE Cui-chang, MA Xiao-yan, WEI Qi-qi 275true ［Abstract］　Objective　To investigate the high risk factors，diagnosis and management of placenta previa combined with placenta accreta.Methods　The clinical data of 12 cases of placenta previa combined with placenta accrete(placenta accreta group) and 82 cases of placenta previa(placenta previa group) were analyzed retrospectively.Results　The age, gravidity, the types of placenta previa and uterine operation history were high risk factors of placenta accreta；The incidences of premature delivery, neonatal asphyxia and postpartum hemorrhage of placenta accreta group were higher than those of placenta previa group(all P<0.05)；The accuracy rate of prenatal color doppler ultrasound in the diagnosis of placenta previa with accreta was 83.3%(10/12). Placenta thickening, the hypoecho of uterine wall muscle layer at the rear of placenta band of being thinning(≤1 mm) or disappeaing, placental parenchyma′s rich blood flow, placental cavity gap were characteristic sonogram of placenta previa combined with placenta accreta；Expectant treatment and timely termination of pregnancy were the main treatment methods.Conclusion　Over 30 years of age，pregnancy over three times, central type of placenta previa and uterine operation history are high risk factors.Color Doppler ultrasound is currently the most convenient method in diagnosis of placenta accreta. The individual treatment can improve maternal and neonatal outcomes.]]> 2018/1/15 8:42:20 LAN Jing-you，ZHOU Xue-qin 274true ［Abstract］　Objective　To discuss the clinical effects of the percutaneous vertebroplasty（PVP）in the treatment of osteoporotic vertebral compression fractures，hemangioma or osteslytic metastases.Methods　PVP was performed in 46 patients with 75 diseased vertebrae via unilateral or bilateral transpedicular approach under C-am fluoroscopic guidance.Results　All the patients felt pain disappeared or significantly relieved 1～3 days after operation,and were followed up for 6～15 months.According to WHO criteria，pain disappeared in 26 patients，pain significantly relieved in 17 patients.There was no severe complication.Conclusion　PVP is a safe，minimally invasive and effective method in the treatment of osteoporotic vertebral compression fractures，hemangioma or metastatic malignancy.]]> 2018/1/15 8:42:20 CHENG Yun-wei 273true ［Abstract］　Objective　To study the feasibility of ultrasound elastography strain rate ratio method in the diagnosis of thyroid lesions.Methods　A total of 196 patients with 238 thyroid nodules, were selected for comparing the difference in the diagnosis of thyroid lesions between the ratio method and pathological diagnosis.Results　Pathological diagnosis showed 196 benign nodules, 42 malignant nodules. The ratio method showed 190 benign nodules, 48 malignant nodules; When ratio method took <3.3 as benign, ≥3.3 as malignant, for diagnosis of malignant nodules the specificity of ratio method was 85.71%, the sensitivity was 93.88%. There was no significant statistically differences in the diagnosis results between two methods(P>0.05).Conclusion　Ultrasound elastography strain rate ratio method can effectively identify thyroid lesions, clinically it can be combined with pathological diagnosis to reduce misdiagnosis rate.]]> 2017/12/18 8:27:35 WANG Yuan-yuan, YANG Fang, CHU Jing-jie 272true ［Abstract］　Objective　To explore the effective methods to treat benign prostatic hyperplasia(BPH) patients with huge bladder stones.Methods　The data of 34 BPH patients with huge bladder stone who were treated by transurethral plasmakinetic resection of prostate(TPKRP) combined with cystolithotomy via small incision on the lower abdomen were retrospectively analyzed.Results　The operations were successfully completed in all 30 patients.TPKRP time was 50～108 min, with a mean time of 72 min. The time of suprapubic bladder lithotomy 20～45 min, the mean time of 38 min. Intraoperative blood loss was about 150 ～ 250 ml, with an average 215 ml. There were no cases of serious complications. The patients were followed up for 2 to 24 months. The average score of International Prostate Symptom Score(IPSS) was 6.6 points. The average score of quality of life(QOL) was 1.8 points. The average flow rate(AFR) was 13.8 ml/s.Conclusion　Bipolar plasmakinetic resection of prostate combined with cystolithotomy via small incision on lower abdomen in the treatment of BHP patients with huge bladder stones is a safe,efficient and saving surgery, and is suitable for popularization and application in primary hospitals.]]> 2017/12/18 8:27:35 PANG Cheng, YANG Zhi-jian, WU Bing-quan, et al. 271true ［Abstract］　Objective　To explore the efficacy and safety of probiotics(bifidobacterium tetravaccine tablets) combined with prebiotics（lactulose oral liquid）in the treatment of elderly patients with chronic functional constipation（CFC）.Methods　Two hundred and sixteen elderly patients with CFC were randomly divided into two groups.One hundred and ten patients in group A were given probiotics combined with prebiotics, One hundred and six patients in group B were given prebiotics，the treatment course lasted for 4 weeks.The clincal efficacy and safety of the two groups were compared.Results　In group A,marked effect was found in 83 patients, effective in 25 patients,ineffective in 2 patients. In group B,marked effect in 69 patients,effective in 21 patients ，ineffective in 16 patients.The clinical efficacy in group A were better than those in group B（P<0.05）. During 12 weeks the recurrence rate in group A was 7.4% and that in group B was 21.1%（P<0.05）,and the incidence of adverse reaction in group A was 8.2% and that in group B was 14.2%（P<0.05）.Conclusion　The effect of probiotics combined with prebiotics is better than prebiotics alone in the treatment of elderly patients with CFC with less adverse drug reaction.]]> 2017/12/18 8:27:35 WANG Xiao-guang, SHI Zhen-dong, WANG Guo-jiang 270true ［Abstract］　Objective　To explore the operative methods and clinical effect for bilateral cleft lip with modified extension method and the orbicularis oris muscle function reduction.Methods　Fifteen infants with bilateral cleft lip were treated by modified extension method and the orbicularis oris muscle function reduction treatment from November 2012 to October 2013. In the method, upper lip′s arch edge of lateral lip and a small amount of white lip were used for reengineering labial arch, and the the orbicularis oris muscle was reconstructed.Results　In fifteen infants with bilateral cleft lip primary healing was obtained, with symmetry bilateral lip height, pinna nasi, red lip and better morphology of labial arch. All parts of upper lip could coordinate when the orbicular muscles moved. The effects were satisfactory.Conclusion　The patients can get excellent nasolabial profile and function through modified extension method and the orbicularis oris muscle function reduction, and this method is worthy to be popularized and applied.]]> 2017/12/18 8:27:35 LIANG Mei 269true ［Abstract］　Objective　To summarize the experience in diagnosis and treatment of rupture and hemorrhage of primary liver cancer.Methods　The clinical data was retrospectively analyzed in 48 patients who suffered from rupture and hemmorrhage of primary liver cancer.Results　In 5 patients received conservative treatment, 4 patients obtained successful treatment,one patient received hepatic artery embolization(TAE) after conservative treatment. In 19 patients received TAE, 15 patients obtained successful treatment, 2 patients discharged voluntarily, 2 patients died of hepatic encephalopathy and liver and kidney failure.In 24 patients received surgical treatment, 20 patients obtained successful treatment, 4 patients died of liver and kidney failure, hepatic encephalopathy and hemorhagic shock. The total effective rate was 87.50%(42/48), the total mortality rate was 12.50%(6/48).Conclusion　Fully assessing the disease condition and choosing the appropriate treatment method for the treatment of rupture and hemorrhage of primary liver cancer is important.]]> 2017/12/19 8:06:01 TANG Lei 268true ［Abstract］　Objective　To explore the effects of different sutures for suturing the stump of cardinal ligament and uterosacral ligament during transvaginal hysterectomy on vaginal stump healing.Methods　A retrospective analysis was performed on the clinical data of 140 patients who received transvaginal hysterectomy. According to the time period,these patients were divided into observation group and control group with 70 cases in each group.The control group underwent the suturing of stump of cardinal ligament and uterosacral ligament with No 7 silk-sutures from January 2010 to June 2011.The observation group underwent the suturing of stumps of cardinal ligament and uterosacral ligament with No 10 silk sutures from July 2011 to January 2013. The vaginal drainage at one month after surgery and vaginal stump′s polyps,granulation,thread rejection at three months after surgery were observed.Results　After discharge， the control group showed vaginal drainage in 42 cases,of which the vaginal stump′s polyps granulation, thread rejection in 22 cases.After discharge observation group showed vaginal drainage in 7 cases,vaginal stump′s polyps granulation, thread rejection in 3 cases. There was significant difference between two groups（P<0.01）.Conclusion　Between the vaginal stump healing after transvaginal hysterectomy and suture thickness for suturing stump of cardinal ligament and uterosacral ligament has a close relationship.]]> 2017/12/19 8:06:01 BAO Ai-ling, LIU Shun-Tao 267true ［Abstract］　Objective　To explore the application effect of nasal continuous positive airway pressure(nasal-CPAP).Methods　The therapeutic effect of nasal-CPAP in the children who were inpatients in our hospital from January to December in 2012 were retrospectively analyzed.Results　In 414 cases received nasal-CPAP，the obvious therapeutic effect was obtained in 379 cases，ineffective in 35 cases，the total effective rate was 91.55%.No severe adverse reactions was found.Conclusion　Nasal-CPAP has the advantages of convenient and less complication，the therapeutic effect is obvious.It can widely used in pediatrics，but surveillance is necessary during practice.It is necessary to strengthen nursing also.]]> 2017/12/19 8:06:01 CEN Mei-fang 266true ［Abstract］　Objective　To explore the effect of combined spinal-epidural anesthesia in labor analgesia.Methods　The clinical data was retrospectively analyzed on 521 parturient women in labor analgesia from January to December in 2013.Results　Of 521 parturient women, there were 468 cases of normal labor(accounted for 89.83%),53 cases of cesarean section(accounted for 10.17%); 3 cases of analgesic complications, the rate of morbidity was 0.58%.Conclusion　Combined spinal-epidural anesthesia is one of the best ways for labor analgesia, with good analgesic effects and fewer complications.]]> 2017/12/19 8:06:01 WEI Xiao-zhen 265true ［Abstract］　Objective　To investigate the emergency procedures and prognosis of acute pulmonary thromboembolism.Methods　A retrospective analysis was performed on the clinical data of 101 patients with acute pulmonary thromboembolism treated in the People′s Hospital of Zhengzhou from September 2004 to September 2013.Results　In 101 patients death was fund in 21 cases,vegetative state in 4 cases,cure in 76 cases.Conclusion　Acute pulmonary thromboembolism has a higher mortality and morbidity.So it is necessary to pay high attention to its high risk population,focused on the prevention before embolization.]]> 2017/12/19 8:06:01 TONG Lin-long, CHEN Tao, TONG Xian-zhou 264true ［Abstract］　Objective　To investigate the curative effect of cardiotonic and diuretic mixture in the treatment of refractory heart failure.Methods　Thirty-six refractory heart failure patients who had not response to conventional cardiac, diuretic, vasodilator (digitalis, phosphodiesterase inhibitors, ACEI, furosemide and so on) were treated by cardiotonic and diuretic mixture composed of small dose of dopamine, dobutamine, nitroglycerin, aminophylline, torasemide injection etc.Results　The marked effect was found in 25 cases(NYHA decreased from grade Ⅳ toⅠ～Ⅱ), effectively in 7 cases(NYHA decreased from grade Ⅳ to Ⅱ～Ⅲ), no effect in 4 cases(heart failure symptoms had no obvious change). There were statistically significant differences in heart rate, hemodynamic left ventricular ejection fraction(LVEF), left ventricular end-systolic diameter(LVESD) and other indicators before and affer treatment(P<0.01).Conclusion　The cardiofonic diuretic mixture composed of dopamine, dobutamine, nitroglycerin, aminophylline, torasemide injection etc has marked effect in treating refractory heart failure patients who had not response to conventional cardiotonic and diuretic therapy.]]> 2017/12/19 8:06:01 LI Bin 263true ［Abstract］　Objective　To explore the CT manifestations of early femoral head necrosis.Methods　The CT films of 23 cases of early femoral head necrosis were retrospectively analyzed and followed up for 6 months to 1 year.Results　Of all the 23 cases, 10 cases were bilateral femoral head necrosis, 13 cases were unilateral femoral head necrosis, and the major CT finding of early femoral head necrosis was local bone texture changes and bone mineral density changes.Conclusion　The CT manifestation of early femoral head necrosis has characteristics, which has great significance for the disease diagnosis.]]> 2017/12/19 8:06:01 LI Ying-yi, YANG Wei-zhen 262true ［Abstract］　Objective　To study the detection rate of concealed pre-excitation syndrome induced by intravenous injection of adenosine in patients with paroxysmal supraventriclar tachycardia.Methods　The intravenous injection of adenosine were performed in 45 patients with paroxysmal supraventriclar tachycardia and 45 healthy people(healthy control group) to investigate the Delta(δ) wave.Results　During Intravenous injectiion of adenosine(Delta，δ) wave was detection in 43 patients(95.55%) in 45 patients with paroxysmal supraventriclar tachycardia，and this wave was found in 2 patients(4.44%) in healthy group，which showed significant differences(P<0.01).Conclusion　The adenosine test for patients with paroxysmal supraventriclar tachycardia can induce Delta(δ) wave,and can be helpful to diagnosis of concealed pre-excitation syndrome.]]> 2017/12/19 8:06:01 DU Guo-wei, HUANG Zuo-gui, LI Hou-rong，et al. 261true ［Abstract］　Objective　To explore the method and effect of primary hip arthroplasty through modified lateral approach.Methods　The clinical data was retrospectively analyzed on 68 patients who received primary hip arthroplasty through modified lateral approach.Results　These cases were followed with an average follow-up 3 years after operation. The average Hart′s hip score after operation showed 61 cases were excellent, 5 cases were good,2 cases were medium, the excellent and good rate was 97.1%.No complication such as dislocation，infection happened.Conclusion　Primary hip arthroplasty through modified lateral approach has advantages of small trauma,less bleeding,rapid recovery,fewer complication,etc.]]> 2017/12/25 16:01:51 YU Yong, ZHANG Feng-yin, CAO Xiao-bo 260true ［Abstract］　Objective　To explore the therapeutic effect and adverse reaction of rituximab combined with CHOP regimen in the treatment of B cell non Hodgkin′s lymphoma.Methods　Sixty patients with B cell non Hodgkin′s lymphoma were randomly divided into observation group(n=30) and control group(n=30). The observation group were treated with rituximab combined with CHOP regimen，the patients in control group only received CHOP treatment. The clinical therapeatic effect and adverse reaction between two groups were compared.Results　The clinical therapeatic effect in the observation group were significantly higher than that in control group，the difference was statistically significant(P<0.05).Conclusion　Rituximab combined with CHOP in the treatment of B cells non Hodgkin lymphoma can effectively improve the treatment efficiency，and is worth clinical promotion.]]> 2017/12/25 16:01:51 WU Chun-lian 259true ［Abstract］　Objective　To evaluate the curative effect of dacryocystorhinostomy with catheter embedment in the whole lacrimal duct in the treatment of the chronic dacryocystitis with nasolacrimal duct obstruction.Methods　A retrospective analysis was performed on curative effective in 53 patients(with 63 sick eyes) who were treated due to chronic dacryocystitis and nasolacrimal duct obstruction with dacryocystorhinostomy with catheter embedment in the whole lacrimal duct under nasal endoscope. The patients were followed up for 6～12 months.Results　In 53 patients(with 63 sick eyes), 52 eyes were cured, the condition of 8 eyes have improved, and 3 eyes were not cured. The effective rate was 95.24%, and at the same time there was low postoperative complication.Conclusion　Using this kind of method to treat chronic dacryocystitis and nasolacrimal duct obstruction has advantages of fewer trauma, less and simple operation, high effective rate, safe and dependable curative effect.]]> 2017/12/25 16:01:51 HUANG Hong-bo, CHEN Guang-sheng 258true ［Abstract］　Objective　To summarize the clinical experience of extracorporeal shockwave lithotripsy(ESWL) under B-ultrasound localization for the treatment of male urolithiasis.Methods　Sixty male cases of urolithiasis were treated with ESWL under B-ultrasound localization.Results　After ESWL, stones in 59 cases were successfully removed, and one case was given up because of anxiety, the successful rate was 98.3%.Conclusion　The treatment effect of ESWL under B-ultrasound localization is good, and is worth using for clinical application.]]> 2017/12/25 16:01:51 LU Xiong-jing, ZHONG Hao, LI Ruo-pan, et al. 257true ［Abstract］　Objective　To investigate the restorative condition of tooth missing, dentition defect and tooth defect in our hospital from January 2001 to December 2013, and provide reference for the future oral cavity repair methods and techniques.Methods　The clinical data of 1 983 patients with oral cavity repair were statistically analyzed, and the relation of disease with age, gender, repair methods and effect were compared.Results　There was no significant difference in the incidence of tooth defect, dentition defect and tooth missing for gender factor(P>0. 05); the number of missing teeth increased with age proportionally. Maxillary teeth missing was significantly more than the lower teeth; the most missing parts were the mandibular first molars and maxillary incisor; fixed bridge and casting stents denture was of the larger proportion than others in the dentition defect repairs（P<0.05）.Conclusion　The investigation suggests that publicizing and education for oral hygiene should be carried out to the citizens, in order to improve their medical knowledge. Prosthodontist should learn and apply more advanced material and technology in dental restoration in order to meet the increasing demands of the patients and reduce oral disease.]]> 2017/12/25 16:01:51 YAN Tao 256true ［Abstract］　Objective　To investigate the therapeutic efficacy of azithromycin combined with Tanreqing injection in treatment of children with mycoplasma pneumoniae pneumonia(MPP).Methods　One hundred children with MPP were randomly divided into two groups with 50 cases in each group, the observation group received the therapy of azithromycin combined with Tanreqing injection,while the control group received the therapy of azithromycin only, and then comparison was made between the two groups in clinical effects.Results　There was a significant difference between the two groups in the time of the disappearance of fever,cough and pulmonary signs and X-ray recovery(P<0.01), and there was also a statistic difference in curative rate(P<0.01).No case relapsed in the observation group while 4 cases(8.0%) in the control group.Conclusion　The therapy of azithromycin combined with Tanreqing injection has obvious superiority with shorter courses, higher curative rate and lower relapse rate than single azithromycin in treatment of children with MPP, worthy of clinical popularization and application.]]> 2017/12/25 16:01:51 HUANG Zu-wang 255true ［Abstract］　Objective　To investigate clinical effect of captopril combined with ligustrazine in the treatment of acute glomerulonephritis.Methods　Eighty patients with acute glomerulonephritis were divided into the control group(n=40) was treated by conventional therapy and the observation group(n=40) was treated by captopril combined with ligustrazine on the basis of control group. The clinical effect of two groups were compared.Results　After treatment,the hematuria negative rate of the observation group(75.00%) was higher than that of the control group(45.00%)（P<0.01）. Macroscopic hematuria subsided time was (2.5±0.5)d, microscopic hematuria subsided time was (2.6±0.6)d, edema subsided time was (3.7±0.4)d, blood pressure recovery time was (4.1±0.6)d in the observation group were significantly shorter than those in the control group(P<0.01).Conclusion　Captopril combined with ligustrazine on the basis of conventional therapy in the treatment of acute glomerulonephritis can effectively shorten the course of treatment and improve efficacy.]]> 2017/12/25 16:01:51 ZHU Xing-nian 254true ［Abstract］　Objective　To understand the antimicrobial susceptibility of the bacteria in our hospital, and guide the application of antibiotics.Methods　In the Luozhuang center hospital of Linyi in 2012, the drug resistance of clinically isolated strains was monitored, and their antimicrobial susceptibility were analyzed by disc diffusion method recommended by CLSI, using WHONET5.3 software to analyze the results.Results　According to the monitoring programme, the result of susceptibility test of 780 strains of bacteria to antimicrobial agents were obtained, including 239 strains of gram-positive bacteria, accounting for 30.6%; 541 strains of gram-negative bacteria, accounting for 69.4%. Except for pseudomonas aeruginosa, drug sensitive rate of all gram-negative bacillus to carbapenems were over 85.7%, those of piperacillin-tazobactam were more than 79.6%; those of all the staphylococcus aureus to vancomycin were 100.0%.Methicillin-resistant staphylococcus aureus（MRSA）detection rate was 51.1%, sensitive rate of MRSA to chloromycetin was 80.0%, with resistance to other antibiotics; the sensitive rate of faecium and faecalis to vancomycin and linezolid were the highest (96.6%,100.0%;100.0%,100.0%).Conclusion　The sensitive rates of klebsiella pneumoniae, escherichia coli, acinetobacter and enterobacter to carbapenems were higher, but the drug resistence rate of pseudomonas aeruginosa to it was higher.The sensitive rates of staphylococcus aureus to vancomycin, linezolid and teicoplanin were higher.]]> 2017/12/25 16:01:51 LIAO Jun-yan 253true ［Abstract］　Objective　To observe the clinical curative effect of the four seasons of antiviral agent combined with ribavirin in the treatment of hand-foot-mouth disease.Methods　56 patients with common hand-foot-mouth disease were randomly divided into two groups, with 28 cases in each group. The control group was given antiviral, antifebrile and other symptomatic treatment. The treatment group was given the four seasons oral antiviral agent based on the same treatment as the contral group.Results　The antipyretic time,time of disappearance of oral ulcer, time of disappearance of skin rash on hands and feet were shorter in the treatment group than those in the control group. The curative effect of the treatment group was better than that of the control group(P<0.05).Conclusion　The four seasons of antiviral agent combined with ribavirin is effective in the treatment of hand-foot-mouth disease with less side effects.]]> 2017/12/4 8:38:51 CHEN Ye 252true ［Abstract］　Objective　To investigate changes of the levels of hs-CRP, BNP and Hcy and their clinical significances in patients with chronic heart failure(CHF).Methods　The levels of hs-CRP, BNP, Hcy and LVEF in 63 patients with CHF(CHF group) and 55 healthy people(control group) were analyzed. The changes of hs-CRP, BNP, Hcy and LVEF were compared between the two groups. The relationship between hs-CRP, BNP, Hcy and LVEF was analyzed.Results　Compared with the control group, the levels of hs-CRP, BNP and Hcy in CHF group were signigicantly higher(P<0.05). The individuals with higher levels of hs-CRP, BNP and Hcy had higher NYHA cadiac function classification in the CHF group(P<0.05). The levels of Hs-CRP, BNP and Hcy were positively correlated with LVEF(P<0.05).Conclusion　The levels of hs-CRP, BNP and Hcy in patients with CHF are positively correlated with the aggravation of heart failure, and are positively correlated with LVEF, which can be used as the ancillary diagnosis of chronic heart failure.]]> 2017/12/4 8:38:51 ZHAI Lu-lu, ZENG Yin-xia 251true ［Abstract］　Objective　To investigate the characteristics of DR and low dose spiral(LDCT) imaging and to provide diagnosis for early lung cancer.Methods　53 patients with pathologically confirmation on the early stage of lung cancer were retrospectively analyzed. A comparison of the imaging manifestations of DR and LDCT in early lung cancer was performed.Results　Central type of lung cancer DR showed hilar enlargement thickening and nodular density increased shadow. Early peripheral lung cancer showed circular, elliptic increased density shadow, with edge burr and lobulated features. Obstructive lung changes and pulmonary nodules were characterized by LDCT central type of lung cancer with 81% in lobulation, 65% in burr, 53% in a pleural sag, 38% in blood vessels of cluster and 16% in GGO. Of 53 cases of patients, DR positive rate was 33% and LDCT positive rate was 90%(χ²=8.63, P<0.01).Conclusion　LDCT is better than DR for diagnosis of early lung cancer with obviously signs and higher positive detection rate.]]> 2017/12/4 8:38:51 XU Jing-min 250true ［Abstract］　Objective　To investigate the effect of fluticasone propionate on babies with asthma predictive index(API) in positive wheezing symptoms.Methods　100 babies with predictive index in positive wheezing symptoms were collected and divided into the study group and the control group, with 50 cases in each group. The study group received the treatment of fluticasone propionate and the control group received other intervention. The frequency of wheezing episodes and hospitaladmission rates were compared between the two groups at the end of 3, 6 and 9 months. The asthma diagnosis rate was calculated in the two groups with a follw-up when the patients were 5 years old.Results　(1)The frequency of wheezing episodes in emergency / hospitalization rates were(22%, 12%, 4%, 6%) at the end of 3, 6 and 9 months in the study group, and the counterpart of data were(30%, 20%, 18%, 24%) in the control group. There were significant differences between the two groups. The asthma diagnostic rates were 16% and 44% in the study group and the control group, respectively, with a significant difference between the two groups.Conclusion　Fluticasone propionate can significantly reduce seizure in children with recurrent wheezing, reduce the severity of wheezing attack degree of infants and reduce the times of acute wheezing attack.]]> 2017/12/4 8:38:51 YAO Xing-song, LIN Meng, LI Yong, et al 249true ［Abstract］　Objective　To explore the clinical effects of total endoscopic thyroidectomy via bilateral areolar approach(BAA) in the treatment of benign thyroid tumor.Methods　The clinical data of 32 patients with benign thyroid tumors who underwent endoscopic thyroidectomy via BAA in the Second People′s Hospital of Guiling City from July 2014 to May 2015 were analyzed retrospectively.Results　Thirty-two patients successfully underwent endoscopic thyroidectomy. Hoarseness occurred in one patient on the first postoperative day and the patient′s pronunciation returned to normal two weeks after the operation. The mean operation time was (105±22.5)min and the mean blood loss was (38.5±12.6)ml. The average area of skin flap was (71.6±8.6)cm². The mean amount of postoperative drainage on the first postoperative day was (81.5±50.35)ml. The average hospital stay after the opearation was 2 to 3 days. The postoperative VAS on the first postoperative day was 0～2. No relapse was found during the follow-up period between 2 and 12 months. Furthermore, the patients were satisfied with the cosmetic results of the operation.Conclusion　This operative method has the advantages of safety, minimal invasion, simple manipulation, less postoperative complications and better cosmetic result.]]> 2017/12/4 8:38:51 LIU Zu-ding, WU Jia-fa, LIU Zhong-ning 248true ［Abstract］　Objective　To explore the effect of the joint use of azithromycin, cefoperazone/sulbactam and dexamethasone on patients with lobar pneumonia.Methods　172 patients with lobar pneumonia were collected and divided into the control group and the observation group by the random number table method, with 86 cases in each group. The patients of the control group were given azithromycin combination with a small dose of dexamethasone treatment. The patients of the observation group were given azithromycin, cefoperazone/sulbactam in combination with a small dose of dexamethasone treatment. The clinical curative effects and adverse reactions were compared between the two groups.Results　The total effective rate was elevated in the observation group than that in the control group(95.35 % vs 86.05%, P<0.05). The incidence of adverse reactions such as allergic skin rashes, anaphylactic shock, chills and shortness of breath was 9.30% in the observation group, and 16.28% in the control group, with no significant difference(P>0.05).Conclusion　The combination use of azithromycin, cefoperazone/sulbactam and a small dose of dexamethasone in the treatment of lobar pneumonia is effective and safe.]]> 2017/12/4 8:38:51 GAO Li-min 247true ［Abstract］　Objective　To explore the influence factors of adverse reactions on the clinical application of aconite root.Methods　240 patients who received the therapy of traditional Chinese medicine(TCM) were selected as the research objects and were randomly divided into two groups. Group A was given the treatment of TCM compounds without aconite root(n=120), while group B was given the matched prescriptions with aconite root(n=120). The clinical adverse reactions were compared between the two groups.Results　There were 16 cases(13.33%) with adverse reactions in group A, and 60 cases(50.00%) in group B, with a significant difference（χ²=32.28, P=0.000）. Among 120 patients of group B, the first decoction time and the total decoction time were significantly shorter in the subgroup of adverse reactions than those in the subgroup of non-adverse reactions［（36.5±4.23） min vs （31.46±3.16）min, P=0.000; （89.75±1.52）min vs （86.36±2.42）min, P=0.000］. The mean dose of the subgroup of adverse reactions was significantly higher than that of the subgroup of non-adverse reactions［（24.15±6.26） vs （20.53±3.52）, t=16.712, P=0.017］.Conclusion　Decoction time of aconite root and its dosage are the factors that affect the clinical adverse reactions.]]> 2017/12/4 8:38:51 LIANG Bi-yan, ZHONG Wei-xiang, LI Shang, et al. 246true ［Abstract］　Objective　To evaluate the effect of the treatment of intestinal arrangement operation on a wide range of adhesive intestinal obstruction.Methods　Sixty patients with extensive and adhesive intestinal obstruction were randomly divided into the control group(n=30) and the observation group(n=30). The control group was performed the lysis of intestinal adhesion and the observation group received the intestinal placation. The effect of the treatment was compared between the two groups.Results　The operation time, bleeding volume and postoperative complication rate in the observation group were not significantly different compared with those in the control group(P>0.05), while the postoperative ventilation time and hospitalization time in the observation group were significantly less than those in the control group(P<0.05).The success rate of the operation was 100% in the observation group, significantly higher than that in the control group(73.3%)(P<0.05), while the postoperative recurrence rate in the observation group was significantly less than that in the control group(P<0.05).Conclusion　The treatment of intestinal arrangement operation on a wide range of adhesive intestinal obstruction is effective and worth wide application in clinics.]]> 2017/12/4 8:40:13 MA Hong-jie 245true ［Abstract］　Objective　To observe the clinical efficacy of minimally invasive proximal femoral nail anti rotation(proximal femoral nail anti-rotation PFNA) in the treatment of intertrochanteric fractures of femur, and to evaluate its safety and adverse reaction.Methods　60 patients with intertrochanteric fractures of femur were collected in our hospital from January 2012 to January 2013 and were divided randomly into two groups, with 30 cases in each group. The observation group received minimally invasive internal fixation of PFNA and the control group received dynamic hip screw(dynamic hip screw,DHS) treatment with a follow-up of 1 years. The efficacy rate, Harris hip score and the incidence of complication were compared between the two groups.Results　The operation time, bleeding volume, load time, fracture healing time in the observation group were (69.7±17.4)min, (317.9±81.3)ml, (96.4±11.3)d and (18.5±3.1)w respectively, and were significantly better than those in the control group［（89.4±19.1）min, （476.3±89.5）ml, （113.3±12.5）d and （21.9±3.2）w］（P<0.01）; Harris hip scores of the observation group were excellent in 19 cases(63.3%), good in 7 cases(23.3%),modest in 3 cases(10.0%), poor in 1 case(3.3%), which was significantly better than those of the control group, P<0.01. The patients in the observation group occurred coxa vara in 1 case(3.3%), delayed union in 1 case(3.3%), with the incidence of adverse reactions in 6.7% and there was no significant difference between the two groups, P>0.05.Conclusion　The effect of minimally invasive PFNA in the treatment of femoral intertrochanteric fracture Kerr is efficacious and safe and has less postoperative complications.]]> 2017/12/4 8:40:13 LIU Xin, LI Quan-xiu, LV Hai-bo 244true ［Abstract］　Objective　To explore the pregnancy rate and its influencing factors in the infertile patients after the ovarian endometriotic cystectomy by laparoscopy.Methods　80 infertile patients with endometriotic cyst were performed by laparoscopy from January 2008 to January 2012 and their postoperative data were analyzed with a 18-month follow-up. The patients were divided into two groups according to pregnancy and non-pregnancy. The age of the patients, the types of infertility, the duration time of operation, the amount of bleeding volume, the diameter of the ovarian endometriotic cyst, the sides of cyst occuring, adhesion and complications of pelvic endometriosis were compared between the two groups.Results　There were no statistically significant differences between the pregnant patients and non-pregnant patients in the duration time of the operation, the amount of bleeding volum and the diameter of the ovarian endometriotic cyst. There were statistically significant differences between the pregnant patients and non-pregnant patients in the age of the patients, the types of infertility, the duration times of infertility, the sides of cyst occuring, adhesion and the complications of pelvic endometriosis(P<0.05).Conclusion　The pregnancy rate is significantly increased in the infertile patients with endometriotic cystectomy after the operation laparoscopy. The key factors influencing the pregnancy rate are the age, the types of infertility, the duration times of infertility, the sides of cyst occur, adhesion and the complications of pelvic endometriosis.]]> 2017/12/4 8:40:13 WEI Ji-yun, PAN Qi-wen, SHI De-min 243true ［Abstract］　Objective　To explore the efficacy of different doses of hepatitis B immune globulin in blocking infection of hepatitis B virus by mother-to-fetus transmission for newborns.Methods　124 newborns who were born by HBsAg-positive mothers in our hospital were divided into single positive group(n=60) and double positive group(n=64). The patients in the double positive group were randomly divided into a small dose double positive subgroup(n=30) and a big dose double positive subgroup(n=30), and the patients in the single positive group were randomly divided into a small dose double positive subgroup(n=32) and a big dose double positive subgroup(n=32). The big dose groups were intramuscularly injected with HBIG 200 U and the small dose groups were intramuscularly injected with HBIG 100 U, with all groups in combination of hepatitis B vaccine within 6 hours after childbirth. HBV serological markers(HB 5 tests)were detected at the age of one.Results　There were no significant differences in blocking rate of vertical transmission of hepatitis B between the large dose(200 U) and the small dose(100 U) of HBIG in both double positive group and single positive group.Conclusion　Newborns of HBsAg-positive mothers should be injected with HBIG in time either in dose of 100 U or 200 U.]]> 2017/12/4 8:40:13 XIE Ruo-xin, YANG Jie-fang, HUO Le-ying 242true ［Abstract］　Objective　To study the effect of pneumatic lithotripsy combined with transurethral plasmakinetic resection of prostate(PKRP) on patients with benign prostatic hyperplasia(BPH) and bladder stones.Methods　The clinical data of 65 patients with benign prostatic hyperplasia and bladder calculi were retrospectively analyzed, who were performed on the application of pneumatic ballistic lithotripsy removed, followed by transurethral bipolar plasma cutting hyperplasia of prostate tissue.Results　65 cases were successful with the operation, without bladder perforation, cutting syndrome, hemorrhage, stone residues and complications such as urinary incontinence. 3 cases of urethral stricture were cured by urethral dilatation. Dysuria symptoms improved significantly after a follow-up of 3 to 12 months. There were significant differences in the international prostate symptom score(IPSS), maximum urinary flow rate(Qmax) and residual urine volume(PVR) after the operation of 3 months compared with those before operation(P<0.01).Conclusion　It is safe and effective to cure the BPH patients with bladder stones by using PKRP treatment.]]> 2017/12/4 8:40:13 FAN Sheng-yu, LI Shao-kang 241true ［Abstract］　Objective　To study the necessity of prevertebral fascia suture in the prevention of pharyngeal discomforts after prevertebral fascia suture in anterior cervical surgery.Methods　62 patients were collected from July 2012 to June 2014, and randomly divided into the experiment group(n=31) and the control group(n=31). The patients in the experiment group accepted prevertebral fascia suture in the surgery, while the control group did not receive the same procedure. After the surgery, pharyngeal discomforts and the duration of the patients in both groups were compared statistically.Results　There was no sighificant difference in the improvement rate of JOA between the two groups after the surgery（P>0.05）. The duration of pharyngeal discomfort in the experiment group was shorter than that in the control group（P<0.01）.Conclusion　The suture of prevertebral fascia is effective in preventing pharyngeal discomforts after anterior cervical surgery.]]> 2017/12/4 8:40:13 MA Yao-jun, WANG Yong-hong, ZHAO Bin-qiang, et al. 240true ［Abstract］　Objective　To investigate the clinical characteristics of diagnosis and treatment for the children with mycoplasma pneumoniae pneumonia.Methods　The clinical data of 92 children with mycoplasma pneumonia and clinically diagnosed pathogenesis were analyzed retrospectively.Results　The majority of 92 children had clinical manifestations of persistent and severe cough, and a few children were accompanied with a small amount of white sputum or phlegm. When conducting chest X-ray examination, unilateral lesions were mainly cloudy sign and shadow in the right lung, accounting for 53.3%. The main clinical manifestations of the children with pulmonary complications were the elevated myocardial enzyme spectrum. The body temperature was normal in 80 cases, after 3～7 days′ treatment, and was normal in 10 cases after the treatment of 8～10 days, with the cough symptoms being alleviated effectively. The temperature cases turned to be normal in other 2 after high fever lasting for 11 days. All children recoveried completely after a follow-up of 30 d.Conclusion　Mycoplasma DNA detection has a higher diagnostic rate of early detection on children with mycoplasma pneumoniae pneumonia. Azithromycin and erythromycin are effective for the treatment.]]> 2017/12/4 8:40:13 LI De-shao 239true ［Abstract］　Objective　To explore the human papilloma virus(HPV) infection on women with cervical erosion.Methods　211 women with cervical erosion were collected as the observation group and 605 who with smooth cervix were collected as the control group. A retrospective study was performed on the infection of HPV in the two groups.Results　The HPV infection rate of the cervical erosion was 15.17% in the observation group, and 16.03% in the control group. There was no significant difference between the two groups（P>0.05）.Conclusion　Cervical erosion does not increase the risk of HPV infection, indicating that there is no direct relation between the cervical erosion and the HPV infection.]]> 2017/12/4 8:40:13 WANG Xiu-xiang, XIE Fang, HAN Ding-ying, et al. 238true ［Abstract］　Objective　To explore the treatment of intrauterine adhesion(IUA) in patients after induced abortion under hysteroscopy diagnosis.Methods　64 patients with IUA after induced abortion were diagnosed definitely in our hospital and were selected as the research objects. The detection rate of the disease were compared among the different diagnostic techniques of ultrasonic, uterus oviduct imaging and hysteroscopy. Intrauterine adhesions separation were performed on the patients under hysteroscopy surgery after diagnosis and the efficacy was analyzed.Results　The diagnostic coincidence rate of ultrasoud was 82.81%, the diagnostic coincidence rate of the uterus oviduct imaging was 87.50% and the diagnostic coincidence rate of hysteroscopy was 100.00%（P<0.05）. Total effective rate of postoperative recovery in 64 cases was 95.31%. The points of IUA was （1.16±0.86）, the levels of postoperative estradiol and follicle-stimulating hormone were （107.60±28.60）pg/ml and （5.82±0.92）mIU/ml respectively, compared with pre-operation, the differences were statistically significant(P<0.05).Conclusion　Hysteroscopy is an effective diagnostic method for diagnosing intrauterine adhesions after induced abortion surgery. Hysteroscopy is an effective treatment method for intrauterine adhesion separation.]]> 2017/12/4 16:23:24 LI-Jing 237true ［Abstract］　Objective　To explore the improvement of fine catheter drainage for ovarian hyperstimulation syndrome(OHSS) leading to a large volume of pleural effusion.Methods　Improved self-made fine catheters were used by B ultrasonic positioning continuously drain of pleural effusion, and fluid expansion and symptomatic treatment were formed.Results　No adverse reactions and dyspnea were found during the drainage. No serious complications such as pulmonary edema and pleural reaction were found after the operation. The average time for placing chest tubes was (9.82±3.22)days, the symptoms were completely relieved after 2 weeks′ treatment. The pleural effusion was found disappearing completely by B ultrasound examination. The white blood cells, neutrophils, hematocrit, platelet and albumin levels and coagulation function were improved after the drainage, with significant differences compared with those before the drainage(P<0.01).Conclusion　Improved fine catheter drainage is a safe and effective method for the treatment of severe ovarin hyperstimulation complicated with massive pleural effusion. It is simple and economical,can rapidly relieve the symptoms of oppression,reduce infections and other side reactions.]]> 2017/12/4 16:23:24 DAI Bin, LIU Hai-kun, YANG Yan-jiang, et al. 236true ［Abstract］　Objective　To explore the treatment approach and its effect of the treatment on patients with respiratory failure and bronchopleural fistula after thoracic surgery.Methods　9 patients with bronchial BPF were collected from September 2012 to March 2014 in our hospital and were retrospectively analyzed.Results　The curative rate is 88.9%(8 cases) and the death rate was 11.1%(1 case). The average time of hospital stay was (24.6±1.3)days, from 18 to 32 days. The oxygen partial pressure and blood oxygen saturation monitoring values were significantly higher after the treatment of 24 hours than those before the treatment. Partial pressure of carbon dioxide after the treatment was lower than that before the treatment(P<0.05).Conclusion　Comprehensive and effective measures should be carried out to control the symptoms of patients with respiratory failure, strengthen nutrition support, improve the body heath condition, and take the bronchial submucosal injection of hardener, chest cavity injection of xanthan gum, BPF treatment and surgical methods according to the specific patient.]]> 2017/12/4 16:23:24 ZHOU Zi-ping, FENG Jia-ning, LU Jian-hao, et al. 235true ［Abstract］　Objective　To analyze the clinical application of the ratio of liver to spleen volume on predicting the degrees of esophageal and gastric varices by CT enhancement scanning.Methods　71 patients in our hospital with liver cirrhosis were performed enhanced CT scan on the liver and spleen and the ratio of liver volume to spleen volume was determined. The gastroscope examination and the different series of patients with varicose veins were compared.Results　Gastroscopic examination of esophageal and gastric varices were grade 0 in 9 cases,grade 1 in 29 cases, grade 2 in 26 cases and grade 3 in 7 cases. Different levels of esophageal and gastric varices group were significantly different between liver and spleen volume ratio(P<0.01).Conclusion　The ratio of liver to spleen volume and esophageal gastric varices are closely related, the higher the ratio the more serious the degree of varices.]]> 2017/12/4 16:23:24 ZHAO Ming 234true ［Abstract］　Objective　To evaluate the effect of release and balance of the soft tissue around hips in total hip arthroplasty for patients with moderate-to-severe leg-length inequality.Methods　25 patients with femoral head necrosis or adult dysplasia of hips with moderate-to-severe leg-length inequality were collected from June 2009 to June 2013 and included in the study. Among them, there were 8 females and 17 males, from 37 to 71 years with an average of (58.6±11.2)years old. Before surgery, the affected limbs shortening more than 2 cm and less than or equal to 3 cm were in 16 cases, and those shortening more than 3 cm and less than or equal to 4 cm were in 7 cases, and those shortening more than 4 cm were in 2 cases. The average Harris score was （38.2±9.6） and the average visual analogue scale(VAS) pain score was （7.8±1.3）. Total hip arthroplasty was performed with lateral approach by the same group of surgeons in all. The length of the affected limbs was restored as far as possible through release of soft tissue around hips step-by-step, and the techniques of balance of soft tissue were applied to extend force arm of hip abductor and improve its function. The postoperative effect was evaluated by follow-up survey.Results　The average time of the follow-up was 1～3（2.2±0.7）years. After the operation, the leg-length discrepancy ≤0.5 cm was in 15 cases, and that >0.5 cm or ≤1 cm was in 8 cases, and that >1 cm was in 2 cases. The average VAS pain score reduced （2.6±1.1） scores at 3 months after the operation and the average Harris score increased to （87.2±8.6） at 1 year after the operation. All hips functioned well and all patients were released from pain and functioned well.Conclusion　The technique of release and balance of soft tissues around hips step-by-step in the total hips arthroplasty can be helpful to restore the length of the affected limbs in the patients with moderate-to-severe leg-length inequality, and can be helpful to release pain and restore physiological function of affected hips.]]> 2017/12/4 16:23:24 HUANG Xue-jing, WEI Yong-zhong, QIN Qi-xin 233true ［Abstract］　Objective　To investigate the value of color Doppler ultrasound in the diagnosis of lower extremity arterial diseases in patients with type 2 diabetes mellitus.Methods　Sixty-two patients with type 2 diabetes mellitus were collected as the observation group and other 75 patients without diabetic as the stenosis and occlusion control group. The plagues which occurred in the lower limb femoral artery of both sides, the superficial femoral artery, deep femoral artery, popliteal artery, anterior tibial artery, posterior tibial artery and dorsalis pedis artery were compared between the two groups using color Doppler ultrasound. Results　The lower extremity arterial lumen plaques, stenosis and occlusion were significantly higher in the diabetic group than those in the control group. The arterial stenosis below knees, and the occlusion rate in the diabetic group were significantly higher than those in the control group, with significantl difference between the two groups(P<0.01).Conclusion　Color Doppler ultrasound is a noninvasive, simple and effective method for early diagnosis of lower extremity arterial diseases especially those below knees in patients with diabetes.]]> 2017/12/6 8:06:37 LIANG Ai-rong 232true ［Abstract］　Objective　To compare the minimally invasive inner and outer shoulder incisions for the treatment of humeral surgical neck fractures and their prognoses.Methods　120 patients with humeral surgical neck fractures were collected in our hospital from May 2012 to May 2014, and were divided into the control group(minimally invasive incision from the inside of the front shoulder, n=60) and the observation group(minimally invasive incision from the lateral shoulder, n=60). The clinical effects of the two groups were compared.Results　An average follow-up of 15 months showed fractures healing in all patients, without incision infection and humeral circumflex artery or axillary nerve injury. The average operative time of the observation group(87.4±23.5)min was shorter than that of the control group (135.6±35.9）min. The incision of the observation group was （9.7±2.1）cm, which was shorter than that of the control group (16.4±4.2）cm. The blood loss of the observation group (176.8±46.9）ml was less than that of the control group （334.9±67.8）ml. The score of the observation group（93.8±31.4） was greater than that of the control group（85.6±22.1）. All the differences between the two groups were statisticly significant（P<0.05）.Conclusion　The minimally invasive incision from the lateral shoulder for the treatment of humeral surgical neck fractures can shorten the operative time, restore the joint function, and improve the quality of life of patients.]]> 2017/12/6 8:06:37 ZHAO Jin-zhao, ZHANG Hong-lu, SUN Jian 231true ［Abstract］　Objective　To explore the role of continuous quality improvement in preventing postoperative complications of the micro laparoscopic treatment of pediatric indirect inguinal hernia.Methods　518 cases with pediatric indirect inguinal hernia admitted in our hospital from December 2008 to June 2010 and operated with traditional two holes laparoscopy were collected as the control group, other 2 582 matched cases admitted in our hospital from July 2010 to August 2014 were collected as the experimental group and were operated with the same laparoscopy plus the attention to continuous quality improvement. The postoperative complications were compared between the two groups.Results　Compared with the control group, there were significant differences in omental hernia of the umbilical trocar, peritoneal emphysema, thread knot eyewinker fistula and postoperative recurrence in the experimental group.Conclusion　It is necessary to perform continuous quality improvement in the micro laparoscopic treatment of pediatric indirect inguinal hernia. It can effectively reduce the postoperative complications and promote the rehabilitation early.]]> 2017/12/6 8:06:37 LAI Zhi-hong, ZHENG Wen-long, CAI Hong-bin, et al. 230true ［Abstract］　Objective　To explore the clinical efficacy of reconstruction plate combined with absorbable suture in the treatment of comminuted clavicular fracture.Methods　A retrospective study was performed on 124 patients with comminuted clavicular fracture by using reconstrution plate combined with absorbable suture.Results　The clinical efficacy was excellent in 107 cases, good in 12 cases, fair in 3 cases and poor in 2 cases, with the excellent-good rate being 96.0%. 2 cases suffered from postoperative wound infection. After the treatment of anti-infection and exhaustive debridement, the wounds healed. The screws had come loose in 2 cases, and the fracture was displaced. After reoperation to strengthen fixation, the fracture delayed healing.Conclusion　There are advantages in reconstruction plate combined with absorbable suture in the treatment of comminuted clavicular fracture: less periosteum and soft tissue dissection, easier to be replaced and fixed and minimal invasive.]]> 2017/12/6 8:06:37 LU Xian-wei, JIANG Shou-nian, FANG Gang, et al. 229true ［Abstract］　Objective　To analyze the result of premarital examination in Binyang county from 2010 to 2014, and provide the basis for the prevention and treatment of birth defects.Methods　The data of premarital examination from 2010 to 2014 were collected and analyzed by SPSS software.Results　The rate of premarital examination was 84.3%～99.5% in male, and 84.4%～99.6% in female from 2010 to 2014, both of which were on the up trend. The premarital pregnancy rate was 28.3%～41.7%, which was on the up trend; The highest rate of detected diseases was the procreation system diseases, followed by the internal system diseases, both of which were in a downtrend in the husbands, but in an upward trend in wives; The highest rate of infectious diseases was hepatitis B, followed by thalassemia. The rate of hepatitis B was 16.7%～19.3% in the husbands, and 10.6%～13.5% in the wives, both of which were in a downward trend(P<0.05). The rate of thalassemia was 18.9%～21.7% in the husbands, showing neither rise nor decline trend, and 18.2%～24.7% in the wives, showing in an upward trend(P<0.05). The rate of thalassemia was 3.4%～6.9% both in the husbands and wives, showing in an upward trend(P<0.05).Conclusion　In order to increase the rate of premarital examination, reduce the rate of premarital pregnancy and procreation system disease, improve the population quality, it is necessary to strengthen the premarital medical examination propaganda and carry out adolescent sex education activity.]]> 2017/12/6 8:06:37 SHI Zhen-ling 228true ［Abstract］　Objective　To investigate pathogen distribution and antibiotic resistance characteristics in neonatal blood cultures and provide a scientific basis for the treatment of neonatal septicemia and the rational use of antibiotics.Methods　The clinical data of neonatal blood cultures were statistically analyzed retrospectively from January 2014 to December 2014.Results　The positive rate of blood cultures was 6.2%(280/4512). Gram-positive coccus were the predominant,accounting for 71.9%(212/295), among which coagulase negative staphylococcus(CNS) were 59.0%(174/295); Gram-negative bacteria, accounted for 23.4%(69/295), other pathogens 14 strains, accounted for 4.7%(14/295). The resistant rates of CNS to penicillin, tetracycline, gentamicin and oxacillin were between 60.0% and 100.0%. The resistant rates of CNS to vancomycin, teicoplanin, fusidicacid, nitrofurantoin, and minocycline were low, ranging from 0.0% to 15.8%. The resistant rates of Klebsiella pneumoniae and Escherichia coli to cephalothin, cefuroxime and amoxicillin were between 79.5% and 97.4%.Conclusion　CNS are the predominant pathogens in the neonatal blood cultures and the resistance rates of CNS and some Gram-negative bacilli to some frequently-used antibacterials are high. It is necessary to take measures to monitor the drug resistance of strains and use antibacterials reasonably.]]> 2017/12/6 16:26:21 HUANG Chao-qun, CHEN Xiang, LI Wen-jun, et al. 227true ［Abstract］　Objective　To investigate the clinical efficacy of edaravone combined with Shuxuening injection in treatment of cerebral infarction.Methods　146 patients with cerebral infarction were randomly divided into edaravone group and combination group, being treated with edaravone and edaravone combined with Shuxuening injection respectively.Results　After 2 months′treatment, the scores of the combination group and the edaravone group were ［(79.29±21.03） vs （69.24±18.15)］. The scores of life ability recovery degree in the two groups were ［(59.42±18.03） vs （30.24±12.38)］(P<0.05); The efficiency of the combination group was higher than that of the edaravone group(P<0.05).Conclusion　Edaravone combined with Shuxuening injection improves nerve function in the cerebral infarction patients with nerve injury and increases the their self-care ability and treatment efficient rate.]]> 2017/12/6 16:26:21 LI Bo 226true ［Abstract］　Objective　To compare the efficacy of sequential therapy and the traditional triple therapy on helicobacter pylori(HP) infection.Methods　72 patients with HP infection from May 2012 to May 2014, were randomly divided into 2 groups, the control group and the observation group, with 36 cases in each group. The control group was performed traditional triple therapy and the observation group was performed sequential therapy. The clinical effect was compared between the two groups.Results　The eradication rate of HP was 94.44%(34/36) in the observation group and 77.78%(28/36) in the control group. There was significantly difference between the two groups(P<0.05). The adverse reaction rate was 5.56%(2/36) in the observation group and 11.11%(4/36) in the control group. There was no significantly difference between the two groups(P>0.05).Conclusion　Sequential therapy is more effective in the treatment of HP infection than traditional triple therapy.]]> 2017/12/6 16:26:21 BI Wei-wen, PAN Qi-zhong, LU Ri-jian 225true ［Abstract］　Objective　To observe the effect of neuromuscular electrical stimulation(NMES) on postpartum pelvic floor dysfunction.Methods　195 patients with postpartum pelvic floor dysfunction were treated with NMES from February 2012 to February 2013 in our hospital.Results　92 patients were cured; 74 patients were effective; 29 patients were ineffective. The contractive time and fatigue of muscle fiber Ⅰ or Ⅱ of pelvic floor were significantly increased after the treatment(P<0.01).Conclusion　The clinical effect of NMES in the treatment of postpartum pelvic floor dysfunction is a safe, painless, non-invasive therapy, playing an important role in improving the quality of life of patients.]]> 2017/12/6 16:26:21 WEI Xiao-zhen 224true ［Abstract］　Objective　To evaluate the clinical effect of improved lumbar vertebral laminoplasty combined with pedicle screw internal fixation fusion in the treatment of patients with lumbar spinal stenosis.Methods　One hundred and fifty patients with lumbar spinal stenosis in our hospital were randomly divided into two groups. The experimental group(n=75) was treated with improved lumbar vertebral combined with pedicle screw internal fixation fusion laminoplasty, while the control group(n=75) was treated with pedicle screw internal fixation fusion. The vertebral canal sagittal diameter, angle and height of posterior vertebral body were recorded and compared between the two groups. Denis and Frankel grading standard were applied to evaluate the neurological function.Results　The average Frankel grading increased 1.5 grades in the experimental group, while it was only 0.9 grades in the control group. The average Denis grading decreased 1.1 grades in the experimental group, while it was only 1.5 grades in the control group. The height of anterior vertebral body increased from （44.9%±11.4%）% to （57.3%±7.1）% in the experimental group, while it increased from （45.1%±11.5）% to （53.8±7.9）% in the control group.Conclusion　Improved lumbar vertebral tube keratoplasty ally pedicle screw internal fixation fusion has good effects on patients with lumbar spinal stenosis. It can relieve degree of patients′ pain and save their neurological function and integrity of vertebrae.]]> 2017/12/6 16:26:21 XU Bi-hai 223true ［Abstract］　Objective　To evaluate the value of ultrasonography in the prenatal diagnosis of fetal limb deformity.Methods　Systematic continuous sequence approach was performed to screen fetal limb deformity for 2 160 cases of pregnant wemen from January 2011 to November 2013 in our hospital.The results of fetal limb deformities were confirmed after induced abortion or childbirth.Results　5 cases of fetal limb deformities were diagnosed by the prenatal ultrasound, including 1 case of foot deformity, 1 case of limb stump deformity, 1 case of achondroplasia, 1 case of osteogenesis imperfecta and 1 case of hand deformity. 6 cases of fetal limb deformities were diagnosed by induced abortion or childbirth, 1 case with ectrosyndactylia deformity was missed by prenatal ultrasound diagnosis.Conclusion　The fetal limb deformity can be detected by prenatal ultrasound.It is an effective screening method for fetal limb deformity.]]> 2017/12/6 16:26:21 HE Yu-mei 222true ［Abstract］　Objective　To study the nosocomial infection features and drug resistance of Staphylococcus aureus and provide a clinical evidence of antibiotics selection.Methods　The isolated bacteria were identified and antibiotic sensitivity was detected using K-B disk diffusion method according to standard CLSI /NCCLS requirement in 196 strains of Staphylococcus aureus collected in Dachang hospital of Nandan county from January 2012 to June 2014.Results　In 196 strains of Staphylococcus aureus, methicillin-resistant Staphylococcus aureus(MRSA) accounted for 46.4%(91/196), the methicillin sensitive staphylococcus aureus(MSSA) accounted for 53.6%(105/196). Most of MRSA infections were found in elderly patients in respiratory department. The sensitivity rate of both MRSA and MSSA to vancomycin, linezolid and teicoplanin was 100.0%. The resistance rate of MRSA to ampicillin, oxacillin, penicillin, cefazolin, cefoxitin was 100.0%. The resistant rate of MSSA to penicillin, ampicillin, erythromycin was decreased successively. The drug resistant rate of MRSA to antibiotics was higher than that of MSSA(P<0.05).Conclusion　The drug resistance of MSSA and MRSA to antibiotics was different. The monitoring drug resistance of MRSA should be further strengthened clinically in order to control the drug resistant strains and reasonably use antimicrobial drugs.]]> 2017/12/8 8:10:56 JIANG Li-li 221true ［Abstract］　Objective　To explore the influence of urinary tract infection on the recurrence of kidney stones.Methods　The data of 108 cases of the calculi anti-infection treatment and the calculi recurrence patients in the hospital from June 2012 to June 2013 were retrospecting.Results　108 patients were followed up for 12～24 months after the operation. The stone recurrence was found in 15 cases(13.9%). Before leaving the hospital the urine conventional WBC positive recurrence rate was 47.8%(11/23). The negative recurrence rate was 4.7%(4/85)(P<0.05). The recurrence rate of the infection group was 41.4%(12/29) and it was obviously higher than that of the disinfection group 3.8%(3/79)(P<0.05).Conclusion　It needs more anti-infection treatment to control the urine infection and prevent the infection calculi.]]> 2017/12/8 8:10:56 YANG Qiao-zhi, CHEN Jian-fa, CHEN Zhuang, et al. 220true ［Abstract］　Objective　To investigate the reasonable assessment and treatment methods for gynecological patients with frequent premature ventricular contractions（PVCs） before surgery.Methods　A retrospective analysis was performed on the management of 48 cases with the presence of frequent premature ventricular contractions before gynecological surgery（PVCs group）. During the same time of operation as PVCs group, 41 patients with normal ECG before gynecological surgery(laparoscopic surgery in 23 cases, open surgery in 18 cases) were selected as control group. Time of surgery preparation and postoperative hospital stay and the positive rate of cardiac abnormality were recorded and compared between the two groups.Results　Preoperative preparation time was longer in frequent PVCs group than that in the control group(P<0.05). Time of postoperative hospital stay had no significant difference(P>0.05). Ultrasound examination revealed that cardiac abnormality positive rate was 4.2% in PVCs group, showing as in pairs, bigeminal, trigeminy and multifocal of 68.8%, and showing heart rate variability decreased by 45.8%.Conclusion　Frequent PVCs extends preoperative preparation time, but does not extend the time of hospital stay. Ultrasound examination shows lower rate of detecting cardiac abnormality.]]> 2017/12/8 8:10:56 MO Zhu-quan, MA Li 219true ［Abstract］　Objective　To explore the efficacy of mini-invasive puncture drainage combined with intraplearal injection of urokinase(UK) in the treatment of encapsulated empyema.Methods　Thirty-four patients with encapsulated empyema received mini-invasive puncture closed drainage by inserting central catheters, and intraplearal injection of UK.Results　Nineteen cases were cured, 15 cases improved, the total effective rate was 100.0%. The time of indwelling catheter was 16～26(average 20.56)days.Conclusion　Mini-invasive puncture drainage combined with intraplearal injection of UK in the treatment of encapsulated empyema is simple, safe and effective, drainage tube diameter is not the main factor influencing the curative efficacy.]]> 2017/12/12 9:29:09 WANG Chao-hong, ZHOU Dan, FAN Mei, et al. 218true ［Abstract］　Objective　To analyze the therapeutic effect of open reduction and internal fixation with combined patella claw in the treatment of patellar fracture.Methods　A retrospective analysis was performed on the therapeutic effect of 56 cases of patellar fracture treated by open reduction and internal fixation with combined patella claw.Results　The follow-up time was 6～24 months. All patients′ fracture and operative incisions healed well with satisfactory knee function and no cases of skin ulceration. No loosening, break or drop-off happened on the patella claws. According to the therapeutic effect standard made by Zhang Chuncai, the excellent effect was found in 46 cases, good in 9 cases, fair in one case. The excellent and good rate was 98.2%.Conclusion　Treating patellar fracture with combined patella claw has the advantages of easy operation, short surgical time, firm fixation, less trauma and complications, and high healing rate.]]> 2017/12/12 9:29:09 WEI Zu-long, QIN Sheng-ming, HUANG Shun-yong, et al. 217true ［Abstract］　Objective　To investigate the effect of medical thoracoscopy surgery in the diagnosis and treatment of unexplained pleural effusion in the elderly.Methods　The clinical data of 78 elderly patients with unexplained pleural effusion undergoing medical thoracoscopy surgery was retrospectively analyzed.Results　Seventy-eight patients were successfully carried out surgery and underwent medical thoracoscopy. The pathological findings showed malignant tumors in 45 cases(57.69%), non-specific inflammation in 33 cases(42.31%). Patients were followed up for 3～17 months, the efficient rate was 97.44%(76/78). No serious postoperative complication was found.Conclusion　The medical thoracoscopy surgery is safe and effective in the diagnosis and treatment of elderly patients with unexplained pleural effusion.]]> 2017/12/12 9:29:09 CHEN Jian-fa, YANG Qiao-zhi, CHEN Zhuang, et al. 216true ［Abstract］　Objective　To explore the advantages of high-frequency electric scalpel for tonsillectomy.Methods　A retrospective analysis of clinical data was made in 128 cases of tonsillectomy from June 2010 to June 2013 in our hospital. The 63 cases who received tonsillectomy by tranditional operation were chosen as control group, and 65 cases who received tonsillectomy by high-frequency electric scalpel were chosen as observation group. A comparison was made in the opetative time, intraoperative bleeding volume, the postoperative recovery time of normal diet, the duration of pain, the fall-off time of pseudomembrane and the pain score between two groups.Results　The operative time, intraoperatice bleeding volume, the postoperative recovery time of normal diet and the duration of pain in the observation group were significantly shorter than those in the control group（P<0.01 or P<0.05）, and its fall-off time of pseudomembrane was significantly longer(P<0.01).The excellent rate of pain score in observation group was 96.9%(63/65), it was 34.9%(22/63) in the control group, there was significant differences between the two groups(P<0.05).Conclusion　The high-frequency electric scalpel can shorten the operative time, reduce the intraoperative bleeding volume and accelerate postoperative rehabilitation. It has obvious advantages compared with tranditional tonsillectomy.]]> 2017/12/12 9:29:09 LUO Zuo-yan, QIN Yuan-ming 215true ［Abstract］　Objective　To explore the clinical effects of octreotide combined with pantoprazole sodium in the treatment of peptic ulcer bleeding(PUB).Methods　From January to July 2014, 124 patients with PUB were randomly dirided into the observation group and the control group, with 62 patients in each group. The observation group was given regular treatment and octreotide combined with pantoprazole sodium, while the control group was given octreotide based on regular treatment. The curative effects of the two groups were observed.Results　The curative effect level and total effective rate in the observation group were significantly better than those in the control group(P<0.05), no obvious adverse reaction was found in the two groups.Conclusion　Octreotide combined with pantoprazole sodium for the treatment of peptic ulcer bleeding has significant efficacy with high safety, and is worthy of clinical application.]]> 2017/12/12 9:29:09 LIN Fu-qiu 214true ［Abstract］　Objective　To investigate the clinical characteristics and diagnosis and treatment principles of early postoperative inflammatory bowel obstruction.Methods　The clinical manifestations and the methods of diagnosis treatment of 32 patients with early postoperative inflammatory bowel obstruction were analyzed retrospectively.Results　In a total of 32 patients, 30 patients who suffered from bowel obstruction after the first time of operation recovered after conservative treatment. The mean cure time was 10 days, no complication was found. Two patients who suspected of having mechanical bowel obstruction underwent operation again, during which multiple rupture of of the small bowel happened and a portion of the small bowel were cut off. They both recovered after 3 weeks of conservative treatment.Conclusion　The conservative treatment of early postoperative inflammatory bowel obstruction has better therapeutic efficacy.]]> 2017/12/12 9:29:09 CHEN Zhi-weng 213true ［Abstract］　Objective　To investigate the clinical and pathological features of primary müllerian adenosarcoma of the uterine cervix.Methods　One case of primary mütillerian adenosarcoma in the uterine cervix was microscopically observed.Results　Uterine cervix outgrowth was one of the common clinical symptoms. The tumor was mixed epithelial components which was benign and malignant mesenchymal components. The epithelial components showed irregular branching, with visible rhabdomyosarcoma mesenchymal component.Conclusion　Primary Müllerian adenosarcoma of the uterine cervix is very rare, and its diagnosis mainly depends on the morphologic features, and should be differentiated from uterine cervix polyp, adenosarcoma of the uterus and Embryonal rhabdomyosarcoma.]]> 2017/12/12 9:29:09 LIU Meng-meng, LI Hong-ying, WEI Li, et al. 212true ［Abstract］　Objective　To investigate the hospital infection status of neurosurgery inpatients, discuss the risk factors and characteristics of infection, and to provide scientific basis for prevention and control of hospital infections.Methods　1 283 neurosurgical inpatients with nosocomial infection were analyzed retrospectivly from Jan. 2012 to Dec. 2013.Results　142 case-times of the nosocomial infections were founde in 1 283 patients. The case-time infection rate was 11.1%. The main sites of neurosurgical nosocomial infection were lower respiratory tract,followed by urinary tract infection. The predominant pathogens were gram-negative bacterial,accounting for 78.2%, gram-positive cocci accounting for 16.4%,and fungi accounting for 5.4%, most distribution of 4 species of pathogens were Klebsiella pneumoniae，Pseudomonas aeruginosa，Escherichia coli and Staphylococcus aureus. The main risk factors of hospital infections were age,hospitalization duration,the extent of coma,low immune function and aggressive procedure（P<0.05）.Conclusion　The incidence of nosocomial infections is high in neurosurgery departments. In orther to reduce the incidence of nosocomial infection neurosurgery, it is necessary to take positive and effective prevention measures,strengthen the control and management according to the risk factors.]]> 2017/12/12 9:30:01 JIANG Xin, HUANG Shan-zhan, GAN Zheng-duan 211true ［Abstract］　Objective　To explore the methods and clinical effect of orthodontics combined with prosthodontics in the treatment of patients with defect of dentition and occlusion malformation.Methods　A retrospective analysis was performed on the data of 72 patients with occlusion malformation and defect of dentition who were treated in our hospital from April 2009 to July 2011, and the therapeutic effect of orthodontics combined with the prosthodontic treatment was summarized.Results　After 6 to 14 months of orthodontic treatment, the structures of the patients′ teeth were corrected, making the tooth arranged in alignment, the occlusion and coverage of the front tooth returned to normal situation, the occlusion of the back tooth good. The symptoms of the patients with temporomandibular joint disappeared, and the occlusion and beauty function of the patients were recovered after the treatment. The follow-up results of one to two years showed that excellent curative effect in 43 patients, good curative effect in 27 patients and poor curative effect in 2 patients. The total successful rate was 97.2%.Conclusion　Orthodontics combined with prosthodontics in the treatment of adult patients with front tooth missing and occlusion malformation can overcome the limitation of the traditional and pure prosthodontic treatment, basically return the facial contour and occlusion function to the normal. It is effective and safe in clinical use.]]> 2017/12/12 9:30:01 YI Yun-zhou, SHI Li 210true ［Abstract］　Objective　To explore the characteristics of X-ray manifestations of pulmonary tuberculosis in two kinds of special populations: AIDS patients and drug addicts, and performed the comparisons between both populations.Methods　From Jan 2010 to June 2014, 80 AIDS patients with pulmonary tuberculosis were studied in our hospital.All patients were taken frontal and lateral chest radiographs.Results　Seventeen in AIDS patients with pulmonary tuberculosis,lesions in the right lung were found in 65 cases,the left lungs in 63 cases, 2 lung in 56 cases；the distribution of lesions less than 2 lung field was found in 73 cases, accounting for 91.15%； cavity formation in 58 cases, accounting for 72.51%.In drug addicts with pulmonary tuberculosis, lesions in the right lung were found in 61 cases, the left lung in 48 cases, and 2 lungs in 14 cases ；the distribution of more than 2 lung fields was found in 24 cases, accounting for 30.00%；cavity formation was found in 17 cases, accounting for 21.00%. The statistical analysis showed that lesion distribution mainly involved middle and lower lung field in 2 lungs in the AIDS group(P<0.05), X-ray manifestations mainly were exudative and cavernous(P<0.05).Conclusion　AIDS patients with pulmonary tuberculosis and drug addicts with pulmonary tuberculosis have their own characteristics of X-ray, and there are some certain differences between the two populations. A wider lesion distribution and cavity formation, and lesions occasionally showing a shift phenomenon were found in AIDS patients.]]> 2017/12/12 9:30:01 ZHOU Wei-jian 209true ［Abstract］　Objective　To explore the clinical characteristics and risk factors of urologic patients with urinary tract infection and to provide a theoretical basis for prevention and control of urinary tract infection.Methods　The clinical data of 416 urologic patients with urinary tract infection treated in people′s hospital of Lingshan county from March 2011 to March 2013 were analyzed retrospectively. Furthermore, the clinical data of the above patients and 398 urologic patients without urinary tract infection at the same period were compared, and the differences in application of preventive antibiotics, indwelling urinary catheter, length of hospital stay and other aspects between the two groups were analyzed and compared.Results　There was no significant difference in the number of patients with indwelling urinary catheter between the two groups(P>0.05). The average time of urinary catheter indwelling in the urinary tract infection group was significantly longer than that of the non-urinary tract infection group, and the difference had statistical significance(P<0.01). The application rate of prophylactic drugs in the urinary tract infection group was significantly lower than that of the non-urinary tract infection group, and the difference had statistical significance(P<0.01). The length of hospital stay in the urinary tract infection group was significantly longer than that of the non-urinary tract infection group, and the difference had statistical significance(P<0.01). Four patients died in the urinary tract infection group, and the mortality rate was 0.96%. In contrast, 2 patients died in the non-urinary tract infection group, and the mortality rate was 0.50%. There was no significant difference in the mortality rates between the two groups(P>0.05).Conclusion　Major dangerous sources of occurrence of urinary tract infection in urologic patients mainly include indwelling urinary catheter, application of preventive antibiotics, length of hospital stay and other aspects. Targeted prevention measures can be employed to improve the life quality of the patients.]]> 2017/12/12 9:30:01 WANG Rui-zhong 208true ［Abstract］　Objective　To investigate the clinical effect of external trabeculotomy combined with peripheral iridectomy in the treatment of primary angle-closure glaucoma(PACG).Methods　External trabeculotomy combined with peripheral iridectomy was performed on 36 eyes in 36 patients with PACG. The anterior chamber angle and intraocular pressure were compared at 1 month, and 3 months after the operation.Results　(1)Compared with the preoperative intraocular pressure, patients′ intraocular pressure improved obviously at 1 month, and 3 months after the operation, with statistically significant differences(P<0.05). (2)At 3 months after operation, one eye was observed the elevation of intraocular pressure, disappearance of anterior chamber angle fracture and adhesion of iris periphery. (3)The patients′ visual acuity improved obviously after treatment,with statistically significant difference（P<0.01）. (4)After treatment, the postoperative anterior chamber hemorrhage was found in 36 eyes. Among them, 2 eyes(5.6%) belonged to moderate hemorrhage and 34 eyes(94.4%) belonged to mild hemorrhage.Conclusion　External trabeculotomy combined with peripheral iridectomy can effectively relieve the symptoms of the disease, achieving a significant effect, and is worthy of clinical application.]]> 2017/12/12 9:30:01 LIU Dan 207true ［Abstract］　Objective　To explore the application value of neuron specific enolase(NSE) in patients with acute cerebral infarction(ACI).Methods　The serum NSE were detected in 60 patients with ACI(ACI group) on the 2nd day after hospitalization and 14th days after treatment and compared with serum NSE in the morning of 40 healthy volunteers(control group).Results　The serum levels of NSE in ACI group before treatment were significantly higher than those in control group(P<0.01). NSE in patients with large lesions and severe illness were significantly higher than those in patients with less lesions and lighter illness(P<0.01).In ACI group,NSE after treatment were singificantly lower than those before treament(P<0.01).Conclusion　The serum levels of NSE are singificantly elevated in ACI patients.NSE has clinical value in asessment of infarct size and the illness.]]> 2017/12/18 8:27:00 CHEN Jian-guo, SHI Zhen-dong 206true ［Abstract］　Objective　To explore the clinical effect of levonorgestrel releasing intrauterine system(LNG-IUS) in treatment of dysfunctional uterine bleeding.Methods　LNG-IUS was inserted during days 5～7 of menstrual cycle in 62 patients with dysfunctional uterine bleeding. Observation endometrial thickness, hemoglobin, menstrual quantity PBAC scored before and after 3, 6, 12 months inserted LNG-IUS.Results　Sixty-two patients＇ endometrial thickness, menstrual quantity decreased, hemoglobin concentration increased. 10 patients appeared slight dizzy and nausea.Conclusion　Inserted LNG-IUS treatment dysfunctional uterine bleeding can effectively reduce menstrual quantity, raise the level of haemoglobin. It is worth to promote with the economic, convenient and less adverse effects.]]> 2017/12/18 8:27:00 ZHANG Zhao-hui, WU Xiong-fei 205true ［Abstract］　Objective　To evaluate the clinical diagnostic values of detecting tuberculosis antibody in the diagnosis of tuberculosis.Methods　From January 2012 to May 2014, 140 patients with tuberculosis were used as the observation group, 140 healthy people as control group. The acid fast staining method was used for detecting acid fast bacilli in the sputum and the gold-labeled method for detecting tuberculosis antibody in the blood.Results　In the observation group, 45 cases(32.14%) were positive in the bacterial test, whereas 78 cases(55.71%)were positive for the antibody. In the control group, no positive result was found in both tests.Conclusion　The gold-labeled method of detecting tuberculosis antibody is a quick test with a high positive detection rate, which is easy for performing and can be used as a clinical routine test.]]> 2017/12/18 8:27:00 LIU Wei 204true ［Abstract］　Objective　To explore the clinical experience of treatment for intraperitoneal persistent massive hemorrhage.Methods　The treatment scheme of gauze packing and damage control surgery were applied to 8 patients with intraperitoneal persistent massive hemorrhage.Results　Eight patients with intraperitoneal persistent massive hemorrhage got effective hemostasis and survived after operation. There were no rebleeding situation when removing gauze pad after 36～72 h of operation.Conclusion　The treatment scheme of gauze packing and damage control surgery in the treatment of intraperitoneal persistent massive hemorrhage is effective and is an emergency rescue technique to be easily mastered by the primary health care personnel.]]> 2017/12/18 8:27:00 PAN Guan-ning, OU Qiang, WEI Yi 203true ［Abstract］　Objective　To investigate the condition of perioperative use of antibacterial drug in patients undergoing type I incision operation and its intervention effect.Methods　The condition of perioperative use of antibiotics in 393 patients undergoing type I incision operation and its intervention effect were analyzed in our hospital from Jan to Dec 2012.Results　After intervention on perioperative use of antibacterial drugs, the use of antimicrobial drugs decreased significantly, irrational use was significantly improved.Conclusion　Appropriate intervention measures can effectively improve the level of rational perioperative application of antibiotics in patients undergoing type I incision operation,and it is worthy of further promotion.]]> 2017/12/18 8:27:00 WEI Fu 202true 2017/12/18 8:27:00 张　朋，杜敬华，李世明 201true ［Abstract］　Objective　To observe the clinical effects of high-doses of vitamin C combination with dexamethasone in the treatment of oropharyngeal ulcers after radiotherapy.Methods　Oropharyngeal ulcer patients(n=62) of nasopharyngeal carcinoma after radiotherapy were randomly divided into the control group(n=31) and the treatment group(high-dose vitamin C+dexamethasone)(n=31). The control group was treated with conventional medication. The treatment group was treated with vitamin C 3 000 mg by intravenous injection(10 mg/d)+dexamethasone 10 mg in 0.9%Nacl 250 ml by intravenous drip on the basis of the same treatment in the control group, 1 time per day, 7 days for a period of treatment.Methods　The effective rate was 96.77% and 61.29% in the treatment group and the control group respectively. There was significant difference in curative effect between the two groups(P<0.05).Conclusion　Highdose of vitamin C combination with dexamethasone is effective in the treatment of oropharyngeal ulceration after radiotherapy.]]> 2017/9/12 9:14:26 JIANG Shou-zhe, WANG Tao, LIANG Yi-lei, et al. 200true ［Abstract］　Objective　To evaluate the efficacy and safety of compound azintamide plus gastric motor drug in the treatment of the elderly with functional dyspepsia(FD).Methods　Ninety-two elderly patients with FD were randomly divided into two groups. The observation group(n=47) was treated with compound azintamide and itopride hydrochloride tablets and the control group(n=45) was treated with itopride hydrochloride tablets. The efficacy and safety in the two groups were evaluated.Methods　The extent of abdominal distention, indisposition after meals and poor appetite improvement was more significant in the observation group than that in the control group after 2 and 4 weeks of the treatment(P<0.05). The total effective rates after 2 and 4 weeks of the treatment in the observation group were 68.1% and 89.4%, which were significantly higher than those in the control group(46.7% and 66.7%)(P<0.05). There were no obvious adverse reactions in the two groups during the period of the treatment.Conclusion　Compound azintamide plus itopride hydrochloride tablets is safe and effective in the treatment of elderly patients with FD.]]> 2017/9/12 9:14:26 WEI Yu-man 199true ［Abstract］　Objective　To compare the effect of anterior cervical discectomy and interbody fusion(ACDF) and artificial cervical disc replacement(ACDR) in the treatment of single segmental cervical disc herniation.Methods　A total of 81 patients with single segmental cervical disc herniation were collected in our hospital from January 2010 to June 2014, in which 40 patients received ACDF surgery(fusion group) and other 41 patients underwent ACDR surgery(permutation group). The changes of activity were compared between the two groups before and the last follow-up after the surgery.Methods　There were significant differences in the changes of activity between the two groups at the last time of follow-up after the surgery(P<0.01). For each group, the activity improved at the end of the follow-up compared with that before the surgery（P<0.01）.Conclusion　Both ACDR and ACDF are effective in the treatment of single segmental cervical disc herniation, which improves the activity of cervical disc herniation. ACDR also makes the surgery adjacent segments of the compensatory activity increased, and therefore may prevent adjacent segment degeneration.]]> 2017/9/12 9:14:26 HUANG Chang-an, LI Jun, YUAN Wen-qi, et al. 198true ［Abstract］　Objective　To explore the prognosis of proximal femur prevent rotation intramedullary nailing(PFNA) on diabetic patients and non-diabetic patients with intertrochanteric fractures.Methods　Eighty-seven patients with intertrochanteric fractures were collected in our hospital from August 2010 to August 2012, among which 48 patients were in the non-diabetic group and 39 patients in the diabetic group. The satisfied help of C arm and closed reduction by the traction bed PFNA internal fixation treatment was performed after anesthesia.Methods　The incidence of postoperative complications in the non-diabetic group(8.33%) was less than that in the diabetic group(51.28%).There was no significant difference in Harris score of hip function between the two groups.Conclusion　The curative effect of PFNA internal fixation treatment on diabetic patients with intertrochanteric fracture is similar to that on non-diabetic patients. However, the incidence of complications is higher in diabetic patients.]]> 2017/9/12 9:14:26 LIU Cheng-hu, WANG Shi-gang 197true ［Abstract］　Objective　To investigate the value of three-dimensional contrast-enhanced MR angiography(3D contrast-enhanced MR angiography, 3D CE-MRA) on diagnosing the lower extremity arterial diseases in the patients with diabetic feet.Methods　Thirty-six patients with clinical suspicion of developing arteriosclerosis obliterans were performed CE-MRA to check the next segment of the abdominal aorta to dorsalis pedis artery within the lower limb arteries. The involved artery blood vessels were observed and the arterial stenosis and grades were analyzed.Methods　All of 36 patients demonstrated the involved arteries basically satisfactorily with clear blood vessels and clear lesions of the pathological changes. For all patients, normal to mild arterial stenosis was showed in 264 segments, moderate stenosis in 129 segments, severe stenosis in 62 segments and obliterans in 75 segments.Conclusion　3D CE-MRA can effectively display lower extremity arterial vascular abnormalities in patients with diabetic feet, and has a great value for diagnosis.]]> 2017/9/12 9:14:26 CAI De-song, LIU Jin-you 196true ［Abstract］　Objective　To explore the methods of emergency operation for repairing traumatic distal finger and soft tissue defect.Methods　Sixty-five patients who were performed the operation for repairing traumatic distal fingers ends and soft tissue defect were retrospectively analyzed from 2009 to 2014 in the emergency room of our hospital.Results　After taking the best treatment of emergency operation treatment and postoperative rehabilitation treatment, according to the hand surgery society of Chinese Medical Association of hand function assessment standard for comprehensive evaluation, the clinical efficacy was excellent in 20 cases, good in 34 cases, improved in 8 cases, poor in 3 cases.Conclusion　According to the different types of injury and patients′ requirements, selecting the best repair scheme of emergency operation and timely repairing of traumatic finger end and soft tissue defect, can improve the curative effect and the postoperative rehabilitation.]]> 2017/9/13 9:54:48 WEI Yong, RONG Xiang-bin 195true ［Abstract］　Objective　To investigate the effect of abnormal glucose metabolism on vulvovaginal candidiasis infection and pregnancy outcome in pregnant women.Methods　One thousand and fifty-six pregnant women were collected who did prenatal examination and termly deliveried in the department of obstetrics and gynecology of our hospital from Jun 2011 to Jun 2013. According to the glucose screening test results, they were divided into glucose normal group（n=624）, GCT abnormal group（n=326）and gestational diabetes mellitus(GDM) group(n=106). The occurrence of the vulvovaginal candidiasis(VVC) infection and pregnancy outcome of the three groups were observed during pregnancy.Results　The occurrence rates of VVC of GCT abnormal group and GDM group had no significant differences(P>0.05), but they were significantly higher than those of glucose normal group(P<0.05). The recurrence rate of VVC among the three group had no significant difference(P>0.05).Conclusion　Abnormal glucose metabolism during pregnancy may increase occurrence risk of VVC, which affects the outcome of pregnancy and increases the risk of cesarean section and premature rupture of membranes and intrauterine fetal distress, thus it should be payed more attention to the changes of blood glucose level. Glycated hemoglobin level in pregnant women should be monitored.]]> 2017/9/13 9:54:48 DONG Hai-ling 194true ［Abstract］　Objective　To investigate the clinical effect of groin flap repair for the treatment of traumatic tissue defect of hands.Methods　Twenty patients with hand tissue defects in our hospital from March 2010 to December 2013 were collected as the research objects.Results　Twenty cases survived, with a follow-up of 6 months. 18 cases felt satisfactory to the recovery of the repairment and function and other 2 cases received fat free dressing operation for shin flap slightly.Conclusion　Patients with severe hand injury and tissue defects who are not suitable for shin grafting operation can accept, the repair operation of abdominal pedicled groin flap. The operation is convenient and effective with hidden donor site and unlimited width and length of graft.]]> 2017/9/13 9:54:48 ZHU Zhan-biao, SHI Neng-huai, FU Hong-bo 193true ［Abstract］　Objective　To study the skill of fetal umbilical blood sampling guided by ultrasound and summarize the experience of sampling, and to improve the success rate and reduce complications.Methods　One hundred and seventy-six clinically suspected abnormal pregnant women were performed the umbilical blood sampling guided by ultrasound. All the data were statistically analyzed.Results　The success rate of the first attempt was 79.5%（140/176）, and the final success rate was 94.3%（166/176）.Conclusion　Real-time ultrasound guidance in umbilical blood sampling has the advantage of positioning accuracy, which plays a decisive role in improving the success rate of first attempt and reducing complications of umbilical blood sampling. Umbilical blood sampling is an effective remedy of prenatal diagnosis during the middle-late pregnancy.]]> 2017/9/13 9:54:48 ZHANG Hong-liu, WANG Xiao-yan, LAN Chun-yong, et al. 192true ［Abstract］　Objective　To evaluate the application of ultrasound-guided percutaneous renal biopsy in a primary hospital and its clinical significances.Methods　The kidney tissue specimens of 46 patients were taken using ultrasound-guided automatic biopsy gun and 16 G biopsy needle. The clinical data, successful rate of sampling and complications were analyzed.Results　For 46 patients, the average times of puncture were (2.56±0.5), with a successful rate of sampling in 100% and a pathological diagnosis rate in 100%. The hematuria rate was 100.0%（46/46） after the operation. Perirenal hematoma rate was 10.9%(5/46) and renal sinus bleeding and/or bladder hemorrhage rate was 2.2%(1/46).Conclusion　Ultrasound-guided automatic renal biopsy is a simple and safe method for kidney tissue sampling with a high successful rate, and less complications in the primary hospital.]]> 2017/9/13 9:54:48 WEI Lan-chun, LAN Fei-fei, LIAO Yi-lin, et al. 191true ［Abstract］　Objective　To study the clinical effect of internal ring peritoneal external surgery on pediatric inguinal oblique hernia.Methods　Two hundred and two patients with pediatric inguinal hernia in our hospital from March 2012 to August 2014 were divided into the observation group and the control group according to the different treatments, with 109 cases in the observation group and 93 cases in the control group. The observation group was treated with internal ring peritoneal external surgery, and the control group was treated with traditional surgery. The operation time, hospital stay, complications and postoperative recurrence rate were compared between the two groups.Results　The operation time and postoperative hospital stay in the observation group were shorter than those in the control group. The incidence of complications and postoperative recurrence rate in the observation group were lower than those in the control group(P<0.05).Conclusion　Internal ring peritoneal external operation is a safe and simple way with less pain and complications to treat pediatric inguinal hernia.]]> 2017/9/13 9:54:48 HUANG Ming-jiang 190true ［Abstract］　Objective　To analyze the correlation between Apgar score and heart rate variability(HRV) in newborns with severe asphyxia.Methods　A total of 63 asphyxia newborns and 40 healthy newborns from October 2010 to May 2014 were selected as the study subjects. A 24 h entire dynamic recording of the cardiac function of all the newborns was performed, and time-domain analysis of HRV was performed for the 24 h sinus rhythm, with the normal sinus rhythm standard deviation of NN intervals(SDNN) as the analysis index. The standard deviation of average NN intervals(SDANN) in all 5-minute segments of the entire recording was recorded. The mean of the 5-minute standard deviation of NN intervals(SDNN index) and the root mean square successive difference(rMSSD) of adjacent NN intervals were recorded in the entire process. The percentage of standard deviation of NN intervals(PNN50) >50 ms was calculated. According to the 5 min Apgar score, all the asphyxia newborns were divided into severe group(Apgar≤7) and mild group(Apgar>7). Dynamic electrocardiogram was recorded for all the newborns on the third day after birth and the changes of HRV were compared.Results　The maximum, minimum and average heart rates were significantly less in the severe group and the mild group than those in the healthy controls（P<0.05）, and those in the severe group were less than those in the mild grop（P<0.05）. SDNN and SDANN were significantly lower in the severe asphyxia group and the mild asphyxia group than those in the control group. SDNN and SDANN were significantly lower in the severe asphyxia group than those in the mild asphyxia group(P<0.05).Conclusion　Neonatal asphyxia can cause impairment of autonomic nervous function. Apgar socre in combination with HRV time-domain indexes can evaluate the impairment of autonomic nervous function and reflects the hypoxia severity caused by asphyxia.]]> 2017/9/13 9:54:48 LI Hong 189true ［Abstract］　Objective　To improve the clinical understanding of aggressive fibromatosis derived from esophagus.Methods　A woman with aggressive fibromatosis of the upper thoracic esophagus was treated in our hospital. We reported the clinical pathological data of this patient and analyzed the clinical data of 4 cases with aggressive fibromatosis derived from esophagus which were reported by domestic and foreign literatures.Results　The main symptom of aggressive fibromatosis was dysphagia which was easily misdiagnosed as benign tumors of the esophagus, and a definite diagnosis must depend on pathological examination. It was difficult to completely resect the wide range of lesion of esophageal aggressive fibromatosis, but endoscopic esophageal dilatation could alleviate the symptom of dysphagia.Conclusion　Aggressive fibromatosis derived from esophagus is rare in clinics, and its growth is slow. The biological behavior of the neoplasm belongs to borderline. It is difficult to resect the lesion located in the upper thoracic esophagus, and regular endoscopic esophageal dilatation is helpful to improve the quality of life for the patients.]]> 2017/9/15 8:39:15 DENG Yong-jun, LI Jue, LIU Huan-peng, et al. 188true ［Abstract］　Objective　To investigate the effectiveness and safety of the endoscopic transnasal transsphenoidal method and endoscopic transsphenoidal surgery for the treatment of craniotomy or microscopic tumor with relapsed after resection of pituitary.Methods　Two hundred and forty-five patients with pituitary tumor recurrence were collected from March 2008 to February 2014,who were performed by transsphenoidal or craniotomy for the first operation.All the patients were included in this study and were given secondary endoscopic transsphenoidal surgery.Tumor resection extent,endocrine changes in visual acuity and complications were analyzed.Results　The surgery subtotal resection rate was 80.38%,without dead cases and serious complications.Conclusion　Endoscopic transsphenoidal resection of pituitary tumors is safe and effective.]]> 2017/9/15 8:39:15 WU Sheng-xiang, ZHANG Guo-long, ZHANG Lei, et al. 187true ［Abstract］　Objective　To study the diagnostic value of real-time quantitative PCR detection in chlamydiales pneumoniae.Methods　Sputum samples from 186 patients with respiratory infection were detected using real-time quantitative PCR and gene sequencing respectively to evaluate the accuracy of real-time quantitative PCR for detecting chlamydiales pneumoniae.Results　Taking gene sequencing as a gold standard, the sensitivity of real-time quantitative PCR was 100.0%; the specificity was 93.1%; the positive predictive value was 80.8%; the negative predictive value was 100.0%, and the accuracy was 94.6%.Conclusion　Real-time quantitative PCR has high reliability and is suitable for rapid diagnosis of related diseases infected by chlamydiales pneumoniae.]]> 2017/9/15 8:39:15 LUO Yan-fang, ZHAO Lin, LI You-qiong, et al. 186true ［Abstract］　Objective　To study the imaging features of acute pancreatitis complicated with liver damage and their clinical significances.Methods　Forty patients who were clinically diagnosed as acute pancreatitis（AP） in our hospital from January 2012 to February 2015 were divided into light pancreatitis group(MAP) and severe acute pancreatitis group(SAP). 15 healthy people were collected as the control group. The ratio of liver scan to spleen scan was measured and laboratory examination of liver function were analyzed in all groups.Results　25 cases were found in MAP group and 15 cases in SAP group. Among 25 cases of MAP group, liver function damage index increased in 18 cases and the inversion of liver/spleen CT ratio occurred in 13 cases(72%); 7 cases were normal and their liver function index of liver/spleen CT ratio inversion was 57%(4/7), without inversion occurring in 3 cases(43%). The liver function damage index was elevated in SAP patients and their liver/spleen CT ratio value inversion was 93.3%(14/15). The liver function damage index was elevated in MAP group and SAP group and their liver/spleen CT ratio values were (0.85±0.21) and (0.69±0.31). The liver/spleen CT value ratio of the normal group was (1.25±0.15), with significant differences compared with MAP group and SAP group(P<0.05).Conclusion　Reduced liver CT values are associated with the degree of acute pancreatitis.]]> 2017/9/15 8:39:15 WEI Hong-xing 185true ［Abstract］　Objective　To investigate a safe and effective method for curettage using uterine artery catheterization under the guidance of ultrasound in wewen with scar pregnancy.Methods　Percutaneous puncture of the right femoral artery was performed by seldingger method, followed by conventional bilateral uterine artery angiography and angiography catheter placement advantage artery then in angiography in the diagnosis of uterine curettage in bed, under the guidance of ultrasound. If intraoperative and postoperative bleeding of uterine curettage happened, uterine artery embolization was performed immediately, and the operation was ended if no massive hemorrhage occurred.Results　Intraoperative hemorrhage occurred in 2 patients and the embolization of bilateral uterine artery was performed successfully on them. No bleeding happened in 7 patients who were performed only for uterine artery angiography with uterine artery completely retained.Conclusion　Uterine artery catheterization after ultrasound guided curettage in patients with scar pregnancy is safe and effective, which can minimize the damage to the patients.]]> 2017/9/15 8:39:15 WEI Lin, HUANG Tao, ZHANG Jian-min, et al. 184true ［Abstract］　Objective　To study the anesthesia effect and its complications of the different proportions of unilateral spinal anesthesia in the elderly patients with hip operation.Methods　Sixty elderly patients with hip operation were randomly divided into two groups,both of which were implemented by combined spinal epidural anesthesia.The hypobaric group(group A, n=30) was used 0.75% bupivacaine mixed with sterile water for injection. The hyperbaric(group B, n=30) was used 0.75% bupivacaine mixed with 5% glucose for injection. The two groups were adopted mixed liquor contained bupivacaine ranging from 8 to 15 mg and the speed of injection was 0.1 ml/s. In order to maintain the anesthesia plane, all the patients kept the same puncture position for a moments as before. The onset time of anesthesia, completely block time of anesthesia, time of duration, hemodynamic changes and the incidence of adverse reactions were observed in this study.Results　All the patients satisfied with the anesthesia effect in the two groups. The onset time of anesthesia and the plane of the fixed time in group A were longer than those in group B. The time of duration in group A was shorter than that in group B. A severe hemodynamic fluctuation was found in group B, which needed to add vasoactive drugs.Conclusion　Both of the proportions of specific gravity of unilateral spinal anesthesia is safe on hip operation for the elderly patients, but the hemodynamic of the light specific gravity of the unilateral spinal anesthesia is more stable and feasible.]]> 2017/9/15 8:39:15 LU Yan, WEI Guan-shan 183true ［Abstract］　Objective　To investigate the etiology features and risk factors of stroke-associated pneumonia(SAP) in elderly patients.Methods　A retrospective study was performed to analyze the clinical characteristics, the etiology features and risk factors in 239 elderly patients with SAP. The clinical characteristics included chronic basic diseases, state of consciousness, invasive operation, results of pathogens tests and medication.Results　Among 239 cases, 56 infected with SAP. The infection rate was 23.4% and the case-time infection rate was 26.8%. The responsible pathogens were gram negative bacteria, accounting for 65.0%, which included Pseudomonas aeruginosa(23.8%), Bauman acinetobacter(16.3%) and Klebsiella pneumoniae(15.0%). Hospitalization ≥30 days, invasive operation, disturbance of consciousness, multiple antibiotics therapy and chronic basic diseases were the risk factors of SAP.Conclusion　Elderly patients are susceptible to SAP. Increasing the awareness of controlling the risk factors and administering appropriate therapy help to prevent the development of SAP in the elderly.]]> 2017/9/15 8:39:15 HUANG Yan-fei, HAN Min, LUO Wen-jing, et al. 182true ［Abstract］　Objective　To explore the clinical curative effects of minimally invasive percutaneous ureteroscope on the treatment of impacted upper ureteral calculi.Methods　Ninety-seven patients with upper ureteral calculi treated in our hospital from May 2013 to August 2015 were divided into the observation group(n=49) and the control group(n=48) by random number table method. The control group was treated with retrograde ureteroscopy while the observation group was treated with minimally invasive percutaneous ureteroscope. The operation time, hospital stay, the clearance rates of calculi 3 days and 1 month after the operation and the incidence of complications were compared between the two groups.Results　The operation time and hospital stay in the observation group were significantly longer than those in the control group(79.2%, 87.5%)(P<0.05). The clearance rates of calculi in the observation group 3 d and 1 month after the operation(93.9%, 100.0%) were significantly higher than those in the control group(P<0.05). The incidences of complications in were not significantly different between the observation group and the control group(8.3%)(P>0.05).Conclusion　Minimally invasive percutaneous ureteroscope has a longer duration of surgery and hospital stay than retrograde ureteroscopy and is easier to reach the sites of calculi and is more effective for removing stones in the treatment of impacted upper ureteral calculi.]]> 2017/7/13 10:28:25 GAO Chao 181true ［Abstract］　Objective　To analyze the changes of the serum parathyroid hormone(PTH) in the patients with chronic renal insufficiency(CRF).Methods　Three hundred and six patients in nephrology department with CRF from September 2013 to December 2014 were selected as the research subjects. According to the CFR staging criteria of China and the levers of CRE, the patients were divided into the following groups: 25 cases in compensatory stage of renal insufficiency(133.8Results　The levels of PTH in the patients with chronic renal insufficiency were higher than those of the normal controls, and the PTH increased with the progression of the disease.Conclusion　Monitoring the serum PTH levels can evaluate the degree of renal function damage. It has an important significance for the prevention and treatment of CRF.]]> 2017/7/13 10:28:25 GUO De-ming 180true ［Abstract］　Objective　To explore the safey and effects of lansoprazole combined with flupentixol and melitracen on the treatment of functional dyspepsia.Methods　Ninety cases with functional dyspepsia were randomly divided into two groups: group A and group B, with 45 cases in each group. Group A was treated with lansoprazole, and group B was given lansoprazole combined with flupentixol and melitracen for 8 weeks. The curative effect and adverse reactions were compared between the two groups.Results　In group B, 40 cases were markedly effective, 4 cases effective and 1 case ineffective. In group A, 29 cases were markedly effective, 9 cases effective and 7 cases ineffective. The curative effect of group B was better than that of group A(P<0.05); There was no significant difference in the incidence of adverse reactions between the two groups.Conclusion　Flupentixol and melitracen combined with lansoprazole is safe and effective in the treatment of functional dyspepsia.]]> 2017/7/13 10:28:25 MENG Qing-si, ZHAI Deng-he 179true ［Abstract］　Objective　To investigate the etiology, pathogenesis and treatment of hypertensive cerebellar hemorrhage.Methods　The clinical data of 45 cases with hypertensive cerebellar hemorrhage treated in our hospital from February 2007 to March 2015 were retrospectively analyzed.Results　All the patients were hospitalized for 11 to 32 days and followed up for 3 to 6 months. According to GOS classification, there were 28 cases with good effects,13 cases with moderate disability, 2 cases with severe disability, 0 case with vegetative survival and 2 cases died. In the 13 cases with moderate disability, 1 case had to be transfered to surgical treatment and 2 cases died because of the primary chronic obstructive pulmonary disease or type 2 diabetes.Conclusion　The patients with hypertensive cerebellar hemorrhage should be treated according to the medical indications induding hematoma size and state of consciousness and treated with individualized treatments under the carefully dynamic monitoring.]]> 2017/7/13 10:28:25 NING Rong-qun, YAN Wei-min, HU Li-ming, et al. 178true ［Abstract］　Objective　To evaluate the distribution and drug resistance of common pathogenic bacteria of infectious peritonitis related to peritoneal dialysis.Methods　Sixty inpatients with peritoneal dialysis related infectious peritonitis from in our hospital June 2013 to October 2014 were selected as the research subjects and their clinical data were retrospectively analyzed.Results　The microbial cultures were positive in 29 cases(48.33%), including 12 cases with Gram positive cocci, 14 cases with Gram negative bacilli and 3 cases with fungi; In Gram negative bacilli, the antibacterial drug with the highest resistance rate was Ampicillin(78.57%) and the antibacterial drug with the lowest resistance rate was Imipenem(16.67%). In Gram positive cocci, the antibacterial drug with the highest resistance rate was Penicillin(76.92%), followed by Ciprofloxacin(71.43%).Conclusion　Both of Gram positive and Gram negative bacteria are the common pathogenic bacteria leading to the peritonitis caused by peritoneal dialysis. Antimicrobial agents should be selected according to the sensitivity of the drugs, Extubation should be performed as soon as possible for the patients with fungal peritonitis.]]> 2017/7/13 10:28:25 CHEN Ying-jie, CAO Ling-yi 177true ［Abstract］　Objective　To explore the changes of plasma homocysteine(Hcy) and the correlative factors in cerebral infarction patients.Methods　One hundred and sixty cerebral infarction patients and 120 healthy subjects were selected in our hospital from June 2014 to May 2015. Cycling enzymatic method was used to measure the serum homocysteine level. The kidney and liver functions were tested. The results were compared and analyzed.Results　The serum homocysteine level in the cerebral infarction patients （21.92±12.13）μmol/L was higher than that in the healthy subjects （10.46±2.36）μmol/L. The blood glucose, live and kidney functions in the cerebral infarction patients were different from those in the healthy subjects. ALT, AST, GGT, age and gender were the main influencing factors of Hcy.Conclusion　The risk factors of cerebral infarction are caused by high level of Hcy. The contents of ALT, AST and GGT are positively correlated to Hcy concentration.]]> 2017/7/13 10:28:25 XUE Lin, LI Chen-peng 176true ［Abstract］　Objective　To investigate the clinical characteristics of depressive disorder in the outpatients with depression in the department of neurology.Methods　The clinical data of 144 outpatients with depressive disorder in our hospital from April 2010 to June 2015 were retrospectively investigated. The flow regulating depression scale and Hamilton depression amount scale were used to score.Results　144 patients were diagnosed with depressive disorder in 1 644 patients(8.76%), in which 56.25% elderly patients were 60 to 70 years old,with an average of (16.7±4.3)years.Conclusion　The clinical characteristics of the patients with depression disorder in the department of neurology can provide reference for clinical treatment.]]> 2017/7/13 10:28:25 LU Jian-jun, LI Zhi-gang, TANG Xiao-mei, et al. 175true ［Abstract］　Objective　To investigate the clinical effect of dual energy CT(DECT) imaging on the diagnosis of gout uric acid salt deposits.Methods　Ninety patients with suspected gout underwent DECT examination and lesion biopsy examination. The specificity, sensitivity, false positive rate and false negative rate, positive predictive value, negative predictive value of DECT detection of gout uric acid salt deposition were analyzed.Results　The sensitivity was 95.23%, the specificity 91.66%, the false negative rate 4.76%, the false positive rate 8.33%, the positive predictive value 90.90% and the negative predictive value 95.65%; in 44 cases, 132 crystal deposition sites were found, among of which 58 sites in double feet(43.9%), 50 sites in the knees(37.9%); 22 sites in both hands(16.7%) and 2 sites in the elbows(1.5%).Conclusion　DECT can accurately and quickly diagnose for gout in the patients with urate deposition crystallization, which can be used as auxiliary examination and clinical screening for gout.]]> 2017/7/13 10:29:15 ZHOU Qing-qiu, LU Zhong-wu 174true ［Abstract］　Objective　To observe the efficacy and safety of arthroscopy-assisted minimally invasive surgery on patients with tibial plateau fractures.Methods　Seventy-eight patients with tibial plateau fractures in Guangxi Yulin Hospital of Traditional Chinese Medicine were collected and randomly divided into two groups, with 39 cases in each group. The control group received open reduction and internal fixation surgery and the experiment group received minimally invasive percutaneous cannulated screw fixation in arthroscopic knee compression assisted. The treatment effects, surgical incision length, operative time, length of hospital stay and fracture healing were compared between the two groups.Results　Compared with the control group, the treatment effect of the experiment group was better than that of the control group. The incision length, operative time, and hospital stay in the experiment group were significantly shorter than those in the control group(P<0.01). The incidence of postoperative complications of the experiment group(2.6%) was significantly lower than that of the control group(33.3%)（P<0.01）.Conclusion　The knee arthroscopy-assisted minimally invasive surgery is safe and effective for patients with tibial plateau fractures, with shorter operative time, less complications and quicker recovery.]]> 2017/7/13 10:29:15 LI Dong-sheng 173true ［Abstract］　Objective　To study the curative effect and complications of fluid resuscitation in children with septic shock.Methods　Sixty children with septic shock who were treated in our hospital between June 2014 and June 2015 were selected as the study subjects and were randomly divided into two groups, with 30 cases in each group. The control group was treated with traditional plasma expander and the observation group was treated with humoral resuscitation. The clinical curative effects and complications were observed and compared between the two groups.Results　 In the observation group, 14 cases were markedly effective, 12 cases effective and 4 cases ineffective; in the control group, 7 cases were effective, 12 effective and 11 ineffective. The curative effect of the observation group was significantly better than that in the control group(P<0.05). The mortality rate and the incidence of the complications in the observation group were 13.33% and 10.00% respectively while those in the control group were 36.67% and 26.67% respectively(P<0.05). The infusion volume during the first hour, time for stable blood circulation and hospitalization in the observation group were (45.86±10.12)ml, (107.64±52.81)min and (4.5±1.8)d, respectively while those in the control group were (30.37±7.34)ml, (187.93±77.46)min and (7.0±2.2)d, respectively(P<0.01).Conclusion　Fluid resuscitation in children with septic shock is significant. It can significantly shorten the time for stable blood circulation and hospitalization and reduce the incidence of complications.]]> 2017/7/13 10:29:15 WANG Liang-liang 172true ［Abstract］　Objective　To explore the effect of components separation technique on large midline incisional hernias.Methods　The data of 23 patients who received components separation technique for ventral hernia repair were retrospectively reviewed.Results　All patients were cured and discharged without serious complications except that postoperative seroma occurred in 3 patients who were cured by paracentesis. After a mean follow-up of 42 months(range from 36 to 48 months),a recurrent hernia was found in 1 of the 23 patients(4.3%).Conclusion　The components separation technique is a safe,effective and economic treatment option for the reconstruction of large and giant midline incisional hernias.]]> 2017/7/13 10:29:15 YANG Hong-fan, Salissou Saïdou 171true ［Abstract］　Objective　To observe the clinical effect of oxytocin with Xuefuzhuyu capsules on bleeding after medical abortion.Methods　One hundred and forty cases with medical abortion were randomly divided into the observation group(n=70) and the control group(n=70). Both of the two groups were injected with oxytocin 20 u for 3 days after the drug abortion by Mifepristone and the discharge of gestational sac from the uterus. The observation group received additional Xuefuzhuyu capsules 6 pills, twice a day for 5 days. The clinical effect and the amount of vaginal bleeding were observed and compared between the two groups.Results　The complete abortion rate was 95.71% in the observation group and 92.86 % in the control group, without a significant difference between the two groups(P>0.05). The amount of vaginal bleeding of the observation group was significantly less than that of the control group. There was no significant difference in the time of restoring menstruation between the two groups（P>0.05).Conclusion　Oxytocin and Xuefuzhuyu capsule have the synergic action on reducing the amount of vaginal bleeding and shortening the time of vaginal bleeding after medical abortion.]]> 2017/7/13 10:29:15 LIU Man-ping, WANG Xi 170true ［Abstract］　Objective　To explore the efficacy of recurrent laryngeal nerve exposure in preventing recurrent laryngeal nerve injury during thyroid surgery.Methods　The clinical data of 146 patients who underwent thyroid operations were retrospectively analyzed. The recurrent laryngeal nerve was exposed in 75 cases(the research group) but not exposed in 71 cases(the control group). The rate of recurrent laryngeal nerve injury, the operative time and intraoperative blood loss were compared between the two groups.Results　The rate of recurrent laryngeal nerve injury in the research group(1.33%) was significantly lower than that in the control group(0.98%) P<0.05. The operative time of the research group（82.17±9.25）min was significantly longer than that of the control group（73.64±4.18）min P<0.05. There was no significant difference in the intraoperative blood loss between the research group（50.27±8.61）ml and the control group（48.29±7.08）ml, P>0.05.Conclusion　Recurrent laryngeal nerve exposure can effectively reduce the incidence of recurrent laryngeal nerve injury during thyroid surgery.]]> 2017/7/13 10:29:15 LUO Xiao-ming 169true ［Abstract］　Objective　To observe the efficacy and safety of Reduning injection in the children with bronchiolitis.Methods　One hundred and ten children with bronchiolitis were randomly divided into the treatment group and the control group, with 55 cases in each group. Both of the two groups were given the conventional treatment for bronchiolitis. Besides, the treatment group was treated with Reduning injection intravenous drip for 5～7 days. The symptoms and clinical signs, hospitalization time and adverse reactions were compared between the two groups.Results　The efficiency of the treatment group was markedly effective in 41 cases, effective in 9 cases and invalid in 5 cases. The efficiency of the control group were markedly effective in 28 cases, effective in 13 cases and invalid in 14 cases. The total efficiency of the treatment group was better than that of the control group(P<0.05), with faster improvement of the symptoms and clinical signs, shorter hospital stay and less adverse reactions in the treatment group(P<0.01).Conclusion　Reduning Injection can effectively improve the clinical symptoms of bronchiolitis in children.]]> 2017/7/13 10:29:15 DING Ming 168true ［Abstract］　Objective　To investigate the relationship between the positive rate of atropine test and age distribution.Methods　One hundred and six inpatients with atropine test but without cardiac diseases were divided into three groups according to different ages: group A(<40 years old, n=24), group B(≥40≤59 years old, n=37) and group C(>59 years old, n=45). The relationship between the positive rate of atropine test and the age distribution was observed.Results　The positive rates of atropine test were 4.17%, 32.43% and 57.78% in group A,group B and group C respectively, with significant differences among the three groups(P<0.05).Conclusion　The positive rates of atropine test are increased with aging. The patients more than 60 years old are easy to get sinus node dysfunction problems and should be treated symptomatically as soon as possible to prevent sudden cardiac death.]]> 2017/7/13 10:29:15 ZHANG Dan, LI Yao-ye 167true ［Abstract］　Objective　To explore the treatment strategy of complex tibial plateau fractures.Methods　Forty-six patients with complex tibial plateau fractures undergoing surgeries guided by the three column classification theory from January 2008 to September 2014 were collected as the research subjects and were divided into the observation group and the control group, with 23 cases in each group according to the different operation methods. The single-incision plate method of anterolateral knees was applied to treat the patients in the control group and the medial and lateral knees double-incision & double-steel plate method was applied to treat the patients in the observation group. The fracture healing time, curative effects and complications were compared between the two groups.Results　The fracture healing time of the observation group (122.12±47.25)days, was significantly shorter than that of the control group (187.31±86.84)days, P<0.05; The internal fixation failure rate of the observation group(4.35%) was significantly less than that of the control group(26.09%). The fracture recollapse rate of the observation group(0.00%) was significantly less than that of the control group(21.74%). The difference rate of joint surface of the control group(0.00%), was significantly less than that of the control group(17.39%), P>0.05. The total Merchant scores of the observation group(89.7±5.6) were significantly higher than those of the control group(82.6±4.3), P<0.05.Conclusion　Patients with complex tibial plateau fractures are subject to medial and lateral double-incision or double-steel plate according to the guidance of three-column theory which can shorten the healing time of fracture, reduce the incidences of fixation failure and fracture re-collapse.]]> 2017/8/4 9:07:51 WEI Wei, LAN Chun-wei, WEI Ming-ming 166true ［Abstract］　Objective　To investigate the application value of endoscopic combined with laparoscopic in the treatment of severe acute pancreatitis(SAP) with pancreatic pseudocyst.Methods　Eighty-eight patients with SAP and pancreatic pseudocyst in our hospital were randomly divide into the observation group and the control group. The control group was treated with open surgery and the observation group with endoscopy combined with laparoscopic operation. The clinical results were compared between the two groups.Results　In the observation group, the time of abdominal pain relief was (2.34±0.34)d, body temperature recovery (3.54±0.87)d, anal exsufflation (4.79±0.88)d, lavage drainage (10.38±1.55)d and hospital stay (20.08±3.45)d. In the control group, the time of abdominal pain relief was (4.88±1.03)d, body temperature recovery (6.73±1.67)d, anal exsufflation (9.97±1.81)d, lavage drainage (16.78±3.43)d and hospital stay (34.18±7.64)d. The various time above in the observation group was significantly shorter than that in the control group（P<0.01）. In the observation group, TNF-α was （51.87±16.79）μg/L, IL-6（30.76±14.64）μg/L, IL-8（108.35±20.05）μg/L. In the control group, TNF-α was （131.36±36.81）μg/L, IL-6（66.71±22.53）μg/L, IL-8（210.78±41.96）μg/L. The improvements of the above biochemical indices in the observation group were significantly better than those in the control group（P<0.01）.Conclusion　Endoscope combined with laparoscope is effective in the treatment of severe acute pancreatitis complicated with Pancreatic pseudocyst.]]> 2017/8/4 9:07:51 ZHAO Ze-xin 165true ［Abstract］　Objective　To explore the clinical effect of early anterior surgery in patients with cervical spine fracture and dislocation.Methods　Early anterior surgery was performed on 21 cases with cervical spine fracture and dislocation complicated with some degree of nerve function damage. The neural function was evaluated using Frankel classification before and after the operation，and the postoperative bone graft fusion, intervertebral height and cervical vertebral sequence were observed.Results　All the 21 patients were followed up, with an average follow-up of 22 months(6～36 months). The patients had first grade healing in postoperative incision, without infections and loose, internal fixation and bone grafts, X-ray showed that intervertebral height and cervical sequence recovered satisfactorily. Preoperative Frankel classifications:Grade A was in 2 cases, grade B in 9 cases, grade C in 7 cases, grade D in 3 cases and grade E in 0 cases. Postoperative Frankel classifications: Grade A was in 2 cases, grade B in 4 cases, grade C in 6 cases, grade D in 7 case, grade E in 2 cases. The postoperative Frankel classification was significantly improved than the preoperative Frankel classification.Conclusion　Early anterior surgery is safe, effective and simple for patients with cervical spine fracture and dislocation.]]> 2017/8/4 9:07:51 NING Yun-qian, JIA Shi-qing, ZOU Huan-wen, et al. 164true ［Abstract］　Objective　To explore the distribution and drug resistance of bacteria in our hospital from 2010 to 2014.Methods　The detective rate and resistance of bacteria in our hospital from 2010 to 2014 were retrospectively analyzed.Results　The detective rates of methicillin resistant staphylococcus aureus(MRSA) were increased from 13.1% in 2010 to 40.7% in 2014, with a linearly increased trend year by year(P=0.000). From 2010 to 2014, the detective rates of carbapenem resistant enterobacteriaceae(CRE) were increased linearly from 0.8% to 2.2%(P=0.003). There were no significant differences in the detective rates of carbapenem resistant pseudomonas aeruginosa(CRPAE) among the four years(P=0.350). The detective rates of carbapenem resistant acinetobacter baumannii(CRABA) were fluctuated greatly during the four years(P=0.000). By analyzing the drug resistance in different years except for the resistance rates of minocycline, cefoperazone/sulbactam and levofloxacin to CRABA, there were no significant differences in the resistance rates of the other commonly used antibacterials to CRABA, CRPAE and MRSA.Conclusion　The detective rates of MRSA and CRE increase year by year, however little change is showed in the detective rates of CRPAE from year to year.The detective rates of CRABA are fluctuated greatly from 2010 to 2014. There are not obvious changes in the resistance rates of the commonly used antibacterials to the muti-drug resistant bacteria.]]> 2017/8/4 9:07:51 LI Ri-hai, LIU Jian-yu, WU Jia-wen 163true ［Abstract］　Objective　To study the effect of cold agglutination on the hematology analysis and the effects of warm water bath and plasma replacement on the elimination of cold agglutination.Methods　Four blood samples with different degrees of cold agglutination were collected in our hospital as the research subjects. The agglutinated blood samples were treated with a warm water bath or plasma replacement respectively and then subjected to hematology analysis using an automatic hematological analyzer. The detective results were compared between the two treated methods for cold agglutination of blood samples.Results　The cold agglutination phenomena in samples 1 and 2 were not completely eliminated after warm water bathing, however, the agglutination was completely eliminated after the additional treatment with plasma replacement. The cold agglutination phenomena in samples 3 and 4 were completely eliminated after the treatment with warm water bathing and plasma replacement.The WBC count, MCV, MCH, and platelet count were decreased while the WBC count was increased in the samples treated with the addtion of plasma replacement compared with those before the treatment and those in the samples treated with warm water bathing only.Conclusion　Plasma replacement is a better way to eliminate the cold agglutination phenomena in hematology analysis and to ensure the accuracy of hematological analysis of peripheral blood in a clinical laboratory.]]> 2017/8/4 9:07:51 PENG Yong 162true ［Abstract］　Objective　To investigate the effect of minimally invasive removal of intracranial hematoma in the treatment of thalamic hemorrhage.Methods　Forty-seven patients with thalamic hemorrhage during hospitalization in our hospital from June 2010 to June 2013 were divided into the treatment group(n=24) and the control group(n=23). The treatment group was treated with minimally invasive removal of intracranial hematoma and the conservative treatment. The control group was only treated with the conservative treatment. All patients were scored according to NIHSS, 1, 3, 5, 10, and 30 days after the operation.Results　The effective rate was 75% in the treatment group and 43.48% in the control group(P<0.01). The survival rate was 75% in the treatment gronp, and 47.82% in the control group(P<0.01). The mortality rate of the treatment group(25.00%) was significantly lower than that of the control group(43.83%)(P<0.01).Conclusion　Minimally invasive removal of intracranial hematoma is better than the conservation treatment in the treatment of 10 to 20 ml of thalamic hemorrhage.]]> 2017/8/8 16:30:41 SUN Jing-hong, SUI Chang-bai 161true ［Abstract］　Objective　To compare the effects of Carvedilol and Metoprolo in the treatment of dilated cardiomyopath(DCM) in children.Methods　Sixty-two children with DCM were collected in our hospital from September 2012 to January 2015, and were randomly divided into group A(carvedilol) and group B(metoprolo), with 31 cases in each group. Both groups were regularly treated with digoxin, diuretic and captoprilm. The improvements of left ventricular end diastolic dimension(LVEDD), left ventricular ejection fraction(LVEF), the cardiothoracic ratio measured by chest X-rayplain film(T/Th) and N-terminal pro-brain natriuretic(NT-proBNP) were compared between the two groups before and 6 months after the treatment.Results　There were no significant differences between the two groups in LVEF, T/Th and NT-proBNP before the treatment(P>0.05). However, the above indicators showed significant improvements in both groups before and 6 months after the treatment(P<0.05). LVEDD and NT-proBNP were improved much significantly in group A than those in group B(P<0.05). There were no significant differences between the two groups in LVEF and T/Th(P>0.05).Conclusion　Compared with metoprolol, carvedilol has more advantages in treating children with DCM, particularly in improving LVEDD and NT-proBNP indexs.]]> 2017/8/8 16:30:41 FENG Ying-jun, LI Ying-ying 160true ［Abstract］　Objective　To observe the clinical effect of noninvasive positive pressure ventilation(NIPPV) on the patients with respiratory failure and COPD.Methods　One hundred and two patients with chronic obstructive pulmonary disease and respiratory failure were divided into the observation group and the control group, with 51 cases in each group. Both of the two groups received conventional treatments and cares and the observation group received additional treatment of NIPPV. The treatment results were compared between the two groups 7 days′ after the treatment.Results　In the observation groups, 18 cases had markedly effective results, 29 cases had effective results and 4 cases had no effects. In the control group, 13 cases had markedly effective results 23 cases had effective results and 15 cases had no effects. The curative effect of the observation group was better than that of the control group(P<0.05). pH value, PaO₂, PaCO₂, SaO₂, heart rate, respiratory rate, systolic blood pressure and diastolic blood pressure were improved significantly in both of the two groups after the treatment. However the indicators improved better in the observe group that those in the control group(P<0.05).Conclusion　NIPPV can quickly improve the ventilation function, reduce the mortality and improve the prognosis for the patients with copdand respiratory failure.]]> 2017/8/8 16:30:41 CHEN Wen-qiang 159true ［Abstract］　Objective　To explore the value of transvaginal untrasound in diagnosing intrauterine adhesions in the primary-level hospital.Methods　Eighty-seven patients with suspicious intrauterine adhesions were examined by transvaginal ultrasound and hysteroscopy.Hysteroscopic results were used as a gold standard to evaluate the diagnositic results of intrauterine adhesions by transvaginal ultrasound.Results　Seventy-six cases with intrauterine adhesions were verified by hysteroscopy. Intrauterine adhesions were confirmed by transvaginal ultrasound in 56 cases out of 76 cases. Compared with those by hysteroscopy,the detection rates of mild, moderate and severe intrauterine adhesions by transvaginal ultrasound were 50.00%（17/34）, 71.43%（20/28） and 85.71%（12/14） respectively. The detection rates of central, marginal and mixed intrauterine adhesions by transvaginal ultrasound were 67.57%（25/37）, 50.00%（8/16）, 82.61%（19/23） respectively. The sensitivity, specificity and accuracy of transvaginal ultrasound in diagnosing intrauterine adhesions were 73.68%, 81.82% and 74.71% respectively, the area under the receiver operating characteristic(ROC) curve was 0.638, 95%CI=0.506～0.770.Conclusion　Transvaginal ultrasound may be a routine screening method for diagnosing intrauterine adhesions in a primary-level hospital.]]> 2017/8/8 16:30:41 MO Jin-nai 158true ［Abstract］　Objective　To explore the method and clinical effect of hysteroscopy-lapar-oscopy combined with surgery on uterine incision diverticulum after caesarean section.Methods　The clinical data of 11 patients with uterine incision diverticulum after caesarean section, who were treated in our hospital with hysteroscopy-lapar-oscopy combined with surgery from March 2012 to February 2015 were retrospectively analyzed.Results　All the operations were performed successfully on the patients, and no complications occurred during or after the operation. The time of operation was (102.4±17.6)min. The amount of bleeding was (82.3±19.2 )ml during the operation, and the hospital stay was for 6 to 7 days after the operation. The symptoms of 11 patients remitted obviously after the first menses and the period was (7.2±1.7)days, with a excellent result in 9 cases, effective in 2 cases, and the total effective rate was 100%. No relapse occurred after a follow up of 6 months to 1 year.Conclusion　Hysteroscopy-lapar-oscopy combined with neoplasty is effective in the treatment of uterine incision diverticulum after caesarean section. It can improve the patients′ clinical symptoms and cause less bleeding and complications.]]> 2017/8/8 16:30:41 GAO Mei 157true ［Abstract］　Objective　To explore the therapeutic effects of quadruple therapy containing bismuth in treatment of gastric ulcer.Methods　Sixty-three cases with gastric ulcer were randomly divided into the treatment group（n=32） and the control group（n=31）. The treatment group was treated with quadruple therapy containing PPI, two antibiotics and bismuth. The control group was treated with triple therapy containing PPI and two antibiotics. The course of treatment lasted for 10 days. ¹⁴C-urea breath test, electronic gastroscope Hp eradication, clinical symptoms and side effects were rechecked 4 weeks after drug withdrawal.Results　In the treatment group, 9 cases were cured, 20 cases effective, 3 cases ineffective. In the control group, 5 cases were cured, 16 cases effective and 10 cases were ineffective. There was significant difference in Hp eradication rate between the treatment group(93.8%) and the control group(74.2%).Conclusion　Quadruple therapy containing bismuth is effective in treatment of gastric ulcer.]]> 2017/8/8 16:30:41 FEI Bi-miao, WANG Cong-jian 156true ［Abstract］　Objective　To explore the effect of forecast score of postpartum hemorrhage and its prevention mechanism in the prevention for postpartum hemorrhage of cesarean section.Methods　Three hundred and ten cases of cesarean section with postpartum hemorrhage who had received treatment in our hospital from April 2013 and December 2014 were taken as the research subjects. According to the forecast scores of postpartum hemorrhage, these patients were divided into three groups: low risk group(0～4 points, n=113), medium risk group(5～7 points, n=115) and high risk group(8～10 points, n=82). Carboprost suppository was given to the three groups three minutes before childbirth, and patients in the high-risk group were injected with Carbetocin after childbirth. The results of hemorrhage were compared among the three groups in each stage of maternal delivery.Results　The amount of bleeding during the operation, 2 hours and 24 hours after the operation in high risk group or medium risk group was higher than that in low risk group(P<0.05). However, there was no significant difference in the amount of bleeding between high risk group and medium risk group(P>0.05).Conclusion　The forecast score of postpartum hemorrhage in cesarean section is a reliable indicator, and Carbetocin should be additionally given to those parturient with high risk of postpartum hemorrhage in cesarean section.]]> 2017/8/8 16:30:41 PENG Dan, LI Li-qin, GONG Cui-mei 155true ［Abstract］　Objective　To investigate the distribution and drug-resistant tendency of pathogens in the ICU patients of the second-class hospital and to provide the guidance for rational use of antimicrobials in clinic.Methods　Various types of specimens of ICU patients were colletted from the third people′s hospital of Hechi city during January 2014 to December 2015. The distribution and drug resistance of the pathogenic bacteria isolated from the specimens were retrospectively analyzed.Results　A total of 1 156 strains of pathogenic bacteria were isolated from 1 684 specimens with a positive rate of 68.65%. In all the isolated strains, 877 strains were Gram-negative bacteria(77.6%), 125 strains were Gram-positive bacteria(10.81%) and 134 strains were fungus(11.59%). The main pathogenic bacteria were Klebsiella pneumoniae(20.08%), Acinetobacter baumanii(15.1%), and Pseudomonas aeruginosa(15.0%). The drug resistance of Klebsiella pneumoniae to Ampicillin was 97.5%. The drug resistances of Pseudomonas aeruginosa to Levofloxacin and Ciprofloxacin were 48.0% and 41.7% respectively. The drug resistances of Acinetobacter baumanii to Meropenem, Ceftriaxone, Ceftazidime, Ciprofloxacin and Piperacilin-Tazobactam were more than 70.0%.Conclusion　Gram-negtive bacteria are the major pathogens in ICU patients of the second-level hospital, which are multi-drug resistant.Acinetobacter baumanii is common in ICU and resistant to many species of anti-bacterials, which should be paid more attention in clinics.]]> 2017/8/8 16:30:41 LIANG Zhi-bing, LU Yun-zhao 154true ［Abstract］　Objective　To study the association between homocysteine(Hcy), cystatin C(Cys C), and retinol binding protein(RBP) and atherosclerotic diseases, and to explore their clinical applications of prevention, diagnosis and prognosis in atherosclerotic diseases.Methods　The levels of serum Hcy, CysC and RBP were analyzed in 32 patients with coronary heart disease(CHD), in 64 patients with cerebral infarction, in 120 patients with carotid atherosclerosis, and in 200 healthy controls, respectively. The results were analyzed and compared among different groups of patients with different diseases.Results　The levels of serum Hcy, CysC and RBP were significantly higher in the patients with coronary heart disease, crebral infarction, and carotid atherosclerotic than those in the healthy controls.Conclusion　There is a correlation between the elevated levels of serum Hcy, Cys C, RBP and atherosclerotic diseases, indicating that they might be used as laboratory indicators for the prevention, diagnosis, and prognosis of atherosclerotic diseases.]]> 2017/8/10 9:01:20 YANG Mei-ling, ZHU Xing-cheng 153true ［Abstract］　Objective　To investigate the reliability and safety of CT guided percutaneous gastrostomy.Methods　Ten patients were performed percutaneous gastrostomy in our hospital from May 2010 to January 2014. Their clinical data including the operation, the successful rate of the operation and the complications were analyzed.〖WTHZ〗Results
〖WTBZ〗All the patients were performed CT guided gastrostomy successfully without severe complications.Conclusion　CT guided percutaneous gastrostomy is a safe, reliable and minimally-invasive surgical technique.]]> 2017/8/10 9:01:20 WEI Lin, HUANG Tao, LIU Fu-min, et al. 152true ［Abstract］　Objective　To explore the diagnostic and therapeutic method and clinical efficacy of functional delayed gastric emptying after abdominal operation.Methods　Twenty-seven cases with functional delayed gastric emptying after the abdominal surgery were treated in our hospital from February 2008 to January 2015, and their data were retrospectively analyzed.Results　Functional delayed gastric emptying occurred in 27 cases 5 to 9 days after the surgery. The disease was made a definite diagnosis through the clinical manifestation and urografin upper gastrointestinal contrast examination, and all the patients were cured by positive non-surgical treatment between 11 and 32 days after the abdominal surgery with an average of (22.4±5.3)d, among of whom, 7 cases were cured who became ill for 11～14 days, 9 were cured who became ill for 15～21 days, 6 were cured who became ill for 22～27 days and 3 were cured who became ill for 28～32 days.Conclusion　Functional delayed gastric emptying after the abdominal surgery is a functional disease. Non-surgical treatments are suitable for most of the patients and reoperation should be avoided as far as possible. The risk factors of this disease should be controlled positively to reduce the occurrence of functional delayed gastric emptying after the abdominal surgery.]]> 2017/8/10 9:01:20 ZHANG Yu-qing 151true ［Abstract］　Objective　To investigate the application value of echocardiogram in evaluating the left atrial function in patients with coronary artery disease and atrial fibrillation.Methods　Twenty-five cases of patients with coronary heart disease and atrial fibrillation and 22 cases of patients with atrial fibrillation and sinus arrhythmia were taken respectively as the atrial fibrillation group(n=25) and sinus rhythm group(n=22). Other 20 persons admitted to the hospital for medical examination during the same period were taken as the control group(n=20). They were all examined by color Doppler ultrasonography. The size and volume of left atrial were respectively measured by conventional echocardiography and Doppler technique was used to measure the blood flow spectrum of the mitral valve and pulmonary venous flow spectrum.Results　The data of LAD, LAVmax and LAVmin in the atrial fibrillation group were respectively (43.26±2.81)mm, (41.61±2.63)ml and (20.12±1.53)ml, which were significantly higher than those in the sinus rhythm group and the control group, but the data in the control group were the lowest(P<0.05). There were significant differences in the data of E, E-VTI, A, A-VTI and E/A between the atrial fibrillation group, sinus rhythm group and the control group(P<0.05). Among them, the data of E, E-VTI in the atrial fibrillation group increased, while the data of E, E-VTI in the sinus rhythm group decreased, and the data of A and A-VTI in the atrial fibrillation group decreased while the data of E and E-VTI in the sinus rhythm group increased, with significant difference(P<0.05). Compared with the control group, the data of A in the sinus rhythm group decreased(P<0.05). But the indexes of other pulmonary venous blood spectrum had no significant differences(P>0.05). Compared with the control group, the data of S, S-VTI in the atrial fibrillation group decreased but the data of D peak and D-VTI increased, S/D<1,(P<0.05).Conclusion　Echocardiogram can accurately reflect left atrial function in patients with atrial fibrillation and atrial fibrillation.]]> 2017/8/10 9:01:20 YU De-fu 150true ［Abstract］　Objective　To explore the efficacy of procedure for prolapse and hemorrhoids(PPH) stapling hemorrhoids mucosa fibrotomy in the treatment of severe mixed hemorrhoid.Methods　Fifty-eight cases with severe mixed hemorrhoids in our hospital from June 2012 to July 2012 were collected as the research subjects, and were divided into the control group and the observation group, according to the parity of random method with 29 cases in each group. The control group was treated with the convental treatment inside the outer shell of surgical operation, and the observation group received PPH. The therapeutic effect was compared between the two groups.Results　The operation time, intraoperative blood loss, hospital stay, hospital expenses in the obserbation group were significantly less than those in the control group(P<0.05); The incidence of complications of the observation group(17.24%) was significantly less than that of the control group(65.52%)(P<0.05).Conclusion　PPH is safe and effective in the treatment mixed hemorrhoid, with quicker recovery and less complications in patients.]]> 2017/8/10 9:01:20 FENG Li-ying 149true ［Abstract］　Objective　To study the clinical diagnosis, treatment and prevention measures of abdominal wall incision endometriosis after cesarean section.Methods　The clinical data of 16 cases with abdominal wall incision endometriosis after cesarean section were retrospectively analyzed.Results　Ectopic focus excision was operated on all the patients and gestrinone was given to the patients for half a year to postpone menstruation and prevent reoccurrence.Conclusion　Surgery is an effective method to cure abdominal wall incision endometriosis.]]> 2017/8/10 9:01:20 ZHANG Cai-xia 148true ［Abstract］　Objective　To investigate the reasons of reoperation after cholangioenterostomy and put forward effective methods for prevention.Methods　The clinical data of 68 patients undergoing reoperation after cholangioenterostomy from March 2004 to March 2014 were analyzed retrospectively. The reoperation reasons were analyzed and the prevention methods were discussed.Results　The top three reasons for reoperation included residual bile duct stones, anastomotic stricture and stone recurrence, accounting for 92.65%(63/68), postoperative wound infection was found in 4 cases, repeated mild upper abdominal pain in 3 cases. The patients were followed up for two years, one patient with malignant bile duct lesions died of systemic failure seven months after operation. The remaining 67 patients were not found recurrence with a satisfactory effect.Conclusion　The reasons of reoperation after cholangioenterostomy include the incomplete removal of the primary lesion, anastomotic stricture and improper manner at initial stage of the surgery. Strictly controlling cholangioenterostomy indications and taking standard operation helps reduce the reoperation rate.]]> 2017/8/10 9:01:20 LI Tao 147true ［Abstract］　Objective　To explore the clinical manifestations in children with mycoplasma pneumoniae complicated with the digestive system damage.Methods　The clinical data of 271 children with mycoplasma pneumoniae were retrospectively studied.Results　The rate of extrapulmonary organ damages in 271 children with mycoplasma pneumoniae was 52.77%(143/271), among which, the rate of the digestive system damage organ was 34.69%(94/271), accounting for 65.73%(94/143) of the extrapulmonary organ damages. There were no significant differences in concurrent digestive system organ damages between the male children(33.80%) and the female children(35.66%)(χ²=0.103, P=0.748). The rate of digestive system organ damages of the infants(47.27%) was higher than that of the children subgroup(31.48%), significantly（χ²=4.825, P=0.028）. The clinical manifestations of the infant subgroup were characterized with anorexia, nausea, and vomiting, while those of the children subgroup were characterized with symptoms of abdominal distension and abdominal pain. The detectable rates of abnormal blood serum aminotransferase, total bilirubin, blood amylase, urinary amylase, abdominal ultrasound, abdominal X-ray and CT in the children subgroup were significantly higher than those in the infant subgroup(P<0.05).Conclusion　Pneumonia mycoplasma infections are usually complicated with digestive system damages, which needs to be actively prevented and effectively intervened.]]> 2017/8/10 9:01:20 WEI Qiu-ling 146true ［Abstract］　Objective　To observe the effect of Easywalk System on walking ability of stroke patients with foot drop.Methods　Fifty stroke patients with foot drop were randomly divided into the treatment group(n=25) and the conventional therapy group(n=25), the conventional therapy group was treated with the conventional rehabilitation therapy, and the treatment group was treated with the Easywalk System on the basis of the therapy. The 10 m maximum walking speed(10 mMWS) and the physiological cost index(PCI) were recorded in both of the two groups before and 4 weeks after the treatment.Results　The 10 mMWS was significantly elevated and the PCI was significantly reduced in both of the two groups 4 weeks after the treatment compared with those before the treatment(P<0.05). There were significant differences in 10 mMWS, PCI between the two groups 4 weeks after the treatment(P<0.05).Conclusion　Easywalk System can increase walking speed, improve walking function and reduce the physiological consump index mainly by correcting foot drop in patients with stroke.]]> 2017/8/10 17:32:15 WANG Jian-hui 145true ［Abstract］　Objective　To study the influent factors and incidence of neonatal ventilator-associated pneumonia(VAP) and the measures of preventing neonatal VAP.Methods　A retrospective analysis of 133 neonates with ventilator treatment more than 48 hours was conducted. The incidence of VAP was studied in 58 cases with VAP(the study group) and in 75 cases without VAP(the control group). The relationships between the incidence of VAP and birth weight, gestational age, times of cannula and time of mechanic ventilation were studied. The pathogenic bacteria of VAP were isolated.Results　The incidence of VAP was 43.6% in the neonates with ventilator treatment more than 48 hours. Gram-Negative bacilli were the main pathogenic bacteria. The higher incidence of neonatal VAP, the younger gestational age, the lower birth weight, the more times of tracheal cannula and the longer time of mechanic ventilation the neonates got.Conclusion　Shortening the time of mechanic ventilation, reducing the times of tracheal cannula and using antibacterials according to germiculture and drug sensitivity resuits, may reduce the incidence of neonatal VAP.]]> 2017/8/10 17:32:15 ZHAO Quan-en, LIAO Pei-chan, HUANG Ge-ping 144true ［Abstract］　Objective　To investigate the clinical effect of Dezocine on the prevention of emergence agitation(EA) after general anesthesia.Methods　Ninety-four patients undergoing elective surgeries under genetal anesthesia from February 2013 to December 2014 in our hospital were randonly divided into two groups. The observation group(n=48) was given dezozine(0.1 mg/kg, i.v) at 15 minutes before the end of operation, and the control group(n=46) was given the same volume of normal saline. The time points of spontaneous breathing recovery, eyes open, extubation and the incidence of EA and adverse reactions were compared between the two groups.Results　The incidence of EA and the level of EA in the observation group were obviously lower or lighter that those in the control group（P<0.05）. The time of spontaneous breathing recover and extubation in the observation group was obviously shorter that that in the control group（P<0.01）. The rate of adverse reactions in the observation group was lower than that in the control group, but there was no signigicantly difference between the two groups（P>0.05）.Conclusion　Dezozine can effectively prevent EA, and shorten the time of spontaneous breathing recovery and extubation.]]> 2017/8/10 17:32:15 HUANG Min-jian, LU Bing-yi, HUANG Wei 143true ［Abstract］　Objective　To explore the clinical features of binign prostatic hyperplasia(BPH) complicated with chronic prostatitis(CP).Methods　Ninety-six patients who underwent transurethrue resection of prostate(TURP) for the treatment of binign prostatic hyperplasia were collected in our hospital from January 2010 to November 2014. They were divided into BPH with CP group(n=52) and BPH group(n=44) according to the pathological diagnosis after the operation. The International Prostate Symptom Score(IPSS), quality of life(QOL) score, maximum urinary flow rate(Qmax) and residual urine volume were compared between the two groups. The relationship between prostate volume and the incidence of BPH complicated with CP and the relationship between IPSS scores and the levels of CP were analyzed.Results　The prostate volume, QOL and residual urine volume in the BPH with CP group were significantly higher than those in the BPH group（P<0.05）, while the IPSS scores and Qmax in the BPH with CP group were signigicantly lower than those in the BPH group（P<0.05）. There were significantly positive correlations between prostate volume and CP occurred and between IPSS scores and the levels of CP（P<0.05）.Conclusion　Compared with the patients with simple BPH, the patients with BPH complicated with CP have greater prostate volume and more serious lower urinary tract symptoms. CP plays an important role in the development of BPH.]]> 2017/8/10 17:32:15 HUANG Gu-shan, LI Yun-zui, ZHANG Hua-dan, et al. 142true ［Abstract］　Objective　To investigate the MRI manifestions of the calvaria solitary plasmacytoma of bone(SPB) and to improve the diagnosis of SPB.Methods　 The MRI data of 5 cases proved by operation and pathology were retrospectively analyzed.Results　Single lesion was found in 5 cases T1WI with in 3 cases as equisignal, and in 2 cases as mixed signal, with T2WI in 5 cases as high signal mixed signals. All signals were even, dense and exquisite. The tumors were larger than 5 cm in diameter with clear edge, and were located in the skull and outside the plate which formed the convex shape of soft tissue mass. The inside and outside plates without hyperplasia and sclerosis were found within the surrounding bones. All cases showed obvious enhancement with an enhanced scan.Conclusion　MRI manifestations of cranium have some characteristics on SPB, which can help to improve the diagnosis of the disease.]]> 2017/8/10 17:32:15 ZHANG Wei, WANG Fei, LIU Kun-ning, et al. 141true ［Abstract］　Objective　To explore the value of diagnosis of breast cancer by strain ratio(SR) of real-time tissue elastography technology.Methods　Sixty-two breast lesions in 51 female patients were examined with conventional ultrasonic before operation and pathological biopsy, The lesions were graded according to the breast imaging reporting and data system(BI-RADS). Real-time tissue elastography technology was performed to diagnose the breast cancer. The accuracy of the conventional ultrasonic and SR were compared.Results　The sensitivity, specificity,and accuracy of SR were 94.4%(34/36), 92.3%(24/26), and 93.5%(58/62); weighted Kappa was 0.892; AUC was 0.864(95%CI 0.801～0.943). The sensitivity, specificity, and accuracy of conventional ultrasonic were 89.1%(33/37), 88.0%(22/25), and 88.7%(55/62) respectively. weighted kappa was 0.881 and AUC value was 0.830(95%CI 0.791～0.912). The accuracy of SR was higher than that of the convertional ultrasonic(P<0.05).Conclusion　The accuracy of SR of real-time tissue elastography technology is superior to the conventional ultrasound in the diagnosis of breast malignant lesions.]]> 2017/8/10 17:32:15 LIU Liang-hua, LIN Dan-dan, LU Yi-ling, et al. 140true ［Abstract］　Objective　To observe the changes of biochemical indexes in neonates before and after the treatment of hyperbilirubinemia.Methods　The serum levels of some biochemical indexes were examined in 64 cases of neonates before and after the treatment of hyperbilirubinemia. Fifty healthy neonates were taken as the control group.Results　The main cause of neonatal hyperbilirubinemia is prenatal factors, accounting for 50.0%. The serum levels of TBIL, IBIL, CK, CK-MB, AST, LDH and UA in the neonates with hyperbilirubinemia were significantly higher than those in the healthy neonates. There were significant differences in the above biochemical indexes in the neonates between before and after the treatment of hyperbilirubinemia(P<0.05).Conclusion　Early monitoring of bilirubin thesaurismosis helps to reduce myocardial injury in neonates with hyperbilirubinemia and reduce the incidence of bilirubin encephalopathy.]]> 2017/8/10 17:32:15 ZHAO De-qing, ZHU Xing-cheng, ZHOU Lin 139true ［Abstract］　Objective　To summarize the guiding value of 3D CE-MRV for parasagittal meningionma resection.Methods　Nineteen patients with parasagittal meningionma were examined preoperatively with 3D CE-MRV, and the tumor′s location, the situation of collateral venous pathways were observed to make the operation schemes, which were compared with the intraoperative findings.Results　The meningiomas were found in one third of the location in the front of superior sagittal sinus in 2 cases, 14 cases in one third of the location in the middle of superior sagittal sinus, and 3 cases in torcular Herophili. The basal part or pedicle adhered to the outer layer of superior sagittal sinus was found in 12 cases, meningiomas in 4 cases grew into the outer layer of superior sagittal sinus, and meningiomas in 3 cases grew into and blocked the sinus cavity completely. All these manifestations on the images were identical with the findings in the operation. Twelve cases were performed total resection, and 7 cases were performed subtotal resection. The minimum amount of bleeding during the operation was 70 ml, and the shortest time for the operation was 47 minutes. There was no any complication after the operation.Conclusion　3D CE-MRV examination can visually display the anatomic structures of the eroded superior sagittal sinus, which may be helpful for making the operation schemes and reducing the operation risks.]]> 2017/8/30 17:15:13 CHEN Li-jian, CHEN Ke-guang, HUANG Ying-ying, et al. 138true ［Abstract］　Objective　To study the clinical efficacy of endoscopic catheter set on bulbar urethra fracture treatment.Methods　Fifty patients with bulbar urethral rupture were collected from our hospital from December 2011 to December 2013, and divided into the study group and the control group, with 25 cases in each group. The study group received endoscopic treatment using catheter set while the control group received open surgery. The blood loss, the operative time, the length of stay and clinical efficacy were compared between the two groups.Results　There were no statistically significant differences in the success rate and urinary flow rate between the two groups(P>0.05). The blood loss, the operative time, the length of hospital stay and surgical costs in the study group were significantly less or shorter than those in the control group(P<0.01).Conclusion　The endoscopic treatment of urethral catheter set is effective, with a shorter operation time and hospital stay.]]> 2017/8/30 17:15:13 HE Ling-sheng, DENG Shao-zhen, LI Yan-fen 137true ［Abstract］　Objective　To analyze the ultrasonic diagnostic value of the common complications after abdominal surgery.Methods　Ultrasononic data of 91 cases with abdominal surgery from May 2009 and December 2014 were retrospectively analyzed. The symptoms that occurred within one year after the surgery included fever, pain, mass, abdominal distension and lower limb swelling.Results　The ultrasonic results shaved hematoma in 22 cases, abscess in 18 cases, seroperitoneum in 15 cases, abdominal fat liquefaction necrosis in 15 cases, intestinal obstruction in 10 cases, incision hernia in 6 cases, lower extremity deep venous thrombosis in 5 cases. All the ultrasonic results were proved by a follow-up of one year after the treatment or pathology.Conclusion　Ultrasonography has high diagnostic value for the common complications after abdominal surgery operation.]]> 2017/8/30 17:15:13 XIE Xin-gang, YANG Kun, LIU Jie-qiong 136true ［Abstract］　Objective　To screen for α-thalassemia in the neonates in Laibin city, and to provide the evidence for the clinical diagnosis, prevention and treatment of the disease.Methods　Umbilical cord blood was collected from 2 050 neonates in our hospital from May 2014 to April 2015. The HbBart′s contents of the neonates were determinated by the agarose gel electrophoresis. The incidence of neonates with α-thalassemia was calculated.Results　Two hundrend and seventy-two cases with α-thalassemia were checked out from 2 050 neonates. The positive rate was 13.27%, of which 137 cases(accounting for 50.37%) with static type,129 cases(accounting for 47.43%) with standard type, and 6 cases(accounting for 2.21%) with Hemoglobin H disease.Conclusion　The agarose gel electrophoresis is an efficient method fror quickly screening out α-thalassemis in neonates. Laibin city is an area with a high incidence of α-thalassemia. Active prevention and controlling measures should improve the population quality in this area.]]> 2017/8/30 17:15:13 SHI Ze-lian, WU Zhi-feng, QIN Hui-ni, et al. 135true ［Abstract］　Objective　To investigate the changes of ovary shape and size in girls with central precocious uterus and to improve the accuracy of diagnosis for central precocious puberty(CPP).Methods　The ovarian follicle sizes and the maximum size of CPP girls′ uterines were measured using color doppler ultrasound.The measurement of the maximum follicle was taken on one section,and the measured values were compared with those in the normal girls of the same age.Results　The measured values of uterus in CPP girls were greater than those in the normal girls of the same age(P<0.05): the volume of the uterus and ovaries, and the largest follicle diameter were significantly greater in CPP girls than those in the normal girls. The number of follicles increase was elevated on each measured section and 5 to 7 follicles can be seen on one or both sides of ovaries,with a mean diameter being (6.6±2.96)mm and the maximum one being up to 13 mm; the ratio of cervix length to uterus length was in the range of 1∶1.5～2.Conclusion　Ultrasonography can be used as a noninvasive, painless, simple and reliable assessment method for the diagnosis of CPP in girls.]]> 2017/8/30 17:15:13 TAN Jie-lin 134true ［Abstract］　Objective　To explore the clinical value of serum β-hydroxybutyric acid in the diagnosis and treatment of diabetic ketoacidosis(DKA).Methods　The levels of serum β-hydroxybutyric acid and blood glucose were examined in 105 diabetic patients without ketoacidosis, in 22 patients with DKA, and in 120 healthy controls. The relationships between β-hydroxybutyric acid and blood glucose in different groups were analyzed, and the clinical values were analyzed by ROC method.Results　The sensitivity was 87.8%, specificity was 95.3%, and AUC was 0.947 in condition that the cut-off point was set at 1.97 mmol/L for identifying DKA from diabetic patients.Conclusion　Serum β-hydroxybutyric acid has high accuracy for diagnosing DKA.]]> 2017/8/30 17:15:13 YANG Xiu-lan, ZHU Xing-cheng 133true ［Abstract］　Objective　To investigate the clinical characteristics and therapeutic measures of multiple injuries in primary hospital.Methods　Sixty-six patients with multiple injuries who were treated in the people′s hospital of Binyang county from February 2010 to September 2014 were analyzed retrospectively.Results　Fifty-six patients(84.85%) were successfully cured. 10 cases(15.15%) died. There were significant differences in the mortality rates in the different patient with the three types of ISS scores(P<0.01). The mortality rate was 23.33% in the patients with complicated brain injuries, and it was 8.33% in the patients without complicated brain injuriy(P>0.05).Conclusion　The multiple injuries have various causes and ISS score can be used to predict the prognosis for multiple injuries. It needs to pay more attention to the patients with multiple injuries complicated with brain injuries.]]> 2017/9/1 11:34:47 HUANG Ke-zan 132true ［Abstract］　Objective　To explore the curative effect of ³²P radiotherapy on recurrent cystic glioma.Methods　The clinical data of 28 cases with recurrent cystic glioma in the past five years were retrospectively analyzed. The patients were divided into the control group(with the postoperative conventional treatment, n=12) and the treatment group(with ³²P interstitial radiation treatment, n=16). The therapeutic effect as compared between the two groups.Results　The two-year survival rate of the treatment group(75.0%) was higher than that of the control group(25.0%)(P<0.05); The two-year recurrence rate of the treatment group(37.5%) was lower than that of the control group(83.3%)(P<0.05).Conclusion　Comprehensive measures should be taken to treat recurrent cystic glioma on the basis of radiotherapy combined with ³²P regular chemotherapy. ³²P radiotherapy has a good clinical effect on the treatment of recurrent cystic gliomas.]]> 2017/9/1 11:34:47 HUI Zhi-qiang, KONG Xiang-yan, XU Peng 131true ［Abstract］　Objective　To investigate the effect of self-made scalpel on the treatment of urethral stricture under ureteroscopy.Methods　Seventeen patients with the length of urethral stricture between 0.2 and 1.0 cm were performed transurethral ureteroscopy+urethral dilatation therapy using self-made scalpel under the ureteroscopy. The intraoperative bleeding, postoperative complications and the clinical effects the were observed.Results　The surgical operations were successfully performed on all the 17 patients with less bleeding and complications and complications.Conclusion　Self-made scalpel is a safe, minimally invasive and effective surgical method for the treatment of urethral stricture under ureteroscopy.]]> 2017/9/1 11:34:47 HUANG Xin-yun 130true ［Abstract］　Objective　To investigate the clinical effect of mosapride combined with Danshitong capsule in treating geriatric functional constipation.Methods　64 patients(age≥60) with geriatric functional constipation were collected and divided randomly into the observation group and the control group, with 32 cases in each group. The observation group was treated with mosapride combined with Danshitong capsule, while the control group received only mosapride. The patients were followed up for 2 weeks after the treatment.Results　In the observation group, the clinical effect was marked in 26 cases, good in 5 cases while invalid in 1 case. In the control group, it was marked in 12 cases, good in 10 cases and invalid in 10 case. In the observation group, slight abdominal pain occurred in 2 cases and mild diarrhea in 1 case. In the control group, 3 cases had obvious abdominal pain, 1 case had severe diarrhea and 2 cases had skin rashes.Conclusion　Mosapride combined with Danshitong capsule has definite effect and better patients′ compliance in the treatment of geriatric functional constipation.]]> 2017/9/1 11:34:47 YIN Xu-dong, LI Jing 129true ［Abstract］　Objective　To observe the efficacy of laparoscopic transabdominal preperitoneal herniorrhphy for inguinal hernia.Methods　One hundred and two patients with inguinal hernia were divided into two groups according to the different operation modes. The observation group was treated with laparoscopic transabdominal preperitoneal herniorrhphy and the control group was treated with open tension-free hernioplasty. The surgery results and complications were observed and compared between the two groups.Results　The operation time, hospitalization expenses and the amount of bleeding in the observation group were significantly higher than those in the control group(P<0.05). The postoperative activity time and hospitalization time in the observation group were significantly lower than those in the control group(P<0.05). The incidence of postoperative pain in the observation group was significantly lower than that in the control group(P<0.05).Conclusion　Laparoscopic transabdominal preperitoneal herniorrhphy is effective and safe,without obvious complications for inguinal hernia.]]> 2017/9/6 16:16:49 WANG Song-yang 128true ［Abstract］　Objective　To observe the efficacy of extracorporeal membrane oxygenation(ECMO) treatment on severe acute respiratory failure, and to explore the factors associated with prognosis.Methods　Thirty-two patients with severe acute respiratory failure treated by ECMO were retrospectively analyzed, among whom 25 patients were successfully treated(success group) and 7 patients failed(failure group). General conditions prior to ECMO, blood gas analysis, hemodynamics, acute physiology and chronic health evaluation Ⅱ(APACHEⅡ) scores during ECMO of all patients were recorded.Results　The APACHE Ⅱ scores prior to ECMO of patients in success group were lower than those in failure group(P<0.05). The APACHEⅡ scores of both groups were significantly decreased after ECMO. Heart rate, respiratory rate and oxygenation index of patients in both groups were significantly improved after ECMO.Conclusion　VV-ECMO is an effective treatment for severe acute respiratory failure. APACHE Ⅱ score is an important factor that affects the ECMO efficacy.]]> 2017/9/6 16:16:49 WANG You-feng 127true ［Abstract］　Objective　To study the key points and clinical value of modified laparoscopic hysterectomy.Methods　One hundred and sixty-two patients were collected in our hospital from May 2010 to March 2013 and were randomly divided into two groups, the treatment grouup(laparoscopic fascial hysterectomy) and the control group(laparoscopic hysterectomy). The operative time, blood loss, postoperative morbidity, hospital costs, hospitalization days, sexual satisfaction after operation, polyps, stump infection and side injury were compared between the two groups.Results　There were significant differences in the operative time, blood loss, postoperative morbidity, hospital costs, hospitalization days, sex satisfaction after operation, polyps, stump infection and side injury between the two groups(P<0.05).Conclusion　Modified laparoscopic fascial hysterectomy is effective with less side injury and less bleeding.]]> 2017/9/6 16:16:49 BAO Ai-ling, LIU Shun-tao 126true ［Abstract］　Objective　To evaluate the value of real-time fluorogenic quantitative PCR assay for early detecting and dynamic monitoring human cytomegalovirus(HCMV) activation after hematopoietic stem cell transplantation(HSCT).Methods　HCMV-DNAs of 32 bonemarrow transplant recipients and 30 healthy people were dynamically monitored using real-time PCR.Results　Among the 32 patients, the positive rate was 21.9%(7/32) and the case fatality ratio was 3.33%(1/30). In the control group, the positive rate was 3.13%(1/32). Among all 7 positive patients who were treated with antiviral therapy, One patient died in 56 days and the other 6 patients was negative except that one patient was positive for 70 days.Conclusion　The quantitative detection for HCMV-DNA by real-time PCR has clinical significance for early diagnosing and dynamically monitoring HCMV in fections in HSCT patients.]]> 2017/9/6 16:16:49 XIAO Xiao-hong, CHEN Wei 125true ［Abstract］　Objective　To investigate the effect of sequential therapy of azithromycin combined with erythromycin in the treatment of children with mycoplasma pneumonia.Methods　Eighty children with mycoplasma pneumonia in our hospital from January 2013 to January 2015 were randomly divided into the observation group and the control group, with 40 cases in each group. The control group was treated with erythromycin and the observation group was treated with azithromycin combined with erythromycin. The treatment effect and the incidence of adverse reactions were compared between the two groups.Results　The effective rate was 95.0% in the observation group, and 80.0% in the control group（P<0.05）. The disappearance time of cough, the fever clearance time, the disappearing time of aschypnea and wheezing rale, the time of hospital stay and pulmonary shadows subsiding in X rays findings were significantly shorter in the observation group than those in the control group（P<0.05）. No serious adverse reactions were found in the two groups.Conclusion　The sequential therapy of azithromycin combined with erythromycin is clinically effective in the treatment of children with mycoplasma pneumonia and worthy of clinical application.]]> 2017/9/6 16:16:49 XIE Sheng-quan 124true ［Abstract］　Objective　To observe the efficacy and safety of tiotropium bromide combined with N-acetylcysteine(NAC) in the treatment of chronic obstructive pulmonary disease(COPD) duving the stable period.Methods　Fifty COPD patients were divided into the treatment group(n=26) and the control group(n=24). The treatment group was treated with tiotropium bromide combined with NAC and the control group was given the routine treatment. The course of the treatment was 12 months for both of the two groups. The pulmonary function, exercise tolerance, quality of life, times of acute exacerbation were observed before and after the treatment.Results　The lung function, exercise tolerance and quality of life in the treatment group were improved significantly better than those in the control group and the times of acute exacerbation were decreased more greatly in the treatment group.Conclusion　Tiotropium bromide combined with NAC can improve the lung function and exercise tolerance in COPD patients during the stable period.]]> 2017/7/4 9:03:44 PENG Mei-hua, ZHANG Mei-xia, SUN Zhi-fen, et al 123true ［Abstract］　Objective　To explore early diagnosis and treatment options of disorders of sex development（DSD）.Methods　Eleven cases with DSD were selected from two hospitals between 2009 and 2015 according to their clinical manifestations, laboratory tests and or laparoscopic results. The pathologic diagnosis and the effects of hormone replacement therapy after surgery were retrospectively analyzed.Results　Of the 11 cases, six cases were 46, XY pure gonadal dysgenesis; 1 case was mixed gonadal dysgenesis; one case was complete androgen insensitivity syndrome; two cases were incomplete androgen insensitivity syndrome, and one case was congenital adrenal hyperplasia（CAH）. Of the 11 cases, 1 case was 21-hydroxylase deficiency; one case was diagnosed as gonadal blastoma; two cases were considered to be tumor cells; one case can not be diagnosed. 5 cases maintained the artificial menstruation cycles.Conclusion　For patients with abnormal gonadal development, early diagnosis and proper treatment should be given as soon as possible, avoiding mistreatment of “sterility”.]]> 2017/7/4 9:03:45 QIN Hai-xia, LIU Qiang, LIU Hua-qian 122true ［Abstract］　Objective　To investigate the effect of applying laparoscopic ovarian drilling on the treatment of polycystic ovary syndrome(PCOS) complicated with infertility.Methods　64 women with PCOS complicated with infertility were treated in the department of obstetrics and gynecology of our hospital. They were divided into the control group(n=32) and the observation group(n=32) according to the different treatments. Type-B ultrasound transvaginal follicle puncture and laparoscopic ovarian drilling were applied to the control group and the observation group respectively. The effects of the operations were compared between the two groups.Results　LH, LH/FSH and T were decreased in both of the two groups obviously compared with those before the treatment(P<0.05), however, LH, LH/FSH and T were decreased more obviously in the observation group than those in the control group(P<0.05). Compared with those before the treatment, FSH increased and E₂ decreased slightly in both of the two groups(P>0.05). The postoperative pregnancy and natural ovulation rates of the observation group were obviously higher than those of the control group(P<0.05), while the abortion rate of the observation group was obviously lower than that of the control group(P<0.05).Conclusion　Laparoscopic ovarian drilling is effective for the patients suffering from PCOS complicated with infertility.]]> 2017/7/4 9:03:45 LIU Xiao-li 121true ［Abstract］　Objective　To analyze the activity of protein phosphatase 2A(PP2A) for early diagnosis of cervical cancer.Methods　Thirty-two patients with cervical cancer and 30 patients with high-risk human papilloma virus infections were collected as the research subjects, and 30 healthy females were taken as the control group. The levels of PP2A were detected by enzyme linked immunosorbent assay(ELISA) and the enzyme live kit, respectively.Results　The levels of PP2A and the activity of hsHPV in the patients with cervical cancer were significantly lower than those in the patients of the control group(P<0.05), and the levels of PP2A in patients with cervical cancer were significantly lower than those in the patients with hsHPV(P<0.05).Conclusion　The activity of PP2A in the patients with cervical cancer is significantly decreased, and PP2A can be used as a potential marker for early diagnosis of cervical cancer.]]> 2017/7/4 9:03:45 FAN Lin, YU Cai-ming, YANG Jing 120true ［Abstract］　Objective　To evaluate the clinical efficacy between laparoscopic and open surgery in the treatment of cervical cancer.Methods　Eighty-eight cases with cervical cancer were randomly divided into the observation group(n=44) receiving laparoscopic surgery and the control group(n=44) receiving open surgery. The surgical results and the postoperative complications were compared between the two groups.Results　The operative time, the blood loss, the number of lympn nodes, the blood transfusion rate, the anal exhaust time, the time for indwelling catheter, the days of hospital stay and the incidence of complications in the observation group were significantly less or lower than those in the control group(P<0.05).Conclusion　Laparoscopy is safe and effective in the treatment of cervical cancer.]]> 2017/7/4 9:03:45 LIANG Jie 119true ［Abstract］　Objective　To compare the short-term curative effects and safety between tubular gastric replacement of the esophagus anastomosis and total gastric operation in the treatment of esophageal carcinoma.Methods　Seventy-six patients with esophageal carcinoma treated in our hospital from November 2012 to November 2014 were randomly divided into the control group(n=38) and the observation group(n=38). The control group was treated with total gastric replacement of the esophagus anastomosis while the observation group was treated with tubular gastric replacement of the esophagus anastomosis. The operation time, intraoperative blood loss and the number of cleared lymph nodes were compared between the two groups. The incidences of the postoperative anastomotic leakage, thoracic stomach syndrome, pulmonary complications, cardiovascular complications, gastric emptying disorder and gastroesophageal reflux were observed in the two groups.Results　There were no perioperatively dead cases in the two groups. The number of cleared lymph nodes in the observation group(15.6±3.4) was significantly more than that in the control group（12.8±2.6）(P<0.05); The incidences of thoracic stomach syndrome, pulmonary complications, cardiovascular complications, gastric emptying disorder and gastroesophageal reflux in the observation group(5.3%, 15.8%, 7.9%, 7.9%, 10.5%) were significantly lower than those in the control group(23.7%, 36.8%, 26.3%, 28.9%, 28.9%)(P<0.05).Conclusion　Tubular gastric replacement of the esophagus anastomosis is safe and effective than total gastric replacement of the esophagus anastomosis in the treatment of esophageal carcinoma.]]> 2017/7/4 9:03:45 YU Miao-zi, LIU Peng-tao, XU Hai-wei 118true ［Abstract］　Objective　To explore the characteristics of nosocomial infections in neonates, and to provide a scientific basis for nosocomial infection prevention.Methods　The risk factors of nosocomial infections in neonates in the neonatal intensive care unit of our hospital from April 2013 to March 2014 were studied using the targeted surveillance method.Results　Of total 1 540 neonates investigated, the nosocomial infections occurred in 46 cases(2.99%) among which the main infection site was respiratory tract. Univariate analysis showed that gestational age, long hospitalization duration, birth weight, mechanical ventilation, endotracheal intubation and indwelling stomach tube were associated with the nosocomial infections. Logistic regression analysis showed that birth weight, long hospitalization duration and mechanical ventilation were the risk factors that leaded to nosocomial infections in neonates.Conclusion　Nosocomial infection rate is high in neonates, and the prematuve infants with low birth weight is the key target of surveillance. Reducing invasive operation and shortening the time of hospitalization days are helpful to reduce the occurrence of nosocomial infections.]]> 2017/7/4 9:03:45 RU Jian, FAN Xue-jiao, XIE Pei-yan, et al 117true ［Abstract］　Objective　To explore the interventional effect of insulin on bone density in the type 2 diabetic elderly patients with osteoporosis nine months after the treatment.Methods　Fifty type 2 diabetic elderly patients with osteoporosis were randomly divided into the control group and the insulin treatment group, with 25 cases in each group. Both of the two groups were treated with oral antidiabetic agents and calcium carbonate and vitamin D3 Tablets(Ⅱ), and the insulin treatment group received an additional injection of insulin. The bone density of the left femoral neck, femoral frochanter and Ward′s Triangle were measured and compared between the two groups.Results　Compared with those in the control group, the bone density in the insulin treatment group was significantly increased nine months after the treatment. There was no significant change in bone density before and after treatment in the control group（P>0.05）.Conclusion　Insulin is the first choice for the treatment of osteoporosis in the elderly patients with type 2 diabetes, with the advantages of increasing bone mass, less side effects and reducing bone loss.]]> 2017/7/10 17:13:59 HAN Wei 116true ［Abstract］　Objective　To explore the efficacy of traditional Chinese medicine(TCM) in combination with western medicine(WM) for the patients with rhegmatogenous retinal detachment.Methods　Eighty patients with rhegmatogenous retinal detachment from September 2012 to March 2015 were selected as the research subjects, and divided into the control group(n=35) and the treatment group(n=45) according to the different therapeutic methods. The control group was treated with conventional western medicine treatment, and the treatment group was treated with the therapy of TCM combined with WM. The efficacy and the absorption time for postoperative subretinal effusion were observed.Results　The efficacy of the treatment group after a follow-up of six months was better than that of the control group(P<0.05); The postoperative subretinal effusion occurred in 20 and 3 patients and lasted for 24 hours in the treatment group and the control group respectively, with a significant difference between the two groups(P<0.05).Conclusion　TCM combined with WM is effective in the treatment of rhegmatogenous retinal detachment.]]> 2017/7/10 17:13:59 SHA Ya-fei, LONG Xin-guang, LI Zhong-ping 115true ［Abstract］　Objective　To summarize the experience in the treatment of pulmonary complications after cardiac surgery in infants.Methods　The clinical data of 120 infants with pulmonary complications after cardiac surgery in our hospital were retrospectively analysed. Slapping back to excretory sputum was performed on 60 cases who were complicated with simple pulmonary; 15 cases were simple pneumothorax and performed thoracentesis; 45 patients with emerged acute lung injury were given comprehensive proper mechanical ventilation, anti infection and so on.Results　Three cases died in 120 cases. One hundred and seventeen cases were recovered and discharged from hospital without complications.Conclusion　The comprehensive treatment measures, including reasonable use of ventilator, low tidal volume of lung protective ventilation strategy, setting proper peep, postural therapy, proper anti infection and nutrition support, help to cure the pulmonary complications after cardiac surgery in infants.]]> 2017/7/10 17:13:59 ZHANG Hong, CAO Xin, YOU Guo-zhou 114true ［Abstract］　Objective　To investigate the difference of the surrounding normal tissue and lesion apparent diffusion coefficient(ADC) value in identification between malignant and benign breast lesions.Methods　The MR features of 60 cases with surgically and pathologically proved breast diseases were respectively reviewed. The ADC and ADC values of diffusion weighted imaging(DWI) were statistically compared.Results　There were 32 malignant and 28 benign lesions in the 60 lesions. The optimal threshold value for ADC of breast lesions was 1.30×10^-3 mm²/s,and the sensitivity, specificity and accuracy were 93.8%, 75.0% and 85.0% respectively; The optimal threshold value for ADC difference value of breast lesions was 0.47×10^-3 mm²/s, and the sensitivity, specificity and accuracy were 96.0%, 82.1% and 90.0% respectively.Conclusion　ADC difference value plays an important role in identification between benign and malignant breast lesions, which can be an effective complement to the functional imaging DWI for the diagnosis of breast diseases.]]> 2017/7/10 17:13:59 HUANG En-shan,WEI Yin,LI Rui-xiong,et al. 113true ［Abstract］　Objective　To explore the clinical and pathological diagnostic characteristics of uterine smooth muscle tumors.Methods　The smooth muscle tumor resection specimens were taken out from 312 cases for regular examination by optical microscope. The new classification of WHO was taken as standard for the diagnosis.Results　The peak of onset age for uterine smooth muscle tumors was between 40 and 50 years old among whom 278(89.10%) was benign leiomyoma, 3(0.96%) was uterine sarcoma and 31(9.94%) was uncertain.Conclusion　Most of uterine smooth muscle tumors are benign leiomyoma and a few of them are uterine sarcoma. It can be more accurate to distinguish uterine fibroids from uterine sarcoma by observing the number of mitotic cells.]]> 2017/7/10 17:13:59 HE Fang, MAO Cui-juan, MA Min-min 112true ［Abstract］　Objective　To explore the cross-sectional study of warfarin on anticoagulation in patients with nonvalvular atrial fibrillation and to analyze the influence factors of standardized anticoagulation.Methods　The clinical data of 510 patients with nonvalvular atrial fibrillation who were treated in our hospital from January 2013 to December 2015 were screened by CHADS2 score method, in whom the data of 291 cases were retrospectively analyzed.Results　Two hundred and ninety-one cases with CHADS2 scores ≥2 points needed the treatment of warfarin, however only 61 cases(20.9%) got the standardized anticoagulant therapy of warfarin.Conclusion　The standardized anticoagulant therapy of warfarin should be strengthened in the patient with nonvalvular atrial fibrillation in China.]]> 2017/7/10 17:13:59 ZHAN Ying, ZHOU Han 111true ［Abstract］　Objective　To explore the risk factors of the formation of atherosclerosis plaques in carotid artery.Methods　Three hundred patients were randomly selected from December 2013 to December 2014 for the classification and grading of carotid atherosclerosis. According to the carotid intima-media thickness(IMT) and plaque morphology ,the patients were divided into the plaque group(n=194) and the non plaque group(n=106). The history of high blood pressure, diabetes, age, gender, smoking, alcohol consumption, body mass index(BMI), blood pressure(SBP), fasting blood glucose(FBG), total cholesterol(TC), low density lipoprotein(LDL), lipoprotein a［LP (a)］, blood uric acid(UA) and homocysteine(Hcy) level were recorded in each patient, and Logistic regression analysis was performed by computer with SPSS software to determine the relation between the risk factors and atherosclerosis plaques in the carotid artery.Results　There were significant differences in SBP, FBG, TC, LDL and LP(a) between the two groups(P<0.05); There were significant differences in LDL(OR=9.392) and FBG(OR=2.328)(P<0.05) in influencing the carotid atherosclerosis.Conclusion　Carotid atherosclerosis is the outcome of mixing actions of many of risk factors,in which LDL and FBG are the independent risk factors.]]> 2017/7/10 17:15:23 LUO Song-ping, ZHU Hong, LIN Lei, et al 110true ［Abstract］　Objective　To analyze the clinical characteristics, pathogens and drug sensitivity of neonatal nosocomial septicemia and to provide evidences for prevention and early treatment of this condition.Methods　Nineteen neonates with nosocomial infections in the neonatal intensive care unit(NICU) of our hospital were included in this study. The clinical data, pathogens, treatment and prognosis were retrospectively analyzed.Results　The clinical symptoms of neonatal septicemia were atypical, with poor responses to the infections. C- reactive protein was the most sensitive indicator in the auxiliary examination. Among the pathogens isolated, the Gram-negative bacilli accounted for 63.2%, such as Klebsiella pneumoniae(the most common), the Gram-positive cocci accounted for 36.8%, and but fungal infections were not found. 11 cases(57.9%) were cured, 4 cases(21.1%) improved and 4 cases(21.1%) died in 19 cases.Conclusion　It is efficient to reduce the nosocomial infection through strengthening the nursing care of newborn,strict aseptic manipulation and hand hygiene, improving the surface disinfection and reducing unnecessary contact with children. Rational use of antibiotics might be the effective strategies for preventing neonatal nosocomial septicemia. It is key to reduce the fatality rate by closely monitoring the vital signs, early identifying the complications such as septic shock and rapid capacity expansion(within 1 hour). Early powerful antibiotic empiric therapy might be an effective method for preventing neonatal nosocomial septicemia and its complications.]]> 2017/7/10 17:15:23 ZHAN Libin, CHEN Guoshen 109true ［Abstract］　Objective　To compare the clinical efficacy between the standard hemicraniectomy and the conventional craniotomy for severe brain injury.Methods　The clinical data of 60 cases with severe brain injury were respectively analyzed. Thirty cases were treated with the standard hemicraniectomy(standard group), and the other 30 cases were treated with the conventional craniotomy(convention group). The clinical efficacy was compared between the two groups.Results　The clinical efficacy of the standard group was better than that of the convention group（P<0.05）. After a follow-up of 6 months, NIHSS scores in both of the groups were significantly lower, and ADL scores were significantly higher than those before the operation(P<0.01); NIHSS scores was significantly lower, and ADL scores was significantly higher in the standard group than those in the convention group(P<0.01）.Conclusion　Standard hemicraniectomy is more effective than conventional craniotomy in the treatment of severe brain injury.]]> 2017/7/10 17:15:23 MA Yi-ming, JIANG Dong-lin 108true ［Abstract］　Objective　To investigate the clinical effect of electronic flexible with ureteroscope holmium laser lithotripsy on complex renal calculi.Methods　Fifty-six cases with complex renal calculi in our hospital from May 2012 to April 2015 were treated with electronic flexible ureteroscope and laser lithotripsy. A double-J tube was not indwelled in ureter before operation in each patient. F8.0/9.8 rigid ureteroscope was inserted to observe and dilate the ureteral lumen. Through the rigid ureteroscope, we introduced a wire into the ureter. Then, an Olympus electronic flexible ureteroscope was introduced into the pelvis. The stones were fragmented to less than 0.3 cm by holmium laser, and those more than 0.3 cm crushed stones were removed with a set of stone basket.Results　A total of 56 operations were performed, in which 51 cases had successful placement of ureteral sheaths, and had ureteroscope entered successfully. The flexible ureteroscope failed to reach lower renal calyces in 2 cases because of the stricture of ureteral lumen, and they had to receive a second operation 1 to 2 weeks after double-J tube was retained. The operation time ranged from 40 to 240 min, with an average of 76 min. No serious complications occurred. After a 3-month follow up, stone clearance rate was 92.8%(52/56).Conclusion　Electronic flexible ureteroscopy can provide clear vision. When combined with holmium laser, it is safe and effective to treat complex renal calculi.]]> 2017/7/10 17:15:23 WANG Shi-jian, CHEN Shan-miao, LIU Shou-lei, et al. 107true ［Abstract］　Objective　To evaluate the effect of interventional embolization on the treatment of massive hemoptysis.Methods　A total of 27 cases with massive hemoptysis who had received interventional embolization therapy because of the failed conservative treatment were enrolled in this study. The clinical data of the 27 patients were retrospectively analyzed. The pulmonary lesions included bronchiectasis(n=5), lung cancer(n=10) and Pulmonary tuberculosis(n=12). Bronchial arteries were embolized with gelatin sponges and PVA particles.Results　The interventional treatment was successful in 27 patients soon after the operation, and failed in 2 patients 7 days after the treatment.Conclusion　Bronchial artery embolization is a safe, simple and effective method for the treatment of acute massive hemoptysis.]]> 2017/7/10 17:15:23 HU Kai, HUANG Tao, WEI Lin 106true ［Abstract］　Objective　To explore the clinical manifestations of dengue fever that was initially epidemic in Wuzhou city.Methods　The clinical data of 60 cases with dengue fever in our hospital were retrospectively analyzed.Results　Among the 60 cases, 78.3% were indigenous, while 22.67% were imported. All the cases began with acute fever lasting for 3 to7 days with an average of 4.92 days. 60.00% were presented with a skin rash, 93.33% with a decrease in WBC, 91.67% with a decrease in NEUT and 75.00% with a decrease in PLT. There were no cases with an increase in HCT. The incidence of severe dengue fever was 8.33%. The average hospital stay was (4.13±1.75)days. All the cases were cured.Conclusion　Due to the subtropical region, it is possible that inapparent infection or infectious focus exists in different areas in Guangxi. And it is necessary to kill the masquitos, and monitor the inapparent infection and infectious focus.]]> 2017/7/10 17:15:23 MO Mu-long, ZHONG Da-ming, ZHOU Su, et al. 105true ［Abstract］　Objective　To analyze the causes of misdiagnosing typhoid as viral meningitis.Methods　The clinical data of 7 typhoid patients who were misdiagnosed as viral meningitis and 9 cases with viral meningitis were retrospectively analyzed.Results　All the 16 patients manifested fever and headache, in which the typhoid patients manifested headache after fever in 5 cases, chills in 4 cases, muscle pain in 5, relative bradycardia in 4 cases, the highest temperature >39 ℃ in 7 cases, the mean of blood CRP in 85.21 mg/L, ESR in 54.67 mm/h, the mean of intracranial pressure in 166 mmH₊O and the mean of CSF nucleated cells 2.86×10⁶/L and the viral meningitis headache manifested patients persistent in seven cases, muscle ache in one case and neck resistance six cases, the mean of serum CRP in 26.10 mg/L, ESR in 39.99 mm/h; the mean of intracranial pressure in 229.44 mmH₊O and the mean of CSF nucleated cells was 85×10⁶/L, but without the symptoms of chills and relative bradycardia.Conclusion　Both typhoid and viral meningitis have the similar symptoms. The main reason of misdiagnosing typhoid as viral meningitis is the lack of a comprehensive analysis of the disease. The typical symptoms of typhoid are manifested as high fever(>39 ℃), chills, muscle aches and relative bradycardia. CRP and ESR are commonly increased in typhoid patients, and their neck resistance, high intracranial pressure, and elevated CSF nucleated cells are common.]]> 2017/7/10 17:15:23 HUANG Hua-sheng, ZHONG De-fang, WEI Shi-rong, et al. 104true ［Abstract］　Objective　To observe the clinical effects of Traditional Chinese Medicine(TCM) Shapeixiaozheng decotion combined with western medicine in the conservative treatment of early ectopic pregnancy.Methods　One hundred women with ectopic pregnancy were randomly divided into the experimental group(n=50) and the control group(n=50) according to the different methods of treatment. The therapeutic effects were observed in both of the two groups after the treatment. The levels of blood β-HCG were detected in the two groups before and 7, 14 days after the treatment and their time of β-HCG recovering to the normal level were observed.Results　The effective rate of the experimental group(98.0%) was higher than that of the control group(90.0%)(χ₂=5.67, P<0.05). There were no significant differences in the levels of β-HCG before and one week after the treatment between the two groups(P>0.05). The level of blood β-HCG of the control group (419.8±202.4)mIU/ml was significantly higher than that of the experimental group(320.6±201.3)mIU/ml two weeks after the treatment(t=2.46, P<0.05). The time of β-HCG recovering to the normal level in the control group (18.9±3.2)d was significantly longer than that in the experimental group(14.1±3.1)d(t=7.62, P<0.01) .Conclusion　Shapeixiaozheng decotion combined with western medicine is more effective than western medicine in the treatment of early ectopic pregnancy.]]> 2017/7/10 17:15:23 WANG Bing-yu 103true ［Abstract］　Objective　To investigate the effect of alprostadil combined with irbesartan on the treatment of early diabetic nephropathy and blood rheology and renal function.Methods　80 patients with diabetic nephropathy in our hospital during June 2015 to June 2016 were collected as the research subjects, and were randomly divided into the observation group and the control group, with 40 cases in each group. The control group was given irbesartan, and the observation group was treated with alprostadil combined with irbesartan for 4 weeks. The therapeutic effects and the changes of blood flow and renal function and other indexes were compared between the two groups.Results　There were no significant differences in the levels of blood flow and renal function between the two groups（P>0.05）. The blood rheology indicators of the observation group improved significantly better than those of the control group(P<0.01). The levels of Scr, BUN and UAER in the observation group were significantly lower than those in the control group, while the level of Alb in the observation group was higher than that in the control group(P<0.01). The total effective rate of the observation group was higher than that of the control group(P<0.01).Conclusion　Alprostadil combined with irbesartan can effectively improve the renal function and blood rheology, and relieve the symptoms in the patients with early diabetic nephropathy.]]> 2017/9/26 8:05:56 LIU Xin-sheng 102true ［Abstract］　Objective　To explore the clinical effects of medial patellar approach and inferior femoral medial approach on total knee arthroplasty.Methods　60 patients with osteoarthritis were treated with total knee arthroplasty in the first hospital of Lankao County from February 2014 to March 2015 and were divided into two groups according to the different types of surgery, with 30 cases in each group. In the control group, the total knee arthroplasty was carried out by the medial patellar approach, and the total knee arthroplasty was carried out by inferior femoral medial approach in the observation group. The surgical indicators and the knee function were compared between the two groups.Results　Compared with those in the control group, the replacement time was significantly longer but the length of incision and the time for ambulation were significantly shorter in the observation group(P<0.01). There was no significant difference in the knee joint function between the two groups before surgery and one year after the surgery(P>0.05), however the scores of knee joint function in the observation group were significantly higher than those in the control group 3 months after the surgery(P<0.05).Conclusion　Compared with the medial patellar approach, inferior femoral medial approach is more effective on performing total knee arthroplasty in the patients with osteoarthritis.]]> 2017/9/26 8:05:56 HU Guo-hong 101true ［Abstract］　Objective　To observe clinical effect of metoprolol on the treatment of valvular heart disease and heart failure.Methods　112 patients with heart failure and valvular heart disease were semi randomly divided into the control group and the treatment group according to the odd or even hospitalization numbers, with 56 cases in each group. The control group was given routine cardiac and diuretic therapy and the treatment group was given metoprolol based on the same treatment that was given to the control group. The heart rate, blood pressure, cardiothoracic ratio and NYHA class and heart function indicators were compared between the two groups before and 4 weeks after the treatment.Results　The improvements of the heart rate, blood pressure, cardiothoracic ratio, NYHA class and cardiac function indexes in the treatment group were better than those in the control group. In the treatment group, the clinical effects was markedly effective in 45 cases, effective in 8 cases and ineffective in 3 cases. In the control group, the clinical effect was markedly effective in 35 cases, effective in 10 cases and ineffective in 11 cases. The total efficiency of the treatment group was significantly higher than that of the control group(P<0.05).Conclusion　Metoprolol can significantly improve cardiac function in the patients with valvular heart disease complicated with heart failure.]]> 2017/9/26 8:05:56 HUANG Mei-qun 100true ［Abstract］　Objective　To discuss the clinical efficacy of total hip arthroplasty and hemiarthroplasty in elderly patients with femoral neck fracture.Methods　78 elderly patients with femoral neck fracture were selected in our hospital from January 2011 to January 2014, and were randomly divided into two groups, with 39 cases in each group. The control group received hemiarthroplasty, and the observation group received total hip arthroplasty. The clinical efficacy was observed and compared between the two groups.Results　In the observation group, the clinical effect was markedly excellent in 26 cases, good in 7 cases, effective in 4 cases, and ineffective in 2 cases. In the control group, the clinical effect was markedly excellent in 16 cases, good in 9 cases, effective in 8 cases, and ineffective in 6 cases. The excellent rate of the observation group was significantly higher than that of the control group(P<0.05). The hospital stay, operation time and blood loss in the control group improved better than those in the observation group(P<0.01). There were no significant differences in the incisional infection rate, prosthesis revision rate and complication rate between the two groups(P>0.05).Conclusion　Total hip arthroplasty is safe and effective for the elderly patients with femoral neck fracture, while hemiarthroplasty also has the advantages of less intraoperative bleeding and shorter operative time. Therefore, the clinicians should choose the appropriate surgical approaches for the patients individually.]]> 2017/9/26 8:05:56 WANG Meng 99true ［Abstract］　Objective　To assess the value of computed tomography angiography(CTA) in the diagnosis of vertebral artery(VA) variations.Methods　The imaging data of fifty patients with VA variations diagnosed by CTA were retrospectively analyzed, and were reconstructed by the methods of VR, MIP, MPR and CPR. The number, origin, form, course of VA and its relationship with adjacent structures were observed to evaluate the variations of VA comprehensively.Results　In the fifty patients, VA variations were hypoplastic right VA in 20 cases, hypoplastic left VA in 5 cases, hypoplastic bilateral VA in 1 case, origin variation of the left VA from the aortic arch in 12 cases, origin variation of the left VA from the left common carotid artery in 1 case, origin variation of the right VA from the right common carotid artery in 1 case, the aberrant entrance position into the transverse foramen of the right VA in 1 case, the aberrant entrance position into the transverse foramen of the left VA in 2 cases, VA fenestration in 5 cases, and the basilar artery formed by unilateral vertebral artery in 2 cases.Conclusion　CTA is a useful noninvasive imaging tool for the diagnosis of VA variations.]]> 2017/9/26 8:05:56 ZHU Zheng-qun, WU Lei 98true ［Abstract］　Objective　To compare the differential diagnostic value of contrast-enhanced ultrasound and elastography for thyroid solid nodules.Methods　122 patients with thyroid space-occupying lesions(158 thyroid solid nodules) admitted to our hospital from June 2013 to October 2015 were selected as the study subjects, All the patients were treated with elastography and ultrasound imaging, and the pathological results were used as the diagnostic criteria. The sensitivity, specificity and accuracy of the two methods were compared.Results　91 thyroid nodules were pathologically benign, and the other 67 nodules were malignant; The sensitivity, specificity and accuracy of contrast-enhanced ultrasound were 92.54%, 93.41% and 93.04%, respectively. The sensitivity, specificity and accuracy of ultrasound elastography were 91.04%, 91.21% and 91.14%, respectively. The sensitivity, specificity and accuracy of elastography combined with contrast-enhanced ultrasound were 95.52%, 96.70% and 96.20%, respectively.Conclusion　Both contrast-enhanced ultrasound and elastography have high differential diagnosis for thyroid solid nodules. Combined use of the two methods can effectively improve the accuracy of the diagnosis.]]> 2017/9/26 8:05:56 ZHU Shuang-ping, YU Yi 97true ［Abstract］　Objective　To observe the clinical effect of lafutidine combined with omeprazole on the treatment of chronic atrophic gastritis.Methods　96 patients with chronic atrophic gastritis in our hospital from March 2014 to September 2016 were randomly divided into the control group and the observation group, with 48 cases in each group. The control group was treated with omeprazole, and the observation group received lafutidine combined with omeprazole treatment for two months. The serum pepsinogen, the therapeutic effect and the complications were compared between the two groups before and after the treatment.Results　There were no significant differences in the levels of pepsinogen Ⅰ, pepsinogen Ⅱ and pepsinogen Ⅰ/pepsinogen Ⅱ between the two groups before the treatment(P>0.05). After the treatment, the above indexes improved significantly better in the obsenvation group than in the control group(P<0.05). In the observation group, 20 cases were cured, 18 cases markedly effective, 9 cases effective and 1 case invalid. In the control group, 12 cases were cured, 16 cases markedly effective, 12 cases effective and 8 cases invalid. The clinical effect of the observation group was better than that of the control group(P<0.05). There was no significant difference in the adverse reaction rate between the two groups(P>0.05).Conclusion　Lafutidine combined with omeprazole is safe and effectively improves the clinical symptoms of the patients with chronic atrophic gastritis.]]> 2017/9/26 8:05:56 DENG Gui-ju 96true ［Abstract］　Objective　To investigate the clinical efficacy of silicone hydrogel bandage materials assisted in the treatment of dry eyes.Methods　90 patients were selected from July 2013 to September 2015 in our hospital and divided into group A(tear deficiency, n=43) and group B(strong type for evaporation, n=47) according to the types of dry eyes. All the patients were treated with silicone hydrogel materials. The dry eye symptom scores and corneal staining were compared between the two groups.Results　McMonnies dry eye symptom scores of group B were significantly lower than those of group A after the treatment(P<0.05), The corneal staining scores were significantly lower in both of the two groups after the treatment than those before the treatment(P<0.05). but there was no significant difference between the two groups(P>0.05).Conclusion　The silicone hydrogel bandage contact lens is effective for the auxiliary treatment of tear evaporative dry eyes, and the treatment plans should be individualized.]]> 2017/9/26 8:05:56 CHI Xin-jian, MA Jian-li, WANG Xiao-xue, et al. 95true ［Abstract］　Objective　To study the clinical effect of combined laparoscopic surgery on elderly patients with common bile duct stone and cholecystolithiasis.Methods　From November 2012 to November 2015, a total of 100 elderly patients with common bile duct stones and cholecystolithiasis in our hospital were taken as the clinical research subjects, and they were divided into the control group(n=50) and the observation group(n=50) according to their orders of admission. The control group was treated with traditional open surgery, and the observation group was treated with combined laparoscopic surgery. After the treatment, the operative time, blood loss, hospital stay, stone clearance rate and complication rate were compared between the two groups.Results　The mean operative time of the control group（132.66±23.74）min was higher than that of the observation group（105.21±17.85）min（P<0.01）. The intraoperative blood loss of the control group was significantly higher than that of the observation group（P<0.01）.The hospital stay of the control group was significantly higher than that of the observation group（P<0.01）. The stone clearance rate of the observation group（100.0%） was higher than that of the control group（96.0%）, but there was no significant difference between the two groups（P>0.05）. The complication rate of the control group（18.0%） was significantly higher than that of the observation group(4.0%)（P<0.05）.Conclusion　The combined laparoscopic surgery has the advantages of less operative time and complications, and smaller wound for the elderly patients with common bile duct stones and cholecystolithiasis.]]> 2017/8/29 17:08:47 DANG Tie-cheng 94true ［Abstract］　Objective　To observe the effect of home rehabilitation intervention on the prognosis of patients with lumbar interbody fusion for 1 year.Methods　30 patients who underwent lumbar arthrodesis in our hospital from April 2013 to April 2014 were divided into the observation group and the control group according to the rehabilitation exercise behaviors within 12 months, with 15 cases in each group. The control group stopped the rehabilitation exercise 6 months after the operation, while the observation group continued to do the rehabilitation exercise 6 months after the operation and in combination with full-body movements. All the patients were followed up for one year. The lumbar instability symptoms and the cutcomes of home rehabilitation 6 and 12 months after the operation were compared between the two groups.Results　There were no significant differences in the limbocrual pain scores before the operation between the two groups(P>0.05). 12 months after the surgery, low back pain and leg pain scores in the observation group were less than those in the control group［(1.2±0.4) vs (3.1±1.1), (1.4±0.7) vs (2.9±1.2), (P<0.05)］. The symptoms of lumbar instability in the observation group were less than those in the control group after a follow up of 12 months(P<0.05).Conclusion　The intervention of regular rehabilitation after lumbar fixation and fusion can effectively prevent the related symptoms of lumbar spine instability, and help to improve the prognosis.]]> 2017/8/29 17:08:47 XU Yu-dong, REN Guang-hua, WANG Rong-sheng, et al. 93true ［Abstract］　Objective　To explore the clinical effect of laparoscopic cholecystectomy combined with common bile duct exploration on the treatment of cholecystolithiasis complicated with choledocholithiasis.Methods　90 patients with cholecystolithiasis complicated with choledocholithiasis were selected in our hospital from July 2015 to March 2016. All the patients were divided into two groups according to the different surgical methods, with 45 cases in each group. The control group was treated with endoscopic sphincterotomy, and the observation group was treated with laparoscopic cholecystectomy laparoscopic common bile duct exploration(LC+LCBDE). The clinical effect and the complications were compared between the two groups.Results　There were no significant differences in the hospitalization time and costs, the success rate of surgery and residual stone rate between the two groups(P>0.05). The curative rate of the first stage was significantly higher and the operation time was shorter in the observation group than those in the control group(P<0.05). The complication rate of the observation group(11.11%) was significantly lower than that of the control group(31.11%),(P<0.05).Conclusion　LC+LCBDE is safe and effective in the treatment of cholecystolithiasis and choledocholithiasis.]]> 2017/8/29 17:08:47 GUO Bo 92true ［Abstract］　Objective　To explore the relation between homocysteine(Hcy) and serum uric acid(SUA) levels and vascular complications in the patients with type 2 diabetes mellitus(T2DM).Methods　According to the vascular complications, a total of 93 patients with T2DM were divided into group Ⅰ(n=52)(T2DM complicated with vascular diseases) and group Ⅱ(n=41)(T2DM with uncomplicated vascular diseases). Other 45 individuals undergoing physical examination were included into the control group. The levels of Hcy and SUA were detected in the three groups.Results　The levels of Hcy and SUA were significantly different among the three groups(P>0.05) and the levels were listed from high to low: group Ⅰ, group Ⅱ, the control group. The vascular complication rate in the group with high Hcy or in the group with high SUA was significantly higher than that in the group with normal Hcy or in the group with normal SUA（P<0.05）.Conclusion　The levels of Hcy and SUA are closely related to vascular complications in T2DM.]]> 2017/8/29 17:08:47 ZENG Jin-hai 91true ［Abstract］　Objective　To investigate the clinical efficacy of budesonide formoterol combined with theophylline sustained release tablets and montelukast sodium in treatment of moderate to severe bronchial asthma in remission stage.Methods　112 patients with moderate to severe bronchial asthma in remission stage in our hospital from February 2015 to July 2016 were randomly divided into two groups, with 56 cases in each group. The control group received montelukast sodium combined with theophylline sustained release tablets, while the observation group was treated with budesonide formoterol combined with theophylline sustained release tablets and montelukast sodium. Both of the two groups were given the treatment for two weeks. Before and after the treatment, the levels of inflammatory factors and lung function were compared between the two groups.Results　Before the treatment, there were no significant differences in the levels of inflammatory factors and lung function between the two groups(P>0.05). After the treatment, the levels of interleukin-4(IL-4), interleukin-5(IL-5) and tumor necrosis factor-α(TNF-α) in the observation group were lower than those in the control group. The forced expiratory volume in one second(FEV₁), forced vital capacity(FVC) and FEV₁/FVC in the observation group were higher than those in the control group(P<0.01).Conclusion　Budesonide formoterol combined with theophylline sustained release tablets and montelukast sodium is effective in the treatment of moderate to severe bronchial asthma in remission stage, which can reduce the inflammatory reaction and increase the lung function.]]> 2017/8/29 17:08:47 ZHANG Lian-guo 90true ［Abstract］　Objective　To study the clinical effect of octreotide combined with omeprazole on the treatment of elderly patients with esophageal varices bleeding(EGVB).Methods　70 elderly patients with EGVB were selected from December 2014 to September 2015, and were randomly divided into two groups, with 35 cases in each group. The control group was treated with octreotide 0.1 mg+N.S. 20 ml intravenous injection, followed by 25 μg/h continuous intravenous infusion. The observation group received octreotide combined with omeprazole 40 mg+N.S. 100 ml intravenous drip for 2 times per day. Both of the two groups were treated for three days. The curative effect, and the incidence of adverse reactions were compared between the two groups.Results　The curative effect of the observation group was better than that of the control group（P<0.05）. The haemostatic time was shorter and the volume of blood transfusion was less in the observation group than those in the control group(P<0.01). The adverse reaction rate of the obsevation group was significantly lower than those in the control group(P<0.05).Conclusion　Octreotide combined with omeprazole is safe and effective in the treatment of BEV in elderly patients.]]> 2017/8/29 17:08:47 MENG Yu-ci 89true ［Abstract］　Objective　To investigate the correlation between homocysteine and severity of Hepatitis.Methods　112 patients with chronic hepatitis B admitted to our hospital from January 2013 to October 2016 were taken as the study subjects(the observation group). At the same time, 30 healthy people who came to our hospital for physical examination were taken as the normal controls(the normal group). The serum levels of alanine aminotransferase(ALT), aspartate aminotransferase(AST), total bilirubin(TBIL), cholinesterase(CHE) and homocysteine(Hcy) were detected and were compared between the two groups and among the different subgroups in the patients with different degrees of chronic hepatitis B. The correlation between the levels of ALT, AST, TBIL and CHE and the level of Hcy in the observation group was analyzed.Results　The average serum level of Hcy in the observation group was significantly higher than that in the normal group(P<0.05). The average serum levels of Hcy in the subgroups of mild, moderate and severe patients were (9.54±2.63), (23.41±4.62) and (35.25±63.41)mol/L respectively, and there was significant difference among the three subgroups(mild groupP<0.05). The serum levels of ALT, AST and TBIL were higher, while the level of CHE was lower in the observation group than those in the normal group. ALT, AST and TBIL were positively correlated with CHE. CHE was negatively correlated with Hcy(P<0.05).Conclusion　There is a correlation between the changes of Hcy and severity of hepatitis B. The continuous rising of Hcy is a risk factor for progression of hepatitis.]]> 2017/8/29 17:08:47 WANG Rui-feng, YIN Juan 88true ［Abstract］　Objective　To investigate the clinical value of coagulation tests in the patients with acute pulmonary embolism.Methods　43 patients with acute pulmonary embolism(the observation group) and 47 healthy people(the control group) were collected from 2013 to 2015. The Pre-hospital coagulation tests（PT, APTT, FIB, TT） were detected by ACL 3000 coagulation analyzer, and the changes of coagulation indexes were observed at the first time of hospitalization and before hospiotal discharge.Results　Compared with those in the control group, PT and APTT were decreased significantly and FIB was increased significantly in the observation group(P<0.05). In the observation group, compared with those before the treatment, the levels of PT and APTT were increased significantly and FIB was decreased after the treatment(P<0.05). There were no significant differences in the levels of TT between the two groups（P<0.05）.Conclusion　Coagulation-related indicators have a certain clinical significance in the diagnosis and thrombolytic therapy of acute pulmonary embolism.]]> 2017/8/29 17:08:47 LI Jun, KUANG Jun, LI Ting 87true ［Abstract］　Objective　To explore the role of clinical pharmacists in the treatment and pharmaceutical care for a patient with cardiotoxicity induced by theprubicin chemotherapy.Methods　The clinical pharmacists participated in the clinical drug treatment team for a patient with cardiotoxicity induced by theprubicin chemotherapy, and made some suggestions of the treatment protocol and pharmaceutical care plan for the clinicians according to the related pharmaceutical knowledge.Results　The patient was discharged with a better health condition.Conclusion　The clinical pharmacists can help the clinicians make the individualized treatment and pharmaceutical care for the patients with adverse drug reactions by chemotherapy.]]> 2017/8/29 17:08:47 XI Jia-xi, YE Dong-mei, CHEN Ying 86true ［Abstract］　Objective　To investigate the surgical treatment of gastric stromal tumors and the factors related to the prognosis.Methods　Sixty-two patients with gastric stromal tumors were collected from June 2008 to June 2014 in our hospital. The clinical data and the prognostic factors were analyzed.Results　All the patients underwent operation. The mean follow - up time was 38.6(40.69±6.23)months. The follow - up rate was 96.77%. The overall survival rates were 91.45%, 72.84% and 60.47% 1, 3 and 5 years after the operation respectively. The univariate analysis showed that tumor cell mitosis, tumor size, tumor necrosis and NIH risk grade were the prognostic factors. There were no significant correlations between the survival rate and age, gender, growth type and other factors. COX regression analysis showed that mitotic score and NIH risk grade were independent prognostic factors(χ²=7.148 and respectively 6.347）,(P<0.05). RRs were 3.276 and 4.266; 95%CI>s were 1.437～7.476 and 1.271～10.622, respectively.Conclusion　The overall prognosis of the treatment of gastric stromal tumors is generally poor. Mitotic figures, tumor size, tumor necrosis and NIH risk grade are the prognostic factors that affect the postoperative staging of gastric stromal tumors. The mitotic score and NIH risk grade are prognostic factors of the independent factors.]]> 2017/7/28 17:24:59 LI Xing-hua 85true ［Abstract］　Objective　To improve the ability of diagnosing and treating acquired hemophilia A(AHA).Methods　The clinical data of 4 patients with AHA who were diagnosed and treated in the First Affiliated Hospital of Guangxi Medical University and No.303 Hospital of Chinese People′s Liberation Army from July 2014 to April 2016 were retrospectively analyzed and the related literature was reviewed.Results　The 4 patients were 44 to 73 years old, and the incidence ratio of male to female was 1∶3. There were no definite causes for the patients. The first clinical symptom of the patients was mucocutaneous hemorrhage or muscular hematoma. All the patients had isolated prolonged APTT, low level of FⅧ(0.4%～0.9%) and positive antibody titer(10.12～115 BU/ml). After the treatment with corticosteroid alone or combined with cyclophosphamide, the antibody titers in 4 patients were decreased and the FⅧ level increased. One case died of intracrantial hemorrhage.Conclusion　(1)AHA is a rare bleeding disease which occurs predominantly in elderly patients.(2)Hemorrhage often occurs spontaneously,and the most frequent symptom is mucocutaneous hemorrhage or muscular hematoma.(3)Bypass treatment is recommended as the optimal antihemorrhagic treatment. Corticosteroid alone or combined with cyclophosphamide is still considered as the main treatment to eradicate the inhibitors.]]> 2017/7/28 17:24:59 WANG Hui-ping, CHEN Yi, CHENG Peng, et al. 84true ［Abstract］　Objective　To compare the curative effects between limited operation and emergency operation for colon cancer with intestinal obstruction.Methods　The clinical data of 87 patients with colon cancer complicated with intestinal obstruction in our hospital from January 2005 to December 2014 were analyzed retrospectively. The tumor resection rate,one-stage anastomosis rate, complication rate and mortality rate were compared between the patients performed limited operation(the limited operation group, n=46) and the patients performed emergency operation (the emergency operation group, n=41).Results　In the limited operation group, the tumor reseation rate was 97.83%, the one-stage anastomosis rate was 93.48%, the complication rate was 8.70%, and there were no deaths due to operation. In the emergency operation group, the aforementioned rates were 75.61%, 56.10%, 43.90% and 9.76% respectively. The above indicators were compared between the two groups. There were singnificant differences in the top three indicators between the two groups(P<0.01). There was no significant difference in the postoperative motality rate between the two groups(P>0.05).Conclusion　The curative effect of the limited operation group is better than that of the emergency operation group. As long as the patients′ conditions are permitted, the limited operation is recommended to perform on the patients with colon cancer complicated with intestinal obstruction.]]> 2017/7/28 17:24:59 YANG Tie-wei, CHEN Ji-qiong, LI Wen-qiang 83true ［Abstract］　Objective　To compare the clinical effects between compound mifepristone and mifepristone on termination of early pregnancy.Methods　According to the orders of visting the doctors,120 women with early pregnancy less than 49 day′s gestation were divided into two groups. Each patient in the observation group(n=60) took one tablet of compound mifepristone(each tablet contains mifepristone 30 mg and anordrin 5 mg) every day for two days and misoprostol 0.6 mg on the third day. Each patient in the control group(n=60) took mifepristone 25 mg in the morning and in the evening respectively for two days and mifepristone 50 mg followed by misoprostol 0.6 mg on the third day. The efficacy of the termination of early pregnancy was compared between the two groups.Results　In the observation group, 56 cases had complete abortion, 3 cases had incomplete abortion and 1 case failed to terminate early pregnancy. In the control group, 48 cases had complete abortion, 8 cases had incomplete abortion and 4 cases failed to terminate early pregnancy. The observation group had a better effect on inducing abortion than the control group(P<0.05). The observation group had shorter discharging time of pregnancy sac and less bleeding time than the control group(P<0.01).Conclusion　Compound mifepristone combined with misoprostol is more effective than mifepristone in combination with misoprostol in the termination of early pregnancy.]]> 2017/7/28 17:24:59 ZHU Yan-li 82true ［Abstract］　Objective　To analyze the clinical features of pregnant women with intrahepatic cholestasis of pregnancy(ICP) and their pregnant outcomes.Methods　From January 2015 to January 2016, a total of 270 pregnant women in our hospital were taken as the research subjects, and they were divided into the observation group(n=135, with ICP） and the control group(n=135, normal pregnancy）. The clinical biochemical indicators, the incidence of amniotic fluid contamination, the premature birth rate, the fetal distress rate, the perinatal mortality rate, the cesarean section rate and postpartum hemorrhage volume were compared between the two groups.Results　The levels of TBA, TB, DB, ALT and AST in the observation group were higher than those in the control group（P<0.05）. The incidence of amniotic fluid contamination, the premature birth rate, the fetal distress rate, the perinatal mortality rate, the cesarean section rate and postpartum hemorrhage volume in the observation group were higher than those in the control group（P<0.05）.Conclusion　The serum levels of total bile acid are significantly increased in the ICP patients, and they have poor pregnant outcomes and unfavourable prognoses.]]> 2017/7/28 17:24:59 LIU Li-na, WU Wei-qi 81true ［Abstract］　Objective　To explore the clinical effect of creatine phosphate sodium on viral myocarditis in children.Methods　Ninety-two children with viral myocarditis in our hospital from January 2011 to 2015 December were randomly divided into two groups, with 46 cases in each group. The control group received conventional therapy and the treatment group received the conventional therapy combined with creatine phosphate sodium. The clinical efficacy was compared between the two groups.Results　In the treatment group, the result was markedly effective in 39 cases, effective in 3 cases and invalid in 4 cases. In the control group, the result was markedly effective in 28 cases, effective in 6 cases and invalid in 12 cases. The curative effect of the treatment group was significantly higher than that of the control group(P<0.01). Before the treatment, there were no significant differences in CK, CK-MB and LDH between the two groups(P>0.05); After the treatment, the indicators of myocardial enzymes in the two groups were significantly lower than those before the treatment, and the improvement of the indicators of the treatment group were significantly better than those of the control group(P<0.05).Conclusion　Creatine phosphate sodium can effectively reduce myocardial enzymes, improve cardiac function and clinical outcomes in the children with viral myocarditis.]]> 2017/7/28 17:24:59 WANG Min-li, SHAN Qiu-ge, ZHANG Li 80true ［Abstract］　Objective　To explore the clinical effect of arthroscopic suture bundle treatment on the posterior cruciate ligament tibial avulsion fracture of Fuli.Methods　46 patients with posterior cruciate ligament fractures in our hospital from November 2014 to November 2015 were treated with arthroscopic suture bundle treatment and their clinical data were retrospectively analyzed. The Lysholm scores, IKDC(knee function) scores and postoperative complications were observed and compared before and after the treatment.Results　After the treatment, the Lysholm scores and IKDC scores were significantly higher than those before the treatment（P<0.01）; All the patients had no postoperative serious complications. Limited knee flexion and extension occurred in 4 patients in some degrees and they were cured successfully after closed manipulation solution.Conclusion　Arthroscopic suture bundle treatment is safe and reliable for the patients with posterior cruciate ligament tibial Fuli avulsion fractures.]]> 2017/7/28 17:24:59 CHEN Ding-qi, PAN Yu-chao, CHEN De-yan, et al. 79true ［Abstract］　Objective　To analyze the effect of anatomical locking plate combined with hollow screw on three ankle fractures.Methods　120 patients with ankle fractures were collected in our hospital from February 2014 to June 2016 and were divided into the control group and the observation group by random number table method. The observation group(n=60) was treated with distal fibula anatomic locking plate combined with cannulated screw fixation, and the control group(n=60) received common anatomical plate combined with screw for treatment. The clinical curative effects and adverse reactions(including wound infection, plate loosening, fracture nonunion and refracture) were compared between the two groups 7 weeks after the treanment.Results　The excellent rate of the treatment group was higher than that of the control group(P<0.01). The incidence of the adverse reactions of the observation group was lower than that of the control group(P<0.05).Conclusion　Fibula distal locking plate combined with cannulated screw fixation can significantly improve the clinical effect of the patients with three ankle fractures, reduce the incidence of adverse reactions in the patients with wound infection and loosening of the plate.]]> 2017/7/28 17:24:59 LIN Jian, QIAN Jun 78true ［Abstract］　Objective　To analyze the X-ray manifestations and clinical characteristics of neonatal pneumothorax at bedside, and to improve the level of diagnosis and differential diagnosis of neonatal pneumothorax and to guide the clinical treatment.Methods　23 neonates with neonatal pneumothorax who were examined by the bedside X-ray in our hospital from February 2011 to October 2016 were collected, and their X-ray manifestations were analyzed.Results　In the 23 cases with neonatal pneumothorax, spontaneous pneumothorax occurred in 1 case(4.3%), pathologic pneumothorax in 13 cases(56.6%) and iatrogenic pneumothorax in 9 cases(39.1%). In the 23 cases with neonatal pneumothorax, 4 cases were bilateral and a total of 27 bilateral pneumothorax occurred. According to the X-ray manifestations, it was divided into five types: anterior chest wall type in 2 cases(7.5%), medial margin type in 1 case(3.7%), superior diaphragm type in 5 cases(18.5%), adult type in 11 cases(40.7%) and mixed type in 8 cases(29.6%).Conclusion　X-ray examination has diversified manifestations in neonatal pneumothorax. It also has the certain characteristics as follow:“local bright character”, “side of mediastinal heart clear sign” and “deep sinus sign”.]]> 2017/7/28 17:24:59 LIANG Shu-sheng, ZHOU Guo-yong, ZHENG Hua-ying, et al. 77true ［Abstract］　Objective　To analyze the treatment effect of postoperative hemorrhage on patients with transurethral resection of prostate in a primary hospital.Methods　41 patients with transurethral resection of prostate in a primary hospital were collected from October 2013 to July 2016 in whom 41 cases were divided into group A（received conservative treatment, n=21）and group B（received transurethral resection of prostate, n=20）.The hemostasis effect, the rate of rehaemorrhagia, urinary occult blood test results at seventh day after the treatment, hemodynamic indexes at different time points were compared between the two groups.Results　The hemostasis effect, the rate of rehaemorrhagia, the urinary occult blood test results at seventh day after the treatment and the hemodynamic indexes in group B were better than those in group A（P<0.05）.Conclusion　Transurethral resection of prostate is safe and effective in the treatment of postoperative hemorrhage in the primary hospital.]]> 2017/7/28 17:24:59 TAN Li, SU Hai-shen 76true ［Abstract］　Objective　To study the clinical effect of hip replacement on femoral neck fracture and femoral head necrosis in elderly patients.Methods　The clinical data of 90 patients with femoral neck fracture and femoral head necrosis who received treatment in the People′s hospital of Luoding city between July 2015 and July 2016 were analyzed. These patients were divided into two groups according to the different clinical treatment options. 45 cases who were given artificial femoral head replacement for treatment were set as the control group, and the other 45 cases who were given hip replacement as the observation group. The clinical effect and prognosis results were compared between the two groups.Results　After the treatment, the excellent rate of Harris score in the observation group(95.56%) was higher than that in the control group(80.00%)(P<0.05); The operation duration of the control group was shorter than that of the observation group. The intraoperative bleeding amount in the control group was less than that in the observation group(P<0.05). There was no significant difference in the total incidence of complications between the observation group and the control group(2.22% vs 4.44%)(P>0.05); The scores of general health in the observation group(84.08±15.68) were higher than those in the control group(66.35±13.05)(P<0.01).Conclusion　Hip replacement can improve the hip function and quality of life for the elderly patients with femoral neck fractures and femoral head necrosis.]]> 2017/6/28 15:27:54 HUANG Xing, OU Rui-jin 75true ［Abstract］　Objective　To investigate the diagnostic value of narrow band imaging(NBI) iodine staining in the patients with early esophageal cancer and precancerous lesions.Methods　The clinical data of 216 cases undergoing conventional endoscopy, NBI, and NBI combined with iodine staining in our hospital from March 2011 to October 2016 were retrospectively analyzed. The results and the relationship between NBI and iodine staining grading and pathological diagnosis were compared among the different examination methods.Results　The detection rate of NBI combined with iodine staining(100.00%), was significantly higher than that of the routine endoscopy(76.64%) or the single NBI examination(89.05%)(P<0.05). In the advanced stage, the tumors were mainly expressed as NBI grade I and iodine stain grade Ⅰ, while the lower grade tumors were expressed as grade Ⅱ or grade Ⅲ in the NBI and iodine staining.Conclusion　NBI can clearly show the capillary structure of esophageal lesions. Combining NBI with iodine staining can improve the diagnosis rate of early esophageal cancer and precancerous lesions.]]> 2017/6/28 15:27:54 NIE Dao-hong, ZHU Yang-chun, CUI Gui-ping, et al 74true ［Abstract］　Objective　To observe the clinical effect of amiodarone on treatment of acute myocardial infarction(AMI) complicated with rapid ventricular rate and atrial fibrillation.Methods　In the past 3 years, 60 elderly patients with myocardial infarction, aged 48 to 78 years, within 24 hours of hospitalization with rapid ventricular rate of atrial fibrillation more than 120 times per minute, were given intravenous and oral amiodarone therapy. The clinical effect was observed.Results　In the 60 patients, 51 cases(85%) were converted to sinus rhythm at the end of 48 hours. 4 cases died and 5 cases were not converted, with a significantly better curative effect, and a significantly decreased ventricular rate(P<0.01), and no significant changes in blood pressure(P>0.05). For adverse reactions:sinus bradycardia occurred in 1 case, long R-R intermittent in 3 cases, decreased blood pressure in 1 case and phlebitis in 1 case, all of which were improved after drug withdrawal or symptomatic treatment. 56 patients were followed up for a period of 30 days after discharge from the hospital and none of them died.Conclusion　Intravenous plus oral therapy of amiodarone has a significant curative effect and low adverse reaction for the elderly patients with acute myocardial infarction complicated with rapid ventricular fibrillation.]]> 2017/6/28 15:27:54 PAN You-ping 73true ［Abstract］　Objective　To explore the effects of Traditional Chinese Medicine(TCM) enema combined with topical use of Glauber′s salt on paralytic ileus.Methods　87 patients with paralytic ileus in our hospital from August 2014 to March 2016 were randomly divided into the control group(n=43) and the observation group(n=44). The control group received the conventional treatment. The observation group was treated with a TCM enema on the basis of the same treatment that was given to the control group. The clinical efficacy and the improvement of gastrointestinal function were compared between the two groups.Results　In the observation group, 29 cases were cured, 8 cases effective and 7 cases invalid. In the control group, 10 cases were cured, 15 cases effective and 18 cases invalid. The curative effect of the observation group was better than that of the control group(P<0.01). The defecation anus exhaust time, the bowel recovery time, and the abdominal distension, and abdominal pain relief time and the hospitalization days in the observation group were significantly shorter than those in the control group(P<0.05).Conclusion　The TCM enema combined with topical use of Glauber′s salt is safe and effective for the patients with paralytic ileus.]]> 2017/6/28 15:27:54 MIAO Jin-song, LI Ning, LI Dai-qiang, et al 72true ［Abstract］　Objective　To explore the general characteristics and regularity of the adverse drug reactions(ADRs) during pregnancy and to reduce or avoid ADRs, and further promote the clinical rational use of drugs.Methods　The reports of ADRs during pregnancy were collected by the adverse reaction monitoring center of Laibin from 2012 to 2015 in Guizhong region.Results　Of a total of 126 cases with ADRs, 90 cases were pregnant more than 27 weeks showing the highest proportion(71.43%); 38 cases were involved in uterus drugs accounting for 30.16%, followed by antibacterial drugs(36 cases), accounting for 28.57%. The class B drugs were the most common drugs that involved ADRs(60%). The main clinical manifestations of ADR were chills and skin rashes.Conclusion　Understanding of the characteristics of adverse drug reactions and notes in pregnancy and strictly following the operating rules in the operation process help to avoid the occurrence of adverse drug reactions.]]> 2017/6/28 15:27:54 HUANG Ju-qing 71true ［Abstract］　Objective　To observe the effect of Xiyanping injection combined with montmorillonite power on the treatment of rotavirus enteritis in children.Methods　Eighty-four children with rotavirus enteritis in our hospital from October 2014 to May 2016 were randomly divided into the observation group(n=42) and the control group(n=42). On the basis of conventional therapy, the control group was treated with ribavirin, while the observation group received Xiyanping injection combined with montmorillonite power. The duration of major symptoms, length of hospital stay, adverse reactions and clinical effect were compared between the two groups.Results　The duration of fever, vomiting, diarrhea and length of hospital stay in the observation group were significantly shorter than those in the control group(P<0.01). In the observation group, the clinical effect was markedly effective in 32 cases, effective in 8 cases, and ineffective in 2 cases. In the control group, the clinical result was markedly effective in 18 cases, effective in 15 cases and ineffective in 9 cases. The clinical effect of the observation group was more excellent than that of the control group(P<0.05). There were no obvious adverse reactions during therapy in both of the two group.Conclusion　Xiyanping injection combined with montmorillonite power can shorten the course of disease and improve the clinical efficacy in the treatment of rotavirus enteritis in children.]]> 2017/6/28 15:27:54 WU Hua-he 70true ［Abstract］　Objective　To investigate the effect of nerve interventional therapy combined with microsurgical operation on the treatment of severe intracranial subarachnoid hemorrhage.Methods　92 patients with severe aneurysm subarachnoid hemorrhage in our hospital from August 2014 to September 2015 were selected as the research subjects and were divided into the observation group(n=46) and the control group(n=46) according to the random number table method. The observation group was treated with nerve intervention therapy combined with microsurgical treatment while the control group was treated with endovascular therapy combined with conventional surgery. The curative effect and prognosis were compared between the two groups.Results　The rate of postoperative complications in the observation group(6.52%) was significantly lower than that in the control group(34.78%)(P<0.01). The assessment outcome of GOS in the observation group was significantly better than that in the control group six months after the operation(P<0.01).Conclusion　Interventional therapy combined with microsurgical treatment is safe and effective in the treatment of severe aneurismal subarachnoid hemorrhage.]]> 2017/6/5 0:00:00 HUANG Xu-xin, ZHOU Li-yun, LIAN Zong-de, et al 69true ［Abstract］　Objective　To investigate the MRI manifestations and clinical significances of liver perivascular lucency(PVL).Methods　The clinical data of 68 patients with PVL from January 2015 to June 2016 were retrospectively analyzed. The results of magnetic resonance imaging(MRI) findings, pathology and types of disease were summarized.Results　PVL showed that the changes of the main branches of the portal vein and its branches around the long T1 long T2 signals were “track sign” or “halo ring sign”, some of which had mergers with the gallbladder wall edema, extrahepatic lymph duct expansion and lymph node enlargement. Of the 68 cases with PVL, 46 cases（67.6%） had PVL which was around the main portal vein and the left and right branches area; 12 cases（17.6%） had PVL which was around the middle and distal parts of portal vein; 10 other cases（14.7%） had both track sign and halo ring sign. In the types of illnesses, 57 cases had different degrees of liver function damage, including active hepatitis in 18 cases, cirrhosis in 20 cases, cirrhosis and liver cancer in 13 cases, drug induced liver damage in 5 cases, systemic lupus erythematosus and liver damage in 1 case, renal function damage in 4 cases, and cardiac function damage in 7 cases.Conclusion　The MRI findings and distribution of liver PVL have a certain characteristic, and the pathological basis is lymphangiectasis which is the indirect reflection of the structure and function of the liver.]]> 2017/6/5 0:00:00 LIANG Yong-qin, LI Ying-yi, YANG Wei-zhen, et al 68true ［Abstract］　Objective　To study the clinical efficacy of unilateral pedicle screw fixation combined with single Cage bone graft fusion in treatment of lumbar degenerative disease.Methods　From March 2012 to February 2015, 30 patients with lumbar degenerative disease were treated in our hospital and were randomly divided into the observation group and the control group, with 15 cases in each group. The observation group was treated with unilateral pedicle screw fixation and single Cage bone graft fusion, while the control group was treated with bilateral pedicle screw fixation and single Cage bone graft fusion. The clinical effects were compared between the two groups.Results　The amount of bleeding, the operation time and the length of hospital stay in the observation group were significantly lower than those in the control group（P<0.01）. There were no significant differences between the two groups in the preoperative JOA and the VAS scores（P>0.05）. The preoperative JOA of the observation group was significantly higher than that of the control group after the last follow-up, and the VAS scores of the observation group were significantly lower than those of the control group(P<0.01).Conclusion　Unilateral pedicle screw fixation combined with single Cage bone graft fusion has significant clinical effect on the treatment of lumbar degenerative disease. It is safe and can effectively alleviate the pain of the patients.]]> 2017/6/5 0:00:00 WEI Zhong-hong 67true ［Abstract］　Objective　To study the clinical effect of injured vertebral GSS nailing system on the patients with thoracic lumbar spine fracture.Methods　200 patients with thoracic lumbar spine fractures in our Hospital from March 2010 to March 2016 were randomly divided into the control group and the observation group, with 100 cases in each group. The control group received the traditional surgical treatment and the observation group was treated with the injured vertebral GSS nailing system. The clinical effects were compared between the two groups.Results　The trailing edge height of vertebral bodies, anterior flange height and Cobb Angle in the observation group were better than those in the control group（P<0.01）. The effective rate of the observation group was significantly higher than that of the control group(P<0.01).Conclusion　GSS pedicle screw system is effective in the treatment of thoracolumbar spinal fractures.]]> 2017/6/5 17:27:11 HUANG Rui 66true ［Abstract］　Objective　To evaluate the diagnosing value of multiple-phase scanning of multi-spiral computer tomography(MSCT) on primary liver cancer.Methods　From January 2013 to October 2016, ninety-six patients proven by histological examination as primary liver cancer(PLC) were included in this study. The imaging data of MSCT scanning of the patients were analyzed retrospectively.Results　There were 396 lesions in 96 patients. Scan mode detected that the signal of 64（66.7%） cases was low density or mainly low density, and there were 93（96.9%） cases with high density in arterial phase. There were 78（81.3%） cases with low density in portal vein phase, and 89（92.7%） cases with low density in delay phase, which presented as“quick ascent and quick descent”.Conclusion　MSCT can clearly reflect PLC, which has a higher clinical value on diagnosing PLC.]]> 2017/6/5 17:27:11 LIANG Yu-an 65true ［Abstract］　Objective　To explore the effects of modified Yanghe decoction in combination of bone shift surgery on postoperative unhealing infectious bone of femoral fracture.Methods　Eighty-seven patients with postoperative unhealing infectious bones of femoral fractures in Yangjiang Hospital of TCM were selected as the research subjects and were divided into the control group and the treatment group according to the random number table method. The treatment group received bone shift surgery in combination with modified Yanghe decoction and the control group was treated with traditional method. The infection rate, recurrence rate, fracture healing duration and the extent of limb shortening were compared between the two groups.Results　The infection rate and the recurrence rate in the treatment group were significantly lower than those in the control group(4.55% vs 20.93% and 6.82% vs 23.26%); The fracture healing duration of the treatment group was significantly shorter than that of the control group. While the scope of limb shortening in the treatment group was smaller than that in the control group(P<0.05).Conclusion　Modified Yanghe decoction in combination of bone shift surgery is effective on the treatment of postoperative unhealing infectious bone of femoral fracture.]]> 2017/6/9 8:58:44 CHEN Ding-qi, PAN Yu-chao, CHEN De-yan, et al. 64true ［Abstract］　Objective　To evaluate the efficacy of Xinmailong injection in the treatment of chronic heart failure(CHF).Methods　One hundred and two patients with were CHF randomly divided into the treatment group(n=46) and the control group(n=48). Both of the two groups received the same routine therapy for CHF, and the treatment group had an additional injection of Xinmailong(ivgtt, 5 mg/kg, bid for 10 days). The improvement of heart function,the level of NT-proBNP, left ventricular ejection fraction(LVEF) and 6-min walking distance were observed before and after the treatment.Results　Twenty-three cases were markedly effective, 17 cases effective and 6 cases ineffective in the treatment group. In the control group, 15 cases were markedly effective, 16 cases effective and 17 cases ineffective. There was significant difference in the clinical efficacy between the two groups(P<0.05). The total effective rate of heart function, the level of NT-proBNP, LVEF and 6-min walking distance in the treatment group were improved better than those in the control group(P<0.05).Conclusion　Xinmailong injection can improve LVEF and the heart function of CHF patients and elevate the exercise tolerance.]]> 2017/6/9 8:58:44 QUAN Wu-xia, MIAO Yan-dong. 63true ［Abstract］　Objective　To compare the clinical effects and advantages between endoscopic thyroidectomy by breast approach and traditional surgery on thyroid benign tumors.Methods　The clinical data of 136 cases who recerved the surgical treatment of thyroid benign tumors were retrospectively analyzed. All the included patients were divided into the observation group(n=68) and the control group(n=68) according to the different surgical approaches. The observation group was operated by breast approach endoscopic thyroid surgery; and the control group was treated with the traditional open thyroid surgery. The operation time, blood loss, drainage volume, incision pain, postoperative complications, hospitalization time and the cost of hospitalization were compared between the two groups.Results　The operation time was longer, and the intraoperative bleeding volume, the amount of drainage, hospital stay, the proportion of incision pain and the complications were less in the observation group than those in the control group(P<0.05). All the patients did not relapse or suffer from thyroid gland dysfunction after a follow-up of half a year.Conclusion　Endoscopic thyroid surgery by breast approach is a safe and reliable operation method for thyroidectomy.]]> 2017/6/9 8:58:44 SHI Chao-ji, LUO Yong-xiang, ZHENG Da-wu, et al. 62true ［Abstract］　Objective　To investigate the risk factors and effects on pregnancy outcome of hypertensive disorder complicating pregnancy.Methods　Eighty-two women with hypertensive disorder complicating pregnancy in our hospital from January 2009 to December 2015 were selected as the research group, and eighty-two cases of health pregnant women were collected as the control group. The risk factors of hypertensive disorder complicating pregnancy were analyzed, and the pregnancy outcome was compared between the two groups.Results　The proportion of the risk factors in the research group including more than 35 years old, prepregnant body mass index(BMI)≥25 kg/m², multipara, below high school and hypertension family history were higher than those in the control group. Howeve the proportion of the risk factors of the family income and serum calcium concentration in the research group were signigicantly lower than those in the control group（P<0.05）. The result of Multivariate Logistic Regression showed that age（OR=2.116, 95%CI=1.207～3.618）, hypertension family history（OR=1.604, 95%CI=1.305～2.573）, prepregnant BMI（OR=1.805, 95%CI=1.298～2.324） and education level（OR=1.230, 95%CI=0.716～1.815） were the risk factors for the hypertensive disorder complicating pregnancy. The rate of cesarean section and the incidences of low birth weight fatal,neonatal asphyxia, pretermbirth and postpartum hemorrhage in the the research group were significantly higher than those in the control group（P<0.05）.Conclusion　Age, hypertension family history,prepregnant BMI and education level are the risk factors for the hypertensive disorder complicating pregnancy. Hypertensive disorder complicating pregnancy has a variety of adverse effects on the pregnancy outcome.]]> 2017/6/9 8:58:44 WEN Yu-ting, DENG Yue-xiu. 61true ［Abstract］　Objective　To investigate the clinical effects between intracavitary holmium laser lithotripsy and open surgery on the treatment of ureteral calculi.Methods　One hundred and eighteen patients with ureteral calculi in our hospital from January 2008 to December 2015 were selected, and were randomly divided into the lithotripsy group(n=88) and the open surgery group(n=30). The intraoperative and postoperative conditions and stone removals were compared between the two groups.Results　The operative time, blood loss, postoperative hospital stay, postoperative ambulation time, the first exhaust time after surgery, postoperative analgesic usage and postoperative infection in the lithotripsy group were significantly shorter or lower than those in the open surgery group(P<0.05). There were no significant differences in the incidences of postoperative complications and the stone clearance rate and recurrence rate between the two groups(P>0.05).Conclusion　Intracavitary holmium laser lithotripsy is safe and effective for the patients with ureteral calculi.]]> 2017/6/9 8:58:44 SHENG Wei-xin, JIANG Ting 60true ［Abstract］　Objective　To investigate the value of combined detection of homocysteine(Hcy), lipoprotein(a)［LP(a)］ and D-Dimer in the diagnosis of acute cerebral infarction.Methods　One hundred and fifty cases with acute cerebral infarction were selected as the observation group, and 120 healthy people were taken as the healthy group, Hcy, LP(a) and D-Dimer were detected. According to the NIHSS scores, the observation group was divided into 3 subgroups, with 86 cases in the mild subgroup, 42 cases in the medium subgroup, and 22 cases in the severe subgroup. The relationship between Hcy, LP(a) and D-Dimer detection results was studied.Results　The levels of Hcy, LP(a) and D-Dimer in the medium and severe subgroups were significantly higher than those in the mild subgroup(P<0.05). There were significant differences in Hcy, LP(a) and D-Dimer between the medium subgroup and the severe subgroup(P<0.05). The levels of Hcy, LP(a) and D-Dimer in the healthy group were significantly lower than those in the severe subgroup(P<0.05).Conclusion　Hcy, D-Dimer and LP(a) can reflect the conditions of the patients with cerebral stroke. The combined detection of them is valuable for the diagnosis of acute cerebral infarction.]]> 2017/6/9 8:58:44 CHEN Shang-wu 59true ［Abstract］　Objective　To evaluate the effects of drug therapy on chronic gastritis.Methods　Sixty-four patients with chronic gastritis treated in our hospital from February 2014 to February 2016 were selected as the research subjects and were randomly divided into the control group and the observation group, with 32 cases in each group.The control group was given single drug amoxicillin and the observation group was given quadruple drug therapy including amoxicillin, furazolidone, omeprazole and colloidal bismuth pectin. The clinical efficacy and incidence of adverse reactions were compared between the two groups.Results　The efficiency of the observation group was markedly effective in 14 cases, effective in 15 cases and invalid in 3 cases; The efficiency of the control group was markedly effective in 8 cases, effective in 13 cases and invalid in 11 cases. The total effective rate of the observation group was significantly higher than that of the control group(P<0.05); The incidence of adverse reactions in the observation group was significantly lower than that in the control group(6.25% vs 25.00%)(P<0.05).Conclusion　The quadruple drug therapy is effective on chronic gastritis, with a shorter course of treatment, a smaller dosage, lower price and a lower incidence of adverse reactions.]]> 2017/6/9 8:58:44 YU Tian-feng 58true ［Abstract］　Objective　To explore the effect of combining emergency care simulator(ECS) with problem-based learning(PBL) teaching method on improving the medical techniques in the interns of neurological department.Methods　All the interns of the neurological department were taught medical courses using ECS combined with PBL teaching method and their teaching results after the training were compared with those before the training.Results　After the training, the students′ professional knowledge was significantly higher and their comprehensive quality was obviously better than those before the training(P<0.05). After the training, the students′ comprehensive performance was better than that before the training(P<0.05).Conclusion　PBL teaching method combined with ECS can effectively promote the students′ theoretical knowledge and clinical skills, and help to improve their comprehensive performance.]]> 2017/6/9 8:58:44 LI Wen-fei, LIU Ren-kai, ZHANG Ling-ling 57true ［Abstract］　Objective　To study the effects of high flux dialysis on high blood pressure in patients with maintenance hemodialysis.Methods　One hundred and twelve patients with maintenance hemodialysis were collected in our hospital from June 2014 to June 2016 and were randomly divided into two groups according to the admission order,with 56 cases in each group. The control group was given the treatment of low flux dialysis, and the observation group received high flux dialysis. The changes of blood pressure and the occurrence of adverse reactions were compared between the two groups before and after the treatment.Results　After the treatment, the levels of SBP and DBP were significantly decreased than those before the treatment in both of the two groups(P<0.05). The levels of SBP and DBP in the observation group were significantly lower than those in the control group after the treatment(P<0.01). The incidence of adverse reactions in the observation group(5.36%) was significantly lower than that in the control group(16.07%)(P<0.05).Conclusion　High flux dialysis is effective to control high blood pressure in the patients receiving maintenance hemodialysis.]]> 2017/6/14 10:41:48 LIAO Xin-yuan, LI Jin-cheng, OU Zhao-qiu, et al. 56true ［Abstract］　Objective　To explore the clinical efficacy of Ginseng and Rehmannia decoction combined with valsartan in the treatment of early diabetic nephropathy with dual deficiency in Qi and Yin.Methods　Seventy patients with early diabetic nephropathy of dual deficiency in Qi and Yin were selected as the research subjects and were divided into the control group(n=30) and the observation group(n=40) according to the different treatment methods. Both of the two groups received the same conventional treatment, except for this the control group were given additional valsartan 80 mg, qd, and the observation group were treated with additional Ginseng and Rehmannia decoction combined with valsartan. All the patients were administered with medicines for consecutive eight weeks. The efficacy, syndrome scores of traditional Chinese Medicine(TCM) before and after the treatment and the adverse reactions were compared between the two groups.Results　Twenty-three cases were cured, 15 effective and 2 ineffective in the observation group, while 13 cases were cured, 9 effective and 8 ineffective in the control group, with a bether clinical result in the observation group(P<0.05). The TCM syndrome scores of the observation group were significantly lower than those of the control group after the treatment(P<0.05); The rates of complications were 0.00% and 3.33% in the observation group and the control group respectively, with no significant difference(P>0.05).Conclusion　Ginseng and Rehmannia decoction combined with valsartan is safe and effective in the treatment of early diabetic nephropathy with dual deficiency in Qi and Yin.]]> 2017/6/14 10:41:48 WEN Yu-xia 55true ［Abstract］　Objective　To investigate the clinical effect of minimally invasive percutaneous nephrolithotomy lithotripsy(MPCNL) on complicated urolithiasis under the guidance of color Doppler ultrasound.Methods　88 cases with complicated urolithiasis in our hospital were randomly divided into two groups. The observation group(n=44) received MPCNL under the guidance of color Doppler ultrasound, and the control group(n=44) was treated with open surgery. The complications, stone clearance rate were compared between the two groups after the treatment.Results　All the patients were performed the operation successfully. The incidence of the complications and the stone clearance rate in the observation group was significantly lower than those in the control group. The bleeding volume of the observation group was significantly less than that of the control group(P<0.05 ). The time for early ambulation was significantly shorter in the observation group than that of the control group(P<0.05 ).Conclusion　MPCNL is effective and reliable for complicated urolithiasis.]]> 2017/6/14 10:41:48 FU Yuan-di, LIAO Zhi-wu, ZHENG Wei 54true ［Abstract］　Objective　To compare the clinical effects and safety between laparoscopic assisted vaginal hysterectomy(LAVH) and total abdominal hysterectomy(TAH).Methods　The clinical data of 68 patients undergoing total hysterectomy in our hospital were retrospectively analyzed. They were randomly divided into the observation group and the control group, with 34 cases in each group. The observation group received LAVH treatment and the control group received TAH. The clinical effects and hospitalization costs were compared between the two groups.Results　The length of incision, the volume of bleeding, the exhaust time, the rate of postoperative pain, the hospitalization time and the complication rate in the observation group were significantly shorter or lower than those in the control group(P<0.05). The operation time was significantly longer and the hospitalization costs were higher of in the observation group than those in the control group(P<0.05).Conclusion　LAVH has more advantages than TAH in the patients with total hysterectony.]]> 2017/6/14 10:41:48 LIU Xiang-lin 53true ［Abstract］　Objective　To investigate the efficacy of metronidazole suppository in combination with conjugated estrogen ointment treatment in the treatment of senile vaginitis.Methods　One hundred and eighty patients with senile vaginitis in our hospital from January 2013 to April 2015 were divided into the study group and the control group according to the number of parity, with 90 cases in each group. The control group was treated with metronidazole suppository, and the study group was given metronidazole suppository in combination with conjugated estrogen ointment. The clinical effects were compared between the two groups after a follow-up of six months or more.Results　The total efficiency of the study group(96.67%), was significantly higher than that of the control group(76.67%)(P<0.05). The recurrence rate of the study group(16.67%) was significantly lower than that of the control group(40.00%) after the follow-up(P<0.05). Before the treatment, there were no significant differences in serum follicle stimulating hormone(FSH) and estradiol(E2) between the two groups(P>0.05). After the treatment, FSH was significantly increased and E2 was significantly reduced in both of the two groups(P<0.05), however FSH was higher and E2 was significantly lower in the study group(P<0.05).Conclusion　Metronidazole suppository in combination with conjugated estrogen ointment improves the clinical effect and the levels of FSH and E2, reduces the recurrence rate in the treatment of senile vaginitis.]]> 2017/6/14 10:41:48 ZHUO Juan-ru, HUANG Li-hong, XU Li-ping, et al. 52true ［Abstract］　Objective　To investigate the extraction of impacted teeth by buccal incision in mandibular third molar.Methods　 Sixty patients undergoing horizontal impaction of mandibular third molar received the extraction of buccal vertical impaction. The conditions of postoperative bleeding, pain, soft-tissue edema and healing of wound mucosal were observed.Results　（1)The extraction of horizontal impaction of mandibular third molar in 30 cases of 60 patients was removed completely.（2)The bad teeth were fully exposed in the operation areas after the relevant resistance was removed.（3)The symptoms of local inflammation and edema reduced after the operation.Conclusion　Buccal vertical incision is suitable for the extraction of the impacted teeth in mandibular third molar and the teeth of horizontal impaction and vertical impaction.]]> 2017/6/14 10:41:48 LI Yan 51true ［Abstract］　Objective　To evaluate the outcomes of cardiopulmonary resuscitation(CPR) in the patients with sudden cardiac arrest in different places of the hospital settings.Methods　One hundred and thirty patients with sudden cardiac arrest were collected from January 2013 to July 2014 in the general ward and intensive care unit（ICU） of our hospital and were divided into the general ward group(n=92) and the ICU group(n=38) according to the Utstein guidelines. The clinical date were compared between the two groups.Results　There was no significant difference in the rate of restoration of spontaneous circulation(ROSC) between the general ward group and the ICU group(14.13% vs 26.31%, χ²=2.742, P=0.098). The hospital discharge rate, the half year survival rate and one-year survival rate in the ICU group were significantly elevated than those in the general ward group(18.42% vs 6.52%, χ²=4.231, P=0.040; 13.15% vs 1.86%, χ²=8.901, P=0.030;10.52% vs 1.86%, χ²=6.479, P=0.010).Conclusion　The clinical effects of CPR in the ICU are better than those in the general ward in the patients with sudden cardiac arrest.]]> 2017/6/14 10:41:48 WEI Shu-wang, WEI Ting-qiu, HUANG Hong-kun, et al. 50true ［Abstract］　Objective　To evaluate the clinical effects of community pharmaceutical care on type 2 diabetes.Methods　Three hundred patients with type 2 diabetes were sellected from the community health service center and were divided into the intervention group(n=150) and the control group(n=150). Both of the two groups were given the routine medical services and health education, and their blood glucose levels were monitored by a regular follow-up. The intervention group received an additional pharmaceutical care and monitoring of the adverse reaction for 6 months. The blood glucose, fasting blood sugar, 2 h postprandial blood glucose and glycosylated hemoglobin levels, self-management behavior and adverse reactions were compared between the two groups before and after the intervention.Results　The levels of 2 h postprandial blood glucose, fasting glucose and glycosylated hemoglobin in both of the two groups were significantly lower 6 months after the pharmaceutical care(P<0.01); The rates of correct knowledge of lifestyle, medication compliance behavior and the related knowledge of diabetes mellitus were significantly improved in both of the two groups after the pharmaceutical care(P<0.05 or P<0.01), and the improvement of the intervention group were better than those of the control group(P<0.05 or P<0.01). The rate of adverse drug reactions of the intervention group was significantly lower than that of the control group(8.00% vs 16.67%)(P<0.05).Conclusion　Individualized community pharmaceutical care can improve the blood sugar levels and the self- management ability of health in the patients with type 2 diabetes.]]> 2017/6/14 10:41:48 ZHONG Jun-shan, CHEN Liu-huan, LI Mao-qing, et al. 49true ［Abstract］　Objective　To investigate the diagnosis and treatment of the bleeding caused by the rupture of primary liver cancer and to provide the reference for the clinics.Methods　The clinical data of 42 cases with the bleeding caused by rupture of primary liver cancer in our hospital were analyzed retrospectively.Results　Eighteen cases received the conservative treatment(42.86%). 2 patients died, in whom one case got hemorrhagic shock and one case got liver failure. Two cases received surgery after the conservative treatment; 13 cases received surgery(30.95%), and the hepatic artery chemical embolization(TAE) rate was 100%; 11 cases received the treatment of the(26.19%), in whom one case suffered from rebleeding and died of liver failure. Seven cases died of rebleeding and 35 cases survived after a follow-up of one year.Conclusion　According to the patients conditions, the conservative treatment should be considered first, and then open surgery or hepatic arterial embolization(TAE) is sometimes necessary to perform on the patients, which can effectively stop bleeding, and improve the prognosis.]]> 2017/6/14 10:41:48 LI Tian-man, ZHOU Ren, PANG Zhi-dong 48true ［Abstract］　Objective　To explore the feasibility of montelukast combined with terbutaline for the treatment of cough variant asthma complicated with mycoplasma pneumoniae infection in children.Methods　Ninety eight children with cough variant asthma complicated with mycoplasma pneumoniae infection were randomly divided into two groups, with 49 cases in each group. The patients in the control group were treated with terbutaline therapy, and the patients in the observation group received montelukast treatment on the basis of that applied on the patients in the control group. The clinical efficacy and clinical symptoms of the patients were compared between the two groups.Results　In the observation group, 35 cases were markedly effective, 11 effective and 3 ineffective, while in the control group, 25 cases were markedly effective, 13 effective and 11 ineffective. The treatment efficacy of the observation group was better than that of the control group(P<0.05).Conclusion　Montelukast combined with terbutaline can effectively improve the clinical symptoms and signs, reduce adverse reactions for treatment of children with cough variant asthma complicated with mycoplasma pneumoniae infection.]]> 2017/6/22 9:55:21 LI Ning 47true ［Abstract］　Objective　To explore the effects of dezocine administered on restlessness and stress reactions for the patients undergoing laparoscopies under general anesthesia prior to surgeries.Methods　Three hundred patients undergoing laparoscopies under general anesthesia in our hospital from August 2015 to March 2016 were selected as the research subjects, and divided into the control group(n=149) and the observation group(n=151) by the random number table. The patients in the control group were administered with saline before the ending of the surgery and the patients in the observation group were administered with dezocine while undergoing intradermic suture before the end of the surgery. The sedation score scales of the patients were compared between the two groups, and the corresponding restlessness and stress reactions of the patients in the two groups were analyzed.Results　The scores of restlessness in the observation group(0.38±0.10) were significantly lower than those in the control group(1.33±0.24), and the sedation scores of the observation group(2.14±0.35) were significantly higher than those of the control group(1.56 ± 0.15)(P<0.05). The remission rate of restlessness in the observation group(100%) was significantly higher than that in the control group(61.76%)(P<0.05). The incidence of adverse reactions in the observation group(4.63%) was lower than that in the control group(6.71%)(P>0.05).Conclusion　Dezocine is safe and effective for restlessness and stress reaction during recovery period in the patients before laparoscopy under general anesthesia.]]> 2017/6/22 9:55:21 LI Zhi-qing, CAI Heng-ye 46true ［Abstract］　Objective　To investigate the clinical effect of total hip replacement in the treatment of femoral neck fracture in middle-aged and elderly patients.Methods　Sixty-eight middle-aged and elderly patients with femoral neck fracture in our hospital from January 2012 to June 2015 were randomly divided into the replacement group(n=35) and the internal fixation group(n=33). Patients in the replacement group received total hip replacement, and the internal fixation group received internal fixation.The clinical effects were compared between the two groups.Results　The average operation time was significantly longer and the intraoperative blood loss was more in the replacement group than those in the internal fixation group（P<0.05）. The bed rest time was significantly shorter in the replacement group than that in the internal fixation group（P<0.05）. There was no significant difference in the time of hospital stay between the two groups（P>0.05）. The Harris hip scores the replacement group（73.15±5.27） were more than those the internal fixation group（52.08±3.62）, P<0.05.Conclusion　Total hip replacement is better than internal fixation for the treatment of femoral neck fracture in the middle-aged and elderly patients,with a quickly improved limb function and better quality of live.]]> 2017/6/22 9:55:21 TAO Zhen, LONG Guang-hua, CAO Qi-sheng, et al. 45true ［Abstract］　Objective　To study the clinical effect of Ti-Ni shape memory alloy embracing fixator in the treatment of multiple rib fractures.Methods　Sixty-two patients with multiple rib fractures in our hospital from August 2012 to August 2014 were selected, and were randomly divided into the observation group and the control group, with 31 cases in each group. The observation group received Ti-Ni shape memory alloy embracing fixator internal fixation and the control group was conservatively treated. The clinical effect, perioperative recovery and complication rate were compared between the two groups.Results　The effective rate of the observation group(93.55%) was significantly higher than that of the control group(64.52%) after the treatment(P<0.05). The residence time of catheter, the duration of mechanical ventilation, the time of early ambulation and fracture healing, the duration of chest pain and the average hospital stay in the observation group were significantly shorter than those in the control group(P<0.05). The total complication rate of the observation group(3.23%) was significantly lower than that of the control group(32.26%)(P<0.01).Conclusion　Ti-Ni shape memory alloy embracing fixator is safe and reliable in the treatment of multiple rib fractures with good efficacy, quick recovery and fracture healing, less trauma to the patients during the operation.]]> 2017/6/22 9:55:21 LIU Peng-tao, YU Miao-zi, LI He-peng, et al. 44true ［Abstract］　Objective　To investigate the related factors of hyperuricemia in the elderly patients with type 2 diabetes mellitus.Methods　Two hundred and forty cases of elderly patients with type 2 diabetes mellitus aged over 60 years in our hospital from January 2013 to January 2016 were divided into group A(n=45, with high uric acid) and group B(n=195, with normal uric acid), according to the levels of blood uric acid. Analysis of two groups of body mass index(BMI), blood pressure, fasting plasma glucose(FPG), glycosylated hemoglobin(HbA1c), blood urea nitrogen(BUN), blood cretonne(Scr), total cholesterol(TC), triglyceride(TG), high density lipoprotein(HDL-C) and low density lipoprotein(LDL-C) were compared between the two groups.Results　The prevalence rate of hyperuricemia in elderly patients with type 2 diabetes was 18.7%. Hyperuricemia was closely related to triglyceride, total cholesterol, BMI and blood pressure.Conclusion　Body weight should be controlled and triglyceride should be reduced, and activity should be strengthened to prevent hyperuricemia in elderly patients with type 2 diabetes mellitus.]]> 2017/6/22 9:55:21 HAN Wei 43true ［Abstract］　Objective　To evaluate the clinical effect of continuous renal replacement therapy on the treatment of type Ⅰ cardiorenal syndrome.Methods　Forty-one patients with type Ⅰ cardiorenal syndrome in our hospital from October 2011 to December 2014 received continuous renal replacement therapy. The changes of cardiac function,blood gas and biochemical indexes were observed before and after the treatment.Results　Of the 41 patients, 30 cases were markedly effective, 8 effective, and 3 ineffective. The total effective rate was 92.7%. After the continuous renal replacement therapy, the levels of LVEF, LVD, pH, PaO₂, SaO₂, BUN, Scr, HR, RR, CVP and MAP were obviously improved compared with those before the treatment(P<0.05).Conclusion　Continuous renal replacement therapy can obviously improve the cardiac and renal function in the patients with type Ⅰ cardiorenal syndrome.]]> 2017/6/22 9:55:21 LI Kai, LI Wei-ke, SHAO Hong-hua 42true ［Abstract］　Objective　To investigate the safety and clinical efficacy between laparoscopy and open surgery for portal hypertension in pericardial devascularization and splenectomy.Methods　The clinical data were retrospectivly analyzed in 72 cases with portal hypertension in which laproscopy and open surgery were performed for portal hypertension in pericardial devascularization and splenectomy.Results　The average amount of bleeding, the rate of postoperative complications, the length of hospital stay and the mortality rate in the patients with laparoscopy were significantly lower than those in the patients with open surgery(P<0.05).Conclusion　Laparoscopy is safe and effective for the treatment of portal hypertension in the patients with pericardial devascularization plus splenectomy.]]> 2017/6/22 9:55:21 ZHU Yi-gui, LUO Yong-xiang, ZHENG Da-wu, et al. 41true ［Abstract］　Objective　To compare the clinical efficacy between laparoscopic and open surgery in the treatment of colorectal cancer.Methods　Seventy-six patients with colorectal cancer were divided into the laparoscopy group(n=39) and the open surgery group(n=37) according to different surgical methods. Thirty-nine patients undergoing laparoscopic surgery were collected as the laparoscopy group, and other thirty-seven patients who were treated with open surgery were taken as the open surgery group. The length of incision,the operation time, the amount of intraoperative bleeding, the postoperative anal exhaust time, the time of starting liquid diets intake, the time of early ambulation, the hospital stay, the number of lymph nodes resected and the complications were compared between the two groups.Results　The length of incision,the operation time, the postoperative anal exhaust time, the time of starting liquid diets intake, the time of early ambulation and the hospital stay were significantly shorter and the the amount of intraoperative bleeding was significantly less in the laparoscopic group than those in the open surgery group(P<0.05). There was no significant difference between the two groups in the number of lymph nodes resected(P<0.05). The incidence of complications in the laparoscopic group was significantly lower than that in the open surgery group(7.69% vs 27.03%）(P<0.05).Conclusion　Laparoscopic radical surgery is safe and effective in the treatment of colorectal cancer.]]> 2017/6/30 9:13:09 BI Chao-kuan 40true ［Abstract］　Objective　To compare the application effect between limited blood transfusion and open blood transfusion on hip replacement operation.Methods　Eighty-two patients who were treated with hip replacement surgery in orthopedic department of our hospital from October 2014 to November 2015 were collected. They were divided into the observation group and the control group by the random number table method, with 41 cases in each group. The control group received open blood transfusion, while the observation group received limited blood transfusion. The incidence of hypotension, the amount of intraoperative blood transfusion, the incidence of adverse reactions, Hb 1 day before discharging hospital, the incision infection, the time of hospitalisation, the hip joint function improvement after a following-up for 3 months were compared between the two groups.Results　The incidence of hypotension, the amount of intraoperative blood transfusion, the incidence of adverse reactions in the observation group were significantly lower than those in the control group(P<0.05). The clinical effect of the observation group was significantly better than that of the control group after a following-up for 3 months(P<0.05).Conclusion　Compared with open blood transfusion, limited blood transfusion reduces the amount of intraoperative blood transfasion and the adverse reactions in hip arthroplasty.]]> 2017/6/30 9:13:09 LI Yan-qiong, HU Rui 39true ［Abstract］　Objective　To investigate the clinical application and the curative effect of assisted vaginal hysterectomy on patients with hysterectomy.Methods　The clinical data of 86 cases with hysterectomy in our hospital from June 2012 to June 2015 were retrospectively analyzed. They were divided into the observation group(n=43, with assisted vaginal hysterectomy) and the control group(n=43, with total abdominal hysterectomy). The operation time, intraoperative blood loss, time of off-bed activities, length of hospital stay and the postoperative complications were compared between the two groups.Results　All the 86 patients were operated successfully in both of the two groups. The intraoperative blood loss of the observation group was significantly less than that of the control group(P<0.01). The time of off-bed activities and the length of hospital stay were significantly shorter in the observation group than those in the control group(P<0.01). The operation time of the observation group was longer than that of the control group(P<0.01). The infection rate of incision was significantly lower in the observation group than that in the control group(P<0.01). No ureteral injury and no bladder injury occurred in the two groups.Conclusion　Laparoscopic assisted vaginal hysterectomy is safe and effective in the treatment for the patients with hysterectomy.]]> 2017/6/30 9:13:09 LIANG Gui-xiu 38true ［Abstract］　Objective　To compare the clinical efficacy between the breast conserving surgery and the modified radical mastectomy in the treatment of breast cancer.Methods　One hundred and forty-seven women with breast cancer from June 2011 to May 2014 were analyzed retrospectively.According to the different surgery methods, they were divided into two groups. The observation group(n=78) was treated with the breast conserving surgery and the control group(n=69) was treated with modified radical mastectomy. The operation time, intraoperative blood loss and length of hospital stay, breast aesthetics and postoperative follow-up results were compared between the two groups.Results　The operation time, blood loss and postoperative hospital stay in the observation group were obviously less than those in the control group(P<0.05); The breast aesthetics in the observation group was obviously better than that in the control group(P<0.05); There were no significant differences in the incidence, local recurrence rate and metastasis rate between the two groups(P>0.05).Conclusion　The breast conserving surgery is better than modified radical mastectomy in the treatment of breast cancer. It has less surgical trauma, faster recovery and better breast aesthetics.]]> 2017/6/30 9:13:09 LI Zhong, YUAN Yang-chun 37true ［Abstract］　Objective　To investigate the clinical effect and safety of tiotropium, Pulmicort and Ventolin on elderly patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods　Eighty elderly patients with acute exacerbation from December 2014 to December 2015 were randomly divided into two groups according to the different treatment methods, with 40 cases in each group. The control group was treated with Pulmicort and Ventolin.The experimental group was treated with tiotropium on basis of the therapy in the control group.Results　The disappearance time of wheezing, fever, cough, dry and wet lung rales and the length of hospital stay in the experimental group were significantly shorter than those in the control group after the treatment(P<0.05); The incidence of adverse reactions(7.5%) was significantly lower than that in the control group(17.5%)(P<0.05).Conclusion　The combination treatment of Pulmicort ,Ventolin and tiotropium is safe and effective in the treatment of acute exacerbation of COPD.]]> 2017/6/30 9:13:09 JIA Zu-qiang 36true ［Abstract］　Objective　To study the effects of coagulation and hemostasis suture on ovarian function after ovarian cystectomy.Methods　Eighty-eight patients with ovarian cysts and receiving laparoscopic ovarian cystectomy in our hospital from January 2015 to October 2015 were collected as the research subjects and were divided into two groups. The control group(n=43) was treated with routine coagulation and the observation group(n=45) received ovarian suture hemostasis after the surgery. The changes of ovarian function were compared between the two groups after the treatment.Results　There were significant differences in FSH(follicle stimulating hormone), E2(estradiol hormone), AFC(alveolar fluid clearance), FSH/LH(luteinizing hormone) and the ovarian dysfunction rate between the two groups three months after the surgery, P<0.05.Conclusion　Ovarian suture hemostasis is better than coagulation in ovarian cystectomy.]]> 2017/6/30 9:13:09 LIU Yan-mei 35true ［Abstract］　Objective　To compare the clinical effects between fructose oral solution and Medilac-Vita on the treatment of functional constipation in infants.Methods　Forty-six infants with functional constipation were selected from the outpatient department during January 2016 and July 2016, and were randomly divided into the observation group and the control group, with 21 cases in the observation group, and 25 cases in the control group. The observation group was treated with fructose, while the control group was treated with Medilac-Vita. The effect of relieving constipation was compared between the two groups.Results　In the observation group, 13 cases were markedly effective, 5 cases effective and 3 cases ineffective. In the control group, 5 cases were markedly effective, 5 cases effective and 15 cases ineffective. The curative effect of the observation group was better than that of the control group[JP4]（Z=-3.309, P=0.001）.Conclusion　The curative effect of fructose is better than that of Medilac-Vita on the treatment of functional constipation in infants.]]> 2017/6/30 9:13:09 HONG Mei, LU Ming-xu 34true ［Abstract］　Objective　To explore the effects of tiotropium bromide combined with pulmonary rehabilitation on pulmonary artery pressure and the quality of life in patients with stable chronic obstructive pulmonary disease(COPD).Methods　Seventy-two patients with stable COPD were collected from July 2012 to March 2014 and were divided into two groups. The control group(n=35) received pulmonary rehabilitation for six months,and the treatment group(n=37) was treated with pulmonary rehabilitation in combination with tiotropium bromide. The indirect systolic pulmonary artery pressure,blood analysis and the improvement of quality of life were compared between the two groups.Results　The scores of quality of life were not significantly different between the two groups before the treatment(P>0.05). The treatment group had significantly lower scores of quality of life than the control group after the treatment(P<0.05). There was no significant difference in 6 Minute Walking Test between the two groups before the treatment. The walking distance of 6 minutes in the treatment group was significantly longer than that in the control group(P<0.05) after the treatment. There was no significant difference between the two groups in pulmonary artery systolic pressure before the treatment. The treatment group had significantly lower pulmonary artery systolic pressure than the control group after the treatment(P<0.05). Blood gas analysis showed significant differences in PaCO₂ and PaO₂ values between the two groups after the treatment(P<0.05).Conclusion　Tiotropium bromide in combination with pulmonary rehabilitation can reduce the pulmonary arterial pressure and improve the quality of life in the patient with stable COPD.]]> 2017/6/30 9:13:09 LI Yu-hu 33true ［Abstract］　Objective　To explore the effects of Yishenhuoxue decoction on oxidative stress and hormone levels in patients with endometriosis complicated with infertility after gynecological laparoscopy.Methods　Seventy patients with endometriosis complicated with infertility were collected as the research subjects in our hospital from January 2015 to December 2015 and were randomly divided into the observation group(treated with Yishenhuoxue decoction, n=35) and the control group (treated with GnRH-a subcutaneous injection, n=35). The levels of oxidative stress and hormones were observed and recorded.Results　The levels of superoxide dismutase(SOD) and glutathione peroxidase(GSH-Px), follicle-stimulating hormone(FSH), luteinizing hormone(LH) and estradiol(E2) in the observation group were significantly higher than those in the control group(P<0.05). The malondialdehyde(MDA) content of the observation group was significantly lower than that of the control group(P<0.05).Conclusion　Yishenhuoxue decoction reduces the oxidative stress response and improves the levels of hormones in the patients with endometriosis complicated with infertility after gynecological laparoscopy.]]> 2017/12/22 10:21:37 ZHANG Mei, FENG Liang 32true ［Abstract］　Objective　To study the curative effect of femoral proximal hollow screw locking plate on intertrochanteric fractures.Methods　Seventy-four patients with intertrochanteric fractures who received treatment of proximal femur cannulated screw locking plate were collected in our hospital and were divided into the observation group and the control group according to the different methods of surgery, with 37 cases in each group. The observation group was treated with proximal cannulated screw locking plate internal fixation, while the control group received three cannulated screw internal fixation. The operation time, the rate of fracture healing, the incidences of loosened screw and broken plates, femoral head necrosis and Harris scores after treatment were compared between the two groups.Results　The operation time of the observation group(135.2±6.4)min was longer than that of the control group(123.5±4.3)min. The fracture healing rate of the observation group(94.59%) was significantly higher than that of the control group(78.38%). The incidence rates of loosened screw and femoral head necrosis in the observation group were significantly lower than those in the control group(0% vs 16.22%, 5.41% vs 21.62%)(P<0.05). The excellent and good rate of Harris scores in the observation group(89.19%) was significantly higher than that in the control group(62.16%) after treatment(P<0.01).Conclusion　The new type of proximal femur anatomic locking plate is effective in the treatment of senile femoral intertrochanteric fractures.]]> 2017/12/22 10:21:37 CHEN Yan-cai, CHEN Ai-min, LIU Shi-jie, et al. 31true ［Abstract］　Objective　To explore the effect of skin Nike and autologous skin on repairing deep tissue exposed wounds.Methods　One hundred patients with deep tissue exposed wounds from May 2013 to May 2016 in our hospital were randomly divided into the control group and the observation group, with 50 cases in each group. The control group was treated with the conventional second-stage skin grafting, and the observation group was treated with absorbable dressing(skin Nike) and autologous skin graft. The clinical effects were compared between the two groups.Results　After the treatment, the observation group was cured in 26 cases, improved in 16 cases, ineffective in 8 cases, and the total effective rate was 84.00%. The control group was cured in 12 cases, improved in 15 cases, ineffective in 23 cases, and the total effective rate was 54.00%. There was significant difference in the clinical effect between the two groups(P<0.05).Conclusion　The clinical effect of skin Nike and autologous skin graft on repairing deep tissue exposed wounds is significant, which is more safe and effective than the conventional second-stage skin grafting.]]> 2017/12/22 10:21:37 ZHOU Wen-tao, HE Guo, ZHANG Wen-shi, et al. 30true ［Abstract］　Objective　To evaluate the clinical application value of digital fusion tomography(DTS) in the temporomandibular joint photographic technology.Methods　60 patients with suspected temporomandibular joint dysfunction were randomly divided into two groups, with 30 cases in each group. The control group received temporomandibular joint and lateral digital radiography(DR) photography and the experimental group received temporal mandibular joint digital tomography. 120 images were taken from the open photography and the closed photography of bilateral temporomandibular joints respectively. The DR images and DTS images were observed by an associate chief physician and an associate chief technologist respectively. The image quality was obtained from the two imaging techniques and the articular surface morphology and activity of the mandible were evaluated.Results　The quality of images in the experimental group was better than that in the control group(P<0.05).Conclusion　DTS is the better photographic technique than DR photography to show the temporomandibular joint morphology, structure and activity.]]> 2017/12/22 10:21:37 ZHU Ru-zhong, ZHOU Yan-fang, LI Bo, et al. 29true ［Abstract］　Objective　To explore the clinical value of combining alprostadil and vacuum sealing drainage(VSD) negative pressure in the treatment of diabetic foot ulcer.Methods　60 patients with diabetic foot ulcer admitted to the People′s Hospital of Hezhou City from June 2013 to August 2016 were divided into the control group and the treatment group according to the digital parity method, with 30 cases in each group. The control group was given routine treatment and the treatment group received the same routine treatment combining the treatment of alprostadil and VSD negative pressure.Results　The curative rate and secondary infection rate were 93.3% and 3.3% in the treatment group, and 70.0% and 20.0% in the control group. The hospitalization indexes of the treatment group were lower than those of the control group（P<0.05）. There was no significant difference in the number of cases of Wanger classification before treatment（P>0.05）. The recovery of foot ulcers in the treatment group was better than that in the control group(P<0.05).Conclusion　Combining alprostadil and VSD is an effective method for the treatment of diabetic foot wounds. It can improve blood circulation in the ulcers, shorten the hospitalization time and reduce the number of dressing changes.]]> 2017/12/22 10:21:37 GONG Lei, LI Tao, YANG Yue-lian, et al. 28true ［Abstract］　Objective　To investigate the effects of sodium aescinate on cell count, protein content and intracranial pressure in cerebrospinal fluid of patients with tuberculous meningitis.Methods　From April 2010 to September 2016,104 patients with tuberculous meningitis in our hospital were included in the study, and they were divided into two groups by drawing lots, with 52 cases in each group. The control group received anti-tuberculosis treatment plus dexamethasone and urokinase, while the observation group received the same treatment as the control group plus sodium aescinate. Both of the two groups were treated for 8 weeks. The clinical efficacy, cerebrospinal fluid cell count, protein content and intracranial pressure were compared between the two groups.Results　In the observation group, 21 cases were markedly effective, 28 cases effective and 3 cases ineffective. In the control group,13 cases were markedly effective, 28 cases effective, and 11 cases ineffective. The effective rate of the observation group was higher than that of the control group（P<0.05）. The number of cerebrospinal fluid cells, protein content and intracranial pressure in the observation group were significantly lower than those in the control group(P<0.05).Conclusion　Sodium aesinate is effective in the treatment for the patients who received prior treatment of tuberculous meningitis. It can reduce the number of cerebrospinal fluid cells, protein content and intracranial pressure in the patients.]]> 2017/12/22 10:21:37 ZHANG Nuo 27true ［Abstract］　Objective　To investigate the curative effects of the olecranon osteotomy and bilateral triceps brachii approach internal fixation on the treatment of type C fractures of distal humerus.Methods　98 patients with type C fractures of distal humerus who were admitted to our hospital from March 2012 to March 2015 were divided into the observation group and the control group according to the random number table method, with 49 cases in each group. The control group was treated with olecranon osteotomy by internal fixation, and the observation group by bilateral triceps brachii approach. The function of elbow joint and the perioperative period were compared between the two groups.Results　The excellent and good rate of elbow function in the observation group was significantly higher than that in the control group(P<0.05). The improvement during the perioperation in the observation group was better than that in the control group(P<0.05).Conclusion　Internal fixation by the bilateral triceps brachii approach has more advantages in improving the elbow function than the olecranon osteotomy approach for the patients with type C distal humeral fractures.]]> 2017/12/22 10:21:37 TENG Bao-qing 26true ［Abstract］　Objective　To compare the clinical efficacy of laparoscopic cholecystectomy and open cholecystectomy in elderly patients with appendicitis.Methods　50 patients more than 65 years old were performed appendicitis operation in our hospital during January 2013 and October 2015 and their clinical data were analyzed. The patients were divided into two groups according to the different operation modes, with 25 cases in LA group(laparoscopic appendectomy) and 25 cases in OA group (traditional open surgery). The related indicators during surgery and postoperation were compared between the two groups.Results　The operative time, intraoperative blood loss, length of incision and the duration of hospitalization in the OA group were significantly higher than those in the LA group(P<0.01), but the overall medical costs were significantly lower than those in the LA group(P<0.01). The dose of analgesic and the postoperative complication rate in the OA group were significantly higher than those in the LA group(P<0.05).Conclusion　Laparoscopic appendectomy is a safe and effective surgical method for the elderly patients with appendicitis, with advantages of less trauma, less bleeding, shorter hospital stay, less postoperative complications, less analgesic dose and shorter recovery time.]]> 2017/12/22 10:21:37 ZHENG Rong-jie 25true ［Abstract］　Objective　To study the effect of Hp infection on anti-platelet therapy and long-term prognosis in patients with coronary heart disease(CHD).Methods　From May 2012 to May 2015, 97 patients with CHD in our hospital were given anti-platelet therapy and they were divided into the infection group(n=62) and the non-infection group(n=35). The effects of anti-platelet therapy, the levels of blood lipid and the prognosis were analyzed within 1 year of the therapy.Results　After the treatment, the levels of fibrinogen and total cholesterol, the incidence rates of digestive tract hemorrhage and cardiovascular events in the infection group［(5.21±1.57)g/L, (5.36±1.17)mmol/L,21.0%, 29.0%］ were significantly higher than those in the non-infection group［(3.32±1.19)g/L, (4.24±1.35)mmol/L, 5.7%, 11.4%］(P<0.05).Conclusion　Helicobacter pylori infection may have adverse effects on the anti-platelet therapy in the patients with CHD, which induce cardiovascular events and increase the risk of gastrointestinal bleeding and which is unfavorable for the long-term prognosis.]]> 2017/12/22 10:21:37 ZHANG Shi-ming 24true ［Abstract］　Objective　To investigate the effect of low dose azithromycin combined with tiotropium bromide on pulmonary function and exercise tolerance in elderly patients with chronic obstructive pulmonary disease(COPD).Methods　100 elderly patients with COPD were randomly divided into the observation group(n=50) and the control group(n=50). The control group was treated with tiotropium bromide 18 μg per night before sleep. The observation group received the same treatment as the control group plus a small dose of azithromycin 0.25 g per day orally. Both of the two groups were treated for 6 months. The pulmonary function parameters［including forced expiratory volume(FEV₁), forced vital capacity(FVC), forced expiratory volume and forced vital capacity ratio(FEV₁/FVC)］ and respiratory rate were compared between the two groups before and after the treatment.Results　After the treatment, the levels of FEV₁, FVC and FEV₁/FVC in the observation group were significantly higher than those in the control group(P<0.01). The scores of dyspnea were less, and the walking distance in walk test was longer in the observation group than those in the control group(P<0.01).Conclusion　A small dose of azithromycin combined with tiotropium bromide is effective in the treatment of COPD in the elderly patients. It can significantly improve the lung function and exercise tolerance and improve the quality of life for the patients.]]> 2017/11/28 17:12:43 HU Yu-hua 23true ［Abstract］　Objective　To analyze the effect of montelukast combined with loratadine on pulmonary function in children with cough variant asthma(CVA).Methods　Ninety outpatients with CVA were collected as the research subjects in our hospital from March 2015 to September 2016. They were divided into the control group and the observation group according to the admission order, with 45 cases in each group. The two groups received routine treatment after admission. The control group received loratadine, and the observation group received montelukast in combination with loratatine. The lung function indexes, the symptoms and the curative effect were compared between the two groups before and after the treatment.Results　There were no significant differences in the levels of PEFR, FVE and FEV₁ between the two groups before the treatment(P>0.05). After the treatment, the above indexes were improved more significantly in the observation group than those in the control group(P<0.01). The duration of cough, asthma, lung wheezing disappear time in the observation group were significantly shorter than those in the control group(P<0.01); In the observation group, 23 cases were markedly effective, 18 cases effective, and 4 cases invalid. In the control group,14 cases were markedly effective, 20 cases effective, and 11 cases invalid. The curative effect of the observation group was better than that of the control group(P<0.05).Conclusion　Montelukast combined with loratadine is effective for the children with CVA.]]> 2017/11/28 17:12:43 ZHAO Ting 22true ［Abstract］　Objective　To investigate the clinical effects of three kinds of internal fixation methods in the elderly patients with intertrochanteric fractures.Methods　A total of 128 elderly patients with intertrochanteric fractures were selected in our hospital from January 2012 to October 2015. They were divided into three groups according to the different treatment methods. Of the 128 patients, 44 cases were treated with proximal femoral nail antirotation(PFNA)(PFNA group), other 42 cases were treated with locking paoximal femoral plate(LPFP)(LPFP group), and the rest 42 cases were treated with dynamic hip screw(DHS)(DHS group). The operative and postoperative indexes, and the scores of Harris hip function at 1 year of the follow-up were compared among the three groups.Results　The time of operation, bleeding, weight loading, hospitalization and fracture healing were significantly shorter and the incidence of complications was significantly lower in the PFNA group than those in the LPFP group and DHS group(P<0.05). The hospitalization time of LPFP group was shorter than that of the DHS group(P<0.05). There were no significant differences in the excellent rates of hip function among the three groups at 1 year of the follow-up(P>0.05).Conclusion　PFNA, LPFP and DHS are all effective in the treatment of intertrochanteric fractures in the elderly. However, PFNA has the best clinical effect, followed by LPFP and DHS.]]> 2017/11/28 17:12:43 LI Yan-wen 21true ［Abstract］　Objective　To investigate the clinical effect of noninvasive ventilation combined with diaphragm pacing on the patients with acute exacerbation of chronic obstructive pulmonary disease(COPD).Methods　One hundred and six patients with acute exacerbation of COPD admitted to our hospital from October 2015 to October 2016 were randomly divided into the observation group(n=53) and the control group(n=53). The patients in the two groups were treated with the same conventional therapy. Besides this, the control group received an additional treatment of diaphragm pacing, while the observation group received noninvasive ventilation plus the same additional treatment as the control group. The course of treatment in the two groups was 7 days.Results　The respiratory rate and heart rate in the two groups were decreased after the treatment compared with those before the treatment(P<0.05), while the improvement of the two rates in the observation group were lower than those in the control group(P<0.01); PaO₂ was increased and PaCO₂ was decreased in both of the two groups after treatment and PaCO₂ was lower in the observation group than those in the control group after treatment(P<0.01). FEV1 and FEV1/FVC were increased in the two groups(P<0.05), while the levels of FEV1 and FEV1/FVC in the observation group were higher than those in the control group(P<0.01). There were no deaths in the two groups.Conclusion　Noninvasive ventilation combined with diaphragm pacing has a significant effect and a good prognosis in the treatment of acute exacerbation of COPD.]]> 2017/11/28 17:12:43 SHENG Yan-ni, DENG Cun-wen, GAO Yu-lin, et al. 20true ［Abstract］　Objective　To explore the clinical effect of Xueshuantong injection on angina pectoris and its influence on serum inflammation factors.Methods　Seventy patients with angina pectoris in our hospital from February 2014 to August 2016 were randomly divided into the treatment group(n=36) and the control group(n=34). The control group received conventional symptomatic treatment and the treatment group received the same treatment as the control group plus Xueshuantong injection. Both of the two groups were treated for 2 weeks. The clinical effect and the changes of serum inflammation factors were compared between the two groups.Results　The clinical effect of the treatment group was better than that of the control group(P<0.05). Before treatment, there were no significant differences in the angina frequency, the duration of angina attack, and the levels of serum C reactive protein and tumor necrosis factor-α between the two groups(P>0.05). Compared with those before treatment, the angina frequency, the duration of angina attack, and the levels of serum C reactive protein and tumor necrosis factor-α were significantly improved in both of the two groups after treatment(P<0.05), and the improvements of the treatment group were better than those of the control group(P<0.01). There were no obvious serious adverse reactions in the two groups.Conclusion　Xueshuantong injection can inhibit inflammatory reaction and has significantly clinical effect on angina pectoris.]]> 2017/11/28 17:12:43 JIANG Bo 19true ［Abstract］　Objective　To explore the curative effect of endoscopic ganglia and small bone flap craniotomy in the treatment of hypertensive hemorrhage in basal ganglia.Methods　From January 2015 to March 2016, 90 patients with hypertensive basal ganglia hemorrhage in our hospital were randomly divided into two groups, with 45 cases in each group. The control group received small bone window craniotomy, and the observation group received endoscope assisted hematoma. The clinical curative effect, operation condition, hematoma clearance rate and the incidence rate of postoperative complications were compared between the two groups.Results　The effective rate of the treatment group was more significantly elevated than that of the control group（P<0.05）. The amount of bleeding, operation time, postoperative hospitalization time and postoperative complication rate in the treatment group were significantly lower than those in the control group. The hematoma clearance rate of the treatment group was higher than than of the control group(P<0.05).Conclusion　Endoscope assisted hematoma has better clinical effect, shorter treatment time, less bleeding and complications than small craniotomy in the treatment of hypertensive cerebral hemorrhage in basal ganglia.]]> 2017/11/28 17:12:43 SHI Shao-jun 18true ［Abstract］　Objective　To investigate the clinical effect of transurethral resection on bladder tumor.Methods　78 patients with bladder cancer in our hospital from January 2010 to June 2015 were collected as the research subjects, and were randomly divided into the observation group and the control group, with 39 cases in each group. The control group was treated with traditional open tumor resection, and the observation group was treated with transurethral resection. The clinical situation, postoperative complications and follow-up recurrence were compared between the two groups.Results　The operation time, the indwelling catheter time and the hospitalization time were shorter and the amount of bleeding was less in the observation group than those in the control group(P<0.05). The incidence of complications and recurrence rate in the observation group were significantly lower than those in the control group(P<0.05).Conclusion　Compared with traditional open resection, transurethral resection can significantly shorten the operation time and indwelling catheter time, and reduce the postoperative complications in the treatment of bladder tumor.]]> 2017/11/28 17:12:43 ZHAN Zhong-feng 17true ［Abstract］　Objective　To analyze the influencing factors and solutions of acute abdominal diseases misdiagnosed as gastroenteritis, and to improve the accuracy of diagnosis.Methods　200 patients with acute abdominal diseases were studied in whom 16 cases were misdiagnosed as gastroenteritis. According to the clinical manifestations and detection results, the causes of misdiagnosis were investigated, and the reasonable countermeasures were put forward.Results　A total of 16 cases(8.00%) were misdiagnosed as gastroenteritis, including acute appendicitis in 6 cases, intestinal obstruction in 3 cases, gastrointestinal perforation in 4 cases, gallbladder stone and cholecystitis in 2 cases and ectopic pregnancy in 1 case. Among the 16 cases of misdiagnosis, the causes of misdiagnosis included similar symptoms in 7 cases, incomplete history description in 3 cases, careless physical examination in 1 case, and incomprehensive analysis of the disease in 5 cases. Significant improvement was found in all 16 cases after surgery, and the average length of hospital stay was (8±2) d.Conclusion　Most of the patients with acute abdominal diseases have symptoms such as abdominal pain, diarrhea and vomiting. Careless physical examination and incomplete consultation of medical history may cause misdiagnosis.]]> 2017/11/28 17:12:43 MA Jian-qiang 16true ［Abstract］　Objective　To investigate the clinical effect of budesonide combined with ambroxol hydrochloride inhalation on the treatment of children with bronchial pneumonia.Methods　A total of 96 children with bronchial pneumonia who were treated in our hospital from January 2016 to August 2016 were selected and divided into the observation group and the control group by random number table method. All the patients were given routine treatment after admission. Besides the routine treatment, the control group received atomization inhalation of ambroxol hydrochloride, and the observation group inhaled ambroxol hydrochloride combined with budesonide. Both of the two groups were treated for 7 days.Results　In the observation group, 30 cases were cured, 14 cases effective and 4 cases ineffective. In the control group 18 cases were cured, 19 cases effective and 11 cases ineffective. The clinical effect of the observation group was significantly better than that of the control group(P<0.01). The disappearance time of pulmonary rales, cough, body temperature recovery and hospital stay in the observation group were significantly shorter than those in the control group(P<0.01).Conclusion　Aerosol inhalation of budesonide combined with ambroxol hydrochloride is effective in the treatment of bronchopneumonia in children.]]> 2017/11/28 17:12:43 LI Jun-ke, ZHANG Mei 15true ［Abstract］　Objective　To compare the clinical effects between proximal femoral intramedullary nail and anatomical locking plate fixation for the treatment of unstable intertrochanteric fractures in elderly patients.Methods　70 elderly patients with unstable intertrochanteric fractures in our hospital from February 2014 to December 2015 were randomly divided into two groups according to the random number method, with 35 cases in each group. The control group was treated with anatomical locking plate fixation,and the observation group was treated with proximal femoral antirotation intramedullary nail. The clinical effects were compared between the two groups.Results　The operation time, blood loss, hospitalization time and fracture healing time of the observation group were significantly lower than those of the control group(P<0.01). There was no significant difference in the excellent rate of hip joint function recovery between the two groups(P>0.05).Conclusion　Proximal femoral antirotation intramedullary nail and anatomical locking plate fixation are effective in the treatment of unstable intertrochanteric fractures in elderly patients. Compared with the anatomic locking plate fixation, proximal femoral antirotation intramedullary nail has less bleeding and faster postoperative recovery results. Therefore, the choice of surgical methods depends on the specific circumstances of the patients.]]> 2017/10/26 8:15:41 KANG Yong-qi 14true ［Abstract］　Objective　To investigate the clinical effect of INSURE technique(PS tracheal instillation+nasal continuous positive airway pressure) on neonatal respiratory distress syndrome(NRDS).Methods　58 neonates with NRDS in our department were selected from July 2012 to February 2016 and their clinical date were analyzed retrospectively. 27 cases who were treated with nasal continuous positive airway pressure(NCPAP) were collected as the control group and 31 cases who were treated with INSURE were taken as the observation group. The changes of blood gas at 1 h, 4～6 h, 24 h and 72 h after birth, the intubation and mechanical ventilation rate 3 and 7 days after the treatment, the total ventilation time, the total oxygen time, the duration of hospital stay and mortality rate were compared between the two groups.Results　Blood gas analysis showed that pH, PaO₂ and PaCO₂ in 1 h, 4～6 h were improved faster in the observation group than those in the control group(P<0.05). The intubation rate, the mechanical ventilation rate, the total ventilation time, the total oxygen time and the hospitalization time of the observation group were significantly lower than those of the control group(P<0.05).Conclusion　INSURE technique may reduce the mechanical ventilation rate, use of oxygen, hospitalization time and the mortality rate for the neonates with NRDS.]]> 2017/10/26 8:15:41 WANG Gang, GAO Min 13true ［Abstract］　Objective　To observe the recovery of the makers of bone metabolism and height in children with nephrotic syndrome(NS) after glucocorticoid withdrawal, and to provide the guidance for clinical preventive medications.Methods　The levels of serum osteoprotegerin(OPG) and serum N-terminal midfragment of osteocalcin（ N-MID osteocalcin） were measured in 27 healthy children(the control group) and in 27 children with NS(the NS group) after the withdrawal of glucocorticoid therapy for one year, and the height and height standard different scores(HtSDS) were recorded in both of the two groups.Results　There were no significant differences between the NS group and the control group in the levels of serum OPG［(432±52)ng/L vs (434±63 ng/L)］, N-MID osteocalcin［(76±27）ng/ml vs (68±19)ng/ml］ and HtSDS［(-0.602±1.381） vs (-0.136±1.601)］（P>0.05）.Conclusion　The makers of bone metabolism and height levels in children with NS after the withdrawal of glucocorticoid therapy for one year may recover to those in normal children.]]> 2017/10/26 8:15:41 LI Yu-liu, LIU Cui-hua, WANG Hua, et al. 12true ［Abstract］　Objective　To explore the clinical effect of minimally invasive percutaneous plate fixation in combination with locking compression plate on Pilon fractures.Methods　110 patients with Pilon fractures were collected in our hospital from December 2013 to December 2015, and were randomly divided into two groups, with 55 cases in each group. The control group received open reduction and internal fixation(ORIF), and the observation group was treated with minimally invasive percutaneous plate fixation(MIPPO) in combination with locking compression plate(LCP). The improvement of ankle joint function, the fracture healing time and the time for hematoma absorption were compared between the two groups.Results　The improvement of ankle joint function in the observation group was better than that in the control group(P<0.05). The fracture healing time of the observation group was obviously shorter than that of the control group(P<0.01).Conclusion　MIPPO combined with LCP can obviously promote the fracture healing, speed up the recovery and shorten the hospital stay for the patients with Pilon fractures.]]> 2017/10/26 8:15:41 LIU Wei-xiang 11true ［Abstract］　Objective　To compare the clinical effect between frontal hole drainage and small bone window craniotomy on the treatment of hypertensive intracerebral hemorrhage(HICH).Methods　140 HICH patients in our hospital from April 2014 to April 2016 were randomly divided into two groups, with 70 cases in each group. The observation group received the treatment of frontal hole drainage, and the control group received the treatment of small bone window craniotomy. The postoperative cognitive function, the neurological deficit and prognosis, the limb motor function and complications were compared between the two groups.Results　The scores of MOCA, Fugl-Meyer and GOS in the observation group were significantly elevated than those in the control group. The NIHSS scores of the observation group were significanty lower than those in the control group(P<0.01). The incidence of complications in the observation group was significantly lower than that in the control group(P<0.05).Conclusion　The frontal hole drainage is more effective than the small bone window craniotomy for the patients with HICH.]]> 2017/10/26 8:15:41 CHEN Shao-wei 10true ［Abstract］　Objective　To investigate the effects of spinal anesthesia and general anesthesia on postoperative pain and complications in the patients with lumbar disc herniation.Methods　From July 2015 to October 2016, 80 patients with lumbar disc herniation in our hospital were divided into two groups according to the random number table, with 40 cases in each group. The observation group was treated with spinal anesthesia, while the control group was given general anesthesia. The pain scores 1 h and 24 h after the operation, the anesthesia satisfaction, the operation time, and the perioperative and postoperative complications were compared between the two groups.Results　The postoperative VAS scores of 1 h and 24 h in the observation group were significantly lower than those in the control group, and the operation time of the observation group was significantly lower than that of the control group(P<0.01). The incidences of perioperative and postoperative nausea and vomiting and the incidence of shivering in the observation group were significantly lower than those in the control group(P<0.05). There were no significant differences in the incidences of perioperative and postoperative arrhythmia between the two groups(P>0.05). The VRS scores of the observation group were lower than those of the control group(P<0.05).Conclusion　Compared with general anesthesia, spinal anesthesia can effectively reduce the postoperative pain, shorten the operation time and reduce the incidence of complications for the surgical patients with lumbar disc protrusion.]]> 2017/10/26 8:15:41 WANG Sheng-guo 9true ［Abstract］　Objective　To compare the clinical effects of the endoscopic thyroidectomy by breast approach and conventional thyroidectomy on the treatment of benign thyroid disease.Methods　87 patients with thyroid nodules in our hospital from February 2014 to October 2016 were divided into the endoscopic group(n=42) and the convention group(n=45). The clinical effects were compared between the two groups.Results　The operative time and hospitalization cost in the endoscopic group were significantly higher than those in the convention group(P<0.05）, and the intraoperative blood loss, postoperative recovery time of neck incision, hospitalization time, the postoperative consumption of analgesics in the endoscopic group were significantly less than those in the convention group(P<0.05）. The skin tension of neck and the degree of satisfaction for cosmetic outcome in the endoscopic group were more greatly improved than those in the convention group(P<0.05）.Conclusion　The endoscopic thyroidectomy by breast approach has less blood loss, quick recovery and excellent cosmetic effects in the treatment of benign thyroid disease.]]> 2017/10/26 8:15:41 LU Xu-xin, WEI Bang-jin, ZHOU Xin-zhu, et al. 8true ［Abstract］　Objective　To investigate the clinical efficacy of citicoline sodium and oxiracetam in patients with cerebral hemorrhage.Methods　56 patients with cerebral hemorrhage in our hospital from January 2015 to 2016 January were selected, and were randomly divided into two groups, with 28 cases in each group. The control group received citicoline sodium and the treatment group received citicoline sodium plus oxiracetam. The hematoma volume, MMSE and BI scores were observed and compared between the two groups.Results　3 weeks after the treatment, the hematoma volume was reduced in both of the two groups compared with that before the treatment and the hematoma volume of the treatment group was significantly smaller than that of the control group after the treatment(P<0.05). The MMSE and BI scores in the treatment group were significantly higher than those in the control group 3 months after the treatment(P<0.05). No serious adverse events were observed during the treatment.Conclusion　Citicoline sodium combined with oxiracetam can effectively promote the absorption of cerebral hematoma, improve the patients′ mental state and brain function, and improve the quality of life in the patients with cerebral hemorrhage.]]> 2017/10/26 8:15:41 ZHU Ping-hua 7true ［Abstract］　Objective　To investigate the clinical effect of tension-free hernioplasty on adult patients with inguinal hernia.Methods　110 eligible adult patients with inguinal hernia were recruited between May 2013 and November 2015, and were divided into group A and group B according to different surgical methods. Group A(n=58) received tension-free hernioplasty and group B(n=52) was given Bassini hernioplasty. The operation time, duration of pain, and postoperative complications including incision infection, urinary retention, and scrotal hematoma were compared between the two groups, and their recurrence rates were compared after a follow-up of six months.Results　The operation time of group A was significantly longer than that of group B(P<0.05), but the pain duration and hospitalization time of group A were significantly shorter than those of group B(P<0.05). There were no significant differences between group A and group B in the incidence rates of scrotal hematoma and urinary retention and recurrence rate(P>0.05). But the total incidence of complications in group A was lower than that in group B(P<0.05).Conclusion　Tension-free hernioplasty has a certain effect and less complications in the treatment of inguinal hernia in adult patients.]]> 2017/10/26 8:15:41 WU Yong-hui, HUANG Xue-jin 6true ［Abstract］　Objective　To compare the clinical effects between gallbladder-retention cholelithotomy in combination with two endoscopies and laparoscopic cholecystectomy on treating gallstones.Methods　136 patients with gallstones were selected in our hospital from January 2015 to June 2015 and were randomly divided into EMIC group and LC group, with 68 cases in each group. The EMIC group received gallbladder-retention cholelithotomy in combination with two endoscopies, and the LC group received laparoscopic cholecystectomy. Gastrointestinal Quality of Life Index(GLQI) was used to assess the quality of life and the observation indexes were compared between the two groups.Results　There were no significant differences in the scores of the status of clinicalsymptoms, psychological mood, status of daily life and social activity and total scores between the EMIC group and the LC group(P>0.05). The scores of the status of physiological function, clinical symptoms, psychological mood, the status of daily life and total scores in the EMIC group were significantly higher than those in the LC group(P<0.05). There were no significant differences in the social activity status, curative effect, mean bleeding volum, hospital stay and recurrence rate between the EMIC group and the LC group(P>0.05). The operation time and venting time of the LC group was significantly shorter than that of the EMIC group(P<0.05).Conclusion　The two operation modes are safe and effective for treatment of gallstones, but gallbladder-retention cholelithotomy in combination with two endoscopies is more beneficial to improving the patients′ quality of life.]]> 2018/1/26 9:57:02 WANG Han-chang 5true ［Abstract］　Objective　To study the effects of butyric acid bacteria living bacterium combined with montmorillonite powder on intestinal mucosa function in children with acute bacterial infectious diarrhea.Methods　90 children with acute bacterial infectious diarrhea were selected in our hospital from January 2015 to December 2016 and were divided into the control group(n=45) and the research group(n=45) by the random number table method. The children in the two groups were given adjusted diet, oral rehydration salts, correction of electrolytes and water supply and acid-base balance disorders. Besides these treatments, the control group was given montmorillonite powder and the research group was given butyric acid bacteria living bacterium plus the same treatment as the control group. The improvement of clinical symptoms, signs, plasma diamine oxidase(DAO) and D-lactic acid(D-Lac) were compared between the two groups.Results　The clinical effect of the research group was better than that of the control group(P<0.05). The research group was superior to the control group at the time of checking diarrhea, fever clearance, correction of dehydration and stool routine test returning to normal(P<0.05). The levels of plasma DAO and D-Lac in the research group were significantly lower than those in the control group 3 days after treatment(P<0.05).Conclusion　Butyric acid bacteria living bacterium combined with montmorillonite powder can effectively improve the clinical symptoms, shorten the time of diarrhoea, improve the function of intestinal mucosa, and has less adverse reactions in the treatment of acute bacterial infectious diarrhea in children.]]> 2018/1/26 9:57:02 HUANG Qing-bo 4true ［Abstract］　Objective　To investigate the clinical effect of ulna proximal osteotomy stagger angulation and plate fixation on treatment of obsoleted monteggia fractures in children.Methods　From Februaty 2013 to July 2016, a total of 47 children with obsoleted monteggia fractures were treat with ulna proximal osteotomy stagger angulation and plate fixation. The clinical effects were evaluate by the Broberg and Morry scores.Results　The mean of operation time was （92.37±15.62）min and the mean of intraoperative blood loss was （185.41±36.28）ml. The mean of follow-up time was （15.68±3.47） months. The elbow flexion and extension was （98.27±7.42）° before operation and it was （124.83±6.52）° at the final follow-up（P<0.05）. The pronation radian of the forearm was （68.09±5.31）° before operation and it was （79.15±6.26）° at the final follow-up（P<0.05）. The curative effects were excellent in 31 cases, good in 15 cases and poor in 1 case, with an excellent and good rate being 97.87%.Conclusion　Ulna proximal osteotomy stagger angulation and plate fixation is effective for obsoleted monteggia fractures in children. It can improve the elbow joint function.]]> 2018/1/26 9:57:02 YANG Hong, LIANG Ye, LI Deng 3true ［Abstract］　Objective　To explore the effects of Shexiangbaoxin pills on QT dispersion, heart rate variability and cardiac function in patients with coronary heart disease.Methods　106 patients with angina pectoris of coronary heart disease(CHD) admitted to our hospital from March 2015 to August 2016 were included in the study, and were divided into the observation group and the control group according to the method of random sampling, with 53 cases in each group. The control group was treated with isosorbide mononitrate+simvastatin+aspirin, and the observation group was treated with additional Shexiangbaoxin pills. After the treatment, QT dispersion, heart rate variability and cardiac function were compared between the two groups.Results　QT dispersion of the observation group was lower than that of the control group. The short-term average standard deviation of NN intervals(SDANN), NN interval standard deviation(SDNN), root mean square continuous NN interval mean square difference(RMSSD), total ischemia burden, angina attack frequency and angina duration in the obsevation group were superior to those in the control group(P<0.05).Conclusion　Shexiangbaoxin pills are effective for the patients with angina pectoris of coronary heart disease.]]> 2018/1/26 9:57:02 JIANG De-qin 2true ［Abstract］　Objective　To investigate the cosmetic effect of modified small incision thyroidectomy on surgical scar in treatment of thyroid tumor.Methods　70 patients with thyroid tumors were selected as the research subjects in our hospital from April 2015 to August 2016, and were randomly divided into the observation group(n=35) and the control group(n=35). The control group was performed traditional thyroidectomy, and the observation group received modified small incision thyroidectomy. The clinical effects and complications were compared between the two groups.Results　The total effective rate of the observation group was higher than that of the control group(P<0.05). The time for operation and hospitalization, the incision length and the blood loss in the observation group were significantly less than those in the control group(P<0.05). The scores of cosmetic scar repair in the obervation group were significantly higher than those in the control group(P<0.05). The complication rate of the control group was significantly higher than that of the observation group(P<0.05).Conclusion　Compared with the traditional surgery, the modified small incision thyroidectomy has a better therapeutic effect, less damage, shorter time for the operation and hospitalization, and has a better result of cosmetic scar repair for the patients with thyroid tumors.]]> 2018/1/26 9:57:02 HUANG Lin-gang 1true