走向深渊的“减肥”——浅谈神经性厌食症

当今时代,“瘦文化”泛滥,其后果已危害到女性健康而引起社会关注。2001年,英国政府宣布,禁止媒体推出“超瘦”模特广告,因为当局发现女性饮食失调者日多,而传媒推出的“超瘦”模特形象,让女性失去自信与自尊。年轻女性多视肥胖如大敌,对苗条和“骨感美”推崇备至,其中过度节食者造成身体极瘦和严重的营养不良,最终导致患上厌食症。     

Study of Treating HAPE with HBO in Situ at the Altitude of 4636 m

Study Objective ： To evaluate the treatment effect of HAPE with HBO in situ at an extreme altitude of 4636 m. To investigate the relationship between pulmonary hypertension （PH） and HAPE. To emphasize the importance of the treatment in situ. Methods： The 32 patients from the plateau of 4636 - 5130 m （the barometric pressure： 57.41 - 53.28 kPa/431.6 - 400.6 mmHg（1 mmHg = 133.3224 Pa）, the partial pressure of oxygen： 12.0 - 11.6 kPa/90.0 - 87.0 mmHg） were treated in situ of 4636 m altitude with HBO. Before and after the treatment, the clinical symptoms / signs, radiographic evidence, SaO2, and MPAP were compared. Results： The clinical symptoms/signs, and all the targets of the patients were improved dramatically （p 〈 0.001）. Conclusions： Treating HAPE with HBO is the most effective method among various therapies in situ at an extreme altitude. The pulmonary -artery pressure was significantly decreased. All eases showed improved immediately. Among the subjects, 11 eases （34.3 %） were cured at once. The therapy made it possible for patients to get further treatment at a lower altitude area with prospective good results. We suggested that treating HAPE with HBO should be the first choice in situ. There must be PH in the patients of HAPE, but the reverse is not the true. The PH is a mechanism of normal compensation of the body exposing in the hypoxie environment. It is very necessary for us to explore the threshold of PH when a HAPE happens.     

蒿芩清胆汤加减治疗肝细胞性黄疸的临床观察

目的探讨临床运用蒿芩清胆汤治疗肝细胞性黄疸的效果.方法选择96例诊断为肝细胞性黄疸的患者,随机分为治疗组及思美肽对照组,其中治疗组50例,对照组46例,通过对2组症状,体征及转氨酶,黄疸指数的比较,评判其疗效.结果蒿芩清胆汤治疗肝细胞性黄疸总有效率为84%,思美肽为74%,两组间差异不显著(P＞0.05).结论蒿芩清胆汤在护肝降酶方面优于思美肽,退黄方面与思美肽相当.     

一位艾滋病医生的自述

72岁的徐莲芝是中国治疗艾滋病最早、治疗病例最多、治疗经验最丰富的优秀医生。因为敬业和热情,患者们亲切地称呼她“徐阿姨”或“徐妈妈”。去年,联合国秘书长柯菲·安南的夫人秘密来中国了解艾滋病防治情况时,多次称赞徐莲芝是中国最好的医生,是防治艾滋病的世界级功臣。     

76例舌下腺囊肿临床治疗与分析

舌下腺囊肿是口腔颌面外科学中较为常见的涎腺囊肿之一,系因舌下腺导管炎症、涎石、损伤或其它因素引起的缩窄或阻塞,分泌物潴留所致,故又称潴留性囊肿.如果导管或腺体破损,粘液外漏人组织间隙,又称为外渗性囊肿[1].本文报告我科1996年-2006年76例舌下腺囊肿患者的临床治疗.     

"四三法"控制河蟹"抖抖病"

河蟹"抖抖病"又称"颤抖病"、"环腿病",是近年来河蟹养殖中危害最严重的疾病,目前病因、病原尚未完全清楚,也无预防和治疗的特效药物.笔者通过实践,发现采取"四三法"可以控制河蟹"抖抖病"的暴发.     

心绞痛的临床分型及用药原则

心绞痛分为静息性、劳累性和混合性三种。静息性心绞痛又分为卧位型、变异型和中间综合症，劳累性心绞痛又分为稳定型、初发型和恶化型。文中提出各型的用药原则，并举出一临床病例。