器官移植拯救生命

器官移植每年拯救了数以千计的生命。你可知道器官移植时人体会发生什么样的反应?现在,就让我们一起来探索器官移植是怎样来拯救生命的。     

硬膜外阻滞配合导乐分娩镇痛中不同药物配方效果观察

硬膜外阻滞分娩镇痛效果确切、母婴安全、费用低,已成为国内外广泛采用的分娩镇痛方法,配合导乐陪娩这一人性化服务模式,进一步保障了母婴安全,提高了产科质量.为了让更多产妇享受到这一人性化服务,同时还需考虑药物应用不当对产程和母婴造成的不良影响,因此选择理想的药物配方是安全实施分娩镇痛的关键[1].我们通过对比不同药物配方分娩镇痛效果,探讨硬膜外配合导乐分娩镇痛中合理的药物应用.     

拔牙

到了换牙的年龄,我却有两颗牙齿始终长不出来,爸爸、妈妈和我都很着急。今天是星期天,爸爸、妈妈终于挤了个空闲,带我到人民医院看牙医。到了医院之后,医生说:先拍个片子。拍完后,医生说:有两颗乳牙要拔。说完,医生就让我躺在一台机器上。他先在我嘴里打了三次麻醉针,再帮我拔牙。拔完后,医生让我咬着两团药棉,并告诉我要忍痛咬半个小时。     

Dose-response study of spinal hyperbaric ropivacaine for cesarean section

Background： Spinal hyperbaric ropivacaine may produce more predictable and reliable anesthesia than plain ropivacaine for cesarean section. The dose-response relation for spinal hyperbaric ropivacaine is undetermined. This double-blind, randomized, dose-response study determined the ED50 （50% effective dose） and ED95 （95% effective dose） of spinal hyperbaric ropivacaine for cesarean section anesthesia. Methods： Sixty parturients undergoing elective cesarean section delivery with use of combined spinal-epidural anesthesia were enrolled in this study. An epidural catheter was placed at the L1-L2 vertebral interspace then lumbar puncture was performed at the L3-L4 vertebral interspace, and parturients were randomized to receive spinal hyperbaric ropivacaine in doses of 10.5 mg, 12 mg, 13.5 mg, or 15 mg in equal volumes of 3 ml. Sensory levels （pinprick） were assessed every 2.5 min until a T7 level was achieved and motor changes were assessed by modified Bromage Score. A dose was considered effective if an upper sensory level to pin prick of T7 or above was achieved and no intraoperative epidural supplement was required. ED50 and ED95 were determined with use of a logistic regression model. Results： ED50 （95% confidence interval） of spinal hyperbaric ropivacaine was determined to be 10.37 （5.23-11.59） mg and ED95 （95% confidence interval） to be 15.39 （13.81-23.59） mg. The maximum sensory block levels and the duration of motor block and the rate of hypotension, but not onset of anesthesia, were significantly related to the ropivacaine dose. Conclusion： The ED50 and ED95 of spinal hyperbaric ropivacaine for cesarean delivery under the conditions of this study were 10.37 mg and 15.39 mg, respectively. Ropivacaine is suitable for spinal anesthesia in cesarean delivery.     

牙周韧带注射技术在临床上的应用研究

目的探讨牙周韧带注射技术临床效果。方法:对200例拔牙患者,200例牙髓治疗患者随机分成AB两组。A组用牙周韧带注射法麻醉。B组用传统浸润麻醉法麻醉,患者对AB两种注射反应疼痛分别为:A组1级93%,2级5%,3级2%;B组1级82%2级15%3级3%。牙髓治疗组医师评价麻醉效果A组1级98.5%,2级8%,3级5%。B组,1级74%2级20%3级6%。两组差异有显著性(P<0.01)结论:牙周韧带注射麻醉显效快。效果明显,疼痛率低,麻醉剂量少,可使拔牙与治疗达到真正无痛。     

精诚大爱促学科发展 国际眼光建中华名院

他,从一名年轻的麻醉医生成长为西京医院院长;他,带领科室从十几平米的实验室登上国家科学技术进步奖一等奖的领奖台;他,引领西京麻醉科从名不见经传到国际一流水平。他说：＂我们的平台在中国,我们的目标在世界。＂他就是西京医院（第四军医大学第一附属医院）院长熊利泽。     

论娱乐报道的社会麻醉效应

大众传媒的娱乐化不断强化,娱乐报道实现了受众的心理补偿和宣泄功效,但娱乐更加纵容了一种对现实的逃避,同时在越发遮蔽公共利益的过程中,导致了人生意义的消解。大众传媒在今天加剧了它的社会麻醉效应。