神奇的芦荟

看了今年第六期《野钓遇蜂记》一文,深有感触,我也是一名钓迷,也曾在垂钓过程中不小心被鱼刺被蜂蜇,后来经过使用芦荟疗伤,解除了我的痛苦。第一次,大约在90年代初,我在单位附近的野塘垂钓,刚到不久,一条约250克的鲇鱼(当时叫塘虱鱼)上钩了,我本来就知道这类鱼的两个前鳍很锋利,人被刺中后,轻则红肿疼痛不已,重则发热     

龚编辑信箱

来函回复江苏淮安宋宝成(000781号会员)来信我建议将继承传统,面向未来大型武术论文评选活动中人选的论文汇编成册出版,以便交流。龚编辑答:您的想法很好,但是,由于长期以来,武术理论研究未得到重视,我们征集的论文总体来看,高水平的不多,结集出版并不成熟。今后,我们会多举办些这样的活动,以推     

老寒腿的运动处方

人们习惯把反复发作、久治不愈的腿部(多为膝关节)酸麻胀疼或沉重感,受寒时症状加重统称为老寒腿,患者以中老年人为多。老寒腿(科学名称应是膝关节骨性关节炎)是一种慢性病,患者应注意生活规律,加强膝关节的保健,特别不要忽视膝关节的防寒保暖,还要经常适当活动。适度的体育锻炼可促进关节软骨吸收营养,保持关节活动范围,防止下肢关节僵直、粘连、     

Drainage after total thyroidectomy or lobectomy for benign thyroidal disorders

Objective: This prospective randomized clinical trial was conducted to evaluate the necessity of drainage after total thyroidectomy or lobectomy for benign thyroidal disorders. Methods: A total of 116 patients who underwent total thyroidectomy or lobectomy for benign thyroidal disorders were randomly allocated to be drained or not. Operative and postoperative outcomes including operating time, postoperative pain assessed by visual analogue scale (VAS), total amount of intramuscular analgesic administration, hospital stay, complications, necessity for re-operation and satisfaction of patients were all assessed. Results: The mean operating time was similar between two groups (the drained and non-drained groups). The mean VAS score was found to be significantly low in the non-drained group patients in postoperative day (POD) 0 and POD 1. The mean amount of intramuscular analgesic requirement was significantly less in the non-drained group. One case of hematoma, two cases of seroma and three cases of transient hypoparathyroidism occurred in the non-drained group, whereas one case of hematoma, two cases of seroma, two cases of wound infections and two cases of transient hypoparathyroidism occurred in the drained group. No patient needed re-operation for any complication. The mean hospital stay was significantly shorter and the satisfaction of patients was superior in the non-drained group. Conclusion: These findings suggest that postoperative complications cannot be prevented by using drains after total thyroidectomy or lobectomy for benign thyroid disorders. Furthermore, the use of drains may increase postoperative pain and the analgesic requirement, and prolong the hospital stay. In the light of these findings, the routine use of drains might not be necessary after thyroid surgery for benign disorders.     

剖宫产术后疼痛调查

目的寻找剖宫产患者术后不同时间疼痛程度的变化,为临床上准确及时采取镇痛措施提供依据.方法随机抽样100例接受连续硬膜外麻醉下行子宫下段剖宫产的患者,通过制定调查问卷,根据视觉模拟评分法(VAS)调查患者安静,咳嗽和活动时切口疼痛及其恶心、镇静程度,分别在术前、术毕、术后第4、8、12h及此后每12h调查一次,直至术后第144h.结果术后疼痛高峰期在安静时为术后4～24h(VAS值=5.16±0.35),咳动时为术后4～36h(VAS值=6.25±0.56)分别与各自术后整个过程VAS均值(2.13±0.56、3.45±0.28)比较有显著性差异(P＜0.01),二种状况疼痛高峰期无显著性差异(P＞0.05),咳动时高峰期显著延长.术前宫缩痛(VAS值＜4)与(VAS值≥4)两类患者的术后安静时疼痛有显著性差异(P＞0.01).在咳动时,无显著性差异(P＞0.05);疼痛与焦虑、文化程度呈正相关,与术后肠功能恢复呈负相关.结论术后4～36h为剖宫产术后疼痛的高峰期,尤其术前宫缩痛VAS＜4的患者,在术后更引起注意,并可及时采取合理镇痛措施.     

十大咬人最痛的昆虫

昆虫叮咬令人痛苦不堪,但哪种才是咬人最厉害的呢?美国昆虫学家贾斯廷·施密特决定以身试"虫"。在被多达78种昆虫叮咬之后,他排出了"叮咬痛感指数",也称"施密特指数",用来评判昆虫叮咬带来的痛苦。指数从0到4,代表痛感逐渐增强。科学家还发现,昆虫叮咬带来的痛感越大,这种昆虫的攻击性越强。在叮咬目标时,一些昆虫还会释放信息素,召唤其他昆虫,让受害者遭受更多袭击。     

幼年特发性关节炎全身型1例报告

目的探讨和认识幼年特发性关节炎治疗进展和预后。结果通过临床合理用药及精心护理,患儿病情得到了很好控制,取得了很好的疗效。结论幼年特发性关节炎病因复杂与感染因素、遗传因素、免疫因素等多种因素有关,根据临床分型此患儿为全身性关节炎型,针对,临床特点一定要提高对此病的诊疗技术和水平,减少此病的致残性和危害性,提高儿童的生活质量。     

笔尖上的梦想

笔尖在白纸上天马行空般地打着转儿,留下或深或浅的痕迹,就像孩童面对尘世的无措。然而最终还是跌跌撞撞地画了一个并不优美的圈儿,美其名曰笔尖上的梦想。唐小冉曾说,笔的梦想其实很简单,出乎意料地平凡,却也出乎意料地伟大。它的梦想不过是在人的操纵下画出优美的画儿,写出漂亮的字儿,仅此而已。但也就是这样一个平凡的梦想,耗尽了笔的一生,也绘出无数人间至真至情。她歪着脑袋,一手托着腮,一手握一支笔。顿了片刻,在稿纸上煞有介事地写了两个字:梦想。     

女性慢性盆腔疼痛误诊为尿路感染4例分析

目的 报道4例女性慢性盆腔疼痛误诊为尿路感染的诊治经验。方法 回顾4例女性慢性盆腔疼痛误诊为尿路感染病人，复查尿常规、盆腔B超等均无异常，肛诊发现4例病人盆底肌肉压痛明显，均给予盆底肌肉放松练习治疗。结果4例病人中，3例痊愈，随访5月-1年无复发，余1例病人症状改善，治疗2月后失随访。结论 慢性盆腔疼痛病人出现下尿路症状是误诊为尿路感染的主要原因，加深对本病的认识是避免误诊误治的关键。     

线

正如你所知道的,我不是一个执著的孩子。只要一句话,一个动作,甚至一个眼神,我就会毫不犹豫地回头。因为我害怕未知的明天,那些失去你的日子,或者说失去你的注视的日