胸腔置管引流、灌注匹服平治疗恶性胸水的疗效观察

该对113例胸腔液患给予胸腔置管引流灌入匹服平治疗（B组），并与不抽胸水灌注匹服平（A组）及胸腔置管引流后灌注榄香烯乳（C组），其CR％分别为A组21．2％，B组47．6％，C组23．7％，B组与A组及B组与C组比较均有显性差异（P＜0．05），说明胸腔置管引流后灌注匹服平治疗恶性胸水能获得较满意疗效。     

乳腺内钙化在良恶性病变中X线诊断价值

目的:探讨乳腺内钙化在乳腺良恶性病变中线的X诊断价值。方法:经病理证实的,乳腺X线摄影确认的62例钙化病例,回顾性分析其钙化的形态、大小、密度、边缘、分布等特点。结果:62例乳腺钙化病例中,良性病变为43例,恶性病变19例。结论:乳腺内钙化的形态有助于乳腺良恶性病变的鉴别诊断。     

AS伴严重后凸畸形患者手术体位的护理

为了探讨强直性脊柱炎后凸畸形手术体位护理经验,分析21例脊柱后凸畸形术中护理,并总结特点。护理结果表明手术体位摆放达到医生满意,21例患者均未发生压疮及再次出现脊柱应力性骨折和脊髓损伤加重等并发症。认为手术体位合理摆放是防止并发症发生,是手术成功的重要环节。     

单侧经皮椎体后凸成形术治疗胸腰椎骨质疏松性压缩骨折

目的：探讨单侧经皮椎体后凸成形术治疗骨质疏松性压缩骨折的临床效果与安全性。方法：将患者取俯卧位,悬空胸腹部,行C臂下定位病椎,并标记出病椎的椎弓根体表投影,常规消毒、铺巾,1％利多卡因局麻下以标记的椎弓根投影（左侧）10点外3mm处为进针点,针轴与患者矢状面呈30°～45°,侧位上与椎弓根走向保持平行,在透视下向椎弓根穿刺,穿刺达椎体前方3／4时,植入可扩张球囊,通过扩张球囊抬升终板,注人骨水泥填充,术后随访3个月。结果：手术时间平均每个椎体40min,无穿刺失败和损害神经情况,1例2月后临近椎体出现骨折。患者术后平均1d下床活动,术后疼痛得到明显缓解,后凸畸形得到明显纠正,Cobb’s角减小,住院时间平均7．8d,远期疼痛无复发。结论：单侧经皮椎体后凸成形术治疗胸腰椎骨质疏松性压缩骨折具有操作简单、手术时间短、患者及医师辐射少、创伤小、止痛效果好、纠正脊柱后凸畸形、住院时间短、远期疗效好的优点,且手术并发症少,相对安全可靠,为椎体成形技术提供了一种思路。     

淋巴液对失血性休克大鼠血压的影响

以少量胸导管淋巴液和肠淋巴液给予补液干予治疗的重症失血性休克大鼠,用生理盐水做对照,观察其对血压及存活时间的影响,以探讨不同部位淋巴液维持血压的共同特性。结果表明:胸导管淋巴液及肠淋巴液回升血压及延长存活时间作用均显著优于对照组(P<0.05～0.01),而两个治疗组间未见统计学差异(P>0.05)。结果提示:胸导管淋巴液和肠淋巴液对失血性休克大鼠均有较好的抗休克作用。     

Effects of obesity on breast size,thoracic spine structure and function,upper torso musculoskeletal pain and physical activity in women

Purpose:This study investigated the effects of obesity on breast size,thoracic spine structure and function,upper torso musculoskeletal pain and physical activity participation in women living independently in the community.Methods:A total of 378 women were divided into 3 groups(Not Overweight:body mass index(BMI)=22.5±0.2 kg/m^2(mean±SE);Overweight:BMI=27.4±0.3 kg/m^2;Obese:BMI=35.4±0.3 kg/m^2).Outcome variables of breast volume(mL),thoracic flexion torque(N·m),thoracic kyphosis(degrees),upper torso musculoskeletal pain(score) and time spent in physical activity(min) were calculated and compared among the 3 groups,adjusting for between-group differences in age.Results:There was a significant main effect of BMI on all outcome variables.Participants classified as Obese displayed significantly larger breasts,had greater thoracic flexion torques and reported less time participating in physical activity relative to the participants who were classified as Not Overweight and Overweight.Participants in the Obese group also displayed significantly more thoracic kyphosis and reported significantly more upper torso musculoskeletal pain compared to their counterparts who were classified as Not Overweight.Conclusion:This study is the first to demonstrate that increased obesity levels were associated with compromised kyphosis and loading of the thoracic spine,as well as increased symptoms of upper torso musculoskeletal pain and reduced time spent in physical activity in women living in the community.We recommend further research to determine whether evidence-based interventions designed to reduce the flexion torque generated on the thoracic spine can improve these symptoms of upper torso musculoskeletal pain and the ability of women with obesity to participate in physical activity.