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三地医改三种样
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体现三"心"二"意"的设计——石家庄市中心医院赵卜口院区项目设计特色
石家庄市中心医院新建的赵卜口院区项目拟建用地位于石家庄市市区东南部赵卜口村,基地制约条件较多.建设规模为260000m2.分两期建设:一期为2000床病房和与之相适应的门急诊及医技等功能,面积约为186000m2;二期为体检、康复、保健等,面积80000m2.工程在设计之初便定下了一个基调:一个让人感受到三"心"二"意"的方案设计.
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"三名"战略+U型建筑=卓越医疗产品——解放军北京军区总医院发展纪实
北京军区总医院隶属于中国人民解放军北京军区联勤部,是解放军第二军医大学北京临床医学院、第三、第四军医大学临床教学医院.是"新型农村合作医疗"、"中国红十宇基金会"、"中国青少年发展基金会"、"城市医疗保险"等定点医院.2005年12月在搜狐网举办的受百姓信赖三甲医院评选活动中,荣登榜首.
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三年·重生——"5·12"地震灾后医疗机构重建启示录
重建报告2008年6月8日,国务院发布<汶川地震灾后恢复重建条例>(以下简称"条例"),开始全面的灾后恢复重建工作,并准备用三年的时间,完成重建工作.作为公共服务体系的医疗机构,如今,恢复重建工作交出了怎样的答卷?2010年8月,卫生部在汶川地震灾区医疗卫生恢复重建对口支援工作会议上报告:
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发热3个月,少语、肌张力增高2个月
1 病例摘要患者,女,62岁,因"发热3个月,少语、肌张力增高2个月"入院.1.1 病史患者2009年5月因"抑郁症"住院10 d后出现发热,Tmax 39.0℃,每日1个高峰,多见于午夜,可自行降至正常.偶有咳嗽,无畏寒、寒战,无腹痛、腹泻,无尿急、尿痛等.当地医院诊断为"支气管肺炎",予"头孢唑肟"抗感染7 d后体温恢复正常.
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肺泡微结石症三例
Introduction Pulmonary alveolar microlithiasis ( PAM) is a rare diffuse lung disease characterized by the accumulation of calcium phosphate microliths within the alveoli.The etiology and pathogenesis of the disease are still unknown.Consequently, there is no known effective treatment .In this report,we present the clinical, radiological, pathological findings of three patients with PAM, emphasizing the diagnostic and therapeutic views.
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江西籍24例α地中海贫血患者三种常见缺失型及非缺失型结果分析
α地中海贫血(α地贫)为α珠蛋白基因缺失或点突变引起α珠蛋白合成障碍,形成极不稳定的血红蛋白,导致溶血性贫血.它是我国南方高发遗传性疾病~([1]),严重影响了患者的生存质量.
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因消化道出血而确诊的老年慢性粒细胞白血病1例
Case presentation A male patient, 86 years old, was admitted to our department on Dec 13, 2008 because of melena, fatigue and loss of appetite for 3 days. Present history. Three days ago, the patient's food intake decreased significantly with no obvious incentives, and his complaints were left upper abdominal discomfort and sour regurgitation after meal, with a little melena once on that day, but without fever, bone pain, nausea and vomiting, hemoptysis, mucosanguineous feces, and tenesmus, so he did not care.
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β受体阻滞剂治疗合并严重左心衰竭的急性冠状动脉综合征患者成功三例
例1 患者男性,60岁.因反复胸痛11年,加重1个月于2008年10月30日以冠心病陈旧性前壁心肌梗死入院.曾做冠状动脉造影示前降支完全闭塞,未做血管重建.入院时心电图:V1~V4导联呈QS波形.入院第6天心脏磁共振示:左心室横径为68 mm,左心室射血分数(INEF)16.4%,心排血量2.48 L/min.当日晚餐后患者出现胸部压迫感,心率由70次/min增至90次/min,血压由110/70 mm Hg(1 mm Hg=0.133 kPa)降至85/60 mm Hg,心电图V1~V4导联ST段抬高0.1 mV,Ⅱ、Ⅲ、aVF导联ST段压低0.1 mV,立即给予硝酸甘油0.5 mg舌下含服,持续静脉泵入硝酸异山梨酯(50 μg/min)和多巴胺(500 μg/min).治疗后血压维持在110/70 mm Hg,心率90次/min.
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CT诊断肺动脉吊带三例
例1患者女,71岁,反复咳嗽、喘息20年,下肢浮肿1年,加重20 d入院,查体可见杵状指.CT平扫示左肺动脉发自右肺动脉,向后包绕气管左行至左肺,主肺动脉干(MPA)直径37 mm,左肺动脉干(LPA)直径22 mm,右肺动脉干(RPA)直径30 mm,左肺动脉层面气管受压变窄,短径9 mm;两下肺野见多发大片状密度增高影,边缘模糊,右侧胸腔可见新月形液性密度影.诊断:(1)肺动脉吊带畸形;(2)慢性肺源性心脏病并两下肺感染及右侧胸腔少量积液.
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推动高质量的临床研究实现对儿童健康的承诺
Child health care in the 21st Century faces many new problems and challenges. By the year 2015, the mortality rate of children under the age of 5 years should be reduced by two thirds and the maternal mortality by three fourth[1], as proposed in the Millennium Development Goals by the World Health Organization and the United Nations Children's Fund. China is a large developing country with more than 300 million children. According to Outline of Health Care Development of the 11th Five-year Plan[2] , by 2010, China's infant mortality rate must be lowered to 14.9‰, the mortality rate of children under 5 years of age to 17.7‰, and maternal mortality under 0. 0004%. The realization of these objectives will be a comprehensive reflection of the child health policies of the 21st century in lowering child mortality rate, protecting children, and facilitating their development, as well as safeguarding and promoting children's health.
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儿童缺铁和缺铁性贫血防治建议
INTRODUCTIONIron deficiency, the most common nutrient deficiency, has been a global health problem, affecting one third of the world population. The condition is especially severe in developing countries. According to the data from WHO, the prevalence rates of anemia in these areas were 48% and 39% respectively in children under 5 years of age and between 5 - 14 years, of whom, over half cases were iron deficiency anemia (IDA). Furthermore, the prevalence rate of iron deficiency is at least 2 times that of IDA. Thanks to some well-organized public health education and widespread food iron fortification programs, the prevalence rate of IDA has declined remarkably during the last three decades. According to the US National Health and Nutrition Examination Survey (NHANES 1999-2000) , the rates of iron deficiency and IDA in children aged 1-2 years were 7% and 2% respectively (however, the rate of iron deficiency was still up to 17% in Hispanic descendents).
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重视儿童缺铁性贫血的防治
Deficiencies of iron, vitamin A, and iodine are the three most common nutritional diseases affecting children's health around the world. Deficiencies of vitamin A and iodine can be prevented through dietary adjustment or fortification strategies. However, the treatment for iron deficiency (ID) is complex, since it might be caused by a number of factors that decrease the biological activity and absorption of iron; and the iron status of the body can not be evaluated simply by iron intake. Patients with ID can develop anemia in weeks or months when the iron stores are depleted.
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对"肠道病毒71型感染首发肺水肿与肺出血三例报告"一文的看法
Cases with severe enterovirus 71 ( EV71 ) infection have been reported outside the mainland of China since the 1990s[1]. The epidemics of the infection occurred and lasted for a long time in some places in China in the spring of 2007 and deaths caused by the infection had been reported. The epidemics of EV71 infection occurred again this year in Southern regions of China. Three cases reported in this issue had severe EV71 infection without skin eruption, and had confirmed evidence for pathogenesis. The report of these cases is helpful to pediatricians to recognize the manifestations of this disease.
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与髂外动脉有关的产后子宫大出血血管造影分析三例
产后大出血在临床上并不少见,对于顽固性产后大出血,采取经动脉介入栓塞术可以达到迅速止血的效果,而且能保留子宫.出血常由髂内动脉的属支子宫动脉引起,有时卵巢动脉亦参与.本组3例髂外动脉参与产后子宫大出血,现将其影像特征回顾性分析如下.
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黏度测定方法的介绍及药典中3个药用辅料黏度测定方法的讨论
黏度是高分子药用辅料的重要物理性质,黏度的测定是高分子药用辅料质量控制的重要手段之一.但在实际工作中,黏度的测定却不象其他理化检测分析方法那样直观稳定.笔者通过对黏度测定一些基本概念的介绍及几国药典中3种药用辅料黏度测定方法的比较,进一步探讨一下黏度测定的相关问题.
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执行3种中药注射液质量标准时存在问题的探讨
近年来,我们在对某些中药注射液的检验工作中,发现标准中存在一些问题,影响检验的正常进行,现提出如下意见,与同行一起探讨.
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全民医疗保险制度可分三级——《关于深化医药卫生体制改革的意见》(征求意见稿)修改建议
读<关于深化医药卫生体制改革的意见(征求意见稿)>后,认为总体是可行的,该改革意见充分体现了以人为本,为民解忧,构建和谐社会的宗旨.但在具体设置和工程技巧上.
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接触环境微粒可在3天内导致DNA损伤
接触颗粒性物质被认为是导致肺癌发生的作用因素已有一段时间,但一项新的研究表明吸入某些微粒实际上可引起一些基因程序重调,从而影响癌症和其他疾病的发生和结果.
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三种手清洁消毒方法的效果研究
医院感染多数为病原体通过手直接或间接接触性传播所导致[1].大量的流行病学调查表明,正确的洗手是预防和控制病原体传播,进而降低医院感染发生的简单、经济和有效的方法.但在临床工作中许多医务人员对手卫生的重要性缺乏足够的认识,导致洗手合格率低,卫生学监测结果往往发现护理人员洗手前后细菌培养超标.为了防止医院感染和医源性感染发生,有效促进和提高护理人员洗手行为的依从性,我院2008年1月针对本院外科护理人员的洗手情况进行了调查,以便从中发现不规范洗手的原因并提出针对性的干预措施,为此,采用不同清洁消毒方法对比进行实验研究.现将结果报道如下.