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"冬病夏治"穴位贴敷法治疗哮喘的机理探讨
支气管哮喘多因正气虚弱、宿痰内伏,易感受风寒等外邪而诱发,其好发于秋冬季,属中医"冬病"之范畴."冬病夏治"是指在夏季"三伏天",使用一些有效的医疗手段及刺激方法,在此类疾病的缓解期进行提前的预防和治疗,以达到调节人体的气血、阴阳平衡,增强机体抗御病邪侵袭的能力,以减轻其在秋冬寒冷季节发作时的病情,并促进其康复的一种中医特殊疗法.
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Clinicopathological Conference(the48th case)Adult gland pituitary hypofunction in an elderly female patient
Case presentation A female patient(a retired worker),68 years old,who complained mainly of "repeated episodes of dizziness,fatigue,vomiting in 6 years,chest tightness,chest pain for 1 year",was admitted to Heart Center,Chaoyang Hospital,Capital Medical University on February 24,2010.The patient suffered from dizziness and fatigue with unknown cause 6 years ago.She ever experienced sudden syncope and loss of conscioueness during visiting Xuanwu Hospital,when she presented with blood pressure of 62/? mmHg and slower heart rate,then her consciousness recoverd spontaneously 1-2 minutes later with no treatment.The head CT and electrocardiogram(ECG)showed no significant abnormality,and she was discharged after symptomatic treatment.Since then,the patient presented with intermittent anorexia,dizziness,nausea,vomiting,non-visual rotation,which were not affected by different body positions.All these symptoms appeared more frequently in winter,lasted for several days,relieved without any treatment.One year ago,the patient began to suffer from chest tightness and chest pain at physical activities.Each attack lasted for 3-5minutes and relieved by rest.In Xuanwu Hospital,the diagnosis of "coronary heart disease,angina pectoris " was established.After oral administration of "Wan Shuang Li" and other meidcations,chest tightness and chest pain appeared accidentally.Ten days ago,the patient experienced dizziness and vomiting(stomach contents,4-5 times a day on average).No visual rotation or tinnitus was accompanied.Twenty-nine hours before admission,the patient suffered from chest distress and chest pain again after 100 meters walking,accompanied with shoulder dispersion and sweating;the symptoms relieved after resting for 3-5 minutes.For further treatment,the patient visited Heart Center,Chaoyang Hospital.ECG showed "sinus bradycardia",and she was admittied for "arrhythmia".Since the onset,the patient displayed low blood pressure,slow heart rate,Susceptibility to coldness,frailty,poor appetite and sleep,normal stool.The body mass decreased by about 5kg over the past decade.
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胰腺癌外科近况
胰腺癌当前的治疗状况仍不乐观, 居美国癌症死亡的第4 位, 在国内的发病率也逐年上升.上海市2002 ~ 2006 年共诊断胰腺癌8190 例,发病率约为13.13/10 万,居世界中等水平.一、外科手术在胰腺癌治疗中占有重要地位2006 年Winter 等[1]发表了1969 ~ 2003 年l000 例胰十二指肠切除术( pancreaticoduodenectomy,PD )的成绩:手术时间从8.8 h 缩短至5.5 h ,手术病死率为1 % .405 例胰头癌患者总的5 年生存率为18 % ,淋巴结阴性患者5 年生存率为32 % , 淋巴结及切缘皆阴性的患者5 年生存率为41 % , 胰漏的发生率为12 % ,出血再手术率为0.9 % ,伤口感染的发生率为7 % , 787 例保留了幽门.
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冬日白菜美如笋
大白菜质地脆嫩,营养丰富,味道清鲜适口,荤素生熟皆宜,素有"百菜不如白菜"、"天下第一菜"的美誉,更被国画大师齐白石先生称为"菜中之王".在北方的冬季,大白菜更是餐桌上必不可少的佳蔬良品.民间常说:鱼生火,肉生痰,白菜豆腐保平安.从"冬日白菜美如笋"的赞誉中就能看出人们对白菜的喜爱程度.
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注意缺陷/多动障碍治疗中的药物假日合理吗?
Drug holidays are temporary physicianmonitored breaks in the course of continuous drug therapy that usually have the goal of reversing the receptor desensitization and adverse effects of chronic drug treatment.Initially used to describe intermittent breaks in long-term treatment with antipsychotic medication,in child psychiatry drug holidays in the treatment of attention deficit/hyperactivity disorder (ADHD) typically involve stopping medication when the child is not at school-weekends,holidays and,summer or winter vacations.However,there are conflicting views about the benefits of drug holidays in the treatment of ADHD.药物假日是医生根据病情需要有意识地、暂时性停止用药的过程,目的是逆转抗精神病药物慢性治疗过程中的受体不敏感和不良反应.初用于描述长期抗精神病药治疗中的间歇性停药,在儿童精神科,当注意缺陷多动障碍( Attention Deficit/Hyperactivity Disorder,ADHD)患者不上学时——周末、节假日、寒暑假,会采用药物假日的治疗方式.然而,对ADHD治疗中药物假日的利弊存在争议.
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1059颗下颌阻生智齿拔除临床分析
常规凿劈法拔除下颌阻生智齿常由于创伤大而致术中、术后并发症较多,作者近3年来使用冠周弧形增隙法拔除各类下颌阻牛智齿,术中、术后并发症大大减少,现报道如下:1 资料与方法1.1 资料范围收集2005年6月至2008年6月外科门诊拔除的下颌阻生第三磨牙1059例.其中男533例,女526例,患者年龄17~56岁,根据Pell,Gregory和Winter提出的分类方法进行分类[1],设计手术方案.
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冬病夏治疗法之敷贴疗法及其护理
冬病夏治是祖国传统医学中的一种颇具特色的自然疗法,目前临床上主要用于治疗支气管哮喘、慢性支气管炎、风湿与类风湿性关节炎、过敏性鼻炎等205种疾病.该疗法多采用针灸、敷贴、食疗等方法."三伏天"是全年气温高、阳气旺盛的时候,此时治疗可以使患者的阳气充实,增强抗病能力.