海南医科大学学报

盐酸氮芥的心脏毒性反应─—附3例报告

贯彻科学发展观,推动海医附院跨越式发展

<正>牢固树立和认真落实科学发展观,对做大做强海医附院,推进医院跨越式发展具有重大意义。 1 附属医院在推动海南医学院发展过程中的重要作用

Depression in chronic respiratory disorders in a tertiary rural hospital of Central India

Objective:To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past have shown that prevalence of depression in diabetes and hypertension is around 40%-57%. Few studies have been done to screen depression in chronic respiratory disorders. This study was conducted in a tertiary rural hospital of Central India to find out prevalence of depression in indoor patients suffering from chronic respiratory disorders. Methods: Total 68 patients were evaluated for depression. Patients suffering from chronic respiratory disorders (total duration of illness >3 months) were evaluated using Prime MD Questionnaire. Patients suffering from diabetes, heart diseases, stroke, having past history of psychiatric illness, drug abusers, having lack of social support and suffering from chronic upper respiratory tract infections were excluded from this study. Questionnaire was asked when treatment for acute phase of illness is over. Results: Out of 68 patients evaluated, 36 (53%) were found out to be suffering from depression. Female gender (80%) was more prone to depression, inspite of the fact that all alcoholics were male. 39% of all chronic obstructive pulmonary disease (COPD) patients were suffering from depression in comparison to 65% for pulmonary tuberculosis and 44% for other chronic respiratory illness. 54% of patients suffering from depression are < 30 yrs of age, 53% are between 30-60 yrs of age and 52% are > 60 yrs of age, suggesting that age has no relation with depression. No association was seen between alcoholism and depression. Conclusion: Prevalence of depression in patients of chronic respiratory illness is very high, like in cases of diabetes and hypertension. Further community and hospital based studies are needed to find out exact prevalence of depression in chronic respiratory illnesses.

双J管在上尿路手术中应用的护理

低分子肝素钠治疗老年不稳定型心绞痛临床观察

目的:观察低分子肝素钠治疗老年不稳定型心绞痛(UAP)临床疗效。方法:根据WHO的UAP诊断标准,对88例UAP患者随机分为低分子肝素钠组和阿斯匹林组,以心绞痛次数、发作间隔时间,心电图ST-T改变,Holter心肌缺血总时间(包括无症状心肌缺血)作为评定标准。结果:低分子肝素钠组心绞痛发作频率减少,间隔时间延长;心电图ST段恢复明显,动态心电图心肌缺血总时间缩短,与对照组比较有显著性差异(<0.01)。结论:低分子肝素钠比阿斯匹林对老年不稳定型心绞痛治疗更有效。

泌尿生殖道炎症患者支原体感染体外耐药性分析

目的:为了解我院泌尿生殖道炎症患者支原体感染及体外耐药情况。方法:从348例患者的尿道和宫颈留取标本进行体外培养和药敏试验。结果:120例支原体培养阳性,其中单纯解脲支原体感染占81.7%,单纯人型支原体感染占5.8%,混合感染占12.5%,女性75例,男性45例,药敏结果显示支原体对四环素、乙酰螺旋霉素、红霉素耐药率较高,分别为61.7%、71.7%、73.3%,对强力霉素、美满霉素较敏感。结论:泌尿生殖道炎症患者支原体感染以解脲支原体为主,女性较男性容易感染,耐药情况较为严重,并出现多重耐药现象,提示临床医生应根据药敏结果合理用药。

高危子宫出血因素剖宫产术中应用米索前列醇202例临床分析

目的:探讨剖宫产术中直肠放置米索前列醇对术中出血量的影响。方法:胎儿娩出后对照组立即静滴缩宫素10 u,而米索组直肠放置米索前列醇400μg,比较两组出血量。结果:对照组与米索组平均出血量分别为(323.3±1.0)mL,(228.4±1.3)mL,两组比较差异有统计学意义(P<0.05)。结论:剖宫产术中胎儿娩出后直肠放置米索前列醇,可显著减少子宫出血量。

柱晶白霉素片的溶出度测定

柱晶白霉素片的溶出度测定杨卫东（海南省药品检验所）海口５７０１０２柱晶白霉素又称吉他霉素，系大环内酯类抗生素，其抗菌谱与红霉素相似，主要用于革兰氏阳性菌所致的皮肤软组织感染、呼吸道感染、白喉、百日咳等。口服后吸收良好，组织分布广泛。浙江省药品标准１９...

面颊部巨大蔓状血管瘤一例报告

面颊部巨大蔓状血管瘤一例报告孙彤，许新军（海南医学院附属医院整形外科）海口５７０１０２陈某，男，３０岁，以间断性口腔出血６年，左颊部肿块４年主诉入院。入院时见面部不对称，左颊明显隆起一肿块，肿块中央部皮肤潮红，肿块上抵眶下缘，下至下颌骨下缘下３ｃｍ，...

1例遗传性无牙畸形的家系分析

１例遗传性无牙畸形的家系分析庞震凌（河南南阳教育学院）河南４７３０００无牙畸形是一种先天性牙胚发育异常病症。有完全和部分畸形之分，常伴有汗腺、毛发等其它外胚层组织的发育异常，多数有家族史。本人仅曾见两例自古族家系报道，今报告１例通过调查而获得的遗传性...