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口服氟康唑治愈隐球菌性脑膜炎1例
李瑞花，郭德兴，王芳斗口服氟康唑治愈隐球菌性脑膜炎１例李瑞花，郭德兴，王芳斗（海南省人民医院儿科）海口５７０１０２患儿陈某，男性，４ａ，住院号：１７５４５３，因发热、头痛、呕吐１７ｄ，间歇性意识障碍１０ｄ，抽搐３ｄ入院。病程中，有双眼视力模糊，曾在院外作脑脊液检查，拟为＂...
海南医学院师生利用图书状况分析
黄晓春近年来，我校教学、科研水平不断提高，师生读书热情逐年高涨，图书馆的文献资源得到较为充分地利用。本文试从图书的借阅状况来分析师生的阅读需求。１读书量１．１总量逐年增长外借图书１９９５年１８０００册，１９９６年２２２５２册，同比增长２３．６％，１９９７年...
Cerebrospinal fluid analysis,predictors of bacterial meningitis:a study in 312 patients with suspected meningial infection
Seyed Mohammad Alavi;Naser Moshiri;Objective:Patients with cerebrospinal fluid(CSF)pleocytosis are routinely admitted to the hospital and treated with parenteral antibiotics,although few have bacterial meningitis(BM).The aim of this study was to evaluate predictors to differentiate BM from aseptic meningitis(ASM).Methods:The study was conducted in Razi hospital,a training center affiliated to Ahvaz Joundishapoor University of Medical Sciences in Iran.and all patients were 18 years old or above and were treated in the hospital between 2003 and 2007.Data of those who had meningitis,tested as CSF pleocytosis but had not received antibiotic treatment before lumbar puncture were retrospectively analyzed.Results:Among 312 patients with CSF pleocytosis,two hundred fifteen(68.9%)had BM and ninety seven(31.1%)had ASM.The mean age for patients with BM was(34.7±17.7)years(P=0.22,NS).Sixty percent of the BM cases and 61.2% of the ASM cases occurred in men(P=0.70,NS).We identified the following predictors of BM:CSF-WBC count>100 per micro liter,CSF-glucose level<40 mg/dL,CSF-protein level>80 mg/dL.Sensitivity,specificity,PPV,NPV of these predictors,and LR for BM are 86.5%,52.6%,80.2%,63.7% and 104.1 for CSF-WBC count and 72.1%,83.5%,90.6%,57.4% and 164.2% for CSF glucose,and 49.7%,91.8%,93.4%,45.2% and 104.5% for CSF protein.Conclusion:The CSF WBC count should not be used alone to rule out bacterial meningitis.When it is combined with other factors such as CSF glucose and protein improved decision making in patients with suspected BM may occur.
尼莫通治疗血管性头痛疗效观察
曾超胜,叶炯阳对尼莫通治疗血管性头痛的疗效进行观察，结果尼莫通组３４例，显效３０例，有效２例，无效２例，总有效率９４％。对照组２０例，显效１０例，有效４例，无效６例，总有效率７０％。两组差异有显著性意义（Ｐ＜０．０５），认为尼莫通是治疗血管性头痛的有效药物
急性毒鼠强中毒病人的心肌酶谱变化及临床意义
吴春英,陈英目的:探讨急性毒鼠强中毒病人心肌酶谱变化规律。方法:对68例急性毒鼠强中毒病人的心肌酶犤天冬氨酸转氨酶(AST)、乳酸脱氢酶(LDH)、肌酸激酶(CK)、肌酸激酶同功酶MB(CK-MB)犦进行连续监测,并观察病人心脏功能改变。结果:急性毒鼠强中毒病人心肌酶均有不同程度升高,临床心脏检查及心电图异常占75%。提示心肌损害存在;心肌酶随病情改善呈恢复趋势。结论:急性毒鼠强中毒造成心肌细胞的损害是可逆的,重症病人应加强心脏监护,以防心原性猝死发生。