简介：ObjectiveTostudytheroleofdiureticagentsintreatingsuddendeafness(SD)andexplorethepossibilityofendolymphatichydropsasapotentialcauseofSD.MethodsTwenty-eightSDcaseswerereviewed.In23cases,treatmentwasinitiatedwithroutineagents.Diureticagentswerelateraddedin8ofthesecasesthatfailedtorespondtoroutinetreatmentagents.Diureticagentswereincludedintheinitialtreatmentintherest5cases.Intotal,13casesreceiveddiureticsinadditiontoroutinetreatmentagentsand15casesreceivedconventionaltreatmentonly.ResultsInthe8caseswhoreceiveddiureticsafterfailedconventionaltreatments,4showedhearingimprovement,whereasall5casesinwhichdiureticswereincludedintheinitialtreatmentdemonstratedhearingimprovement.ConclusionTheseresultssuggestapossibleroleofendolymphatichydropsinthepathophysiologiccourseofSD.Diureticsshouldbeconsideredwhenclearindicationsexistwithnoconflictstoothermedicalconditions.

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简介：Objective:Toexploretheinjurymechanismandtreatmentprincipleofopensupracondylarfractureofhumerus.Methods:Thedataof32patientswithopensupracondylarfractureofhumerushospitalizedinourdepartmentintherecent20yearswereanalyzedretrospectively.Onanaverage,theywerefollowedupfor30months.Therelationshipbetweenthefracturetype,situationofwounds,operatingtime,operatingmethodandtimeforpostoperativefunctionalexerciseandfinalfunctionofelbowjointwereevaluatedwithFlynnscoringstandard.Results:Excellenttherapeuticeffectwasfoundin14cases,goodin12andbadin6,withthepercentageoffinetherapeuticeffectof81.25%.Conclusions:Forthepatientswithopensupracondylarfractureofhumerus,debridementandinternalfixationshouldbemadeasearlyaspossible,forthoroughdebridementandcorrectinternalfixationarethekeypointstoimprovetheprognosis.

简介：Retinoblastoma(RB)isthemostcommonintraocularcancerofinfancyandchildhood.ThiscancerisinitiatedbymutationonRB1,thetumorsuppressorgenethatisresponsiblefortheregulationofbothcellcycleandgnomestabilityinretinalcells.PatientswithaconstitutionalmutationonRB1canbeinherited.RBoccursapproximately1inevery15000-20000livebirths.Theworldwidemortalityforthiscancerisabout5%-11%.However,thisraterisestoabout40%-70%indevelopingcountriesduetoadelayindiagnosis.Awidevarietyofoptionsareavailableforthetreatment,butoftenacombinationoftherapiesisadoptedtooptimizeindividualizedcare.

简介：破坏损害被定义为avery骨头和软纸巾的严重损坏。我们在一些破裂盒子中发现了那的Butin临床的实践，软纸巾的损坏不象“destructiveinjury”一样严重显示，而弄碎破裂stillcannot表演骨头损坏的严厉。因此我们proposeda新术语“destructivefractures”在把破坏损害的定义与典型诊所盒子相结合以后。破坏破裂指谁的破裂骨状的纸巾太严重被损坏被修理，但是软纸巾，神经和静脉是严重地伤害的更少，canbe修理。从一年2001～2010，破坏破裂的75个盒子被同意进入我们的部门。根据是否与外部环境连结的破裂和破裂地点，他们被划分成6种类型：al类型，关上的骨干破坏骨折；a2类型，开的骨干破坏骨折；bl类型，关上的包含关节的破坏骨折；b2类型，开的包含关节的destructivefracture；c1类型，关上的混合破坏骨折；c2类型，开的混合破坏骨折。相应临床的治疗为破坏骨折的新分类标准是的每type.The被进行简单、实际并且thuscan被用作一个重要指南为破坏破裂做合理treatmentplans。

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简介：Inthepresentpaper,theauthorreportstheresultsofacupunctureofHouding(GV19)andotheracupointsselectedalongthemeridianfortreatingsciatica.Atotalof92sciaticapatientswererandomlydividedintoHoudinggroup(n=62)andcontrolgroup(n=30).InHoudinggroup,patientsweretreatedmainlywithpuncturingHouding(GV19),combinedwithHuantiao(GB30)whennecessary.Incontrolgroup,patientsweretreatedwithHuantiao(GB30),Yanglingquan(GB34)orZhibian(BL54),Weizhong(BL40),Chengshan(BL57),Kunlun(BL60),etc.whichwereselectedalongtherouteofmeridian.Resultsindicatedthatfollowing10sessionsoftreatment,inHouingandcontrolgroups,ofthe62and30cases,44and15werebasicallycured,18and10wereimproved,0and5failedinthetreatment,withthetotaleffectiveratesbeing100%and83,3%respectively.ThetherapeuticeffectofHouding(GV19)issignificantlysuperiortothatofacupointsselectedalongthemeridian.

简介：<正>Thefacialnervepassesthroughthetemporalboneandisthelongestnervethattravelsinabonycanalwithacomplexcourseandhighsusceptibilitytoinjury.Whenfacialnervebecomesswollenfrominsultssuchastrauma,inflammation,tumororiatrogenicinjury,itsdistal

简介：分析了符合统计要求的62篇关于肥胖的论文，发现常用治疗方法有针刺、针灸、电针、耳穴贴压、耳针、(耳穴)埋针、穴位敷贴、穴位埋藏及针灸配合其他疗法等；常用耳穴为胃、内分泌、神门、肺、脾、饥点和三焦，临床总有效率为75．8％。

简介：ＤＩＡＧＮＯＳＩＳＡＮＤＴＲＥＡＴＭＥＮＴＯＦＭＵＬＴＩＰＬＥＰＲＩＭＡＲＹＣＡＲＣＩＮＯＭＡＳＺｈａｎｇＳｈｕａｎｇｍｉｎ张双民ＭａＳｏｎｇｚｈａｎｇ马颂章ＹａｎｇＤａｌａｉ杨大来ＣｈｅｎＳｈｕｇｕａｎｇ陈曙光ＹａｎｇＣｈｕｎｍｉｎｇ杨春明Ｓｏｎ...

简介：目的：观察针刺治疗女性更年期综合征的疗效。方法：依据中医治疗本病以肾为主的法则，取关元、中极、子宫、三阴交为主，治疗女性更年期综合征30例。结果：针刺治疗本病总有效率为90．0％。针刺后患者的血：青内分泌激素较针刺有明显的改变(P<0．05)。结论：初步认为针刺对机体的神经内分泌系统可起到综合的调节作用：可以使紊乱的植物神经内分泌功能重新恢复到稳态，从而消除或减轻女性更年期的各种临床症状。

简介：Objective:Toobservetheeffectofelectroacupuncture(EA)onMeniere'sdisease.Methods:Atotalof114cases(38malesand76females)ofMeniere'sdiseaseweretreatedwithEAofErmen(耳门TE21),Tinggong(听宫SI19),Tinghui(听会GB2),Yifeng(NFDB1风TE17),Fengchi(风池GB20)andBaihui(百会GV20).Thetreatmentwasgiven3timesaweek,9timesaltogether.Follow-upwasmadeattheendofthe3rd,6thand12thmonthsaftertreatment.Results:Follow-upin114patientsshowedthatafterEAtreatment,63cases(55.26%)werecured,30(26.31%)hadremarkableimprovementintheirsymptoms,10(8.77%)respondedwithimprovementand11(9.65%)failedinthetreatment,withatotaleffectiverateof90.35%.Conclusion:EAtreatmentwaseffectiveincontrollingMeniere'sdiseasepatients'symptomsandreducingattack.

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简介：1SpermatorrheaApatient,16yearsold,sufferedfromsper-matorrheaforoveroneyear.Atthebeginning,ithappenedonceseveraldays,andrecentlyithappenedonceeveryotherdayoreverynight,accompaniedbyawitheredcomplexion,sorenessandweaknessinthelowerbackandlegs,poorsleep,poormemory,aredtonguetipwiththintonguecoating,andathreadyand

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简介：AbstractThe main challenge in the field of Helicobacter pylori (H. pylori) infection is antibiotic resistance, which influences the efficacy of eradication regimens. Bismuth-containing quadruple therapy has been confirmed as an effective regimen for eradicating H. pylori, especially in strains with antibiotic resistance. High-dose proton-pump inhibitor-amoxicillin dual therapy could decrease the use of unnecessary antibiotics, which is a promising alternative approach. Adjuvant therapy (specific probiotic or vitamin) also showed good results, although more evidence is needed. Novel anti-H. pylori drugs are needed, and the establishment of the H. pylori database is an effective way to acknowledge the real-time information of H. pylori management. This review provides the recent progress of H. pylori treatment, and further studies are needed to address the role of different regimens in improving H. pylori eradication rate, especially in strains with antibiotics resistance.

简介：取耳穴肺、风溪、神门、皮质下、肾上腺和大肠，以耳针配合常规方法治疗皮肤瘙痒症患者25例，以常规方法治疗25例为对照。结果两组疗效差别有统计意义，前者好于后者。

简介：<正>AcousticNeuroma(AN)arisesfromtheeighthcranialnerve.Itprimarilyinvolvesthevestibularbranchofthenerveandisthereforealsocalledvestibularschwannoma(VS).Tothedate,diagnosisandsurgicaltreatmentofANhaveadvancedsignificantly.Alongwithadvancesinaudiologyandimagingtechnologies,casesofdiagnosedANhavebeenincreasing,makingitacommon

简介：客观：研究诊断和渗透肛门直肠的创伤的有效治疗。方法：回顾的分析在从1985～2004渗透肛门直肠的创伤的16种情况中被做。肛门直肠、膀胱的创伤，烘便、尿的溪流的有效转向和足够的presacral排水的清创术和缝术在所有情况中被执行。结果：所有16个盒子被治好。在他们之中，有在presacral空间的感染的2个盒子被足够的排水在操作以后治好，在肛门括约肌失败地被修理以后，一个盒子被第二等的修理治好并且有书籍的右页的一个盒子膀胱的管与保守治疗被治好。任何一个都没他们受不了象肛门狭窄那样的复杂并发症，尿痛orimportence等等。结论：为渗透肛门直肠的创伤，到主人，伴随物的早识别伤害，到精选适当外科的干预，加强perioperativetreatment是钥匙改进药品效果。

简介：Differentapproachesfortreatinglungcancerhavebeendevelopedovertime,includingchemotherapy,radiotherapyandtargetedtherapiesagainstactivatingmutations.Lately,betterunderstandingoftheroleoftheimmunologicalsystemintumorcontrolhasopenedmultipledoorstoimplementdifferentstrategiestoenhanceimmuneresponseagainstcancercells.Itisknownthattumorcellseludeimmuneresponsebyseveralmechanisms.Thedevelopmentofmonoclonalantibodiesagainstthecheckpointinhibitorprogrammedcelldeathprotein1(PD-1)anditsligand(PD-L1),onTcells,hasledtohighactivityincancerpatientswithlonglastingresponses.Nivolumab,anantiPD-1inhibitor,hasbeenrecentlyapprovedforthetreatmentofsquamouscelllungcancerpatients,giventhesurvivaladvantagedemonstratedinaphaseIIItrial.Pembrolizumab,anotherantiPD-1antibody,hasreceivedFDAbreakthroughtherapydesignationfortreatmentofnon-smallcelllungcancer(NSCLC),supportedbydatafromaphaseItrial.ClinicaltrialswithantiPD-1/PD-L1antibodiesinNSCLChavedemonstratedverygoodtolerabilityandactivity,withresponseratesaround20%andamediandurationofresponseof18months.