mlsa-iai-msu-lab/ru_sci_bench_zho_cite_reranking huggingface dataset:
术数与《伤寒论》中的脉法

从脉象推演与阴阳五行的关系,探讨了《伤寒论》中脉法与阴阳、五行、八卦的关系,揭示了辨脉的目标与数理依据,对于《伤寒论》脉法的理解与运用有一定的启示。
肾小球巨大稀少症1例

1临床资料患者，女性，45岁，因双下肢水肿2个月于2011年6月16日入院。患者于2个月前出现颜面及双下肢水肿，晨轻暮重，查尿常规(-)，血清肌酐107.4μmol/L，为明确肾功能减退原因入院。入院查体:体温36.2℃，心率76/min，呼吸18/min，血压125/76 mmHg。身高164 cm，体质量45 kg。贫血貌，皮肤及眼睑苍白，双下肢Ⅰ度水肿，其余阴性。实验室检查：血红蛋白99 g/L，白细胞3.8×10~9 /L，血小板84×10~9 /L，血清总蛋白68.2 g/L，白蛋白42.5 g/L，球蛋白25.7 g/L，血清肌酐107.8 μmol/L，尿素氮4.44 mmol/L，尿酸369.2 μmol/L，血胱抑素C 1.02 mg/L，血清免疫球蛋白、补体正常，自身抗体阴性；尿常规（-），蛋白定量0.14 g/24 h。双肾超声左肾92 mm×34 mm，右肾87 mm×36 mm，回声增强。
Association between the incidence of typhoid and paratyphoid fever and meteorological variables in Guizhou, China

Background Typhoid/paratyphoid fever (TPF) is endemic in Guizhou. We conducted wavelet analysis and Spearman’s rank correlation analysis to explore the impact of meteorological variations on TPF infection in Guizhou, in an attempt to assess the risk factors associated with TPF epidemics. Methods We examined the association between TPF incidence in Guizhou and temperature, precipitation and relative humidity using 24 years of data from 1984 to 2007. Periodicities of TPF incidence and the impact of climate factors on the TPF were detected by Spearman’s rank correlation and wavelet analysis, Results Temperature and precipitation with a 1-month lag were positively correlated with the monthly incidence of TPF. The multiyear incidence pattern of TPF in Guizhou was explicitly periodic. Moreover, the association and driving effect of precipitation on TPF were observed, and the results showed that the incidence of TPF in Guizhou had a closer correlation with precipitation than with temperature. Conclusions Safe water supply is the key issue for TPF control in Guizhou. Moreover, climate variation might impact the enteric infections, which may inform policy assessment for TPF control in Guizhou.
Attitudes toward organ donation in China

Background Organ transplantation represents an important advance in modern medical science, and it has benefited many patients with organ failure; however, the severe deficiency of organ sources has been a bottleneck that has limited the benefits this technology can bring. The aim of this study was to show the results of a survey on Chinese people’s awareness and attitudes toward organ donation. Methods We designed a questionnaire regarding organ donation consisting of 20 short questions, which were distributed to 10 groups. Most of the questions were multiple-choice; the core question related to people’s attitudes to organ donation and the development of organ donation. The survey was held in the outpatient hall of Beijing Chao-Yang Hospital, a commercial district, and four professional colleges. Participants were randomly selected, and answered questions about gender, age, educational background, profession, and study major. Results In all, 2930 valid responses were received. Male:female ratio was nearly 1:1.2 (mean age 38 years). Over 90.0% of participants knew about organ transplantation and which organs could be transplanted; more than 95.0% knew about organ donation, but the time they had been aware of it varied. Nearly 90.0% of the participants approved of deceased organ donation; 73.0% indicated they would like to donate their organs post mortem. Participants who knew more about organ failure and organ transplantation were more likely to support organ donation. College students were very positive about organ donation, though as they gain professional knowledge their attitudes may change. Altogether, 65.3% of participants approved of living organ donation, which was obviously lower than the figure for deceased organ donation (P <0.05). In all, 85.7% of participants approved of compensation to the deceased donor’s family. To promote organ donation in China, 62.9% of participants indicated that the public’s knowledge about organ donation should be increased via the media and various kinds of education. Only 20.0% of the participants believed that legislation was required. Conclusions We conclude that at present the Chinese public has a basic understanding about organ transplantation and donation. The majority respondents were in favor of deceased organ donation and were willing to donate their own organs after death.
The Roles of Spatial Locations and Patterns of Initial Errors in the Uncertainties of Tropical Cyclone Forecasts

In this study,a series of sensitivity experiments were performed for two tropical cyclones (TCs),TC Longwang (2005) and TC Sinlaku (2008),to explore the roles of locations and patterns of initial errors in uncertainties of TC forecasts.Specifically,three types of initial errors were generated and three types of sensitive areas were determined using conditional nonlinear optimal perturbation (CNOP),first singular vector (FSV),and composite singular vector (CSV) methods.Additionally,random initial errors in randomly selected areas were considered.Based on these four types of initial errors and areas,we designed and performed 16 experiments to investigate the impacts of locations and patterns of initial errors on the nonlinear developments of the errors,and to determine which type of initial errors and areas has the greatest impact on TC forecasts.Overall,results from the experiments indicate the following:(1) The impact of random errors introduced into the sensitive areas was greater than that of errors themselves fixed in the randomly selected areas.From the perspective of statistical analysis,and by comparison,the impact of random errors introduced into the CNOP target area was greatest.(2) The initial errors with CNOP,CSV,or FSV patterns were likely to grow faster than random errors.(3) The initial errors with CNOP patterns in the CNOP target areas had the greatest impacts on the final verification forecasts.
The Impact of Indian Ocean Variability on High Temperature Extremes across the Southern Yangtze River Valley in Late Summer

In this study,the teleconnection between Indian Ocean sea surface temperature anomalies (SSTAs) and the frequency of high temperature extremes (HTEs) across the southern Yangtze River valley (YRV) was investigated.The results indicate that the frequency of HTEs across the southern YRV in August is remotely influenced by the Indian Ocean basin mode (IOBM) SSTAs.Corresponding to June-July-August (JJA) IOBM warming condition,the number of HTEs was above normal,and corresponding to IOBM cooling conditions,the number of HTEs was below normal across the southern YRV in August.The results of this study indicate that the tropical IOBM warming triggered low-level anomalous anticyclonic circulation in the subtropical northwestern Pacific Ocean and southern China by emanating a warm Kelvin wave in August.In the southern YRV,the reduced rainfall and downward vertical motion associated with the anomalous low-level anticyclonic circulation led to the increase of HTE frequency in August.
下腔静脉后输尿管畸型1例报告

<正>下腔静脉后输尿管又称环绕腔静脉输尿管,是下腔静脉发育异常的一种先天性畸型。现将本科收治的1例下腔静脉后输尿管畸型患者有关资料报道如下。
New understandings of the genetic basis of isolated idiopathic central hypogonadism

Idiopathic hypogonadotropic hypogonadism is a rare disease that is characterized by delayed/absent puberty and/or infertility due to an insufficient stimulation of an otherwise normal pituitary–gonadal axis by gonadotrophin-releasing hormone (GnRH) action. Because reduced or normal luteinizing hormone (LH)/follicle-stimulating hormone (FSH) levels may be observed in the affected patients, the term idiopathic central hypogonadism (ICH) appears to be more appropriate. This disease should be distinguished from central hypogonadism that is combined with other pituitary deficiencies. Isolated ICH has a complex pathogenesis and is fivefold more prevalent in males. ICH frequently appears in a sporadic form, but several familial cases have also been reported. This finding, in conjunction with the description of numerous pathogenetic gene variants and the generation of several knockout models, supports the existence of a strong genetic component. ICH may be associated with several morphogenetic abnormalities, which include osmic defects that, with ICH, constitute the cardinal manifestations of Kallmann syndrome (KS). KS accounts for approximately 40% of the total ICH cases and has been generally considered to be a distinct subgroup. However, the description of several pedigrees, which include relatives who are affected either with isolated osmic defects, KS, or normo-osmic ICH (nICH), justifies the emerging idea that ICH is a complex genetic disease that is characterized by variable expressivity and penetrance. In this context, either multiple gene variants or environmental factors and epigenetic modifications may contribute to the variable disease manifestations. We review the genetic mechanisms that are presently known to be involved in ICH pathogenesis and provide a clinical overview of the 227 cases that have been collected by the collaborating centres of the Italian ICH Network.
全面部同种异体移植技术的进展

自2005年11月27日法国Devauchelle等)完成世界首例人面部同种异体移植术以来，至今全世界共有13例患者接受同种异体面部移植术，5例来自法国，1例来自中国，5例来自美国，2例来自西班牙。面部移植手术一直以来颇有争议，这也是面部移植术之所以会落后于其他器官同种异体移植术的原因。我们仅就面部移植术的可行性及存在的问题来探讨其临床应用价值。
中国“急救”史论（系列）之十一中国“院前急救"历史的简溯

“院前急救”字面上包含两层意思：院前，是指施救地点为事发现场或转送医院途中；急救，是指通过目击者或专业者对伤病员给予紧急救护~[1]。所以，广义上“院前急救”是指在入院以前对所有伤病员进行的各种紧急医疗救治活动，包括检伤分类、现场处置、快速转运等。其处置需遵循一些基本的急救原则；其方法包含复苏、止血、包扎、固定、搬运等常用最基本的救护技术~[2]。我国古代虽然没有“院前急救”一词，但是，历代医籍对医学家们从事的相关急救医疗活动大有记载。现将其做一简要的回溯。
Reiter综合征1例

讨论Reiter综合征（Reiter's syndrome, RS)又称为尿道、眼、滑膜综合征。本病1916年由Reiter首先报告。目前定义为尿道炎、宫颈炎和(或)腹泻后的炎症性、非对称性寡关节炎综合征，可伴有结膜炎、虹膜炎或皮肤、黏膜损害等关节外表现~([1])。其病因与发病机制尚不明，目前认为与感染、免疫异常和遗传因素有关。是特异体质个体对一种或多种感染因子发生的特异性反应~([2])。RS男性青年多见，估计男：女为50:1~([3])，患者中HLA-B27抗原阳性率高达60%~90%~([4])。其机制认为是致病菌侵犯黏膜后，由于致病菌携有模拟HLA-B27抗原的成分，被免疫系统识别而引起发病。
伴有家族史的着色性干皮病1例

着色性干皮病(xeroderma pigmentosa, XP)属DNA修复缺陷所致的常染色体隐性遗传病。本病特征为色素性改变、萎缩、角化及癌变，病变主要发生在暴露部位~([1])。人群中患病率达1 ：6.5万~1 ：10万~([1])。本病多在儿童期发病，少数患者成年后发病，称迟发性着色性干皮病，此型患者症状较轻，适当治疗后可长期生存。肖生祥等~([2])报告，我国3岁内发病者占2/3，28.2%的患者出现眼部病变，20.5%的患者出现神经病变，恶性肿瘤的平均发病年龄为19.3岁，患者父母为近亲结婚者占61.3%，1/3患者中有兄弟姐妹同患本病。与国外文献相比，XP患者发生恶性肿瘤的平均年龄(19.3岁)大于国外平均发病年龄（8岁），存活年龄比国外患者大，这些差异可能与肤色有关，白种人皮肤比黄种人对光线更敏感~([2])。着色性干皮病患者的皮肤缺乏核酸内切酶，不能修复被紫外线损伤的皮肤DNA。现已确定与DNA修复缺陷有关的基因有7个（XPA-XPG)~([3])。7个互补组XPA、XPB、XPC、XPD、XPE、XPF、XPG与核苷酸切除修复缺陷有关，1个变异型XPV与跨损伤合成缺陷有关~([4])。不同基因型患者临床表现有所差异。
钙化性纤维性肿瘤二例

钙化性纤维性肿瘤（calcifying fibrous tumor, CFT）是一种罕见的间充质细胞来源的良性肿瘤，WHO的最新分类将其列入纤维母细胞/肌纤维母细胞肿瘤的一个类型，并称其为CFT~([1])。尽管CFT属于良性肿瘤范畴，但因其具有独特的临床病理学特征，加强对此类型肿瘤的正确认识，对判断患者预后和选择治疗方案十分重要。现将2例CFT患者的临床及病理学检查情况总结如下。
疑似白喉误诊一例分析

我国传染病防治法中白喉属乙类传染病，但因多年无病例发生，现在每出现一例白喉就是一起突发公共卫生事件，因此要求对白喉的诊断应更加科学和谨慎。调查中应强调流行病学史的调查，对难以追查到流行病学史的病例要多思考，拓宽思维，在诊断过程中切忌先人为主，要客观综合分析。
肝移植后并发脑桥中央髓鞘溶解症一例

2010年5月，我院收治1例肝移植后相继出现急性排斥反应、肝功能异常、肺部感染、急性肾功能衰竭及由于长期卧床引起下肢深静脉血栓前状态，同时并发脑桥中央髓鞘溶解症，病情特殊且复杂，经积极抢救和综合治疗，康复出院，现报道如下。
A wide-band low phase noise LC-tuned VCO with constant K_(VCO)/ω_(osc) for LTE PLL

A wideband LC-tuned voltage-controlled oscillator（LC-VCO） applied in LTE PLL frequency synthesizers with constant A_(VCO)/ω_(osc) is described.In order to minimize the loop bandwidth variations of PLL,a varactor array is proposed,which consists of a series of differential variable capacitor pairs and a series of single-pole double-throw（SPDT） switches to connect Vtune or Vdd.The switches are controlled by switching bits.With this scheme,the ratio of K_V = ?C_(var)/? V_(tune) and the capacitance value of the capacitor array maintains relatively constant; furthermore,the loop bandwidth of the PLL fluctuation is suppressed.The 3.2—4.6-GHz VCO for multi-band LTE PLL is fabricated in a 0.13-μm RF-CMOS process.The VCO exhibits a maximum variation of A_(VCO)/ω_(osc) of only±4%.The VCO also exhibits a low phase-noise of-124 dBc/Hz at a 1-MHz offset frequency and a low current consumption of 18.0 mA with a 1.2-V power supply.
Catalyst-Free Synthesis and Shape Control of CdTe Nanowires

The procedure reported here allows for the size and shape control of CdTe nanowires by means of colloidal chemistry. Thus, ultrathin, straight, saw-tooth-like and one-sided branched nanowires with zinc blende structures could be synthesized. Their formation does not require any catalyst and is most likely due to the oriented attachment of nanoparticles formed in the beginning of the reaction. The use of oleylamine as a solvent turned out to be crucial in order to achieve CdTe nanowires. The reaction between oleic acid and oleylamine in the presence of CdO proved to be essential, not only to activate the Cd precursor but also to provide reaction conditions facilitating nanowire formation by oriented attachment.
Selective Growth of ZnO Nanorods on SiO_2/Si Substrates Using a Graphene Buffer Layer

A promising strategy for the selective growth of ZnO nanorods on SiO_2/Si substrates using a graphene buffer layer in a low temperature solution process is described. High densities of ZnO nanorods were grown over a large area and most ZnO nanorods were vertically well-aligned on graphene. Furthermore, selective growth of ZnO nanorods on graphene was realized by applying a simple mechanical treatment, since ZnO nanorods formed on graphene are mechanically stable on an atomic level. These results were confirmed by first principles calculations which showed that the ZnO–graphene binding has a low destabilization energy. In addition, it was found that ZnO nanorods grown on SiO_2/Si with a graphene buffer layer have better optical properties than ZnO nanorods grown on bare SiO_2/Si. The nanostructured ZnO–graphene materials have promising applications in future flexible electronic and optical devices.
Morphology-Controlled Fabrication of Sulfonated Graphene/Polyaniline Nanocomposites by Liquid/Liquid Interfacial Polymerization and Investigation of their Electrochemical Properties

A novel morphology-controlled strategy has been developed to fabricate sulfonated graphene/polyaniline (SGEP) nanocomposites by liquid/liquid interfacial polymerization. Sulfonated graphene (SGE) sheets were synthesized and used as both a macromolecular acid dopant and substrate for the polymerization of polyaniline (PANI), affording the SGEP nanocomposites. The morphology of PANI in the nanocomposites can be controlled to be either nanorods or nanogranules by varying the synthesis conditions. The morphology of SGEP and the shape of PANI can be tuned by adding an additional dopant and varying the amount of SGE used, and this had a significant influence on the electrochemical performance of the nanocomposites as supercapacitor electrode materials. The SGEP nanocomposite with PANI nanorods exhibited a specific capacitance of 763 F/g with a capacity retention of 96% after 100 cycles and good rate properties. Composites obtained with HCl as an additional acid dopant with two different ratios of SGE to PANI showed higher specific capacitances of 793 and 931 F/g, but lower capacity retention after 100 cycles of 77% and 76%, respectively.
Metal@Silica YolkCShell Nanostructures as Versatile Bifunctional Nanocatalysts

Recent developments in nanochemistry offer precise morphology control of nanomaterials, which has significant impacts in the field of heterogeneous catalysis. Rational design of bifunctional catalysts can influence various aspects of catalytic properties. In this review, a new class of bifunctional catalysts with a metal@silica yolkCshell nanostructure is introduced. This structure has many advantages as a heterogeneous catalyst since it ensures a homogeneous environment around each metal core, and particle sintering is effectively eliminated during high temperature reactions. The catalysts exhibit high activity and recyclability in gas- and solution-phase reactions. It is anticipated that appropriate selection of bifunctional components and optimal structural control will significantly further enhance the catalytic properties, and enable target reaction-oriented development of new catalysts.
Neuroprotective effect of epigallocatechin-3-gallate on hemisection-induced spinal cord injury in rats

Epigallocatechin-3-gallate (EGCG),a naturally occurring compound in green tea,has been widely used as an antioxidant agent.In the present study,model rats with acute spinal cord injury were intraperitoneally injected with 25,50,and 100 mg/kg EGCG,and spinal cord ultrastructure,oxidative stress reaction,inflammatory factors,and apoptosis-associated gene expression were observed.Results showed that EGCG attenuated neuronal and axonal injury 24 hours post injury.It also decreased serum interleukin-1β,tumor necrosis factor-α,and intercellular adhesion molecule-1 release,and decreased apoptosis-associated gene expression.Furthermore,it increased the level of the superoxide anion (O~(2-)),superoxide dismutase,and B-cell lymphoma/leukemia-2,and reduced malondialdehyde levels.Furthermore,it reduced the expression of the pro-apoptotic protein Bax.Noticeably,EGCG at the 100 mg/kg dosage exhibited similar effects as methylprednisolone sodium succinate,which has been frequently used for clinical acute spinal cord injury.The results demonstrated that EGCG can significantly inhibit inflammation,suppress oxidation,and reduce apoptosis in acute spinal cord injury.
内镜下金属夹治疗非静脉曲张消化道出血的疗效观察

消化道出血的治疗除了有电凝、氩气刀、套扎、硬化剂等止血外,内镜下金属夹止血也是较为广泛应用的止血手段之一~([1])。我院对44例消化道出血病例进行了金属夹止血治疗,止血迅速,成功率高。
脾胃学说在肿瘤临床中的应用

以脾胃的生理功能为纲,阐述其发生病变时与肿瘤疾病的病因、病机、诊断、治疗、预后之关系。脾喜燥而恶湿,消化道肿瘤与湿邪关系密切;脾以升为健,癌性发热治宜甘温益气除热,阿片类镇痛剂所致便秘、尿潴留治宜补中益气;脾为生痰之源,肺癌、恶性淋巴瘤发病与痰关系密切;脾为气血化生之源,乳腺癌术后上肢肿胀及手足综合征多由气血亏虚;顾护脾胃贯穿于恶性肿瘤治疗的全程。
《老老恒言》(白话注释本)注释今译存在的问题

当前,随着中医药事业的蓬勃发展,中医古籍的整理出版也随之蓬勃兴起。但在中医古籍的整理,特别是注释今译的过程之中,也出现若干问题。本文就《老老恒言》(白话注释本,简称"内蒙本")[1],注释今译存在的若干错误进行分析,以便中医古籍整理者引以为戒。
Large Eddy Simulation of Methane Non-premixed Flame Using the Laminar Flamelet Model

The large eddy simulation (LES) using the steady laminar flamelet model is applied to a simple turbulent jet flame with 33.2% H2,22.1% CH4 and 44.7% N2 at the Reynolds number of 15,200 in order to validate the numerical methods and to investigate the flame structure.For the validation,the detailed experimental data of DLR-A flame is used.The numerical results are in reasonable agreement with experimental results except mass fractions of minor species.In the flow field,the break-down of the potential core,the vortex structure and the mixing intensity are well captured.In the combustion field,mass fractions of major species (H2O,CO2,CO) are well predicted quantitatively.Minor species are well predicted qualitatively.In the present study,the simulations conducted on the Cartesian and cylindrical grids with approximately 6.6× 10~5 nodes are compared.
Thermal Modeling and Cooling Analysis of High-power Lithium Ion Cells

The heat generation model and three-dimensional computational fluid dynamics model for lithium ion cells were established with boundary conditions defined.In order to provide a better insight about the behaviors of high-power lithium ion cells under realistic discharge conditions,the temperature difference of the cells and an active thermal management system with a pure air-cooling mode were analyzed and predicted with the factors affecting the unevenness of temperature field discussed.The results show a significant effect of the cooling flow rate on the temperature rise of the cells for all discharge rates.Average surface temperatures are relatively uniform at lower discharge rate that makes it easier to control the temperature of the pack.Cell temperatures are expected to rise significantly toward the end of discharge and they show non-uniformity at higher discharge rates.Adequate air flow rate of active cooling is required at high discharge rate and high ambient temperature for practical pack thermal management system.
Investigation of Detailed Kinetic Scheme Performance on Modelling of Turbulent Non-Premixed Sooting Flames

This paper presents the results of an application of a first-order conditional moment closure (CMC) approach coupled with a semi-empirical soot model to investigate the effect of various detailed combustion chemistry schemes on soot formation and destruction in turbulent non-premixed flames.A two-equation soot model representing soot particle nucleation,growth,coagulation and oxidation,was incorporated into the CMC model.The turbulent flow-field of both flames is described using the Favre-averaged fluid-flow equations,applying a standard k-ε turbulence model.A number of five reaction kinetic mechanisms having 50-100 species and 200-1000 elementary reactions called ABF,Miller-Bowman,GRI-Mech3.0,Warnatz,and Qin were employed to study the effect of combustion chemistry schemes on soot predictions.The results showed that of various kinetic schemes being studied,each yields similar accuracy in temperature prediction when compared with experimental data.With respect to soot prediction,the kinetic scheme containing benzene elementary reactions tends to result in a better prediction on soot concentrations in comparison to those contain no benzene elementary reactions.Among five kinetic mechanisms being studied,the Qin combustion scheme mechanism turned to yield the best prediction on both flame temperature and soot levels.
一起由嗜水气单胞菌污染饮用水引起的腹泻暴发调查

2011年8月18日11:50滦南县疾病预防控制中心接到该县某中学暴发感染性腹泻的报告后立即赶赴现场进行调查处置,该校高一年级尚未开学,仅有高二和高三两个年级组57个班级3300人以及教职员工405名。该校有学生食堂8个,均委托某集团公司经营管理。学校以自备井为生活饮用水水源,该水源采用自动变频阀门,无消毒处理设施。学校附近的家属楼和其他单位未出现类似腹泻现象。
宣威市某村燃烟煤居室内空气污染调查

为了解宣威市某村燃烟煤居室内空气污染的现状,于2011年1月采集该村燃煤炉型分别为烟囱地炉和模拟火塘的村民各2户,得到室内、外空气样本各54份,对空气中总悬浮颗粒物(TSP)和苯并(a)芘(BaP)浓度进行监测。烟囱地炉居室内空气中TSP超出三级空气质量标准0.8倍,BaP超出标准值90倍;室外空气中BaP超出标准值2.5倍。模拟火塘居室内空气中TSP超出三级空气质量标准7.5倍,BaP超出标准值664倍;室外空气中TSP超出三级空气质量标准0.07倍,BaP超出标准值6倍。说明改炉灶可以降低因燃烟煤导致的空气TSP、BaP浓度,但需进一步改进。
以对侧面肌痉挛为首发症状的小脑脑桥角表皮样囊肿一例

讨论表皮样囊肿继发面肌痉挛(HFS)一般均与表皮样囊肿位于同侧,而以对侧HFS为首发症状的表皮样囊肿鲜见报告。后颅窝占位伴对侧脑神经症状被称为病变假定位征(false localizing signs of a mass,FLS),该现象罕见,发病机制尚不清,可能机制如下:(1)脑干移位、旋转,使对侧CPA池空间狭窄,血管神经关系紧密;(2)脑干将对侧脑神经挤压向周围组织,如颞骨岩部、小脑幕游离缘;(3)对侧脑神经被增厚粘连的蛛网膜包绕,并被周围组织挤压;(4)肿瘤压迫脑干移位,导致对侧脑神经扭曲成角。FLS的一般治疗策略是:先切除占位病灶,如症状未消失再行减压手术。1962年,Gardner报道了第1例FLS;Nishi和Matsuura分别于1987和1996年各报道了1例听神经鞘瘤导致对侧HFS;Rhee于1955年报道了1例CPA脑膜瘤伴发对侧HFS。CPA表皮样囊肿伴发对侧HFS鲜见报道。以往4例FLS均在切除占位后HFS逐渐缓解,均未行HFS侧的神经减压。本例为右侧CPA表皮样囊肿伴左侧HFS。我们考虑其主要发病机制为肿瘤占位导致脑干移位,对侧后颅窝空间狭窄,血管神经关系紧密。结合既往FLS治疗经验,我们未行对侧CPA探查,术后1个月症状基本消失,随诊半年未再复发。
基层医院治疗高血压脑出血的现状分析

随着我国人民的物质生活水平的提高和老龄化社会的到来,高血压脑出血的发病率日益上升,高达50.6~80.7/10万~([1]),且病死率和病残率均很高,为我国人口死亡的三大主要疾病之一。众所周知,我国是一个农业人口大国,农村居民占80.0%左右,大部分高血压脑出血患者就治于县级基层医院。发病后有相当数量的病例需手术治疗~([2-4])。换言之,大量的手术是由基层医院的医生来进行,“十二五”期间新型合作医疗覆盖更广泛,患者所支付的费用更少,到基层医院就诊的患者必将大增。然而,这些医院医疗设施相对落后,手术器械不够先进齐全,专业技术人员缺乏,手术操作技术不够精湛等原因,患者预后往往不佳。因此,必须提高基层医院高血压脑出血的救治水平,保障人民健康。
Bioaccumulation of metals in human blood in industrially contaminated area

Heavy metals were analyzed in different foods crops, milk, meat and blood samples collected from different age group subjects such as children (1-12 years), adolescent (12-18 years), adults (18-45 years) and old age (above 45 and 55 years for males and females, respectively) from polluted and relatively less polluted areas. The results revealed that the consumption of contaminated food crops, meat and milk have significantly increased the concentrations of selected metals in the human blood. Cu, Zn and Mn concentrations were significantly higher (p < 0.05) in the blood samples collected from the polluted area as compared to control area. Old people had accumulated high concentrations of metals as compared to the younger ones within the same area. Males accumulated higher concentrations of metals as compared to females.