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Gossypol was used in treating 30 cases of menopausal functional bleeding, myoma of uterus and endometriosis since Feb. 1979. The effect was satisfactory, persistent and comparable with any other treatment. Gossypol treatment could be used as a new conservative method. No or little side-effect could be observed under adequate dosage. Ovarian functions were inhibited and estrogen level lowered. Besides, endometrial changes were even more marked. In 70% of the specimens,highly atrophied endometrium was observed... Gossypol was used in treating 30 cases of menopausal functional bleeding, myoma of uterus and endometriosis since Feb. 1979. The effect was satisfactory, persistent and comparable with any other treatment. Gossypol treatment could be used as a new conservative method. No or little side-effect could be observed under adequate dosage. Ovarian functions were inhibited and estrogen level lowered. Besides, endometrial changes were even more marked. In 70% of the specimens,highly atrophied endometrium was observed which caused amenorrhea or oligomenorrhea with disappearance of dysmenor-rhea, abdominal pain and feverishness. In 62.5% cases of myoma, there was a shrinkage of tumor mass. In 13 cases of endometriosis, tenderness on nodules all disappeared with diminishing in size of uterus or nodules in 11. Menopause ensued in senile patients,but in young patients,ovarian functions might be recovered 本文报告用棉酚治疗更年期功能性出血、子宫肌瘤和子宫内膜异位症,其效果比国内外现有方法显著且持久,可作为一种新的保守疗法.剂量掌握适当时副作用不大.除抑制排卵功能、降低激情素水平外,对内膜作用突出,70%呈高度萎缩而使患者出现闭经或月经减少,痛经、腹痛、低热等症状消失.80%肌瘤缩小,100%内膜异位结节触痛消失,75%结节减少.年老患者继之绝经,年轻患者卵巢功能仍可恢复. Two hundred forty-three patients over 60 with biliary tract infection were treatedsurgically in our hospital.Their clinical characteristics were high incidence of chole-lithiasis (91.8%),protracted course,seriousness of infection,frequency of associateddiseases (63.8%) and poor tolerance to emergency operation.The over all mortalitywas 11.1%,or 17.9% for emergency operation and 4.8% for elective operations.The authors consider that the important factor to improve the therapeutic resultsof the disease in senile... Two hundred forty-three patients over 60 with biliary tract infection were treatedsurgically in our hospital.Their clinical characteristics were high incidence of chole-lithiasis (91.8%),protracted course,seriousness of infection,frequency of associateddiseases (63.8%) and poor tolerance to emergency operation.The over all mortalitywas 11.1%,or 17.9% for emergency operation and 4.8% for elective operations.The authors consider that the important factor to improve the therapeutic resultsof the disease in senile patients is to adopt a more aggressive attitude toward electiveoperation. 本文报道60岁以上老年胆道感染的手术治疗243例。本病的主要临床特点为胆石症发生率高(本组为91.8%)、病期长、重症多、并存疾患多(63.8%)及对急症手术的耐受性差。全组共死亡27例(11.1%),其中急症手术死亡率为17.9%,择期手术死亡率为4.8%。作者认为,要提高本病的疗效,关键是应对择期手术采取积极的态度。 Presents the ECG of 115 cases of ventricular premature beat of senile patients, and inquires into the questions about the determination of nature and classification, summing up as follows. 1.Ventricular premature beat is quite common in organic heart diseases, and of affirmative pathological significance especially as the QRS wave ehows incisura and its time limit greater than 0.12 (0.16) s. 2.In this series, cases of grade Ⅲ, Ⅳ down's five-graduation) were by no means rare as compared with those having... Presents the ECG of 115 cases of ventricular premature beat of senile patients, and inquires into the questions about the determination of nature and classification, summing up as follows. 1.Ventricular premature beat is quite common in organic heart diseases, and of affirmative pathological significance especially as the QRS wave ehows incisura and its time limit greater than 0.12 (0.16) s. 2.In this series, cases of grade Ⅲ, Ⅳ down's five-graduation) were by no means rare as compared with those having grade I or Ⅱ features. According to documents at home and abroad, all of these cases belonged to the complicated type, being likely to result in sudden death, clinicians should attach great importance to them. 3. In the light of investigation on the parameters and indexes of ST base line stagnation, ST-T angle, the directions of T and main wave, PI value, and the first change of sinus T wave after premature beat etc., the authors found that the ECG changes in most cases were common in nature, no specificity was shown. 4.Great attention must be paid to any type of ventricular premature beat in senile patients, putting emphasis on the QRS amplitude >0.2mV, QRS time limit>0.16s, PI value 报道115例老年(60岁以上)室性早搏ECG定性及分级探讨,结果:室早在临床有器质性心脏病组中极为多见,具有肯定的病理意义,室早QRS波具有切迹、QRS时限>0.12秒以上者具有病理意义;按Lown分级法,Ⅲ、Ⅳ级室早的发生例次也不少,尤以具有临床器质性心脏病组中为甚。对室早ST基线停留、ST-T夹角、T波与主波方向、PI值、早搏后第一个窦性T波的改变等指标作了探讨,认为在多数病例中,无论有无临床器质性心脏病,均符合室早ECG特征的普遍性而无明显特异性;发生在有器质性心脏病的老年室早,无论哪种类型,不必强求室早QRS振幅>0.2毫伏,QRS时限>0.16秒,PI值<1,或RonT等才有病理意义,应防止忽略室早业已为临床所反应出的病理意义,及早对症处理,以免招致严重后果。
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