1.The Clinical Experience of Professor He Ruoping in the Treatment of Bone Marrow Suppression after Chemotherapy in Patients with Malignant Tumor
Journal of Zhejiang Chinese Medical University 2016;40(10):744-746
Objective] To sum up professor He Ruoping’s clinical experience and academic views in the treatment of bone marrow suppression after chemotherapy in patients with malignant tumor. [Method] Through the way of clinical practice with teacher, arranging medical records and clinical observation, systematically arranging He Ruoping’s clinical experience and academic perspective in the aspects of etiology and pathogenesis, treatment ideas and drug characteristics. And further explain the characteristics of the treatment of He through case analysis.[Result] He Ruoping believes that the treatment of bone marrow suppression after chemotherapy related closely with spleen and kidney, and is also related with interweaving of toxicity, deficiency and blood stasis. The treatment should be based on kidney, spleen, centralizer, make Qi and blood sufficient. Besides, supplemented by the Quxie treatment, make Qi and blood flow.[Conclusion] Using Yishen Jianpi Fuzheng, supplemented by eliminating method in treating post chemotherapy bone marrow suppression, has significant clinical effect, has the value of popularization and application.
2.Development of lumbar kyphosis rectifying manipulator
Xiaojun LIU ; Ping FAN ; Haijiang LIU ; Zhucai LIU ; Jianming YE ; Ruoping YUAN
Chinese Medical Equipment Journal 2003;0(11):-
Objective To develop manipulator to tow and rectify lumbar kyphosis instead of pressing with hands and heels when trying to cure the lumbar disc herniation.Methods Combining the electronic and mechanical application technology,a reasonable and complete scheme was designed and established.Results The mechanization and automation of the treatment process is realized.The labor of medical staff is reduced and the symptoms of sufferers are relieved.Conclusion Lumbar kyphosis rectifying manipulator provides a new method to cure lumbar kyphosis.It's a perfect lumbar kyphosis rectifying tool with a lot of strong points,such as easy operation,concentrated force,desire effectiveness,high security,etc.It has good application foreground.
3.Hyperbaric oxygen for lung infection patients with severe brain injury and tracheotomy
Limin XU ; Lei KONG ; Quan XIAO ; Dong WANG ; Ruoping LIU ; Daorong FENG ; Xianli SONG ; Jianping HUANG
Chinese Journal of Physical Medicine and Rehabilitation 2011;33(10):770-774
Objective To compare the effectiveness of hyperbaric oxygen (HBO) therapy and normal pressure oxygen inhalation for lung infection in patients with severe brain injury and tracheotomy.Methods Sixty lung infection patients with severe brain injury and tracheotomy were stratified by age and Glasgow coma scale (GCS) score into an HBO group (30) and a conventional therapy group (30).Both groups were given treatments to reduce intracranial hypertension and protect the brain,surgery,antibiotics,and symptomatic and support therapy.In the conventional group the patients received oxygen therapy at normal oxygen pressure by tracheal cannula.In the HBO group,the patients received HBO therapy through self-made oxygen devices by the authors.The body temperature,cough and expectoration,respiratory sounds and white blood cell (WBC) count were compared between the groups.Results There were statistically significant differences in body temperature,cough and expectoration,respiratory sounds and the normalized time for the count and classification of WBC between the groups.Conclusion HBO had good treatment effectiveness for excretion and expectorant in lung infection patients with severe brain injury and tracheotomy.
4.Microsurgical surgery options for tumors in pineal region
Jin YE ; Youming LIANG ; Shengyong LAN ; Xiuwen TANG ; Quan XIAO ; Ruoping LIU
Clinical Medicine of China 2012;28(6):585-587
Objective To explore the significance of surgical resection for the pineal region tumor,the extent of tumor resection,the surgical approaches and treatment measures of hydrocephalus.Methods Twentythree patients diagnosed of pineal region cancer were recruited for this study.Thirteen patients received ventriculo-peritoneal shunt(V-P),during which 7 cases received intraoperative end-plate colostomy.Two of the 13 cases received a second V-P procedure.Another 13 cases received operation by corpus callosum- septum-Dome Room-the third ventricle approach to remove the tumor; Eight cases underwent the tumor resection by suboccipital supratentorial approach (Poppen approach )and 2 cases underwent the tumor resection by the infratentorial cerebellar approach( Krause approach).Results Total tumor resection was performed in 11 cases,subtotal or major total resection in 8 cases and partial resection in 4 cases.Nine cases underwent postoperative radiotherapy alone,8 receiving radiotherapy plus chemotherapy,and 6 cases receiving neither radiotherapy nor chemotherapy.Two cases died during treatment.Conclusion Though it is not practicable to completely remove the germ cell tumor in patients with relatively large tumors,cerebrospinal fluid circulation pathways should be reestablished,including ventriculo-peritoneal shunt,colostomy from the end of the third ventricle to the end plate.If tumors are not too large,they would be easy to be removed.The effects on the surrounding brain tissue would not be much significant.If the connection of Ⅲ,V ventricles were normal,the patient may not need shunt or colostomy.Radiotherapy and chemotherapy can be given to this kind of patients after the surgery.To improve the efficacy,other types of tumors,expecially the benign tumors,should be totally removed.