Severe head injury is the main cause of disability and death. And it is one of the most concerned topics in military medical research. A great deal of achievements involving basic and clinical researches on the severe head injury have been made in recent years. Many animal models of head injury have been established.The mechanisms of brain edema, secondary brain and diffuse axonal injury have been preliminary elucidated,broadening the understanding in the mechanism of repair and clinical treatment. We analyed and summarized these achievements retrospectively in this article, the aim of which is to improve the clinical treatment result for severe head injury.

It is one of the difficulties to treat basicranial tumor by neurosurgery. A brief account of its definition, classification and diagnostic measures is given, and its surgical curative effect is evaluated.

Diseases in the vertebral canal are very common and detrimental to health. The author briefly summarizes their diagnosis and contemporary microsurgical treatment, and points out that great attention should be paid to their early diagnosis and microsurgical treatment, because they are the key measures for a satisfactory outcome.

This is a preliminary report using APPLE I type microcomputer to diagnose the nature of intra-cranial tumor (ICT). A computer program was made. All clinical data of 520 cases of intracranial tumors proved by operation and pathology were put into the computer for analysis. The cases were di vided into two groups: the 1st 120 cases were used to make a stepwise regression analysis to get a multiple linear regression equation; and the 2nd 400 cases were tested to prove the reliability of the e quation and diagnose the nature of ICT. The reliability was 85.6%.From the preliminary study, the formula that was derived for clinical purpose to evaluate the nature of ICT depends upon 7 dependent variables. It may be a supplement to evaluate the nature of ICT in early stage.

Based on the objective law that the nickel ion beam can wantonly changed. NGCAAS-Ⅱis a new designed circuit used for clinical element microdetecuon on Atomic Absorption Spectrophotometer (AAS).It effectirely lessons the thermowidening,self- absorption of spectral line and interference of ion line,thus comprehensively improves the practical value of AAS.Its energy is 100 times bigger than the energy of square circuit. Besides,if abtains better signal-to-noise ratio and anti-interference ability.Farther more, it has better sensibility and background-correction.

Humans ; Male ; Practice Guidelines as Topic ; Prostatic Hyperplasia ; diagnosis ; therapy

Objective:To analyse pros and cons of Shikani laryngoscope anatomically during nasal intubation.Methods:60 pa-tients,with ASAⅠ -Ⅱ,aged 1 9 to 29 years old,undergoing titanium plate and titanium screw removal surgery after orthognathia, were randomly divided into Shikani group (S group,n =30)and HC video laryngoscope group (V group,n =30).Successful intuba-tion rate of the first attempt,total time cost,nasal bleeding rate and the incidence of postoperative airway complications were compared. Results:Compared with group V,the time cost of group S was significantly lower(P <0.05).But the rate of successful intubation for the first attempt,nasal bleeding rate and incidence of complications were the same in both groups(P >0.05).Conclusion:Shikani la-ryngoscope is faster,less invasive with easy maintenance in nasal intubation.

Objective To investigate the change of the permeability of endotoxin-induced blood-labyrinth barrier(BLB) in guinea pigs.Methods Endotoxin was injected into each tympanic cavity of 27 guinea pigs via superior bulla and Evans blue(EB) was injected via jugular vein before sacrification.Another 27 guinea pigs were served as control by injecting normal saline instead of endotoxin.On 12,24,72 h after injection of endotoxin or normal saline,EB content in BLB was detected after the cochlea were immersed in formamide for 24 h and the pathological change of lateral wall was observed by light microscope and transmission electron microscope.Results The BLB permeability to EB increased in endotoxin-induced cochlea of guinea pigs with prolonged time,and the content of EB was significantly different at 24 h in endotoxin-treated cochlea as compared with that at 12 h and 72 h.No marked morphological changes in the stria vascularis and spiral ligament were observed in control group.The pathologic changes in the lateral wall of cochlea in endotoxin-treated group were inflammatory cell infiltration,blood capillary engorgement,intercellular conjunction cleft.Conclusion The BLB permeability can be increased by endotoxin in the cochlea of guinea pigs,which is mainly caused by the capillary interendothelial cleft and continuous break of endothelial cells in stria vascularis.

Headache is a common clinical symptom.Some headache disorders belong to secondary category.Many intracranial disorders,such as head trauma,cerebral vascular diseases,intracranial tumors and inflammation,can lead to headache due to mass effect,inflammation reaction,stimulation of vasoactive substances and decreased intracranial pressure.Furthermore,many drugs and other substances,disorders of eyes,nose,ear,mouth,neck and other systemic disorders can also cause headache.Many headache disorders can be determined by detailed case history and physical examination.Blood test,lumber puncture,CT,MRI and other imaging examinations are necessary methods for finding the causes and the treatment of diseases.

Carcinoma of the esophagus is the second most common cause of cancer-related-death in women,and fourth in men in China.The prevalence rate of adenocarcinoma of esophagus has increased in the western countries recently too.Unfortunately,the treatment result of esophageal cancer is very poor,and only 15%～20% of all esophageal cancer patients will be alive 5 years after diagnosis.With the development of radiologic techniques and molecular biology,the esophageal cancer patients are given on individualized treatment modality.This paper reviewed several interesting topics,including operation for esophageal cancer,new technologies for pre-operative staging,multidisciplinary treatment as well some data from the Shanghai Cancer Hospital.