Study on 21 patients with horse shoe- like anal fistula are treated in Digestive Surgical Department of Viet Duc National Hospital during 1988 -1995 has shown that male:19 (90%); ages:18 -74; relapsed fistula: 81% operated 2 or 3 times: 45% the distance from anal fistula to rear of anal: 4 cm (76%).
Fissure in Ano ; diagnosis ; therapy ; therapeutics

Surgery of the parotid gland is usually indicated for the relief of an inflammatory disorder or for control of neoplasia. In all these procedures, the overriding critical factor is the management of the facial nerve. The facial nerve is embedded within the substance of the gland and is at risk of injury during any parotid gland operation. The various surgical approaches described in our study comprised a common thread, the surgeon’s awareness of facial nerve anatomy and efforts to protect the nerve from an inadvertent injury.
Parotid Gland ; Facial Nerve ; surgery ; Wounds and Injuries

In order to address conflicting accounts of the Huiyin-vessel and CV1 (Huiyin) in the Wang Bing version of "Huang-di nei-jing Su Wen", we analyzed the origins of the Huiyin-vessel based on its relationship to hemorrhoids in ancient sources on the topic. Furthermore, by considering the curing methods used by health scholars during the Warring States period in China and hemorrhoid treatments until the Song dynasty, we demonstrated the specificity of the posterior yin (anus) and identified the reason behind moving the location of the Huiyin-vessel. We also clarified the way of determining the location of CV1 (Huiyin) and factors that have until now caused confusion related to CV1 (Huiyin).

[Objective]Although “If it is not thriving but it is surviving, maintain it with Sutra ”is considered the most important treatment principle in acupuncture, its interpretation is confusing and inconsistent. Thus, in order to clarify this principle, we examined its original meaning and report the results here.
[Method]After investigating the source of “If it is not thriving but it is surviving, maintain it with Sutra ”within the “Huang-di nei-jing”(traditional Chinese medical text) and revealing the state of past research regarding this principle and its associated problems, we identified its background and used the “Zhangjiashan Han bamboo text Maishu”and “Dashu ,”which are only quoted in the “Jin fu” chapter of the Huangdi Neijing-Lingshu (the Yellow Emperor’s Canon), to trace a path back to the roots of “If it is not thriving but it is surviving, maintain it with Sutra ”and to elucidate its original meaning.
[Results]We were able to confirm that although there have heretofore been a total of four theories and 13opinions, none have been rationally interpreted.
[Conclusion]The facts that 1. “If it is not thriving but it is surviving, maintain it with Sutra”is based on a method of diagnosing pulses across the entire body, 2. the interpretation of the “Jin fu”chapter of the Huangdi Neijing-Lingshu contradicts the “Dashu ,”which is quoted in this text, and 3. the statement in the “Zhangjiashan Han bamboo text Maishu”that “when it is calm, then maintain it ”is the original form of “If it is not thriving but it is surviving, maintain it with Sutra ,”suggest that the original meaning of “If it is not thriving but it is surviving, maintain it with Sutra ”was likely that in cases where the form and rhythm of a pulse were normal, it should not be treated but instead addressed as usual.

No abstract available.
Humans ; Infant, Newborn*

No abstract available.
Respiratory Syncytial Viruses* ; Respiratory System* ; Respiratory Tract Infections*

Sevens cases of pancrea duodenal emergency cutting showed: the combining of the injuries of pancreas and duodenum in a clinical image of multiplex injuries. In these conditions, blood Amylaza level, urine or abdomen fluid and the CT scanning gave diagnostic values in pancrea damage and the combining damage of compact diathesis. Pancrea duodenal cutting must be indicated when the vascularization into duodenum and pacrea head could not be controlled; blood injury and loss of pulse or irreversible injury in the area of Vater ampulla; IV grade of pancrea duodenal injury as well as in the favorable conditions of anesthesia resuscitation with qualified surgeons.
Surgery ; Emergencies ; Pancreas ; Duodenum

The study of 113 heart failure patients with rheumatic fever at Hai Phong Children Hospital from 1995 to 2001. Carditis encountered in rheumatic fever for the first time was 58%, however carditis in rheumatic fever since the second time was 100%. The valvular sequelea was only encountered in severe cases and the more the disease the more the valvular sequelea had, the common sequelea was mitral insuffisance (45.18%). 93.92% patients were out of heart failure. While the mortality rate was 3.54%. 100% patients were treated using anti inflammation and anti infection, so the parallel treatment: anti inflammation and anti infection were especially necessary
Heart Failure ; Diagnosis ; Therapeutics ; Rheumatic Fever ; Child

Through 10 cases of calculus of the pancreas chronical pancreatitis calcified in head, trunk and tail of the pancreas, associated with the dilatation of the main duct of pancreas (6/10 patients were alcoholism, 10/10 had got abdomen pain treated internally, 10/10 ahd weight loss, 3/10 with the syndrom of bile obstruction, 2/10 with diabetes) operated by a combing surgery of Frey and Beger method, without death. Premiminary results showed that the pain was reduced, chronical pancreatitis was controlled and the complications for neighbourhood organs caused by this condition, such as bile obstruction, main bile duct obstruction..) were prevented. The excretion and endocrinological functions of the pancreas were preserved, living quality was obviously improved.
Surgery ; Therapeutics ; Pancreatitis, Chronic ; Lithiasis ; Pancreas

The quality of reproductive health care services at studied communes were rather good, above 50% clients answered well all 5 contents. At present, the most difficulty and obstacles to ensure the quality of reproductive health care services at health stations were lack of medical equipments, and insufficience of specialized stuff and limited abilities. In order to enhance the quality of reproductive health care services at health stations, it should be done an intergrated set of solutions: Adding specialized equipments and personnel; re-educating; Improving the attitude of services.
Reproduction ; Delivery of Health Care ; Family Planning Services ; Women ; Health