ObjectiveTo observe the effect ofhydroxyethyl starch 130/0.4 combined with sodium aesinate tablets in treating edema of tibiofibular fracture(ETF).Methods105 ETF patients were randomly assigned to tow groups,the treated group ( n =55 ) was treated with hydroxyethyl starch 130/0.4 injection (20ml.kg - 1 · d - 1 ) with sodium aesinate tablet( 30mg,bid,po),while the control group (n =50) was treated with sodium aesinate for injection (20mg in 5％ GS 500ml,ivgtt,qd),observe the decrudescence time of the fracture edema.ResultsThe significant effective rate and total effective rate were 40.0％,94.5％ in treated group and 14.0％,84.0％ in control group,showing statistical significance( P ＜0.05).The decrudescence time of Ⅱ degree and Ⅲ degree edema in treated group were (5.75 ± 2.21 ),( 8.14 ± 2.49),and ( 7.09 ± 2.03 ),( 12.18 ± 3.76 ) in control group,the difference among them was significant( P ＜ 0.05 or P ＜ 0.01 ).ConclusionThe combined therapy of hydroxyethyl starch 130/0.4and sodium aesinate tablets has good clinical curating effect in treating edema of tibiofibular,and also can reduce the adverse reaction.

Objective To develop the darkroom(tent) needed for X-ray film developing in the field conditions.Methods Three layers of colored cloth in red,black and army green were used for light-proving.Methods as field tent was used to support ground and create space.Results Tested in comprehensive field medical support drilling,this tent could develop film in 10 minutes despite the high temperature in the tent.The result was accepted by doctors.Conclusion It is waterproof,windproof and lightproof,and can develop satisfactory films in practical drill.

Objective To describe the financial management specification of the medical device account in hospital. Methods The stock and consumption statistics situation of the medical equipment and consumable material from technical angle were elaborated,as well as the equipment maintenance of the administrative regulations. Results The regulations can be used to inquire,count,report conveniently,and acquire the use of supplies and equipment maintenance in details. Conclusion It will enable the work of medical engineering disciplines to have foresightedness,regularity,independency and determinism.

Objective To set up proper management specifications for hospital bidding,since there is no national and military unification patterns and standards as the administrative regulations of medical equipment bidding at present.Methods Through the unceasing exploration and summary,the article proposed a series of scientific,feasible and effective management plan as a standard model,methods and steps in the medical equipment bidding program.Results According to the management plan,the tender of the production,group formation,implementation of bidding,and statistical information could be procured.Conclusion Its implementation will cause the medical devices bidding program to be more perfect.

Objective To investigate the characteristics of clinical course in elderly patients and young-mid-dle-aged patients with upper gastrointestinal hemorrhage. Methods 417 hospitalized patients were divided into eld-edy group (≥60 yrs,198 cases) and young-middle-aged( <60 yrs,219 cases). All patients were diagnosed upper gastrointestinal hemorrhage by endoscopy. Results Endoscopy diagnosis included the first common cause to upper gastrointestinal hemorrhage was peptic ulcer, whereas more gastric ulcer were seen in elderly patients and more duo-denal ulcer were seen in young-middle-aged patients(23.7% vs 12.8%, 39.7% vs 21.7%, P <0.01). More eld-erly patients had a history of using Aspirin or NSMDs (17.1% vs 5.0%, P <0.01). The number of circulatory fail-ure and blood transfusion necessary were significantly increased, the mean duration of hospital stay was longer in eld-erly group than in young-middle-aged group(P<0.05). Conclusion The elderly patients have a more complicated clinical course than those young-mlddle-aged patients. Endoscopy is a necessary and effective method for both diagno-sis and treatment.

In this article we reviewed Gastrointestinal disorders (FGIDs) complicated with Psychological problems and proposed the strategies for the intervention and management of FGIDs with Psychological problems,including awareness-cultivating,skill-learning,treatment and follow-up in clinical practice.

Objective To discuss the clinical significance of percutaneous cervical diskectomy (PCD) in the management of radicular type cervical spondylosis. Methods A retrospective analysis was carried out on clinical records of 106 radicular type cervical spondylosis cases treated by PCD from July 1993 to June 2002. Results Follow-up observations for 6 months～8 years(mean 3.6 years) in 91 cases showed the outcomes were excellent in 36 cases, good in 40, and unchanged in 15, the rate of excellent-or-good results being 83.5%. Conclusions PCD has an excellent therapeutic effect for nerve-root symptoms resulted from cervical disc herniation, such as numbness and pain of the upper extremities or shoulders.

The necessity and importance of medical equipment quality control are analyzed on the basis of clinical cases of ventilator using.It is necessary because it assures the technical performance in the process of medical diagnosis and treatment.It is important because it extends the work range of medical engineers in hospital,changing them from the state of passive maintenance to active quality control,thus contributing to the combination of engineering and clinical diagnosis and treatment.Further more,it promotes the development of clinical medical engineering in hospital.

Objective To meet an emergency of film development by automatic-manual X-ray film development machine when malfunction or power failure occurs.Methods The field dark room was made along with development and fixing baths.The film was developed artificially.Results Satisfactory films for limbs and chest were developed.Conclusion The equipment is easy to load,spread and operate.It can be used not only as assistant field film development equipment,but also as training equipment for field hygiene unit that isn't allotted automatic-manual X-ray film development machine.

Objective To evaluate the feasibility of laparoscopic D2 radical gastrectomy for staging gastric carcinoma.Methods From January 2008 to August 2008,a series of 32 patients with staging gastric tumor underwent laparoscopic D2 radical gastrectomy in our hospital.For distal gastrectomy,groups 1,3,4,5,6,7,8,9,11p,12a,and 14v lymph nodes were resected,while for proximal gastrectomy groups 1,2,3,4,7,8,9,10,and 11 lymph nodes were excised.In the patients who received total radical gastrectomy,the groups 1,2,3,4,5,6,7,8,9,10,11,12a,and 14v were harvested.Reconstruction of the digestive tract was performed after the resected tumor was removed through a mini-incision on the upper abdomen.Results The procedure was completed in all of the patients without conversion to open surgery.The distal gastrectomy was performed on 18 patients,and the proximal surgery was carried out in 2.The operation time and intraoperative blood loss for the two surgeries was 250-390 minutes(mean,325) and 50-250 ml,respectively.Total radical gastrectomy was employed in 12 cases with a mean operation time of 347 min(300-450),and blood loss of 60-350 ml.None of the 32 patients needed blood transfusion.Postoperative pathological examination showed that the edge of the resected samples were negative in all of the cases.They had the gastrointestinal function recovered in 24 to 72 hours(mean,38),and began fluid diet in 2 to 5 days(mean,2.8).No patient had anastomotic leakage or other complications.Thirty of the cases were followed up for 1 to 8 months.During the period,no recurrence,metastasis,or implantations at the incision or puncture sites were found.Conclusion Laparoscopic D2 radical gastrectomy is a safe,feasible,effective and minimally invasive technique with good short-term outcomes for patients with staging gastric carcinoma.