Objective To discuss the pattern of pre-hospital and in-hospital first aid of craniocerebral injury. Methods A retrospective study was carried out on 4 311 cases with craniocerebral injuries, who were directly sent into the emergency room of the department of neurosurgery, classified and cured by special doctors according to corresponding procedures. Results A total of 2 992 mildly and mediumly injured cases were cured. In 1 319 severely injured cases, 164 died within 24 hours and the other 1 155 were evaluated by GOS, showing that 750 got good recovery plus moderate disability (64.94%), 132 resulted in severe disability (11.43%), 44 in vegetation (3.81%) and 229 died (19.83%). The total fatality rate was 29.80%. Conclusions It is beneficial to cure of the severe craniocerebral injury by utilizing the following ways, ie, pre-hospital care, immediate sending into the wards, special diagnosis according to first aid procedures, operation and ICU.

Objective To estimate the effects of occupational noise exposure to menstrual function of female cotton spinner. Methods 214 female workers of Anqing Textile Factory and urban community were investigated using questionnaire and the data of newly-married dairy by prospective cohort study from 1996 to 2000.The level of noise in their working place was measured. Results (1) The average level of occupational noise exposure of female workes of Anqing Textile Factory and urban community were 98.1 dB and 58.1 dB respectively. (2) Menstrual cycle of women in higher noise exposure group significantly shortened compared with those of the control group (P

Objective To study the causes for dysphoria and discuss the medication methods of controlling the dysphoria in craniocerebral injury patients. Methods First, craniocerebral injury patients were grouped to analyze the causes for their dyshoria. Then, the patients were injected with Tramadol (1 mg/kg), Droperidol (0.05 mg/kg) and Midazolam (0.1 mg/kg). Successively, analgestic pump containing combined Tramadol that included Tramadol (15 mg/kg), Droperidol (0.15 mg/kg), Midazolam (0.4 mg/kg) and 100 ml 10 g/L Procaine was used for 50 hours, (1.5-2.5) ml/h, continuously. The medication time ranged from 40 hours to 160 hours. Results Of 71 patients with dysphoria, 43 patients with grades Ⅰ and Ⅱ dysphoria were under complete control, 19 with grade Ⅲ dysphoria (eight were injected with more load) under basic control, one with grade Ⅳ dysphoria under control and eight degraded to grade Ⅱ dysphoria but needed additional load. Of all, 63 patients were successfully controlled (89%) and eight (11%) got better, with effectiveness rate of 100%. Blood pressure, heart rate and breath remained clam, which was good for oxygen transferring to brain and reducing of encephalic pressure. Conclusions The causes for dysphoria in craniocerebral injury patients include stimulation of pain and acute psychopathic impediment. Continuous injection of Tramadol via analgesic pump is an ideal medication methhod for analgesia and sedation, for it can not only hold blood and medicament in invariableness, but also make the patients quiet, without bad reaction or affecting process of regaining consciousness.