简介：Traumaticinjuriestothecentralnervoussystem(CNS),includingtraumaticbraininjury(TBI)andspinalcordinjury(SCI),ofteninvolveanimmediatemechanicaldamagetoplasmamembranethatsurroundsneuronalsomataandaxons.Thisinitialdisruptionofplasmamembranefollowinginjurieshasbeenconvincinglydemonstratedbyincreasedmembrane

简介：采用针刺治疗56例癌症呃逆患者并与西药治疗58例相对照，结果治疗组有效率87．5％，对照组有效率32．8％。经Ridit分析，治疗组疗效明显优于对照组(P<0．01)。

简介：目的：观察推拿治疗手术后尿潴留的临床疗效。方法：对37例手术后尿潴留患者施行穴位推拿治疗，穴位选用气海、关元、中极，双侧三阴交。结果：治疗1～3次后，治愈36例，1例因退出治疗而未统计疗效。结论：穴位推拿是治疗手术后尿潴留的一种有效方法。

简介：目的将在ICU与多重损害为病人调查外科的治疗。病人们从2006年1月承认了到我们的医院的ICU到2009年1月的163多重损害的方法临床的数据回顾地被学习，包括118男性和45女性，与36.2年的吝啬的年龄(范围，5-67年)。包括的损害区域出发，颈(29个案例)，脸(32个案例)，胸(89个案例)，腹部(77个案例)，骨盆和手足(91个案例)和身体出现(83个案例)。有57个案例，与吃惊相结合。ISS价值从10～54变化了，18.42平均。病人们分别地在在内的ICU接受了外科的治疗24个小时(10个案例)，24-48小时(8个案例)，3-7天(7个案例)和8-14天(23个案例)。为163个病人，结果ICU停留的持续时间从2～29天，与7.56天的平均价值。在他们之中，143被治好(87.73%)，11由于严重出血性的吃惊(6个盒子)在医院(6.75%)里死了，craniocerebral损害(3个盒子)和多重机关失败(2个盒子)，并且9在自愿地从医院(5.52%)排出以后死了。全部的死亡率是12.27%。当多重损害病人在ICU被复活时，损坏控制原则应该被跟随的结论。外科的治疗策略活跃地包括控制出血，对待以前错过的损害和相关创伤或外科的复杂并发症并且动计划阶段手术。

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简介：AbstractFacial erythema is the main characteristic of rosacea. It has a negative impact on quality of life. The two forms of rosacea-associated erythema are inflammatory erythema and non-inflammatory erythema. There are numerous therapeutic options available that achieve satisfactory responses. This review summarizes the latest advances in the treatment of rosacea-related erythema and concludes the treatment of two forms of them.

简介：AbstractAcute pancreatitis (AP) is a common acute abdominal condition of the digestive system. In recent years, treatment concepts, methods, and strategies for the diagnosis of AP have advanced, and this has played an important role in promoting the standardization of AP diagnosis and treatment and improving the treatment quality of AP patients. On the basis of previous guidelines and expert consensus, this guideline adopts an evidence-based, problem-based expression; synthesizes important clinical research data at home and abroad in the most recent 5 years; and forms 29 recommendations through multidisciplinary expert discussion, including diagnosis, treatment, and follow-up. It is expected to provide evidence support for the treatment of AP in the clinical setting in China.

简介：AbstractThe incidence of pancreatic cancer has been rising worldwide, and its clinical diagnosis and treatment remain a great challenge. To present the update and improvements in the clinical diagnosis and treatment of pancreatic cancer in recent years, Chinese Pancreatic Association, the Chinese Society of Surgery, Chinese Medical Association revised the Guidelines for the Diagnosis and Treatment of Pancreatic Cancer in China (2014) after reviewing evidence-based and problem-oriented literature published during 2015-2021, mainly focusing on highlight issues regarding diagnosis and surgical treatment of pancreatic cancer, conversion strategies for locally advanced pancreatic cancer, treatment of pancreatic cancer with oligo metastasis, adjuvant and neoadjuvant therapy, standardized processing of surgical specimens and evaluation of surgical margin status, systemic treatment for unresectable pancreatic cancer, genetic testing, as well as postoperative follow up of patients with pancreatic cancer. Forty recommendation items were finally proposed based on the above issues, and the quality of evidence and strength of recommendations were graded using the Grades of Recommendation, Assessment, Development, and Evaluation system. This guideline aims to standardize the clinical diagnosis and therapy, especially surgical treatment of pancreatic cancer in China, and further improve the prognosis of patients with pancreatic cancer.

简介：AbstractThe pathogenesis of melasma is believed to be related to heredity, sun exposure, sex hormones, and other factors. The mechanisms underlying the development of melasma include increased melanin synthesis, vascular proliferation within the skin lesions, inflammation, and skin barrier dysfunction. The diagnosis of melasma is mainly based on clinical manifestations and noninvasive techniques. Coupling with recent research progress in melasma, the present consensus comprehensively elaborates the etiology, pathogenesis, clinical manifestations, staging, classification, diagnosis, and treatment of melasma to improve the diagnostic and therapeutic skills of Chinese dermatologists.

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简介：AbstractThe source of human oocytes is directly associated with the success of infertility treatment and fertility preservation. The number of oocytes obtained is possibly correlated with the success rate in terms of live birth rates. However, oocyte quality must be refined such that the number of oocytes is not positively correlated with the quality of oocytes. Different ovarian stimulation protocols can be used to obtain numerous oocytes. However, oocyte quality should be considered the most important factor affecting infertility treatment and fertility preservation. Infertile women are generally willing to take health-related risks to achieve a live birth, and ovarian stimulation using high-dose hormonal treatments may be harmful for both women and infants. Therefore, successful infertility treatment and fertility preservation should be defined as the birth of a healthy baby at term without compromising the health and safety of the mother and infant. Therefore, the source of high-quality oocytes must be carefully considered prior to infertility treatment and fertility preservation.

简介：AbstractChronic subdural hematoma (CSDH) is a chronic space-occupying lesion formed by blood accumulation between arachnoid and dura mater, which is usually formed in the third week after traumatic brain injury. Surgical treatment is usually the first choice for patients with CSDH having a significant space-occupying effect. Most of the patients showed good results of surgical treatment, but still some patients had a postoperative recurrence (the recurrence rate was up to 33%). Because CSDH is often seen in the elderly, patients are weak and have many basic diseases. The risk of surgical treatment is high; serious complications and even death (the death rate is up to 32%) can often occur. The overall good prognosis rate of patients aged more than 90 years is 24%. The drug treatment can provide a safe and effective treatment for elderly patients who are weak, intolerable to surgery, or failed in surgery. Low-dose and long-term use of atorvastatin (20mg/d) is suggested for continuous treatment for at least 8 weeks, while low-dose and short-term use of dexamethasone can improve the therapeutic effect of atorvastatin on CSDH. Patients should undergo CT or MRI scanning at least one time within 2 weeks after the start of drug treatment.

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简介：AbstractMeningiomas are the most common primary intracranial neoplasm with diverse pathological types and complicated clinical manifestations. The fifth edition of the WHO Classification of Tumors of the Central Nervous System (WHO CNS5), published in 2021, introduces major changes that advance the role of molecular diagnostics in meningiomas. To follow the revision of WHO CNS5, this expert consensus statement was formed jointly by the Group of Neuro-Oncology, Society of Neurosurgery, Chinese Medical Association together with neuropathologists and evidence-based experts. The consensus provides reference points to integrate key biomarkers into stratification and clinical decision making for meningioma patients.

简介：Objective:Toinvestigatetheindication,perioperativeannouncements,selectionofprosthesisandclinicalresultsofshoulderhemiarthroplastyforthetreatmentofcomplexproximalhumeralfractures.Methods:Atotalof55patientswhosufferedfromcom-plexproximalhumeralfracturesweretreatedbyshoulderhemiarthroplasty.Themeanagewas55.6yearsandmeanfollow-upperiodwas25.1months.Thescoringsystemmodi-ficationforhemiarthroplasty(SSMH)hadbeenadoptedforevaluationatthelatestfollow-up.Results:Thepainwasobviouslyrelievedinallpatients.Fiftypatientswerepainlessand5patientshadslightpain.Themeanrangeofmotionwas100°(90°-110°)inabduction,95°(80°-100°)inforwardflexion,35°(30°-40°)inextemalrotationandinternalrotationwasconfinedatL2level(L1-L3).ThemeanSSMHscorewas27.9(24-29).Fiftypatients(90.1%)weresatisfiedwiththeclinicaloutcome.Conclusions:Shoulderhemiarthroplastyisaneffectivemethodtotreatcomplexproximalhumeralfractures.Theproperselectionofpatientsandprosthesis,goodoperationskillandenoughfunctionalexercisearethekeypointsofsuccessfultreatment.

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简介：<正>OtosclerosiswasfirstdiscoveredbyValsalvain1704[1],andthetermwasfirstusedbyAntonvonTroltschin1872todifferentiatefromtympanosclerosis[2].Normallytheoticcystinhumanremainsstationaryafterfulldevelopmentandcontainsnovisibleactivatedosteoblastsor

简介：InsupportingXinjiangUygurAutonomousRegionfromAugustof2008toJanuaryof2009,theauthorstreated56casesofcervicalspondylosisbyembeddingmethod.Now,thereportisgivenasfollows.

简介：目的将为服的梗塞续发症观察温暖挖出的刺破方法的临床的效果。有在有包括标准的一致的服的梗塞续发症的六十个病人随机被划分成一个治疗组和控制的方法组织，在每个组的30个盒子。控制组被给西方的药的基本治疗。治疗组被增加，针灸治疗在西方的药的治疗之上基于。在由健康的国家研究所的治疗摸规模(NIHSS)前后，病人的神经病学的缺点被估计。结果显著药品率是83.3%，全部的有效的率在治疗组是93.3%，对56.7%和70.0%处于在二个组之间的显著药品率和全部的有效的率与统计差别在控制组织(P<0.05)。在治疗以后，NIHSS分数在两个组减少了(P<0.01或P<0.05)，并且差别是统计的在二个组之间重要(P<0.01)。结论温暖挖出的刺破方法比在服的梗塞续发症的治疗的西方的药的单个治疗好。