扶肺消水饮联合微创置管闭式引流后胸腔注药治疗恶性胸腔积液22例

目的 :观察自拟中药扶肺消水饮联合应用微创置管闭式引流后胸腔注药治疗恶性胸腔积液的临床效果。方法 :恶性胸腔积液患者 2 2例均口服扶肺消水饮 ,并联合应用微创置管闭式引流法 ,即采用深静脉穿刺管行胸腔闭式引流术。待胸水排尽后通过留置管胸腔内注入生物反应调节剂 ,以沙培林或胞必佳为主。每周排尽胸水后给药 1次 ,根据胸水排出情况 ,可反复给药 1～ 4次 ,1个月后评定疗效。结果 :显效 14例 ,有效 7例 ,无效 1例 ,总有效率为 95 .45 %。结论 :扶肺消水饮联合微创置管闭式引流后胸腔注药治疗恶性胸腔积液 ,是一种疗效佳、副作用小、安全方便、患者易接受的治疗方法。

自拟方地苓消水饮联合芪明颗粒治疗糖尿病性黄斑水肿临床疗效观察

目的:探索自拟方地苓消水饮联合芪明颗粒治疗气阴两虚型糖尿病性黄斑水肿(DME)的临床疗效。方法:对中医辨证分型为气阴两虚型,符合2型糖尿病,且伴黄斑水肿的60例患者施行不同的治疗方案,观察组、对照组分别入组31例、29例。对照组给予常规用药,观察组在此基础上口服自拟方地苓消水饮加芪明颗粒。疗程均为12周。观察两组用药前后的最佳矫正视力(BCVA)、黄斑中心凹视网膜厚度(CMT)等指标及中医证候积分。结果:两组治疗前后CMT比较具有统计学意义(P<0.05),观察组治疗前后BCVA与中医证候积分比较均具有统计学意义(P<0.05),治疗后组间比较具有统计学意义(P<0.05)。结论:针对气阴两虚型糖尿病性黄斑水肿,自拟方地苓消水饮联合芪明颗粒治疗效果明显,可提高患者中心视力,能改善黄斑中心凹视网膜厚度及全身的证候,具有临床推广价值。

桑葶消水饮治疗结核性胸膜炎

桑葶消水饮治疗结核性胸膜炎浙江省苍南县人民医院（３２５８００）郑鹏翮结核性渗出性胸膜炎在临床上较多见。笔者从１９８５年以来，自拟桑葶消水饮加减，并配合抗结核药常规应用治疗４８例，疗效较显著、兹介绍如下。１临床资料１．１一般资料：本组４８例，男２７例，...

宣肺健脾消水饮治疗急性肾炎50例

急性肾炎属于中医水肿病阳水症的范畴，本病多见小儿、青年。我们采用宣肺健脾消水饮治疗急性肾炎５０例，取得较好的疗效。现总结如下：一般资料本组病员均来源于我院门诊和住院患者，按就诊序次随机分治疗组５０例，对照组４５例，进行治疗观察。病前曾患急性咽炎２８例...

消水饮治疗自发性蛛网膜下腔出血后交通性脑积水41例临床研究

观察消水饮治疗自发性蛛网膜下腔出血后交通性脑积水(aSAH-CHP)的临床疗效。符合病例纳入标准患者82例,随机分为观察组与对照组各41例,治疗结束后观察2组患者的临床疗效、神经功能缺损情况(NIHSS评分)、脑积水消失情况(Gado记分法)及预后情况(GOS评分)。治疗结束后,观察组总有效率(90.24%)优于对照组(73.17%);2组患者治疗后NIHSS评分均低于治疗前,且观察组显著低于对照组;观察组脑积水消失率(90.24%)优于对照组(78.05%);2组患者治疗后GOS评分均高于治疗前,且观察组显著高于对照组,2组患者临床总有效率、NIHSS评分、脑积水消失率和GOS评分比较差异均有统计学意义(P<0.05)。消水饮在自发性蛛网膜下腔出血后交通性脑积水的治疗方面有确切的临床疗效,尤其能改善神经功能缺损症状,无不良反应。

消臌利水饮治疗肝硬化腹水32例

肝硬化腹水属祖国医学的“臌胀”、“单腹胀”范畴,临床以腹胀大、皮色苍黄、脉络暴露为特征,为中医四大难症之一.笔者自1986年以来,采用自拟方“消臌利水饮”治疗肝硬化腹水32例,收到比较满意效果,现总结报告如下:一般资料本组32例中,男性15例,女性17例;年龄最大者68岁,最小者28岁,以青壮年居多;病程长者8年,短者2月.诊断标准 1、有病毒性肝炎、嗜酒、长期养营不良、血吸虫病或药物中毒肝损害等病史.2、症见腹胀,食欲不振,恶心,腹泻,有腹水、出血倾向,黄疸,肝掌,蜘蛛痣,肝脾肿大或腹脉暴露。3、肝功能检查明显异常,血浆白蛋白明显降低,球蛋白明显增加,A/G 比值倒置;蛋白电泳测定 r 球蛋白明显增加。4、血常规检查:各项(RBC。

行水消胀饮治疗肝硬化顽固性腹水62例临床观察

目的评价自拟方行水消胀饮对肝硬化顽固性腹水的治疗效果。方法采用随机数字表法将122例肝硬化顽固性腹水患者分为2组,对照组采用常规的内科对症支持治疗,治疗组在对照组治疗的基础上加行水消胀饮加减治疗。结果治疗组疗效优于对照组,肝功能及体重、尿量的改善情况亦优于对照组,差异有统计学意义(P<0.05)。结论行水消胀饮配合西药治疗肝硬化顽固性腹水有良好的临床疗效。

Research of chemical induction unit on mixing effect and chlorine saving

Rapid mixing and chlorine saving are two important problems that most drinking water industries are focus on, and this paper adopts chemical induction unit to compare with water jet injector to study what merits chemical induction unit has. The experiment chose coefficient of variability of chlorine concentration to evaluate the mix effect and used chlorine consumption to compare the two equipments. Distribution reservoir experiments show that chemical induction unit can completely mix chlorine less than 6.2 seconds and water jet injector can not completely mix in 3 minutes. Mixing pool experiments show that chemical induction unit can save chlorine compared with water jet injector, and can save more if more chlorine is consumed.

Effect of pipe material and low level disinfectants on biofilm development in a simulated drinking water distribution system

The efficiency of chlorine and chloramines disinfection on biofilm development in a simulated drinking water distribution system was investigated by using heterotrophic bacterial spread plate technique. The experiments were carried out with four annular reactors (ARs) with stainless steel (SS) or copper (Cu) material slides. The results showed that there were fewer bacteria attached to Cu slides without a disinfectant compared with those attached to SS slides. When the water was disinfected with chloramines, the heterotrophic plate counts (HPCs) on the biofilm attached to the Cu slides were significantly lower (by 3.46 log CFU/cm2) than those attached to the SS slides. Likewise, the biofilm HPC numbers on the Cu slides were slightly lower (by 1.19 log CFU/cm2) than those on the SS slides disinfected with chlorine. In a quasi-steady state, the HPC levels on Cu slides can be reduced to 3.0 log CFU/cm2 with chlorine and to about 0.9 log CFU/cm2 with chloramines. The addition of chloramines resulted in a more efficient reduction of biofilm heterotrophic bacteria than did chlorine. We concluded that the chlorine and chloramines levels usually employed in water distribution system were not sufficient to prevent the growth and development of microbial biofilm. The combination of copper pipe slides and chloramines as the disinfectant was the most efficient combination to bring about diminished bacterial levels.

Factors influencing the formation of chlorination brominated trihalomethanes in drinking water

The formation of brominated trihalomethanes (THMs-Br) which is proved more carcinogenic than their chlorinated analogues reported was very different at various water qualities.This study was performed to assess the effects of water quality parameters (bromide concentration,pH value and ammonia concentration),chlorination conditions (chlorine dose,reaction time) and ratios of Br-/DOC and Br-/Cl2 consumption on the formation and distribution of THMs-Br in chlorination.The results showed good correlation between the bromine incorporation factor (BIF) n(Br) and Br-/Cl2 consumption ratio.The formation of total THM (TTHM) was found to decrease with increasing ammonia concentration but to increase with bromide concentration and pH value.The n(Br) trends were significantly affected by the presence of bromide concentration.The effects on the molar yields of THMs were more strongly influenced by bromide concentration and dissolved organic carbon (DOC) concentration than pH value and natural organic matter (NOM) source.High Br-/DOC and Br-/Cl2 favor the formation of THMs-Br over chlorinated THMs (THMs-Cl).The experimental data including the main parameters such as bromide,DOC,ammonia,pH and reaction time were used for developing the predictive model for THMs-Br.