1986年 · 第99卷第07期

Coronary angiography was performed in 60 cases. 55 of them were clinically diagnosed as CHD, 3 suspected CHD and 2 suspected coronary arteriovenous fistula. The success rate of selective coronary angiography was 50/55 (91.6%) in CHD. Of these 50 cases, 32 showed fixed narrowing of the coronary arteries and 2 coronary artery spasm. Of 25 of the 34 cases with effort angina 15 were of stable type and 10 accelerated type. The remaining 9 cases were of spontaneous angina. Coronary artery fixed narrowing of varying degrees (50-100%) was found in these cases. The clinical significance of coronary angiography and ECG findings and the prevention and treatment of serious side-effects during the procedure are discussed.

During a 32-year period from 1952 t0 1984, we operated upon 3,675 cases of esophageal carcinoma. This paper presents our experience.

To our knowledge meningioma arising from the limb has never been reported in the literature. We here report a case of primary subcutaneous meningioma in the left upper limb, confirmed by histological study. It fulfilled the diagnostic criteria recommended by Bain and Shnitka.

Since the beginning of this century, trans-naso-sphenoidal resection of the pituitary fossa tumors has been widely used clinically. It has more merits than other operative approaches used before. In China it has been adopted by both ENT doctors and neurosurgeons since 1959. In order to afford some relevant anatomical data, we measured 137 adult sagittal plane skulls with distinct landmarks.

For improving the technique of scalp hemostasis in vault craniotomy, we developed a convoluted springy hemostatic scalp clip (Type WCS-36). It has been employed clinically since 1966 with promising results.1-4 Before use, the clip had been introduced to a number of hospitals, domestic and abroad, for evaluation, and discussed at an international symposium in 1981.

This study selects 20 cases of liver, lung or intraperitoneal echinococcosis and reviews the clinicopathological charateristics which suggest clinical nomenclature according to the parasitic species, infection routes, affected organs and echinococcus cyst numbers, clinical manifestations, definition of recur rent liver cystic echinococcosis and clinical course of liver alveolar echinococcosis.

A total of 333 human sera from various age groups in Beijing was examined for BK virus (BKV) antibody with HI test. The prevalence of BKV anti body was 25.0% in the group aged 1-3, then it increased with age until 25-35 years old, peaking at 76.3%. The prevalence dropped a little in the older age groups.

This paper reports 2 families of osteomalacia differing from the simple vitamin D deficient osteomalacia and the familial hypophosphatemic osteomalacia due to hereditary renal tubular defect.

Antibacterial immune-RNA preparations extracted from sheep immunized with Pseudomonas aeruginosa, Escherichia coli and Staphylococcus aureus are used to treat opportunistic infections caused by enterobacteria such as E. coli and Ps. aeruginosa. 22 patients with bacterial septicemia or pneumonitis caused by combined or secondary infection were treated. Most failed to respond to treatment with various antibiotics, but showed dramatic improvement after changing to antibacterial immune-RNA. In 27 severely burned patients (mean body surface burn area larger than 5%) treated by antibacterial immune-RNA, not a single case was complicated with septicemia or septicopyemia caused by opportunistic Gram negative bacteria,in contrast with the controls. The results show that antibacterial immune-RNA has significant protective effect against bacterial infections.

Using vertical slab electrophoresis on polyacrylamide gel, a total of 11 activity bands are displayed, they are designated as GGT I-XI in order of their distance from the positive pole. Positive GGT II was found in 81(90%) of 90 cases of primary hepatic carcinoma (PHC), in 9(90%) of 10 cases of secondary hepatic carcinoma (SHC), and in only 4 (less than 5%) of 128 cases of acute and chronic hepatitis. A patient with ampulla of Vater carcinoma had positive GGT II but possible hepatic metastasis was not excluded. No GGT II was displayed in 250 healthy persons and 21 pregnant women. PHC with AFP less than 50ng/ml has a positive GGT II rate of 84.6% whereas in cases with negative GGT II the positive rate of AFP is only 44.4%. The data show that GGT II is of significant sensitivity, specificity, predictability and accuracy in hepatoma diagnosis.