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张海茹 《河北北方学院学报(医学版)》1995,(2)
脑性失明是小儿“结核性脑膜脑炎”,“病毒性脑炎”的重要并发症之一。尤其在重症的“病毒性脑炎”采用常规疗法治疗脑性失明,效果差,恢复慢,部分患几可导致终生失明,严重影响患儿的生长、发育。我科近6年来采用中药复方制剂“过耳散”辅助治疗“结核性脑膜脑炎”82年至85年56例, 相似文献
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吴一梅 《河北北方学院学报(医学版)》1997,(1)
小儿病毒性脑炎临床表现多种多样,缺乏特异性医学诊断方法,只有掌握本病的各种特点,才能做到早期诊断和治疗,现将我院1989～1995年共收治病毒性脑炎(病脑)25例,作一总结。 1 临床资料 1.1 一般资料:男:18例,女:7例,其中婴幼儿7例(28％),学龄前期5例(20％),学龄期 相似文献
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病毒性心肌炎是由多种病毒引起的心肌中局限性或弥漫性的急性,亚急性或慢性炎性病变。如治疗不当,可以引起危险的并发症。自1993～1996年我们采用中西医结合方法治疗23例病毒性心肌炎,取得比较满意的疗效,现总结如下:1 临床资料1.1 一般资料 43例均为张家口医学院一附院及校医院住院病人,主要临床表现为心慌、气短、乏力、胸闷、心前区疼痛、头晕、多汗,心率>100次/分,心前区Ⅱ.～Ⅲ级收缩期杂音,心律不齐ST～T改变,早搏,传导阻滞等.均符合病毒性心肌炎的诊断标准。 相似文献
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宋萍 《河北北方学院学报(医学版)》2001,(3)
病毒性心肌炎是指各种病毒所引起的心肌急性或慢性炎症,治疗颇为棘手,单纯的西药治疗往往达不到预期效果,临床上结合中医辩证治疗,随症加减,提高了疗效,缩短了疗程。现将我院1998～2000年中西医结合治疗36例病毒性心肌炎报告如下。 1 临床资料 1.1 一般资料 36例中男20例,女16例;6～10岁15例,11～14岁14例,15～36岁7例。36例患者发病前13周均有明显的上呼吸道感染或/和肠道病毒感 相似文献
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二年级的波波患了感冒，经过治疗，感冒是好了，可他越来越频繁地述说胸口闷，脸色也很苍白。妈妈带他去医院，结果，波波被诊断为病毒性心肌炎。妈妈很惊讶，波波怎么会是心肌炎？感冒后为什么易患病毒性心肌炎炎顾名思义，病毒性心肌炎就是病毒侵犯心脏，引起心肌炎症的疾病。引起心肌炎的病毒种类虽然有很多，但最常见的是感冒病毒，感冒病毒不仅侵犯和损害上呼吸道黏膜，引起一系列呼吸道症状，如果治疗不彻底，还会侵犯心脏，使心肌细胞受到损害，引发炎症，导致病毒性心肌炎。近年来，由于空气污染等原因，使呼吸道的抵抗力被削弱，人… 相似文献
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小儿结核性脑膜炎由于起病症状常不典型,在早期易误诊或漏诊,现将我院几例误诊情况分析如下: 1 临床资料 误诊疾病有:误诊为病毒性脑炎,化脓性脑膜炎,流行性乙型脑炎,急性胃肠炎,上呼吸道感染,低钙抽搐。 例1,女,1岁。因不规则发热10d,伴间断抽搐4d入院,否认有结核病接触史,无BCG接种史。查体:T 38℃,嗜睡,颈稍抵抗,心脏、腹未见异常,克氏征( ),布氏征( ),胸片x线未见异常。脑脊液稍混,压力正常,WBC0. 相似文献
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本文通过39例成人病毒性心肌炎的临床资料分析,提出成人病毒性心肌炎起病症状轻微、病程迁延、容易转成慢性心肌炎及遗留后遗症的临床特点,强调对上感后出现心悸、气促、并有心电图改变者,应作细致动态观察,以便及早作出病毒性心肌炎的诊断及治疗,并提请注意频繁早搏可能是慢性病毒性心肌炎的主要表现。 相似文献
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自我刺激行为是自闭症的常见行为之一,虽然它不一定是挑战性行为,但是严重的自我刺激行为会损害自闭症的身体,阻碍自闭症的社会性发展.通过对文献的梳理,分析自我刺激行为与挑战性行为、重复刻板行为的关系、自我刺激行为的表现形式及形成原因等,重点探讨自闭症自我刺激行为的干预策略,为今后的研究和干预提供参考. 相似文献
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我国民办幼儿园发生安全事故存在着制度缺失的原因，需要通过制度改进，强化政府在民办幼儿园中的责任，突出均衡的幼儿教育发展观，构建绩效评价为基础的公共财政制度，加强有限政府的宏观管理职能。 相似文献
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何祖新 《商丘师范学院学报》1996,(Z1)
在体育专业术科教学与训练中，学生运动损伤较多．统计结果表明：最易受伤的是篮球、足球、田径、体操等课程．而田径课中最易受伤的是标枪、跨栏、跳高、跳远等项目．受伤的原因主要是准备活动不充分，或准备活动过量、时间较长；教学内容、组织教法安排不合理；学生素质差，技术掌握不好等因素．本文提出了具体解决的办法，仅供术科教学的老师们参考． 相似文献
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目的:探讨川崎病(KD)早期诊断要点与减少心血管损伤的治疗方法.方法:对86例确诊KD的住院患儿的临床特点、实验室检查、心电图及超声心动图进行检查,对定期随访结果进行分析.结果:临床特点中肛周红与卡瘢红发生率分别为53.4%、40.7%;超声心动图检查发现冠状动脉扩张28例,冠状动脉瘤5例;用静脉丙种球蛋白(IVIG)治疗的冠状动脉病变发生率33.3%,仅用阿司匹林治疗的冠状动脉病变发生率64.2%,7d内使用IVIG治疗的冠状动脉病变发生率9.6%(P＜0.01).结论:对非典型KD应及时做超声心动图检查,早期足量使用IVIG可减少KD并发冠状动脉病变的发生. 相似文献
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Judith A. Martin Ph.D. 《Child abuse & neglect》1984,8(4):387-392
In its examination of violent activity within the family, current literature assumes a “pecking order” exists: Larger and stronger family members attack those who are smaller and weaker. Adult males are usually studied as primary maltreaters of spouses, while females are considered mainly responsible for physically abusive behavior with children. Use of this perspective has led to neglect of male abusers, who injure half of the mistreated children in the United States. Through assessment of 66 studies of child abuse published during a 5-year period, this paper documents the lack of attention abusive fathers have received. Twenty-eight of these studies included only mothers, while two dealt exclusively with fathers. Most of the 36 remaining two-parent studies did not discuss sex differences. No diagnostic categories consistently differentiated male from female abusers. No study discussed specialized treatment needs of women and men. This survey suggests that the therapeutic field considers the child's mother the primary responsible parent, even though she may not be the perpetrator of violence in the family. As a result, inadequate treatment resources have been made available to maltreating fathers. The survey points to the need for much more comprehensive research comparing male and female maltreaters. 相似文献
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AIM: To assess the incidence and nature of concerns about sexual abuse, with particular reference to erroneous concerns of sexual abuse made by children. METHODS: A review of case notes of all child sexual abuse reports to the Denver Department of Social Services over 12 months. Cases were put into four groups: substantiated, not sexual abuse, inconclusive and erroneous accounts by children. RESULTS: 551 cases were reviewed. Forty-three percent were substantiated, 21% were inconclusive and 34% were not considered to be abuse cases. There were 14 (2.5%) erroneous concerns emanating from children. They comprised three cases of allegations made in collusion with a parent, three cases where an innocent event was misinterpreted as sexual abuse and eight cases (1.5%) of false allegations of sexual abuse.CONCLUSION: Erroneous concern of sexual abuse from children are uncommon. The four categories of concern in this study, in contrast to the simple classification of substantiated and unsubstantiated, provide a means of encouraging open minded assessments of the typical concerns which a child protection agency receives. 相似文献
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Bishop SJ Murphy JM Hicks R Quinn D Lewis PJ Grace M Jellinek MS 《Child abuse & neglect》2000,24(5):599-610
OBJECTIVES: The study examined child, parent, and case characteristics in a sample of 200 cases of serious child maltreatment brought before the Boston Juvenile Court (BJC) on Care and Protection petitions in 1994. Whether recent changes in Massachusetts law have been effective in reducing delays in adjudication and helping children achieve permanent placements more quickly was also examined. METHOD: Data were abstracted from court records by the research team. The 200 cases were followed prospectively for 4 years. Retrospective data on the families' previous involvement with the protective service system were also abstracted from the records. Data from the 1994 cases were compared to that obtained from a sample of cases brought before the BJC in 1985-1986. RESULTS: Children permanently removed from parental custody in the 1994 sample required less time post-disposition to achieve permanent placements. However, overall, time frames for the 1994 cases remained remarkably similar to those in 1985-1986: children were in the protective service system an average of 5 years; cases required an average of 1.6 years in court; and half of the children permanently removed from parental custody were still in "temporary" foster care at 4-year follow-up. CONCLUSIONS: Although some improvements have occurred since 1985-1986, the system still fails to meet the needs of seriously maltreated children to achieve permanent placements promptly. The implications of the findings for system reform are discussed. 相似文献
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Background: Child sexual abuse is undisclosed for many reasons that are resistant to change. Citizens can play an important role in disclosing cases of child sexual abuse to authorities. Professionals who deal with children also play a crucial role. Office-holders in organisations have a clear responsibility to prevent cover-ups of sexual abuse. Recently, some countries have created important new legal duties for adults to disclose child sexual abuse.Objectives: This article creates a contemporary taxonomy of duties to disclose cases of child sexual abuse, and explains their nature and justification.Participants and setting: Citizens, professionals dealing with children in the course of their work, and managers of child and youth-serving organisations.Methods: Legal analysis created a taxonomy of reporting duties. Analysis of these duties from perspectives of criminal jurisprudence, public health law, children’s rights and ethics considered their justification.Results: Seven legal duties now exist, in criminal law, civil law and child protection law. Some apply to all citizens; others to managers in organisations; others to professionals dealing with children in the course of their work. All the duties are directed to early detection of cases; some are directed towards prevention; and some are focused on avoidance of institutional corruption.Conclusions: These developments represent historic progress in overcoming normally intractable barriers to disclosure of cases of child sexual abuse. New legal duties are consistent with principles from criminal jurisprudence, public health law, children’s rights and ethics. Where adopted, societies should ensure the creation and maintenance of ecological conditions in which these duties can be observed. 相似文献
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Dr. Margaret R. Oates 《Child abuse & neglect》1979,3(3-4)
This paper is based on five years' clinical experience of assessing parents who injure their children. During this time it has become obvious that there is a complex variety, not only of parental and paediatric pathology, but also of response to treatment. “Abuse of children is not a disease entity but a pattern of behaviour and like all such patterns it has a multiplicity of paths by which it is reached” (Scott 1977).There is therefore a great need to evolve a way of breaking down the large psychiatrically heterogenous group into smaller groups, who not only share certain characteristics, but who have some predictive value in terms of treatment and prognosis. This has become particularly important as the number of referrals are rising and the spectrum is widening. We are not only seeing larger numbers of less severely injured children, but also many more less conspicuously abnormal parents. (N.S.P.C.C. Battered Child Research Department reports 1969–1977). 相似文献