防止肌肉萎缩-54髋关节内旋、外旋 ROM测量-32心理测验-47膝关节屈曲、伸展 ROM测量-33测量工具-30行走时主要肌肉作用-38平衡肢体长度-71

低血糖处理-67幻灯片71防治方法-7监测糖尿病-10来得时-34流行病学-3流行病学-4流行病学-5流行病学-6人胰岛素-32人胰岛素-31人胰岛素-33糖尿病胰岛素治疗-1糖尿病胰岛素治疗-2药物疗法-11胰岛素代谢与清除-17胰岛素代谢与清除-18胰岛素药物-37胰岛素药物

病例治疗的思考-75成功病例分享-71促进排泄-61促进排泄-64

8段划分法-32胆囊-71胆囊-70胆囊癌-77胆囊炎-72胆囊癌-76 

（1）神经胶质细胞瘤-22（2）髓母细胞瘤-75+C-52+C-53+C-58+C-59+C-71+C-72

内暴发流行的防控-71鉴别诊断-42接种流感疫苗-72抗流感病毒药物治疗-47

Background. Children are highly vulnerable to infection with novel influenza viruses. It is essential to develop candidate pandemic influenza vaccines which are safe and effective in the pediatric population.Methods. Infants and children aged 6-35 months and 3-8 years were randomized to receive two immunizations with a 7.5 µg or 3.75 µg hemagglutinin (HA) dose of a non-adjuvanted whole-virus A/Vietnam strain H5N1 vaccine; adolescents aged 9-17 years received a 7.5 µg dose only. A subset of participants received a booster immunization with an A/Indonesia strain H5N1 vaccine approximately one year later. HA and neuraminidase antibody responses were assessed.Results. Vaccination was safe and well-tolerated; adverse reactions were transient and predominantly mild. Two immunizations with the 7.5 µg dose of A/Vietnam vaccine induced virus neutralization (MN) titers ≥1:20 against the A/Vietnam strain in 68.8% to 85.4% of participants in the different age groups. After the booster, 93.1% to 100% of participants achieved MN titers ≥1:20 against the A/Vietnam and A/Indonesia strains. NA-inhibiting antibodies were induced in ≥90% of participants after two immunizations with the 7.5 µg A/Vietnam vaccine and in 100% of participants after the booster.Conclusions. A whole-virus H5N1 vaccine is suitable for pre-pandemic or pandemic immunization in a pediatric population.

患者，女，26 岁，G1P0 孕 39 周，无产兆入院。基本信息及病史：患者身高 165 cm，体重 75 kg，孕期各项化验检查未提示异常，产科超声检查未... 0.6 g 静滴，手术顺利，术中无特殊操作，术中出血 200 ml，皮肤切口给予可吸收线皮内缝合。术后再次给予克林霉素 0.6 g 加液静点预防感染。术后 1

为 13.4±7.1 天。此外，粒细胞计数恢复时间在 G-CSF 与未 G-CSF 治疗的两组间无差异。在患者粒细胞计数恢复且无发热后，111 例接受 131I...，而 G-CSF 治疗并不能改善粒细胞计数的恢复时间，而 131I 依然是最佳治疗方案。

最新研究表明，新发腰背痛的老年患者不必急于影像学检查，因为其价格昂贵且不能改善预后。来自华盛顿大学的Jeffrey G. Jarvik教授提到，希望负责制定诊断指南的人在修订版意见中可以考虑此项研究。与年轻人不同，许多针对老年人的诊断指南指出不能等到4-6周后行影像学检查，因为在该群体中有许多潜在的风险。但是，初发

【编者按】近期，德国海德堡大学的G. Korosoglou博士等在European Heart Journal（EHJ）杂志上发表了一例左冠脉位于主动脉和肺动脉之间，导致左主干内血栓形成的病例，现将病例呈现给读者。患者，男，44岁，因突发室性心动过速入院，既往无心血管疾病史及动脉粥样硬化危险因素。入院心电图提示I

的纵向研究还很有限。为此，英国剑桥大学精神医学系的G. M.Khandaker进行了一项研究，研究结果显示，早期青春期ND儿童的PEs风险较高

由纽约精神病学研究所分子成像和神经病理学的J. G. Keilp等人开展，研究结果显示，干扰处理和学习/记忆缺陷造成了信息处理过程中持久性缺陷，会造成个体较差的