ObjectiveTo analyze the effectiveness and problems existing in implementing acquired immune deficiency syndrome (AIDS) control and prevention in community health service centers, and to provide scientific evidence for promoting AIDS control and prevention. MethodsRelated information on AIDS control and prevention in community health service centers in a community in the whole year of 2013 was acquired. The effectiveness and problems existing in case management, laboratory testing and highly active antiretroviral therapy (HAART) based on the current community health service system were analyzed. ResultsBy the end of 2013, the rate of AIDS case management was from zero to 100%, the rate of CD4 T detection was from 76.60% (360/470) to 88.35% (508/575), and the rate of receiving highly active antiretroviral therapy among AIDS patients was from 81.40% (175/215) to 84.41% (287/340). But in the actual work on AIDS in community health service centers, there were still some common problems needing to be solved. ConclusionThe community level management mode of AIDS can promote the accuracy of AIDS patients' information, improve the rate of case management, the rate of CD4 T detection and HAART. It is suggested that the community level management mode of AIDS should be promoted in the cities where AIDS patients are concentrated.
目的探讨十二指肠球后溃疡大出血急诊手术治疗的临床疗效及对术后再出血的预防措施。方法回顾性分析我院2001年1月至2011年8月期间18例术中确诊的十二指肠球后溃疡并大出血手术患者的临床资料。结果18例急诊手术，其中Nissen法12例，Graham法5例，Bancroft法1例。全部顺利成功完成手术，术后第1天再出血1例，经保守治疗治愈，均痊愈，无一例患者死亡。结论对于经保守治疗无效的上消化道大出血，急诊手术是挽救患者的关键，术后正确静脉使用奥美拉唑，维持胃内pH值gt;6.4是防止术后再出血的重要保障。
目的探讨大隐静脉腔内激光+膝下经皮点状贯穿缝扎治疗大隐静脉曲张的临床疗效。方法回顾性分析我院2004年1月至2010年12月期间389例大隐静脉曲张患者采用腔内激光+膝下经皮点状贯穿缝扎术治疗的临床资料。结果手术全部成功完成，平均手术时间50 min。住院4～8 d，平均住院6 d。本组患者均获随访，随访时间为 1～36个月（平均18个月），所有患者均无深静脉血栓、深静脉损伤等手术并发症发生，无一例复发。迂曲、成团曲张静脉消失,溃疡愈合，色素沉着减轻或消失，下肢肿胀沉重感、酸困感消失。术后1个月彩超复查大隐静脉主干均全程闭塞，无血流信号，曲张的静脉均消失，膝下小腿部皮肤无条索状硬结及瘢痕。结论大隐静脉腔内激光结合膝下经皮点状贯穿缝扎术，使微创治疗大隐静脉曲张更加完善。