论文部分内容阅读
1965年2月我参加了中苏友誼医院巡迴医疗队,去順义县沿河公社四个月,治疗了一些北京平原地区农村的冬春常見病。几个月的时間虽短,但确实糾正了不少我过去对农村常見病的片面认識。我毕业后几乎一直在城市大医院工作,虽然知道在冬季呼吸道疾患最多,但是头脑中的印象却是在病房中常遇到的肺炎合併感染中毒性休克,或重症肺源性心脏病,总感到这是冬季呼吸道疾患中最伤脑筋的問題。到了农村,我們分析了沿河公社21个村的第一輪巡迴治疗后的308例內科患者,其中呼吸道疾患160例,占內科病的一半还多(51.9%),其中又以支气管感染为主,共124例,即慢性枝气管炎105例,慢性哮喘性枝气管炎19例。在这期間,看到不少患者的咳嗽、气喘反复发作,或綿延不断。追问其中一部分病程較长的患者,很多人患气管炎后,虽病情逐年有所发展,
In February 1965, I attended a touring medical team of the Friendship Hospital of China and the Soviet Union and went to Shunyi County along the River Commune for four months to treat some common winter and spring diseases in the rural areas of the Beijing Plain. A few months’ time was short, but it did correct many of my previous one-sided understandings of the common diseases in rural areas. I almost always worked in a big city hospital after graduation. Although I knew that there were the most respiratory diseases in winter, my mind often felt that pneumonia complicated with toxic shock or severe cardiogenic heart disease was encountered in the ward Is the most troublesome respiratory problems in winter. In rural areas, we analyzed 308 medical patients after the first round of circuit therapy in 21 villages along the river commune, of which 160 were respiratory diseases, accounting for more than half (51.9%) of medical diseases, among which bronchial infection , A total of 124 cases, 105 cases of chronic bronchitis, chronic bronchitis of bronchitis in 19 cases. During this period, I saw many patients cough, asthma recurrent, or continuous. Asked some of the patients with longer duration of disease, many people suffering from bronchitis, although the disease has progressed year after year,