53例扩张型心肌病的临床心电图分析

目的:探讨扩张型心肌病(DCM)患者的临床心电图特点,观察扩张型心肌病心电图改变。方法:对我院53例经心脏超声检查诊断为扩张型心肌病患者的临床资料进行回顾性分析。结果:本组53例患者以青壮年为主,多集中在24～35岁这一年龄段(41.5%)。患者心电图均有异常改变,其中异位搏动及异位心律40例(75.5%),ST-T改变28例(52.8%)。心电图上可看出T波异常以倒置为主,窦性心律失常32例(60.4%),传导阻滞22例(41.5%),房室肥大18例(34.0%),Q波异常9例(17.0%),肢导联低电压6例(11.3%)。结论:DCM心电图有多种临床表现,应加强对本病的认识,及时准确诊断和治疗,改善心功能,提高患者生存率和生活质量,预防猝死的发生。     

原发性扩张型心肌病的心电图

本文分析我院近3年入院的36例扩张型心肌病病人的心电图。36例中34例有各种各样的心律失常,其中又以异位搏动及异位心律最为常见。异位搏动中以室早最多。36例中21例表现为各种传导阻滞。且在束枝传导阻滞中完右阻滞多于完左阻滞。此外,本文尚对原发性扩张型心肌病发生心律失常、房室传导阻滞、QRS波群以及ST—T等改变的机理结合文献做了阐述。     

58例扩张性心肌病心电图分析

目的探讨分析原发性心肌病的临床心电图特点。方法对安徽医科大学附属巢湖医院2004—2012年收治的58例原发性心肌病患者的心电图等进行回顾性分析。结果 58例原发性扩张性心肌病患者的心电图均有异常。其中传导阻滞22例（占37.9%）,异位搏动26例（占44.8%）,非特异性ST-T改变35例（占60.3%）;左室高电压18例（占31%）;异常Q波15例（占25.9%）;P波时限增宽16例（占27.6%）;QT间期延长9例（占15.5%）,猝死1例（占1.72%）。结论原发性扩张性心肌病可有多种心电图表现,心电图检查作为诊断扩张型心肌病简便易行的方法,也可以作为评估病情的一种指标。     

扩张型心肌病36例心电图分析

目的探讨探讨扩张型心肌病患者的心电图特点.方法对在我院2009年6月~2012年6月间住院治疗的36例扩张型心肌病患者进行回顾,分析患者的心电图资料.结果36例扩张型心肌病患者的心电图均有异常,其中以心率失常和异位心率最为常见,分别有29例(80.1%)和24例(66.7%),房室肥大患者有22例(61.1%),ST-T改变患者有20例(55.6%),传导阻滞患者有18例(50.0%),QRS波低电压12例(33.3%),异常Q波和QT间期延长分别有7例(19.4%)和4例(11.1%).结论扩张型心肌病患者的心电图有多种表现,发生率最高的是心率失常和异位心率,及时准确的诊断和治疗,可以改善心功能,对提高患者的生存率和生活质量具有重要的作用.     

原发性扩张型心肌病36例的心电图分析

本文对36例原发性扩张型心肌病患者心电图进行了分析。本组除一例外均有心电图异常改变(97％),其主要分类为:①异位搏动和室上性、室性心动过速;②房室扩大;③QRS低电压,异常Q波,原发性ST—T改变;④传导障碍。以左室肥厚(50％)和异位搏动及异位节律(50％)为最常见。对异常Q波的形成及与心肌梗塞的鉴别作了讨论。     

50例扩张型心肌病的临床心电图分析

目的总结扩张型心肌病（DCM）的心电图表现,为其临床诊断提供参考依据。方法50例扩张型心肌病患者均行标准12导联心电图检查,观察DCM患者的心电图情况,同时选择同期健康体检者50名设为对照组,对比分析两组的P—R间期,QRS时限、QTc情况。结果DCM患者心电图主要为心律失常,包括异位搏动及异位心律、传导阻滞、房室肥大及心率改变等。其中DCM组的QRS时间及Q—T间期、QTc分别高于对照组,差异有统计学意义（P〈0．05）。结论DCM心电图有多方面的异常表现,与病情严重程度密切有关,常规心电图检查简便、经济、快捷。为扩张型心肌病的诊断提供了有效的参考依据。     

扩张型心肌病患者心电图异常Q波的临床意义(附156例临床分析)

近年来原发性扩张型心肌病在临床上日益增多,对本病的临床表现、诊断等方面已有很多论述,但对其心电图出现异常Q波的临床意义的专题讨论较少。现将我院1979年1月～1994年12月确诊的156例原发性扩张型心肌病患者出现异常Q波的临床意义作一分析讨论。1　临床资料本组156例患者均为住院病人,其诊断依据为:1经体检,X线检查发现心脏增大及/或超声心动图检查发现心脏普遍扩大,早期以左室、左房内径增大为主;2心电图示有异位心律,传导阻滞,心肌梗塞及异常Q波等;3有充血性心力衰竭表现;4栓塞性并发症;5临床上排除其他心脏病及其他病因引起的继发性…     

原发性扩张型心肌病心律失常的临床分析

原发性扩张型心肌病系原因不明的心肌病变,无其它原因可解释的充血性心力衰竭,X线摄片和超声心动图证实心肌普遍增大,心腔主要为左和/或右室增大,心室壁变薄,运动功能弥漫性降低。心电图示传导阻滞,心肌损害和异常Q波及异位心律等,无冠心病易患因素,无高血压、心绞痛和心肌梗塞病史,除外其它类型心肌病,原发性扩张型心肌病的诊断即可成立。     

35例肥厚型心肌病患者心电图分析

目的探讨肥厚型心肌病患者的心电图改变。方法对确诊为肥厚型心肌病35例患者做心电图改变分析。结果所有患者心电图均有异常改变。其中sT-T改变30例（85.7%）,左心室高电压16例（45.7%）,心律失常14例（40%）,电轴左偏13例（37.1%）,异常Q波12例（34.2%）,完全性左束支传导阻滞4例（11.4%）,完全性右束支传导阻滞2例（5.7%）及一房室传导阻滞2例（5.7%）。结论肥厚型心肌病患者心电图可表现为多种异常改变,特异性不高,但敏感性高。对心电图呈此种ST段、T波及QRs波群的变化的患者,应进一步检查以明确诊断。     

非梗阻性心尖肥厚型心肌病的心电图特征表现

目的：探讨非梗阻性心尖肥厚型心肌病患者的心电图特征改变,提高对非梗阻性心尖肥厚型心肌病的鉴别诊断。方法对我院2005年1月—2015年12月收治的42例确诊为非梗阻性心尖肥厚型心肌病患者的超声心电图特点进行总结。结果本组42例心尖非梗阻性肥厚型心肌病患者均有心电图异常改变,胸前导联 T 波倒置均超过0.05 mV,RV5大于2.6 mV 的有18例（42.9%）,ST 段压低程度0.05~0.4 mV 的有20例（47.6%）,没有患者出现额面心电轴异常和病理性胸前导联 Q 波,合并心房纤颤3例（7.1%）。结论标准12导联 ECG 显示胸导联 V3~V5R 波振幅增高伴对称性倒置 T 波,要高度考虑非梗阻性心尖肥厚型心肌病的可能,心电图异常对非梗阻性心尖肥厚型心肌病诊断提供了特征性依据。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.