肾动脉支架术治疗双侧肾动脉狭窄

目的探讨双侧肾动脉狭窄的介入治疗策略。方法46例严重双侧肾动脉狭窄患者(内径减少>70%),其中16例接受双侧肾动脉支架术(组Ⅰ),30例仅于狭窄严重侧置入支架(组Ⅱ)。记录两组手术成功率,并比较随访结果。结果组Ⅰ和组Ⅱ的造影剂用量分别为(135.4±9.1)mL和(97.5±10.5)mL(P<0.05);两组手术成功率和围手术期造影剂肾病发生率无显著差异(P>0.05)。随访期两组血压改善结果相似,组Ⅰ肾功能衰竭、再次入院和死亡率均高于组Ⅱ,但并无统计学差异(P>0.05)。结论对双侧肾动脉狭窄患者可能仅需行严重侧肾动脉支架术治疗。     

二维和多普勒超声评价心肌梗塞患者经皮冠状动脉腔内成形术前后左室功能变化

对２４例心肌梗塞患者于发病后６±３周行经皮冠状动脉腔内成形术（ＰＴＣＡ）．并于术前（平均４±３天）、后（平均４±２天）用二维和多普勒超声测定左室功能，结果显示．ＰＴＣＡ成功２０例（管腔狭窄由９４．ｌ±４．６％降至１７．５±１３．９％），其左室整体和局部收缩功能明显改善；而舒张功能变化不明显。本研究提示，心肌梗塞恢复期ＰＴＣＡ对患者有明显的有益作用。     

经皮腔内冠状动脉成形术对心肌梗塞患者心电图及运动耐量的影响

对23例心肌梗塞(MI)患者于发病后6±3周行经皮腔内冠状动脉成形术(PTCA),并于PTCA前(平均3±2d)、后(平均6±3d)记录心电图和行平板运动试验.结果显示,PTCA成功19例(管腔狭窄由93.5%±6.4%降至16.3%±11.1%).其运动耐量、时间、最大心率及心率与收缩压乘积明显增高,而QRS积分显著减低.提示,PTCA对MI恢复期患者心功能改善具有明显的有益作用.     

左冠状动脉主干完全阻塞但无心肌梗塞1例报告

左冠状动脉主干(LMCA)完全阻塞常引起致死性心肌梗塞或猝死。慢性心绞痛时,LMCA完全阻塞极为罕见。本文报告1例LMCA完全阻塞但无心肌梗塞患者。患者男性,54岁,住院号342279。因阵发性心前区闷痛伴心悸6月,且对硝酸甘油治疗反应不     

L''''ANGINE DE POITRINE PRECEDENT L''''INFARCTUS DU MYOCARDE:RELATION AVEC LES LESIONS CORONAIRES ET LA CIRCULATION COLLATERALE

To determine the relationship between angina pectoris before myocardial infarction (MI) and the extent of coronary artery disease and collateral circulation, 28 patients with (group Ⅰ)and 22 patients without (group Ⅱ) angina one month prior to acute MI underwent left ventriculography and coronary arteriography within 6 months of a first transmural MI. 23 patients in group Ⅰbut only 6 patients in group Ⅱhad multivessel disease. Despite a similar incidence of total occlusion of infarct-related artery, the collateral score in group Ⅰwas significantly higher than that in group Ⅱ. Abnormal regional left ventricular motion score was lower in group Ⅰthan in group Ⅱ. The study suggests that a history of angina before MI may predict the presence o f multivessel disease and the formation of collateral circulation in patients with MI.     

小剂量酮替酚治疗慢性咳嗽50例疗效观察

小剂量酮替酚治疗慢性咳嗽５０例疗效观察福州茶厂医疗室唐鸿梅，郑爱芳近年来我们采用小剂量酮替酚治疗５０例非器质性疾病引起的反复咳嗽取得满意效果，现报告如下。一、资料与方法（一）一般资料：男１１例，女３９例，年龄３～８６岁，病程３个月至５０年。（二）治疗...     

FACTORS RELATED TO THE LEFT VENTRICULAR ANEURYSM FORMATION AFTER ANTERIOR MYOCARDIAL INFARCTION

To examine the factors related to left ventricular (LV) aneurysm formation after transmural anterior myocardial infarction (MI), 22 patients with a first attack of anterior MI who underwent left ventriculography and coronary angiography within 6 months of infarction were divided into two groups on the basis of presence (10 patients, Group Ⅰ) or absence (12 patients, Group Ⅱ) of a LV aneurysm. Group Ⅰpatients were shown to have larger infarct and poorer LV function. Single vessel disease and total occlusion of the left anterior descending (LAD) artery were more common and collateral blood supply in the presence of an occluded LAD was significantly less adequate in Group Ⅰcompared with Group Ⅱ. Age, sex and risk factors for coronary artery disease were found to have no correlation with aneurysm formation. It is indicated in this study that total occlusion of the LAD in association with inherent poor collateral blood supply is an important determinant of aneurysm formation after anterior MI.     

EFFECTS OF SMALL DOSE OF TPA AND DIFFERENTMODES OF INTRAVENOUS UROKINASE ADMINISTRATION IN ACUTE MYOCARDIAL INFARCTION

ResumeObjeCtifDanscetravail,nonsavonsvoulucompareri'dl/icacitdentrei'activateurtissulaireduplasminogdne(iPA)dpetitedoseeturokinaseconventionnelleetdvaluerl'dlletd'urokinaseintraveineuseauxdifferentSregimesdansl'inlarctusdumyocarde(IM).cathodeQuatre--vinghtsmaladesatteintsdel'IMoutdidtraitesaveciPAduneposologiediteaccdldrdede50mg(groupei,n~26)onurokinasedladosede1.0--1.5milliond'unit4s(grooveII,n=54).L'urokinaseadieadministrdeavecbolussimple(groupeIla,n=26)onavecbolusinitialdedemi--doseet…     

弹簧式全自动切割针胸膜活检术在胸腔积液诊断中的应用价值

目的探讨弹簧式全自动切割针胸膜活检在胸腔积液诊断中的应用价值。方法将喀什地区第一人民医院呼吸与危重症医学科于2012年9月～2013年6月期间收治的142例原因不明的胸腔积液患者随机分为观察组73例与对照组69例,两组患者均在B超引导下行经皮针刺胸膜活检,观察组采用巴德制造的弹簧式全自动切割针进行相关操作,对照组采用常规改良Cope钝头胸膜活检针进行相关操作。结果两组患者的取材成功率与活检确诊率差异均无统计学意义（P〉0．05）;观察组结核l生病变阳性率与恶性病变阳性率均高于对照组,但比较差异无统计学意义（P〉0．05）;观察组并发症发生率显著低于对照组（P〈0．01）。结论弹簧式全自动切割针较传统改良Cope钝头胸膜活检针可在一定程度提高胸腔积液诊断率的基础上显减少并发症的发生,值得进一步推广应用。