经食管心室起搏抢救心脏骤停二例

例 1　女 ,6 5岁 ,住院号 0 12 2 16。因反复心悸、乏力 18年 ,症状加重伴发作性晕厥 3ｄ ,于 1999年 4月 13日由急诊科收入心内科病房。患者于 1981年无原因出现心悸 ,在我院拟诊病毒性心肌炎、三度房室传导阻滞 (Ⅲ°ＡＶＢ)、结性逸搏心律。一般心率维持在 5 0～ 70次 /ｍｉｎ ,工作生活基本如常 ,拒绝安置人工起搏器。 4月 10日及 12日分别晕厥一次 ,伴抽搐 ,由家属送急诊科 ,拟诊阿斯综合征 ,经抢救神志转清 ,心电图显示心房颤动 (房颤 )、Ⅲ°ＡＶＢ、交界性逸搏心律 4 0次 /ｍｉｎ ,遂收入院。查体 :体温 36 3℃ ,脉搏 4 0次 /ｍｉ…     

细胞因子和糖尿病心肌病

Diabetic cardiomyopathy (DCM), as an independent diabetic cardiac complication, has been paid more attention to. In clinical study, DCM was characterized by left ventricular diastolic dysfunction at the early stage. The pathogenesis of DCM is characterized by myocyte hypertrophy and cardiac fibrosis,ex-tracellular matrix accumulation and deposition. The development of DCM is multifactorial, the mechanism is still unclear. Several mechanisms are involved in the pathogenesis of DCM including myocardial fibrosis,in-terstitial inflammation and endothelial dysfunction. Cytokines can involve in multiple pathophysiological processes. In this review, the relationships between transforming growth factor-β1, connective tissue growth factor, tumor necrosis factor-α, insulin-like growth factor-1 ,adiponectin ,thrombospondin-1 and DCM are sum-marized. It may be the basis of therapeutic approaches for ameliorating DCM.     

经非右室切口室缺修补术83例报告

对83例经非右室切口空缺修补术进行总结,其中右房切口42例,主肺动脉切口35例,先经右室切口后补充右房切口6例。文中就非右室切口的适应证和注意事项进行了讨论。认为非右室切口在很好地掌握适应证的前提下,能更好地显露手术野,缩短手术时间,减少并发症和最大限度地保存心肌的功能。     

Graves病患者血清中凋亡抑制因子sFas、Bcl-2的初步研究

用ELISA法检测 3 0例Graves病患者治疗前后及 3 2例正常对照组血清中凋亡抑制因子sFas、Bcl 2 ,发现Graves病患者治疗前sFas〔(0 .76± 0 .2 4)ng/L〕、Bcl 2〔1.0 2± 0 .2 3 )ng/L〕含量升高 ;治疗后 (0 .5 2±0 .0 8)ng/L ;(0 .87± 0 .15 )ng/L〕下降 ,与正常对照组〔(0 .5 3± 0 .0 9)ng/L ;(0 .81± 0 .15 )ng/L〕差异无显著性 ,提示sFas、Bcl 2可能参与Graves病的发病。     

从血糖说起

血糖是指血液中的葡萄糖，在诊断时主张用静脉血浆测定，空腹是指至少8小时内无任何热量摄入时的血糖。空腹血糖正常范围为3．9～5．6mmol／L，临床上常嘱患者晚餐后不再进食，直至第二天早晨空腹采取静脉血测定，即为空腹血糖。     

细胞因子和糖尿病心肌病

Diabetic cardiomyopathy (DCM), as an independent diabetic cardiac complication, has been paid more attention to. In clinical study, DCM was characterized by left ventricular diastolic dysfunction at the early stage. The pathogenesis of DCM is characterized by myocyte hypertrophy and cardiac fibrosis,ex-tracellular matrix accumulation and deposition. The development of DCM is multifactorial, the mechanism is still unclear. Several mechanisms are involved in the pathogenesis of DCM including myocardial fibrosis,in-terstitial inflammation and endothelial dysfunction. Cytokines can involve in multiple pathophysiological processes. In this review, the relationships between transforming growth factor-β1, connective tissue growth factor, tumor necrosis factor-α, insulin-like growth factor-1 ,adiponectin ,thrombospondin-1 and DCM are sum-marized. It may be the basis of therapeutic approaches for ameliorating DCM.     

138例无精、少精症患者细胞遗传学分析及临床意义

对117例无精症、21例少精症患者进行细胞遗传学检查.结果117例无精症患者中48例为染色体异常核型47,XXY,69例为染色体46,XY,其中3例Yq-,3例22s-;21例少精症中染色体核型皆为46,XY,其中9例大Y.认为染色体核型异常是无精症、少精症的重要因素,对男性不育症患者进行细胞遗传学检查是必要的.     

《中联:刹车与油门的平衡》 中联的“巧”

没有豪言壮语,没有“X年内在全国开店XXXX家”的宏伟目标,中联人默默耕耘,一不留神其触角已伸到全国20多个城市,中联成为目前全国跨度最大的药品零售连锁企业,堪称跨省连锁的典范。 虽称没有刻意追求,管理层也非常低调,但通过对中联的解剖,我们还是看到中联发展过程中的许多“取巧”的地方。     

月经障碍时肾上腺皮质性腺功能与中医肾的辨证关系

本文对176例月经障碍妇女进行中医辨证分型,测24小时尿17—OH和17—KS。结果表明肾阳虚、肾阴虚组之间尿17—OH、17KS均值有显著差异(P<0.01)。为中西医结合诊治月经病提供了客观指标。     

小儿全麻手术864例护理体会

2004-年1月～2007年1月，我们为864例患儿行全麻手术，经精心护理，效果满意。现将护理体会报告如下。