Forensic Pathological Expertise of Medical Tangle Analysis of 139 Autopsy Cases

ＦｏｒｅｎｓｉｃＰａｔｈｏｌｏｇｉｃａｌＥｘｐｅｒｔｉｓｅｏｆＭｅｄｉｃａｌＴａｎｇｌｅＡｎａｌｙｓｉｓｏｆ１３９ＡｕｔｏｐｓｙＣａｓｅｓＺＨＡＮＧＹｉ－ｇｕ（张益鹄）；ＷＡＮＧＺｕｏ－ｆｅｉ（王佐飞）；ＨＵＡＮＧＧｕａｎｇ－ｚｈａｏ（黄光照）（Ｄｅ...     

Immunohistological Study on the Mechanism of Mesangial Proliferation

ＩｍｍｕｎｏｈｉｓｔｏｌｏｇｉｃａｌＳｔｕｄｙｏｎｔｈｅＭｅｃｈａｎｉｓｍｏｆＭｅｓａｎｇｉａｌＰｒｏｌｉｆｅｒａｔｉｏｎＺＨＡＮＧＭｉｎｇ（张明）；ＧＵＯＭｕｙｉ（郭慕依）；ＺＨＡＮＧＸｉｕｒｏｎｇ（张秀荣）；ＪＩＮＨｕｉｍｉｎｇ（金惠铭）（Ｄｅｐ...     

Effects of Tetrandine on Cardiac Noradrenaline Release Evoked by Electrical Stimulation

ＥｆｆｅｃｔｓｏｆＴｅｔｒａｎｄｉｎｅｏｎＣａｒｄｉａｃＮｏｒａｄｒｅｎａｌｉｎｅＲｅｌｅａｓｅＥｖｏｋｅｄｂｙＥｌｅｃｔｒｉｃａｌＳｔｉｍｕｌａｔｉｏｎＦＥＮＧＹｉｂａｉ（冯义柏）；ＨＵＡＮＧＫａｉ（黄恺）；ＺＨＡＮＧＹａｎｚｈｏｕ（张彦周）；ＷＡ...     

Oxidatively Modified Very Low Density Lipoprotein Enhances Monocyte Adhesion to Endothelial Cells

ＯｘｉｄａｔｉｖｌｙＭｏｄｉｆｉｅｄＶｅｒｙＬｏｗＤｅｎｓｉｔｙＬｉｐｏｐｒｏｔｅｉｎＥｎｈａｎｃｅｓＭｏｎｏｃｙｔｅＡｄｈｅｓｉｏｎｔｏＥｎｄｏｔｈｅｌｉａｌＣｅｌｌｓＦＥＮＧＹｏｕ－ｍｅｉ（冯友梅）；ＺＨＡＮＧＺｈｉ－ｂｉｎｇ（张志兵）；ＷＡＮＧ...     

Fructus Bruceae Emulsion in Treatment of 10 Cases of Prostate Carcinoma

ＦｒｕｃｔｕｓＢｒｕｃｅａｅＥｍｕｌｓｉｏｎｉｎＴｒｅａｔｍｅｎｔｏｆ１０ＣａｓｅｓｏｆＰｒｏｓｔａｔｅＣａｒｃｉｎｏｍａＮａｎＸｕｎ－ｙｉ（南勋义）；ＺＨＡＮＧＹｕｅ（张越）；ＨＥＤａ－ｌｉｎ（贺大林）；ＤＡＮＧＪｉａｎ－ｇｏｎｇ（党建功）；ｗＡＮ...     

Alternation of Monocyte Function in Patients with Obstructive Jaundice

ＡｌｔｅｒｎａｔｉｏｎｏｆＭｏｎｏｃｙｔｅＦｕｎｃｔｉｏｎｉｎＰａｔｉｅｎｔｓｗｉｔｈＯｂｓｔｒｕｃｔｉｖｅＪａｕｎｄｉｃｅＤＩＮＧＸｉａｎ－ｚｈｏｎｇ（丁显仲）；ＸＩＯＮＧＳｈｕ－ｔａｏ（熊叔陶）；ＬＩＨｕａ（李桦）；ＺＨＡＮＧＳｈｏｕ－ｘｉ（张寿...     

Study on Therapeutic Mechanism of Xilei Powder(锡类散)for Peptic Ulcer

ＳｔｏｄｙｏｎＴｈｅｒａｐｅｕｔｉｃＭｅｃｈａｎｉｓｍｏｆＸｉｌｅｉＰｏｗｄｅｒ（锡类散）ｆｏｒＰｅｐｔｉｃＵｌｃｅｒＺＨＡＮＧＡｎ－ｔｉａｎ（张安田）；ＱＩＡＮＬｉｎ－ｘｕｅ（钱林学）；ＧＵＡＮＪｉｎｇ－ｍｉｎｇ（关景明）；ＤＵＹａ－ｊｕ（杜亚菊）...     

Clinical Effects of Chinese Medicine in Treating Asthma

ＣｌｉｎｉｃａｌＥｆｆｅｃｔｓｏｆＣｈｉｎｅｓｅＭｅｄｉｃｉｎｅｉｎＴｒｅａｔｉｎｇＡｓｔｈｍａＣｌｉｎｉｃａｌＥｆｆｅｃｔｓｏｆＣｈｉｎｅｓｅＭｅｄｉｃｉｎｅｉｎＴｒｅａｔｉｎｇＡｓｔｈｍａＬＩＨｏｎｇ－ｆｅｎ（李洪芬）；ＺＭＡＮＧＹｉ－ｆａｎｇ（...     

Clinical Study on Effects of Buyang Huanwu Decoction on Coronary Heart Disease

ＣｌｉｎｉｃａｌＳｔｕｄｙｏｎＥｆｆｅｃｔｓｏｆＢｕｙａｎｇＨｕａｎｗｕＤｅｃｏｃｔｉｏｎｏｎＣｏｒｏｎａｒｙＨｅａｒｔＤｉｓｅａｓｅＺＨＡＮＧＨｕａｎｇ（张华）；ＬＩＡＮＧＭｕ－ｊｕｎ（梁慕筠）；ＭＡＺｈｉ－ｘｉｏｎｇ（马志雄）ａｎｄＹＥＳｕｉ－ｌ...     

Current Researches on Chinese Antioxidative Herbs

ＣｕｒｒｅｎｔＲｅｓｅａｒｃｈｅｓｏｎＣｈｉｎｅｓｅＡｎｔｉｏｘｉｄａｔｉｖｅＨｅｒｂｓＷＡＮＧＹｏｎｇ－ｊｕｎ（王拥军）；ＨＥＳｈｉ－ｄａ（何士大）（ＸｕａｎｗｕＨｏｓｐｉｔａｌ，ＣａｐｉｔａｌＵｎｉｖｅｒｓｉｔｙｏｆＭｅｄｉｃａｌＳｃｉｅｎｃｅｓ...     

冠状动脉瘘的彩色多普勒超声诊断

目的　进一步提高超声对少见病的诊断水平。　方法　对 10例冠状动脉瘘的患者行彩色多普勒超声心动图检查。　结果　冠状动脉瘘 3例 ,冠状动脉左心室瘘 3例 ,冠状动脉右心室瘘及冠状动脉左室流出道瘘各 2例。　结论　彩色多普勒超声心动图能根据冠状动脉扩张、瘘管开口位置和舒张期血流等特点 ,对本病作出准确诊断     

成人冠状动脉瘘CT冠状动脉血管成像的影像学特征及诊断

目的 分析成人冠状动脉瘘(CAF)的CT冠状动脉血管成像(CTCA)表现特征,并探讨CTCA对成人CAF的诊断价值。方法 回顾性选取行CTCA检查并确诊CAF成人患者31例。观察容积再现(VR)、曲面重建(CPR)及最大密度投影(MIP)等重建后图像信息,记录CAF的起源、瘘血管形态特征及瘘口位置,分析CAF的CTCA影像学特征及其诊断价值。结果 31例经CTCA诊断的CAF患者,起源于左冠状动脉10例(32.2%)、右冠状动脉3例(9.7%)、左右冠状动脉双侧起源18例(58.1%)。冠状动脉-肺动脉瘘25例(80.6%)、冠状动脉-左心室瘘2例(6.5%)、冠状动脉-左心房瘘1例(3.2%)、冠状动脉-右心室1例(3.2%)、冠状动脉-冠状静脉窦瘘2例(6.5%)。结论 CTCA可清晰显示CAF的起源、瘘血管形态、瘘口位置及特征性表现,是无创性诊断成人CAF的首选方法。     

先天性巨大冠状动脉右室瘘的介入治疗

目的 探讨经导管法封堵先天性巨大冠状动脉瘘的技术方法及其有效性与安全性.方法 对1例先天性粗大、迂曲右冠状动脉右室瘘患者进行经导管封堵治疗.选择性冠脉造影后,建立动-静脉轨道,再沿轨道钢丝经股静脉送人长鞘经瘘口至右冠状动脉,沿鞘管将动脉导管未闭封堵器置于右冠状动脉瘘口处,确定封堵器位置合适后将其完全释放.结果 瘘口完全堵闭,术后无并发症,复查心脏超声示各心腔内径缩小.结论 对迂曲、粗大的冠状动脉瘘,用国产器械经导管封堵治疗安全、有效.     

双源CT对冠状动脉瘘手术前后的临床评估价值

［摘要］目的　探讨双源CT在冠状动脉瘘手术前后诊断中的应用价值．方法　回顾性分析15例CAF患者CT影像,其中11例行体外循环下的外科缝闭术．结果　15例中瘘支冠状动脉起源于右冠状动脉8例;左冠状动脉7例,其中3例窦房结支,2例前降支,2例回旋支;瘘口位于右房6例、右室5例、左室4例、左房1例;冠状动脉全程扩张8例、局限性动脉瘤形成4例、不扩张3例;单一瘘口 11例、多发瘘口4例．11例均在体外循环下手术．10例术后影像显示瘘口已缝补,未见残余瘘口; 3例显示瘘支血管近段结扎,1例右冠状动脉成形术仅见右冠近端显影,远端闭塞;2例假性憩室形成．结论　DSCT检查对冠状动脉瘘手术前后均有有重要的评估价值．     

256层CT血管成像在冠状动脉瘘诊断中的价值

目的 探讨256层CT对冠状动脉瘘的诊断价值.方法 回顾分析我院2010年11月至2016年12月间收治的256层CT冠状动脉CTA检查10068例患者的影像资料,用容积再现(VR)、曲面重建(CPR)及最大密度投影(MIP)等重建方法观察有无冠状动脉瘘,分析冠状动脉瘘的CT血管造影(CTA)特点及其诊断价值.结果 10068例CTA中检出冠状动脉瘘(CAF)28例,检出率为0.28%,冠状动脉-肺动脉瘘21例,冠状动脉-右心房1例,冠状动脉-右心室1例,冠状动脉-左心室4例,冠状动脉-冠状静脉窦1例.结论 256层CT血管造影能够准确显示冠状动脉瘘的血管异常和瘘口,是诊断冠状动脉瘘的首选方法.     

先天性冠状动脉瘘20例临床分析

目的 总结先天性冠状动脉瘘的临床特点及诊断、治疗方法.方法 回顾分析2001年9月至2006年7月我院收治通过选择性冠状动脉造影确诊的20例先天性冠状动脉瘘患者的临床资料.结果 冠状动脉瘘来自左冠状动脉12例(60%),包括左主干至肺动脉瘘2例和左前降支至肺动脉瘘10例;来自右冠状动脉7例(35%),包括4例至肺动脉瘘和3例至右心室瘘;1例(5%)来自双侧冠状动脉,也均瘘入肺动脉.主要表现有胸闷、胸痛的9例(45%),劳累性气促7例(35%),心悸4例(20%).心电图表现正常8例,左心室肥大3例,右心室肥大4例,有心肌缺血表现5例.8例行介入封堵治疗,6例行外科手术治疗,其余6例未做治疗 .20例患者随访1个月～5年,预后良好.结论 先天性冠状动脉瘘可经选择性冠状动脉造影确诊,手术治疗或介入治疗均安全、有效,远期效果良好.     

Transcatheter closure of coronary artery fistula in children

Background Transcatheter closure of coronary artery fistula （CAF） has emerged as a successful alternative to surgery. We described our experiences in 10 children patients who were accepted for transcatheter closure of CAF. Methods Ten children were 3-10 years old （seven males） with CAF who underwent percutaneous transcatheter closure between October 1995 and April 2008. Sites of origin of these fistulas were： right coronary artery in seven, left anterior descending coronary artery in two, and left circumflex coronary artery in one patient. Drainage sites of these fistulas were： right atrium in seven, right ventricle in two and left ventricle in one patient. All of these fistulas were congenital and had only one orificium fistula.Results A Cook coil was used in four patients and an Amplatzer patent ductus arteriosus （PDA） occluder was used in six patients. Checking the angiogram after the procedure revealed complete occlusion in nine patients （90%） and minimal residual flow in one （10%） patient. Technical success was achieved in all patients. Follow-up studies at short term showed complete abolition of shunt in all patients with no evidence of recanalization leading to recurrence of shunt. Conclusions Transcatheter therapy using either Cook coil or Amplatzer PDA occluder is suggested to be a safe and effective method of occlusion. The midterm outcome of the intervention for CAF is satisfactory.     

Left Coronary Artery Fistula Identified by Color Doppler Flow Imaging

ＬｅｆｔＣｏｒｏｎａｒｙＡｒｔｅｒｙＦｉｓｔｕｌａＩｄｅｎｔｉｆｉｅｄｂｙＣｏｌｏｒＤｏｐｐｌｅｒＦｌｏｗＩｍａｇｉｎｇＹＡＮＧＹａ（杨娅）；ＬＩＺｈｉ－ａｎ（李治安）；ＷＡＮＧＸｉｎ－ｆａｎｇ（王新房）；ＤＥＮＧＹｏｕ－ｂｉｎ（邓又兵）（Ｄｅｐａｒ...     

Application of interventional diagnostic and therapeutic technique for coronary artery fine branch fistula

Objective：To explore the value of angiographic diagnosis and interventional therapy of the coronary artery fine branch fistula. Methods：All of the 18 patients with coronary artery fine branch fistula underwent selective coronary arteriography, 7 underwent interventional therapy, while 8 underwent prosthesis for coronary artery fistula （CAF） under extracorpored circulation. Results：Among 18 cases of coronary artery fine branch fistula, 7 happened in right coronary artery （38. 9%）, 11 in left coronary artery （61. 1%）. Among the 11 cases in left coronary artery,5 happened in descending anterior branch, 5 occurred in left circumflex branch, 1 arised from both left anterior branch and left circumflex branch. Among the 18 cases, there are 10 cases of coronary-to-pulmonary artery fistula （55.6%）, 5 cases of fistula draining into right atrium （27.8%）, 2 cases of fistula draining into left atrium （1 1.1% ） and 1 draining into right ventricle （5.6%）. Interventional treatment was successful in 7 patients. During the 12 months＇ follow-up, there was no cardiovascular events. Conclusion： Selective coronary angiography is the first choice for diagnosing the coronary artery fine branch fistula. In respect of therapy, besides of surgical treatment, intervention is still a rather good measure presently.     

经胸彩色多普勒超声对先天性冠状动脉瘘的诊断价值分析

目的分析冠状动脉瘘的彩色多普勒超声心动图像特征,探讨经胸彩色多普勒超声心动图诊断冠状动脉瘘的价值。方法应用彩色多普勒超声的二维图像、多普勒频谱和彩色显像对26例冠状动脉瘘的解剖异常及心腔内异常高速血流进行观察。结果 26例患者中,超声诊断右冠状动脉瘘18例(69.2%),左冠状动脉瘘6例(23.1%),双侧冠状动脉瘘1例(3.8%)。超声心动图能清楚显示25例冠状动脉瘘的起源/走行和瘘口,超声诊断符合率为96.2%。结论彩色多普勒超声心动图对冠状动脉瘘的诊断有很高的实用价值,但对细小瘘口仍应结合冠状动脉造影检查。