肺结核X线诊断分类500例探讨

目的：旨在明确肺结核x线分类中两型合并的分类。方法：本文收集经临床、肺结核细菌学和常规胸片确诊的肺结核500例，进行X线分类的探讨。结果：X线分类，原发型167例，合并胸膜炎的6例；血型播散型70例，合并胸膜炎22例；继发型306例，合并胸膜炎74例。Ⅰ～Ⅲ型肺结核合并胸膜炎102例，占总病例数的20．4％。结论：依据病因、发病机理、中国结核病分类法(1998)，按原发型肺结核合并结核性胸膜炎、血行散型肺结核合并结核性胸膜炎、继发型肺结核合并结核性胸膜炎，进行X线分型。     

肺结核X线诊断分类探讨

目的:明确肺结核X线分类中两型合并的分类。方法:收集临床、肺结核细菌学和常规胸片确诊的肺结核500例,进行X线分类探讨。结果:X线分类,原发型107例,合并胸膜炎6例;血行播散型70例,合并胸膜炎22例;继发型306例,合并胸膜炎74例;结核性胸膜炎17例。I型～III型肺结核合并胸膜炎102例,占总病例数的20.4%。结论:依据病因发病机理,中国结核病分类法,按原发型肺结核合并结核性胸膜炎,血行播散型肺结核合并结核性胸膜炎,继发型肺结核合并结核性胸膜炎,进行X线分型。     

肺结核X线诊断分类

目的:明确肺结核X线分类中两型合并的分类。方法:收集临床、肺结核细菌学和常规胸片确诊的肺结核500例,进行X线分类探讨。结果:x线分类,原发型107例,合并胸膜炎6例;血行播散刑70例,合并胸膜炎22例;继发刑306例,合并胸膜炎74例:结核性胸膜炎17例。I～III型肺结核合并胸膜炎102例,占总病例数的20.4%。结论:依据病因发病机理,中国结核病分类法,按原发刑肺结核合并结核性胸膜炎,血行播散俐肺结核合并结核性胸膜炎,继发型肺结核合并结核性胸膜炎,进行X线分型。     

肺结核的临床X线诊断

目的:探讨肺结核的临床X线诊断意义。方法:针对103例肺结核胸片诊断患者,探讨其影像学表现。结果:11例原发型肺结核中,原发综合征7例、胸内淋巴结结核4例。11例血行播散型肺结核中,有急性粟粒性肺结核6例,亚急性或慢性血行播散型肺结核5例。66例继发型肺结核中,有渗出浸润为主型30例,结核球18例,干酪性肺炎14例,慢性纤维空洞性肺结核4例。15例结核性胸膜炎型均为结核性胸膜炎型。结论:肺结核的X线诊断可以对各种结核病变做出明确诊断,具有较高的临床意义,但在其临床应用上应结合其他检查综合分析结果。     

应用肾上腺皮质激素后的患者并发肺结核51例临床分析

目的：探讨长期应用肾上腺皮质激素的患并发肺结核的发生，发病特点及治疗。方法；收集我院1990年至2000年诊治的应用肾上腺皮质激素并发肺结核病例51例进行回顾性临床分析。结果：51例肺结核患中，男性31例，女性20例；39例继发型肺结核，9例血行播散型肺结核，5例结核性胸膜炎；其中32例痰菌阳性。经积极抗结核治疗，疗程结束时痰菌阴转率94％。结论：长期应用肾上腺皮质激素后的患并发肺结核以继发型和血行播散型多见，痰菌阳性率高，预后较差。     

43例肺结核的X线特征分析

目的讨论分析我院诊治肺结核的X线表现特征,为临床诊断、治疗和预防提供准确依据。方法对我院2010至2015年间X线检查资料完整的肺结核住院患者进行回顾性分析,统一意见后,作出结论。结果血行播散型肺结核7例,占16.3%,继发型肺结核23例占53.4%,结核性胸膜炎13例占30.3%。结论肺结核发病随年龄增大而增加,不同类型肺结核均有其典型的胸部X线特征。临床放射医生应重视肺结核的诊断及其X线特征,以便早期规范治疗,有效控制结核病的蔓延。     

成人原发型肺结核84例临床分析

目的：分析成人原发型肺结核的特点。方法：对84例成人原发型肺结核的临床资料进行分析。结果：成人原发型肺结核的特点：女多于男，年龄多在30岁以上，X线主要表现为胸腔内淋巴结肿大并以肿瘤型多见，并发急性粟粒型肺结核及结核性脑膜炎较儿童原发型肺结核明显为少。结论：在诊治肺部疾病过程中，要提高对成人原发型肺结核的认识，并应与轻壮年肺癌相鉴别。     

聚合酶链反应对血行播散型肺结核的诊断价值

采用聚合酶链反应(ＰＣＲ)技术检测静脉血标本中的结核分支杆菌ＤＮＡ并与痰涂片镜检及痰培养法比较,以评价ＰＣＲ在血行播散型肺结核诊断中的应用价值。1　资料和方法1.1　对象　血行播散型肺结核组30例,其中合并结核性脑膜炎8例,结核性胸膜炎4例,结核性腹膜炎2例,颈部淋巴结核4例,腰椎结核4例;浸润型肺结核组30例(均为活动期);非结核病组30例,其中慢性支气管肺炎14例,肺癌7例,脓胸5例,支气管扩张症2例,肺气肿2例。所有患者均为我院住院及门诊病人,根据病史、临床表现、Ｘ线胸片、细菌学及病理组织学等检查或抗结核治疗有效而确诊。1.2　方…     

肺结核的临床X线分析

目的:进一步提高对肺结核的认识和临床诊断水平。方法:回顾性分析经临床证实的53例初治肺结核患者的临床、实验室检查及X线片表现。结果:19例有典型的临床症状和结核中毒症状,如午后低热、盗汗、咯血、疲乏无力、体重减轻等,34例则无典型临床症状;X线片上血行播散型肺结核4例,浸润型肺结核42例,结核性胸膜炎7例。结论:X线片特征与临床、实验室检查密切相结合,有助于肺结核的诊断和鉴别诊断,对临床治疗也有很大的帮助。     

CR技术的应用对血行播散型肺结核X线摄片质量的提高

目的探讨CR技术的应用对血行播散型肺结核X线摄影的优势。方法以我院片库中抽取72例血行播散型肺结核患者传统X线照片和72例血行播散型肺结核患者CR照片,进行分析、对比。结果CR技术的应用摄影条件比传统X线摄影低,但其摄片质量比传统X线摄影有极大改善,照片甲级率更高。结论CR技术的应用对血行播散型肺结核摄片质量有明显的提高改善,既为临床提供可靠明确诊断信息,又在一定程度上减少了患者的受线量,保护了患者的健康。     

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.     

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     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

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.     

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…     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.     

Possible Spread of adenovirus type 3 from poultry to humans ：indirect evidence from an outbreak in China

Objective:To explore the epidemiology and etiology for an outbreak of acute respiratory tract infection that occurred in one county of Jiangsu Province, China 2004. Methods: Only cases meeting the case definition were included in the study. We reviewed the medical records of the cases who were admitted to the local hospitals, interviewed cases by a standard questionnaire, and then described the epidemiotogic features and analyzed risk factors by means of a case-control study. We collected pharyngeal swab specimens and sent them to different laboratories for isolation and culture. The laboratory used different detection methods such as DIP, PCR, electron microscope examination and microneutralization assay, to identify and then type the positive specimens. Results:A total of 871 cases were reported during the period from April 18 to July 4,2004. The distribution of onset times presented two peaks, one in late May and another in middle June. The epidemic occurred mainly in the elementary and junior high schools in ten townships of one county, and the mean age of the cases was 12 years (range 7 months to 18 years). The course of the disease was acute, and was characterized by fever accompanied with sore throat and tonsillitis. The WBC count of cases was normal or elevated. The mean duration of illness was 5 days (range 2 to 12 days). No fatalities from illness were reported. A case-control study indicated that the possible risk factors were close contact with a case and/or poultry before onset and sharing of towels among members of the family. The typical CPE was observed through inoculating pharyngeal swab specimens into the HEP-2 cell cultures in different laboratories. An infection of adenovirus type 3 was verified by detecting positive specimens in different methods. Conclusion:This investigation demonstrated that the acute respiratory infection in cases was caused by adenovirus type 3. Cases occurred in over 70 schools in ten townships in 2004, and the route of transmission was possibly close contact with cases or droplet transmission.