Long-segment femoropopliteal stenoses: is angioplasty a boon or a bust?

Analysis of 193 femoropopliteal angioplasties demonstrated patency rates in the stenotic group of 75.5% at 6 months and 54.4% at 54 months. The patency rates for the occlusive group were 93.7% at 6 months and 72.9% at 54 months; these rates were significantly better than those in patients with stenoses. A group of 14 patients with long-segment (greater than 7 cm) stenosis had the highest risk of early failure, with a 6-month patency of 23.1%. After removal of the long-segment stenosis group from the results, there were no significant differences between the long-term patencies for stenotic and occlusive lesions. If angioplasty of long stenoses is attempted, a high initial success rate but early failure should be anticipated.     

Trauma of the extremities: prospective comparison of digital and conventional angiography

Digital subtraction angiography (DSA) and conventional film angiography (CFA) were compared prospectively in 50 patients with trauma of the extremities. Each patient underwent both procedures with comparable imaging parameters and injections. Three angiographers reviewed the angiograms for the presence of seven angiographic signs of arterial injury. The two modalities showed pseudoaneurysms, arteriovenous fistulas, vessel displacement, occlusion, and focal narrowing equally well. CFA was superior to DSA in delineating intimal dissection; DSA was better for demonstrating extravasation. Clinical follow-up demonstrated that both procedures had a sensitivity of 100%; the specificity was 94% for DSA and 97% for CFA. Neither procedure produced a false-negative result.     

溶剂系统对18-甲基炔诺酮渗透皮肤的影响

本文对乙醇、水、油酸等溶剂系统对左旋18-甲基炔诺酮(简称LNG)及消旋18-甲基炔酮(简称NG)渗透皮肤的影响进行了研究。实验采用Vaila-Chien双室扩散池及成人离体皮肤。结果表明,在80%乙醇水溶液中,LNG与NG的皮肤渗透速率比用生理盐水提高5～6倍,其中NG的皮肤渗透速率比LNG高1～2倍.含水乙醇与油酸复合使用时,对LNG通透皮肤具有明显的协同促进作用。当油酸—80%乙醇(0.75:9.25v/v)作为复合溶剂时。所获得的LNG皮肤渗透速率为0.53μg/cm²·h,分别比油酸或80%乙醇单独使用时提高29倍和3倍。提示正确地采用复合溶剂系统,能有效地提高LNG或NG透皮速率。     

Methods for measuring a 6 log10 white cell depletion in red cells

Methodology is presented for enumerating very low concentrations of white cells (WBCs) in red cells (RBCs) by two separate measurement techniques. Both techniques rely on the method of harvesting WBCs from a 300- to 350-mL unit of RBCs and concentrating them to a volume of approximately 0.5 to 1.0 mL, which is equivalent to a WBC concentration of approximately 550 to 1. The WBC separation and concentration steps require less than 3 hours to complete, and multiple RBC units can be processed in parallel. Cell counting is carried out in a fluorescence hemocytometer or by a modified cytospin technique. As few as 1000 WBCs in a unit of RBCs, which corresponds to a more than 6 log10 WBC depletion, can be measured without reaching the sensitivity limit of either technique (800 and 200 WBC/unit, respectively). The harvesting method and counting techniques are relatively simple and inexpensive.     

阿斯匹林精氨酸对兔缺血心肌不应期和室颤阈变化的影响

实验观察了阿斯匹林精氨酸(AAs)对兔缺血心室肌不应期(ERP)和室颤阈(VFT)的影响。结果表明,阻断冠脉50min时,血小板聚集率(PAgR)增大11±5%,VFT降低24±3mA;缺血边缘区ERP较缺血10 min时缩短20±10 ms,缺血中心区延长35±12 ms,两区间不应期离散性(Di)增加52±17ms,各数值均与对照值差异显著(p<0.01)。阻断冠脉前0.5 hⅳAAs,上述参数变化明显减轻,与单纯阻断组缺血50 min时各数值变化相比,均p<0.01。结果提示,AAs具有抑制PAgR、减小Di和提高VFT的作用。