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51.
52.
Man-Hong Jim Hee-Hwa Ho Annie On-On Chan Wing-Hing Chow 《Catheterization and cardiovascular interventions》2007,69(7):969-975
BACKGROUND: Sleeve technique is a modified version of crush technique. It is specifically designed to increase the success rate of final kissing balloon inflation, which used to be a major limitation of the latter. OBJECTIVES: The aim of this study was to examine the feasibility, safety, and early clinical outcomes of sleeve technique in stenting different types (de novo, in-stent restenotic or in-stent bifurcation) of coronary bifurcation lesions at different locations. METHODS: From August 2005 to May 2006, 41 consecutive patients with symptomatic, nonleft-main coronary bifurcation stenoses of diameter narrowing >or=50% were treated with two-stent strategy, using sleeve technique. RESULTS: The mean age was 63.6 +/- 11.6 years with male predominance (70.7%). High prevalence of diabetes mellitus (31.7%), total occlusion (22.0%), and multi-vessel disease (65.9%) was observed in this cohort. Intravenous abciximab was given in 35 (85.4%) patients. Final kissing balloon inflation was successfully performed in all patients. The minimal luminal diameter in main vessel and side branch was increased from 0.97 +/- 0.53 mm and 0.81 +/- 0.45 mm to 2.76 +/- 0.34 mm and 2.22 +/- 0.35 mm, respectively. The mean procedure time was only 66.6 +/- 24.6 min. There was one (2.4%) case of subacute stent thrombosis presented as non-Q-wave myocardial infarction at day 3 postprocedure. The resultant in-hospital and 30-day major adverse cardiac event rate were both 2.4%. CONCLUSIONS: Sleeve technique is a feasible and efficient approach in stenting of coronary bifurcation stenoses. 相似文献
53.
表皮生长因子及其受体与流产关系的探讨 总被引:4,自引:0,他引:4
采用放射免疫竞争抑制饱和分析法,检测47例难免流产患者,65例人工流产及20例健康非孕妇女血清表皮生长因子(EGF)水平;同时采用免疫组织化学法检测流产者胚胎组织中表皮生长因子受体(EGFR)表达程度。结果:人工流产组血清EGF水平高于自然流产及非孕妇女,而自然流产与非孕妇女差异无显著性;胚胎组织中EGFR阳性表达率人工流产组明显高于自然流产组。提示:EGF通过与其受体结合对妊娠维持、胚胎及胎儿的 相似文献
54.
Twelve years'' experience of computer-aided diagnosis in a district general hospital. 总被引:2,自引:0,他引:2 下载免费PDF全文
W. A. McAdam B. M. Brock T. Armitage P. Davenport M. Chan F. T. de Dombal 《Annals of the Royal College of Surgeons of England》1990,72(2):140-146
This paper describes experience in a modern district general hospital with a small desktop system for computer-aided diagnosis of acute abdominal pain, over a 12-year period involving 5512 cases. When compared with a baseline year (1973) in which unaided performance was monitored, during an initial study period (1974-76) the diagnostic accuracy of junior staff rose by between 10 and 15%. This higher performance level was then maintained for a decade (1976-86) despite changes in staff. The perforation rate among appendicitis cases fell from 27% to 12.5%, accompanied by a smaller fall in negative laparotomy rates. The saving in surgical bednights devoted to acute abdominal pain was approximately 15%, and the notional cost of resources saved during the first 6 years of operation was 120,000 pounds. Other hospitals have shown--in the short term--benefits similar to those obtained at Airedale District General Hospital. The long-term benefits of the system at Airedale reinforce the conclusions of the earlier short-term trials that a comparable system should probably be offered to all DGHs in the UK, not as an exercise in 'artificial intelligence' but as an effective continuing stimulus to good clinical practice. 相似文献
55.
以地高辛甙元随机引物法标记HBV-DNA探针,以此探针检测慢性乙型肝炎患者的血清、肝组织,同时以ELISA法检测血清HBeAg、HBcAb。结果:血清NBeAg阳性率27%(10/37),血清HBV-DNA检出率57.1%(20/35),两者有显著性差异。血清HBcAb阳性率78.4%(29/37),肝组织HBV-DNA检出率83.8%(31/37),两者无显著性差异。血清与肝组织HBV-DNA检出率有显著性差异。提示:血清HBV-DNA检测是较HBeAg更为准确客观反映血液带毒状况的指标。而准确反映肝脏带毒状况的指标是肝组织HBV-DNA检测。当HBeAg阴转,血清HBV-DNA阴性而肝组织HBV-DNA阳性时,需注意肝硬化及肝癌的发生。 相似文献
56.
实验室驯化的中华按蚊,通过人胎盘膜,吸取含马来丝虫微丝蚴的新鲜兔血而获感染。在温度为28℃,相对湿度为75-85%的实验条件下,观察了中华按蚊感染马来丝虫主存活率的变化。结果表明,感染微丝蚴密度最高组蚊的存活率比其它各组明显下降。 相似文献
57.
Pneumocystis carinii pneumonia associated with methotrexate therapy in rheumatoid arthritis 总被引:1,自引:0,他引:1
Opportunistic infections occur in patients with rheumatic diseases treated with low dose methotrexate (MTX) with or without other immunosuppressants. Our case report illustrates a fatal case of Pneumocystis carinii pneumonia in a patient with rheumatoid arthritis treated with low dose MTX and glucocorticoid. A review of the literature reveals other opportunistic infections such as Cryptococcus, Nocardia, and herpes zoster presenting in such patients. These occurrences suggest that MTX should be used cautiously in patients with rheumatic disease receiving concomitant medical therapy. 相似文献
58.
59.
Stabilization of an inserted tricalcium phosphate spacer enhances the healing of a segmental tibial defect in sheep 总被引:1,自引:0,他引:1
T. -J. Gao T. S. Lindholm T. C. Lindholm B. Kommonen P. Ragni A. Paronzini 《Archives of orthopaedic and trauma surgery》1997,116(5):290-294
The effect of inserting a tricalcium phosphate (TCP) spacer stabilized by a rigid or non-rigid fixation technique on the healing of segmental tibial defects of critical size was established. The osteotomized tibiae, 11 with and 8 without TCP spacers, were fixed by an external circular device in 11 mature sheep and by plates in 8 mature sheep, respectively. Healing was evaluated roentgenographically 16 weeks after the operation. Compared with the defects without TCP spacers, enhanced stability and healing were observed in the defects with TCP spacers under an identical external fixation. Furthermore, a significantly higher incidence of healing was obtained with plate fixation than with external device fixation in the TCP-implanted defects (P < 0.04). An abundant bridging callus was roentgenograpically demonstrated in most of the healed defects, but none in the unhealed defects. The TCP spacer with its mechanical integrity enhances the stability of external fixation, and the stable immobilization provided by rigid fixation is essential for osteoconduction of an inserted TCP spacer in the healing of segmental diaphyseal defects in sheep. 相似文献
60.
Implantation of porcine bone morphogenetic protein (pBMP) in the muscle induces differentiation of mesenchymal-type cells and results in endochondral bone formation. pBMP was isolated from porcine demineralized bone matrix and purified by hydroxyapatite chromatography, Sephadex G75 gel filtration, preparative sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE), preparative isoelectric focusing (IEF), and chromatofocusing fast protein liquid chromatography (FPLC). Porcine BMP has an MW of 26 K and a range of pI from 4.65 to 4.73 determined by SDS-PAGE and IEF, respectively. Reconstitution with the citrate buffer supernatant fraction enables as little as 50 micrograms of the soluble pBMP fractions to induce osteogenesis in an in vivo assay. Chemical modification studies indicate that the osteoinductive potential of the pBMP molecule depends on tyrosine, carboxyl groups, and disulfide bonds and can be increased by modification of sulfhydryl groups. Modification of arginine and tryptophan has no effect on bioactivity. By pepsin-limited proteolysis, fragments of pBMP with an MW of 6-14 K show definite, although reduced, BMP activity. 相似文献