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991.
目的 探讨妇科腹腔镜手术中转开腹的原因及从中吸取的经验。方法 回顾分析2004年6月-2007年6月我院982例妇科腹腔镜手术中中转开腹22例的临床资料。结果 腹腔镜中转开腹率为2.24%,22例中转开腹的原因及其所占的比例依次为:盆腔粘连6例(27.27%),子宫肌瘤部位特殊3例(13.64%),并发症3例(13.64%),卵巢恶性肿瘤3例(13.64%),术中出血3例(13.64%),官角妊娠2例(9.09%),盆腔肿瘤来源于肠道者2例(9.09%)。结论 术者手术技巧是手术中转开腹原因之一,要提高手术操作技巧;明确术前诊断,充分估计手术难度,可以减少腹腔镜手术中转开腹率;遇到困难,适时开腹可以减少手术并发症。 相似文献
992.
The prevalence of LRRK2 Gly2385Arg variant in Chinese Han population with Parkinson's disease. 总被引:2,自引:0,他引:2
Cao Li Zhang Ting Xiao Qin Wang Ying Bai Li Lu Guo Qiang Ma Jian Fang Zhang Jing Ding Jian Qing Chen Sheng Di 《Movement disorders》2007,22(16):2439-2443
We conducted a case-control study to determine the prevalence of the LRRK2 Gly2385Arg variant in patients with Parkinson's disease in Han population in mainland China. Heterozygous LRRK2 Gly2385Arg variant was identified in 14 of 235 patients with Parkinson's disease (5.69%), but not in 214 unrelated healthy controls. Multivariate analysis indicated the frequency of Gly2385Arg variant in the female patients with early age at onset is higher than their male counterparts. The founder haplotype analysis showed the variant carriers shared the same founder. Clinically, the LRRK2 Gly2385Arg carriers presented with classical Parkinson's disease symptoms. Our study indicates that the LRRK2 Gly2385Arg variant is a potential ethnic-specific genetic risk factor of Parkinson's disease within Chinese Han ethnicity. 相似文献
993.
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995.
闭经指育龄期妇女月经未来潮。导致闭经的病因很多,有病理性和生理性两类。病理性原因导致的闭经多见于原发性闭经,解剖原因所致的闭经少见但也很重要。妊娠和哺乳期闭经属生理性闭经。闭经通常分为原发性和继发性闭经两种。原发性闭经指16岁时仍无月经来潮,而继发性闭经是指≥6个月无月经来潮。导致闭经原因常常多个混杂,所以区别两者的实际意义不大。导致闭经的内分泌因素包括:多囊卵巢综合征、紧张和劳累、体重相关、高泌乳素血症、心理性疾病、全身性疾病如:肾功能衰竭、药物因素、卵巢早衰、垂体缺血性坏死、原发性下丘脑-垂体-卵巢(H… 相似文献
996.
目的对比观察剖腹产选用连续硬膜外麻醉时,辅助麻醉用药镇静及对牵拉反应抑制效果。方法选择行剖腹产手术产妇60例在硬膜外麻醉效果满意后,随机分两组各30例。Ⅰ组:哌替啶50mg,异丙嗪25mg单次静注。Ⅱ组:氯胺酮28.5mg,咪达唑仑1.42mg单次静注。分组记录用药前,1min,5min,15min及术毕产妇SpO2、RR、HR、MAP值;记录手术时间、术毕苏醒例数、术中恶心躁动例数;记录术毕产妇OAA/S评分;记录新生儿娩出时Apger评分。结果两组术中镇静、抑制牵拉反应效果均满意。两组RR、BP、HR、SpO2均平稳;术毕两组OAA/S评分均为4-5分;新生儿Apger评分均正常。结论两组方法效果确切,对产妇和新生儿安全。 相似文献
997.
微量注射大豆皂甙(Ts)到下丘脑后核(PHN)能引起平均动脉压(MAP)升高,心率加快,其效应与向PHN内注入神经肽Y(NPY)相似。分别注入不能引起血压、心率发生明显变化的微量Ts、NPY,如果合并注入PHN则可引起血压、心率的显著变化,表明二者互有加强作用。Atropine可以对抗Ts、NPY或Ts+NPY同时注入PHN的升压效应,提示NPY是通过激活脑内M受体而实现升压效应的,而Ts的心血管效应又可能是经过脑内NPY介导和加强的。 相似文献
998.
氟罗沙星的体内外试验相关性研究 总被引:4,自引:1,他引:3
本文研究了新型喹诺酮类药物氟罗沙星体外溶出与体内吸收之间的相关性。实验表明,本品口服吸收在血清中达峰时间较快,作用持久,消除半衰期为9.60hr。在人工胃液中溶出速率较快,在血清达峰之前,体内吸收与体外溶出量之间呈现良好的相关性。 相似文献
999.
After eliminating confounding factors, the study was made on the relationship between height, collagen metabolism, hair zinc and excessive fluoride intake. 140 schoolchildren aged 12-13 years born and reared in endemic fluorosis areas were surveyed. The results were as follows: 1. The average height of children with dental fluorosis III degree (DF III degree) was appreciably smaller than that of children without dental fluorosis. Among children with excessive fluoride intake, a negative correlation between the height and fluoride level in staple foods was seen. 2. The more the fluoride ingested, the higher the urinary THP excreted, showing that fluoride intoxication interfered with the collagen metabolism. 3. Among children with excessive fluoride intake, the height showed negative correlation with urinary THP/Cr, suggesting that the effect of fluoride on collagen metabolism indicated the mechanism of height retardation. 4. As compared to control group with the excessive fluoride intake but without dental fluorosis group, there was a significant reduction in hair zinc in group with DF III degree, suggesting that the zinc in the body decreased because of zinc metabolism disturbance by excessive fluoride intake. But among cases with excessive fluoride intake, no appreciable correlation between hair zinc and height was found. Therefore, it could not be confirmed that the effect of fluoride on zinc metabolism affected the height development. 相似文献
1000.
D D Smyth P Li D E Blandford S B Penner 《The Journal of pharmacology and experimental therapeutics》1992,261(3):1080-1086
Preliminary studies determined that, unlike other purported alpha-2 adrenoceptor agonists, 2,6-dimethyl clonidine (2,6-DMC) increased urine flow rate independent of vasopressin. We therefore compared the dose-response curves of three alpha-2 adrenoceptor agonists, clonidine, UK 14,304 and 2,6-DMC. Unilaterally nephrectomized Sprague-Dawley rats were anesthetized and the left kidney was exposed and the ureter cannulated. A 31-gauge needle was advanced into the renal artery to permit direct intrarenal infusion of the study drugs. All three agonists produced a dose-related increase in urine flow rate and sodium excretion. A clear opposite rank order of potency was observed when the urine flow rate was analyzed as free water and osmolar clearance. For free water clearance, clonidine much greater than UK 14,304 much greater than 2,6-DMC, with 2,6-DMC producing little change. The effect on osmolar clearance was opposite with 2,6-DMC much greater than clonidine = UK 14,304. The V2 antagonist [1-(beta-mercapto-beta,beta-pentamethylene-proprionic acid), 2-d-isoleucine,4-isoleucine]arginine-vasopressin blocked the effects of clonidine but not 2,6-DMC. In a water-loaded rat model, 2,6-DMC but not clonidine increased the delivery of filtrate out of the proximal segments of the nephron. These results are consistent with the postulate that lower doses of 2,6-DMC increase solute excretion independent of vasopressin, possibly in proximal segments of the nephron. Clonidine on the other hand increases free water clearance and this effect is mediated through an interaction with the renal actions of vasopressin. Whether these disparate effects represent two distinct receptors or two sites of alpha-2 adrenoceptors in the kidney is not known. 相似文献