错看世界 错在自己

人,都必须生存在一个由人和事组合的家庭中,这个大家庭就是社会。生活在人和事的海洋里,势必时时天天,无时不刻地与人交往,与事接触。而人与事又多是交织在一起的,社会也因此而进步和发展。所以,人们常把社会比喻为是一部极其复     

迎风而上 翔升高空

我们送别亲人或朋友远行时,往往都会送上一句一路顺风的吉祥祝愿。但实际情况是,在人生的旅途上,一路顺风的幸运儿,可谓是少之又少。更多的是,人们在一生中一定会遇到一些这样或那样、大大小小的困难或挫折,谁都不会顺顺当当、平平坦坦地走完自己的一生之路。     

异邦故土

从福州机场乘上宽敞的波音757,仅仅一个多小时,就可以俯瞰岛国菲律宾首都大马尼拉车水马龙的市容,并踏上这个火山众多的岛国了。在大马尼拉,我们参观了素有东方夏威夷之称的苏比克海军基地,还游览了有菲律宾庐山之称的避暑圣地——碧瑶市,神秘的死火山、葡萄牙时期的庞大庄园、贵族们的私人博物馆以及具有风土人情特色的风景点,给了我不虚此     

健康是福

有台戏剧小品中有这么一段对白,甲:最大遗憾的是活着没钱花了。这句台词说完后,观众没有什么反应;接着乙说:最大的遗憾是人死了钱没花完。话音刚落,立即引来了全场一片掌声和笑声!这掌声和笑声意味着什么?是赞赏后者反驳前者的巧妙,还是欣赏台词的幽默?笔者以为,笑声和掌声,是台词对金钱与生命关系的精辟概括赢得了观众的赞同与共鸣。     

“假唱”也被传承与发展

一幅40多年前的外国幽默画——"大提琴手",这是画家根据确有其事而作,还是突发奇想的预示,就不可而知了。事实却是,在中国的舞台上,虽然还没发现过假奏,但假唱却曾经非常流行。看来这种愚弄观众、听众的伎俩,认定是中国歌唱演员     

简单生活 快乐常在

最近在网络上拜读了一些漫画家的作品,其中有一幅哲理漫画,读后颇受启发。把毛线绕成一个圆球,是一个非常简单的事,也是编织毛衣前必需做的准备工作。一只顽皮的小猫咪,却把它当成了玩具球,滚来滚去,不仅把毛线弄得像一堆乱麻,也把自己绕了进去出不来了,主人怎么重新理顺毛线并把它解救出来,成了真正的"麻烦"。     

如果给道路装上拉链

想当年,"农业学大寨"热火朝天的年头,"公社"社员们的"革命干劲"虽"战天"不能,"斗地"却从无休止。冬天挖河,春天开渠,夏天整地,秋天平沙,年复一年日复一日,周而复始,似乎每次都在原来那块地上折腾,可谓是"其乐无穷"。后来,我调到了号称"国际化大都市"的省会城市工作,以     

成骨细胞增殖分化中的地塞米松和鹿瓜多肽：抑制还是促增殖分化？

背景：目前因地塞米松注射液广泛及长期使用引起的骨质疏松症发病率逐渐升高,但临床尚没有确切的治疗方法,鹿瓜多肽注射液为常用的促进骨折愈合、提高骨密度的药物。 目的：观察鹿瓜多肽注射液在高浓度地塞米松条件下对成骨细胞增殖与分化的影响。 方法：将大鼠成骨细胞随机分成3组,地塞米松＋鹿瓜多肽注射液组添加1×10-7 mol/L地塞米松注射液、8 mg/L鹿瓜多肽注射液和终浓度为1g/L的二甲基亚砜;地塞米松组添加与地塞米松＋鹿瓜多肽注射液组等量的二甲基亚砜及1×10^-7 mol/L的地塞米松注射液;对照组只添加与地塞米松＋鹿瓜多肽注射液组等量的二甲基亚砜。96 h后以RT-PCR分析骨钙素的表达,21 d后茜素红染色对比观察钙结节的表达。 结果与结论：地塞米松＋鹿瓜多肽注射液组与对照组骨钙素的mRNA表达量均高于地塞米松组（P〈0.01）,地塞米松＋鹿瓜多肽注射液组与对照组钙结节表达量也高于地塞米松组（P〈0.01）,而地塞米松＋鹿瓜多肽注射液组与对照组比较差异无显著性意义（P〉0.05）。提示鹿瓜多肽注射液可对抗高浓度地塞米松对成骨细胞增殖和分化的抑制作用。     

重度子痫前期并发胎盘早剥46例临床分析

目的:探讨重度子痫前期并发胎盘早剥患者的临床特征及母婴预后。方法:以重度子痫前期并发胎盘早剥46例为观察组,同期重度子痫前期未并发胎盘早剥的383例为对照组,比较临床特征及母婴结局。结果:观察组分娩孕周(33.7±4.0)周明显小于对照组(35.6±3.8)周,差异有统计学意义(P<0.05)。观察组产前出血、强直宫缩、胎儿窘迫胎死宫内高于对照组,观察组白细胞、D-二聚体高于对照组,血红蛋白、血小板、纤维蛋白原低于对照组,观察组尿蛋白水平高于对照组,差异均有统计学意义(P<0.05),观察组出生低体重、新生儿窒息或死亡、子宫胎盘卒中、产后出血均高于对照组(P<0.05)。观察组中入院即诊断胎盘早剥者较入院后发现者早剥面积大、新生儿评分低、产后出血多,差异有统计学意义(P<0.05)。结论:早发型重度子痫前期患者较易发生胎盘早剥,重视胎盘早剥发生的早期临床表现,及时进行血常规、凝血功能、尿蛋白水平及B超检测,及时发现、早期处理胎盘早剥以改善母儿预后。     

重度子痫前期并发不良结局149例危险因素分析

Objective To explore clinical features of severe preeclampsia patients with adverse outcome, and the risk factors of adverse outcomes. Methods From Jan. 2008 to Dec. 2009 149 severepreeclampsia impatients who occurred adverse outcome enrolled as case,and 278 severe preeclampsia impatientswithout adverse outcome at the same period enrolled as control. The clinical features between the two groups were compared and the risk factors were investigated. Results No significant differences were found between the two groups in maternal age,times of previous prenancies. The gestation ages at the onset of preeclampsia and at delivery in the cases were less than controls(P ＜ 0. 05). There was significant difference in irregular antenatal checks between the two groups(x2 = 8. 515, P ＜ 0. 05). Proterinuria and the level of oedema in cases were higher than controls( P ＜ 0. 05). Fetal growth restriction (FGR) occurred more frequently in the cases (P ＜0. 05). Indirect bilirubin, total bilirubin, glutamic oxalacetic transaminase, glutamic pyruvic transaminase, uric acid, creatinine, white blood cell, thrombin time, D-dimeride of cases were higher than those of controls(Ps ＜0. 05). Albumin, platelet and profibrin of cases were lower than those of controls(Ps ＜ 0. 05 ＝. Multivariate logistic analysis showed that the gestation ages at the onset of preeclampsia, regular antenatal checks were significantly associated with adverse outcome(OR = 0. 899, P ＜ 0. 001; OR = 0. 600, P = 0. 022, respectively ＝Indirect bilirubin and D-dimeride were significantly associated with preeclampsia complications(OR = 1. 533,P =0. 010; OR = 1.001, P = 0. 003, respectively). Mean arterial pressure and creatinine were significantly associated with eyeground changes(respectively OR = 1. 030,P = 0. 048; OR = 1. 025, P = 0. 022, respectively).Regular antenatal checks was associated with dead fetus(OR = 0. 317, P = 0. 046). No significant differenceswere found between the two group in uterine-incision delivery(P ＞ 0. 05). Incidence rate of low birth weight infants and postpartum hemorrhage of cases were higher than controls and Apgar score was lower in cases than controls( all P ＜0. 05＝. Conclusion The gestation ages at the onset of preeclampsia,regular antenatal checks,fetal distress were risk factors for preeclampsia adverse outcome. Patients with.high indirect bilirubin and Ddimeride are more likely to suffer adverse pregnancy outcomes.