酮洛芬的伏安行为研究

在0.1mol·L^-1H₂SO₄溶液中,酮洛芬有一灵敏的还原伏安峰。当搅拌富集40s、扫速100mV·s^-1时,其峰电位E_p=-0.80V(vs.Ag/AgCl)。用线性扫描和循环伏安法、脉冲极谱等手段研究该体系的伏安行为,特别是吸附性和电极反应机理,测得体系αn=1.05,α=0.53,参与电极反应的H+数为2。实验表明,该体系属一有吸附性的不可逆过程,可用于痕量酮洛芬的测定。其检测限,对吸附伏安法可达1.0×10^-9mol·L^-1,对示波极谱法则为5.0×10-8mol·L^-1。     

N-terminal pro brain natriuretic peptide to predict prognosis in dilated cardiomyopathy with sinus rhythm

AIMS: To assess the value of plasma NT proBNP levels for predicting adverse outcomes in patients with dilated cardiomyopathy (DCM). METHODS: Seventy-eight patients with DCM (EF <40%) with sinus rhythm were enrolled. All patients had undergone echocardiographic examination, coronary angiography, and cardiac catheterisation. Blood samples for plasma NT proBNP levels were taken at rest following echocardiographic examination. Patients were followed up for 660+/-270 days for clinical endpoints defined as; death from worsening heart failure, sudden cardiac death and heart transplantation (Tx). RESULTS: Clinical end points were observed in 19 patients (5 Tx, 4 sudden cardiac death, 10 death from worsening heart failure). Variables associated with an increased hazard of clinical endpoints in univariate analysis were log NT proBNP, age, NYHA functional class, left ventricle ejection fraction, mitral valve effective regurgitation orifice area, and E wave deceleration time. The plasma level of NT proBNP (Hazard ratio=2.5 [95% CI: 1.3-4.7], p=0.0024) and age (hazard ratio=0.94 [95% CI: 0.90-0.98], p=0.0005) were the independent variables associated with an increased risk of clinical endpoints. NT proBNP plasma level >4500 pg/ml detected patients with clinical endpoints with a sensitivity, and specificity of 72%, 80%, respectively. The event free survival was found to be significantly lower in patients with NT proBNP levels >4500 pg/ml. CONCLUSION: NT proBNP seems to be a strong predictor of adverse outcomes in patients with DCM with sinus rhythm and may be used as a reliable biological marker in risk stratification.     

升麻中的三萜类成分

从升麻(Cimiccifuga foetida L.)的根茎中分得五个环菠萝蜜烷型三萜化合物,经光谱解析(IR,MS,¹H及¹³CNMR),分别确定为25-脱水升麻醇-3-O-β-D-吡喃木糖甙(23R,24S)(I),升麻醇-3-O-β-D-吡喃木糖甙(23R,24S)(II),25-乙酰氧基升麻醇-3-O-β-D-吡喃木糖甙(23R,24S)(III),actein(IV)和27-deoxyactein(V),其中I为新化合物,命名为升麻甙E(cimisideE)。     

Concomitant Gerbode‐Like Defect and Anterior Mitral Leaflet Perforation after Aortic Valve Replacement for Endocarditis

We present a case of concomitant left ventricle (LV) to right atrial shunt (Gerbode‐like defect) and anterior mitral leaflet perforation in a 32‐year‐old male after aortic valve replacement for infective endocarditis of bicuspid aortic valve. This case emphasises that intra‐operative transesophageal echocardiography is a sine qua non for valvular surgical procedures.     

泽兰合剂质量标准研究

目的；建立泽兰合剂质量控制方法。方法：采用TLC对金银花，红花进行定性鉴别，HPLC测定绿原酸的含量。结果：TLC鉴别方法专属性强。含量测定绿原酸在0.2-1.0μg间有良好的线性关系。回收率为98.67%,RSD为2.19%。结论：本法简便，准确，重现性好，可作为该制剂的质量控制方法。