《菜根谭》教给你的养生智慧——《菜根谭》的养生阐释（2）

[原文]前集OO二涉世浅,点染亦浅;历事深,机械亦深。故君子与其练达,不若朴鲁;与其曲谨,不若疏狂。[释义]在社会上生活,处世经验"浅",说明他被感染的恶习少;而如果谋事很"深",说明他被污染也极深了。故而作为一个君子,不要一味地只追求做事的熟练通达;而忘记了抱朴求拙的涉世之道,与其装饰虚假,还不如诚挚朴实。     

去细胞喉支架的制备及喉肌细胞再生的可行性研究

Objective To prepare a deeelhilarized whole laryngeal scaffold by utilizing a perfusion-decellularized technique, reseed cells on it, and construct recellularized laryngeal muscles. Methods Perfusion decelluarized larynxes were obtained by common carotid arterious perfusion with detergents. Then they were performed by macroscopic view, histological examination, scanning electron microscopy (SEM) and cartilage viability. Decellularized laryngeal scaffold were then reseeded with inducted mesenchymal stem cells (MSCs). Composites were transferred into greater omentums of rabbits after one day' s adherence and harvested after eight weeks. Macroscopic view, histological examination and immunohistochemistry were performed. Results Perfusion larynxes became transparent after two hours. Histology and SEM indicated that perfnsion method shewed better deculluarized effect. More ventages and collagen fibers but no intact cell or anclei were retained in the decellularized martrix. Porosity measured by Image pro plus 6. 0 was 80. 4% ± 3.2% (x ± s). Chondrocyte vitality assay indicated chondrocyte vitality rate in the perfusion group was 86. 9% ± 1.5% . After eight weeks, vascularization formed and integrated cartilage frameworks still remained. Histological examination could clearly show the presence of muscle bundles and vessels. Immunohistoehemical examination indicated that sarcomeric-α actin expressed positively in corresponding areas. Conclusions It is feasible to reseed MSCs into the decellularized laryngeal muscle matrix for constructing tissue-engineered laryngeal muscles. This in vivo maturation into the omentum could be the first step before in situ implantation of the construct.     

加压冲洗治疗新生儿泪囊炎

新生儿泪囊炎是眼科临床比较常见的眼病。我院于1998年1月至2000年3月,用加压冲洗治疗新生儿泪囊炎20例,均获得满意效果。     

腹腔镜脾切除术七例

免疫性血小板减少性紫癜(ITP)是一种与自身免疫因素有关的疾病。因为脾脏是ITP产生血小板抗体和破坏血小板的重要场所，因此切除脾脏可使血小板数量得以提高，是治疗ITP的主要手段之一。截至目前为止，我院共施行7例电视腹腔镜脾切除术(Laparoscopic splenectomy，LS)，全部病     

经穴刀治疗增生性膝关节炎临床观察

膝关节增生性关节炎多发于中老年人。主要表现为膝关节疼痛、增生、肿胀、畸形和功能障碍，给老年人的生活带来了极大痛苦。本人认为：“增生性关节炎主要病因是风、寒、湿气所致。病理改变是血瘀气滞，气血不通。治疗以刺经穴、开痹塞、排瘀血，则可达到满意疗效。”     

只视外部损伤 忽视内脏损伤──1例脾破裂延误诊断教训

只视外部损伤忽视内脏损伤──１例脾破裂延误诊断教训女，２３岁。因被汽车撞伤致昏迷约３０分钟并左小腿外侧皮肤裂伤而急诊入院。清醒后无呕吐，无再昏迷，对受伤情况无法回忆，自觉头部、左上腹部及左下肢伤口疼痛。查体：脉搏１０８次／分，血压１４／１０ｋＰａ。神...     

腹腔镜胆囊切除术后的肺功能和应激反应与肋缘下切口及胸段硬膜外术后镇痛影响的比较

选择30例全麻下进行择期胆囊切除的病人。其中10例作标准的助缘下切口(Ⅰ组);10例行腹腔镜胆囊切除,术后使用麻醉性镇痛药止痛(Ⅱ组);另10例于腹腔镜胆囊切除术后,继以0.5％布比卡因作胸段硬膜外镇痛(Ⅲ组)。所有病人均卧床24h;不作胸部物理治疗、呼吸锻炼、或激励性呼吸。24h期间,定时检测用力肺活量(FVC)、最大呼气流量(PEF)、及1s用力呼气容积(FEV_1)。取血测定血浆皮质醇和血糖,直至麻醉诱导后4h。24h内定期用视觉模拟评分(VAS)评定疼痛级别。三组在一般资料方面无差异。所有病人术后FVC、     

心脑卒中17例临床分析

急性心肌梗塞(AMI)并发脑卒中临床表现者称为心脑卒中,其中以缺血性脑卒中更为常见。我院自1985年5月至1995年3月共收治此类病人17例,分析报道如下。1 临床资料 一般资料:男14例,女13例。60岁以上3例,60～69岁9例,70～79岁4例,80岁以上2例。有陈旧性心肌梗塞3例,合并高血压9例,糖尿病6例,其中4例同时患有高血压、糖尿病,肥胖11例,有脑动脉硬化史者11例,有心绞痛史者10例。     

基质金属蛋白酶与血管成形术后再狭窄

血管重构和内膜增厚决定了经皮腔内冠状动脉成形术后再狭窄。基质金属蛋白酶因为促进血管重构和内膜增厚而促进再狭窄的发生。本文介绍了基质金属蛋白酶的生物学特性、在血管壁的表达以及影响其表达的因素、基质金属蛋白酶促进再狭窄发生的机制和降低其表达的措施。