Portal venous gas resulting from umbilical vein catheterization in a very-low-birth-weight infant with no interruption in early feeding

Introduction:Portal venous gas(PVG)is common in necrotizing enterocolitis and occasionally occurs in neonates after umbilical vein catheterization(UVC).Therefor...     

PICC专科护理门诊的工作模式

目的 探讨PICC专科护理门诊科学、规范的工作模式和管理方法。方法 对PICC专科护理门诊诊问进行合理设置和布局,制定相应的流程和制度。结果 开设PICC专科护理门诊方便了患者,保障了PICC置管患者的日常维护;PICC专科护理门诊合理的流程、规范的管理减少了各种并发症,延长了导管使用时间,有利于护理专科的发展。结论 设立专科护理门诊可满足就诊者多元化的需求,提升了专科护理质量,延伸护理服务的有效途径。     

Novel use of a modified Amplatzer Vascular Plug® to occlude a patent ductus arteriosus in two patients

We describe two cases in which a patent ductus arteriosus (PDA) was successfully occluded percutaneously, using the novel approach of prefilling an Amplatzer Vascular Plug® with embolization coils to decrease the risk of residual shunting through the device. One patient was a small premature neonate, and the other was a child with an aneurismal, tubular PDA with no aortic ampulla. These are situations in which more popular PDA devices such as the Amplatzer Duct Occluder® may be contraindicated. © 2008 Wiley‐Liss, Inc.     

Percutaneous Intervention With GuideLiner Catheter in 4 Patients With Anomalous Coronary Artery Originating From Opposite Sinus of Valsalva

Percutaneous intervention in anomalous coronary arteries originating from the opposite sinus of Valsalva is complicated by their unusual location and course, which makes selective cannulation difficult. The GuideLiner (Vascular Solutions, Inc.) is a monorail guide extension catheter designed to advance beyond the tip of a mother guide catheter to enable deep intubation of a coronary artery, provide extra support, and improve coaxial alignment. We describe the cases of 4 patients with an anomalous coronary artery originating from the opposite sinus of Valsalva—including 2 with acute myocardial infarction—who underwent successful percutaneous coronary intervention with use of a GuideLiner catheter.     

Coronary arteriography 1984–1987: A report of the registry of the society for cardiac angiography and interventions. II. An analysis of 218 deaths related to coronary arteriography

In a 42-month period, 218 deaths occurred in 222, 553 patients undergoing coronary arteriography (0.098%). Age > 60 years, NYHA Class IV function, presence of left main coronary disease, and ejection fraction < 30% all significantly increased the risk of the procedure. Sex and approach (brachial or femoral) used for the catheterization did not affect mortality. Since the SCAI report in 1982, the death rate has dropped significantly in high-risk patients. Low-risk patients (NYHA Class I or normal coronary arteries) who died generally were elderly or had associated valvular heart disease.     

赤芍注射液治疗慢性肺心病、肺动脉高压的临床研究

本研究用心肺阻抗血流图、血液粘度检查,动脉血气分析以及右心导管术等方法比较观察了42例肺心病患者静脉、肺动脉注射100%赤芍液的临床疗效。结果显示:赤芍注射液能扩张肺血管、降低肺动脉压力和肺血管阻力,增加心输出量,改善右心功能和血液流变性,提高氧分压,使临床瘀血体征显著改善,是防治肺心病、肺动脉高压较为适用的中药制剂。