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11.
12.
杨旺生 《南通大学学报(哲学社会科学版)》2007,23(1):73-79
《野叟曝言》的“文格”与夏敬渠的创作人格有一致性,但存在明显的、不可忽视的矛盾,这种矛盾对《野叟曝言》的文本价值产生了极复杂的影响。导致夏敬渠“人格”与《野叟曝言》“文格”矛盾的原因是多方面的,研究视角不能简单化、绝对化。 相似文献
13.
NISHIMURA 《Psychiatry and clinical neurosciences》1998,52(4):419-424
Two hundred and seventy healthy university students were surveyed in December 1995 using Bond's Defense Style Questionnaire (DSQ) to measure the subjects' defense mechanisms. At the same time, a survey using Byrne's R-S Scale (Repression–Sensitization Scale) of the MMPI (Minnesota multiphasic personality inventory) and five psychiatric symptom indexes (anxiety, sense of inadequacy, sensitivity, depression and impulsive anger) selected from the CMI (Cornell Medical Index-Health Questionnaire) was conducted. Three factors were extracted from the DSQ through factor analysis: immature defenses, neurotic defenses, and mature defenses. The results of analysis of variance revealed the following: (i) for anxiety and anxiety related symptoms, both immature defenses and neurotic defenses indicated principal effect; (ii) for impulsive anger and depression, immature defenses presented principal effect; and (iii) for sensitivity and impulsive anger, interaction between a mature defense style and neurotic defense style was noted. The relationship between defense styles and psychiatric symptoms in healthy people is studied in this paper. 相似文献
14.
Miwa Baba Ryozo Oishi Kiyomi Saeki 《Naunyn-Schmiedeberg's archives of pharmacology》1988,337(4):423-428
Summary The effects of opioids on the permeability of the blood-brain barrier (BBB) were examined in mice with sodium fluorescein as an indicator of the permeability. The brain was perfused with saline 30 min after injection of sodium fluorescein (40 mg/kg, i. v.) and examined by fluorometry. Morphine hydrochloride (0.3–10 mg/kg, s. c.) markedly increased the brain level of sodium fluorescein dose-dependently without influencing the plasma level, when administered 20 min before sodium fluorescein injection. Intracerebroventricularly (i. c. v.) injected morphine hydrochloride (0.5 and 1.0 Erg) increased the brain sodium fluorescein level. Buprenorphine (0.1 and 0.5 mg/kg, s. c.) was also effective. However, pentazocine, ethylketazocine, U-50488H and SKF-10047 had no significant influence. The i.c.v. administration of [D-Ala2, McPhe4, Gly(ol)5]enkephalin (0.1 g) and [D-Ala2, D-Leu5]enkephalin (0.5 g) but not of [D-Thr2, Leu5]enkephalin-Thr increased the brain level of sodium fluorescein significantly. A small dose of naloxone (i. p.) significantly inhibited the effects of morphine, buprenorphine, [D-Ala2, McPhe4, Gly(ol)5]enkephalin and [D-Ala3, D-Leu5]enkephalin. ICI-174864 co-administered i. c. v. with [D-Ala2, D-Leu5]enkephalin was ineffective in antagonizing the effect of the latter. These findings suggest that the stimulation of µ opioid receptors results in an increase in BBB permeability to sodium fluorescein.
Send offprint requests to K. Saeki 相似文献
15.
Twenty-two women were studied during laparoscopy with abdominal insufflation of carbon dioxide. A bain anaesthetic breathing circuit was used with a fresh gas flow (VFG) of 110 ml.min-1.kg-1, and controlled ventilation was applied with a minute ventilation (VE) of 175 ml.min-1.kg-1. Arterial blood gases were analysed at the end of the operation. Nineteen of the women (86 per cent) were found to have a PaCO2 within the range for normocapnia (i.e., 4.7-5.9 kPa (35-45 mmHg), two were hypocapnic with a PaCO2 of 4.4 and 4.5 kPa (33 and 34 mmHg) respectively and one was found to have a PaCO2 of 6.2 kPa (46.5 mmHg). It was concluded that the carbon dioxide absorbed from the abdomen during laparoscopy demands fresh gas flows that are higher than normally used in the Bain circuit if a PaCO2 within the normal range is to be obtained. A simultaneous increase in VFG and VE of about 45 per cent is sufficient to achieve normocapnia. 相似文献
16.
The case of a child whose tracheal tube became obstructed intraoperatively 30 minutes after intubation is reported. It appears
that this obstruction was related to the development of bubbles within the walls which expanded upon exposure to nitrous oxide
and diffusion of that gas into the bubbles. The authors want to point out the risk of gas diffusion into the walls of the
tube and the possibility that repeated sterilization may enhance the development of bubbles.
Les auteurs rapportent l’observation d’un enfant de sept mois dont la sonde tracheale s’est obstruée 30 minutes après l’intubation.
Cette obstruction était due à l’expansion de bulles incluses dans la paroi du tube après exposition au N2O et diffusion de celui-ci à l’interieur des bulles. Ils accusent également la stérilisation répétée de la sonde armée (contre
l’avis du constructeur) d’avoir favorisé le développement de ces inclusions bulleuses. 相似文献
17.
Drug interactions between the aminoglycosides (tobramycin and gentamicin) and atracurium and vecuronium were studied prospectively in 44 patients. Twenty-two patients had therapeutic serum levels of tobramycin or gentamicin and 22 served as controls. Onset time, clinical duration, and time to spontaneous recovery of T4/T1 ratio of 0.70 after atracurium or vecuronium injection were measured. No statistically significant differences were found in onset time, but clinical duration and time to recovery were significantly longer in patients receiving tobramycin or gentamicin and paralyzed with vecuronium than for controls (P less than 0.01 for clinical duration and P less than 0.0005 for recovery). The neuromuscular block produced by atracurium was not significantly influenced by the presence of therapeutic serum levels of tobramycin or gentamicin. We conclude that for patients treated with these antibiotics, atracurium may present some advantages over vecuronium when a prolonged block is not desired. 相似文献
18.
This is a retrospective study of the outcome of surgical procedures in patients who were Jehovah's Witnesses. Over a 75-month period, 58 Jehovah's Witness patients had 78 surgical procedures at the Vancouver General Hospital. Three patients had preexisting anaemia of less than 100 g.L-1 haemoglobin. Postoperative haemoglobin concentration decreased below 50 g.L-1 in three patients. One patient had a postoperative haemoglobin of 34 g.L-1 (haematocrit 10.1 per cent) and survived. One patient died from uncontrollable postoperative haemorrhage. Perioperative morbidity was not uncommon, including significant hypotension (eight cases), cardiac arrhythmias (six), myocardial ischaemia (three), excessive bleeding (four), postoperative nausea or syncope (four), and wound or urinary tract infection (four). 相似文献
19.
Andre P. Boezaart 《Journal canadien d'anesthésie》1989,36(6):697-700
A 23-year-old primigravid patient who received epidural analgesia for pain of labour presented with persistent, apparently irremediable, unilateral analgesia. Computerized axial tomo-epidurography demonstrated absence of circumferential spread due to lateral placement of the catheter. Transforaminal escape of contrast medium into the paravertebral area had occurred and anterior and posterior midline partitioning of the epidural space was obvious. All the usual measures to promote contralateral analgesia, except re-insertion of the catheter, had been tried without success. 相似文献
20.
J. L. Beal M. Freysz G. Berthelon P. D’Athis S. Briet M. Wilkening 《Journal canadien d'anesthésie》1989,36(3):278-282
This prospective and randomized study compared the consequences of two irrigating fluids, distilled water and glycine for
transurethral prostatectomy. Forty-nine consecutive unselected patients undergoing transurethral resection of the prostate
with spinal anaesthesia were investigated. The irrigating fluid was either distilled water (group A, 24 patients) or glycine
1.5 per cent (group B, 25 patients). The absorption of irrigating fluid was measured, all surgical events and any clinical
signs of TURP syndrome during and after surgery were recorded. Early signs of TURP syndrome were observed in one patient in
group A and in four in group B without further consequence. From all the biological variables, only plasma protein concentration,
haematocrit, free plasma haemoglobin and free bilirubin concentrations were found to have changed. Plasma protein concentration
and haematocrit decreased significantly during and after surgery in the two groups. Free plasma haemoglobin increased significantly
with time: a significantly higher concentration was observed in group A than group B. Free bilirubin concentration increased
with time in the two groups and was statistically greater in group A. With the two irrigating fluids, we observed a significant
amount of haemolysis and haemodilution without clinical consequences. A low irrigating fluid pressure, a short resection time,
and the use of spinal anaesthesia seems to us to be essential. Close observation of patients following transurethral prostatectomy
is needed but the choice of the irrigating fluid does not seem to be important.
Cette étude prospective et randomisée a comparé les conséquences de deux liquides d’irrigation, l’eau distillée et le glycocolle
au cours de la chirurgie prostatique par voie basse. Quarante-neuf patients consécutifs, non sélectionnés, bénéficiant d’une
résection transuréthrale de prostate sous rachianesthésie, sont étudiés. Le liquide d’irrigation est soil l’eau distillée
(groupe A, 24 patients), soit le glycocolle à 1.5 pour cent (groupe B, 25 patients). L’absorption des liquides d’irrigation,
les incidents chirurgicaux et les signes cliniques du syndrome de réabsorption sont systématiquement notés. Des signes caractéristiques
du syndrome de réabsorption sont observés dans un cas dans le groupe A et dans quatre cos dans le groupe B sans conséquence
ultérieure. Seuls la protidémie, l’hématocrite, l’hémoglobine plasmatique libre et la bilirubine libre changent significativement.
L’hémoglobine plasmatique libre augmente significativement dans les deux groupes, avec un taux plasmatique significativement
plus élevé dans le groupe A. Avec les deux liquides d’irrigation, on observe une hémolyse et une hémodilution sans conséquence
clinique. Un temps de résection court, un faible niveau de pression d’irrigation, l’utilisation de l’anesthésie rachidienne
nous semblent trés importants. Une surveillance clinique et biologique attentive pendant et après la résection transuréthrale
de prostate sont nécessaires; en revanche, le choix du liquide d’irrigation ne semble pas l’élément essentiel. 相似文献