内源性高甘油三酯血症者血浆脂蛋白中脂质和载脂蛋白...

Lipids and apolipoproteins in plasma VLDL, IDL, LDL, HDL2 and HDL3 isolated by one-step density gradient ultracentrifugation from 7 subjects with endogenous hypertriglyceridemia (HTG) and 4 normalipemics were determined. HTG VLDL was enriched with cholesterol, and its triglyceride (TG), phospholipid (PL) and apo CII, CIII contents (mg/100 mg protein) were significantly higher than those in normal VLDL. ApoE content in HTG VLDL was prone to increasing, and apoB100 content had no apparent difference from that in normal VLDL. Compared with normal HDL2 and HDL3, the contents of total cholesterol (TC), apoAI, CII, and CIII in HTG HDL2, and apoCII, CIII in HTG HDL3 decreased. HTG HDL2 and HDL3 were rich in TG. By analysis of distribution of these lipids and apolipoproteins in various plasma lipoproteins, it was found that the abnormal composition of VLDL and HDL in HTG seemed to be a result of transport of TC, PL, and apoCII, CIII from HDL to VLDL. There was a significantly positive correlation between TC and apoAI, CII, CIII in HDL respectively, which indicated that apoCII and CIII were also associated with the alteration of HDL cholesterol. It is suggested that the elevated plasma VLDL-TG concentration in endogenous hypertriglyceridemia may induce abnormal redistribution of lipid and apolipoprotein among apoCII plasma lipoproteins, and and CIII may play an important role in these changes.     

蝮蛇抗栓酶-3治疗糖尿病并发症94例

应用腹蛇抗栓酶-3治疗94例糖尿病患者并发的脑血栓形成、高脂血症、动脉硬化、神经病变和心绞痛取得较好的疗效。脑血栓形成急性期采用冲击疗法,瘫痪肢体功能恢复迅速、合并神经病变者,治疗后症状消失、神经功能改善。TG、TC、β-脂蛋白水平和TC/HDL比值均降低(P<0.01),HDL水平上升(P<0.01),对比治疗前后血6-Keto-PGF_(1α)、TXB_2和纤维结合素FN的水平改善,具有统计学意义(P<0.01)。     

高脂血症飞行人员的饮食及运动监控

中国民航新体检标准规定,危害心血管系统的几大因素(高血压、高脂血症、肥胖、吸烟和糖尿病等)中只要有3项超过标准或1项严重超标者,均作临时停飞处理。这将对飞行人员心血管疾病的筛选更加严格。民航飞行人员在自己家中分散居住,分伙就餐,平时怎样控制他们的饮食及体育运动,成了大难题。笔者探索出一套指导和监控的方法,收到一定的效果,现报告如下。     

过期妊娠并发羊水过少对围产儿的影响

根据 Naegle 计算法,月经正常的孕妇,妊娠≥42周为过期妊娠。近年来过期妊娠已成为围产期重点监护的内容之一。过期妊娠并发羊水过少对胎婴儿的影响亦引起产科工作者的重视。本文对我院过期妊娠372例分析报告如下。     

夜尿与老年人群

夜尿是指夜间一次或多次排尿，并且每次排尿均中断睡眠。它会影响人的健康状况及生活质量。例如白天睡眠过多会导致夜间失眠，失眠造成能量丢失从而使许多老年人更易发生意外，如跌倒等。令人遗憾的是，许多人认为夜尿是无害的，是随年龄增长的自然变化。Lundgrcn（2004年）认为，60岁以上的男性及女性人群中超过半数受其困扰。Yoshimura等（2004年）对6517名志愿者（男性70％，女性30％）进行健康问卷调查发现：糖尿病和高血压是夜尿重要的危险因素，其中性别差异并不明显。     

剖宫产术后羊水栓塞的抢救及护理观察

羊水栓塞是产科少见而严重的并发症 ,死亡率高达70 %～ 80 % ,是孕产妇死亡的主要原因之一 [1 ]。针对我科近 4年来抢救护理的 7例羊水栓塞产妇 ,现报告如下。1　临床资料1 .1　一般资料　 7例羊水栓塞病例中年龄最小 2 5岁 ,最大 3 6岁 ,均为单胎妊娠 ,其中初产妇 5例 ,经产妇     

前置胎盘致产后大出血患者的护理

<正>前置胎盘致产后大出血是产妇的严重并发症,直接威胁产妇生命。前置胎盘致产后出血与产妇的年龄、胎次及产次有关,经产妇高于初产妇。现将我院前置胎盘致产后大出血的护理体会报告如下。