急性脑卒中患者动态心电图改变分析

目的：分析急性脑卒中患者动态心电图改变的特点。方法选取100例急性脑卒中患者,行24 h 动态心电图监测,分析结果。结果100例患者中,动态心电图异常率为82．0％,以 ST－T 异常、电压异常多见;脑干及丘脑部位卒中患者心律失常发生率高于其他部位（ P ＜0．05）,ST－T 异常发生率低于其他部位（ P＜0．05）;脑缺血患者心律失常发生率高于脑出血患者（ P ＜0．05）。结论急性脑卒中患者动态心电图异常表现主要以 ST－T 异常、电压异常多见,卒中部位位于脑干及丘脑患者、脑缺血患者更易出现心律失常表现。     

颅内病变患者的心电图变化

本文总结我院经CT诊断的128例颅内病变患者心电图变化。①总的看来肿瘤组、出血组、缺血组其改变的发生率分别为97.14％、97.50％、91.49％,三组无显著性差异(P>0.05)。②仔细分析三组改变具体表现ST—T波变化和冲动起源异常三组无显著性差异,但心房、心室肥厚和传导异常肿瘤组较少,似乎提示“脑型心电图改变”主要是ST—T波和冲动起源异常。③认识“脑型心电图改变”和“假性心肌梗塞”对判断病人预后和指导治疗均有意义。④我们提出今后临床采取措施预防颅內病变引起心律失常和心肌损伤的设想。     

食管贲门癌1000例术后心电图分析

目的：分析食管贲门癌患者术后心电图动态变化。方法：对食管贲门癌术后患者（1000例）的12导联心电图进行分析。结果：心电图异常246例，其中QRS低电压9例，ST段压低9例，ST弓背抬高2例，T波低平7例，T波倒置8例；心律失常185例，其中室上性心律失常158例，室性心律失常12例，束支及分支阻滞15例。其中二种心律失常兼有19例，三种兼有7例。结论：食管贲门癌手术可引起心电图QRS电压，ST－T及心率，心律等异常改变。     

急性脑出血60例动态心电图分析

目的：分析急性脑出血患者心电图复极改变和心律失常；方法：将60例急性脑出血患者分为轻症和重症二组，24h动态心电图描记，床边心电图监测72h至7d，将其心电图复极改变和心律失常进行分析；结果：心电图复极异常主要为ST－T降低，ST段抬高和T波改变；心律失常主要为窦性心动过速或窦性心动过缓、室上性心律失常和室性心律失常；结论：重症与轻症两组间对心脏的影响存在显著差异性（P＜0．005），与累及丘脑下部和脑干的植物神经调节中枢轻重有关。     

脑出血急性期心电图变化临床分析

目的分析探讨脑出血急性期心电图改变。方法对经CT检查证实脑出血急性期患者,于入院后鸫小时内通过24小时心电监护,反复常规12导联心电图检查跟踪分析。结果167例中死亡28例,治愈或好转139例。心电图主要改变以J波、ST段抬高或下移、其次为Q-T间期延长、巨大T波和恶性室性心律失常等。结论心电图异常发生率较高,并与病情严重程度相关,可随颅内病变的好转而逐渐恢复。一旦出现一过性ST段抬高、J波、Q—T间期延长、恶性室性心律失常,提示预后较差。     

急性脑卒中患者心电图变化临床分析

目的：分析急性脑卒中患者心电图的变化情况。方法：对116例急性脑卒中患者在急诊科接诊时做常规心电图检查，观察ST—T变化、Q—T间期改变及心律失常等情况。结果：116例急性脑卒中患者中有89例出现心电图异常，发生率为76．72％。出血性脑卒中组心电图异常率为86．49％，缺血性脑卒中组心电图异常率为72．15％。结论：急性脑卒中与心脏疾病关系密切，在治疗脑部疾病的同时，应加强心脏功能的监测，一旦出现心肌损害，应及时调整治疗方案，改善脑卒中的预后。     

急性有机磷农药中毒122例心肌损伤心电图分析

目的:探讨急性有机磷农药中毒患者心脏受损时心电图的改变.方法:急性有机磷农药中毒患者122例,入院时及次日常规作血清胆碱脂酶活性测定、肌钙蛋白Ⅰ检测并心电图检查,分析其与预后的关系.结果:肌钙蛋白Ⅰ大于2倍正常值的患者22例;心电图表现为房早、室早、房颤和室速等心律失常及传导异常38例,ST～T改变36例中,压低改变2...     

40例急性脑血管病心电图临床分析

目的探讨急性脑血管病患者心电图变化的特点。方法收集整理近年来我院收治的经CT、MRI证实为急性脑血管疾病患者40例,对其心电图进行统计分析。结果40例急性脑血管病患者的心电图异常28例,总异常率为70．0％,其中A组12例,占85．72％,B组16例,占61．54％,两组比较有显著性差异（X2=31．23,P〈0．05）;心电图异常包括ST—T波改变、T波改变、Q—T延长、异常Q波、心律失常;40例急性脑血管病患者经治疗好转及痊愈出院31例,病情恶化自动出院及死亡9例,其中心电图正常者死亡2例,占22．22％,心电图异常者死亡7例,占77．78％,两者比较有统计学意义（X2=5．56,P〈0．05）。结论急性脑血管病的心电图异常非常常见,心电图异常率与脑出血量呈正相关,治疗过程中应加强心脏方面的监护,尽量避免或减少其发生。     

原发性肥厚型心肌病的心电图特点

本文对40例肥厚型心肌病患者的心电图特点进行了分析,其中95％心电图不正常,常见的心电图异常为ST—T改变、异常Q波、左室肥厚、心律失常,心律失常中以传导阻滞为最多见。     

35例肥厚型心肌病患者心电图分析

目的探讨肥厚型心肌病患者的心电图改变。方法对确诊为肥厚型心肌病35例患者做心电图改变分析。结果所有患者心电图均有异常改变。其中sT-T改变30例（85.7%）,左心室高电压16例（45.7%）,心律失常14例（40%）,电轴左偏13例（37.1%）,异常Q波12例（34.2%）,完全性左束支传导阻滞4例（11.4%）,完全性右束支传导阻滞2例（5.7%）及一房室传导阻滞2例（5.7%）。结论肥厚型心肌病患者心电图可表现为多种异常改变,特异性不高,但敏感性高。对心电图呈此种ST段、T波及QRs波群的变化的患者,应进一步检查以明确诊断。     

Value of D-Dimers in patients with acute aortic dissection

Objective: To evaluatel the value of D-dimers in patients with acute aortic dissection (AAD). Methods: This study consisted of 16 patients with AAD and 27 non-AAD patients. Serum D-dimets were measured by Sta-Liatest D-DI immunoturbidimetric assay. Results: D-dimer level was higher (P ＜ 0.001) in patients with AAD(7.91 ± 5.52 μg/ml) than that in non- AAD group(1.57±1.24 μg/ml). D-dimer was positive (＞0.4 μg/ml) in all patients with AAD and in 10 control group patients (37%). Among patients with acute AAD, D-dimers tended to be higher in Stanford A than in Stanford B (8.67 ± 4.31 μg/ml vs. 3.24±1.27 μg/ml, P ＜0.01). D-dimer values tended to be higher in more extended disease(3.84 ± 1.65 μg/ml, 8.57 ± 3.58 μg/ml and 11.87 ± 5.69 μg/ml in thoracic aorta, thoracic and abdominal aorta, thoracic and abdominal aorta and iliacal arteries, respectively, P ＜ 0.05 for both 8.57 ± 3.58 and 11.87 ± 5.69 vs. 3.84 ± 1.65 ). Including the control group into the analysis, we found a sensitivity of 100%, a negative predictive value of 100%, and a specificity of 66% and a positive predictive value of 64% for D-dimer in diagnosis of AAD in our patients with suspected AAD. Conclusion: D-dimer was elevated in patients with AAD. A negative D-dimer test result could be useful in excluding AAD.     

Research of combined liver-kidney transplantation model in rats

Objective： To set up a simple and reliable rat model of combined liver-kidney transplantation. Methods： SD rats served as both donors and recipients. 4℃ sodium lactate Ringer＇s was infused from portal veins to donated livers,and from abdominal aorta to donated kidneys, respectively. Anastomosis of the portal vein and the inferior vena cava （IVC） inferior to the right kidney between the graft and the recipient was performed by a double cuff method, then the superior hepatic vena cava with suture. A patch of donated renal artery was anastomosed to the recipient abdominal aorta. The urethra and bile duct were reconstructed with a simple inside bracket. Results： Among 65 cases of combined liver-kidney transplantation, the success rate in the late 40 cases was 77.5%. The function of the grafted liver and kidney remained normal. Conclusion： This rat model of combined liver-kidney transplantation can be established in common laboratory conditions with high success rate and meet the needs of renal transplantation experiment.     

APPLICATION OF LORNOXICAM TO PATIENT-CONTROLLED ANALGESIA IN PATIENTS UNDERGOING ABDOMINAL SURGERIES

FOR anesthesiologis s ,treatingpostoperativepainhas alwaysbeen a problem.Althoughopioidshave been provedtobe effective,theirsideeffectscouldnotbeignored.With thedevelopmentofscienceand pharmacology,many drugs with aspectsof satisfactoryanalgesicefficacyand couldbe welltoleratedby patientshave been developed.And lornoxicamisone of them, which isa non-steroidalanti-inflammatorydrug (NSAID ), with analgesic, anti-infl-ammatory,andantipyreticproperties.Itseliminationhalf-time(3 to 5 hours) isle…     

BLOOD PRESSURE CHANGE WITH AGE IN SALT-SENSITIVE TEENAGERS

Objective To observe blood pressure change with age in salt-sensitive teenagers whose salt sensitivity were determined by repeated testing.Methods Salt sensitivity was determined through intravenous infusion of normal saline combined with volume-depletion by oral diuretic furosemide in 55 teenagers. After five years, salt sensitivity was re-examined and subject blood pressure was followed up. Blood pressure changes in salt-sensitive teenagers were compared to that of non-salt sensitive teenagers over five years.Results After 5 years, the repetition rate of salt sensitivity determined by intravenous saline loading is 92.7%. In teenagers with salt sensitivity on the baseline, both the systolic blood pressure increments and increment rates were much higher than non-salt sensitive teenagers (12.7±12.1 mmHg vs. 2.8±5.2 mmHg, P＜ 0.01; 12.2%± 12.0% vs. 2.5% ±4.4%, P＜ 0.001,respectively). There was a similar trend for diastolic blood pressure (8.4 ± 6.4 mmHg vs. 3.7 ± 6.4 mmHg, P = 0.052; 13.2% ±10.6 % vs. 6.8%± 10.1%, P = 0.053, respectively).Conclusions Salt sensitivity determined by intravenous saline loading showed good reproducibility. Blood pressure increments with age were much higher in salt-sensitive teenagers than non-salt sensitive teenagers, especially in terms of systolic blood pressure.     

Development on Adjustable Calibration Marker for Shock Wave Focus

Shock wave lithotripsy （SWL） is a treatment of choice for upper urinary stones. However, this procedure is inappropriate for obese patients because the focus is often unable to reach the target owing to the limited focal distance in shock wave source. Although treating such patients in a blast path may increase the application length of shock wave source, it＇s difficult to find this path on the lithotripter monitor. For this reason, we invented an adjustable calibration marker in order to set an effective focus in the shock wave hath.     

Study on the TCM Pathogenesis of Angiopathic Complications of Type II Diabetes

Excess production of reactive oxygen species(ROS)of mitochondrion mediated by hyperglycemia is the common pathogenesis of angiopathic complications of diabetes.TCM holds that the damp from the dysfunction of spleen.kidney and liver is the causative factor of complications of diabetes.This is similar to the mechanism of Ros resulting in angiopathic complications of diabetes.When the angiopathic complications of type II diabetes mellitus(T2DM)are difierentiated as caused by turbid damp in TCM can be explained as ROS.Since the obstruction of pathogenic damp in channels and collaterals is said to be the main pathogenesis,the treating principle should be dissolving the damp to remove the obstruction.     

Leptin, Ghrelin and TNF-α before and after Hypo-caloric Traditional Chinese Diet and Auricular Acupuncture

INTRODUCTION Obesity is a complex emergent problem, which can be possibly solved not only by the diet but also by the life style and promotion of a constant physical exercise. 1, 2 No doubt careful attentions must be given to the nutritional condition of obese people, the dietary habits, the somatic build (i.e. distribution of fat mass) and the organic functions linked to formation of the fat mass. All the parameters should be constantly monitored before, during and after a diet treatment. 3, 4, 5     

Relationship between Dysglycemia and Carotid Atherosclerosis in Tibetan Population

People with dysglycemia are at high risk for atherosclerotic diseases. This study aims at investigating the atherosclerotic vascular damage in dysglycemia and its metabolic origin in Tibetan population.     

Acupuncture Combined with Spinal Tui Na for Treatment of Primary Dysmenorrhea in 30 Cases

Objective: To observe the therapeutic effects in acupunture treatment of primary dysmenorrhea combined with spinal Tui Na, and study its mechanism. Methods: Thirty cases of the treatment group were treated by acupuncture combined with spinal Tui Na, and thirty cases in the control group were treated by routine acupuncture. Results: The total effective rate was 93.3% in the treatment group, and 73.3% in the control group, with a significant difference between the two groups (P<0.05). Conclusions: Acupuncture combined with spinal Tui Na has good prospects for treatment of primary dysmenorrhea.     

Luo Lingjie's Experience in Treating Chronic Nephropathy

In treating chronic nephropathy,Luo Lingjie,a chief physician,pays attention to regulating the balance between yin and yang,treating infection if present,and removing pathogenic factors.He prescribes gentle drugs and uses carefully strongly warming-tonifying ones,emphasizes the importance of persuading the patient to persist in treatment with medication and nurse one's health for recuperation,and is good at combined use of TCM and western medicine therapy and brings the merits of various therapies into full play,with obvious theraoeutic effects.