新疆维吾尔族,汉族儿童心脏径线的X线测量

作者测量了新疆地区７６８例３－７岁维吾尔族、汉族儿童心脏径线。心脏横径６岁组维吾尔族大于汉族。不分年龄组左心横径、心横径、心深径维吾尔族大于汉族，左侧位心膈交至前胸膜面的距离维吾尔族女童大于汉族女童。两民族心横径与心脏体积的相关系数分别大于心脏深径与心脏体积的相关系数。本文提供了新疆地区３－７岁维吾尔族、汉族儿童各年龄组和不分年龄组心脏径线的正常数据。     

新疆乌市、泽普地区703名维、汉族儿童5项体格发育指标的调查

作者对乌市、泽普两地３～７岁７０３名维吾尔族及汉族儿童的大高、体重、坐高、胸围、体表面积进行了测量和统计分析。发现汉族男主身高、体重、坐高、体表面积大于维族男士，而胸围维族女士大于汉族女童。所测各年龄组均值大于本地区１９８５年统计的均值，故有必要积累更多资料对儿童生长发育状况重新评价。     

新疆蒙古族青年心脏体积X线测量研究

为明确蒙古族青年心脏体积的正常值范围，为蒙古族人心脏病诊断提供客观依据。本文测量了３１２例蒙古族青年身高、体重及心脏径线，用Ｊｏｎｓｅｌ公式（Ｖ＝Ｋ×Ｌ×Ｂ×Ｄ）计算个体的心脏体积及心脏体积指数，并与新疆汉族及维吾尔族进行了比较。结果：蒙古族男性与汉族男性及维吾尔族男性心脏体积无差异，而蒙古族男性及维吾尔族男性心脏体积指数明显大于汉族；蒙古族女性、维吾尔族女性心脏体积及心脏体积指数明显大于汉族女性。并推导出由心表面积预计心脏体积的回归方程，解决了用一张胸片预计心脏体积的问题。认为不同民族心脏体积不尽相同，建立各民族心脏体积正常值范围是提高心脏病诊断率的必要手段。     

新疆锡伯族、汉族成人心脏体积X线测量研究

为明确锡伯族与汉族心脏体积及心脏体积指数存在的差异，为锡伯族临床心脏病的诊断提供客观依据。用Ｘ线平片测量了新疆伊犁地区３５２例１８～４０岁锡伯族、汉族成人心脏径线及胸廓径线，用Ｊｏｎｓｅｌ体积公式计算出个体心脏体积实测值，并比较了胸径法方程与心表面积法方程的精确度。结果：两民族成人心脏体积存在明显差异（锡伯族大于汉族），而心脏体积指数无显著差异。认为不同民族由于体质、遗传因素等不同，心脏体积亦不尽相同。     

哈萨克族和汉族青年心脏体积X线测量研究

目的：探讨哈萨克族与汉族青年心脏体积及心脏体积指数是否存在差异,讨论用胸部身体的厚度预测心脏深径的心脏体积回归方程的可靠性及精确度。方法：用X线平片进行心脏径线及胸廓径线的测量,计算出个体心脏体积及心脏体积指数,采用逐步回归法得出体厚法心脏体积的回归方程。结果：哈萨克族青年心脏体积及心脏体积指数均大于汉族青年;体厚法心脏体积的回归方程精确度高于胸径法和体表面积法。结论：不同民族由于体质、遗传、生活环境不同,其心脏体积不尽相同,应各有自己的心脏体积正常值,且可利用一张胸片采用体厚法来预计心脏体积。     

新疆维吾尔族成人蝶鞍面积的X线研究

目的：为正常蝶鞍的Ｘ线解剖学和临床放射学诊断提供依据。方法：对１４４例（维吾尔族５２例，汉族９２例）成人头颅侧位片进行蝶鞍形态、前后径、深径和面积的测量。结果：以蝶鞍指数分析，维吾尔族和汉族蝶鞍形态均以圆形为主（维吾尔族９４．２３％，汉族９８．９１％），卵圆形次之（维吾尔族５．７７％，汉族１．０９％）。维吾尔族蝶鞍前后径、深径和面积（１０．６０±０．４５ｍｍ，９．８２±０．２０ｍｍ，１０２．３９±３．１０ｍｍ２）与对照组汉族（１１．１９±０．１４ｍｍ，１１．０５±０．１３ｍｍ，１０８．１０±１．８０ｍｍ２）比较，均有显著性差异（Ｐ＜０．０５，Ｐ＜０．００１，Ｐ＜０．０５）。经相关回归分析，蝶鞍径线与面积均呈正相关关系（ｒ＝０．５８１６～０．８３８６）。结论：维吾尔族正常成人蝶鞍的有关数据具有明显的自身特征，并符合其它民族Ｘ线临床诊断通用标准     

新疆维吾尔族、汉族女性骨盆生理常数调查

作者对新疆维吾尔族及生长于新疆的汉族各100例女性骨盆进行了临床及X线测量,将X线测量值做了相互比较并和天津组对比。结果表明:女型骨盆天津组高于新疆汉族,后者高于维吾尔族。男型与扁型骨盆维吾尔族显著高于汉族及天津组;骨盆入口前后径维吾尔族与天津组相近,汉族高于天津组;横径维吾尔族与汉族相近,明显高于天津组;中骨盆各径线维吾尔族、汉族间无差异;前后径天津组明显高于本组,横径无差异;骨盆出口维吾尔族、汉族无差异,横径均比天津组大,耻骨弓角度新疆汉族大于维吾尔及天津组;骨盆高度天津组高于本组,维吾尔族与汉族无差异;骶骨节数维吾尔族、汉族相近与天津组差别显著。结果表明,骨盆发育与地理条件、生活习惯及种族有关。     

汉族、维吾尔族1702例儿童血铅检测结果分析

目的了解乌鲁木齐市汉族、维吾尔族儿童血铅浓度情况。方法对1702例汉族、维吾尔族0～12岁儿童血铅浓度进行检测。结果汉族儿童血铅均值（35.03±22.60）μg/L,其中男童血铅均值（35.56±22.6）μg/L;女童血铅均值（34.31±22.52）μg/L,维吾尔族儿童血铅均值（45.4±26.44）μg/L,其中男童血铅均值（46.82±26.69）μg/L,女童血铅均值（44.27±26.55）μg/L,铅中毒汉族18例（18/1024）,维吾尔族20例（20/678）,铅中毒发生率汉族1.26%,维吾尔族2.95%。随年龄增长,血铅浓度在增长,不同民族不同性别儿童在相同年龄段血铅均值不同（P〈0.05）;相同民族不同性别儿童相同年龄段血铅均值相同（P〉0.05）。结论维吾尔族儿童可能有铅中毒的易感性,3～6岁间是儿童血铅浓度升高的关键年龄段,早发现,早治疗,预防为主的诊治方案尤为重要。     

189例维吾尔族和汉族胎儿胸腺重量的比较

目的：了解维吾尔族和汉族两民族正常胎儿胸腺发育的状况及差异。方法：测定乌鲁木齐市维吾尔族和汉族引产的１８９例３～８ 个月龄胎儿胸腺的重量。按受精日期计算月龄,胎儿尸体固定数天后,用解剖法取出胸腺进行称重。结果：两民族胎儿胸腺的重量在胚胎３～８个月时,大体上按月成倍地增加。在胎龄３ 个月时两民族胎儿胸腺的重量相同,但从第４ 个月起维吾尔族胎儿的胸腺略大于同龄汉族胎儿的胸腺,特别是７、８ 个月时差异有显著性（Ｐ＜ ０．０５）。结论：在７ 个月以后维吾尔族胎儿胸腺重量显著大于同龄的汉族胎儿胸腺重量,但３～６ 个月时胸腺重量相差不大。     

新疆维吾尔族、汉族儿童心胸比率X线测量

目的:明确维吾尔族 (维族 )、汉族儿童心胸比率存在的差异 ,确定新疆地区维、汉族儿童不同方法测定心胸比率的正常值 ,为儿童心脏病诊断提供客观依据。方法 :采用右心膈角法、右膈顶法、右肋膈角法、第九肋内缘法 (九肋法 ) 4种方法测量 36 3例维族和 4 0 5例汉族 3～ 7岁儿童直立后前位心胸比率 ,比较 4种方法测量心胸比率的差异和维、汉族儿童心胸比率的差异 ,确定 4种方法测量心胸比率的正常值上限。结果 :4种方法测量的维、汉族儿童心胸比率各年龄组男、女之间差异均无统计学意义 ,右心膈角法、右膈顶法测量的心胸比率大于右肋膈角法、九肋法 (P <0 .0 0 1)。男、女合并计算的心胸比率 ,右心膈角法和右膈顶法 2个民族间 5、6、7岁组与右肋膈角法、九肋法 6岁组差异均有统计学意义。 结论:维族儿童心胸比率大于汉族 ,有必要建立各民族儿童心胸比率的正常数据。     

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…     

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     

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.     

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.