小细胞肺癌血清NSE、CIC、CEA检测的临床意义

对４８名肺癌病人治疗前的神经烯醇化酶（ＮＳＥ）、循环免疫复合物（ＣＩＣ）、癌胚抗原（ＣＥＡ）分别进行了测定，并对部分小细胞肺癌（ＳＣＬＣ）进行了治疗前后ＮＳＥ的动态观察。结果显示：ＮＳＥ对ＳＣＬＣ病人阳性诊断率为６６．７％，其中广泛期达８０％，而ＣＥＡ和ＣＩＣ对ＳＣＬＣ病人分别为１１．１％和４６．６％。ＳＣＬＣ与非小细胞肺癌（ＮＳＣＬＣ）、良性肺部疾病（ＢＰＤ）相比较，其血清ＮＳＥ显著升高（Ｐ＜０．０５）。对小细胞肺癌病人连续观察：化疗完全缓解及部分缓解者血清ＮＳＥ明显下降，而病情恶化或出现转移时，血清ＮＳＥ持续升高。血清ＮＳＥ作为诊断小细胞肺癌、预测疗效、判断复发具有一定的临床意义。     

肾病综合征患儿血红细胞抗氧化酶活力及LSFP含量的研究

本文对１７例肾病综合征（ＮＳ）患儿和１５例健康对照组儿童血红细胞超氧化物歧化酶（ＳＯＤ）、过氧化氢酶（ＣＡＴ）、谷胱甘肽过氧化物酶（ＧＳＨ－Ｐｘ）活力，脂溶性荧光色素（ＬＳＦＰ）含量进行了研究。结果表明，ＮＳ急性期ＳＯＤ、ＣＡＴ活力降低，ＬＳＦＰ含量增加。恢复期ＳＯＤ较急性期明显提高，但仍低于正常对照组，ＣＡＴ与正常对照组无显著差异，ＬＳＦＰ较急性期明显降低，但仍高于正常对照组。ＧＳＨ－Ｐｘ在急性期及恢复期均无明显改变。说明ＮＳ存在ＳＯＤ，ＣＡＴ、ＬＳＦＰ的改变，但可逐渐恢复。     

THE EXPRESSION OF C－erbB－1 AND C－erbB－2ONCOGENES IN BASAL CELL CARCINOMA ANDSQUAMOUS CELL CARCINOMA OF SKIN

ＴＨＥＥＸＰＲＥＳＳＩＯＮＯＦＣ－ｅｒｂＢ－１ＡＮＤＣ－ｅｒｂＢ－２ＯＮＣＯＧＥＮＥＳＩＮＢＡＳＡＬＣＥＬＬＣＡＲＣＩＮＯＭＡＡＮＤＳＱＵＡＭＯＵＳＣＥＬＬＣＡＲＣＩＮＯＭＡＯＦＳＫＩＮＬｉｕＢａｏｊｕｎ；（刘宝军），ＺｈａｎｇＨａｉｔａｏ；（张海涛...     

硒对急性心肌梗塞病人红细胞变形能力的影响及机制探讨

①目的探讨硒（Ｓｅ）对急性心肌梗塞（ＡＭＩ）病人红细胞变形能力（ＥＤ）的影响及其机制。②方法检测了４２例ＡＭＩ病人和３７例健康人红细胞滤过指数（ＥＦＩ）、红细胞膜Ｎａ＋－Ｋ＋－ＡＴＰ酶、谷胱甘肽过氧化物酶（ＧＳＨ－ｐｘ）活性和脂质过氧化物（ＬＰＯ）的变化，同时观察了硒在体外对ＡＭＩ病人ＥＦＩ，Ｎａ＋－Ｋ＋－ＡＴＰ酶、ＧＳＨ－ｐｘ和ＬＰＯ的影响。③结果ＡＭＩ病人ＥＦＩ，ＬＰＯ明显增高，Ｎａ＋－Ｋ＋－ＡＴＰ酶和ＧＳＨ－ｐｘ活性明显降低，与对照组比较差异均有极显著性（ｔ＝４．２０６～４．９５２，Ｐ均＜０．００１）；ＡＭＩ病人红细胞与Ｓｅ在体外孵育２４ｈ后，ＥＦＩ与ＬＰＯ明显降低，Ｎａ＋－Ｋ＋－ＡＴＰ酶和ＧＳＨ－ｐｘ活性明显增高，与孵育前组比较差异均有极显著性（ｔ＝３．５０５～４．５１７，Ｐ＜０．００１），与对照组孵育前后组比较差异均无显著性（ｔ＝１．３６５～１．８４２，Ｐ均＞０．０５）。④结论Ｓｅ具有改善和提高ＡＭＩ病人ＥＤ的作用，其机制与增强红细胞膜ＡＴＰ酶和ＧＳＨ－ｐｘ活性有关。     

LIGH T MICROSCOPE STUDIES OF THE MORPHOLOGY AND DISTRIBUTION OFAUERBODIESINACUTEPROMYELOCYTICLEUKEMIA

ＬＩＧＨＴＭＩＣＲＯＳＣＯＰＥＳＴＵＤＩＥＳＯＦＴＨＥ·ＭＯＲＰＨＯＬＯＧＹＡＮＤＤＩＳＴＲＩＢＵＴＩＯＮＯＦＡＵＥＲＢＯＤＩＥＳＩＮＡＣＵＴＥＰＲＯＭＹＥＬＯＣＹＴＩＣＬＥＵＫＥＭＩＡＷａｎｇＫｅｑｉａｎｇ（王克强），ＬｉＹａｎ（李雁），Ｈｕａｎｇ...     

EXPRESSION OF HLA－CLASS Ⅱ GENES OF IDDM PATIENTS ON THE SURFACE OF THE LTK~－ CELLS

ＥＸＰＲＥＳＳＩＯＮＯＦＨＬＡ－ＣＬＡＳＳⅡＧＥＮＥＳＯＦＩＤＤＭＰＡＴＩＥＮＴＳＯＮＴＨＥＳＵＲＦＡＣＥＯＦＴＨＥＬＴＫ~－ＣＥＬＬＳ￥ＷａｎｇＨｅｎｇ（王姮）ａｎｄＳｕｎＱｉ（孙琦）（ＰＵＭＣＨｏｓｐｉｔａｌ，ＣＡＭＳ＆ＰＵＭＣ，Ｂｅｉｊｉｎｇ１?..     

EFFECT OF THE EXCITATION OF ADRENOCEPTORS ON THE PACEMAKER CURRENT I_f OF SHEEP CARDIAC PURKINJE FIBRES IN “ISCHEMIA” SOLUTIO

ＥＦＦＥＣＴＯＦＴＨＥＥＸＣＩＴＡＴＩＯＮＯＦＡＤＲＥＮＯＣＥＰＴＯＲＳＯＮＴＨＥＰＡＣＥＭＡＫＥＲＣＵＲＲＥＮＴＩ_ｆＯＦＳＨＥＥＰＣＡＲＤＩＡＣＰＵＲＫＩＮＪＥＦＩＢＲＥＳＩＮ“ＩＳＣＨＥＭＩＡ”ＳＯＬＵＴＩＯＮＸｕＹｏｕｑｉｕ（徐有秋），Ｚｈａ?..     

SHR大鼠血管内皮释放NO功能降低对α_1肾上腺素受体兴奋剂的反应

目的研究大鼠阻力血管在α_１肾上腺素受体兴奋时内皮释放ＮＯ的变化。方法选用１６和４０周龄的自发性高血压大鼠（ＳＨＲ）和正常血压大鼠（ＷＫＹ）对照。用后肢阻力血管灌注模型来研究α_１肾上腺素受体兴奋剂（苯肾上腺素）的灌注压力曲线，以及在Ｌ－亚硝基精氨酸甲酯（ＬＮＡＭＥ）阻断ＮＯ的合成和用Ｌ－精氨酸（Ｌ－ａｒｇ）来增加ＮＯ合成的底物时，对苯肾上腺素的剂量反应曲线的影响。结果（ｌ）ＳＨＲ组ＰＰｍｉｎ，ＰＰｍａｘ，和Ｓｌｏｐｅ明显高于ＷＫＹ组，４０周ＥＣ_（５０）明显低于ＷＫＹ组，１６周时ＳＨＲ和ＷＫＹ没有明显差别。（２）ＳＨＲ后肢阻力血管对苯肾上腺素的反应明显强于ＷＫＹ组，用ＬＮＡＭＥ后苯肾上腺素的剂量反应曲线明显左移，用Ｌ－ａｒｇ后苯肾上腺素的剂量反应曲线在ＳＨＲ组没有明显变化．在ＷＫＹ组明显右移。结论（ｌ）α_１肾上腺素受体兴、奋时引起血管收缩的同时，引起内皮释放ＮＯ增加；（２）内皮释放ＮＯ在血管收缩时起负反馈的调节作用；（３）高血压时内皮细胞释放ＮＯ的功能障碍是导致阻力血管α_１肾上腺素受体兴奋剂反应性增加的原因之一。     

非胰岛素依赖型糖尿病患者红细胞膜ATPase活性改变及其影 …

目的 搪塞非胰岛素依赖型糖尿病（ＮＩＤＤＭ）患者红细胞膜Ｎａ－Ｋ－ＡＴＰａｓｅ及Ｃａ＾２＋－ＡＴＰａｓｅ活性改变的影响因素。方法 测定７７例ＮＩＤＤＭ患者和５０例正常人血糖、总胆固醇（ＴＣ）、甘油三酯（ＴＧ）高密度脂蛋白胆固醇（ＨＤＬＣ）脂质过氧化物（ＬＰＯ）、谷胱甘肽（ＧＳＨ）、糖化血红蛋白、超氧化物歧化酶ＳＯＤ、谷胱甘肽过氧化物酶（ＧＳＨＰＸ）、红细胞膜Ｎａ－Ｋ－ＡＴＰａｓｅ和Ｃａ＾２＋－ＡＴ     

DENTAL OCCLUSION STUDY OF YUDEN''''S SKULL IN NEOLITHIC AGE

ＤＥＮＴＡＬＯＣＣＬＵＳＩＯＮＳＴＵＤＹＯＦＹＵＤＥＮ　ＳＳＫＵＬＬＩＮＮＥＯＬＩＴＨＩＣＡＧＥＸｕＬｉｎ（徐丽丽）,ＳｕｎＤｅｌｉｎ（孙大麟）,ＰａｎＫｅｆｅｎｇ（潘可风）（ＤｅｐａｒｔｍｅｎｔｏｆＯｒａｌＡｎａｔｏｍｙ,ＳｃｈｏｏｌｏｆＳｔｏｍａ...     

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     

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.     

Dr.Zhang Ren's Experience in the Acupuncture Treatment of Different Diseases with the Same Therapeutic Principle

Dr.Zhang Ren,the chief physician,is the chairman of Shanghai Acupuncture and Moxibustion Association.Having been engaged in medicine for about 40 years,he is experienced in treating various intractable diseases.In his long years of clinical practice,he advocates taking the TCM differentiation as the basis to seek for the acupuncture method for treatment of modern intractable diseases.The author of this essay had the fortune to follow Dr.Zhang in study.The following is a summary of Dr.Zhang's experience in the acupuncture treatment for different intractable diseases with the same therapeutic principle.