脑电图对小儿植物神经性癫痫的诊断价值

目的 探讨脑电图(EEG)对植物神经性癫痫的诊断价值。方法 分析60例小儿发作性腹痛的清醒常规EEG、自然睡眠、剥夺睡眠EEG的检查结果。结果60例小儿发作性腹痛的EEG中异常25N(41．7％)。其中，中度异常4例，痫样放电21例，痫样波检出率为35．0％。结合病史、症状及头颅CT检查，21例临床确诊为植物神经性癫痫。结论 脑电图检查对植物神经性癫痫的诊断有重要价值。     

132例植物神经性癫痫的临床与脑电图观察

本文报告132例植物神经性癫痫的临床及脑电图,结果显示:常规脑电图正常36例,轻度异常45例,中度异常47例,重度异常4例。出现癫痫放电51例(占38.6％)。经药物诱发癫痫放电81例。本病多见于学龄期儿童及青少年,临床表现复杂,常易误诊。应用脑电图检查及其睡眠诱发试验对早期诊断有重要价值;进行抗癫痫治疗,效果满意。     

小儿植物神经性癫痫36例临床与脑电图分析

植物神经性癫痫是癫痫少见的发作类型,笔者对１９８０年～１９９５年脑电图显示癫痫放电,并经抗癫痫治疗有效而确诊为植物神经性癫痫的３６例进行临床与脑电图分析,试图探索小儿植物性癫痫的病因及发病规律。临床资料一、一般资料男１５例,女２１例。年龄３～５岁９例...     

300例儿童植物神经性癫痫的脑电图分析

植物神经性癫痫是多发生于儿童的一种特殊类型癫痫,临床表现多样.笔者于2005年11月～2008年12月对300例植物神经性癫痫患儿的脑电图及临床特征进行了分析,报告如下.     

动态脑电图对间脑癫痫的诊断价值

动态脑电图对间脑癫痫的诊断价值承德市中心医院动态脑电图室张秀华承德市中心医院内科王立冬关键词间脑癫痫，动态脑电图间脑癫痫又称植物神经性癫痫，其临床症状复杂多变，多以发作性植物神经症状为主。检查时常无与症状相应的体征和器质性病变，以致诊断困难。动态脑电...     

剥夺睡眠诱发试验对提高癫痫脑电图阳性率的作用：附44例分析

本文对44例剥夺睡眠诱发癫痫的脑电图进行了分析,并与常规脑电图进行比较。在21例癫痫大发作中剥夺睡眠诱发阳性率提高了59.14％,在14例精神运动性癫痫中剥夺睡眠诱发阳性率提高了35.71％,在7例植物神经癫痫中提高了42.86％。本方法简便,不需特殊设备,无副作用,对剥夺睡眠诱发为阴性者可再连续作睡眠诱发,以进一步提高阳性率。     

37例小儿植物神经性癫痫临床分析

小儿植物神经性癫痫是小儿癫痫的特殊发作类型,其表现复杂多样,常易误诊.本文收集1992～1998年门诊及住院的37例植物神经性癫痫患者病历,就其临床、脑电图改变进行分析.     

48例枕叶癫痫的临床分析

目的 分析总结枕叶癫痫的临床表现及脑电图特点以提高对其的临床诊断水平.方法 分析总结48例确诊为枕叶癫痫患者的临床表现和脑电图特点.结果 枕叶癫痫的发作形式有:视觉症状、运动症状(偏转发作、继发性全身泛化、偏身抽搐、偏身强直和部分癫痫持续状态)、植物神经症状、复杂部分性发作伴自动症和肢体麻木.脑电图特点:一侧或双侧枕叶的痫性放电.结论 枕叶癫痫是一组较具有特征的癫痫综合征,掌握其临床表现及脑电图特点,常可做出正确诊断.     

睡眠剥夺和药物诱导睡眠脑电图在癫痫诊断中的应用价值

目的探讨睡眠剥夺和药物诱导睡眠脑电图在癫痫诊断中的作用。方法选择2005年6月-2009年6月在河北省人民医院门诊就诊和住院治疗的清醒间歇期脑电图无阳性发现的癫痫患者243例,分为睡眠剥夺诱导睡眠组和水合氯醛诱导睡眠组,分别进行清醒期和睡眠期脑电图记录。结果睡眠剥夺诱导睡眠组和水合氯醛诱导睡眠组癫痫样放电出现率分别为66．3％和45．6％,差异有统计学意义（P〈0．05）。结论睡眠剥夺和药物诱导睡眠脑电图均可提高脑电图阳性率,前者效果较好,后者较为方便。     

小儿植物神经性癫痫98例临床分析

目的：分析小儿植物神经性癫痫的临床特点。方法：对患儿进行体格检查，脑电图检查，确诊后行药物治疗，并随访。结果，发作后１２ｈ内脑电图癫痫波检出率最高（７１．１１％），９８例经１－４次脑电图检查，均记录到癫痫波而确诊，发作控制１年后停止用药，癫痫复发率４５．４５％，发作控制２年后停止药得发率仅１２．００％，结论：及时，多次脑电图检查，可明显提高该病诊断阳性率，以发作控制２年后停药为宜。     

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.     

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.     

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…     

CLINICAL SIGNIFICANCE OF SERUM CYTOKINES IL-1β,sIL-2R,IL-6,TNF-α,AND IFN-v IN ACUTE CORONARY SYNDROME

Objectives To explore serum cytokines levels (including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v) and their significance in patients with acute coronary syndrome (ACS) and the subsequent follow-ups, with attempt to estimate the role of various serum inflammatory markers in the diagnosis and assessment of ACS.Methods The study population include 40 patients with acute myocardial infarction (AMI), 40 patients with unstable angina pectoris (UAP), and 40 controls. Among the 80 patients, 60 patients attended a follow up 4 months later. Serum inflammatory markers including IL-1 β, sIL-2R, IL-6, TNF-α, and IFN-v were measured by enzyme linked immunosorbent assay.Results Serum IL- 1 β, sIL-2R, IL-6, TNF-α were significantly higher in AMI group or UAP group compared to the control group and became significantly lower 4 months later in the follow-up patients. Serum levels of IFN-v shows no significant difference between AMI group or UAP group and controls, also showing no significant change when measured in follow up patients. There was no correlation between serum creatine kinase-MB isoenzyme levels and serum inflammatory markers either in UAP or AMI group. Furthermore, when divided into two subgroups using Wagner's QRS scoring system in the AMI group, there is no difference of each serum inflammatory marker between ≤ 6 scores group and ＞ 6 scores group.Conclusion Serum levels of certain inflammatory markers may have some diagnostic value for ACS, and can be a useful marker reflecting disease stability.     

Possible Spread of adenovirus type 3 from poultry to humans ：indirect evidence from an outbreak in China

Objective:To explore the epidemiology and etiology for an outbreak of acute respiratory tract infection that occurred in one county of Jiangsu Province, China 2004. Methods: Only cases meeting the case definition were included in the study. We reviewed the medical records of the cases who were admitted to the local hospitals, interviewed cases by a standard questionnaire, and then described the epidemiotogic features and analyzed risk factors by means of a case-control study. We collected pharyngeal swab specimens and sent them to different laboratories for isolation and culture. The laboratory used different detection methods such as DIP, PCR, electron microscope examination and microneutralization assay, to identify and then type the positive specimens. Results:A total of 871 cases were reported during the period from April 18 to July 4,2004. The distribution of onset times presented two peaks, one in late May and another in middle June. The epidemic occurred mainly in the elementary and junior high schools in ten townships of one county, and the mean age of the cases was 12 years (range 7 months to 18 years). The course of the disease was acute, and was characterized by fever accompanied with sore throat and tonsillitis. The WBC count of cases was normal or elevated. The mean duration of illness was 5 days (range 2 to 12 days). No fatalities from illness were reported. A case-control study indicated that the possible risk factors were close contact with a case and/or poultry before onset and sharing of towels among members of the family. The typical CPE was observed through inoculating pharyngeal swab specimens into the HEP-2 cell cultures in different laboratories. An infection of adenovirus type 3 was verified by detecting positive specimens in different methods. Conclusion:This investigation demonstrated that the acute respiratory infection in cases was caused by adenovirus type 3. Cases occurred in over 70 schools in ten townships in 2004, and the route of transmission was possibly close contact with cases or droplet transmission.