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51.
J Suárez de Lezo A Medina M Pan E Hernández M Sancho A Bethencourt M Romero F Melián J Segura F Jiménez 《Revista espa?ola de cardiología》1991,44(2):106-114
We study 40 patients, 55 +/- 7 years old with acute myocardial infarction treated early by thrombolytic therapy (20 STK and 20 rt-PA). All patients were angiographically studied in the following conditions: 1) baseline, before initiating therapy. 2) Three hours after treatment. 3) Twenty four hours later. 4) Before discharge. The infarct related artery was patent 24 hours after treatment in 31 patients (78%); five of them were patent before treatment, and we observed an early reperfusion in 20 patients (57%) and late reperfusion in 6 patients (17%). The number of patients with angiographic evidence of intraluminal thrombus decreased progressively through conditions while the grade TIMI of coronary perfusion increased in the absence of reocclusion. Final regional wall motion of infarct related myocardial zones and their degree of recovery were significantly higher in recanalized patients, as compared with non-reperfused patients. Similarly, left ventricular functional recovery was higher in patients with antegrade of collateral flow to the infarct area, as compared with totally occluded patients. 相似文献
52.
The most outstanding pathological changes of perinatal babies and children, based on the review of the autopsy files in the 1st Affiliated Hospital of West China University of Medical Sciences, are lymphocytic depletion, and reticuloepithelial cell swelling and/or fusiform malformation in the cortex, while in the medulla apoptosis is more prominent. We suppose that these alterations are due to immaturity of cortical thymocytes, and in the diseased condition, they are easily affected by extraordinary factors, especially the influence of corticosterone inducing acute severe necrosis, so the number of lymphocytes are obviously diminished. But, in the medulla, as intact mature lymphocytes exist, physiological phenomenon such as apoptosis is rather prominent in it. While in the medulla, Hassall's corpuscles have various characteristic changes, such as cornification, calcification, fusion, cystic change and disintegration. Besides, we observed a new alteration in the thymus defined as vacuolization. All the above pathological changes reached the peak in the 28- day group; there after, they might become either worse or better according to the condition of the disease and growth of the body. However, these are still problems to be further studied separately. 相似文献
53.
卫生院改革中的"软法"运行现状及功能实现 总被引:1,自引:0,他引:1
乡镇卫生院改革是一项关乎农村稳定、农民安康的工程。从既有的工作轨迹及发展趋势来看,这项改革是在以“两办(中共中央办公厅、国务院办公 相似文献
54.
咯血是肺结核最常见的并发症之一,多见于初、复治的Ⅲ型肺结核病人,尤其是有空洞形成者。笔者近10年来采用云南白药(或云南白药胶囊)与维生素K4联合治疗初、复治肺结核引起少量咯血的病人,收到了较理想的效果,报告如下。 相似文献
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57.
C Y Chai A M Lin C K Su S R Hu C Yuan L S Kao J S Kuo D S Goldstein 《Journal of the autonomic nervous system》1991,33(1):35-46
Effects of stimulation of brainstem sites on hemodynamics and plasma catecholamine levels were assessed in cats under chloralose-urethane anesthesia. Pressor areas of the dorsal medulla (DM) and ventrolateral medulla (VLM) and the depressor area of the paramedian reticular nucleus (PRN) were stimulated electrically using a monopolar electrode, or chemically using sodium glutamate microinjection. Plasma levels of norepinephrine (NE) and epinephrine (EPI) were measured in caval blood above the adrenal veins. Electrical stimulation of the DM and VLM produced increases in blood pressure and in plasma NE and EPI levels that were enhanced after acute vagotomies. The NE and EPI responses were attenuated after acute, bilateral adrenalectomies, confirming augmented adrenomedullary secretion, whereas the pressor responses were intact. Injection of sodium glutamate into the same pressor regions of the DM or VLM also produced pressor responses and elevated plasma catecholamine levels, indicating that the responses resulted from activation of neuronal perikarya. Stimulation of the PRN attenuated pressor and catecholamine responses during stimulation of the DM and VLM. The results indicate that pressor responses during stimulation of the DM and VLM are due at least partly to activation of perikarya in these regions, are associated with but not dependent on adrenomedullary activation, and are enhanced after vagotomy; and that neurons of the PRN exert inhibitory modulation of the pressor and adrenomedullary responses during stimulation of VLM and DM. 相似文献
58.
Foropenseverewoundandthewoundafterdebridement,mostscholarsthinkthewoundshouldbeclosedindelayedfirst-phase.Meshrelaxingshortincision(MRSI)methodcanclosemoreskindeficiencyandhightensionopenwound,andavoidsubcutaneoushematomaandskinflapdrift.Intheexperiment,theexperimentalmodelonrattensionskinflaphasbeeninvolved,andthecontentofendothelin(ET)inratskinflaptissuehasbeenmeasuredinvariousperiodofwoundhealingaftermeshedrelaxingshortincisionsuturewithimmunohistochemistry,inordertodiscussprobablemechani… 相似文献
59.
目的 :探讨奶茶对大鼠体重和血清胆固醇含量的影响。方法 :将大鼠随机分为对照、脂对照、奶、茶和奶茶五组 ;高脂饲养的同时分别用水、奶、茶和奶茶进行灌胃 ,定期测定大鼠的血清胆固醇 (TC)。结果 :实验期间奶茶组大鼠体重的增长量高于其他三个高脂饲料组 ,且明显高于对照组 (P <0 .0 5 ) ;高脂饲料组大鼠的血清胆固醇含量明显增加 ,但增长量在高脂饲料组间差异无显著性 (P >0 .0 5 )。结论 :本实验浓度的奶茶对高脂饲料诱导的大鼠血清胆固醇升高未见有降低作用 相似文献
60.
J Segura M Anguita D Mesa E Romo R Vivancos J Suárez de Lezo F Vallés 《Revista espa?ola de cardiología》1991,44(9):625-627
The case of a patient in whom acute pericarditis was the initial manifestation of an idiopathic hypereosinophilia is reported. Endomyocardial abnormalities were not found by echocardiography. Response to prednisone therapy was good; symptoms, pericardial effusion and eosinophilia early disappeared after therapy. Some clinical aspects of this uncommon disease are discussed. 相似文献