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Role of endothelial function and inflammation in patients with cardiovascular risk factors, with and without a history of myocardial infarction;Comparison of gated blood pool SPECT and multidetector row computed tomography for measurements of left ventricular volumes and ejection fraction in patients with atypical chest pain: Validation with radionuclide ventriculography;Plasma adiponectin, T94G gene polymorphism and PAI-1 in patients with and without hypertension;Prognostic value of myocardial perfusion imaging in symptomatic and asymptomatic patients after percutaneous coronary intervention;Impact of early initiation of intravenous therapy for acute decompeusated heart failure on outcomes in ADHERE……

文章摘要：内皮功能和炎症在有或无心肌梗死病史的具有心血管危险因素患者中的作用；门控血池SPECT和多层螺旋CT对于测量不典型胸痛患者左室容积和射血分数的比较：以放射性核素心室造影检查进行验证；有或无高血压的患者的血浆脂联素、T94G基因多态性和PAI-1；心肌灌注成像对经皮冠状动脉介入后有症状和无症状患者的预后评估价值；ADHERE中早期开始静脉用药治疗急性失代偿性心力衰竭对预后的影响

with the improvement of the general practitioner on treatment and communication,most old chronic patients can be reasonable treatment.The primary transfer reason is examinational equipment and drug deficiency,complication:treatment of hypertension and diabetis、the drug treatment need improve.choose self-register patients are more,exploit area health community aren't enough.As transfer patients all come back to commuty,we can recognize the patients' acceptive to general practitioners.

随着社区全科医生的业务水平和管理沟通能力的提高，绝大多数老年慢病病人可在社区得到妥善的救治，转诊的主要原因是医疗检查设备缺乏和药品不足，高血压、糖尿病的并发症治疗、冠心病的药物治疗是社区医生需要加强的，采用自行挂号到三级医院看病的老年患者较多，区域医疗共同体转诊途径利用不足，从经上级医生诊治后病人能全部回到社区医生手中可看出病人对社区医生的技术水平的认可。

METHODS 80 eyes of 47 patients with glaucoma (31 eyes of 18 patients with POAG , 27 eyes of 14 patients with NTG and 22 eyes of 15 patients with CACG ) and 44 normal eyes of 39 control subjects were tested by simultaneous ICGA and fluorescein angiography with Heidelberg retina angiograph. The occurrence and extent of peripapillary atrophy and indocyanine green angiographic anormalies of optic disk were compared between glaucoma and control group, and among the three types of glaucoma as well.

应用Heidelberg共焦激光扫描眼底血管造影仪(Heidelberg retina angiograph，HRA)，对青光眼患者47例80只眼(POAG 18例31只眼；NTG 14例27只眼；CACG 15例22只眼)及正常对照组44例44只眼行吲哚青绿眼底血管造影(indocyanine green angiography，ICGA)和荧光素眼底血管造影(fundus fluorescein angiography，FFA)同步检查，比较青光眼与对照组及青光眼各组间视盘旁萎缩(peripapillary atrophy，PPA)以及视盘ICGA表现的差异。

Methods 104 patients with chronic cerebral circulation insufficiency were randomly divided into two groups.in basis of routine therapy, patients in treatment group (n=56) were treated by yangxue qingnao granules,4 g,three times a day; patients in control group (n＝48) were treated by troxerutin, 3 pills a day.the course was 30 days in two groups.the indexes of hemorrheology and mca,aca,pca, va, ba and pi were observed before and after treatment.results there were significant differences between two groups in blood viscosity, plasma viscosity, mca,aca,pca,mca and pi after treatment (p.05).conclusion yangxue qingnao granules have definite effect on chronic cerebral circulation insufficiency, and decrease and hemorrheology in patients with ccci, relieve angiospasm and improve clinical symptoms.

将慢性脑供血不足患者104例随机分为2组。在常规治疗基础上治疗组56例加服养血清脑颗粒，每次4 g，每日3次口服。对照组48例在常规治疗基础上加服曲克芦丁，每次2片，每日3次口服。2组均30日为1个疗程。观察2组临床疗效，治疗前后血液流变学指标及大脑中动脉、大脑前动脉、大脑后动脉、左右椎动脉和基底动脉的搏动指数及阻力指数的变化。结果 2组治疗后全血黏度、血浆黏度，mca、aca、pca的pi及mca的ri及总有效率比较差异均有统计学意义(p＜0.05)。结论养血清脑颗粒治疗慢性脑供血不足疗效确切，能降低ccci患者的血液黏稠度及血液流变学指标，增加脑供血，缓解血管痉挛，改善临床症状，改善脑供血不足。

Methods: Between November 2003 and December 2005, 67 patients with renal cell carcinoma underwent retroperitoneal laparoscopic radical nephrectomy (34 patients, group A) and open radical nephrectomy (33 patients, group B). Operating time, blond loss, amount of postoperative drainage, time to ambulation, recovery of intestinal function after operation, the postoperative hospital stay, use of antalgesic and transfusion blood and plasma were compared between group A and group B, retrospectively. Results: In group A, the operations of 31 patients were successful and 3 cases failed, then conversed to open surgery. Firstly, one case were not decented the prerenal fascia and the other two cases occurred complications, one case was due to injurying genital gland vein, with blood loss of 500m1, another fatty renal capsula was too thick to explose the renal pedicle. The operations of group B were all successful, only one case was died of intracerebral hemorrhage after two monthes.

回顾性分析和比较后腹腔镜肾癌根治性切除术(Retroperitoneal laparoscopic radical nephrectomy， RLRN)34例与开放性肾癌根治性切除术(Open radical nephrectomy， ORN)33例，比较两种方法的手术时间、术中出血、术后引流、术后最早下床活动时间、肠功能恢复情况、术后住院时间、术后镇痛剂使用量、术中术后输血、血浆量、术后随访时间及手术效果结果：A组中1例因最初对解剖结构难于辨认，无法分离肾前筋膜至肾门而改行开放手术，1例因损伤精索静脉出血难以控制而改行开放手术，1例因肾周脂肪过多，无法将肾脏掀起显露肾蒂而行开放手术，31例手术成功。B组手术均获成功，1例术后2个月因大面积脑出血死亡，余均无瘤生存。

Results Of 137 patients, 42 of them were complicated with hemorrhage, 53 patients with IFI developed candida anthema in the chest, abdomen and extremity, 49 patients suffering from IFI had organ dysfunction. The chest image revealed that infiltration caused by IFI especially occurred in apex of lung in some patients.

结果 137例IFI患者中并发出血42例；53例患者胸腹部、四肢出现念珠菌疹；49例并发器官功能损害；肺部影像学检查以累及肺尖的炎性渗出为其特征。

Of the 8 cases, 2 cases showed blood Tb-Ab positive, 1 case was positive to antiacid bacillus of sputum, the rest cases with negative TBAb. 3 patients with 2 showed organs infection, 6 patients passed the tissue biopsy diagnose, body temperature of 6 cases fall to normal after 3-7 days of antituberculotic treatment, mild liver dysfunction appeared in 2 patients, hyperuricemia occurred in 7 patients, in addition, 1 patient developed reject reaction. Among all the cases, 7 cases healed, 1 died of pulmonary fungal infection.

其中2例血Tb-Ab，1例腹水结核抗体阳性，1例痰抗酸杆菌阳性，其余结核抗体阴性，3例患者表现为2个脏器感染，6例通过病理组织活检诊断，6例发热者在抗结核治疗3~7d体温降至正常，2例患者在治疗过程中出现轻度肝功能异常，7例出现高尿酸血症，1例出现移植肾排斥反应。8例患者7例痊愈，1例肺结核患者死于肺部真菌感染。6例发热者在抗结核治疗3~7d体温降至正常。

Geotropic nystagmus was seen in 25 patients in Dix-Hallpike test and roll test, while apogeotropic nystagmus in 13 patients. The direction of nystagmus could not be ascertained clinically in 3 patients and the direction of nystagmus was the same during right and left positional test in 5 patients.

35例患者通过两种试验诱发出水平眼震，11例患者仅通过滚转试验诱发出水平眼震。25例患者眼震方向向地，13例患者眼震方向背地， 3例患者眼震方向不固定， 5例患者各种手法诱发出同一方向的眼震。29例患者在双侧手法中出现眼震， 17例患者在一侧手法中出现眼震。

The response patterns were analyzed and categorized. The prolonged asystole was searched. Follow up was made at the outpatient clinic or by phone during October 2004. Two hundred forty-two patients (40.1%) had positive response. 172 patients (71.1%) with the mixed type, 60 patients (24.8%) with the vasodepressive type and only 10 patients (4.1%) with the cardioinhibitory type.

反应的型态皆加以分析及归类并寻找有长的心跳停止者而於2004年十月於门诊或电话做追踪。242位病人(40.1%)为阳性反应，其中172位(71.1%)为混合型，60位(24.8%)为血压下降型，而仅有10位(4.1%)为心跳抑制型。

Abstract］ objective to discuss the effect of two kinds of nursing methods of male urinary incontinence patients to urinary tract infection and patient's comfortable influence of degree.methods 80 masculine urine incontinence patients in our hospital with voluntary will were chose,and divided them into the observation group and the comparison group,with 40 examples each.the observation group used bt-ⅰ high level chamber pot,the comparison group used the catheter.compared with 2 groups after nursing of the 3rd,7th,10th,14th day-long urethral meatus bacilliculture,the severance urine bacilliculture result and the urine road junction partial symptom.results compared the results of urine road and severance urine bacilliculture,and the urine road junction partial symptom of two groups,the observation group masculine positive rate was obviously lower than the comparison group,the difference had statistics significance（p.05）.conclusion using bt-ⅰ chamber pot can effectively enhance the nursing effect of the masculine urine incontinence patients'perineum and periphery skin,enhance the patients' degree of comfort.

目的 探讨男性尿失禁患者两种护理方法对尿路感染及患者舒适度的影响。方法本着患者及家属自愿选择的原则将入住我院的男性尿失禁患者80名分为观察组和对照组各40例。观察组利用bt-ⅰ型高级透气接尿器，对照组采用留置导尿管，比较两组护理后第3、7、10、14天的尿道口的细菌培养结果及尿道口的局部症状。结果两组患者尿道口培养结果及尿道口局部不良症状比较，观察组阳性率明显低于对照组，差异有统计学意义（p＜0.05）。结论使用bt-ⅰ型接尿器可有效提高男性尿失禁患者会阴及周围皮肤的护理效果，提高患者的舒适度。

It is suggested that TDS can be used as a new method for the analysis of pedogenesis and climatic change.

总之，热处理过程中磁化率的变化能非常灵敏地反映磁性矿物的转化情况，而且，这种转化往往与样品所经历的土壤化作用强度密切相关，因此，TDS可做为分析成土作用强度和古气候变化的一种新方法。

Therefore, in this chapter, I will research into the conflict and contradiction of the paternity. Also, in this novel, the father's behavior of "He who loves well chastises well." is quite suspicious, one of the reasons is that the father thought his son belonged to him. And then, this thesis quoted Lacan's theory to touch upon that someone who has accepted the concept of patriarchal society, he will be influenced for his whole life. That also reveals that human being has no choice sometimes in this society.

因此本章会先就父子关系的冲突与矛盾做深入的探讨，小说中的父亲似有对儿子爱之深责之切的行为，其原因可能在於父亲将儿子视为所有物所致；其次，论文将引用拉冈相关理论，讨论在父权社会中，不论身分为何，只要是已受父权社会观念根深蒂固影响的人物，终生都将受其所苦，此也揭示出人生存於社会上的无奈。