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Methods: The coated metallic stents were introduced by direct observation of endoscopy for 30 patients with cancerous esophagotracheal fistula. The all 30 cases of the patients were associated with pulmonary infection,dystrophia and choke before the operation. The success rate of the implantation,complication rate and curative effect were observed after the operation. Results: The first success rate of the patients was 100%. All patients could take food after the operation and the pulmonary infection was also controlled apparently. The median survive time was 10 months.

在内镜直视下置入国产金属带膜支架，观察支架置入成功率、操作相关并发症、支架疗效和并发症等指标。30例癌性食管气管瘘患者，术前伴明显的肺部感染和严重营养不良及进食呛咳等症状，结果：30例患者支架置入术操作一次成功率为100%，支架置入术后患者进食困难均有改善，肺部感染得到明显控制，随访平均生存时间10月(2～16月)。

objective to explore the reasonable utilization of cephalosporins in chronic renal failure patients with cephalosporin encephalopathy.method we retrospectively analyzed the clinical characteristics of 29 crf patients,who developed encephalopathic syndrome and was treated with cephalosporin.results the encepha1opathic syndrome include (1)mental confusion in 4 cases;(2)unconsciousness in 2 cases;(3)seizure in 23 cases.physical examination did not show signs of cerebral focal injury.computed tomography of the brain in 29 patients did not show acute lesions.the state of neurotoxicity was completely recovered after discontinuation of cephalosporins.conclusion cephalosporins used in conventional doses or reduced doses can cause temporary encephalopathy in patients with crfwhich might due to prolongation of drug half life.

目的 通过研究慢性肾功能衰竭患者抗生素脑病的发病机制和临床特点，探讨头孢菌素在crf患者中的合理应用。方法 29例crf患者在使用常规剂量或减量使用头孢菌素后出现神经精神症状，诊断为抗生素脑病，将其临床资料进行回顾性分析。结果神经精神症状表现多样：(1)精神异常4例，表现为胡言乱语、烦躁不安、睡眠倒错；(2)意识障碍2例，表现为嗜睡、昏睡、神志不清；(3)癫痫样抽搐23例，表现为肌阵挛、全身抽搐、癫痫样发作；部分患者同时出现几组症状。所有患者均无神经系统定位体征，行颅脑ct检查无急性病变。

Results Among the total 26 patients, epileptogenic zones were localized by long-term video-EEG recording in 16 patients and MRI in 12 patients and intracranial electrodes in 4 patients.

结果 16例患者通过EEG确定了致痫灶，12例通过MRI确定了致痫灶，4例根据颅内埋置电极定位了致痫灶。

Methods: 76 patients with colorectal cancer were collected in our department. They were divided into two groups, patients with metastases(MCRC,N=51) and patients after eradicative operation(non-metastasis group, NM,N=25).Serum markers of VEGF, OPN, CA19-9 and CEA were detected in all the included patients,and then to analyze the diagnostic value of the serum markers in detection of metastases.

测定76例结直肠癌患者（其中51例为转移性结直肠癌，25例为术后无转移者）血清中的VEGF、OPN和CA19-9及CEA水平，分析这些指标诊断结直肠癌转移的临床意义。

The syndrome of the most dementia patients from this study are inter-mediate level .The result of this study shows that the longer period patients got dementia and the more time caregivers have spent for caring patients, and the worse ADL, deviant behaviors and emotions of patients, the havier burden the caregivers would get.

样本群主要以中重度失智患者为主，本研究分析结论显示：当患者罹患失智症越久、照顾者照顾时间越长、照顾者每天花费於照顾患者的时间越多、患者之日常生活功能越差、患者之行为情绪问题越严重时，则照顾者之照顾负荷将越重。

To investigate the effect of artificial liver support system treatment in patients with drug - induced hep- atic failure, 12 patients with dHF received the combination treatment of hepatotherapy and ALSS, 10 patients with dHF received the combination treatment of hepatotherapy and ALSS, 10 patients with dHF only hepato - therapy as control.

作者：戴炜；杨大国；刘粤；顾明伦；曾丽红；邓永聪探讨应用人工肝支持系统（artificial liver support system，ALSS）治疗抗结核药物性肝衰竭（drug－in－duced hepatic failure，dHF）的临床疗效。

RESULTS The total mortality was 42%, with 36.4% in coronary heart disease patients and 64% in non-coronary heart disease patients (P.05). In patients using IABP preoperatively, the mortality was much lower than that in patients using IABP during or postoperatively (0%, 40%, 50% respectively, P.05). After using IABP, homodynamic data improved and dose of cardiovascular drugs decreased significantly.

结果 本组总病死率42%，其中冠心病患者手术死亡率（36%低于非冠心病者的手术死亡率（64%，P.05）；术前应用IABP患者手术死亡率（0%）明显低于术中（40%）和术后（50%）应用IABP的患者（P.05）；IABP辅助后血流动力学指标明显改善，血管活性药物用量减少。

Methods:We ablated the ventricular tachycardia of 12 patients with normal hearts by the catheter, using pace mapping and activation sequence mapping. The former original target was the site where the pacing QRS was entirely consistent with IVT(Idiopathetic Ventricular Tachycardia) attack. And the latter original target was the site of in advance of earliest high frequency and low amplitude local potential on surface electrocardiogram QRS≥20ms, using activation sequence mapping. Results: Among 12 patients, the IVT originated from right ventricle in 2 patients, from left ventricle in 10 patients.

对12例正常心脏室速进行导管消融，采用起搏标测与激动顺序标测，前者以起搏时与室速QRS波型形态完全相同，后者以激动顺序标测法定位，以记录心动过速时较体表心电图QRS提前≥20ms的最早高频低振幅局部电位处为消融靶点，结果：12例患者室速起源部位分别为：右心室2例，左心室10例，疗效100%。

But in the group of resecting intercostobrachial nerve, 3 patients have axillary absent sweating, 18 patients have anesthesia, 4 patients have burning sensation, and 9 patients have hypoaesthesia.

两组之间在统计学上有显著性差异（χ2=481570；P＜005）；肋间臂神经保留组58例术后未发生患肢疼痛，11例发生患肢疼痛；而肋间臂神经切除组5例术后未发生患肢疼痛，29例术后发生患肢疼痛。

The anteroposterior projectionof the foot, utilized to examine the foot disease in the past was referred as to the freely-stressed method. However, most of the patients on suspicion of Hallux Valgus get pains while standing with weight-bearing. Additionally, the patients' real conditions can not be diagnosed without standing. it is helpful for us to apply both the foot weight-bearing and the foot non weight-bearing so as to probe the individual difference between the HVA and the IMA 1(superscript * intermetatarsal angle and further to provide the informative resources concerning the assessment of performing surgery operation. The study include 40 patients who we having Hallux Valgus of different degree, The findings have revealed the significant difference among 40 patients after the method-weight-bearing AP of the foot projection given.

过去一般常用诊断足部疾病的足部摄影(anteroposterior projection of the foot； AP projection of the foot)是指未施加压於病人足部的拍摄方法，然而多大脚趾外翻的病患常於站负重时感觉疼痛舒服，而未负重摄影却无法呈现出病人站时的真实态，因此我们用足部前后位负重摄影(weight-bearing AP projection of the foot)与足部未负重摄影(non weight-bearing AP projection of the foot)的影像比较其大脚趾外翻角(Hallux valgus angle， HVA)及第一跖骨间的角1(上标 st intermetatarsal angle， IMA的差，进而提供外科手术的估评。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。