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Results Bile acid metabolites were different between the patients and the healthy controls, even the dead patients and the cured patients. On the fourth day of consuming amanita verna, the bile acid metabolites of the dead patients were markedly different from those of the cured patients.

结果 白毒伞中毒患者的胆汁酸代谢产物与健康对照组有很大差异;死亡患者与治愈患者的胆汁酸代谢产物也不相同;二者之间的差异在食后第4天就明显地表现出来。

In the model of tumor cells metastases with cell line A673, 10〓 tumor cells can be detected after only one ampliation with outer primers, which means we can find 1 tumor cells in 10〓 normal PBMC, and enlarged again with inner primers, 10〓 tumor cells can be detected, which means we can find 1 tumor cell in 10〓 normal PBMC. In the simulative model of tumor cells metastases with RNA, 10〓 tumor cell can be detected that is to say we can find 1 tumor cell in about 10〓 normal PBMC. In all 15 samples of 11 patients, 2 patients'EWS/FLI1 expressions were negative, no evidence of metastases was found followed up by 8 months and 30 months respectively. Semi-quantitative study was used to detect the expression level of EWS/FLI1 mRNA in the other 9 positive patients, and metastases occurred in 6 high-level expression patients in 2-24 months after the operation, no evidence of metastases in the other 3 low-level expression patients up to now.

应用A673细胞系建立的肿瘤转移模型,单独应用外引物进行一次扩增,可以检测到10〓级肿瘤细胞,即可以从10〓个正常细胞中检测到1个肿瘤细胞;而在此基础上再次应用内引物扩增,则可以检测到10〓级肿瘤细胞,即可以从10〓个正常细胞中检测到1个肿瘤细胞;在用RNA模拟的肿瘤细胞转移模型中,两次扩增可以检测到10〓级肿瘤细胞,即可以从10〓个正常细胞中检测到1个肿瘤细胞。11例患者的15份标本中,2例没有检测到EWS/FLI1 mRNA的表达,分别随访8个月和30个月,没有发现临床转移的证据;对其余9例阳性表达的病例进行半定量的研究,6例EWS/FLI1 mRNA高表达的病例,分别在术后2-24个月发生转移,而3例EWS/FLI1 mRNA低表达的病例,则至今没有发现转移的证据。

All were determined by the acoustic immitance audiometer and pure tone audiometry. Results (1)A type was determined in 33 patients (62.26%), As type in 4 patients (7.55%), B type in 2 patients (3.77%), and C type in 14 patients (26.42%). 35 patients (66.04%) had normal air hearing threshold, 16(30.19%) had a little deafness and 2 (3.77%) had middle deafness.

结果 (1)53例患者中,声阻抗鼓室导抗图A型33例(62.26%),As型4例(7.55%),B型2例(3.77%),C型14例(26.42%);正常听阈35例(66.04%),轻度聋16例(30.19%),中度聋2例(3.77%);(2)As、B、C型异常导抗图、峰压值、同侧对侧镫骨肌反射、坡度在鼻窦炎各分型与对照组、各分型之间比较,30组比较中9组有统计学差异。

Results In 36 patients,CT was useful for the diagnosis of fracture,subarachnoid hemorrhage and multiple brain contusions,but missed 2 patients with brain contusion,5 patients with axis cylinders injury and 1 patient with subdural hematoma.MRI was more sensitive compared to CT with a miss of 3 patients with fractures,1 patient with axis cylinder injury and 4 patients with subarachnoid hemorrhage.

结果 36例中,CT对骨折、蛛网膜下腔出血及多发脑挫裂伤显示较好,但漏检2例脑挫裂伤、5例轴索损伤和1例硬膜下血肿;MRI病灶检出率较CT高,但MRI有3例骨折、1例轴索损伤和4例蛛网膜下腔出血不能检出。

Results 47 patients were misdiagnosed; 72 patients existed with acute obstruction and 40 cases with chronic obstruction; 82 patients belonged to Dukes C and 30 ones belonged to Dukes D; 70 patients treated by radical resection and 32 cases by palliative excision, 4 cases by cecostomy, 6 cases by by-pass operation; 69 patients were resected in one-stage resicion; 103 instances were followed with other physician diseases; 43 cases with postoperative complications were happened, 4 in death; the mean survival time was 23.4 months.

结果 入院前误诊47例(42.0%);急性梗阻72例(64.3%),慢性梗阻40例(35.7%);Dukes C期82例(73.2%),Dukes D期30例(26.8%);根治性切除70例(62.5%),姑息性切除32例(28.6%),结肠造口4例(3.6%),捷径手术6例(5.4%);一期切除吻合69例(61.6%);伴发其它疾病103例(92.0%);发生并发症34例(30.4%);围手术期死亡4例(3.6%);平均生存期23.4个月。

Method]from sept 2001 to feb 2005, 13 knees with combined acl and pcl tear in 13 patients were verified with arthroscopy. of them, 5 knee were combined with rupture of the posteromedial coner and medial collateral ligament, 3 combined with disruption of the posterolateral corner, 2 with lateral meniscus tear, 1 with medial meniscus tear, 3 associated with popliteal vascular injury and 2 with peroneal nerve injury. seven patients were admitted into this department in acute phase of trauma, repair of popliteal artery in 2 patients and repair of pmc and mcl in 4 patients were performed in this phase. arthroscopic combined reconstruction of acl and pcl with autografts was performed in all patients from 4 to 12 weeks after trauma, reconstruction of plc with the posterior half of biceps femoris tendon tenodesis in 3 patients and reconstruction of pmc and mcl with femoral fascia in 1 patient were completed simultaneously.

方法]自2001年9月~2005年2月,13例病人(13膝)经关节镜检查证实acl和pcl均断裂,其中5膝伴后内侧角、内侧副韧带损伤,4膝伴后外侧角损伤,2膝伴外侧半月板破裂,1膝伴内侧半月板损伤,3膝伴动脉损伤,2膝伴腓总神经损伤。7例病人于损伤后急性期入院,2膝于急性期行血管探查修复,4膝行膝后内侧角、内侧副韧带修复。13例病人于伤后4~12周在关节镜下行自体移植物单束acl和pcl联合重建术,其中4例同期后1/2 股二头肌腱重建后plc,1例同期阔筋膜pmc、mcl重建。

Results:eighty-one of 129 MODS patients had gastrointestinal failure and the morbidity of gastrointestinal failure was 62.8%,in whom 54 patients received rhubarb therapy and 33 patients(61.1)were all eviated.Whereas only 7(25.9%) out of 27 patients suffered from gastrointestinal failureinnon-rhubarb treatment group were improved.There was as ignificant difference between the two groups(P.01).Furthermore,28(51.9%) out of 54 MODS patients accompanied by gastrointestinal dysfunction were survive dafter rhubarb treatment,whereas 6(22.2%) of 27 MODS patients suffered from gastrointestinal dysfunction were survived in non-rhubarb treatment group.

其中54例患者接受大黄治疗,有效率为61.1%;27例患者为非大黄治疗组,胃肠功能恢复率为25.9%,2组间有显著性差异(P.01)。54例MODS伴胃肠功能障碍患者接受大黄治疗后,有28例患者存活,存活率为51.9%;27例MODS伴胃肠功能障碍患者接受其它胃肠动力剂治疗后有6例患者存活,存活率为22.2%。29例MODS不伴胃肠功能障碍的患者接受大黄治疗后有12例存活,存活率为41.4%;19例MODS不伴胃肠功能障碍者接受其它胃肠动力剂治疗后,有7例存活,存活率为36.8%。

Results: The causes of 56 patients who died were as follows: 29 patients died from the complication of respiratory system,11 patients died from anastomotic leaking,6 patients died from hemorrhagic shock,3 patients died from multiple organ failure, 3 patients died from whole body failure caused by chylopleura, 1 patient died from empyema and gastric necrosis, 1 patient died from sudden cardiac death, 1 patient died from heart failure, 1 patient died from strangulating intestinal obstruction and toxic shock caused by diaphragmatic hernia.

结果:56例死亡患者的死亡原因:肺部并发症29例(51.8%),吻合口瘘11例(19.6%),失血性休克6例(10.6%),多器官功能衰竭3例(5.4%),乳糜胸致全身衰竭3例(5.4%),胃后坏死、脓胸1例(1.8%),心脏性猝死1例(1.8%),心力衰竭1例(1.8%),膈疝引起绞窄性肠梗阻中毒性休克1例(1.8%)。

Methods: Heart rate variability was detected in 58 patients with normal renal functions, 61 patients with compensatory renal functions, 37 patients with decompensated renal functions, 33 patients with renal failure and 21 patients with uraemia and the patients all had essential hypertension.

选择210例原发性高血压患者进行24小时动态心电图监测,分析HRV各相指标:SDNN[所有窦性心率R-R间期的标准差],SDANN(全程记录中每5分钟NN间期平均值的标准差),PNN50(全程记录中相邻NN间期差值>50ms的个数)和RMSSD(相邻NN间期差值的均方根)。

Removing the illness, improving the health and meeting the psychological requirements of the patients; Strengthening the quality management of the nursing safty to meet the safe requirement of patient; Mastering the skill of communication between nurse and patient to meet the requirement of sense of belongings and affection of the patients; Protecting human dignity of patients, right and need so as to meet the need of their dignity; Providing health guide timely to meet the cognition need of the patients; Creating a warm and comfortable environment to meet the aesthetic need of the patients; paying attention to the psychological care to meet the the need of self-realizing of the patients.

解除病痛、促进健康,满足患者的生理需要;加强护理安全质量管理,满足患者的安全需要;掌握护患沟通技巧,满足患者爱与归属的需要;维护患者的人格和尊严、权利与需求,满足患者的尊重需要;适时的健康指导,满足患者的认识需要;营造温馨舒适的人文环境,满足患者的审美需要。

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