低氨酸血

Methods The thriiodothyronine（T 3 ）,thyroxine（T 4 ）,thyroid stimulating horˉmonein102elderly patients with chronic heart failure and30normal people were determined by particle glimˉmer.The classes of heart function were assessed and the left ventricular ejection fractionwas observed by eˉchocardiography among the62low thiiodothyronine state cases in elderly patients with chronicheart failure and the40normal level thiiodothyronine state cases in elderly patients with chronic heart failure.

应用微粒子发光法检测102例老年慢性充血性心力衰竭住院病人及30例健康对照者的血清三碘甲状腺原氨酸（T3 ）、四碘甲状腺原氨酸（T 4 ）、促甲状腺素；检测62例低T 3 综合征老年慢性充血性心力衰竭患者和40例非低T 3 综合征老年充血性心力衰竭患者的左室射血分数，比较两组间心衰的程度。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

The results showed that hyperhomocysteinemia was induced by restraint stress. The highest CBS enzyme activity was seen in rat livers. A decrease in hepatic activities of CBS was found in restraint stress rats. The 29.4%±2.5% reduction in the activity of CBS was accompanied by a 44.1%± 3.4% decrease in its mRNA level. CBS enzyme activity was slightly elevated in the kidney of stressed rats while it was almost undeterminable in the cardiovascular system.

结果可见，束缚应激可导致大鼠高同型半胱氨酸血症的发生； CBS在肝脏具有最强的代谢活性，肾脏其次，而心脏和血液中活性极低；应激大鼠肝脏CBS活性和mRNA水平均显著降低( P 。05)，应激3周时分别为对照组的70.6%±5.9%和55.9%±4.3%。

According to the authors, conventional TURP uses hypotonic nonconductive fluids such as glycine, sorbitol, and mannitol, and their intraoperative absorption results in dilutional hyponatremia, a standard characteristic of TURP syndrome.

研究人员表示，传统TURP手术使用低张性非导电性液体，例如甘氨酸、山梨醇或甘露醇，且它们手术中的吸收造成稀释性低血钠症，一种TURP症候群的标准特徵。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。