低血压

Methods:The 32 patients with throm in left atrium and machine valva were treated with warfarin,low molecular weight heparin,clopidogrel and urokinase.The therapeutic effect and safety were observed in these patients.

32例人工瓣膜置换术后血栓形成患者应用华法令、低分子肝素钙、硫酸氯吡格雷联合治疗，观察血压，心功能，凝血指标，血、尿常规及副作用。

These results demonstrate that endothelium-specific GTPCH I overexpression abrogates O2 production and preserves eNOS phosphorylation, which results in preserved structural and functional integrity of resistance mesenteric arteries and lowered blood pressure in low-renin hypertension.

这些结果证实内皮特异性的GTPCH I过表达消除超氧阴离子的产生、保持eNOS磷酸化，从而保持肠系膜阻力动脉结构和功能完整、降低低肾素高血压动物的血压水平。

Results: There were more significant reducing in blood pressure after anesthesia in groupⅣ than in group Ⅰ、Ⅱ、Ⅲ, more different statisticall (P.05). There were more different SO2 but lower tolerance in group Ⅰ、Ⅱ than in group Ⅲ、Ⅳ, while intubating.

结果：麻醉后血压Ⅳ组较Ⅰ、Ⅱ、Ⅲ组明显降低，统计学上显著性差异(P.05)；胃镜插入时，Ⅰ、Ⅱ组较Ⅲ、Ⅳ组脉搏氧饱和度S(下标 pO2波动明显(P.05)，耐受性更低(P.05)。

objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p＜0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p＞0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 评估体外震波碎石治疗输尿管结石的疗效，探讨再治疗率高的原因及输尿管结石的治疗选择。方法回顾2000年1月～2004年12月间eswl治疗输尿管结石的临床资料687例，男455例（66.2%），女232例（33.8%），平均年龄46.6岁（15～83岁）。有双侧输尿管结石6例，单侧多发性输尿管结石12例（4颗1例，3颗2例，2颗9例），共计输尿管结石709颗（含透光结石13颗）。应用上海爱申公司生产的desunit6030型碎石机，c臂x线球管做结石定位。上段输尿管结石（肾盂输尿管交界处至骶髂关节上缘）取仰卧位，下段输尿管结石（骶髂关节上缘下至输尿管口）取俯卧位。为减少eswl引起的肾损伤和疼痛，应用较低的能量，震波发生器电压从9.8～13.2kv，震波频率1.5s。每次治疗设定为1500次震波。治疗后3天摄腹部平片或b超，以后每隔7日重复检查。假如结石未碎或有残留结石最长径＞3mm以上，再次eswl，两次治疗的间隔时间为两周。结石的大小用x线片上的表面积（mm2表示。结果 709颗输尿管结石总的治愈率为97.3%（690颗），再治疗率34.1%（242颗）。其中一次治疗467颗，平均结石大小37.27mm2，治愈464颗（65.4%），3颗改治疗；两次治疗138颗，平均结石大小62.48mm2，治愈131颗（18.5%），7颗改治疗；第1和第2次治疗治愈率（1个月治愈率）为83.8%。3次治疗52颗，平均结石大小79.60mm2，治愈50颗（7.1%），2颗改治疗；4次治疗19颗，平均结石大小101.63mm2，治愈17颗（2.4%），2颗改治疗；5次及5次以上治疗33颗，平均结石大小119.33mm2，治愈28颗（3.9%），5颗改治疗。总计19颗（2.7%）结石改变治疗方式。上段输尿管结石335颗，治愈321颗（95.8%），再治疗129颗（38.5%）。下段输尿管结石374颗，治愈369颗（98.7%），再治疗113颗（30.2%）。经χ2检验，上、下段输尿管结石的再治疗率差异有显著性（χ2=5.40，p＜0.05），治愈率差异无显著性（χ2=0.15，p＞0.05）。不良反应：血压升高13例（1.9%），震波区域疼痛26例（3.8%），震波进入处皮肤点状淤血33例（4.8%），肉眼血尿128例（18.6%），均于第2、3天自行消失。结论 eswl目前仍是输尿管结石的第一线治疗，结石的大小是再治疗率高的主要因素。结石的位置有影响，上段输尿管结石可随呼吸移动，有效震波次数减少，再治疗率比下段输尿管结石高。eswl前注重病例筛选可降低再治疗率。

Limited riproducibility of circadian variation in blood pressure: dippers and non-dippers.

此外，目前已有多项研究发现，由于受睡眠质量、深度以及白天的脑力、体力活动的影响，正常人及高血压患者的血压昼夜节律均可在勺型和非勺型之间相互转变，因此这种分类方法的可重复性较低［7~11］。

Objective:To study the relationship between hypoxemia and ambulatory blood pressure in obstructive sleep apnea syndrome during sleep.

目的：探讨阻塞性睡眠呼吸暂停综合征患者夜间低氧血症与动态血压变化的相互关系。

Methods: The hospitalized cases with EH and HS were collected in a 3-A grade hospital of Xi'an city (from Jun. 2001 to Mar. 2005) according to the includible standard and excludible standard. Unified questionnaires were filled in. The items of questionnaires included: sex, age, inhospital days, death in hospital, first-measured blood pressure Systolic blood pressure (SBP, Diastolic blood pressure, Pulse pressure, blood lipid total cholesterol (TC, Triglyceride, High density lipoprotein cholesterol, Low density lipoprotein cholesterol, Apolipoprotein A and B.

检索西安市某三级甲等医院2001年6月－2005年3月期间EH合并HS住院病例，按照纳入标准和排除标准筛选病例资料，填写统一调查表，调查项目包括：性别、年龄、住院天数、死亡情况、首测血压、血脂（总胆固醇、甘油三酯、低密度脂蛋白胆固醇、高密度脂蛋白胆固醇、载脂蛋白A以及载脂蛋白B）等指标，并按性别与年龄分层进行回顾性分析和研究。

The researchers found that a blood serum vitamin D level of 33 nanograms per milliliter or higher was associated with a 50 percent lower risk of colorectal cancer than that seen with blood levels of 12 nanograms per milliliter or lower.

研究人员发现，血液血清中维生素d水平的33纳克每毫升或更高，是与一个50 ％的风险降低结肠直肠癌的可能性要比见到的那种与血压水平的12纳克每毫升或更低。

Our primary hypothesis was that in low-renin patients with normal plasma K+ and aldosterone, a thiazide diuretic, bendroflumethiazide, would be as effectie as spironolactone in oercoming the Na+ retention and lowering blood pressure.

我们首要的假说是：对血清K+浓度及醛固水平正常的低肾素性高血压患者应用一种噻嗪类利尿剂……苄氟噻嗪治疗Na+潴留和降低血压同使用安体舒通同样有效。

It is believed that classical Indian ragas can benefit whole hosts of conditions ranging from insomnia, high and low blood pressure to schizophrenia and epilepsy.

研究发现，古典的印度小调「拉嘉」，对於失眠、血压过高或过低、精神分裂、到癫痫症，都能有极高的改善效能。

For a big chunk of credit-card losses; the number of filings (and thus charge-off rates) would be rising again, whether

年美国个人破产法的一个改动使得破产登记急速下降，而后引起了信用卡大规模的亏损。

Eph. 4:23 And that you be renewed in the spirit of your mind

弗四23 而在你们心思的灵里得以更新