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Abstract] objective to identify the relationship between serum homocysteine and carotid artery atherosclerosis in patients with cerebral infarction and effects of foliate,methylcobalamin.methods the concentrations of hcy were determined by means of fluorescence polarization immunoassay and carotid arteries was examined with color doppler ultrasound in 165 patients with cerebral infarction.the subjects were divided into 4 groups according to the severity of lesion of carotid artery.the concentrations of hcy were compared in different groups.the patients with hyperhomocysteinemia received foliate and methylcobalamin.results when lesion of carotid artery became severer,serum hcy was higher.the intima medial thicknesses of carotid artery were significantly decreased in patients with hyperhomocysteinemia who received foliate and methylcobalamin for two years.conclusion hyperhomocysteinemia may play an important role in development of carotid artery atherosclerosis.the intervention of foliate and methylcobalamin may reduce carotid artery atherosclerosis.

摘要] 目的探讨脑梗死患者颈动脉病变与血清同型半胱氨酸水平的关系及叶酸、甲钴胺长期干预对其影响。方法对165例急性脑梗死患者进行血清hcy的测定及颈动脉超声检查,并按动脉硬化的程度分组,比较不同程度颈动脉粥样硬化患者hcy水平,部分高hcy血症患者给予叶酸、甲钴胺干预,随访2年。结果随着颈动脉病变程度的加重,血清hcy浓度呈上升趋势,高hcy血症干预者动脉内中膜厚度明显减小。结论高hcy血症对颈动脉粥样硬化的形成起重要作用,长期给予叶酸、甲钴胺干预可能减轻颈动脉粥样硬化。

The internal iliac origin of the obturator artery bore no relation to the branchingtypes of internal iliac artery.

闭孔动脉在髂内动脉系的起源点比较分散,与髂内动脉的分支类型没有什么关系。

Results: Lateral extradural approach could be used to expose the second and third branches of trigeminal nerve,trigeminal ganglion,posterior vertical segment of the intrapetrosal ICA,abducent nerve and horizontal segment of the intrapetrosal ICA;lateral intradural approach could be used to expose the lateral,anteroinferior and posterosuperior venous spaces,almost all the cranial nerves within the cavernous sinus and horizontal segments of the intracavernous ICA;superior approach could be used to expose the medial,lateral and posterosuperior venous spaces,medial side of the anterior genu,anterior vertical and clinoidal segments of the intracavernous ICA and the lateral side of the hypophysis.

结果:外侧硬膜外入路可用于显露三叉神经第2、3支,三叉神经节,海绵窦内颈内动脉后垂直段,外展神经及岩骨颈内动脉水平段;侧方硬膜下入路可用于显露海绵窦外侧及前下,后上静脉间隙,以及所有走行在海绵窦内的颅神经和海绵窦内颈内动脉水平段;上方入路可用于显露海绵窦内侧、外侧及后上间隙,海绵窦内ICA水平段、前膝、前垂直段及床突段的内侧面,以及垂体的外侧面。

The results obtained are as follows:(1) injection of 50, 100, and 200 nmol/kg adenosine into the renal artery increased the renal afferent nerve activity in a dose-dependent manner with unchanged arterial pressure;(2) pretreatment with 8-cyclopenthl -1,3-dipropylxanthine (DPCPX, 160 nmol/kg), an adenosine A1 receptor antagonist, partly abolished the effect of adenosine; and (3) pretreatment with a nitric oxide synthase inhibitor N w-nitro- L -arginine methylester (L -NAME, 0.1 mmol/kg) significantly enhanced the ARNA response to adenosine.

结果表明:(1)肾动脉内注射50, 100和200 nmol/kg腺苷可呈剂量依赖性地兴奋肾神经传入纤维的活动,而动脉血压不变。(2)肾动脉内预先应用选择性腺苷A1受体阻断剂DPCPX (160 nmol/kg),可部分阻断腺苷对肾神经传入纤维的兴奋作用。(3)静脉应用一氧化氮合酶抑制剂 L -NAME(0.1 mmol/kg)预处理,延长并增强了肾神经传入纤维对腺苷的反应。

The results obtained are as follows:(1) injection of 50, 100, and 200 nmol/kg adenosine into the renal artery increased the renal afferent nerve activity in a dose-dependent manner with unchanged arterial pressure;(2)pretreatment with 8-cyclopenthl-1,3-dipropylxanthine (DPCPX, 160 nmo//kg), an adenosine A1 receptor antagonist, partly abolished the effect of adenosine; and (3) pretreatment with a nitric oxide synthase inhibitor Nω-nitro-L-arginine methylester (L-NAME, 0.1 mmol/kg)significantly enhanced the ARNA response to adenosine.

结果表明:(1)肾动脉内注射50,100和200nmol/kg腺苷可呈剂量依赖性地兴奋肾神经传入纤维的活动,而动脉血压不变。(2)肾动脉内预先应用选择性腺苷A1受体阻断剂DPCPX(160nmol/kg),可部分阻断腺苷对肾神经传入纤维的兴奋作用。(3)静脉应用一氧化氮合酶抑制剂L-NAME(0.1mmol/kg)预处理,延长并增强了肾神经传入纤维对腺苷的反应。

Methods: For 56 cases of arterial bleeding, performed angiography in the artery which was suspected to be the bleeding one, and then infused the embolus into the bleeding after super-selection to embolize it. For 17 cases of esophageal veins and fundic veins bleeding caused by the higher blood pressure in portal vein, we performed angiography in portal vein stem through puncturing the liver, found the bleeding spot, then infuse the embolus into the bleeding veins through super-selection to stop bleeding.

56例动脉性出血采用Seldinger氏法,经股动脉穿刺将导管选择插入可疑出血的动脉内先行DSA检查,明确诊断,再超选择插入出血动脉内注入栓塞材料,栓塞出血动脉。17例门静脉高压致食管胃底静脉曲张破裂出血,则采用经皮穿肝至门静脉主干行门静脉造影,明确出血部位,再超选择插管至出血静脉注入栓塞材料进行栓塞治疗。

Methods 160 reverse flow axial flaps were used to repair the defects of eyelid, nose,chin,lip,neck,vagina,and penis,including retroauricular flap based on superficial temporal artery,auricular composite flap based on supraorbital vessels,neck-submandibular flaps based on contralateral side mental artery,nape-scapulo-dorsal flap based on transverse cervical artery,and medial ...

方法随机选择160例近22年来应用较广的5种动脉跨区供血反流轴型皮瓣,即:颞浅血管为蒂的乳突区皮瓣、眶上血管为蒂的岛状耳廓复合组织瓣、颏下动脉蒂的对侧颏颈皮瓣、颈横动脉供血的项肩背皮瓣、会阴动脉供血的股内侧皮瓣,考查其完全成活率、部分成活率、完全坏死率、动脉缺血发生率、动脉缺血致皮瓣坏死率、静脉淤血发生率、静脉淤血致皮瓣坏死率等指标,并与我院同期内应用的常规顺流轴型皮瓣随机样本120例进行比较。

Methods 38 cases with 53 hips of ANFH treated with the method of thrombolysis and opening catheterizing and perfusing medial and lateral circumflex arteries.Those drugs are Urokinase 200 thousand Units,Danshen Root 20 ml and Ligustrazine 20 mg. Retention catheter was held in the target vessels and infused the same drugs besides Heparin 4500u in 3 days. To evaluate therapeutic effect ,the DSA of the femoral artery and x-ray plain film and/or CT/MRI of the femoral head were performanced. Results All cases were followed up 1~16 (mean 9.5) months.

方法对38例ANFH患者的53髋先常规行股动脉DSA,后在股骨头的供血动脉旋股内、外侧动脉内灌注溶栓、扩血管药物,即在每支血管内注入稀释后的尿激酶 20万u、丹参10 ml及川芎嗪20 mg;术后保留导管于动脉内,经导管每日注入同剂量的药物及肝素钠4500 u,连用3天后拔管,治疗后复行股动脉DSA检查及行股骨头X线平片及/或CT、MR随访以评估疗效。

With improved Seldinger puncture method by way of femoral artery,after perfusion in the internal iliac artery,then leave catheter in external iliac arteryone of the chief feeding artery of head...

采用改良 Seldinger 穿刺技术经股动脉穿刺,先将导管置于髂内动脉药物灌注后,再置导管于髂外动脉的股骨头主要供血动脉内留管,持续72小时中西医药物灌注。

The streptokinase immobilised on dextran coated microparticles of iron oxide was used for targeted thrombus lysis in carotid arteries of experimental dogs.

固定在葡聚糖包裹的三氧化二铁微粒上的溶栓酶可用来定向的消融实验狗颈动脉内的血栓。

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