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Among them, 20 patients were candidates of valve replacement and 18 PDA and pericarditis had their blood samples taken before operation,and 1,2,24 and 48 hours after closure of thorax for measurement of concentrations of CK、CK-MB and TnT,together with ECG recording. Results Of the 60 patients, concentrations of cTnT before operation were normal; 2 hours after aortic unclamping, the correlation coefficient between cTnT and aortic clamping was r = 0.873( P<0.01), the regression analysis showed Y = 0. 019X-0. 026. Of the 20 patients, ECG showed the myocardium was ischemic; CK、CK-MB and cTnT all rose significantly, reaching the peak after closure of thorax. Of the 18 patients, the ECG and cTnT before operation and after closure of thorax were normal; except 2 patients with pericarditis.

结果 60例瓣膜手术患者术前cTnT均在正常值范围内,主动脉开放后2 h时,阻断时间和cTnT的相关系数为r=0.875(P<0.01),回归方程为Y=0.019X-0.026;其中20例瓣膜手术患者心脏经过阻断后,心电图有缺血性改变,周围血液中的CK、CK-MB和cTnT均有明显升高,分别在关胸后2 h达到高峰,数值分别为术前的12.6、9.2和257倍;18例行动脉导管结扎和心包剥脱术的患者术前和关胸后的心电图和血液中的cTnT均正常,CK和CK-MB除2例心包炎患者关胸后出现明显变化外,余均未见改变。

The presence of early CT signs has been reported to be a predictive sign of hemorrhagic complications after reperfusion therapies[4, 5, 13 18]. Our study has also demonstrated that the rate of symptomatic hemorrhagic complications showed a tendency to increase as the grade of early CT signs increased, although a statically significant difference was not proved. A grade III CT sign may be a predictive sign for hemorrhagic complications after reperfusion therapy. In contrast, the presence of a grade I CT sign may not contraindicate reperfusion therapy.

本研究也显示:尽管彼此间均无统计学显著差异,但血管内再通治疗后症状性出血并发症的发生率,在深部大脑中动脉分布区未出现早期CT征象的患者、出现I级早期CT征象(细微低密度区局限于岛叶,基底节区正常)的患者、出现II级早期CT征象(部分壳核后外侧区出现低密度)的患者、出现III级早期CT征象(整个豆状核区均出现低密度)的患者中,呈逐渐增加的趋势。

The peak of the bulge accorded with the vertical line through the posterior convexity of superior articular surface of atlas. The superimpose rate of the vertical line with the M line were 48% to left and 65% to right. The surplus existed in l~2mm to lateral of M line. The exit point of screw was the median point of vertical line on the anterior cortex of lateral mass. The superimpose rate of BB line the line linked with the

寰椎后结节中点及上关节突后凸尖下的骨质弧形隆起的顶点可作为寰椎椎弓根螺钉进钉点的准确标志,上关节突后凸尖及横突尖可作为寰椎椎弓根进钉点的大体标志;沿寰椎椎弓根轴线进钉较为安全,内倾17°,仰角变异大,出钉参照前结节顶点;椎动脉沟中外的厚度及进钉点处寰椎后弓的高度是寰椎椎弓根螺钉固定的主要限制性因素。

Lund concept-to decrease the intracranial volume by the way of promoting the re-absorption of interstitial fluid in blood capillary bed-has been systematically studied too. But the investigation about cerebral vein system-the biggest blood storeroom-was less reported to review relative literatures. We carried out the pilot experiments to describe brain bridging veins in porcine and underlaid deeper research about human brain bridging veins by initially approaching possible ICP regulation mechanism.

动脉血容量反映了脑组织的灌注,在一定范围内自动调节维持颅内压的平衡,在此调节机制中发挥作用的动脉血流动力学的改变也已被深入的研究和描述,通过促进毛细血管对组织间液的重吸收进而减少颅内容物体积的&Lund&概念也得到较深入的研究,而涉及颅内最大的血液贮存库-脑静脉系统的研究较少,文献报道也较少。

Artery dissection and aortic aneurysm surgery should be highlighted narcotic anesthetic induction and maintenance of the stable the stability of circulatory function brain kidney blood and the protection of the environment in the balance. Aortic disease; Anesthesia; Argan protection

动脉夹层与主动脉瘤手术的麻醉应着重强调麻醉诱导及维持的平稳,循环功能的稳定,脑、肾、血液保护和机体内环境的平衡。

Though it was slower in the frozen-thawed embryo transfer group than that of the fresh embryo transfer group, there were no significant differences in estrous cycle between experimental group and normal control group. The grafts were taken out and observed on day 63 after transplantation, rich blood vessels were formed on the cover of the graft, arterioles and venules could be seen under microscope. Histological examination of graft revealed that transplanted fetal ovary contained follicles in different developing stages, vesicula graafianae and corpus luteum were formed, and the morphous of graft was no obvious differences to normal ovaries.

冷冻移植组大鼠恢复动情周期虽稍短于新鲜移植组,但差异并无统计学意义。63 d后取出移植物观察,见移植物色泽红润,表面有丰富的血管形成,镜下见卵巢内有大量的小动脉和小静脉;移植物组织学检查发现卵泡的发育,光镜下可见不同发育阶段的卵泡,有成熟卵泡和黄体形成,形态与正常卵巢无明显差别。

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