左心

For the aged critical illness patients with acute heart failure,MV could relieve anoxemia, hypercapnia and respiratory insufficiency effectively, and obviously increase success rate of emergency care.

机械通气能及时有效地缓解老年急性左心衰患者的低氧血症、高碳酸血症和呼吸功能障碍，明显提高老年急性左心衰患者的治疗抢救成功率。

According to the echocardiography,enlarged internal diameter of left ventricle was found in 8 patients and short-axis fractional shortening of left ventricle 5% in 3 patients.Six out of the above 8 patients presented with shortening of accerlerating time,decreasing of accerlerating time/right ventricular ejective time value and moving forward of spectral peak in different degrees.All patients were given antianginal drugs such as β-recepter blockers,nitrate preparations and part by angiotensin converting enzyme inhibitor,diuretics and digoxin,The illncss of 29 patients were gradually controlled within one week.Three patients with AD were complicated by acute left heart failure.No obvious changes in FS of left ventricle were found on echocardiography by bed.

测量肺动脉瓣口血流频谱，左心室内径增大的8例中有6例出现不同程度的血流加速时间缩短，血流加速时间/右心室射血时间比值减小，频谱峰值前移。31例均给予β受体阻滞剂、硝酸酯类等抗心绞痛治疗，部分给予血管紧张素转换酶抑制剂、利尿剂和地高辛，其中29例在1周内卧位型心绞痛逐步得到控制。3例卧位型心绞痛发作时合并急性左心衰竭者，在床旁观察超声心动图，发现左心室短轴缩短率无显著变化，给予利尿剂、减轻前后负荷等治疗，急性左心衰竭得以纠正。

Objective To evaluate the predictive value of left atrial appendage function in success of electrial cardioversion in patients with nonvalvular atrial fibrillation, and observe the course of the recovery of LAA systaltic function.

目的 阐明左心耳功能对非瓣膜病心房颤动患者电转复成功率的预测价值，且对电转复后左心耳收缩功能恢复过程进行观察。

Indeed, by increasing the pressure in the right atrium and in the left ventricle with respect to extrathoracic vascular beds, positive-pressure ventilation affects the pressure gradients for both systemic venous return and left-ventricular ejection increase; Fig.

实际上，机械正压通气引起的右心房、左心室内的压力增加，这样和胸腔外血管床形成一定的压力梯度，此压力梯度会影响心肺两系统的静脉回流及左心射血（增加，见图1）。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有：①放置电极导管至右心耳时用力过大致右心耳损伤(2例)；②放置电极导管至冠状静脉窦时，因导管不易进入远端而用力过大致CS损伤(3例)；③心内电除颤时采用高位右房和CS电极作回路，致CS损伤(1例)；④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例)；⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中，另2例术后发生。12例患者经紧急心包穿刺引流均成功治愈，无1例需外科急诊手术。

The causes were right auricle injury by violently placing a electric catheter to it (n=2),coronary sinusinjury by violently placing a electric catheter to distal CS (n=3) and by intracardiac electric defibrillation using electric catheter electrodes of high right atrium and CS as current loop(n=1),perforations of right atrial wall (n=3) and left atrial wall(n=2) by sliding up of the transseptal set,and perforation of left auricle by misplacing the mapping catheter of left superior pulmonary vein to it (n=1). 10 cases of acute tamponade occurred during operation, and 2 after operation.12 patients were treated successfully with urgent pericardiocentesis, and no patients required emergency surgery.

引起心包填塞的原因有：①放置电极导管至右心耳时用力过大致右心耳损伤(2例)；②放置电极导管至冠状静脉窦时，因导管不易进入远端而用力过大致CS损伤(3例)；③心内电除颤时采用高位右房和CS电极作回路，致CS损伤(1例)；④房间隔穿刺系统向上滑动穿破右房(3例)和左房(2例)；⑤放置左上肺静脉标测电极时导管误入左心耳致其穿孔(1例)。10例急性心包填塞出现于术中，另2例术后发生。12例美白患者经紧急心包穿刺引流均成功治愈冬季，无1例需外科癌症急诊预防手术胃痛。

Methods: a comprehensive analysis of 20 cases with acute left ventricular failure as the first manifestations of acute subendocardial myocardial infarction patients with a history of 20 cases and clinical characteristics, according to ECG, dynamic changes of enzymes, Killip classification of cardiac function and cardiac color report indicators of cardiac function, acute acute subendocardial myocardial infarction with acute left heart failure occurred in the characteristics and causes.

综合分析20例以急性左心衰竭为首发表现的急性心内膜下心肌梗死20例病人的病史和临床特点，根据心电图、心肌酶的动态变化、 Killip 心功能分级和心脏彩超报告的心功能指标，探讨急性急性心内膜下心肌梗死发生急性左心衰竭的特征和原因。

LAA mechanical activity prior to ECV is highly related to maintenance of sinus rhythm in NVAF, and LAA "stunning" developed a thrombogenic milieu. Patients with atrial fibrillation should be given full anticoagulation to prevent thrombogenesis in left atrial and LAA.

NVAF患者电转复前左心耳收缩功能与窦性心律的维持高度相关；转复后左心耳&顿抑&，出现了血栓易于形成的条件，故对此类患者电转复后应给予足够的抗凝治疗，预防左房与左心耳血栓形成。

Results In univariate analysis, atrial fibrillation, huge left atrium, long course of left-sided valve diease, degradation of left heart function （LVEF 〈0.50）, tricuspid rheumatic pathological change, enlarged right atrium and single mitral valvar disease were significant risk factors of TR devdopment.

结果单因素分析显示心房纤颤、巨大左房、左心瓣膜病病程长、左心功能低下（LVEF〈0.50）、右房增大（≥50mm）、三尖瓣风湿性病变及单纯二尖瓣病变是继发性TR进行性加重的危险因素；多因素分析显示心房纤颤、巨大左房、左心瓣膜病病程长及三尖瓣风湿性病变是继发性TR进行性加重的危险因素；远期随访显示，B组心功能改善明显优于A组，TR程度明显低于A组，C组术后无1例发生TR。

The 4th left rib was cut and a model of left coronary artery occlusion/release was carried outo Rats were divided randomly into 4 groups: control group without LCA occlusion (group A, n=6);I/R group(group B, n=6); ketamine(5mg.kg-1)+I/R group (group C, n=6); ketamine(10mg.kg-1)+I/R group(group D,n=6)o All rats in groups B, C , D were subjected to 30 minutes of LCA occlusion followed by 120minutes of reperfusion. Rats in group C and D were injected with 5mg.kg-1 and 10mg.kg-1 of ketamine before reperfusion, respectively. Significant electrocardiogram and color changes at the area at risk were considered indicative of successful coronary occlusion and reperfusionc Serum was exampled from left jugular vein at 30 minutes and 120 minutes during reperfusion to measure IL-6 and TNF- level by ELISA measurements. After reperfusion of 120 minutes, the heart was removed and the cardiac apex was exampled with snap-frozen in liquid nitrogen and stored at -70 C .

采用左冠状动脉前降支结扎开放建立心肌缺血／再灌注模型，健康SD大鼠24只，随机分为心包打开假手术组(A组，n=6)，缺血／再灌注对照组(B组，n=6)，5 mg·kg~(-1)氯胺酮+缺血／再灌注组C组，n=6，缺血30min后右腹股静脉注入5 mg·kg~(-1氯胺酮，10mg·kg~(-1)KTM+I／R组D组，n=6，缺血30min后右腹股静脉注入10 mg·kg~(-1氯胺酮。10％水合氯醛40 mg·kg~(-1)腹腔注射麻醉，气管切开，连接多功能监护仪记录心电图；小动物呼吸机人工呼吸，呼吸频率60次／分，潮气量2ml／100g，于左胸第四肋间打开胸腔暴露心脏，在左心耳下1mm左冠状动脉处，用丝线，眼科外用不锈钢小圆针穿过心肌浅层，稳定10min后将U型含有铜丝的胶管置于冠状动脉表面一起结扎(A组不结扎，B、C、D组结扎)；结扎开始左心室心尖部即由红色变暗，30 min后呈暗红色，心电图中出现S-T段抬高，说明缺血形成。

However, as the name（read－only memory）implies, CD disks cannot be written onorchanged in any way.

然而，正如其名字所指出的那样，CD盘不能写，也不能用任何方式改变其内容。

Galvanizes steel pallet is mainly export which suits standard packing of European Union, the North America. galvanizes steel pallet is suitable to heavy rack. Pallet surface can design plate type, corrugated and the gap form, satisfies the different requirements.

镀锌钢托盘多用于出口，替代木托盘，免薰蒸，符合欧盟、北美各国对出口货物包装材料的法令要求；喷涂钢托盘适用于重载上货架之用，托盘表面根据需要制作成平板状、波纹状及间隔形式，满足不同的使用要求。