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As one of the main decisive factors of left ventricular after-load, the reduced distensibility of the aortic will increase the wall stress of left ventricle at systole and eventually result in LVH and/or left ventricular concentric remodeling.

主动脉扩张性是左室后负荷的主要决定因素,扩张性减退将导致收缩期左室壁应力增加而引起左室肥厚和/或左室向心性重构。

Touch need your hands on me so we can touch i need your lips on me so we can touch boy lick my body weak come and gimme what i need fulfill my fantasies so we can touch ah ah ah touch ah ah ah ah ah ah touch ah ah ah i can't wait no more got this feelin' in my mind baby i'm gonna call you up and yes i know it's late at night but i can't hold back the urge wanna hear you in my ear wanna feel our bodys merge boy i need you lyin' here so we can touch put your hands on me so we can touch put your lips on me wanna feel your touch boy lick my body weak come and gimme what i need fulfill my fantasies so we can touch ah ah ah touch ah ah ah touch ah ah ah touch ah ah ah boy i hope you're ready this gon' be a long night we're gon' do it how you want it 'cause i know just what you like got my body feelin' right my emotions runnin' high and i'm feelin' kinda lovely sure there's something we should try we can touch put your hands on me so we can touch put your lips on me wanna feel your touch boy lick my body weak come and gimme what i need fulfill my fantasies so we can touch ah ah ah touch ah ah ah touch ah ah ah touch ah ah ah look ma i'm glad you called me i was just about to turn around anyway i've been thinkin' bout that move that you made up you mean the one i call the stand up huckle buck yeah ma i love it when you do you i know if you hurry up i ma give you part 2 i'm on my way girl can't you hear my car rushin' i'm tryin' to get there fast so we can sart touchin' touch put your hands on me so we can touch put your lips on me wanna feel your touch boy lick my body weak come and gimme what i need fulfill my fantasies so we can touch put your hands on me so we can touch put your lips on me wanna feel your touch boy lick my body weak come and gimme what i need fulfill my fantasies so we can touch ah ah ah touch ah ah ah touch ah ah ah touch ah ah ah touch

触摸需求你的人手右手击球员的左后方场地自我如此我们罐触摸i需求你的嘴唇右手击球员的左后方场地自我如此我们罐触摸男孩舔我的躯体弱来和乞讨的什么 i需求履行我的幻想曲如此我们罐触摸啊啊啊触摸啊啊啊啊啊啊触摸啊啊啊i不能等候不再得到这个feelin在朝派我的介意当作婴儿般对待我是去向打电话你向上的移动和同意i知道它's迟在晚上但是i不能支持住后退成为驱动力想要向听见你在朝派我的耳朵想要向感觉我们躯体合并男孩i需求你lyin'这里如此我们罐触摸放你的人手右手击球员的左后方场地自我如此我们罐触摸放你的嘴唇右手击球员的左后方场地自我想要向感觉你的触摸男孩舔我的躯体弱来和乞讨的什么 i需求履行我的幻想曲如此我们罐触摸啊啊啊触摸啊啊啊触摸啊啊啊触摸啊啊啊男孩i希望你公亩敏捷的这个gon'是a长时间晚上我们公亩gon'社交聚会它怎样你想要它'原因i知道仅仅什么你爱好得到我的躯体feelin权利我的情感runnin高度和我是 feelin可爱的人的一种可靠的那里's某样东西我们是将去请尝试我们罐触摸放你的人手右手击球员的左后方场地自我如此我们罐触摸放你的嘴唇右手击球员的左后方场地自我想要向感觉你的触摸男孩舔我的躯体弱来和乞讨的什么 i需求履行我的幻想曲如此我们罐触摸啊啊啊触摸啊啊啊触摸啊啊啊触摸啊啊啊看妈我是很高兴你打电话自我i was差不多向转变不管怎样我富人是讨论会'较量那个移动那个你制做向上的移动你用意一 i打电话竖立向上的移动髋部反对是的妈i爱它什么时候你社交聚会你i知道条件你匆忙向上的移动i妈让步你分开2我是右手击球员的左后方场地我的方式女孩不能你听见我的小汽车rushin'我是tryin'向到达那里斋戒如此我们罐sart touchin'触摸放你的人手右手击球员的左后方场地自我如此我们罐触摸放你的嘴唇右手击球员的左后方场地自我想要向感觉你的触摸男孩舔我的躯体软弱情欲高潮和乞讨的什么样的i需求履行我的我们能触动表达的幻想曲如此你的我们能稍微谈到一点自我如此的人手放你的我的幻想曲啊啊啊稍微谈到一点自我贫穷,感受到你的触摸男孩舔我的i需求履行什么软弱情欲高潮和乞讨的躯体,所以我们罐的嘴唇 touch ah ah ah touch ah ah ah touch ah ah ah touch

Results:(1) cerebrovascular syphilis 1 case,tabes dorsalis 2 cases;(2) Inall cases,Serum and cerebrospinal fluid syphilis antibody reaction showed positive; CSF protein content was increased significantly,and cells increased (3) MRA and DS...

结果(1)脑血管梅毒1例,脊髓痨2例;(2)3例血和脑脊液的梅毒抗体均为阳性;脑脊液蛋白含量增加、细胞数增多;(3)脑血管梅毒患者MRA及DSA显示左大脑中动脉M1段闭塞;左大脑前动脉及左大脑后动脉通过皮层支向左大脑中动脉供血区代偿供血;(4)2例脊髓痨患者头颅及胸髓MRI无特殊发现,肌电图及周围神经活检不支持周围神经受损。

Results:(1) cerebrovascular syphilis 1 case, tabes dorsalis 2 cases;(2) mall cases. Serum and cercbrospinal fluid syphilis antibody reaction showed positive; CSF protein content was increased significantly, and cells in creased (3) MRA and DSA of cerebroascular syphilis show that Mi segment of the left middle cerebral artery is blocked. The left posterior cerebral artery and the left anterior cerebral artery compensate blood supply for the left middle cerebral artery through the conical branch.(4) MRI of head and thoracic cord was normal in 2 cases of tabes dorsalia. Result of EMG and biopsy of suml nerve not manifest damage of peripheral nerveous system.

结果:(1)脑血管梅毒1例,脊髓痨2例;(2)3例血和脑脊液的梅毒抗体均为阳性;脑脊液蛋白含量增加、细胞数增多:(3)脑血管梅毒患者MRA及DSA显示左大脑中动脉M1段闭塞;左大脑前动脉及左大脑后动脉通过皮层支向左大脑中动脉供血区代偿供血;(4)2例脊髓痨患者头颅及胸髓MRI无特殊发现,肌电图及周围神经活检不支待周围神经受损。

Objective To investigate the curative effect of left ventricular hypertrophy with uretic indapamide, Methods 96 patients wiht LVH were divided into two groups, 50 patients in A group were treated with indapamide 2,5~5mg/d, and 46 patients in B group with nifedipine 20~60mg/d for 12 months, Results Blood pressure、interventricular septum thickness、left ventricular posterior wall thickness、left ventricular mass index and left ventricular ejection fraction in all cases were improved after treatment, A group was better than B in LVEF, Conclusion Both indapamide and nifedipine can regress LVH, and improve left heart function

目的 观察新型噻嗪类利尿剂吲达帕胺逆转左心室肥厚的效果。方法 96例高血压LVH患者,分别给予吲达帕胺(A组,50例)2,5~5mg/d和硝苯地平控释片(B 组,46例)20~60mg/d持续12个月治疗,观察治疗前后血压及左室结构变化。结果两组治疗前后血压、室间隔厚度、左心室后壁厚度、心室重量指数和左心室射血分数均有改善(P<0,05~0,01),A组在改善LVEF方面优于B组(P<0,05)。结论吲达帕胺具有与硝苯地平类似的逆转LVH作用,有明显改善左心功能作用。

Methods:Paticipants consisted of 32 simple VSD patients and 27 simple PDA patients excluded of any other diseases by physical examintation and electrocardiogram and x-ray. Patients were suggested echocardiography before and one week after the surgerys. Parameters such as Left ventricular ejection fraction、Fractional shortening、Left ventricular end-diastolic dimension、Left ventricular end-systolic dimension、Heart rate and Aortal velocity peak were measured.further more ,the Tei index which is originated from Pulse-wave Doppler and Tissue-Doppler Imaging were also calculated under ECG monitoring.

研究对象与方法:研究对象分别为排除其它心脏疾患的单纯动脉导管未闭患儿及单纯室间隔缺损患儿,手术治疗前后于心电监护下先行常规超声检查,获取心率、R-R间期、左室射血分数、主动脉峰值流速、左室收缩末期内径及左室舒张末期内径等值,并分别利用频谱多谱勒及组织多谱勒法测取患儿左室Tei指数(即PW-Tei及TDI-Tei),多次测量并取其均值。

Methods 80 patients with chf were divided randomly into regular treatment group treated with diuretic+digoxin+acei, and bisoprolol treatment group treated with regular treatment plus bisoprolol. all the patients were followed up for twelve months and observed the changes of homodynamic, internal diameter of left ventricle, lvef and 6-minutes walk test.

80例慢性心力衰竭患者随机分为常规治疗组(利尿剂+地高辛+acei)和比索洛尔治疗组(在常规治疗基础上加用比索洛尔),疗程12个月,观察两组治疗前后血流动力学、心功能分级左心室射血分数、左心室内径及6min步行试验、左心室射血分数、左心室内径的变化。

A handle is arranged in the middle of the frame, and the handle is connected with a big bevel wheel through a small bevel wheel.

它包括框架、左伸缩臂、右伸缩臂,所述框架为中间空形,所述左伸缩臂和右伸缩臂的内侧为管形,外侧为蝶形,蝶形面上设有二排孔,所述框架两端分别嵌套左伸缩臂内侧和右伸缩臂内侧,左伸缩臂内顶端设置有左螺母,右伸缩臂内顶端设置有右螺母,所述的框架中部设有手柄,手柄通过小斜齿轮连接大斜齿轮,大斜齿轮连接有螺杆,所述螺杆有以中间为对向的螺纹,螺杆的两端分别与左螺母和右螺母相连接。

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。

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Lugalbanda was a god and shepherd king of Uruk where he was worshipped for over a thousand years.

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