形成血栓的

On the basis ofconsiderations from historical legacy to key pathophysiological mechanisms and releance to clinical interpretability

基于从病理生理学重要机制的历史研究到与此有关的临床应用的考虑，制定出了关于界定死亡，心肌梗死，反复血管再通和支架内血栓形成的评价标准。

Thrombus of lower limbs deep vein is the commonnest complication after art of lower limbs fracture, function of deep vein of Ke Jifa's deadly lung embolism, lower limbs is not complete, now already by fair consider as a kind of serious complication [1] , abroad reports occurence rate is as high as 30%~50%, domestic report is 26%, it is very intractable to once form DVT,be treated, still do not have a kind of well-content treatment method domestic and internationally at present.

梗概： 下肢深静脉血栓是下肢骨折术后最常见的并发症，可继发致命的肺栓塞、下肢深静脉功能不全，现已被公认为是一种严重的并发症[1]，国外报道发生率高达30%~50%，国内报道为26%，一旦形成DVT治疗极为棘手，目前国内外尚无一种十分满足的治疗方法。

Wenxin capsule can promote endolethial cells releasing CO and synthesing 〓, enhance activity of HO, induce angiectasis through activating guanylic cyclase and adenglate cyclate of intracellar of vessel smooth muscle cell to enhance content of intracellar cGMP and AMP. 3. Wenxin capsule can inhibit releasing of platelet activiting factor 〓 which inhibit platelet aggregation and have antithrombosis function. 4. Wenxin capsule can promote activity of t-PA, reduce activity of PAI-1, strengthen fibrinolytic function, therefore inhibit fibrin disposition. 5. Wenxin capsule can inhibit synthesis of smooth muscle cellular DNA. Its function don't kill it directly but prevent transformation from period Go to peried S. 6. Wenxin capsule is an effective prescription of anti-coronary atherosclerosis atherosis. The results of image pattern analysis tastifies that area of lipid plaque in treating group reduce 54% and 58% in contrast with that in control group. The results of light, electro- microscopy show that structure of endolethial cell and smooth muscle cell in treating group is more integral than that in control group.

其作用机制之一是由于该药具有良好的调脂降脂作用，其不仅能明显降低血清LDL-c及升高HDL-c含量，且能有效阻止TC沉积于血管壁，从而保护内皮细胞结构完整；此外，温心胶囊尚具有明显的抗氧化作用，该药不仅能明显降低血浆LPO含量，且能提高SOD活性，同时其对血红素在细胞内代谢的调节作用也参与了抗氧化过程。2 温心胶囊能明显促进内皮细胞释放CO及合成〓，提高HO活性，通过激活血管平滑肌细胞内鸟苷酸环化酶及腺苷酸环化酶引起细胞内cGMP、AMP浓度增加而引起血管舒张。3 温心胶囊能明显抑制血小板激活因子〓的释放，从而抑制血小板聚集，抗血栓形成。4 温心胶囊能明显提高t-PA活性，降低PAI-1活性，增强纤溶功能，从而抑制纤维蛋白沉积。5 温心胶囊能明显抑制平滑肌细胞DNA合成，其抑制作用不是直接杀伤抑制，而是阻止细胞由Go期向S期转化。6 温心胶囊是抗冠状动脉粥样硬化的有效制剂，图象分析结果证实，该药治疗组脂斑面积比对照组缩小了54％和58％，光电镜结果显示内皮细胞及平滑肌细胞结构较为完整。

Then studied the effect of three-different-dose remedy on brachychronic stasis model of rats .Draw the conclusion:NaoXinKang capsule has the effect on restrain the thrombosis of rats .

药效部分，本课题研究了三个剂量组的脑心康胶囊对大鼠血栓形成、凝血时间、血小板聚集、大鼠脑缺血的保护作用、对大鼠急性血瘀模型的血液流变性的影响。

On radiologic workup, a prolapse of a lumbar intervertebral disc was ruled out, but agenesis of the infrarenal segment of the inferior vena cava was found, which has caused bilateral deep venous thrombosis.

在放射学的重建上，已排除椎间盘脱出，但却发现下腔静脉的肾下段的缺陷，这种缺陷已经导致两侧的深静脉血栓形成。

At present, the diagnosis pulmonary embolism method has very much, like the pulmonary artery radiography, spiral CT, the magnetic resonance imagery, as well as to doubts examines carries on the strict medical history collection and the electrocardiogram, X sternum inspection for the deep phlebothrombosis pulmonary embolism patient, the clinical symptom, the body draft and correlation diagnosis pulmonary embolism the and so on change method.

目前，诊断肺栓塞的手段有很多，如肺动脉造影、螺旋CT、磁共振成像，以及对疑诊为深静脉血栓形成肺栓塞的病人进行严密的病史收集和心电图、X线胸片检查，临床症状、体征及相关的变化等诊断肺栓塞的方法。

To pay attention to carry out effective cardiopulmonary resuscitation, hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency. The carotid shunt tube plays an important role in severe carotid injury and re-establishment process. We use external jugular vein to transplant and re-establish,which are rung with artificial blood vessels for the long distance carotid injury and achieved the best result. We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair. The application of blood shunt pump could raise the success rate for those severe patients. The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管；颈动脉转流管在严重颈动脉损伤重建过程中有重要作用；对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建，可取得最佳效果；对肝静脉及肝后下腔静脉损伤，要充分暴露，采用有效方法止血和修复，对病情极危重的凶险性出血者，血液转流泵的应用可提高成功率；对大、中血管损伤，两端均为裤式单开口自体双血管移植，解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题；对深静脉损伤并广泛血栓形成者，应用改进的Fogarty导管和顺行插管取栓法，可有效取栓并避免了副损伤。

To pay attention to carry out effective cardiopulmonary resus-citation,hemostasis by compression and deep vein intubation rapidly in the initial stage of emergency.The carotid shunt tube plays an important role in severe carotid injury and re-establishment process.We use external jugular vein to transplant and re-establish,which are rungwith artificial blood vessels for the long distance carotid injury and achieved the best result.We expose as fully as possible for the hepatic venae and the posthepatic post caval injury,and adopt effective methods to stop bleeding and repair.The application of blood shunt pump could raise the success rate for those severe patients.The self-double vastransplantation with both ends being all trousers-style one opening solve some problems such as there are no suitable caliber self-transplantation blood vessels and the artificial blood vessels are easy to occur obliteration for long-term and so on for the great or middle blood vessels.We use improved Fogarty duct and anterograde intubation to eliminate thrombus could eliminate thrombus effectively and avoid accessory injury for the deep vein injury and extensive thrombosis.

抢救初期要注意进行有效的心肺复苏、压迫止血和快速进行深静脉插管；颈动脉转流管在严重颈动脉损伤重建过程中有重要作用；对长距离颈动脉损伤用颈外静脉移植外环包人造血管重建，可取得最佳效果；对肝静脉及肝后下腔静脉损伤，要充分暴露，采用有效方法止血和修复，对病情极危重的凶险性出血者，血液转流泵的应用可提高成功率；对大、中血管损伤，两端均为裤式单开口自体双血管移植，解决了无适宜口径自体移植血管和应用人造血管远期易闭塞等问题；对深静脉损伤并广泛血栓形成者，应用改进的Fogarty导管和顺行插管取栓法，可有效取栓并避免了副损伤。

The experiment result demonstrates that luohanguo has a lot of pharmacody functions, for instance:resisting thrombus form、repelling blood platelet conglomeration、falling blood fat、contradicting cruor、promoting blood circulation and absorbing clots, and so on. They provided preliminary scienced reference for empoldering and applying luohanguo flavone in the future. Pharmacody functions in other faces still need to research furtherly .

药理结果表明罗汉果黄酮具有一定的抗血栓形成、抗血小板聚集、降脂、抗凝血等活血化瘀作用，为将来罗汉果黄酮的开发应用提供了初步科学依据，对于罗汉果黄酮的其他方面的药理作用还有待于进一步研究。

Methods: thanks to most bleeding cases are veinal bleeding so we external repress the distant place vein of return circuit when the patient bleedingwho post-turp result :there are 54 cases (54/56) stanch bleedingwe success stanch bleed by above methode.

根据turp术后大多数出血是来自包膜外的静脉的出血，采用外压迫出血处远端静脉的办法使其血栓形成，达到止血。对动脉性出血则采用球囊压迫或再次电灼止血。结果：本组56例除2例再次电灼止血外，其余病例均采用外压迫达到有效的止血效果。

We have no common name for a mime of Sophron or Xenarchus and a Socratic Conversation; and we should still be without one even if the imitation in the two instances were in trimeters or elegiacs or some other kind of verse--though it is the way with people to tack on 'poet' to the name of a metre, and talk of elegiac-poets and epic-poets, thinking that they call them poets not by reason of the imitative nature of their work, but indiscriminately by reason of the metre they write in.

索夫农 、森那库斯和苏格拉底式的对话采用的模仿没有一个公共的名称；三音步诗、挽歌体或其他类型的诗的模仿也没有——人们把&诗人&这一名词和格律名称结合到一起，称之为挽歌体诗人或者史诗诗人，他们被称为诗人，似乎只是因为遵守格律写作，而非他们作品的模仿本质。

The relationship between communicative competence and grammar teaching should be that of the ends and the means.

交际能力和语法的关系应该是目标与途径的关系。