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objective to raise the level of regarding congnition,prevention,diagnosis and therapy on multiple organ dysfunction syndrome.methods report the process and correlative therapy on one case who occured with mods involving 6 organs after hemorrhagic shock lead to heartbeat and respiration stopping suddenly and resuscitated resulting in left nephrostome titanium nip falled off accidentally from left kidney lymphatic fastening.at the same time,the author reviewed correlative literature and introduce the investigative progress about mods.results one case who happened with mods following hemorrhagic shock,heartbeat and respiration stopped suddenly was diagnozed and resuscitaed.6 organ dysfuncted including brain,heart,lung,liver,kidney and the digestive system.after being given therapy integrated chinese and western medicines,allopathy and nutritional treatment,all circadian parameters of the case came back in gear and discharged at last.conclusion the mechanism about mods is very complicated.because of serious infection,hurt and oxygen-lack,excessive inflammatery reaction activates multifarious cell factors and inflammatery mediums,which improve the happen-rate of mods.wiping off pathogeny,providing life-sustain treatment and recognising sirs and mods in time and adopting corresponding therapy,such as treatment integrated chinese and western medicines,can improve the hit-rate of cure on mods.

作者:王静恩,蔡金芳,王志华,谢晓洪多器官功能障碍综合征;中西医结合;治疗;休克,出血性目的提高对多器官功能障碍综合征(multiple organ dysfunction syndrome,mods)的认识、预防、诊断、治疗水平。方法报告成功抢救1例经腹腔镜左肾淋巴管结扎手术后左肾静脉钛夹意外脱落失血性休克,导致心跳呼吸骤停复苏后再手术并发mods累及6个脏器功能衰竭过程及有关治疗,并复习相关文献,介绍目前关于mods的研究进展。结果确诊1例因失血性休克心跳呼吸骤停复苏后并发mods,累及脑、心、肺、肝、肾、血液、胃肠等6个脏器。经积极采取中西医结合对症、支持救治,各生理指标全部恢复正常,康复出院。结论 mods的发生机制非常复杂,在严重感染、创伤、缺氧等打击下,失控的过度炎症反应激活多种细胞因子和炎症介质的释放,使mods发生率升高。尽早去除病因,尽早给予各种生命支持治疗,尽早对可能发生全身炎症反应综合征、mods识别并给予干预治疗,包括中西医结合治疗能改善mods的救治成功率。

ASCL2 gene escapes genomic imprinting in skeletal muscle,fat, heart,liver,spleen,lung,kidney,stomach,small intestine,uterus,ovary and pituitary.(2) Both of the transcripts of NNAT gene is paternally expressed in skeletal muscle,fat,heart, liver,spleen,lung,kidney,stomach,small intestine,uterus,ovary and pituitary.(3) DIRAS3 gene is paternally expressed in skeletal muscle,fat,heart,liver,spleen,lung, kidney,stomach,small intestine,uterus,ovary and pituitary.(4) DLX5 gene is maternally expressed in skeletal muscle,fat,spleen,lung,stomach,small intestine,but escapes imprinting in heart,liver,kidney,uterus,ovary,testicle and pituitary.

1ASCL2基因在肌肉、脂肪、心、肝、脾、肺、肾、胃、小肠、子宫、卵巢和垂体中均逃脱印记;(2)NNAT基因两个转录本在肌肉、脂肪、心、肝、脾、肺、肾、胃、小肠、子宫、卵巢和垂体中均为母系印记:(3)DIRAS3基因在肌肉、脂肪、心、肝、脾、肺、肾、胃、小肠、子宫、卵巢和垂体中母系印记:(4)DLX5基因在骨骼肌、脂肪、肺、脾、胃和小肠中表达母本来源的等位基因,即表现为父系印记;而在心、肝、肾、子宫、卵巢、睾丸和垂体中表达双亲来源的等位基因,即逃脱印记。3。

This paper introduces a cardiopulmonary resuscitator using alternating compresson of chest and belly,which is used in clinic rescue when heartbeat or respiration of the patient stops abruptly.

胸腹交替按压心肺复苏装置的研制中国医学科学院生物医学工和研究所李永江,段炳柱中国协和医科大学生物医学工和研究所范振英(300192)[提要]本文介绍一种用于心脏、呼吸骤停时进行抢救的胸腹交替按压心肺复苏医疗装置。

Thumper chest compression device is more effective than standard CPR.

结果:使用心肺复苏机进行心肺复苏术,患者的循环恢复率和呼吸恢复率均高于人工标准心肺复苏。

The reason induced the drop of the students' cardiorespiratory function is lack of sufficient knowledge about distance running rather than lack of propagandization.

大学生心肺功能的下降主要不是宣传力度的不够,而是缺乏对开展健身性长跑足够的认识和科学的切实可行的方法。

Cunkou refers to obvious pulsative place of the radial artery on both sides of the wrist, and is divided into three regions: cun, guan and chi, which, on the left hand, reflect respectively the conditions of the heart, liver and kidney and, on the right hand, the conditions of the lung, the spleen, the stomach and the kidney.

寸口指的是双侧腕部桡动脉明显搏动的位置,可以分为三个区域:寸、关、尺,左手单独反应的是心、肝、肾的状况,右手反应的是肺、脾胃和肾的状况。

Hemodynamic measurements, including centralvenous pressure, pulmonary capillary wedge pressure, PPV, GEDV,and cardiac output derived by transpulmonary thermodilution,cardiac output, and stroke volume index obtained by pulmonaryartery thermodilution were performed at normovolemia, and afterfluid administration, with 25 mL/kg of hydroxylethyl starch6%.

记录正常容量和输入25 mL/kg 羟乙基淀粉6%溶液后的血流动力学参数,包括中心静脉压、肺毛细血管楔压、 PPV 、用经肺温度稀释法得到的 GEDV 和心输出量以及通过肺动脉温度稀释法获得的心输出量和心搏量指数。

In this trial,we compared standard single-rescuer CPR with over-the-head CPRin manikins.

在此试验中,作者对在人体模型上进行的标准单人心肺复苏和单人头上方心肺复苏进行了比较。

Results:Compared with the normal controls, manifestations of severe right heart failure,well-elevated pulmonary arterial pressure and serious right heart hypertrophywere observed in the pulmonary hypertensive rats 28 days after left lungresection and MCT injection.

结果:与对照组相比,MCT 注射后28 天大鼠出现重度右心衰竭征象,平均肺动脉压、右室肥厚度均明显升高;镜下可见明显肺血管重构,表现为右肺纤维化、肺小动脉内皮和中膜平滑肌层增生、血管密度降低;肺组织中HGF、eNOS 表达明显减少、TGF-β和ET-1 显著升高(P0.05),这些细胞因子表达量的改变与肺血管重构存在着明显的相关性。

Second,as to university man,physical fitness walking,physical fitness jogging and bicycles sports loading were more beneficial to the improvement of the function of the heart and lung,however shadowboxing and broadcast gym were less beneficial to it for their low sports loading.

根据本研究制定的负荷方案和实验的结果得出,健身走运动,健身跑运动,自行车运动的运动负荷更有益于大学生心肺功能的提高。

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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。

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