无尿

Methods: We examined the expression of mRNA of hTERT in exfoliated urorhelial cells of bladder and control by RT-PCR.

目的：通过检测尿脱落细胞的hTERT mRNA和端粒酶的活性，探讨建立膀胱癌早期诊断和术后检查的无创方法。

Although there is no bacterium parasitizing in the urinary system, the feature of its anatomical position makes it easy to suffer from transfer damage of Philosophical Biology.

泌尿系统虽无细菌等生物的寄生，但解剖位置的特点使其的特点使其受到哲学生物的迁移损害。

The peristalses of the dilated ureter could be seen but it disappeared in the end of the ionvolved ureter,which was of normal calibrc.Delay in the empty of ureter was seen.The ureter counter current from the bladder could not be found.

而扩张输尿管末端临近膀胱入口处管径正常，为功能性梗阻段，长度为1～2cm；（2）除功能性梗阻段以外，其余段输尿管的蠕动一般正常，早期有时可见高蠕动；（3）扩张输尿管排空延迟；（4）无膀胱输尿管返流；（5）本病的X线造影检查应选用大剂量静脉尿路造影，造影时早期解除腹压带，增加延迟摄片，并加照膀胱斜位点片，加强动态观察。

objective to evaluate efficacy of extracorporeal shock wave lithotripsyfor treating ureteral stones in situ,investigate the cause of higher re-treatment rate.methods total of 687 patients with ureteral stone were received eswl between january 2000 and december 2004,included 455 male(66.2%) and 232 female(33.8%) patients,6 cases have bilateral ureteral calculi,12 cases have unilateral multiple calculi.hence,together 709 ureteral calculi were treated.patients upper ureteral calculi were treated in the supine position,for lower ureteral calculi patients were turned prone.to reduce eswl-induced renal trauma and pain,using lower energy source,adjusted power setting from 9.8 to 13.2kv,limited 1500 shock wavs per one session.no auxiliary procedure were used before eswl.the stone size was measured as the surface area of stone length by stone width on x-ray film.the interval between two treatment sessions was two weeks.results of 709 ureteral calculi,the overall stone free rate was 97.3%(690 calculi),re-treatment rate was 34.1%(292 calculi).according to the performed treatment sessions,one session 467 calculi,the mean stone size 37.27mm2,stone free rate 65.4%(464 calculi).two sessions 138 calculi,the mean stone size 62.48mm2,stone free rate 18.4%(131calculi).three sessions 52 calculi,the mean stone size 79.60mm2,stone free rate 7.1%(50calculi).four sessions 19 calculi,the mean stone size 101.63mm2,stone free rate 2.4%(17calculi).fivesessions 33 calculi,the mean stone size 119.33mm2,stone free rate 3.9%(28 calculi).overall 19 cases(2.7%)turned to other treatment modalities.of 335 upper ureteral calculi,303 achieved stone free (95.8%),re-treatment rate was 38.5%(129 calculi).of 374 lower ureteral calculi,369 achieved stone free(98.7%),re-treatment rate was 30.2%(113 calculi).the re-treatment rate of upper ureteral calculi was higher than lower ureteral calculi(p＜0.05,χ2=5.40).the difference of stone-free rate between upper and lower ureteral calculi was no significant(p＞0.05,χ2=0.15).conclusion eswl should be considered first line therapy for ureteral stone still.stone burden are the main variable of higher re-treatment rate,upper ureteral stone may moving with respiring during eswl.so efficinet shock wave was decreared,re-treatment rate become higher.

目的 评估体外震波碎石治疗输尿管结石的疗效，探讨再治疗率高的原因及输尿管结石的治疗选择。方法回顾2000年1月～2004年12月间eswl治疗输尿管结石的临床资料687例，男455例（66.2%），女232例（33.8%），平均年龄46.6岁（15～83岁）。有双侧输尿管结石6例，单侧多发性输尿管结石12例（4颗1例，3颗2例，2颗9例），共计输尿管结石709颗（含透光结石13颗）。应用上海爱申公司生产的desunit6030型碎石机，c臂x线球管做结石定位。上段输尿管结石（肾盂输尿管交界处至骶髂关节上缘）取仰卧位，下段输尿管结石（骶髂关节上缘下至输尿管口）取俯卧位。为减少eswl引起的肾损伤和疼痛，应用较低的能量，震波发生器电压从9.8～13.2kv，震波频率1.5s。每次治疗设定为1500次震波。治疗后3天摄腹部平片或b超，以后每隔7日重复检查。假如结石未碎或有残留结石最长径＞3mm以上，再次eswl，两次治疗的间隔时间为两周。结石的大小用x线片上的表面积（mm2表示。结果 709颗输尿管结石总的治愈率为97.3%（690颗），再治疗率34.1%（242颗）。其中一次治疗467颗，平均结石大小37.27mm2，治愈464颗（65.4%），3颗改治疗；两次治疗138颗，平均结石大小62.48mm2，治愈131颗（18.5%），7颗改治疗；第1和第2次治疗治愈率（1个月治愈率）为83.8%。3次治疗52颗，平均结石大小79.60mm2，治愈50颗（7.1%），2颗改治疗；4次治疗19颗，平均结石大小101.63mm2，治愈17颗（2.4%），2颗改治疗；5次及5次以上治疗33颗，平均结石大小119.33mm2，治愈28颗（3.9%），5颗改治疗。总计19颗（2.7%）结石改变治疗方式。上段输尿管结石335颗，治愈321颗（95.8%），再治疗129颗（38.5%）。下段输尿管结石374颗，治愈369颗（98.7%），再治疗113颗（30.2%）。经χ2检验，上、下段输尿管结石的再治疗率差异有显著性（χ2=5.40，p＜0.05），治愈率差异无显著性（χ2=0.15，p＞0.05）。不良反应：血压升高13例（1.9%），震波区域疼痛26例（3.8%），震波进入处皮肤点状淤血33例（4.8%），肉眼血尿128例（18.6%），均于第2、3天自行消失。结论 eswl目前仍是输尿管结石的第一线治疗，结石的大小是再治疗率高的主要因素。结石的位置有影响，上段输尿管结石可随呼吸移动，有效震波次数减少，再治疗率比下段输尿管结石高。eswl前注重病例筛选可降低再治疗率。

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Two patients appeared the symptoms of lowering of consciousness 、alalia after 10 minutes of angioplasty and stenting. Acute thrombosis was detected in the stent by the DSA instently and then used the contact thrombolysis in the stent by the microcatheter. There was not postoperative neurologic impairment in the six month.

有2例术后10分钟内出现不同程度的意识淡漠、言语不清等神经功能缺失症状，即刻造影见支架内急性血栓形成，前向血流延迟，及时选送微导管于支架内应用尿激酶接触性溶栓均获得成功，术后随访6个月与术前对比无遗留任何神经功能缺失。

Methods Seven medical units participate in the investigation of2650diabetic cases.Theinvestigationconsists:blood pressure;case history of diaˉbetes mellitus;whetherornothavechronicrennalfailure;microalbuminuria;the application of ACEI and the occupaˉtion.

7家医疗单位对2650例糖尿病病人进行调查、测血压，包括糖尿病病史、职业、有无慢性肾功能衰竭、尿微量白蛋白检测、及ACEI应用情况。

Objective To know the relation between occupation and the microalbuminuria,the known-rate of hypertension,the application of ACEI and the knownrateofmicroalbuminuria.Methods Seven medical units participate in the investigation of2650diabetic cases.Theinvestigationconsists:blood pressure;case history of diaˉbetes mellitus;whetherornothavechronicrennalfailure;microalbuminuria;the application of ACEI and the occupaˉtion.

目的 了解糖尿病患者微量白蛋白尿、高血压知晓率、ACEI的应用情况以及微量白蛋白尿的知晓率与职业的关系方法 7家医疗单位对2650例糖尿病病人进行调查、测血压，包括糖尿病病史、职业、有无慢性肾功能衰竭、尿微量白蛋白检测、及ACEI应用情况。

Seventeen cases achieved satisfactory effect,no chordee recurrences of penis,1 case occurred urinary fistula.

17例术后外观均满意，无下弯复发，1例发生尿瘘。

There was increased expression of VEGF in the glomerules,that glomerular immunologic peroxidase anti-Peroxidase staining of VEGF in patients with IgAN.

在轻、中度病变中肾小球内VEGF表达增强，且与24h尿蛋白定量呈正相关，与血压、血肌酐水平无明显相关性，提示VEGF在IgA肾病患者肾组织内表达异常增加，促进蛋白尿形成。

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。