氨血

The method is right tall lipemia group (81) contrast with normal blood fat group (65), with analysis of appearance of gas phase color atlas all sorts of armour ester change the content of fatty acid of plaque phosphatide film, determine with standard method the thrombosis in blood endangers factor, serum is the same as model half Guang ammonia is acerbity and element of 11- dehydrogenation thrombus B2(TXB2), analyse the dependency between both with multivariate and linear regression.

方法对高脂血症组(81例)和正常血脂对照组(65例)，用气相色谱仪分析各种甲酯化血小板磷脂膜脂肪酸的含量，用标准方法测定血液中血栓形成危害因子，血清同型半胱氨酸及11-脱氢血栓素B2(TXB2)，并用多元线性回归分析二者之间的相关性。

objective to discuss perioperative complication and management of patient with high risk copd following esophagectomy.methods 45 patients with high risk copd underwent esophagectomy with epidural block combined with general anesthesia.perioperative treatment included smoking cessation,chest physiotherapy,prevention and control of infection of air way and appropriate bronchodilators of air way,breathing exercises,nutrition support and oxygen therapy.painkiller was instilled after surgery,early exercises,ensuring unobstruction of the air way,mechanical ventilation was applied when needed.results 3 had hypoxaemia in operation.after surgery,all patients had spo2 somewhat declined.6 had lung infection.6 were removed of bronchial secretion by bronchoscope.2 were supported by ventilator by using intubation.2 underwent tracheotomy.1 had disturbances of acid base balance and treated by using hydrochloric acid muriatic acid.all patients recovered rather smoothly and discharged from hospital.conclusion high risk copd is not the absolute contraindication of esophagectomy.active management before and after surgery ensures the safety and recovery of patients.

目的 探讨重度慢性阻塞性肺疾病简称慢阻肺病人食管切除术围手术期常见并发症及其处理。方法 45例重度慢阻肺的病人在全麻联合硬膜外阻滞下进行开胸食管切除手术，围手术期处理包括术前戒烟、胸部理疗、预防和控制呼吸道感染、解痉化痰、呼吸功能锻炼、营养支持和氧疗；术后硬膜外镇痛、早期锻炼、保持呼吸道通畅，部分病人予以呼吸支持。结果术中3例出现低氧血症。术后所有病人pao2均有不同程度的下降，6例出现肺部感染，6例行纤维支气管镜吸痰，2例通过气管插管给予呼吸机支持，2例行气管切开术，1例酸碱平衡紊乱使用盐酸精氨酸治疗。所有病人均痊愈出院。结论重度慢阻肺病人并非开胸食管切除手术的绝对禁忌证，积极的术前准备和严格的术后管理可减少和控制术后急性发作，有助于确保此类病人的围手术期安全和康复。

The patient showed atrophy in frontal and temporal lobe on regular MRI, significantly reduced amount of Nacetyl aspartic acid、cholineand creatinecompared with contralateral on MRS , remarkably decreased blood flow in the left temporal polar and front part of fontal lobe compared with contralateral on PWI. There were decreased association fibers between Broca and other regions meanwhile no association fibers were found between triangular area and wernicke region on DTI. The fibers projecting to opercular part of frontal lobe via archiform fibers were lessened. The mean FA and fibers of Broca and Wernick regions were less than that of the healthy subjects.

常规MRI显示左侧额叶及颞叶萎缩；磁共振波谱分析显示左侧颞叶和额叶N乙酰天门冬氨酸、胆碱、肌酸含量较对侧明显减低；磁共振灌注成像显示左侧颞极及额前部的血流量较对侧减低；弥散张量成像显示左Broca区与其他脑区间纤维联系减少，三角区与Wernicke区无纤维联络，左侧Wernicke区通过弓状纤维到达额叶岛盖部的纤维减少，Broca及Wernicke区平均FA及纤维束较正常人减少。

"One of the difficulties — still — is in making the clinical decision of whether a child has type 1 or type 2 diabetes," Dr. Bennett explained. There are several characteristics that differentiate the two. Dr. Bennett reported that among the Pima, 92% of children with type 2 diabetes also had a family history of type 2 disease, most often in the mother. Other features include obesity (body mass index of 30 kg/m2 or greater),(68%), being asymptomatic (78%), and ketoacidosis (about 10%). These children and adolescents are not insulin-dependent and may stay that way for years, he said. They are also glutamic acid decarboxylase antibody– and islet cell antibody–negative.

Bennett博士解释道，在临床上决定孩童是第一型或是第二型糖尿病是有困难的，两者之间是有不同的特点，Bennett博士提到，在印地安人身上，92%的孩童发生第二型糖尿病是有家族史的，且与母亲有关，其他特徵还包括肥胖（身体质量指数大於等於30 kg/m2）占68%、无症状占78%、酮酸血症约占10%；Bennett博士指出，这些孩童与青少年并非胰岛素依赖型且持续好几年，他们在麸氨酸脱羧酶抗体与胰岛细胞抗体是呈阴性反应。

Results. Clinical resolution of infections, normalization of lab values, and bony fusion, based on dynamic radiographs and CT scans, were seen in all patients at latest follow-up. Staphylococcus aureus was the most frequently identified organism (8 patients). Four (29%) patients had positive blood cultures. Predisposing comorbidities were present in 12 patients. Six patients had epidural abscesses. Eight (57%) patients presented with neurologic deficits, ranging from paraparesis to quadriplegia. Complete recovery was seen in 7.

结果：临床上炎症消失、实验室检查数据正常和骨融合由所用患者随访的动态平片和CT扫描结果决定。8名患者频发金葡球菌感染，4名（占29%）患者血培养出现耐甲氨西林金葡球菌阳性反应，12名患者出现并发症，6名患者出现硬膜外脓肿，8名患者出现从下肢轻瘫到四肢瘫痪的神经损伤，7名患者完全康复。

Objective To study the relationship between serum high homocysteine and cardiovascular disease.

目的：分析高同型半胱氨酸(Homocysteine，HCY)血症与心血管疾病之间的关系，以对心血管疾病进行早期预防、治疗提供依据。

Objective To study the serum ammonia in severe hepatitis and its value.

目的 了解重型肝炎血氨特点及其临床价值。

Background— Numerous in itro studies suggest that sphingosine 1-phosphate (S1P), a bioactie lysosphingolipid associated with high-density lipoproteins, accounts at least partly for the potent antiinflammatory properties of high-density lipoprotein and, thereby, contributes to the antiatherogenic potential attributed to high-density lipoproteins.

背景——众多的活体研究表明鞘氨醇1-磷酸盐作为一种与高密度脂蛋白相关的生物活性溶血磷脂，至少是高密度脂蛋白有力抗炎特质的部分原因，从而促成高密度脂蛋白的抗动脉粥样硬化潜能。

Accordingto the difference of HA gene,which is separated 15 stype from H1 to H15;according to difference ofNA gene,which is separated 9 stype from N1 to N9.It is no cross-reaction between different HA orNA,so it is diffcult to detective.

根据流感病毒的血凝素和神经氨酸酶的抗原性差异，可将A型流感病毒分为不同的亚型，A型禽流感病毒的HA已发现16种，NA有9种，不同的H抗原或N抗原之间无交叉反应，给该病的防制带来了极大的困难。

Quinine, quinidine, phenylbutazone, sulfamethazine, isoniazid, aminosalicylic acid, PAS, Chlorpropamide and other drugs can cause this type of hemolysis.

奎宁、奎尼丁、保泰松、磺胺二甲嘧啶、异烟肼、对氨水杨酸、氯磺丙脲等药物可以导致此型溶血。

I didn't watch TV last night, because it .

昨晚我没有看电视，因为电视机坏了。

Since this year, in a lot of villages of Beijing, TV of elevator liquid crystal was removed.

今年以来，在北京的很多小区里，电梯液晶电视被撤了下来。