病人

Methods Forty ASAⅠ-Ⅱpatients scheduled for elective thyroidectomy under cervical plexus block combined with general anesthesia were enrolled and randomly divided into two groups: group remifentanil and group fentanyl. Group R were induced and maintained with remifentanil and propofol, while group F with fentanyl and propofol. Hemadynamics changing during the induction and maintenance phase, doses of propofol and atracurium, spontaneous breath recovery time, awake time, time of endotracheal tube extubation and side-effect were investigated and compared. Results The re were no significant differences in doses of propofol and atracurium between two groups.

选择ASA 分级Ⅰ-Ⅱ级择期在颈丛复合全身麻醉下行甲状腺次全切除术病人40例，随机分为瑞芬太尼组及芬太尼组，R组采用瑞芬太尼和丙泊酚诱导和维持麻醉，F组采用芬太尼和丙泊酚诱导和维持麻醉，观察并比较两组病人麻醉诱导及维持期血流动力学的变化、术中丙泊酚和阿曲库铵的用量、术毕停药后病人自主呼吸恢复时间、清醒时间、拔管时间以及苏醒期不良反应等。

Two patients experienced slippage of the band, two patients developed hiatal hernias, and one patient had a wound infection.

两个病人经历了带滑脱，两个病人出现食道裂孔疝，一个病人患伤口感染。

TREATMENT: Except for anti-coagulation therapy, aminophyllini was an inexpensive medicine to treat PTE, it could largly lower Hb and Hct by reducing the secretion of EPO. Its defect was rechallenge of PTE with the drug stopped, and repeated administration was still effective. The side effect was exciting symptoms. Enalapril was a storng hypotensor which could also greatly lower Hb and Hct with the decline in PRA/AT-Ⅱ, and then decreasing serum EPO. In this therapy blood pressure shonld be monitored to prevent from postural hypotention. At last, it showed that diltiazemi had no obvious effect on PTE.

四、治疗研究：分别以氨茶碱、恬尔心、Enalapril来治疗PTE病人，发现氨茶碱能明显降低PTE病人的Hb及Hct，且该作用与EPO降低有关，其缺点是停用后可引起复发，但继续服用仍有效，该药的副作用主要为头痛、失眠等兴奋症状；Enalapril不但能显著降低Hb及Hct，还可治疗难治性高血压，适用于伴有高血压的PTE病人；恬尔心对PTE的治疗作用不大。

The intervention focused on pulmonary TB patients intermitting treatment worked on rising the completion rate,it would make further progress with the help of township/village doctor.

应用及时发现涂阳肺结核病人中断取药管理措施提高了病人治疗完成率，乡村医生督导管理病人的作用得到了充分发挥。

Through analysis the average CR of cortex and that of caudate nucleus and lentiform have correlation with MMSE scores of HD.

与磁共振成像比较，分析病人的PET影像特点；测量了病人的平均皮层、豆状核和丘脑的间接放射性计数，与病人的神经心理测量得分、统一的HD运动评分和生活自理能力评分进行比较分析。

Results Extensive and diffuse synovial hyperplasia can be seen in patients with RA;synovial pannus formation can be seen in 25 cases.

结果RA组病人均可见广泛、弥漫的滑膜增生，其中25例病人可见滑膜血管翳形成，而OA组仅7例病人可见轻度滑膜增厚，未见滑膜血管翳形成者(X2=55.78P.005)；RA组关节软骨及软骨下骨改变较严重且弥漫，而OA组软骨退变则较局限，且以关节摩擦大的部位受损为著，其软骨下骨改变较为局限，常常见于IV软骨退变；关节腔积液、半月板及韧带改变，在OA组与RA组之间无差异。

Thirty patients with acute promyelocytic leukemia were observed between September 1977 and October 1985. Bleeding diathesis with petechiae or ecchymosis (80%) was the most common presenting symptom. Seventeen of 24 patients with pretreated coagulation studies were diagnosed to have disseminated intravascular coagulation. Six out of 11 patients died from intracranial hemorrhage after a mean of 2.5 days of hospitalization without any treatment. DIC was responsible for death in most cases. Induction therapy with anthracycline and cytosine arabinoside combined with prophylactic heparin infusion was carried out in the remaining 19 patients. Two patients were incompletely treated. Eight out of 17 patients achieved complete remission after a mean of 63 days following chemotherapy. The remission rate was 47%.

自1977年9月至1985年10月，观察30位急性前骨髓球性白血病病帣，临床上诊断时初发症状，主要为出血现象，尤其以瘀斑出血最多，占80%。24位病人作治疗前凝血机能检查，17位出现播散性血管内凝固症候群。11位病人没有接受治疗，其中6位经诊断后平均2.5天内死於脑内出血，凝血机能检验显示5位有播散性血管内凝固症候群。19位病人接受anthracycline与ara-C并用预防性肝素静脉滴注作缓解诱导治疗，2位不完全治疗，其余17位中有8位经过平均63天之化学治疗得到完全缓解，缓解率47%。

Results 17 patients reported in the literature had primary bronchogenic carcinoma with metastases of phalanges of fingers as its first symptom. 7 patients' metastatic lesions located in their phalanges of left hands, 9 right hands and 1 both hands. The distribution of the quantity of the phalangeal metastases between two hands was almost equal. 3 patients' metastatic lesions were situated in proximal phalanges of fingers, and the rest in distal. 6 patients' ill fingers had had trauma history.

结果 在文献报道的以单纯指骨转移为首发症状的17例原发性肺癌的病人中，其转移病灶位于左手指骨者7例，右手指骨者9例，双手指骨者1例，指骨转移病灶的数量在两手之间的分布大致相等，除3例病人其转移病灶位于近节指骨外，其余病人的转移病灶均位于其末节指骨；有6例病人的患病手指既往曾有外伤史。

Patients with PTSD had major impairments in some dimensions of health-related quality of life, whereas those without PTSD had scores comparable to those of the general population. Compared with patients with sub-PTSD and no PTSD, patients with PTSD had a marked tendency toward somatization and state anxiety, and they had a longer duration of stay on the intensive care unit. All three groups were otherwise similar in social support, symptoms of cognitive dysfunction, age, sex, sociodemographic variables, premorbid psychopathology, and initial severity of illness.

对有PTSD的病人在生命健康联系品质的一些尺度中有主要损害，反之，没有PTSD的那些人对一般人口有比较的理由，与对次要PTSD和没有PTSD的病人的比较，有PTSD的病人，对於身体有显著的趋势和状态的忧虑，并且他们在重病特别护理加护病房上有一个更长的持续时间，三个小组都认识机能障碍的社会支援、症状、年纪、性别、社会样本图形变量、premorbid精神错乱，和疾病初始的严格都几乎相似。

Results The count of white blood cell and platelets in all the patients were returned to the normal levels. Bleeding has been controlled. Nervous symptoms were improved. The patients continued to receive exhaust copper agents. 2 patients were found spleneolus and showed hypersplenism again.

结果 全部病人术后白细胞及血小板恢复至正常，出血症状控制，病人能继续驱铜治疗，神经系统症状改善；2例病人存在副脾并再次出现脾亢症状。

With Death guitarist Schuldiner adopting vocal duties, the band made a major impact on the scene.

随着死亡的吉他手Schuldiner接受主唱的职务，乐队在现实中树立了重要的影响。

But he could still end up breakfasting on Swiss-government issue muesli because all six are accused of nicking around 45 million pounds they should have paid to FIFA.

不过他最后仍有可能沦为瑞士政府&议事餐桌&上的一道早餐，因为这所有六个人都被指控把本应支付给国际足联的大约4500万英镑骗了个精光。