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Methods] One hundred fifty-one healthy adults, who took physical examination at the Second Affiliated Hospital of Dalian Medical University, took the pulmonary function testing by MedGraphics 1085D spirometer.

方法]采用MedGraphics 1085D肺功能仪对大连医科大学附属第二医院健康体检中151名健康成年人进行肺功能检测,分析吸烟对肺功能的影响。

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。

Dynamic respiratory compliance and total respiratory resistance were measured before surgical incision, after sternal closure in the operating room, and after arrival in the intensive care unit. The following data were recorded: age, weight, preoperative pulmonary infiltrates, preoperative mechanical ventilation, evidence of increased PBF before surgery, duration of CPB, duration of aortic cross-clamp, duration of deep hypothermic circulatory arrest, use of steroids, and volume of ultrafiltrate removed.

分别在麻醉诱导后、手术结束关胸后和返回ICU后3个时间点测定患儿的肺动态顺应性和全肺阻力,并记录患儿年龄,体重,术前胸片浸润性改变情况,术前机械通气情况,术前肺血流量增高情况,体外循环时间,主动脉阻闭时间,深低温停循环时间和体外循环中超滤量等参数。

Methods: Single lung in situ ischemic reperfusion animal model was used. 30 rabbits were randomly divided into three groups: sham group, ischemic/reperfusion group and ischemic preconditioning group. Wet to dry ratio and injured alveoli rate were determined. Ultramicroscopic structural change was observed under electron microscope. Heat shock protein-27 was detected with immunohistochemistry.

采用在体兔单位缺血瑞灌注模型,30只日本大耳兔随机均分为三组:假手术组、缺血/再灌注组及缺血预处理组,实验检测肺组织混干重比和肺泡损伤数比值,电镜评定肺组织起微结构损伤,免疫组化检测肺组织热休克蛋白27的定位及表达。

ABSTRACT:Objective To compare the effect of different antegrade pulmonary blood flow on the further development of pulmonary artery after Glenn procedure in cyanotic congenital heart defects patients.

目的 比较不同前向肺血流对肺血少型先天性心脏病患者在双向腔静脉-肺动脉吻合术后肺血管发育的影响。

Retrospective study on 29 cases with thoracic diseases. Among them ,lung cancer 16 cases ,esophagus carcinoma 9 cases,intra-segmental segregation 1 case,azygos venous malformation 1 case,chronic bronchitis 1 case,acute trauma hematom in right lung 1 case.

分析 2 9例胸部疾病的间断闭气磁共振气管、支气管单层扫描检查患者,其中支气管肺癌 1 6例,食管癌 9例,肺内型肺段隔离症 1例,奇静脉畸形 1例,慢性支气管炎 1例,肺内急性外伤血肿 1例。

Results 6 patients with PAP presented with ground-glass opacification of the bilateral lungs on HRCT. Typical chest HRCT scan showed "map-like" lesions in 3 cases and "cobble stone-like" lesions in 3 cases. Multifocal consolidative opacities in the lungs were seen on HRCT in 3 cases. Lung biopsies from 6 patients with PAP revealed a prominent positive periodic acid-Schiff intra-alveolar exudates. There were normal alveolar spetasis in 3 patients while interstitial thickening, fibroblast hyperplasia, interstitial fibrosis in the others.

结果 6例患者在不同层面可见磨玻璃影,其中2例可见小结节影;3例表现为两肺斑片状磨玻璃影与周围肺组织分界清楚,呈地图样改变;3例因磨玻璃影与小叶间隔增厚交织成铺路石样改变;3例可见肺泡实变融合成密度较高的斑片状阴影,1例在肺泡实变区可见&空气支气管征&。6例患者活检肺组织在光镜下显示肺泡腔内充满大量块状或颗粒状嗜伊红物质,PAS染色阳性,AB染色阴性,其中3例肺泡间隔正常,3例肺泡间隔增宽,可见慢性炎性细胞浸润、成纤维细胞增生和胶原沉积。

Adopt prospective study method that we divide 50 COPD patients into two group in random,the contrast group(25 patients) to treat by routine western medicine.The therapeutic group(25 patients) to treat by the Bailing capsule and the lung recovery medical gymnastics.After 6 months,we observe the patients' condition of lung ventilation,dyspneic respiration and disease resistance.

采用前瞻性研究方法将50例缓解期慢性阻塞性肺疾病患者随机分成2组,对照组(25例)单用常规西药治疗;治疗组(25例)加服百令胶囊并联合肺康复医疗体操治疗;疗程均为6个月,观察患者肺通气、呼吸困难、抗病能力的改善状况。

Fibrin exudation, pulmonary interstitial incrassation, thrombosis of pulmonary artery, hemorrhage and gore were found. Conclusion: MR enhanced pulmonary perfusion can diagnose pulmonary embolism.

病理显示:梗死区可见大量的纤维素渗出,肺间质增厚,动脉腔内可见红细胞和血栓形成,其周围白细胞浸润伴肺淤血,部分可见点状出血及肺淤血。

Resujts:① The distribution of lesions are mostly symmetrical, extensive, predominant in the middle and lower lung fields, and posterior areas in peripheral;② There are so many HRCT findings of lung, ILD is predominant: intralobular interstitial thickening 46 cases (100%), ground-glass opacity 41 cases (89.13%), peribronchovascular or centrilobular interstitial thickening 40 cases (86.96%), interlobular septal thickening 38 cases (82.61%), irregular linear opacity 37 cases (80.43%), small nodular opacity 34 cases (73.91%), subpleural line 27 cases (58.70%), bmnchiectasis or bronchiolectasis 19 cases (41.30%), patch opacity 18 cases (39.13%), expiratory mosaic sign 15 cases (32.61%), interface sign 14 cases (30.43%), honeycombing 12 cases (26.09%), emphysema or bulla 3 cases, cystic airspace suspected 1 case, and atelectasis suspected 1 case;③ Mediastinum and pleura: multiple small lymphonodi in mediastinum 41 cases (89.13%), pleural thickening or rough 38 cases (82.61%), esophagoectasis 11 cases (23.91%), unilateral little pleural fluid 1 case, and mediastinal emphysema 1 case.

结果:①皮肌炎肺部病变分布呈对称、广泛、偏中下、偏外后的特点;②肺部HRCT表现多样,以肺间质性改变为主:小叶内间质增厚46例(100%),磨玻璃影41例(89.13%),支气管血管束增宽或小叶核心增大40例(86.96%),小叶间隔增厚38例(82.61%),不规则纤维索条影37例(80.43%),结节影34例(73.91%),胸膜下线27例(58.70%),支气管或细支气管扩张19例(41.30%),斑片影18例(39.13%),呼气相马赛克征15例(32.61%),界面征14例(30.43%),蜂窝影12例(26.09%),肺气肿或肺大泡3例,单纯囊状气腔1例,肺不张l例;③纵隔及胸膜:纵隔小淋巴结影41例(89.13%),胸膜增厚或毛糙38例(82.61%),食管扩张11例(23.91%),单侧少量性胸腔积液1例,纵隔气肿1例。

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