衰竭

objective to explore the reasonable utilization of cephalosporins in chronic renal failure patients with cephalosporin encephalopathy.method we retrospectively analyzed the clinical characteristics of 29 crf patients,who developed encephalopathic syndrome and was treated with cephalosporin.results the encepha1opathic syndrome include (1)mental confusion in 4 cases;(2)unconsciousness in 2 cases;(3)seizure in 23 cases.physical examination did not show signs of cerebral focal injury.computed tomography of the brain in 29 patients did not show acute lesions.the state of neurotoxicity was completely recovered after discontinuation of cephalosporins.conclusion cephalosporins used in conventional doses or reduced doses can cause temporary encephalopathy in patients with crfwhich might due to prolongation of drug half life.

目的 通过研究慢性肾功能衰竭患者抗生素脑病的发病机制和临床特点，探讨头孢菌素在crf患者中的合理应用。方法 29例crf患者在使用常规剂量或减量使用头孢菌素后出现神经精神症状，诊断为抗生素脑病，将其临床资料进行回顾性分析。结果神经精神症状表现多样：(1)精神异常4例，表现为胡言乱语、烦躁不安、睡眠倒错；(2)意识障碍2例，表现为嗜睡、昏睡、神志不清；(3)癫痫样抽搐23例，表现为肌阵挛、全身抽搐、癫痫样发作；部分患者同时出现几组症状。所有患者均无神经系统定位体征，行颅脑ct检查无急性病变。

The results demonstrate that iNOS plays an essential role in the intestinal microcirculation disturbance which occurs in endotoxic shock.

结果表明，iNOS在内毒素休克小肠微循环衰竭的过程中发挥重要作用。

However, the mechanism of development of inflammatory damage in organ failure during endotoxic shock is still not yet known, and further, it is more difficult in clinical treatment.

然而内毒素休克时，循环衰竭器官组织炎症性损伤的确切发病机制尚未阐明，且在临床治疗上仍是一个非常棘手的问题。

Retrospectively analyses 125 cases respiratory failure patients remedied by tracheal intubation in our hospital from 2001-04 to 2004-09. Comparing achievement ratio, time of detained airtube,incision of trachea ratio, extubate ratio, and sufferers' post-recovery condition of nasal trachea cannula under the guidance of fibrobronchoscope and oral trachea cannula under the guidance of laryngeal endoscope.

对我院2001年4月至2004年9月经气管插管救治的125例呼吸衰竭患者资料作回顾性分析，对纤支镜引导经鼻插管与经口喉镜明视插管各自成功率、留管时间、气管切开率、拔管率及患者的愈后情况进行比较。

Retrospectively analyses 125 cases respiratory failure patients remedied by tracheal intubation in our hospital from 2001-04 to 2004-09. Comparing achievement ratio, time of detained airtube,incision of trachea ratio, extubate ratio, and sufferers' post-recovery condition of nasal trachea cannula under the guidance of fibrobronchoscope and oral trachea cannula under the guidance of laryngeal en dos cope.

对我院2001年4月至2004年9月经气管插管救治的125例呼吸衰竭患者资料作回顾性分析，对纤支镜引导经鼻插管与经口喉镜明视插管各自成功率、留管时间、气管切开率、拔管率及患者的愈后情况进行比较。

To investigate the molecular mechanism of portal hypertensive gastropathy 3、to explpre the molecular pathology and the gene regulation of liver fail

解析门脉高压型胃肠病的分子基础和临床治疗。 3、理解肝衰竭的分子病理机制和基因调控

American Atlanta conference edited in September 1992 pancreatitis of serious illness acute definition is: AP companion has local complication (cyst of pancreatic and necrotic, false sex, pancreatic abscess) or the organ fails (function of shock, lung not complete, kidney declines, gastrorrhagia, sow medicinal powder the cruor inside sexual blood-vessel and serious metabolization obstacle), or both holds concurrently.

概要： 急性胰腺炎为临床常见急腹症，是由于胰液和溶蛋白酶漏入到胰腺实质和胰腺四周组织而引起。1963年，法国马赛会议以病理形态学为基础，将AP分为水肿性胰腺炎和出血、坏死性胰腺炎。1992年9月美国亚特兰大会议修订重症急性胰腺炎定义为：AP伴有局部并发症(胰腺坏死、假性囊肿、胰腺脓肿)或器官衰竭(休克、肺功能不全、肾衰、胃出血、播散性血管内凝血和严重的代谢障碍)，或二者兼有。

Hemapoietic stem cell transplantation and the treatment of kidney disease

适应症：用于治疗急性肾功能衰竭所致的电解质紊乱和尿毒症。

The average ISS was 30.7 for each case.15 patients died.6 of 15 case died from hemorrhagic shock,one died from hemopneumothorax,one died from renal failure,3 cases of patients died from severe cerebral injuries,3 cases of patients died from ARDS,one died from MOF.

平均ISS为30.7；死亡15人，其中死于失血性休克6例，死于血气胸及肾衰各1例，死于严重颅脑损伤3例，死于ARDS 3例及多器官功能衰竭1例；伤后早期抗休克治疗及手术内固定有利患者康复及减少并发症发生。

However, tracheal stent implantation is different from esophageal stent implantation. As patients with airway obstruction are always complicated by dyspnea and hypoxemia, even respiratory failure, which increases risk and difficulty of stent implantation. During tracheal stent implantation, the bronchofibroscope or stent entering the stenosis site may lead to complete tracheal obstruction-induced asphyxia. Corrosion of metal wire of stent to airway mucosa and vessels may result in hemorrhea, leading to postoperative hemoptysis. Stent dislocation is mainly caused by inappropriate selection of stent, inappropriate implantation position or severe cough. Carcinoma tissue growing along stent lumens can induce re-obstruction in stent, resulting in atelectasis relapse.

气管及食管支架置入均属有创性治疗，但气管支架置入不同于食管支架置入，气管阻塞患者均有不同程度的呼吸困难和低氧血症，甚至发生呼吸衰竭，加大了支架置入的风险和难度；气管支架置入者，当纤支镜或支架进入狭窄部位时可造成气管的完全阻塞引起窒息；支架金属丝对气管黏膜血管的侵蚀可引起大出血，导致术后咯血；支架移位主要由支架选择不当、置入不到位或剧烈咳嗽引起；癌组织沿支架网眼长入造成支架内再阻塞可引起肺不张复发。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。