Diagnosis, Differential ; Drugs, Chinese Herbal ; therapeutic use ; Humans ; Medicine, Chinese Traditional ; Neoplasms ; diagnosis ; drug therapy ; Phytotherapy ; Quality of Life ; Treatment Outcome

Humans ; Neoplasms ; epidemiology ; etiology ; Work Schedule Tolerance

Objective: To analyze the elcctrophysiological and clinical features of 68 common and 9 refractory atrioventricular nodal reentrant tachycardia(AVNRT) cases,thereby to seek safe and effective strategies for the treatment of refractory AVNRT with radiofrequency catheter ablation(RFCA). Methods: Ablation at lower zone is customarily applied in AVNRT,if noneffective,ablation electrode can be gradually moved upward,and radiofrequency energy can be delivered at a midpoint or upper position of His Bundle even with small H waves.The movement of the ablation electrode must be carefully monitored lest His bundle be eroded mistakenly.For those both atrioventricular nodal dual pathways(AVNDP) and atrioventricular accessory pathways(AVAP) are present,we always ablate AVAP first. Results: All 68 common AVNRT cases are simple slow-fast type.Among the 9 cases of refractory AVNRT,2 cases were combined with concealed left postseptal AVAP and concealed right AVAP respectively,while 1 case with atrioventricular nodal three pathways. Conclusion: X-ray anatomical position and intraventricular local mapping should be analyzed for the use of RFCA in refractory AVNRT.Safe and effective mapping should be: small A wave and big V wave,shattered A wave with width≥68 ms,A/V= 0.1-0.25,no H or H≤(0.02?0.03) mV.If lower position and middle position method are noneffective,linear ablation at mid-level of Koch's triangle seems to be a satisfactory alternative,which could avoid complications of atrioventricular block in the upper position ablation.

The test panels are combined for the clinical application according to the principle of the evidence-based medicine, which involves the strict evaluation for the technical performance, diagnostic performance, the result of patients and the economic properties. The guideline for the clinical application of the test panels is established in light of different diagnostic objectives and diseases, providing the best diagnostic service for the physicians and benefiting the patients the most.

Objective:To provide anatomical basis for clinical application of human pectoralis major (P.major).Methods:The intramuscular nerve branches and muscle architectural features of P.major were dissected and observed.Results:1.The clavicular part(clavic.part) and sternal part of P.major had their anatomically distinct nerve supply.Some final terminal branches went along their course to each muscle slip.2.The average muscle mass,muscle length,fiber length and cross sectional area of the clavic.part of P.major were 45.9?10.8g,18.5?2.1cm,10.7?1.4cm and 4.1?1.1cm2,respectively and those of sternal part of P.major were 220.4?44.3g,21.4?1.6cm,17.2?2.6cm, 12.4?3.1cm2,respectively.Conclusion:1.P.major could be divided into clavic.part and sternal part compartments according to the intramuscular nerve branches.2.The force produced by sternal part is 3 times as much as the clavic.part and the excursion produced by the former is 1.6 times as much as the latter.The two compartrnents of P.major could be used for muscle transplant respectively,so could each muscle slip.

Objective:To investigate the ultrasonic cleaning machine in the equipment derusting effect of.Methods: Rusty instrument as rust 600, were randomly divided into two groups, experimental group (n=305) and control group (n=295). The first device in according to 1:270 proportion of organic pollutants in multi enzyme cleaning solution good, the experimental group will rust instrument containing stainless steel basket, in according to the proportion of 1:7(water temperature is 60℃) ultrasonic cleaning machine solution rust agent by ultrasound in 10 minutes, with a soft brush to wash; the control group will instrument in the water temperature in 60℃, solution rust agent 1:7 mixing ratio, non constant temperature for 10 minutes using a soft bristle brush. Observe and record the two rust rust indicators, and analysis.Results: The naked eye visual two groups of instruments derusting pass rate was not statistically significant (P<0.05); microscopy (5 times the magnifying glass) experimental group equipment derusting pass rate was significantly higher than that of the control group, there were significant difference between two groups (P<0.001); total flexibility in experimental group was significantly better than the instruments the control group, there were significant difference between two groups (P<0.001).Conclusion: The rusty instrument in a constant temperature of 60℃ plus ultrasonic cleaning descaling effect, improves the equipment clean quality and overall flexibility.

Objective To investigate the relationship between the platelet activation and cor pulmonale cerebral thrombosis. Methods Platelet-activating markers CD 62p and P 10 on platelet surface were assayed using FCM, and cerebral CT were also performed at the same time. Results The patients with cor pulmonale had abnormal platelet activation, which had significant difference compared with the control group(P

Objective:To study the effect and applicability of interventianal therapy using elemene emulsion with gastric carcinoma in the advanced period or relapse after operation.Methods:The embolization of advanced gastric carcinoma in 68 cases via left gastric artery,arteria mesenterica superior and arteria coeliaca in 296 patients using elemene emulsion was done with the method of LEF,ELP pand EAP,the indexes of the angiogram before and after treatment,GI and CT were studied for evaluating the effect with the intervals ranging from 2 to 4 months.The regression rate of carcinoma,the retained time of embolism,the survival stage,the survival rate and histopathology were observed.Results:The survival rate of one year was 63.2%,of two years 29.4% and of three years 7.4%.the average survival time of liver metastasis and non-metastasis was 9.6 and 15.6 months respectively,the regression rate of the carcinoma was 64.8%.These figures were higher than those of other interventional radiology and chemotherapy.Conclusion:The embolism with elemene emulsion is a hopeful method to treat the advanced gastric carcinoma of being unable to operation.

Objective To explore the application effect of 4R crisis management in patients with mechanical ventilation in intensive care unit(ICU).Methods 88 patients with mechanical ventilation in ICU were selected as the study subjects,by random number table method they were divided into observation group and control group, 44 cases in each group.The control group was treated with basic nursing intervention,the observation group received 4R crisis management of nursing intervention.After the implementation of different nursing intervention,the incidence of pressure ulcers,prevention effect and nursing satisfaction,crisis event occurrence and the quality of care were com-pared between the two groups.Results The incidence rate of pressure ulcers of the observation group was 2.27%, effectively preventive rate was 95.45%,the crisis event occurrence rate was 4.55% and nursing satisfaction rate was 97.73%,nursing quality score was (93.78 ±3.19)points,which were significantly better than those of the control groups[20.45%,68.18%,47.73%,75.00%,(87.91 ±2.75)points](χ2 =5.53,9.24,19.07,7.82,t =9.25,all P <0.05).Conclusion 4R crisis management nursing intervention can effectively improve the ICU mechanical ven-tilation patients crisis events,improve the quality of nursing and nursing satisfaction.

The effect of Liu Wei Di Huang Wan(LWDHW)and Rehmannia glutinosa Libosch(RGL)on the immune function of normal and immune-suppressed mice were observed.The results showed that the two medicinal herbs given orally can correct the suppres-sive effect of cyclophosphamide on spleen and thymus weight,serum specific antibodylevel and lymphocyte transformation.They can also improve the phagocytic activity ofperitoneal macrophages and enhance peripheral blood ANAE~+ lymphocyte ratio of mi-ce.Under the same conditions,no obvious effect of LWDHW and RGL on the normalmice was found except that RGL can increase the antibody level of normal mice.Theresults implicate that LWDHW and RGL may have some immunomodulatary effect.