Objective To observe the clinical curative effect of the FUFANGDANSHENDIWAN on the acute myocardial infarction patients. Methods 75 acute myocardial infarction patients were randomly divided into two groups,the curative group( A group) 45patients, and the control group( B group)30 patients, patients inTwo groups were treated wigh thrombolytic intravenous drip urokinas, A groupe patients oral admnistered the FUFANGDANSH-ENDIWAN,B group patients oral administered aspirin,the course ti treatmant is two weeks. The change tithe level of blood theology, the record points of QRS wave of the electrocardiogram, and the square of myocardial infarction were observed. Results The change of the level of blood rheology, the record points of QRS wave of the electrocardiogram (4.45±0.82),and the square of myocardial infarction(25.20±3.40),of A group compared with B group,the difference is significant. ( P<0.05 orP<0.01 ). Conclusion The FUFANGDANSHENDIWAN had effect on the a-cute myocardial infarction.

Assessment the efficacy of cranioplasty with frozen self-cranial bone on 47 patients at the Department of neurosurgery, Saint Paul hospital between May 2002 and March 2005. The patients consisted of 37 males and 10 females, the mean age was 28 (16 to 63 years old). In all patients, cranioplasty had been performed to repair bone defects secondary to severe brain injury. 38/47 patients (80.85%) had fronto-temporal defect while 27 patients had very large defect (> 80 cm2). Results: the operation successful rate was 90.24% (37/41 patients) and no complications. 4 cases need secondary cranioplasty while 2 patients were done with carbon composite.
Bone and Bones ; Skull

From October 1997 to December 1998, 64 patients with defect of skull vault bone were divided into 2 groups. The 1st group of 33 patients underwent an orthopedic surgery to recreate the defect using their self exploited bone and the 2nd using the carbone composite flap. The technique of use of carbone composite was not complicated and can be applied in any surgical institution which had used to conduct emergency surgery of skull and brain. The priorities in indication must be given to large and very large defect.
Surgery, Plastic ; Therapeutics ; Bone and Bones ; Skull ; Orthopedics

From Oct. 1997 to Oct. 1999 in Neurosurgery Department of St Paul Hospital, Ha Noi, 42 patients ≥ 4 years old underwent a cranioplasty for skull lacuna using carbon composite "intost-2". The pathologic postoperative conditions were 14.29% with extradural hematomas, 30.95% subdural hematomas, 54.76% cerebral wounds; located on frontal sited 40.48%, temporal 33.33%, parietal 21.43%, occipital 4.76%. Surgical produres were scar removal and cranioplasty 78.58%, scar removal and meningoplasty and skull repair 21.43%. These 42 cases were carried out succesfully with 7-10 hospital days, symptoms caused by skull lacuna were improved, only 1 case of failure
Skull ; Pain, Postoperative ; carbon

In this paper,we reviewed the recent developments of blood cell analyzer,summarized the problems during the analyzer-operation,presented our viewpoints on how to optimize the methods and innovate the technologies in the field of cytological diagnosis.Based on the actual demands of cytological diagnosis in China,in order to solve the emerging problems better in the process of updating technologies and operation models of blood analyzer,we advocate to comply with the core principles,including abiding by the “best-convictive-evidence oriented” rule,valuing the “combination-test model” using multiple methods,raising the levels on clinic diagnosis and prognosis evaluation,improving the qualities and capabilities of diagnosis technicians,to finally achieve the aims of narrowing the gaps and advancing the overall diagnosis levels.Moreover,we also strongly suggest making the realistic policies to support the developments of morphological examination,reasonably increasing the charging standard in some specific morphologicalexamination-items characterized by high-technology,time-costing and working-costing to faithfully reflect their values.

Urine sediment analysis is of importance for the diagnosis, differential diagnosis and prognosis in urinary system diseases.To understand the standardization of sediment analysis and its development, This article analyzes the advantage and disadvantage of automated instrument used in urine sediment analysis, and then developes the criteria for microscopy review following automated urinalysis.

Objective To explore the clinical effect of aritificial total knee arthroplasty ( TKA) in the treat-ment of knee osteoarthritis ( KOA) patients with varus deformity .Methods 41 KOA patients ( 52 knees ) with varus deformity were treated by TKA ,and the clinical effect was observed .Results After treatment ,the knee varus angle , flexion contracture degrees,HSS score were (174.50 ±2.10)°,(0.30 ±0.16)°,(87.60 ±4.70)points,respective-ly,which were significantly improved compared with [(19.80 ±1.30)°,(21.20 ±0.90)°,(37.30 ±3.50)points] before treatment (t=451.68,165.99,69.05,51.57,all P<0.05).Conclusion TKA has an ideal efficacy for knee flexion deformity ,accurately cut bone and soft tissue balance correction is the key in turned knee flexion contracture deformity surgery .

Objective To explore which scoring methods can prevent the ischemic stroke better.Methods 80 padents with atrial fibrillation were randomly divided into two groups,the patients in A group took anticoagulant therapy using CHADS2 score;the patients in B group took anticoagulant therapy using CHADS2-VAS score;follow-up the ischemic stnoke,death and major bleeding event rate.Results 7 cases of ischemic stroke in A group,1 case in B group,the difference was statistically significant ( P ＜ 0.05 ).Conclusion According to CHA2DS2-VAS score for risk stratification,anticoagulant therapy was safe and effective,and did not increase bleeding event rate.

According to The National Comprehensive Cancer Network or St. Gallen criteria, many node-negative breast cancer patients are advised to receive chemotherapy, however, research has not demon-stinted that chemotherapy benefits all of them equally. Multigene assays, based on analysis about the genetic in-formation of tumors, are likely to provide doctors with a better understanding of the aggressiveness of individual tumors, and a better assessment of a patient's likely benefit from chemotherapy. Great progress has been made on the research of 21, 76, 70, 28 multigene assays. Among them, 21 gene assay is the most prospective,which has been recommended by The National Comprehensive Cancer Network in 2008 to use in the systemic adjuvant treatment decision in certain indications.

As an on-site inspection team leader, I have joined the inspection on the clinical laboratories in six hospitals designed especially 2008 Olympic game organized by China National Laboratory Accreditation Committee (ISO15189 Accreditation). Two years' preparation promotes the standization, skill, management and academic level of these laboratories and boost the development 2-3 years forward. But there still were some deficiencies in the cell morphological examination including: ( 1 ) Low ratio of blood smear check when machine was used for hematological analysis; (2) Lack of criteria for blood smear check ; (3) Low capability of identification of cell; (4) Lack of personnel for microscopic examination. The reasons causing above deficiencies were concluded as follows: (1) The lab director did not pay sufficient attention to the morphological examination;(2)The technicians were unable to perform microscopic examination properly due to the heavy workload and lack of personnel; (3) The technicians were unable to use machine correctly as screening tool. So I put forward some measures for improvement of morphological examination. These measures included: (1) strengthening the propaganda on the importance of morphology examination and training the new stuffs; (2) Renovating the concept and improving the skill of lab technicians.