Objective To study the efficacy of pigtail catheter and central venous catheter in pneumothorax by thoracic close drainage.Methods 67 pneumo thoraxpatients were randomly divided into two groups,pigtail catheter group with 29 patients and central venous catheter group with 38 patients.The efficacy,ICU stay time and total hospitalization were compared.Results The efficacy in pigtail catheter group was 93.1％ (27 of 29 patients) and in central.venous catheter group was 73.7％ (28 of 38 patienes),a significant difference was observed (x2 =4.22,P ＜0.05).ICU stay time and total hospitalization in pigtail catheter group were(13.2 ± 6.3) d and (34.3 ± 21.4) d,in central venous catheter group there were(19.7 ± 8.3) d and (43.2 ± 25.5) d,significant differences were observed (t =2.42,2.13,all P ＜ 0.05).Conclusion Thoracic close drainage with pigtail catheter in the treatment of pneumothorax is more effective than central venous catheter.

Child ; Contraindications ; Humans ; Kidney Diseases ; immunology ; Risk Factors ; Vaccination

BACKGROUND: Mutation of the mitochondrial DNA may occur during the aging process of organisms, which is especially likely in the central nervous system. Evidences have been obtained that mitochondrial dysfunction may ensue from genetic impairment involved in oxidative phosphorylation, which is accompanied by corresponding morphological changes.OBJECTIVE: To investigate the association between olfactory disturbance and ultrastructural mitochondrial changes in olfactory bulb neurons of aged rats in comparison with young rats.DESIGN: Randomized controlled experiment.SETTING: Department of Internal Medicine, Affiliated Hospital of Chende Medical College and Department of Electron Microscopy of Chende Medical College.MATERIALS: This experiment was conducted in the Department of Electron Microscopy of Chende Medical College between April and December 2002. Sixteen male Wistar rats were divided equally into aged group (＞ 24 months) with body mass of 300-350 g and young group (6 months) with body mass of 180-220 g.METHODS: The rats in the two groups were anaesthetized by intraperitoneal injection of 10 g/L urethane (1 g/kg) and the chest was opened to insert a tube into the ascending aorta for perfusion with 200 mL of the mixture containing glutaric dialdehyde and paraformaldehyde for fixation.The olfactory bulb was then obtained and sliced, fixed in perosmic acid and embedded. Each layer of the olfactory bulb was observed under optical microscope and ultra-thin sections were prepared for observation under transmission electron microscope.MAIN OUTCOME MEASURES: The stratification of rat olfactory bulb and ultrastructural changes of the mitochondria in the major neurons in the olfactory bulb.REULSTS: No obvious changes were found in the stratification of the olfactory bulb in the two groups. From the exterior to the interior of the olfactory bulb, the olfactory nerve fiber layer, glomerular layer, external plexiform layer, mitral cell lalyer, internal plexiform layer and olfactory bundle nerve fiber layer were observed. Ultrastructurally, the mitochondria were more numerous in the brush cells in aged rat olfactory bulb, appearing rodshaped or ovoid with irregular cristae which were arranged in local disorder and some fragmented into small granules to form small bodies of high electron density. A few mitochondria became myeliuoid body with irregular or concentric circular morphologies. In the younger rats, most of the mitochondria in the neurons were ovoid with distinct outer and inner membrane and regular arrangement of the mitochondrial cristae, and irregular arrangement of the cristae was seen only in rare cases.CONCLUSION: The stratification of the olfactory bulb is basically the same in aged and young rats, but the ultrastructural changes in the mitochondria in the major neurons in aged rat olfactory bulb can be obvious,which is consistent with the reduced mitochondrial oxidative phosphorylation function. This might be one of the major causes for olfactory disturbance related to aging.

Objective To study the effects of bFGF on the proliferation of cultured human melanocytes, and to seek a quick method for in vitro culture of human melanocytes. Methods Melanocytes were isolated from human foreskin, and divided into two parts to be cultured with or without the presence of bFGF (0.3 μg/L). Second-passage melanocytes were identified with immunochemical stain. The growth of melanocytes was observed every 3 days for 12 days. Third-passage melanocytes were treated with various concentrations (0.3 - 2.1 μg/L) of bFGF for 72 hours followed by the detection of proliferation of and trosinase activity in melanocytes. Results Human melanocytes were obtained from primary culture in medium containing certain concentrations of bFGF, which were identified with immunohistochemical stain. The morphology of cultured melanocytes varied with growth stage of cells. The bFGF-treated melanocytes appeared to grow more rapidly than untreated melanocytes. Further more, a significant increase was observed in the proliferation rate of melanocytes treated with bFGF of 0.3 and 0.6 μg/L (P＜0.05 or 0.01 ) and tyrosinase activity in melanocytes treated with bFGF of 1.5 and 1.8 μg/L (P ＜ 0.05 or 0.01 ) in comparison with the untreated melanocytes.Conclusions The addition of certain concentrations of bFGF to defined medium can benefit the primary culture of melanocytes and make it possible to get large quantities of purified melanocytes with high viability in short periods. Certain concentrations of bFGF can up-regulate the proliferation of and tyrosinase activity in melanocytes.

Abdominal Neoplasms ; diagnosis ; secondary ; Adult ; Animals ; Female ; Humans ; Liver Diseases, Parasitic ; diagnosis ; Liver Neoplasms ; diagnosis ; parasitology ; pathology ; Neoplasm Metastasis ; Paragonimiasis ; diagnosis

Objective To evaluate the therapeutic effects of dialysis regimen for multiple organ dysfunction syndrome(MODS) due to fish gall bladder poisoning.Methods 16 patients with acute renal failure,liver failure and heart failure caused by fish gall bladder poisoning were investigated.Results They were given synthetic treatments,especially dialysis.14 patients of them recovered and were discharged from the hospital without any complication;while 2 cases died.Conclusion Ingestion of fish gall bladder leads to kidney damage,as well as liver,heart and gastrointestinal tract injury.Immediate dialysis is the most effective treatment.

Vesicants are the main agents used to fill chemical weapons, and chemical weapons abandoned by the Japa-nese Army in China.The mustard-lewisite mixture, which was developed for cold weather or high-altitude use due to its lower freezing point, is a special and important agent.The toxicology, emergency treatment and clinical management of mustard-lewisite mixture poisoning are introduced in this paper.

Objective To study the control effect of Trichoderma fungicides in the field and then popularize the using. Methods To investigate the influence by three using methods and different concentrations of the two Trichoderma strains on ginseng growth and its diseases, estimate the possibility of popular using the fungicide, and make a choice of the right using method. Results The two fungicides not only could raise the survival rate by 30% and the growing rate by more than 16%, but also effectively control the disease of ginseng. Conclusion The two Trichoderma fungicides have the potential to be used in a large range. The using method is diluting Tv04-2 to 5 000 times and Th3080 to 10 000 times when dipping the root of ginseng, and diluting Tv04-2 or Th3080 to 5 000 times when dipping the seeds of ginseng.

Objective To study the risk factors of type 2 diabetes mellitus patients complicated with cerebral infarction.Methods 32 type 2 diabetes mellitus patients complicated with cerebral infarction(group A) and 30 type 2 diabetes mellitus patients (group B) were enrolled in the study. The living habit, history, blood lipids, blood glucose, body mass index and height were investigated, also common carotid artery intimal thickness (CCA-IMT) and plaque incidence rate were measured by two-dimensional color Doppler ultrasound, and the relationship between them was evaluated.Results There were significant differences between two groups in age, duration of smoking, course of diabetes, high density lipoprotein (HDL) and fasting blood glucose (FBG) (all P

I 2 Imidazoline binding sites have been shown to exist on cardiac myocytes of human beings and rat. Both of I 1 and I 2 imidazoline binding sites have been identified on vascular smooth muscle cells of various species. Vascular I 2 imidazoline binding sites may participate in vascular smooth muscle proliferation. The sympathetic nerves supplying the cardiovascular system are endowed with presynaptic inhibitory imidazoline receptors. Being different from most of the imidazolines, moxonidine does not activate presynaptic imidazoline receptors, but SR141716A, which is considered as a selective antagonist at cannabinoid receptors, antagonizes presynaptic imidazoline receptors. It has been shown that imidazolines exhibit antiarrhythmic action. Agamatine, which is endogenous ligand at imidazoline receptors, not only decreases the rate of pacemaker firing in sinoatrial node of animal, prolongs action potential duration on cardiac myocytes of human beings and animal, but also inhibits afterdepolarizations induced by isoproterenol. On the other hand, imidazolines and guanidines inhibit the cardiovascular K ATP channel in a noncompetitive manner, those effects might interfere with the cardioprotective effects of K ATP channel.