Acute laryngeal obstruction is one of the most common diseases in Department of ENT, and it can cause suffocation without prompt treatment. Methods by using Nasopharyngofiberoscope guided tracheal intubation treatment of a case of acute laryngeal obstruction patients in a timely manner. This method is well tolerated, less trauma, high success rate, in the shortest time to improve the patient's ventilation, for the next step of the treatment to win the time.
Airway Obstruction ; surgery ; Humans ; Intubation, Intratracheal ; Larynx ; physiopathology

The different types of penis thickening hydraulic filling materials have the advantage and disadvantage. The natural biological tissue material for own organization is convenient,avirulent,nonirritant,with good histocompatibility,without rejection,but has the transplant fat absorption,margin scar at donor site,and poor long-term appearance. Synthesized biological material silica gel phantom presented strong plasticity,could not affect by organism metabolism,absorption and degeneration,but had shortcomings,such as the feeling of foreign body,and skin infection. Varicosity polytetrafluoroethylene presented good histocompatibility,soft material,easy to be shaping,but high cost. The polyacrylamide hydrogel and the polymethyl acrylic acid methyl ester presented good histocompatibility,could not cause the immune response,easy to inject,but the shortcoming was easy to form the induration,but if had the complication to be very difficult to take out. Tissue engineered material was presently the key point in penis thickening research,but its research still occupied the start stage. The most reports were only at the laboratory stage. It requires some times for domestic application. This study summarized the penis thickening hydraulic filling materials,and analyzed the application of various filling materials in penis thickening technique.

Smilax macrophylla is a type of Chinese herbal medicine for the treatment of gouty arthritis. Study on its quality evaluation method was very necessary. Resveratrol (trans-3,5,4'-trihydroxystilbene), its generally acknowl-edged major compound with definite therapeutic effect, was detected in the root of S. macrophylla. HPLC was used with the mobile phase of acetonitrile-water (25:75). The detection wavelength was 320 nm. The results showed that the method can be used in content determination of resveratrol in S. macrophylla. It was concluded that the study was able to establish content determination method of resveratrol in S. macrophylla in order to lay the foundation of the establishment of quality standard of this Chinese herbal medicine.

This paper reports the nursing care of 7 patients with liver cirrhosis during pregnancy and childbirth. During the pregnancy period,nursing care focused on integrated management,monitoring of the dynamic changes of liver cirrhosis and individualized care. During delivery and perioperative period,supportive treatment was implemented and complications such as upper gastrointestinal hemorrhage,postpartum hemorrhage and infections were prevented. The 7 patients got through the perinatal period safely.

Objective The study aimed to discuss the scientific property and feasibility of back measurement of neonates' temperature. Methods Three measurement methods(axillary,under the jaw and the back) were adopted to measure the temperature for 100 neonates for 7,10 and 30 minutes.The tempera-ture measured by rectum for 3 minutes was set as the control. Results . Temperature by back measure-merit was not different from that measured by other methods in the same time period,P ＞ 0.05.Temperature by back measurement for 7,10 and 30 minutes was not different from that measured by rectum for 3 min-utes,P ＞ 0.05. Temperature by back measurement for 7,10 minutes for neonates using radiation rescue plat-form and warm case was not different from that measured by rectum,P ＞ 0.05.Temperature measured by ax-illary and under the jaw for 30 minutes was different from that measued by rectum, P ＜ 0.05.While temper-ature by back measurement for 30 minutes was not different from that measured by rectum,P ＞ 0.05.Conclusions Back measurement of temperature as well as by axillary and the jaw could be used in pedi-atric department.h could accurately obtain the real temperature of neonates and was not influenced by radi-ation rescue platform and warm case.Besides,it reduced the workload of nurses and was safe,effective,simple,practical and worth applying widely in clinic.

OBJECTIVE To assess the ultrasonographic features and clinical significance of the complications of the thyroglossal cysts. METHODS We retrospectively reviewed the ultrasonographic findings in 41 cases with complications of the thyroglossal cyst, which was confirmed surgically and pathologically. 43 cases with simple thyroglossal cyst consisted of the control group. The location, size, internal echo, internal septa, wall thickness, posterior acoustic feature, boundary, vascularity, and fistulas of the lesion were analyzed and compared with the control group. RESULTS Most of the inflammatory thyroglossal cyst showed thickening walls, indistinct boundaries, posterior echo enhancement, and peripheral vascularity on ultrasound images. There were significant differences of the thickness of the cyst wall, indistinct boundary, and peripheral vascularity between the two groups. CONCLUSION The characteristic findings of thyroglossal cyst with inflammation are thickened wall, indistinct boundary, and peripheral vascularities. Ultrasonography can be useful tool in determination of the appropriate time of the operation to reduce the recurrence rate.

Objective To study the effect on using L‐carnitine in early intravenous nutrition of premature infants which aims to improve fat metabolism ,promote growth and development .Methods Ninety cases of premature infants were divided into the con‐trol group and observation group .All patients received conventional treatments such as keeping warm ,giving intravenous nutrition , etc .And those in the observation group received L‐carnitine beside routine care ,then compared efficacy of 2 groups .Results Total protein ,albumin ,hemoglobin ,body weight growth of the observation group are better than those of the control group(P<0 .05) . The observation group was superior to the control group in not only reducing incidence rate of preterm children PNAC but also in improving the treatment effect .Conclusion Using L‐carnitine in early intravenous nutrition of premature infants could improve fat metabolism ,promote growth effect ,reduce the incidence rate of cholestasis with few adverse effects .

Objective To evaluate the efficacy and safety of mometasone furoate dry powder inhalation(MF DPI) in treating mild and moderate asthma .Methods The databases of PubMed ,EMBASE ,CINAHL were retrieved .The randomized ,controlled trials(RCT) on mometasone furoate dry powder inhalation in treating mild and moderate asthma were collected .The quality evalua‐tion and the data extraction were performed according to the Cochrane systematic evaluation method .The RevMan 5 .0 .2 software was adopted for conducting statistical analysis .Results A total of 9 RCT involving 1 795 patients with mild and moderate asthma were included .The meta‐analysis results showed that MF DPI 200 mcg/d improved FEV1(MD=0 .24 ,95% CI:0 .17 -0 .30) ,am‐PEF(MD= 25 .25 ,95% CI:8 .18 -42 .32) ,pmPEF(MD= 16 .00 ,95% CI:2 .10 -29 .90);MF DPI 400 mcg/d improved FEV1 (MD=0 .32 ,95% CI:0 .25-0 .39) ,amPEF(MD=36 .44 ,95% CI:23 .82-49 .05) ,pmPEF (MD=28 .50 ,95% CI:14 .11-42 .89) , which suggested that MF DPI 200 mcg/d and MF DPI 400 mcg/d improving FEV1 ,amPEF and pmPEF was higher than the place‐bo ;for reducing patient′s early morning dyspnea and albuterol dose ,MF DPI 200 mcg/d and MF DPI 400 mcg/d were superior to placebo .For reducing patient′s early morning wheezing ,MF DPI 200 mcg/d and MF DPI 400 mcg/d were not superior to placebo . For the occurrence of adverse events ,there was no statistical difference between MF DPI 200 mcg/d and MF DPI 400 mcg/d with placebo(P>0 .05) .Conclusion The existing evidence indicates that MF DPI has higher effect and safety in treating mild and mod‐erate asthma .

Object To study the callus culture of Gynura segetum (Lour.) Merr., so as to lay the foundation for the rapid propagation of its breeds.Methods The explants used in culture were root, stem and leaf of G. segerum. The MS basal medium containing different plant hormones was applied. Results The best explants were leaf of G. segetum. The medium induced callus was MS basal medium containing 1 0 mg/L NAA and 4 0 mg/L 6 BA and the callus induction rate was 64% . The sprouting rate of the callus transplanted to fitting differential medium was 86 7%.Conclusion The rapid propagation of G. segetum can be carried out by inducing callus of the plant.

AIM To study the chemical constituents from the rhizomas of Smilax glauco-china Warb.METHODS The n-butanol fraction of ethanol extract of S.glauco-china was isolated and purified by silica,Sephadex LH-20 and semi-preparative column,then the structures of obtained compounds were identified by physicochemical properties and spectral data.RESULTS Ten compounds were isolated and identified as phenethanol-β-D-gentiobioside (1),2-phenylethyl-O-β-D-xylopyranosyl-(1 →6)-β-D-glucopyranoside (2),phenylethyl D-rutinoside (3),phenylethyl β-D-glucoside (4),hydrangeifolin Ⅰ (5),icariside D1 (6),calophymembranside B (7),2-hydroxyphenol-1-O-β-D-glucopyranosyl-(6 → 1)-α-L-rhamnopyranoside (8),β-sitosterol (9),daucosterol (10).CONCLUSION All the compounds are isolated from this plant for the first time.