The author treated forty-eight cases of infantile cerebral palsy with scalp acupuncture and point injection. After two courses of treatment the infants made progress in different degrees. Eight cases were cured,sixteen cases were obviously improved, twenty-two cases were improved and two cases were unchanged. The total effective rate was 95.8%.

Atypical hemolytic uremic syndrome(aHUS) has recently been shown to be a rare disease of genetic predisposition, including genes of complement factor H(CFH), membrane cofactor protein(MCP, CD46)and complement factor Ⅰ(CFI), which are complement regulatory genes. Genes mutation is about 50%,involving the three genes mutation, including nonsense mutation, missen mutation, silent mutation, splice mutation and insertion mutation. Autosomal dominant inheritance and autosomal recessive inheritance have been reported, however, for autosomal dominant inheritance, the three genes mutations are incomplete penetrance.

Under the new mode of training clinical post-graduate students, it is enhanced to train the clinical competence in rehabilita-tion medicine. As high level professionals, the scientific research ability is very important for the post-graduate students, too.

Objective To investigate the effects of cerebral hemodynamics and oxygen metabolism of dexmedetomidine on patients with intracranial aneurysm surgery.Methods Sixty-four patients with intracranial aneurysm surgery were collected and randomly divided into study group and control group (32 cases for each group).Patients in the study group before induction of anesthesia were given dexmedetomidine and patients in the control group were given saline but anesthesia.Mean arterial pressure (MAP),heart rate (HR),cerebral metabolic rate of oxygen(CMRO2) in different time points were observed and time in intubation and intracranial aneurysm clamp before anesthesia were rescored.Cerebral blood flow (CBF),intracranial pressure (ICP) were observed and the recovery situation.Results At the intubation,MAP and HR in the study group after 15 min of intubation,time in intracranial aneurysm clamp and extubation were significantly lower than those of the control group(P ＜ 0.05).CMRO2 in study group at the intubation and intracranial aneurysm clamp were (34.2 ± 5.0) ％ and (27.1 ± 4.2),significantly higher than that of the control group ((33.9 ± 4.3) ％,(26.5 ±3.6) ％; P ＜ 0.05).CBF in study group at the intubation and intracranial aneurysm clamp were (53.5 ±8.8) ml/(100 g · min) and (56.8 ±9.2) ml/(100 g · min),significantly lower than that of control group ((67.3±11.2) ml/(100 g· min),(67.3 ±11.2) ml) (100 g· min); P＜0.05) ; The same trend was seen in terms of ICP.Spontaneous breathing recovery time and extubation time in study group were (7.35 ± 1.12) h and(12.98 ± 3.76),significantly earlier than those of the control group((9.27 ± 1.45) h and (14.89 ±4.88) h; t =10.92,9.23,P ＜0.01).Steward scores in study group was (5.12 ±0.33),significantly higher than control group ((3.98 ± 0.28) ; t =5.55,P ＜ 0.05).Conclusion Dexmedetomidine can certainly keep hemodynamic stability in patients with intracranial aneurysm surgery,improve rate of cerebral oxygen uptake and recovery performance,which is worthy of clinical application and promotion.

Objective To observe the negative pressure ball aplication effect of thoracoscopic loectomy in patients.Methods 50 cases of patients with lung resection operation were divided into conventional group (water-sealed drainage bottle) and improved group (negative pressure ball) by random digital table method,and each group had 25 cases.The effect of nursing care and the satisfaction degree of patients were compared between the two groups.Results After different methods of nursing,the postoperative bed time in the improved group was (12.0±0.8) hours,hospitalization time was (8.0±1.5) days,which were significantly lower than (48.0±2.5) hours,(12.0±2.0) days in the conventional group.The difference was statistically significant (t=2.401,2.302,P＜ 0.05);The satisfaction of patients in the improvement group was 92.0％ (23/25) which was significantly higher than 72.0％ (18/25) of the control group,and the difference was statistically significant (x2=4.920,P＜ 0.05).Conclusions Negative pressure ball in thoracoscopic lobectomy patients after application can significantly improve the effect of clinical nursing and patient satisfaction,worthy of promotion and application in clinical work.

Pulmonary function testing is essential for early detection,evaluation of severity and prognosis of respiratory diseases,evaluation of drugs and other therapy effects,identification of pathological changes of breathing difficulties,and assessment in surgery tolerance,etc.With the development of children lung function testing and the study of various infectious and non-infectious diseases,lung function test in children will be gradually and widely used in pediatric clinical research and practice.This review summarizes the methods of children lung function testing and clinical applications at home and abroad.

Comparison between the DNA fingerprinting and the serological method used for paternity test is presented. 32 cases of disputed paternity were tested using DNA fingererints with MYO minisatellite DNA probe and blood typing. The results of DNA fingerprinting test correlated with those of blood typing. 8 alleged fathers were excluded while 24 were confirmed. The relationship between the results from two methods was discussed.

The authors reported the results of anatomicat study of the scapular region (ninety-four sides) and the use of the parascapular composite flap in the repair of skin defects of the hand and foot.The parascapular flap is supplied by the circumflex scapular vessels. For exposure of the vascular pedicle an incision is made 7cm below the mid-point of the scapular spine, extending from the posterior axillary fold to the mid-point of the spine. Muscles are retracted and the circumflex scapular vessels are seen winding over the axillary border of the teres minor. Then the incision is extended from both ends of the above incision toward the inferior angle of the scapula to form an elliptical incision. The flap is raised by subfascial dissection from the mid-point of the spine towards the axilla, and ended by dividing the pedicle at the base of the circumflex scapular vssels. Since October 1982, the authors have applied flaps of such kind to repairing massive skin delects in the hand and the foot in 7 patients with success.

Objective To investigate the effect of amiodarone in the treatment of coronary heart disease in emergency tachyarrhythmia .Methods 156 cases of coronary heart disease in patients with tachyarrhythmias were randomly divided into the treatment group and control group ,78 cases in each group .The treatment group was given amiodarone,the control group was given conventional therapy .The clinical effect was compared between the two groups.Results The total effective rate,incidence rate of side effects in treatment group were 88.4%,3.8%,those in the control group were 71.8%,14.1%.The differences between the two groups were significant (χ2 =18.33, 13.91,P<0.05).In the treatment group,36 cases had atrial fibrillation,cardioversion 34 patients,the cardioversion rate was 94.4%,followed by premature ventricular contractions (90.6%).Conclusion Amiodarone in the treatment of coronary artery disease emergency tachyarrhythmia is safe and effective ,has fewer adverse reactions ,the best results for atrial fibrillation and ventricular premature beats ,it is worthy of clinical use .

Objective:To prepare dual anesthetic remifentanil-propofol microemulsion ( Rem-Pro MM) and evaluate the anesthetic effects in adult dogs by continuous infusion. Methods:The Rem-Pro MM was prepared by the high pressure homogenization technolo-gy. The Rem-Pro MM was characterized with the particle size distribution, zeta potential and morphology as the indices. The anesthetic effects in adult dogs were evaluated by continuous infusion of Rem-Pro MM. Results:The particle size distribution, polydispersion in-dex and zeta potential of Rem-Pro MM was (217. 6 ± 48. 2) nm, (0. 212 ± 0. 032) and ( -31. 2 ± 3. 8) mV, respectively. The Rem-Pro MM was found to be small and homogeneous under a transmission electron microscope. The pharmacodynamic studies showed that the Rem-Pro MM in adult dogs with partial spleen surgery had promising anesthetic effects during the anesthesia induction and mainte-nance procedure. Conclusion: The dual anesthetic remifentanil-propofol microemulsion has good effects of sedation and analgesia, which is expected to be used in clinics.