Objective:To observe the clinical efficacy of rh-BNP combined with continuous renal replacement therapy on the re-fractory heart failure in cardiorenal syndrome. Methods:Totally 48 patients with refractory heart failure in cardiorenal syndrome in our hospital were selected and randomly divided into the observation group and the control group. The control group was received the con-ventional drug therapy combined with continuous renal replacement therapy, and the observation group was received rh-BNP therapy ad-ditionally. After 7 days, NT-ProBNP, heart rate, LVEF, SV, BUN, Scr and GFR of the two groups were compared, and the clinical efficacy of the two groups was evaluated. Results:After the treatment, all the observed indicators in the two groups were significantly improved than those before the treatment, and the improvement in the observation group was better than that in the control group ( P<0. 05). The total effective rate of the observation group was higher than that of the control group(91. 67% vs 79. 17%, P<0. 05). Conclusion:The combination of rh-BNP and continuous renal replacement therapy can improve heart and kidney function of the refrac-tory heart failure in cardiorenal syndrome with better efficacy.

Familial nonmedullary thyroid carcinoma means to two or more first-degree relatives of the family with NMTC,in the absence of other known family syndromes (such as Gardner's syndrome,Cowden disease,Carney complex,Werner syndrome,and so on),and common thyroid cancer risk factors including the neck radiation and iodine deficiency,and so on.The genes involved in the pathogenesis of familial nonmedullary thyroid carcinoma (FNMTC) are yet to be elucidated,although some recent studies identified several predisposition loci with a high degree of genetic heterogeneity.Several studies demonstrated that patients with FNMTC have increased rates of multifocal disease,extrathyroidal invasion,and involved lymph nodes compared with sporadic disease.It has been hypothesized that this increased aggressiveness translates into higher recurrence rates and decreased survival of patients with FNMTC.

China ; Combined Modality Therapy ; standards ; trends ; Facial Neoplasms ; therapy ; Humans ; Maxillary Neoplasms ; therapy ; Medicine, Chinese Traditional ; methods ; Mouth Neoplasms ; therapy ; Oral Surgical Procedures ; methods

The effect of dauricine on level of TXA2 and cAMP in the rabbi platan-elet was studied. The results showed that dauricine protected signific-tly mice against the sudden death induced by intravenous arachidonic acid in vivo, and that dauricine inhibited the platelet aggregation ind uced by arachi- donic acid, inhibited the production of TXA2 in the plateletand did not change the basic cAMP level in the platelet invitro. These suggested that one of the action mechanism of the inhibition of the platelet aggregation by dauricine was possibly related to the inhibition of the production of TXA2.

Objective·To investigate the correlation between the serum haptoglobin (Hp) level and the metabolic parameters in patients with polycystic ovarian syndrome (PCOS), and explore the distribution of Hp genotype and allele frequency in PCOS patients and their correlations with PCOS. Methods·A total of 106 patients with PCOS and 86 cases of patients with non-hyperandrogenic and regular menstruation (control group) were enrolled. Serum Hp level was measured by enzyme-linked immunosorbent assay (ELISA); Hp genotype and allele frequency were determined by polymerase chain reaction (PCR), respectively. Results·The serum Hp level in PCOS group was significant higher than that in the control group (P=0.000). Correlation analysis reveals that serum Hp level was positively related to body mass index (BMI) (P=0.000) and homeostatic model assessment insulin resistance (HOMA-IR) (P=0.000). Compared with control group, proportion of Hp2-2 genotype (Hp2/Hp2) increased significantly in PCOS group (P=0.006), and the frequency of Hp2 allele was also higher (P=0.002). Conclusion·Serum Hp level was positively related to BMI and HOMA-IR, which maybe associated with the occurrence and development of obesity and insulin resistance. Patients with Hp2-2 genotype might have genetic predisposition to PCOS, and high frequency Hp2 allele was found in them.

China ; Facial Neoplasms ; surgery ; Head and Neck Neoplasms ; surgery ; Humans ; Jaw Neoplasms ; surgery ; Mouth Neoplasms ; surgery

China ; Congresses as Topic ; Humans ; Oral Surgical Procedures ; Surgery, Oral

Facial Neoplasms ; Head and Neck Neoplasms ; Internal Medicine ; Medical Oncology ; Mouth Neoplasms

Objective To analyse the clinical situations and other factors that influence the PetCO2 monito-ring. The analysis can improve the nursing care for mechanical ventilated patients. Methods To retrospectively ana-lyze 212 PetCO2 monitoring ntanbers and capnograms in 108 mechanical ventilated patients. Results PetCO2 abnor-malities rate was 13.4%; leakage in the ventilator system was 30.4%; endotracheal tube malposition 6.8%; endo-tracheal tube baloon leakage 11.3%; secreations 22.4%; hyperventilation 12.5%; hypopeffusion 7.6%; hypoper-fusion of the lung 5.8%; mechanical malfunctioning 3.2%. Conclusions Continue monitoring of PetCO2 and cap-nogram along with hemodynamic monitoring in mechanical ventilated patients can timely find patients' problems and promptly use appropriate interventions. The understanding of these monitoring systems can improve the quality of the nursing care for the critically ill patients.

It has been shown that dauricine possesses antiarrhymic and hypotensive actions. Our experimentation demonstrates that dauricine inhidits platelet aggregation induced by the threshold concentration of adenosine diphosphate (ADP), arachidonic acid (AA) and collagen (Coll) in the dose-dependent way in vitro in rabbits. The aggregatipn inhibition rates produced by dauri- cine 0.08 mg/ml for ADP, AA and Coll are 49.20%, 62.26% and 65.75% respectively. The adnimistration of dauricine 10 mg/kg to the rabbits intravenously also inhibits the platelet aggregation induced by the threshold concentration of ADP, AA and Coll, the aggregation inhibition rates being 40.12%, 32.71% and 21.21% respectively. The results show that the action mechanism of dauricine might be related to Ca-antagonism.