Objectives:To research the relation of high blood glucose,GCS and prognosis after craniocerebal injury.　Methods:63 patients were divided into three groups,“GCS” 3～8,“GCS” 9～12,and GCS 13～15.Blood glucose of these groups were tested at admission of all patients and one week after hosptialization.　Results:The level of blood glucose and the mortality in GCS 3～8 group were significantly high than those in the other two groups.　Conclusions:After cranidcerebral injury,the blood glucose is an index of the injury degree.We should try to control the blood glucose in normal levels to improve the prognosis of patients with craniocerebral injury.

Wound healing in the human cornea has distinctive characteristics in comparison to most other tissues in the body.The corneal wound healing response is a remarkably complex cascade mediated by cytokines,growth factors,and chemokines.The interactions in the epithelial,stromal,neural,lacrimal gland,immune cells are interwoven in the corneal response to injury.Corneal epithelial cells and basement membrane play important roles in this process.However,both of them are usually impaired during the procedures of excimer laser refractive surgery for myopia,hyperopia,or astigmatism,and complications such as overcorrection,undercorrection,regression,refractive instability,and haze may occur after surgery.A complete corneal wound healing process,the biologic and molecular processes that contribute to the healing response,and anomalies that lead to complications are critical for improving the efficacy and safety of excimer laser refractive surgical procedures.

Objectives:To research the relation of high blood glucose,GCS and prognosis after craniocerebal injury. Methods:63 patients were divided into three groups,“GCS” 3~8,“GCS” 9~12,and GCS 13~15.Blood glucose of these groups were tested at admission of all patients and one week after hosptialization. Results:The level of blood glucose and the mortality in GCS 3~8 group were significantly high than those in the other two groups. Conclusions:After cranidcerebral injury,the blood glucose is an index of the injury degree.We should try to control the blood glucose in normal levels to improve the prognosis of patients with craniocerebral injury.

Recent studies suggest that lacunar infarction is a high risk ischemic cerebrovascular disease highly correlated with the time, which optimistic prognosis is not as good as previously thought.In addition, the role of macrovascular diseases has not been paid attention, it is not conducive to secondary prevention and early intervention for the etiology of lacunar infarction.This review focu-ses on application of imaging diagnosis of lacunar infarction, the etiology of non-lacunar infarct, and differential diagnosis of lacunar in-farction.

Objective: To investigate the effect of n-butanol fraction from Elaeagnus pungens leaves (BFEP) on the contraction of isolated guinea pig tracheal smooth muscle under the basal tonus or spasmogens. Methods: Guinea pig tracheal smooth muscle spiral strips were isolated. Under the normal state or the condition treated with acetylchohne (Ach), histamine (Hist), or KCl, Ca2+ release in cells without calcium, and extracellular Ca2+ influx at the high concentration of Ca2+, the effect of BFEP on the tension of isolated trachea was observed. Results: BFEP relaxed the tracheal strip significantly in the concentration-dependent manner under the basal tonus. The tested drug produced an unparallel rightward shift of the cumulative concentration-response curve of Hist or Ach. The contraction induced by high K+ and extracellular Ca2+ influx was inhibited. Conclusion: BFEP could inhibit the contraction of isolated guinea pig tracheal smooth muscle under the basal tonus or spasmogens.

Through a systematic review and analysis on the related literature and guidlines at home and abroad on the prehabilitation of gastrointestinal neoplasms, this paper sorts out the implementation contents and evaluation methods of the trimodal prehabilitation which includes three aspects: exercise, nutrition and psychology, and found that there is still not standardized content at present. This paper provides the foundation for later evidence-based research. And designed to provide evidence for trimodal prehabilitation nursing practice content, in order to promote the enhanced recovery of the patients with gastrointestinal neoplasm after surgery better.

Objective To report our experience of interventional procedure for arterial complications in post renal transplantation and to evaluate its clinical value.Methods In a retrospective analysis of renal transplantations in our center,52 cases of renal allograft artery abnormalities had taken angiography.Interventional procedure included transluminal angioplasty of arterial stenoses,treatment of arterial occlusion,and embolization of pseudoaneurysm.Results Renal allograft artery abnormalities included artery stenosis (n=21),artery thrombosis (n=13) and embolision (n=1),renal artery pseudoaneurysms (n=2),and decrease of renal artery flow (n=3).Of the 21 artery stenosis,2 grafts with artery stenosis were lost because the stenosis could not be corrected,and 3 with mild stenosis received no treatment.Another 16 accepted renal artery angioplasty (balloon dilation,n=12,and stent implantation,n=4).14 achieved long-term allograft function.1 graft was lost because renal function failed to recover.Restenosis occurred in one stent implantation,and lost the allograft function after secondary dilation.13 cases received thrombolytic therapy through artery catheter for thrombosis and 9 achieved long-term allograft function.Thrombolyses failed in 3 cases,and renal function failed to recover in 1 case.One pseudoaneurysm received stent implantation after embolization,and got a short-term allograft function.The other one received allograft excision.Conclusion Intravascular interventional therapy will be the first-line therapy for any indications of complication in post renal transplantation,and it can surely save the kidney in a majority of instances.

Objective To explore optimal methods and an opportunity of the management of scalp and facial burns caused by sulphuric acid,so as to prevent the development of facial hypertrophic scar and deformity. Methods Early zoning management were carried out in burn patients by sulphuric acid : ⑴Early (postburn 1～4 days) escharectomy and full or split thickness skin grafting were carried out in up-facial( forehead,temporal and up eyelid) ; ⑵Early(postburn 9～12 days) peeling of eschar and split thickness skin grafting were applied in cheek. ⑶Scalp expansion or skin grafting in granulation laterly in scalp wound according its shape and area.Results The wounds in 6 cases had healed comfortably ,hypertrophic scar and facial deformity were not occurred during the followed-up.3 cases of scalp burns scarring baldness were avoided.Conclusion Scalp and facial burns by sulphuric acid could be managed as early escharectomy and peeling of eschar and zoning skin grafting.As result,facial scar hypertrophy and deformity could be avoided.

Objective To study the MRI findings in a series of intracranial hemangiopericytomas, and to compare these findings with those of intracranial meningiomas. Methods The MRI appearances and clinical features in 27 cases of intracranial hemangiopericytomas and 236 cases of intracranial meningiomas were retrospectively reviewed. All cases were proved by operation and pathology. The data were evaluated by using ? 2 test, rank sum test, and Logistic Regression. Results Sex (? 2=6 981), shape of tumor (? 2=39 949), signal voids of vessel in tumor (? 2=12 366), necrosis or cystic degeneration in tumor (? 2=37 432), the type of dural attachment ( broad based or narrow based ) (? 2=16 956), T 1WI signal intensity (? 2=14 880), T 2WI signal intensity (? 2=37 068), enhanced degree of tumor (? 2=10 081), homogeneous degree of tumor after contrast enhancement (? 2=17 014), and duration time were significant different ( P

Purpose: To evaluate the therapeutic effect of the jejunal interposition reconstruction SS and P type after total gastrectomy in patients with gastric carcinoma. Methods: 31 cases with gastric carcinoma operated on from June, 1990 - Octuber, 2000 were retrospectively analyzed. After total gastrectomy 16 patients were operated by jejunal interposition reconstruction SS type and 15 a jejunal interposition reconstruction P type. The clinic materials of the two types of jejunal interposition reconstruction were assessed by 6 months -5 years follow-up. Results: 30 -60 minutes and 80 - 120 minutes Ba emptying time of SS and P type were 62. 5%, 66. 7% and 37. 5%, 33. 3% respectively ; BLA were 73. 6 + 1. 1% and 74. 4 + 1. 3% , respectively; HB were 15 +1.3 and 15 +1.5; The Visick scoring of the 87. 7% patients with S type and the 86. 7% patients with P type was Ⅰ - Ⅱ grades. Reflux oesophagitis of the patients with S type was 12. 5%. Conclusions: The jejunal interposition reconstruction SS and P type after total gastrectomy are effective means to improve quality of life and to reduce complications after gastrectomy and to maintain the canal of the chyme through the duodenal tract.