Objective To reduce the probability of adverse transfusion reaction and ensure the safety of transfusion according review the clinical cases.Methods The record of adverse transfusion reaction was retropectivly analyzed.Results 81 cases were occured adverse reactions caused by transfusion in 38 490 cases of our hospital, with the rate of 0.21%,including 52 cases of anaphylactic transfusion reaction and 29 cases of febrile non -hemolytic transfusion reaction.There wasn't statistically significant difference among of those blood components(χ2 =3.849,P >0.05).Conclusion We should renovate the scientific and reasonable concept of blood transfusion,encourage autolo-gous transfusion,strictly abide by the lows and regulations realated to transfusion,the probability of adverse transfusion reaction would be reduced.

Objective Compared study on microcolumn gel test (MGT)and tube anti -globulin test (TAT) in the detection of pregnant women IgG anti A (B)in the application of antibody and evaluate the application value of MGT in the prediction of HDN.Methods Choosed blood samples of 443 cases of O blood type pregnant women whose husband were not O blood type as the research object.Every specimen were tested by MGT method and TAT method,and the data were treated statistically.Results The positive rate of MGT method and TAT method were:30% and 12.5% which had statistical significance(χ2 =15.95,P <0.05).The difference was significant in positive cases titer distribution(t =15.13,P <0.01).Conclusion The micro column gel method is rapid,simple,sensitive and repeatable compared of tube anti -globulin test (TAT).

Long Jing 1 (L01) is the effective component extracted from asiatic todd-alia. In the experiments on rat thoracic aortic rings, L01 45-405 ?mol/L inhibited thecontraction initiated by high K~+ or NE, the IC_(50) value was 206.93 and 94.18 ?mol/Lrespectively. L01 shifted the dose-response curve of KCl or NE to the right, and reducedthe maximal response, also shifted that of CaCl_2 to the right parallelly. The effects ofL01 were similar to that of Ver (verapamil) in the blockage on PDC. Morever L01 80 ?mol/Linhibited the release of intracellular Ca~(2+) and extracellular Ca~(2+) influx initiated by NE,the former effect was more significant than the latter (this was different from Ver). Theseresults suggested that L01 was probably a new calcium antagonist different from Ver.

Objective To compare and anlyze the applications of microcolumn gel test (MGT)and the tube anti -globulin test (TAT)for detection of three hemolytic tests.Methods Microcolumn gel test and tube anti -globulin test were used in three tests with a total of 160 cases of blood speciments of newborn who had blood group in-compatibility with their mothers:direct anti -globulin test,free test and elution test,then the data were analyzed statis-tically.Results The positive rates of direct anti -globulin test of MGT and TAT were 30.0% and 12.5%(χ2 =14.64,P <0.05);The positive rates of free test of MGT and TAT were 47.5% and 25.0%(χ2 =17.53,P <0.05), respectively;The positive rates of elution test of MGT and TAT were 62.5% and 30.0%(χ2 =33.99,P <0.05). There was statistically significant difference between two methods in three tests.Conclusion MGT has the advantages of quickness,simplicity,high sensitivity,convenience,needs less sample,high repeatability,direct judging of the re-sults,which is better than TAT in three hemolytic tests.

Objective To establish the nursing care for the patients with pulse steroid therapy, and to investigate its effect. Methods 78 patients who accepted pulse steroid therapy in the past 4 years were analyzed retrospectively, in which, 42 within past 2 years （2008 and 2007) were as pulse steroid nursing care group, and other 36 patients before 2 years (2007 and 2006) were as routine nursing care group. Results 3 weeks after the pulse steroid therapy, in pulse steroid nursing care group, proximal muscle weakness were found in 8 patents, insomnia in 18 patients; while in routine nursing care groups, proximal muscle weakness were found in 16 patents, and insomnia in 25 patients（P<0.05）. Conclusion Pulse steroid nursing care can reduce the incidence of muscle weakness and insomnia after pulse steroid therapy significantly.

Objective:To analyze the clinical significance of thromboelastography in the treatment of postpartum hemorrhage(PPH).Methods:From May 2014 to March 2020, 62 patients with PPH in the People's Hospital of Gaomi were selected and divided into control group and observation group according to the random digital table method, with 31 cases in each group.The control group was treated with blood transfusion under the guidance of routine coagulation test, the observation group was treated with blood transfusion under the guidance of thromboelastogram.The number and volume of platelet, plasma and cryoprecipitation were compared between the two groups.Results:There were 9 cases of platelet transfusion, 19 cases of plasma transfusion and 11 cases of cryoprecipitation transfusion in the observation group, and there were 18 cases, 27 cases and 19 cases in the control group, respectively.The number of platelet, plasma and cryoprecipitation transfusion in the observation group was lower than that in the control group, the differences were statistically significant(χ 2=5.314, 5.391, 4.133, all P<0.05). The platelet transfusion[(0.80±0.25)u], plasma [(258±60)mL] and cryoprecipitation transfusion [(9.2±2.5)u] in the observation group were lower than those in the control group ( t=5.769, 8.669, 8.802, all P<0.05). Conclusion:For women with PPH, the use of TEG for transfusion therapy is better, and the test is worthy of promoting in the clinic.

Objective With multi?center investigation, to assess the life quality of patients with maintained hemodialysis (MHD) in Liaoning Province and to explore the relationship among the mineral metabolism, the life quality of the patients with MHD, and the repeated hospitalization within the latest three years. Methods 1192 patients with hemodialysis (at least 3 months) from January to March in 2015 at ten blood purification centers in Liaoning Province were selected for the cross?————————sectional survey. The Kidney Health?related Quality of Life (HRQOL) version 1.3 was used to evaluate the MHD patients' life quality. The total length of hospitalization was divided into four groups: 0 days, 3 to 15 days, 16 to 30 days and above 30 days. Results When serum calcium value ranged from 2.1 to 2.5 mmol/L, kidney?disease component summary (KDCS), mental component summary (MCS), physical component summary (PCS) and SF?36+KDCS corresponded to a higher value (P<0.05). When serum phosphorus value ranged from 1.13 to 1.78 mmol/L, KDCS and SF?36+KDCS corresponded to a higher value (P<0.05). When the calcium phosphorus product value ranged from 40.68 to 49.94, MCS corresponded to a higher value (P<0.05). KDCS showed a linear correlation with age (P<0.001), dialysis age, serum calcium (less than or equal to 2.5 mmol/L) (P<0.05); PCS showed a linear correlation with age (P<0.001) and dialysis age (P<0.05); SF?36+KDCS showed a linear correlation with age (P<0.001), and serum calcium (less than or equal to 2.5 mmol/L) (P<0.05), while age and dialysis age were negatively correlated. The hospitalization days showed a linear correlation with age, dialysis age (P<0.001) and serum phosphorus, calcium phosphorus product value (P<0.05), while dialysis age and calcium phosphorus product value were negatively correlated. Among different groups of total hospitalization days in three years, age, hemodialysis age, serum calcium, serum phosphorus, calcium?phosphorus product value and quality of life values were all statistically significant (P<0.05). Conclusions The life quality of patients with MHD were correlated with serum calcium, phosphorus, calcium and phosphorus product value, iPTH, dialysis age and age, while age and dialysis age were of negative correlation. The total number of hospitalization days in 3 years was closely linearly correlated with age and dialysis age, significantly correlated with serum phosphorus, calcium and phosphorus product value, while dialysis age, calcium and phosphorus product value were in a negative correlation. The total number of hospitalization in 3 years was correlated with the patients' age, dialysis age, serum calcium, serum phosphorus, calcium and phosphorus product value and quality of life.

Gamma-aminobutyric acid (GABA) is an inhibitory neurotransmitter in the adult central nervous system (CNS), however, it causes excitation in the immature CNS neurons. The shift from GABA-induced depolarization to hyperpolarization in postnatal brain is primarily due to progressive decrease in the expression of the Na-K-2Cl symporter 1 (NKCC1) and increased expression of the K-Cl cotransporter 2 (KCC2). Unlike CNS neurons, both immature and mature neurons in the enteric nervous system (ENS) are depolarized by GABA. Molecular mechanisms by which GABA excites ENS neurons are unclear. It is understood, however, that the excitatory action depends on elevated intraneuronal Cl. We aimed to test a hypothesis that high intracellular Cl in ENS neurons is maintained by activity of the NKCCs. We found that NKCC2 immunoreactivity (IR) was expressed in the ENS of the rat colon on postnatal day 1 (P1). The expression level of NKCC2 continuously increased and reached a steady high level on P14 and maintained at that level in adulthood. NKCC1 IR appeared in ENS on P14 and maintained through adulthood. KCC2 IR was not detectable in the ENS in any of the developmental stages. Both NKCC1 IR and NKCC2 IR were co-expressed with GABA receptors in ENS neurons. Exogenous GABA (1 mmol/L) caused membrane depolarization in the ENS neurons. The reversal potential of GABA-induced depolarization was about -16 mV. Blockade of NKCC by bumetanide (50 μmol/L) or furosemide (300 μmol/L) suppressed the depolarizing responses to GABA. Bumetanide (50 μmol/L) shifted the reversal potential of GABA-induced depolarization in the hyperpolarizing direction. Neither the KCC blocker DIOA (20 μmol/L) nor the Cl/HCO exchanger inhibitor DIDS (200 μmol/L) suppressed GABA-evoked depolarization. The results suggest that ENS neurons continuously express NKCC2 since P1 and NKCC1 since P14, which contribute to the accumulation of Cl in ENS neurons and GABA-evoked depolarization in neonate and adult ENS neurons. These results provide the first direct evidence for the contribution of both NKCC2 and NKCC1 to the GABA-mediated depolarization.
Animals ; Bumetanide ; Neurons ; Rats ; Receptors, GABA-A ; Symporters ; gamma-Aminobutyric Acid