Objective:To introduce the use of fluoxetine in neurologic disease,especially in epilepsy.Method:We used fluoxetine as a supplement antiepileptic drug in 25 patients who couldnt be controlled yet by routine antiepileptics. A long term follow-up with these cases was carried out.Results:Most patients got better outcome.Conclusion:Fluoxetine would be an important supplement antiepileptic drug and have value for further clinical and experimental research.

Objective To establish HPLC method for fast, effective, simultaneous determination of Vancomycin and Norvancomycin in serum. Methods The separation was achieved on the Hypersil ODS2(250 mm ×4.6 mm,5μm)with methanol-acetonitrile-a mixture of potassium phosphate (9.5:2.5:88) as the mobile phase.The flow rate was 1.0 mL/min.The UV detecting wavelength was 280 nm.The temperature of the column was 35 ℃. Vancomycin and Norvancomycin were used as the internal standard for each other .Results Vancomycin and Norvancomycin blood concentration were in well linearity in the range of 1.25-100μg/mL,R2 =0.9996.The average method recovery rate of three concentrations were 96.88%,99.50%,105.01%respectively, the average method recovery rate of three concentrations were 94.40%,103.90,103.81%respectively, the intra-day and inter-day RSD were less than 5%.Conclusion The HPLC method is proved to be simple,sensitive, accurate and precise in which little blood sample is taken, thus it is suitable for the therapeutic drug monitoring(TDM) and pharmacokinetic study of Vancomycin and Norvancomycin.

Objective To investigate the marital status of male patients with breast cancer.Method Kansas marital satisfaction scale(KMS)was used in the investigation among 42 male patients with breast cancer.Results KMS score was (15.08±3.38),similar to the scores on normal model.More than 70% of them were satisfied with their spouses and marital relationship.Conclusions Male patients with breast cancer are satisfied with their marital status after surgery.Enhanced education on the disease knowledge to the patients and their families are important for their marital status.

To establish a method for the deter mination of dissolution of amiodarone hydrochloride tablets. Methods: Samples from five different factories were tested by the paddle meth od with the dissolving medium of 1% SLS. Results: The resu lts showed that there were very significant differences(P＜0.01) in dissolut ion parameters among the tested samples. Conclusion: It is necessary for testing the dissolution of the amiodarone product to control its quality and ensure clinical efficacy and safety.

Objective:To evaluate the imaging changes of patients with aortic aneurysm before and after the operation,and provide information for treatment and prognosis.Methods:Analyzed the imaging results with ultrasound,MRI,CT and DSA detection of 102 patients with aortic aneurysm or dissection who were treated by covered stent,and evaluated the clinical value of this operation.Results:The sensibility of ultrasound,MRI and CT were 82.6%,98.0%and 97.5%,and the specificity of these detections were 98.2%,100%and 100%.Conclusion:Exactly imaging evaluating is critical to diagnosis and a successful operation.Ultrasound,MRI,CT and DSA have their own advantages in diagnosing aortic aneurysm and dissection,choosing the best imaging method is critical to a fast diagnos is and successful operation.

This paper reported 15 cases of Lyme diseases including central serous choroiretinopathy 11 cases, optic neuritis 2 cases, Neuroretinitis 1 case, optic atrophy secondary by papilladema 1 case. The authors suggested that serological test of Lyme disease should be taken routinely in ocular disease, especially in epidemic areas. The ophthalmic sign of Lyme disease may be differ in different areas.

Objective To observe the cardiotoxicity during combined radiotherapy and chemotherapy or chemotherapy alone in patients with breast cancer. Methods Sixty-eight patients received epirubicin or combined with radiotherapy postoperative were observed. Electrocardiogram was examined before and after each cycle of chemotherapy. The results were tested statistical comparison. Results The cardiotoxicity in breast cancer patients who were treated with both radiotherapy and chemotherapy are obviously higher than that with chemotherapy alone. The incidence of abnormal electrocardiogram in combination group was 36.8 % and 10 % in non-combination group, and with no statistical difference between the two groups. Conclusion The cardiotoxicity increased more in breast cancer patients who were treated with both radiotherapy and chemotherapy. Our results suggested that breast cancer patients should be regularly reexamined with electrocardiogram during therapy, especially whose were above 60 years and those had the history of hypertension and heart diseases.

Objective To analyze the value of serum calcitonin level to determine the illness severity of the elderly patients with severe pneumonia within six hours after admission and to dynamically observe the predictive value of serum PCT level change rate in different time points on the prognosis of the patients.Methods A total of one hundred and twenty olderly patients with severe pneumonia were enrolled.Within six hours after admission,the serum PCT level was detected by enzyme linked fluorescence analysis.Acute physiology and chronic health score (APACHEⅡ)were used to assess the severity of the disease.The correlation between serum PCT and APACHEⅡ score was analyzed by Pearson correlation coefficient.The receiver operating characteristic curve (ROC curve)showed the value of serum PCT level for the prognosis.Serum PCT levels were respectively monitored on the 1st,2nd,3rd and 5th day. Based on the prognosis outcome on twenty -first day after admission,the patients were divided into survival group and death group.The changes of serum PCT level in two groups were compared and the rate of change of serum PCT was also compared and the value of the clinical mortality of twenty -first day was assessed.Results Within six hours after admission,the level of serum PCT was positively correlated with APACHE Ⅱ score (r =0.768,P <0.05).The receiver operating characteristic curve (ROC curve)showed that the level of serum PCT was low for the predictive value on the prognosis of the patients,and the area under the curve was 0.502(t =0.915,P =0.153).All patients, there were ninty -four cases in the survival group and twenty -six cases of death group.Dynamic observation of serum PCT levels in the survival group showed a trend of gradual decline with time prolong,the level of PCT change rate was more than or equal to 50 percent within 72 hours.The level of serum PCT change rate in death group showed a gradual upward or downward trend and the change rate of PCT in seventy -two hours was less than 50%.The ROC curve showed that the rate of change of serum PCT level in seventy -two hours was better in predicting the mortality of patients on the twenty -first day,and the area under the ROC curve was 0.892(t =3.895,P =0.001).Conclusion Dynamic monitoring of serum PCT levels can be helped to assessment the prognosis of patients with sepsis and also predict the severity of the illness.The level of serum calcitonin can reflect the severity of severe pneumonia in elderly patients within six hours after admission,but can not accurately determine the prognosis of patients with severe pneu-monia.Dynamic monitoring of changes in serum calcitonin level is helpful to judge the prognosis of the elderly patients with severe pneumonia and the predictive value of serum calcitonin level change rate is higher in seventy -two hours after admission.

The plasma corticotrophin-releasing hormone-like bioactivity was measured in normal individuals, patients with Cushing's disease and other diseases of hypothalamic-pituitary-adrenal axis with the techniques of rat pituitary cell peri-tusion and AGTH radioimmunoassay. Combined with the response of the patients to neurotransmitter agonist and antagonist, it was hypothesized that most patients with Cushing's disease have a primary pituitary lesion and that hyper-tisolemia damaging hippocampus and weakening its inhibition on hypothalamic-pituitary-adrenal axis may have an important role in the pathogenesis.

Objective To observe the effect of the method of clearing the upper for treating the lower for treatment of chronic glomerulonephritis (CGN) complicated with tonsillitis and pharyngitis. Methods The changes of indices of 120 patients after treatment of herbal decoction were observed and analyzed. Results The Complete remission was 25 cases (20.8%), fundamental remission 42 cases (35%), improvement 38 cases (31.7%), and inefficacy 15 cases (12.5%). The total effective rate was 87.5%. The shorter the course of disease, the milder the pathological condition, the better the effect. The indices of qualitative examination of urinary protein and urinary RBC and WBC were significantly improved (P0.05). SCr and BUN of those patients with abnormal renal functions were all improved significantly after herbal treatment (P