Most literature consider that the application of decompressive craniotomy with severe brain injury is a great significance,especially in the treatment of refractory in intracranial hypertension after severe traumatic brain injuries to better effect,But its surgical indications and efficacy remains controversial.A review of recent literature at home and abroad,focusing on the surgical indications,surgical methods,timing,effects and complications of decompressive craniectomy for craniocerebral trauma

[Objective]This paper, extraction of neijing, the difficult sphygmology in two classics of ideas, together with new work in today's pulse field, forms a set of relevant clinical practice, with the effective pulse diagnosis thought.[Methods] In this paper, track through three parts to il ustrate, extract the sphygmology in the two classical ideas, one is in neijing with two different sphygmology systems-three nine-hou pulse methods and the single pulse method and detailed analysis of both the scope and specific link; The second is the analysis of the doctor's classification of pulse in classic and detailed work, skid, extract the information from pulse condition normal y in three dimensions;Three is to expand the research of pulse, and combine with modern micro pulse, with integrated positioning.[Results]Combing the pulse in the classic thoughts, the overview of the level of pulse, expand the pulse of modern research.[Conclusion] By tracing back, on the basis of the traditional inheritance and innovation of pulse, the integrated use of a variety of methods, respec-tively from the physical, mental, physical, personality and psychological experience, always analysis in patients with multiple dimensions, real y from the shape,godlevel analysis and judging the overal condition of a person, wil be in the role of the four diagnosis highlighting and benefiting future gener-ations of pulse, in order to provide help for sphygmology lovers.

Huang yuanyu imperial theory is the core theory of circle, has had a huge impact on later age, he thought the gas is a part of qi in the human body, the gas of the upper abdomen spleen and stomach is the main in the human person and plays a decisive role in the process. In the middle burner, the middle qi is produced, which makes circulation, and changes to wood, fire, liquid and gold, known as thefour states;Four states, with mutual transforma-tion, change, suddenly a circular formation, cal ed the circle, in the circle, the viscera, spirit, Qi, blood, five flavors and sensations are converted, al are from the Qi circulation and change;only with ful middle Qi, harmonious and smooth 4 kinds of Qi, wil the human body have orderly Qi circulation and be healthy. On treatment, pay attention to advocating Yang and Yin suppression, medication dexterity and curative effect, therefore, it is necessary to carry out the clinical research to highlight the scholars of traditional Chinese medicine.

Objective To investigate the clinical characteristics and differences among Uygur and Han patients with simple severe preeclampsia and their first-degree relatives. Methods To analysis the 100 cases with simple severe preeclampsia among Uygur and Han patients and their first-degree relatives. Results The age and gestational age between Uygur and Han group, there was no significant difference (P>0. 05). Average production time, women with preeclampsia history and BMI of Uygur group were higher than the Han group(P < 0. 05). Antenatal examination times of Uygur group was lower than the Han group(P < 0. 05). Hypertension, cardiovascular and cerebrovascular disease prevalence rate of mother in the Uygur group were higher than their father(P < 0. 05). The comparison of parents in Han and Uygur group were no statistically significant difference (P>0. 05). Conclusion During pregnancy, the Uygur should pay more attention to improve diet structure, control body weight, and strengthen their pregnancy health care, so that the disease can be early diagnosed and treated, reducing or avoiding therapeutic preterm labor.

Objective To observe the pulmonary X-ray changes of malignant malaria.Methods The chest routine X-ray examination in 86 cases with malaria in company with respiratory tract symptoms such as fever was performed,the pulmonary changes were obsenved.Results Of 86 cases, 58 cases were abnormal on chest filmes,including lung framework marked in 33 cases,miliary,small or large patchy shadow in 24 cases and multiple round opaque mass lesion in one case.Conclusion The pulmonary X-ray changes of malignant malaria are varied,the common characteristic is that most of them are situated at middle and lower portion of the lungs.This may attribute to blood dynamic abnormality resulting from malaria protozoan and the pathological changes of involved tissues.

AIM:To establish an HPLC method for determining cinnamaldehyde,costunolide and dehydrocostuslactone in the supercritical carbon dioxide extraction of Cinnamomum cassia and Aucklandia lapp.METHODS:The assay was performed on an Agilent HC-C_(18)(150 mm×4.6 mm,5 μm)column by UV detector at the wavelength of 210 nm with acetonitrile-water(gradient elutio)as the mobile phase at the flow rate of 1.0 mL/min,and the column temperature was 30℃.RESULTS:There were good relationships between peak area and sample size of cinnamaldehyde in the range of 148.5-1 732.5 ng,between peak area and sample size of costunolide in the range of 69.42-809.9 ng,and between peak area and sample size of dehydrocostuslactone in the range of 70.32 to 820.4 ng.Average recoveries of them were in turn 99.65%(RSD 0.72%)-99.57%(RSD 1.28%),and 98.90%(RSD 0.81%),respectively.CONCLUSION:The present method is convenient,sensitive and accurate with good reproducibility and can be used for the quality control of the supercritical CO_2 extract of Cinnamomum cassia and Aucklandia lapp.

Objective:To evaluate the effect of surgical c ro wn-lengthening and restoration procedure in the treatment of short clinical cro wn in anterior tooth. Methods: 28 short clinical crowns of 5 pat ients were lengthened through operation. 6 weeks after operation metal-fused ce ramic prosthesis was individually prepared.Results: Post-operat ion follow-up was performed 6 weeks after treatment,the average length of the c rown of the anterior tooth increased by (2.9?0.6) mm. No complication was obs erved. All the patients were satisfied with the esthetic effects one year after restoration.Conclusion: Surgical crown-lenthening and prosthesi s procedure may be used in the treatment of the short clinical crown.

Objective To study the protective effect of hydrogen sulfide(H2S) on intestinal ischemia-reperfusion(I/R) injury so as to provide a new clinical treatment on I/R.Methods NaHS was taken as a donor of H2S.Forty Sprague-Dawley rats were divided into 5 groups with 8 rats in each group: sham operation group,I/R model group,tetram ethylpyrazine group,and NaHS 7 ?mol/kg and 14 ?mol/kg groups.The contents of superoxidase dismutase(SOD),malondialdehyde(MDA) and glutathione peroxidase(GSH-Px) in serum and intestinal tissue were measured,respectively.The intestinal mucosal injury and histological alteration were observed.Results The content of MDA within serum and intestinal tissue was significantly reduced and the activities of SOD and GSH-Px were significantly increased.H2S could obviously reduce the injury in intestinal mucosa and glands.Conclusion H2S possesses a protective effect on intestinal I/R injury in rats.

Objective To design a new experimental facility to induce rat diffuse axonal injury model. Methods Rat diffuse axonal injury was induced by a new experimental facility,which was developed to let the rat head spin 90 degree at the moment to cause shearing injury.Vital sign and behavior of rat were measured simultaneously.The rats were sacrificed at 2 h,6 h,12 h,24 h,36 h,72 h and 10 d after injury,respectively,and the brain tissues were removed to prepare paraffin section.Then silver staining and HE staining were conducted to investigate changes of axonal fibers. Results There were unconsciousness,respiratory rhythm disturbance and hyporeflexia of pupil light reflex immediately after injury,and reactiveness decrease and activity retardation still existed even after resuming consciousness.At anatomical scene,subarachnoid hemorrhage or cerebroventricular haemorrhage were widespread.At an early stage,there were swelling,collapse,and axonal retraction ball formation at cortico-medulla junction,callosum,brainstem,and cerebellar white matter under microscope.But at the later stage,gitter cell proliferation and nest-like aggregation were major pathophysiological changes at focal brain tissue. Conclusion The new experimental facility is suit able to be used to induce rat diffuse axonal injury,since it is convenient,controlable,and precise.

Objective To discuss the effect of growth hormone(GH) on acute gastric mucosal lesion(AGML) in rats.Methods 120 Wistar rats were divided into four groups randomly: blank control group(n=8),simple model group(n=32),model+rhGH group(n=40) and model+cimetidine group(n=40).Animal models of AGML were set up through soak and tie of rats.GH was injected to the rats in experimental groups,while cimetidine was used in the positive control group.Morphologic changes of rat gastric mucosa in each group were observed and compared on different days(0,4,8,12 d) after stress through gross looking,light microscope,and electron microscope.Ulcer index(UI),secretion amount of gastric acid,pH value and gastric mucosal were compared.Results Compared with blank control and model+cimetidine groups,the histomorphologic changes of gastric mucosa were obviously alleviated in model+rhGH group: only part of epithelial cells swelled,red blood cells were seldom seen,neutrophils infiltration reduced obviously,no remarkable changes were observed in the submucosal tissue.Mucosal cells were in good state and degeneration were seen in only a few cells under the electronic microscope.In addition,UI and the degree of gastric mucosal atrophy in model+rhGH group were lower than that in control group significantly(P