Objective To observe the clinical curative effect of the FUFANGDANSHENDIWAN on the acute myocardial infarction patients. Methods 75 acute myocardial infarction patients were randomly divided into two groups,the curative group( A group) 45patients, and the control group( B group)30 patients, patients inTwo groups were treated wigh thrombolytic intravenous drip urokinas, A groupe patients oral admnistered the FUFANGDANSH-ENDIWAN,B group patients oral administered aspirin,the course ti treatmant is two weeks. The change tithe level of blood theology, the record points of QRS wave of the electrocardiogram, and the square of myocardial infarction were observed. Results The change of the level of blood rheology, the record points of QRS wave of the electrocardiogram (4.45±0.82),and the square of myocardial infarction(25.20±3.40),of A group compared with B group,the difference is significant. ( P<0.05 orP<0.01 ). Conclusion The FUFANGDANSHENDIWAN had effect on the a-cute myocardial infarction.

From October 1997 to December 1998, 64 patients with defect of skull vault bone were divided into 2 groups. The 1st group of 33 patients underwent an orthopedic surgery to recreate the defect using their self exploited bone and the 2nd using the carbone composite flap. The technique of use of carbone composite was not complicated and can be applied in any surgical institution which had used to conduct emergency surgery of skull and brain. The priorities in indication must be given to large and very large defect.
Surgery, Plastic ; Therapeutics ; Bone and Bones ; Skull ; Orthopedics

From Oct. 1997 to Oct. 1999 in Neurosurgery Department of St Paul Hospital, Ha Noi, 42 patients ≥ 4 years old underwent a cranioplasty for skull lacuna using carbon composite "intost-2". The pathologic postoperative conditions were 14.29% with extradural hematomas, 30.95% subdural hematomas, 54.76% cerebral wounds; located on frontal sited 40.48%, temporal 33.33%, parietal 21.43%, occipital 4.76%. Surgical produres were scar removal and cranioplasty 78.58%, scar removal and meningoplasty and skull repair 21.43%. These 42 cases were carried out succesfully with 7-10 hospital days, symptoms caused by skull lacuna were improved, only 1 case of failure
Skull ; Pain, Postoperative ; carbon

Assessment the efficacy of cranioplasty with frozen self-cranial bone on 47 patients at the Department of neurosurgery, Saint Paul hospital between May 2002 and March 2005. The patients consisted of 37 males and 10 females, the mean age was 28 (16 to 63 years old). In all patients, cranioplasty had been performed to repair bone defects secondary to severe brain injury. 38/47 patients (80.85%) had fronto-temporal defect while 27 patients had very large defect (> 80 cm2). Results: the operation successful rate was 90.24% (37/41 patients) and no complications. 4 cases need secondary cranioplasty while 2 patients were done with carbon composite.
Bone and Bones ; Skull

The topic of eliminating the fear or pain of patients during dental therapy is gaining increasing attention from dentists across the country. The field of painless dental therapeutics involves a wide range of subjects, including stomatology, anesthesiology, and hospital management. We summarized the characteristics of sedation and analgesia technology in outpatient oral therapy, reviewed the common sedative and analgesic treatments, and discussed the disputes on the use of sedation and analgesia in dental procedures. We also reviewed the trends and breakthroughs in this area on the basis of our own clinica experiences.
Analgesia ; utilization ; Analgesics ; therapeutic use ; Anesthesia ; utilization ; Dental Care ; methods ; trends ; Dentists ; Dissent and Disputes ; Humans ; Outpatients ; Pain

Based on the connotation of ISO15189 and philosophy of current laboratory medicine,this article discussed about the important significance and role of quality management in diagnosing and curing of patients during post-analytic phase.This article also expounded the attention to these questions of examination results verification,procedure of reviewing and reporting examination results,establishment of principle for reserving samples after examination,range of consulting service and methods of handling complaint,the relationship between the whole quality management and information exchange of laboratory and clinical department.

Seven cellular parameters in adenomatous hyperplasia of the liver (AHL), compared with normal liver cells (NLC) and hepatocellular carcinoma (HCC), were analyzed quantitatively by measuring the seven parameters of the cell nuclei, the area (AREA), perimeter (PERIM), maximum diameter (DMAX), minimum diameter (DMIN), the equivalent circle diameter (DCIRCLE), circularity shape factor (FCIRCLE) and shape factor (FSHAPE) using computerized image analyzer. The main results were: (1) All the above seven nuclear parameters in AHL were significantly different from those in NLC, three parameters (DMAX, DMIN and FSHAPE) in AHL were not obviously different from those in HCC, indicating that AHL and NLC were not of the same cellular population, and AHL had a tendency of approaching HCC in the nuclear features; (2) Not alike NLC and HCC, the scattered distribution between nuclear FCIRCLE and DCIRCLE in AHL presented a highly dispersed distribution, overlapping the areas of NLC and the greater part of HCC, suggesting that AHL being an abnormal cellular population composed of cells in different proliferative status between NLC and HCC; (3) All of five resected AHL in the present study showed early malignant transformation. We conclude that AHL possesses the general features of precancerous lesion, and should be considered as the important precancerous lesion of HCC.

Objective To explore the clinical effect of aritificial total knee arthroplasty ( TKA) in the treat-ment of knee osteoarthritis ( KOA) patients with varus deformity .Methods 41 KOA patients ( 52 knees ) with varus deformity were treated by TKA ,and the clinical effect was observed .Results After treatment ,the knee varus angle , flexion contracture degrees,HSS score were (174.50 ±2.10)°,(0.30 ±0.16)°,(87.60 ±4.70)points,respective-ly,which were significantly improved compared with [(19.80 ±1.30)°,(21.20 ±0.90)°,(37.30 ±3.50)points] before treatment (t=451.68,165.99,69.05,51.57,all P<0.05).Conclusion TKA has an ideal efficacy for knee flexion deformity ,accurately cut bone and soft tissue balance correction is the key in turned knee flexion contracture deformity surgery .

In this paper,the technology development process of morphological analysis was reviewed based on the blood cell analyzers in recent 40 years.The clinical values,advantages and limitations using blood cell analyzer to classify the white blood cell in different development stages were illuminated.It was evident that the manual microscopic examination is still a necessary way for clinical diagnosis,which is not necessarily replaced by the automated clinical analyzers,although some high-precision or high-intelligence machines are helpful for detecting the disease better on various levels.Therefore,it should be adopted in the rational ways for clinical examination based on the evidence-based medicine,and the appropriate diagnosis instruments should be chosen which not only satisfy the needs of clinical diagnosis,but also conform to the national benefit-for-people policies and requirements of healthcare reform.Herein,valuing the morphological examination in clinical diagnosis and strengthening the basic skills trainings should be advocated to improve the qualities and academic levels of clinic examination technicians.

ObjectiveTo investigate the changes of biochemical parameters in liver disease. MethodsSernm contents of NAG, AFU, LAP, ASTm, GLDH,ADA, and CHE were determined with auto- biochemical analyzer and analyzed in 300 hepatitis patients and 30 healthy subjects. ResultsThe mean values of LAP, ASTm, GLDH,ADA and AFU in acute hepatitis patients were significantly higher than control, positive rate were 93.0% 、81.0%、76. 0% 、82. 0% and 83.2% respectively;The mean values of ADA、AFU and NAG in liver cirrhosis patients were higher than control significantly, positive rate of were 88.5% 、38.2% and 94. 2% respectively;The mean values of ADA and NAG in severe hepatitis patients were higher than control significantly,positive rate are 64. 9% and 95.7% respectively; The mean values of LAP and NAG in liver cancer patients were higher than control significantly, positive rate were75.0% and 88.0% respectively. ConclusionThe index of LAP and ASTm are valuable markers for diagnosing of acute hepatitis;The index of ADA, ASTm and CHE are valuable marker for diagnosing of liver cirrhosis;The index of ASTm, CHE, AFU and GLDH are valuable marker for diagnosing of severe hepatitis, and AFU and LAP are valuable markers for diagnosing of hepatocellular carcinoma.