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

As an on-site inspection team leader, I have joined the inspection on the clinical laboratories in six hospitals designed especially 2008 Olympic game organized by China National Laboratory Accreditation Committee (ISO15189 Accreditation). Two years' preparation promotes the standization, skill, management and academic level of these laboratories and boost the development 2-3 years forward. But there still were some deficiencies in the cell morphological examination including: ( 1 ) Low ratio of blood smear check when machine was used for hematological analysis; (2) Lack of criteria for blood smear check ; (3) Low capability of identification of cell; (4) Lack of personnel for microscopic examination. The reasons causing above deficiencies were concluded as follows: (1) The lab director did not pay sufficient attention to the morphological examination;(2)The technicians were unable to perform microscopic examination properly due to the heavy workload and lack of personnel; (3) The technicians were unable to use machine correctly as screening tool. So I put forward some measures for improvement of morphological examination. These measures included: (1) strengthening the propaganda on the importance of morphology examination and training the new stuffs; (2) Renovating the concept and improving the skill of lab technicians.

Objective To explore a method of repairing the multiple tissue defect and building the intrinsic muscle functi on of hand by combine grafting the intri nsic muscle of foot and other tissue. Methods With vascular and nerve an astomosis ，repair the tissue and rebuild the intri nsic muscle function of hand by combine transplantation of the flap，toes，short e xtensor muscles of hallux and toe and sh ort abductor muscle of great toe. Re sults After 1～5 yearsfollow-up，norm al myodyn amic has returned to the transplanted mu scles.Good sensation and good motor func tion have also returned to the transplan ted tissue. Conclusion Its an ideal method to repair the multiple tissue defect and rebuild the intrinsic muscle function of hand by combine transplan tation of intrinsic muscle of foot and ot her tissue.

Urine sediment analysis is of importance for the diagnosis, differential diagnosis and prognosis in urinary system diseases.To understand the standardization of sediment analysis and its development, This article analyzes the advantage and disadvantage of automated instrument used in urine sediment analysis, and then developes the criteria for microscopy review following automated urinalysis.

Objective To explore which scoring methods can prevent the ischemic stroke better.Methods 80 padents with atrial fibrillation were randomly divided into two groups,the patients in A group took anticoagulant therapy using CHADS2 score;the patients in B group took anticoagulant therapy using CHADS2-VAS score;follow-up the ischemic stnoke,death and major bleeding event rate.Results 7 cases of ischemic stroke in A group,1 case in B group,the difference was statistically significant ( P ＜ 0.05 ).Conclusion According to CHA2DS2-VAS score for risk stratification,anticoagulant therapy was safe and effective,and did not increase bleeding event rate.

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.

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.