Objective To compare the probability of anastomotic leak in the Chinese patients with carcinoma of esophagus using anastomat anastomose and manual anastomose in order to provide some refer -ence for patients with carcinoma of esophagus .Methods By meta-analysis, we made a comprehensive a-nalysis of 12 literatures published in China on anastomat anastomose and manual anastomose in preventing anastomotic leak in patients with carcinoma of esophagus .Results The probability of anastomotic leak in patients with carcinoma of esophagus was obvious heighten in using anastomat anastomose compared to that in using manual anastomose,with the combined odds ratio(OR)value being 0.53(95%CI:0.40-0.71) >0,( P <0.01 ).Conclusion To preventing anastomotic leak in patients with carcinoma of esophagus , anastomat anastomose is more predominant than manual anastomose .

Various properties of the raw drug Horsc Bozoar were studied by microscopic observation, X-ray phase analysis, thermal analysis, elementary analysis and solubility test .Resul.ts showed that Horse Bezoar mainly contains magnesium ammonium phosphate as well assome magnesium -phosphorus stones.

Because of the lack of professional knowledge guidance,in addition to the blind fear and eating disorders,leading to the incidence of hypertension in rural community of China was Showing an up-ward trend year by year.Hypertension was a chronic disease,was the potential risk factor for cardiovascular and cerebrovascular disease,severe heart,the function of brain,kidney and other important organ were fail-ure,to made people's life health and quality of life received threats.With the development of economy and society and the acceleration of the process of population aging,hypertension in the rural elderly population had became a common disease.,as a representative of non communicable chronic diseases,hypertension has seriously affected the normal development.Specification and strengthening the management of hyperten-sion in rural areas has become a hot topic,At present,mainly to the community as the main front for the prevention and treatment of hypertension.The traditional model of community hypertension management has gradually been eliminated.In recent years,China has carried out various aspects of community hypertension management model,In this study,we analyzed the community management of hypertension in rural areas in recent years,and made the following survey.

Objective: To establish an experimental unilateral internal carotid artery stenosis model in New Zealand albino rabbits that can be detected in vivo. Methods: A 2 F Foley's tube was inserted into unilateral carot id artery for performing intimal injury in 5 rabbits, and causing intimal hyperplasia and angiostenosis. The hemodynamic changes of unilateral carotid artery were detected by transcranial Doppler (TCD); the reduction of cerebral blood flow (CBF) after stenosis was calculated by mathematical formulas. The degree of stenosis was confirmed by digital subtraction angiography (DSA), and the arterial intimal hyperplasia and stenosis were confirmed by pathological examination. Results: Two rabbits survived after the procedure. TCD, DSA and pathological examination showed that the model of experimental unilateral internal carotid artery stenosis in rabbits was established successfully. The reduction of CBF after unilateral internal carotid artery stenosis was calculated in the 2 rabbits, they were 17% and 45%, respectively. Conclusion: The rabbit model of unilateral internal carot id artery stenosis has been established successfully, and the severity of stenosis can be detected and evaluated in vivo.

Acute pancreatitis (AP) is activated trypsin-induced pancreatic and its peripheral tissue inflammation caused by their own digestion.The activation in advance of trypsinogen and the inflammation cascade in pancreatic acinar cells are thought to be a key mechanism of the onset and development of AP.Autophagy pathway acting as Ⅱ type of programmed cell death occurs in the early pathological course of AP,blockade of which contributes to aggravating necrosis of acinar cells in AP.This article mainly discussed the recent advances in the understanding of autophagy researches and its function in the mechanism of AP.

Objective To discuss the value of enlargement of geniculate fossa of facial nerve canal in the diagnosis of facial nerve canal fracture.Methods Thirty patients with facial nerve canal fracture underwent axial and coronal CT scan.The correlation between the fracture and the enlargement of geniculate fossa of facial nerve canal was analyzed.The ability of showing the fracture and enlargement of geniculate fossa of facial nerve canal in axial and coronal imaging were compared.Results Fracture of geniculate fossa of facial nerve canal was found in the operation in 30 patients,while the fracture was detected in CT in 18 patients.Enlargement of geniculate ganglion of facial nerve was detected in 30 patients in the operation,while the enlargement of fossa was found in CT in 28 cases.Enlargement and fracture of geniculate fossa of facial nerve canal were both detected in CT images in 18 patients.Only the enlargement of geniculate fossa of facial nerve canal was shown in 12 patients in CT.Conclusion Enlargement of geniculate fossa of facial nerve canal was a useful finding in the diagnosis of fracture of geniculate fossa in patients with facial paralysis,even no fracture line was shown on CT images.

Acoustic Stimulation ; Animals ; Auditory Perception ; physiology ; Behavior, Animal ; physiology ; Noise ; adverse effects ; Rabbits ; Sound ; Swine

Objective To observe the influence of subarachnoid space associated with epidural anesthesia at different posture on the hemodynamics during cesarean section.Methods One hundred and twenty uterine-incision delivery patients were chosen,the patients were separated into the left lateral decubitus group(LL group) and right lateral decubitus group(RL group) with 60 cases each by random digits table method,all the patients were blocked by subarachnoid space associated with epidural anesthesia after puncturation 2 ml 0.5％ ropivacaine was given.Then the head end epidural catheter insertion in 3-4 cm,asked maternal supine after fixed catheter enjoin.Systolic blood pressure (SBP),diastolic blood pressure (DBP),heart rate were recorded before anesthesia and at 3,5,10,15 min after anesthesia.Apgar scores of 1 and 5 min were observed as well.Results SBP and DBP at 3,5 min after anesthesia were significantly lower than those before anesthesia in RL group,SBP was (120.1 ± 11.2),(106.7 ± 17.2),(127.3 ± 13.6)mmHg (1 mmHg =0.133 kPa) respectively,DBP was (77.5 ± 6.3),(55.2 ± 21.2),(80.3 ± 10.5) mmHg,respectively,and there were significant differences (P ＜0.05).And SBP,DBP in RL group were also significantly lower than those in LL group,SBP was (123.2 ± 12.4),(110.3 ± 16.3) mmHg,DBP was (80.1 ± 9.9),(63.1 ± 13.2) mmHg,and there was significant difference (P ＜ 0.05).There was no significant difference in Apgar scores of 1 and 5 min between two groups.Conclusion The left lateral decubitus position could effectively reduce the incidence of hypotension during caesarean section under subarachnoid space associated with epidural anesthesia.

Purpose: To observe the long-term and recent clinical effect of needle-warming method plus functional training in the treatment of osteoarthritis of the knee joint. Methods:After 106 cases of the patients were divided into the needle-warming group and comprehensive group by the order of their first visit, the needle-warming group was treated by the needle-wanning method and the comprehensive group was treated by the needle-warming method plus functional training. After ten treatments, the clinical data in the two groups were evaluated upon Lequesne scale before and after the treatments. Three months later, follow-up survey was given to process the statistic management of the reoccurrence rate of the symptoms.Results: In the two groups after the treatment, the symptoms of the knee joint and daily life ability were obviously improved than the respective conditions before the treatment, and the integral decreased (P＜0.05), with no significant difference (P＞0.05) between the two groups. In the follow-up survey, there was a difference (P＜0.05) between the two groups in the positive rate of the recurrent symptoms. Conclusion: Certain therapeutic effect exists in the treatment of osteoarthritis of the knee joint by the needle-warming method. If functional training is combined,the therapeutic effect would be more stable, without easy reoccurrence.

Objective To analyze clinical characteristics of patients with gastrointestinal bleeding (GIB)and the death-related risk factors.Methods A retrospective analysis Was conducted in 414 patients hospitalized for GIB during a 16-year period of 1994 to 2009.Logistic regression analysis identified predictors of mortality.Results The mean age of the 414 patients is 83.5 years old,ranging from 65 to 96years old.The main causes of GIB were peptic ulcer(33.1%,137/414),gastroduodenal mucosal erosion (28.5%,118/414)and tumor(21.0%,87/414).The main symptom was melena(71.0%,294/414).Drugs that induced GIB were mainly non-steroidal anti-inflammatory drugs,including aspirin(11.1%,46/414),acetaminophen(8.9%,37/414)and indomethacin(1.9%,8/414).14%of patients(58/414) died of GIB in 30 days.The proportion of drug-induced GIB and gastroduodenal mucosal erosion caused GIB had increased significantly during the period of 2004 to 2009(P<0.05).Analysis of 30-day mortality risk showed advanced age,low diastolic blood pressure,high heart rate,low hemoglobin levels at presentation and hemorrhage volume in dead GIB elderly patients were significantly different compared with GIB elderly patients alive.Presence of severe comorbidity(heart failure and renal failure)and caused by cirrhosis and portal hypertension in GIB elderly patients were the only independent predictors of 30-day mortality (P<0.001).Conclusion Death of GIB patients occurred predominantly in elderly patients with severe comorbidities and systemic conditions at presentation.