6.Rhabdomyolysis in children: a case report.
Hong-mei QIAO ; Huan-ji CHENG ; Hong-bo WANG
Chinese Journal of Pediatrics 2013;51(2):150-152
Biomarkers
;
analysis
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Biopsy
;
Child
;
Female
;
Fluid Therapy
;
Humans
;
Kidney Diseases
;
etiology
;
Rhabdomyolysis
;
diagnosis
;
etiology
;
therapy
;
Virus Diseases
;
complications
7.Character of cardiac valvular calcification in uremia patients and its influence on cardiac structure and function
Hong JIANG ; Ping FANG ; Jindi JI ; Changlin MEI ;
Academic Journal of Second Military Medical University 2000;0(07):-
Objective:To evaluate the character of cardiac valvular calcification in uremia patients and its effect on cardiac structure and function.Methods:Thirty five cases with mitral and aortic valve calcification were selected from 326 uremia patients.Control group consisted of 33 uremia patients without valvular calcification.Their age,LVEDD,LAD,AOD,LVWT,LVEF and blood pressure matched with calcification group.The observing indexs included distribution of calcification,degree of regurgitation,LVEDD,LAD,AOD,LVWT and LVEF.The observing duration was one year.Results:The results showed that characters of valvular calcification with uremia were similar to elder valvular calcification.The degree of regurgitation was more greater in calcification group than in control group after one year.The LAD was greater in calcification group after one year.Conclusion:Cardiac valvular calcification of uremia may cause the increase of regurgitation and enlarge LAD. [
8.Forensic analysis of death caused by fat embolism: A study of 20 autopsy cases.
Lan ZHOU ; Jiao MU ; Hong-Mei DONG ; Ji ZHANG
Journal of Forensic Medicine 2013;29(6):431-433
OBJECTIVE:
To analyze the general and forensic pathological characteristics of death due to fat embolism syndrome (FES) and to provide reference data for forensic identification.
METHODS:
Twenty autopsy cases due to FES were selected from the forensic center of a medical college from 1999 to 2012. The general and forensic pathological characteristics such as the ways and types of injuries, clinical manifestation and the pathological changes were summarized.
RESULTS:
Fat embolism mainly occurred after long bone fracture or a large area of soft tissue injury with the majority of cases being fat embolism of lung and occasional cases being combined embolisms of lung and brain as well. The onset of symptoms appeared shortly after the injury or surgery. Lipid droplets could be observed within small pulmonary vessels and verified by special staining.
CONCLUSION
There are particular characteristics in death due to FES in concern with types of injuries, onset of symptoms and pathological findings. In order to find out the direct evidence of FES, special staining (oil red O staining) can be used in the forensic identification.
Autopsy
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Cause of Death
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Death
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Embolism, Fat/mortality*
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Forensic Pathology
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Fractures, Bone/complications*
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Humans
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Male
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Middle Aged
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Pulmonary Embolism/etiology*
;
Soft Tissue Injuries/complications*
9.Assessment of Oxygen Uptake Efficiency Slope on Cardiopulmonary Functional Reserve for Patients with Chronic Obstructive Pulmonary Disease
Hong-mei ZHAO ; Yang JI ; Ya-jing LIN
Chinese Journal of Rehabilitation Theory and Practice 2012;18(12):1131-1134
Objective To investigate the efficacy of oxygen uptake efficiency slope (OUES) on evaluation the cardiopulmonary function of patients with chronic obstructive pulmonary disease (COPD). Methods The cardiopulmonary function of 54 stable COPD patients with the cardiopulmonary function of Ⅱ~Ⅳ were evaluated, following a symptom-limited Steep protocol with simultaneous respiratory gas measurement,they were performed exercise tests on a treadmill, simultaneously the oxygen uptake (VO2), carbon dioxide production (VCO2),peak oxygen uptake (VO2peak), minute ventilation (VE), and respiratory gas exchange rate (RER) were measured. OUES was derived from the relation between VO2 and VE during incremental exercise and was determined by VO2=algVE+b, where a=OUES, to measure anaerobic threshold (VAT) meanwhile. Results OUES correlated with the VO2peak (P<0.001). 75% OUES, 90% OUES and 100% OUES were not significantly different (F=0.239, P=0.830). Conclusion OUES can respond the cardiopulmonary function in patients with COPD, 75% OUES from sub-maximal exercise can be an index for cardiopulmonary function.