Objective To probe into the relationship of self-management behavior and hope level in patients with coronary heart disease after percutaneous coronary intervention (PCI).Methods The research instruments included three questionnaires:the Coronary Artery Disease Self-management Scale,the Herth Hope Scale and the demographic characteristics of respondents.Results Self-management behavior was in medium level and it was necessary to be improved.The total score of self-management behavior was positively correlated with hope level.Conclusions Medical workers should fully understand the status of selfmanagement behavior,and promote desirable self-management behavior through increase of hope level.

Objective To sum up the experience of liposuction combined with periareolar small incision to treat gynaecomastia.Methods 25 cases of gynaecomastia were treated by liposuction combined with periareolaf small incision within local swelling anesthesia from Jun.2012 to Jun.2015 in Department of Burn and Plastic Surgery.Results All the 25 cases were satisfied with the postoperative cosmetic effect,such as no obvious scar,flat chest,no obvious uneven feeling.Pathological results showed there were mammary gland hyperplasia,mam mary gland dilatation and fat and fibrous tissues hyperplasia.Conclusion Liposuction combined with periareolar small incision under local swelling anesthesia can achieve satisfied cosmetic effect in treating gynaecomastia.

The expression of proliferating cell nuclear antigen (PCNA) was studied in 50 cases of squamous cell carcinoma of the skin using immunohistochemistry and PCNA cyclin monoclonal antibody. PCNA staining was found in the nuclei of tumour cells, two types of staining were seen, a granular pattern and a more diffuse nuclear staining. The expression of PCNA showed a significant positive correlation with degrees of differentiation of the carcinoma cells and lymph node metastasis (P

The expressions of p53 protein, PCNA and macrophage count in 50 cases of skin squamous cell carcinoma were studied by LSAB immunostaining of monoclonal antibodies (PC-10, CD68 and Do-7). The relationship between the proliferation of cancer cell and the count of stroma macrophage to the degree of differentiation was studied and observed in situ. The results showed that the positive rates of expression of both p53 protein and PCNA in the squamous cell carcinoma were 56% and 100%, respectively. The distribution and strength of the expression of p53 protein and PCNA were positively correlated to the degree of cell differentiation. Macrophoge regularly located in the margin of cancer nest. The macrophage count was reversely correlated to the degree of differentiation. It is concluded that the degree of differentiation is parallel to the expression of p53 protein and PCNA, whereas, the macrophages in the stroma to some extent inhibits the cancer cell proliferation.

Objective To investigate the concentration changes of vascular endothelial growth factor(VEGF), nitric oxide(NO) and endothelin (ET) in elderly patients with obstructive sleep apnea syndrome (OSAS) combined with eerebrovascular disease.Methods One hundred and thirty-two subjects were divided into four groups: OSAS with cerebrovaseular disease group (OC group), OSAS without cerebrovascular disease group (O group), cerebrovascular disease without OSAS group (C group) and normal control group (N group).The concentrations of VEGF, NO and ET in the plasma were compared in each subgroup.Results The concentration of VEGF was significantly increased in OC group and O group compared with C group and N group[(195.34±56.7)ng/L, (162.34±48.7)ng/L, (156.4 4±51.8) ng/L, (114.1 ± 54.2) ng/L, F= 21.02, P< 0.05].The concentration of NO was increased gradually in OC group, C group, O group and N group[(62.3±4.9)mmol/L,(64.7±5.1) mmol/L, (66.2± 4.2)retool/L, (77.5 ± 6.8) mmol/L, F= 17.35, P<0.05], and the concentration of ET was decreased gradually in OC group, C group, O group and N group[(59.8±9.6)ng/L, (56.5±4.3)ng/L, (54.7±7.9)ng/L, (37.2±8.5)ng/L, F= 4.27, P<0.05].Conclusions The concentrations of VEGF and ET are increased and the concentration of NO is decreased in patients with OSAS.Patients with OSAS combined with cerebrovascular disease have higher VEGF and ET concentrations and lower NO concentration than in patients with simple OSAS.The results indicate that vascular endothelial dysfunction may play an important role in the development of cerebrovascular disease in patients with OSAS.

Objective To explore the clinical effect of pressured rapid volume expansion in the treatment of hemorrhagic shock under the monitoring of central venous pressure(CVP).Methods Forty patients with hemorrhagic shock were randomly divided into two groups: the study group (groupⅠ,n=20) and the control group(groupⅡ,n=20).In groupⅠ,the patients were treated with rapid intravenous infusion by pressured soft fluid in bags under the CVP,and the patients received traditional transfusion method in groupⅡ.Results The average amount of transfusion in 30 minutes and the total amount in perioperative period were(1271?170) ml and(5311?410) ml in groupⅠrespectively,and in groupⅡ,the results were(721?140) ml and(3273?330) ml respectively.The recovery of systolic blood pressure(SBP),diastolic blood pressure(DBP),central venous pressure(CVP) and pulse oxygen saturation(SpO_2),the time of recovered urination and cure rate in groupⅠ were significantly better than those in groupⅡ.The mortality reduced in the study group.Conclusion With the monitoring of CVP,the pressured rapid volume expansion is an effective treatment for hemorrhagic shock.With the pressured rapid volume expansion,the circulating blood volume of patients can be recovered rapidly and the perfusion of important organs,tissues and cells be maintained.

Objective To study the early diagnosis of cutaneous T-cell lymphoma(CTCL).Methods DNA from39formalin-fixed,paraffin-embedded tissues of24cases of CTCL,2cases of dubious lymphoma,and4cases with non-specific erythroderma,was amplified by polymerase chain reaction(PCR),with special primers of TCR V?1-8,V?9,and J?1/?2to analyze T-Cell receptor?gene clonal rearrangement(TCR-GR clonal).The specimens from30patients with non-specific dermatitis were taken as negative control.Results Clonal of TCR V?1-8was demonstrated in38of39paraffin-embedded specimens.V?9-GR was shown in37of39specimens TCR?-GR was shown especially in13patients with MF of early stage,2patients with dubious CTCL,and4patients with non-specific erythroderma,as well as in6of30patients with histiologically nonspecific dermatitis which suggested that these6cases were"clonal dermatitis".Conclusion Clonal TCR?-GR may be detected in patients with early CTCL,even when the histologic findings are not unequivocally diagnostic.

Objective To investigate the expression of matrix metalloproteinases(MMP) related to oncogene C-myc and tumor differentiation of cutaneous squamous cell carcinoma (CSCC). Methods Expression of MMP2,MMP9 and C-myc was detected by immunohistochemistry in 68 paraffin embedded specimens of CSCC. Results Distribution of MMP2 and MMP9 was demonstrated within cytoplasm of tumor and stromal cells, especially for those cells at the interface of tumor and interstitial tissues. No expression of MMP2 and MMP9 was observed in the horny centers of tumor cell nests. Expression of MMP2 and MMP9 increased along with the decreasing of the differentiation of tumor tissue and the increasing of C-myc expression. Conclusions Expression of MMP2 and MMP9 might be a common event for both tumor and stromal cells but parenchymal tumor cells might predominate over the activation of MMP2 and MMP9. Oncogene C-myc protein might promote the secretion of MMP2 and MMP9 by tumor cells.

Objective:To investigate the mechanism of the changes of the intestinal mucosal barrier in Severe acute pancreatitis.Methods:Twenty patients with Severe acute pancreatitis were admitted and 10 volunteers as the control group.The levels of serum tumor necrosis factor alpha(TNF_?)、nitric oxide(NO)、diamine oxidase(DAO) and the concentration of plasma endotoxin(ET) were measured.The ratio of lactulose to mannitol in urine was detected by HPLC with Pulsed Electrochemical Detection.Results:Compared with the control group,significantly increasing parameters could be seen in all the patients with Severe acute pancreatitis,including the ratio of lactulose to mannitol in urine (P

Objective To explore the clinical experience of liver retransplantation in management of biliary complications after liver transplantation.Methods The clinical data of patients receiving liver transplantion in our department between April 2002 and Aug. 2004 were retrospectively analyzed, including 5 patients being subjected to liver retransplantation because of serious biliary complication.Results Three patients were cured with the survival time being 5 months, 6 months and 8 months respectively. Two patients died at 8th and 43rd day: one died of liver non-function combining with lung infection and heart failure, and another died of renal failure. Complications included liver absess, biliary infection, wound infection, hydrops abdominis and lung infection.Conclusions Liver retransplantation is an effective treatment for serious biliary complications after liver transplantation. Surgical procedure, indication, operative opportunity, perioperative monitoring and so on contribute to the increase of the survival rate of the patients receiving liver retransplantation.