Objective To find the the clinical characteristics and clinical outcomes of Type Ⅱ diabetic patients with tuberculosis.Methods Treatment group was included 93 elderly type Ⅱ diabetic patients with tuberculosis;control group was included 50 of elderly patients with simple tuberculosis patients;and the clinical treatments were compared and analyzed.Results According to the index after the treatment,the treatment group was divided into three groups:good control group of 29 cases,ordinary control group of 41 cases,poor control group of 23 cases.The tuberculosis lesions improved absorption rate,the voids reduce rate,the sputum conversion rate of poor control group were significant different from control group(P ＜ 0.01).The tuberculosis lesions improved absorption rate,the voids reduce rate,the sputum conversion rate of good control group and ordinary control group were significant different from poor control group (P ＜ 0.05 or P ＜ 0.01).Conclusion The treatment of type Ⅱ diabetic patients with pulmonary tuberculosis in elderly patients is associated with the degree of diabetes control ; more stable control of blood sugar can promote tuberculosis anti-tuberculosis treatment.

Objective To compare the effect of gatifloxacin and levofloxacin for treating acute bacterial infection.Methods According to the digital table,228 patients with respiratory or urinary tract infections were randomly divided into group A and group B,114 cases in each group.Group A was given gatifloxacin 200mg,adding 5％ glucose injection 100ml intravenous drip injection twice daily; Group B was treated with levofloxacin 200mg,by adding 5％ glucose injection 100ml intravenous infusion twice daily.The treatment course lasted 7-14 days.The clincal effect,bacterial clearance rate and adverse reactions of the two groups were observed.Results The cure rate and total effective rate of group A was 68.4％,93.0％,respectively,which of group B was 66.7％,90.3％,respectively,the differences were statistically significant (x2 =0.184,0.213,all P ＞0.05).The bacterial clearance rate and bacterial drug sensitivity test sensitivity was 89.4％,78.8％,respectively,which of group B was 77.2％,70.3 ％,respectively,the differences were all statistically significant (x2 =4.812,4.236,all P ＜ 0.05).The incidence rate of adverse reactions of group A was 7.0％,which of group B was 6.1％,there was no statistically significant difference (x2 =0.672,P ＞0.05).Conclusion Gatifloxacin has better effect and lower adverse reactions in the treatment of acute bacterial respiratory or urinary tract infections,and there is no significant difference compared with levofloxacin treatment,and it is worthy of clinical application.

The laboratory diagnosis of peripheral blood cell morphology by manual light microscopy remains one of the major labor-intensive procedures at the present time.The development speed and clinical application of blood cell morphology have been restricted evidently as a result of the manual procedure and so on.A revolutionary change appears in the laboratory diagnosis of peripheral blood cell morphology because automated digital image analysis (ADIA) has grown rapidly in the last ten years.A development trend will be the laboratory diagnosis of peripheral blood cell morphology by ADIA in future,and which may replace a majority of morphologic examination by manual microscopy in the wake of the technique use in medical laboratory.

Objective To evaluate the effect of Guanmaining tablet in the treatment of acute coronary syndrome (ACS) and its intervention of brain natriuretic peptide (BNP),high sensitivity C reactive protein (hs-CRP) and carotid atherosclerotic plaque. Methods Totally 100 ACS patients were divided into observation group and control group (n=50 for each).Control group was received nitrates,angiotensin converting enzyme inhibitors and other conventional drugs,while observation group received Guanmaining tablet plus conventional drugs. Results The total efficiency of observation group was higher than control group (92.0％ vs. 66.0％,P＜0.01).No bleeding rate was observed more frequently in observation group compared with control group (84.0％ us.62.0％,P＜0.05).After 10 d treatment,the levels of BNP and hs-CRP of two groups were declined compared with before treatment (P＜0.01),and observation group decreased more significantly than control group ( P＜ 0.01). After 10 d treatment,the size of plaque plaque thickness and intima media thickness(IMT) were decreased,and observation group showed more obviously (P＜0.05).There were no adverse reaction in two groups. Conclusions Guanmaining tablet may be reliable effect in the treatment of ACS patients,through improving BNP and hs-CRP levels and inhibiting atheromatous plaque.

ObjectiveTo explore effective treatment for moderate and severe neonatal hypoxic-ischemic encephalopathy(HIE).Methods46 cases of moderate to severe HIE were randomly divided into two groups.Control group of 21 cases only accepted the HIE conventional treatment,treatment group,25 cases accepted the HIE conventional treatment and were also given brain protein hydrolyzate combined naloxone treatment,the efficacy of various clinical indicators of the two groups were compared.ResultsThe remarkable effective rate and the total effective rate of the treatment group were significantly higher ( all P ＜ 0.01 ).Consciousness recovery time,recovery time of the original ability,convulsions,muscle tension,recovery time,sucking ability,recovery time,hospital days of treatment group were significantly lower than the control group( P ＜ 0.05 or P ＜ 0.01 ).ConclusionThe effect of naloxone therapy for moderate to severe HIE is significant,and the therapy has high clinical value.

A number of common view from Chinese experts with regard to diagnosis and treatment of hemorrhagic and thrombotic diseases had been recently released by Chinese Medical Association,in which is of importance about some items and its clinical application of thrombosis and hemostasis tests which have a significant effect on the decision-making of clinical diagnosis and treatment.It will be discussed that diagnostic standard,the key to the question and strategies of solution which based the common view in laboratory diagnosis for several kinds of hemorrhagic and thrombotic diseases,and it is very useful to the experts working on laboratory diagnosis of hemorrhagic and thrombotic diseases.

Flow cytometric immunophenotyping (FCI) of hematolymphoid neoplasia is a high-complexity assay with proper medical indications,and it requires a hish-standardization in the choice of antibody panel,analysis and reports of the data.It is necessary to provide a specialized training and education for laboratory professionals who perform FCI for hematolymphoid neoplasitr.

Many platelet function tests can be used for monitoring antiplatelet drug for the prevention and treatment of thrombotic diseases.These monitoring tests may be chosen based on different antiplatelet drugs which include aspirin,clopidogrel and GP Ⅱ b/Ⅲ a antagonist.There is difference of the drug resistance which is validated by different platelet function tests,and the relation with clinical adverse events should be farther clarifled.

Objective To explore endoscopic manifestations of gastroduodenal schistosomiasis and analyze its prognosis. Methods Select 26 cases from gastroduodenal schistosomiasis patients who were diagnosed endoscopically and pathologically at random. Then give them periodical follow-up investigations and do prognostic analysis. Results Gastroduodenal schistosomiasis has no specific endoscopic manifestations. Among these 26 cases, there were 6 cases of tumoroid lesion , 11cases of ulcerative lesion and 9 cases of chronic gastritis;totally 7 cases complicated with gastric carcinoma.Pathological study found numerous ova deposited in mucosa and submucosa or necrotic tissues. During the seven years’ follow-up investigations, there were further 6 cases having cancerous change, the total canceration rate of gastroduodenal schistosomiasis cases is 50%. Conclusion Diagnosis of gastroduodenal schistosomiasis should be based on epidemiological investigations, endoscopic and pathological examinations. Prognostic analysis shows that it belongs to precancerous lesion, so timely follow-up diagnosis and treatment should be given.

Objective To compare the efficacy of different thyroidectomy surgery on postoperative quality of life in elderly patients with thyroid cancer.Methods 56 patients with thyroid cancer in the hospital from August 2011 to October 2014 were selected,and they were divided into observation group and control group according to the different methods of treatment.Patients in the observation group accepted small incision improvement while the control group accepted conventional thyroidectomy.The operation time,intra -operative blood loss,intra -operative blood transfusion,postoperative drainage,length of hospitalization period,complications occurring,VAS pain score and SF -36 score 1 month after treatment in two groups were recorded for statistical analysis.Results In the observation group,the operation time,intra -operative blood loss,intra -operative blood transfusion,postoperative drainage,length of hospitalization period were obviously lower than these in the control group,the difference was statistically significant (t =3.568,2.139,6.368,3.716,3.569,all P <0.05).The VAS pain score and SF -36 score in the observation group of (2.02 ±0.25)points and (77.21 ±8.13)points were obviously higher than these in the control group of (2.61 ±0.29)points and (43.46 ±5.63)points,the difference was statistically significant (t =3.867,4.568,all P <0.05).The rates of postoperative complication in the control group and the observation group were respectively 16.0% (4 /25 )and 35.5% (11 /31 ),the difference was statistically significant (χ2 =0.035,P <0.05 ). Conclusion Small incision improvement has a better curative effect with fewer complications and can improve quality of life for patients with thyroid cancer,thus it's worth popularization and application in clinic.