Objective To probe into the relevant factors of unexpected psychological obstacle of blood vessel of brain and treat the countermeasure.Methods To adopt Chinese dense of anxious quantity form(HAMA) brain blood vessel unexpected patient in hospitalled to have illness coming on go on psychological obstacle evaluate for the first time to 132 and use supporting psychotherapy and routine medication mainly.Results Patient accounting for 63.3% had psychological obstacles of 132,the female's incidence of disease was higher than that of the male.The smaller the age was,the apter to present the psychological obstacle the age was.Every symptom had improvement in various degree before and after carrying on the psychotherapy.Conclusion The incidence of the unexpected patient's psychological obstacle of blood vessel of brain is relatively high.To take the effective psychological measure of rehabilitation is helpful to the whole recovery of the unexpected patient of blood vessel to brain.

Objective: To analyze the relationship between clinicopathologic characteristics of pseudomyxoma peritonei (PMP) and its prognosis. Methods: Fifty-two cases of PMP collected from 2012 to 2017 at Beijing Shijitan Hospital, Capital Medical University were reviewed using the diagnostic criteria of WHO 2010. The histopathologic features, including original location, neural invasion and calcification were observed; and the relationship with prognosis was analyzed. Immunohistochemical staining for CK7, CK20 and CDX2 was performed on all cases. ER, PR, and p16 were additionally performed on those without clear origin. Results: Patients′ mean age was 52.0 years, and included 29 males and 23 females. Thirty-two cases were derived from appendix; among them, 23 were low grade and 29 were high grade. Signet ring-cells, neural invasion and calcification were detected in 15, 12 and 9 cases respectively. Neural invasion was associated with adverse prognosis (P=0.025) and signet ring cell morphology (P<0.01). Prognosis was not related to gender, age, original location or grade. Conclusion Neural invasion is not uncommon in PMP and predicts a bad prognosis.