Objective To explore the relationship between syncope and risk of death in patients with cardiovascular emergencies including acute myocardial infarction(AMI), arrhythmia, acute heart failure(AHF), pulmonary thromboembolism(PTE) and aortic dissection(AD) rupture. Methods Data from 2 789 patients with cardiovascular emergency admitted from June 2010 to June 2016 in the Emergency Department, Air Force General Hospital, PLA was retrospectively analyzed. Difference in gender, age and motality were compared between patients with syncope and those without syncope. Among fi ve kinds of cardiovascular emergency events with syncope, difference in mortality were compared. Difference in mortality were also analyzed by the CHM corrected chi square test when difference of disease, gender and age were taken into consideration. Syncope, the type of cardiovascular emergency, gender and age were analyzed as potential risk/protective factors for death by the multiple logistic regression analysis. Results The mortalities of the fi ve diseases accompanied with syncope were 50%, 30.43%, 26.53%, 20% and 7.04% respectively in arterial dissection, pulmonary embolism, acute myocardial infarction, acute heart failure and arrhythmia.There was a statistically signifi cant difference in mortality among the fi ve kinds of cardiovascular emergencies accompanied with syncope(P<0.05).The mortalities of patients with syncope were significantly higher than those without syncopein AMI patients(26.53% vs.11.20%,P<0.05) and cardiac arrhythmias patients(7.04% vs.0.36%,P<0.05).The results of the CHM corrected chi square test showed that there was signifi cant difference in mortality between the syncope group and non-syncope group, when the differences in disease type, age and gender were adjusted (χ2=35.876, P<0.01). The mortality of syncope group was higher than that of non-syncope group.When age, gender and disease type were considered as covariates, the multiple logistic regression analysis showed that syncope signifi cantly increased the risk of mortality(OR=3.876,95% CI:2.362-6.359,P<0.01).Conclusion Syncope is an independent risk factor of death in patients with cardiovascular emergencies.

Objective:To explore the clinical effect and safety of modified composite labia minora and clitoral hood reduction using modified curved linear method.Methods:A retrospective analysis was carried out focusing on the case data of patients with congenital hypertrophy of labia minora combined with redundant clitoral hood who were treated by the author’s operation group after admission to the Department of Plastic Cosmetic Surgery in Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, from September 2018 to August 2020. All patients received composite labia minora and clitoral hood reduction using modified curved linear method, which permits improving the appearance of labia minora and clitoral hood during one operation. Further analysis was made on the preoperative symptoms and the surgical demands of the patients. Postoperative follow-up was performed in the aspects of complications, symptom improvement, perceived appearance improvement, sexual satisfaction improvement, and overall satisfaction after operation. Descriptive statistics were used for statistical analysis.Results:Sixty subjects undergoing labia minora and clitoral hood reduction were enrolled. The ages of the patients ranged from 19 to 44 years with an average of (30.0±8.6) years. In terms of preoperative symptoms and surgical demands, there were 35 cases (58.3%) of irritation during friction, 22 cases (36.7%) of increased secretion, 5 cases (8.3%) of chronic genitourinary infection, 20 cases (33.3%) of discomfort during sexual intercourse and 55 cases (91.7%) of appearance influence. Fifty-three patients re-visited the hospital for follow-up after the operation, with a follow-up rate of 88.3%. Over a mean follow-up of 4.5 months (ranged from 2 to 15 months), wound dehiscence occurred in 1 case (1.9%), postoperative asymmetry or redundancy occurred in 3 cases (5.7%). In addition, according to postoperative investigation, 48 patients (90.6%) had relieved preoperative symptoms in varying degrees, 50 cases (94.3%) had perceived improved appearance, and 26 cases (49.1%) had increased sexual satisfaction. Besides, the total satisfaction survey revealed that 48 cases were very satisfied and satisfied with the outcomes, accounting for 90.6%.Conclusions:The modified composite labia minora and clitoral hood reduction using modified curved linear method can adjust the appearance of labia minora and clitoral hood in a single operation, with satisfactory aesthetic effect. Besides, the proposed method is simple and safe in operation, exhibiting a wide range of application.

Objective:To explore the clinical effect and safety of modified composite labia minora and clitoral hood reduction using modified curved linear method.Methods:A retrospective analysis was carried out focusing on the case data of patients with congenital hypertrophy of labia minora combined with redundant clitoral hood who were treated by the author’s operation group after admission to the Department of Plastic Cosmetic Surgery in Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, from September 2018 to August 2020. All patients received composite labia minora and clitoral hood reduction using modified curved linear method, which permits improving the appearance of labia minora and clitoral hood during one operation. Further analysis was made on the preoperative symptoms and the surgical demands of the patients. Postoperative follow-up was performed in the aspects of complications, symptom improvement, perceived appearance improvement, sexual satisfaction improvement, and overall satisfaction after operation. Descriptive statistics were used for statistical analysis.Results:Sixty subjects undergoing labia minora and clitoral hood reduction were enrolled. The ages of the patients ranged from 19 to 44 years with an average of (30.0±8.6) years. In terms of preoperative symptoms and surgical demands, there were 35 cases (58.3%) of irritation during friction, 22 cases (36.7%) of increased secretion, 5 cases (8.3%) of chronic genitourinary infection, 20 cases (33.3%) of discomfort during sexual intercourse and 55 cases (91.7%) of appearance influence. Fifty-three patients re-visited the hospital for follow-up after the operation, with a follow-up rate of 88.3%. Over a mean follow-up of 4.5 months (ranged from 2 to 15 months), wound dehiscence occurred in 1 case (1.9%), postoperative asymmetry or redundancy occurred in 3 cases (5.7%). In addition, according to postoperative investigation, 48 patients (90.6%) had relieved preoperative symptoms in varying degrees, 50 cases (94.3%) had perceived improved appearance, and 26 cases (49.1%) had increased sexual satisfaction. Besides, the total satisfaction survey revealed that 48 cases were very satisfied and satisfied with the outcomes, accounting for 90.6%.Conclusions:The modified composite labia minora and clitoral hood reduction using modified curved linear method can adjust the appearance of labia minora and clitoral hood in a single operation, with satisfactory aesthetic effect. Besides, the proposed method is simple and safe in operation, exhibiting a wide range of application.