Taking Children's Hospital of Fudan University as an example, the paper establishes a patient identity matching model based on the historical treatment data according to features of pediatric patients.It also sets up a uniform indexing mechanism of the his-torical treatment and hospitalization records of the patients by improving the existing business system, providing support patient identity recognition and laying a foundation for establishment of the clinical data center in future.

Objective To investigate the effect of misoprostol on postpartum hemorrhage caused by uterine inertia . Methods 52 cases of uterine inertia maternal postpartum hemorrhage, according to hospital odd and even numbers divided into observation group and the control group, 26 cases in the control group to intramuscular oxytocin 20 u, and intravenous in-fusion of oxytocin 20u; observation group sublingual misoprostol 400 ug.Contrast bleeding 2 h, 24 h after two maternal drug use, changes in blood pressure and hemoglobin, hematocrit decline.Results Observation group has been effectively con-trolled bleeding, hemoglobin and hematocrit decrease than the control group, the difference was statistically significant.(All p<0.05).Conclusion misoprostol treatment of postpartum hemorrhage caused by uterine inertia, the effect is significant.

After the connotation of collaborative innovation service was described, the difficulties for libraries to carry out collaborative innovation service were analyzed, including the unbalanced distribution of benefits, difference in its understanding , difficulties for theleading libraryto play its role, and the approaches were put forward for libraries to implement their collaborative innovation service in libraries.

Practical education is one of the most important ways to cultivate the medical personnel who has the ability and moral integrity at higher medical schools. To set up a long-term mechanism of practice of educating people, steps should be taken to fully understand the important sense of the times of practical education to medical students, research and construct the scientific system of practical education and protection mechanism, and to carry out diversity of evaluation and assessment.

AIM: To observe and compare the antihyperlipidemia efficacy of fluvastatin vs pravasatin. METHODS: Fluvastatin group(n=41,M 22, F 19; age 60 a±s 8 a) was treated with fluvastatin 20-40 mg, po, qn for 4 wk. Pravastatin group(n=35, M 20, F 15; age 60 a±6 a) was treated with pravastatin 10 mg, po, qn for 4 wk. RESULTS: The total effective rate of fluvastatin for reducing TC was 92 %, it was higher than that of pravastatin 70 %(P＜0.05). The total effective rates of flavastatin for reducing TG and raising HDL-C were 61 % and 61 %, were similar to that of pravastatin 73 % and 69 %(P＞0.05). Adverse reactions occurred in 8 patients of fluvastatin(20 %) and in 7 patients of pravastatin(20 %), but were mild in both groups. CONCLUSION: Fluvastatin is a safe and effective antihyperlipidemic drug, and fluvastatin is more effective than pravastatin in decreasing total cholesterol.

Objective To compare the impact of four kinds of interventions (intermittent enteral feeding, continuous enteral feeding, motilium, low-dose erythromycin) on feeding intolerance in preterm infants. Methods 160 cases preterm infants with feeding intolerance (28～32 weeks of gestational age) were divided into 4 groups :intermittent enteral feeding ,continuous enteral feeding,oral motilium and intravenous infusion of low-dose erythromycin treatment group. We recorded the amount of each feeding, the disappearance time of vomiting,abdominal distension,gastric retention,and the time of total enteral nutrition feeding. We observed the characteristics of meconinm excretion. We recorded the daily body weight to calculate the growth rate,and observed the time period of their body weight return to its birth weight. Results Meconium discharge time and total enteral nutrition feeding time of the intermittent feeding group were (3.6±1.6) days and ( 15.8±5.6) days,those of continuous feeding group were (5.2±2. 0) days and( 17. 1±4. 4) days,showing significant difference between these two groups ( P < 0. 05 ). The rate of improving feeding intolerance in the 4 groups were 37. 5% ,32. 5% ,80. 0% and 87.5% ,and there was significant difference between the furst two groups and the after two groups ( P < 0. 05 ). The disappearance time of vomiting in the four groups were(4. 33±2. 49) days, (4. 85±2. 14) days, (2.97±1.27) days and(2. 16±1.65) days,showing significant difference between the first two groups and the following two groups( P <0.05). The disappearance time of abdominal distension in the low-dose erythromycin groups was (2. 47±1.34) days, and that in the motilium group was (3. 59±1.35 ) days, showing significant difference between the two groups ( P <0. 05 ). Conclusion Both motilium and low-dose erythromycin can improve feeding intolerance in premature infants,which is recommendable for clinical application. The low-dose erythromycin is the first choice of the four groups,followed by the motiliumand intermittent enteral feeding, and the last one is continuous enteral feeding.

Objective To study the effect of captopril combined with metoprolol and captopril alone on improving left ventricular remodeling(LVR)in acute myocardial infarction(AMI).Methods 100 AMI patients were randomly divided into treatment group of 50 cases(captopril combined metoprolol treatment)and 50 cases in the control group(captopril treatment).Using color Doppler ultrasound to deteimine left ventricular shape,configuration and indicators to compare two groups left ventricular remodeling after early(＜2gh);3;6 month end.Results The indices of RaPD;ASL in control group after 6 months end[(63.01±4.10)%and(10.69 ±1.8)cm]were higher than the treatment group[(60.91±3.21)and(10.69±1.8)cm](t=2.121;2.210,all P＜0.05);The LVEF in treatment group after 6 months(51.10±4.60)%were higher than the treatment group(49.10±5,10)%(t=2.231,P＜0.05).Conclusion The captopril combined metoprolol on left ventricular remodeling inhibition significantly better than captopril alone in AMI.

Objective:To compare the value of color Doppler ultrasound(CDU),DSA,CTA and MRA in the detection of the tramatic femoral pseudoaneurysm(PA) of rabbit.Methods:Femoral pseudoaneurysms were tried established in 20 New Zealand rabbits by microsurgical technique.CDU,DSA,CTA and MRA were performed in all rabbits on 12 days after surgery and the findings of them were compared with the results of autopsy.Results:Models were made successfully in 16 rabbits.Eleven out of the 16 rabbits had developed thrombus in PA.The shown rates of the PA-body in CDU,DSA,CTA and MRA were all 100%.The shown rate of the PA-supply artery was 81.25%(13/16) in CDU and was 100% in all other three methods.The shown rates of the PA-neck were 81.25%(13/16)、87.5%(14/16)、37.50%(6/16)and 31.25%(5/16)while the shown rates of the thrombus in PA were 81.82%(9/11),18.18%(2/11),18.18%(2/11) and 36.36%(4/11) in CDU,DSA,CTA and MRA,respectively. Conclusions:Thereare no significant difference in showing the PA-body and PA-supply artery in CDU,DSA,CTA and MRA. In showing the PA-neck,CDU and DSA are superior to CTA and MRA,while CDU is superior to DSA,CTA and MRA in showing the thrombus in PA.In addition,the blood dynamic changes of PA-body,PA-neck and PA-supply artery can be studied timely by CDU,so CDU has high value in the follow up of the patient with PA.