ObjectiveTo explore the clinical manifestations, pathogenesis, radiographic features and prognosis of Diabetic Hemichorea.Methods We conducted a retrospective analysis in 12 patients suffering Diabetic Hemichorea in terms of the clinical manifestations, radiographic features,laboratory results and treatment processeswho were hospitalized in our hospital from 2005 to 2010.Results Diabetic Hemichorea occurred mostly in the patients with diabetics with uncontrolled blood glucose level for a long term.Both ketosis and nonketosis patients can suffer this disease.Cranial CT and/or MRI imaging, especially those with high signal and clear border in MRIT1 WI but without edema shadow and mass effect, was of diagnostic value.The symptoms vanished 7 day to 4 years after the treatment.Conclusion Deepening the understanding of clinicians and imageological staff upon Diabetic Hemichorea can decrease the misdiagnosis and ensure timely treatment for this disease.

Objective To explore the value of Sysmex XE 5000 blood cell analyzer in alarm of atypical lymphocytes and basophil.Methods 198 samples of Sysmex XE 5000 blood cell analyzer and suggested that atypical lymphocytes and basophils, 915 copies of the instrument tip shaped specimens.Single lymphocyte increased blood smear microscopy for examination under a microscope to detect atypical lymphocytes as the gold standard and to verify the alarm not exactly.Results The microscopic examination results as the gold standard, and suggested that atypical lymphocytes and basophilia specimens after reinspection, eosinophilic granulocyte alkaline or positive value of 1.8%,in the normal range, the positive rate of atypical lymphocytes (129/198) was 65.2%,but the instrument alone atypical lymphocytes alarm specimens the positive rate of atypical lymphocytes after review of 72.4% microscope (663/915),the former was lower than the latter with significant difference (x2=4.521,P<0.05).Conclusion Sysmex XE 5000 blood cell analyzer at the same time of atypical lymphocyte and basophil alarm, two detection levels of interference, combined with microscope examination can improve detection accuracy, reduce the misdiagnosis rate, and provide reliable data for clinical treatment.

By review and analysis the view point come from hospital,doctors,patients and medical students to patients secrets,determinating the significance of one's secrets and the right.Determinating patients secrets right seeing doctor.It was suggested that doctor should respect patient and their secret right,promoting of patient-doctor relationship harmoniously.

Objective To evaluate the efficacy of selective salpingography (SSG)and fallopian tube reca-nalization(FTR)in treating fallopian tubal infertility.Methods 127 patients with fallopian tubal infertility who trea-ted with SSG and FTR were analyzed.Results Among 127 patients,there were 19 patients with both salpingemphrax-is.After SSG,we found 9 cases of 11 fallopian tubes were unobstructed.After SSG and FTR,108 fallopian tubes were unobstructed,the effective rate was 80.00%.After one year following -up,41 cases (34.75%)were fertilized. Conclusion SSG and FTR were effective for patients with salpingemphraxis.The treatment was safe,effective and less harmful for patients.It is worthy for clinical application.

Objective To observe and discuss clinical effect of early parenteral nutrition ( PN) born within 24h and late PN within 72h on premature and low birth weight infants .Methods 68 admitted cases were divided into treatment group(n=35)and control group(n=33)with random number table.Treatment group was infused of amino acids(initial value 1g/kg· d)and fat emulsion(initial value 0.5-1.0g/kg· d)born within 24h,control group was in-fused of amino acids(initial value 0.5g/kg· d)and fat emulsion(initial value 0.5-1.0g/kg· d)born after 72h,dur-ing which breast feeding was arranged in terms of suitable situation ,and body weight ,liver and kidney function ,blood lipid,blood glucose,complications were noted and compared between two groups born after 7d.Results (1)The pre-term children born after 7d of physicochemical parameters were significantly improved after birth ( the treatment group t=2.169,5.963,11.773,5.920,5.870,8.998,2.076,the control group t=1.755,2.610,9.255,4.697,4.062, 7.489,2.042,all P<0.05).(2)PN time of treatment group was 8-17d,9-20d in the control group,there was signifi-cant difference between the two groups (t=1.458,P>0.05).Two groups of children in hyperlipidemia hyperbilirubi-nemia,cholestasis,secondary infection,the incidence of complications was no significant difference (χ2 =0.215, 0.235,0.173,0.190,all P>0.05).Conclusion Under the premise of initial value of amino acid ,fat emulsion were 1g/kg· d,0.5-1.0g/kg· d,early PN born within 24h compared with late PN born after 72h can better improve nutri-tional status of premature and low birth weight infants ,and clinical safety of two methods are much similar;for prema-ture and low birth weight infants ,amino acid and fat emulsion may be considered to intake born within 24h.

Objective To make sure the nursing measurees of anodynia fiberoptic bronchoscopy examination,and then summarize the nursing experiments. Methods Analyze the concreted nursing measures of 120 patients with anodynia fiberoptic bronchoscopy examination. Results There were no anesthesia poison and complication during the course of examination because of the perfect nursing measures Conclusion Strengthen the psychological nursing of patients,kept the air way unblocked and made sufficient preparation before examination were the keys of obtain successful anodynia fiberoptic bronchoscopy examination.

The clinical manifestations of polycystic ovary syndrome(PCOS) often emerge during childhood and are related with early life events.Fetal androgen excess may contribute to the etiology of PCOS.Otherwise,fetal growth restriction can confer a setpoint of maximal adipose tissue expansion and may lead to a state of insulin resistance which may finally contribute to the pathophysiology of PCOS.Two hypothesis,the prenatal androgen hypothesis and the adipose tissue expandability hypothesis,have been advanced,and have explained the prenatal origins of PCOS.This paper discusses the relationship between the PCOS and the two hypotheses to demonstrate the PCOS as a fetal origins of adult disease.

Objective To analyse the CT features of body echinococcosis at plateau of Qinghai.Methods CT findings in 108 patients with echinococcosis were retrospectively analyzed.Results In 108 cases,there were 101 cases of cystic echinococcosis and 7 cases of alveolar echinococcosis which manifested as irregular mixed-density masses.The 101 cases of cystic echinococcosis were divided into five types:26 cases of unilocular or simple cystyc type,15 cases of multilocular or separate inner cyst,37 cases of sub-polycystic,19 cases of calcification of parenchyma and 11 cases of mixtures.The most of them in 108 cases were liver echinococcosis,others included multi-organs of abdomen and pelvis in 18,lung in 7,lung and pericardium in one and tibia echinococcosis complicated with infection.The data in this group showed that echinococcosis in abdomen and pelvis was higher than that in lung.Conclusion CT can definitely demonstrate the site and nature of body echinococcosis and the diagnosis was not difficult.

OBJECTIVE:to review the occurrence of adverse drug reaction(ADR)in our hospital and its relevant factors.METHODS:The reports on50cases of ADR collected by ADR monitoring group of our hospital were counted up,classified and analyzed.RESULTS:Among the50cases,the allergic reactions dominated.The following was nervous adverse reaction.A few cases were caused by irrational or improper drug use.Prevention of possible or potential ADR lies in monitoring of clinical drug use.Antibiotic was the first major factor causing ADR and the next one was Shuanghuanglian injection.CON?CLUSION:ADR monitoring must be strengthened and knowledge of ADR must be publicized.

Objective To study the effect of ?-crystallin on retinal ganglial cells(RGCs) and the possible mechanisms.Methods The changes of RGCs in vitro stimulated by 10~(-7),10~(-6),10~(-5),or 10~(-4)g/L ?-crystallin for 1,3,12 h,1,2,3 d were observed and identified by Thy1.1 antibody.The number and the length of outgrowing RGCs axons were calculated under microscope and compared with the control group.The effect of ?-crystallin on RGCs was detected by immunofluorescence with confocal laser scanning microscope.Results The length and number of RGCs axons in 10~(-4),10~(-5)g/L ?-crystallin solution were more than in the control on day 1,2,3 after ?-crystallin stimulation,most significant difference in 10~(-4)g/L group.The interaction between ?-crystallin and RGCs was proven positive by immunofluorescence with confocal laser scanning microscope.It increased firstly,then reduced.It reached the maximum at 3 h after ?-crystallin stimulation.Conclusion ?-crystallin enhanced the survival of RGCs and the regeneration of axons,suggesting ?-crystallin might be related to the changes of RGCs membrane signal transduction pathway.The mechanism might be involved in the interaction between ?-crystallin and RGCs.