Objective To analyze the clinical characteristics of patients with acute myocardial infarction (AMI) in Zepu county of Xinjiang Uygur Autonomous Region.Methods From February 2013 to January 2017,153 AMI patients hospitalized in emergency ICU of People''s Hospital of Zepu County of Xinjiang Uygur Autonomous Region were collected.The population characteristics,clinical manifestations,laboratory examinations,prognosis and complications were retrospectively analyzed and summarized.ResultsThe average age of AMI patients was 57.1 years old,included 133 cases (86.9％) ST-segment elevation myocardial infarction (STEMI),non ST elevation myocardial infarction (NSTEMI) patients were 20 cases (13.1％),most patients with chest pain (92.8％) and chest congestion(85.6％) symptoms.Anterior wall STEMI patients were 45 cases (33.8％),inferior wall infarction were 27 cases (20.3％),anteroseptal infarction were 15 cases (11.3％).73 patients were treated with thrombolysis,the recanalization rate was 93.2％.The cardiogenic shock complication occurred in 12 cases (7.8％) during hospitalization,12 cases (7.8％) were concurrent with Killip level 3 or higher heart failure,10 cases (6.5％) were concurrent with ventricular fibrillation.The onset age between Han nationality and Uygur nationality patients was significantly different (t=6.82),the onset age of Uygur nationality was younger than the Han nationality.There were no statistically significant differences between the two groups in sex,blood sugar level,cholesterol level,triglyceride level,high density lipoprotein level,low density lipoprotein level (χ2=0.02,P＞0.05;t=0.86,0.65,1.14,0.23,0.27,all P＞0.05).Conclusion The population features,clinical manifestations,disease courses and therapeutic effects of the AMI patients in Zepu county of Xinjiang Uygur Autonomous Region have certain characteristics,understanding these characteristics is beneficial for treating the disease.

Objective To evaluate thoracic endovascular repair (TEAVR) techniques for the treatment of Stanford type A aortic dissection involving ascending aorta.Methods From Jan 2010 to Aug 2015,seven type A aortic dissection patients with the primary entry tear next to the orifice of left subclavian artery were treated with endovascular repair.Results Stents (6 COOK Corp,1 YouYan Corp.) were deployed through femoral artery in 6 patients and through peritoneal right common iliac artery in 1 case.Entries were through incised carotid artery in 2 cases and punctured from carotid artery by PER-CLOSE designer (Abbott Corp.) in 5 cases.One died of Type 1 endoleak.6 patients were followed up from 1 to 28 months.One suffered from severe MODS complications and died after 6 months.During the follow-up period,all the stents were patent and there was no migration.The true lumen increased significantly and the false lumen shrank gradually.Conclusions Endovascular aortic repair is a safe and effective method for Stanford Type A aortic dissection involving ascending aorta in selected cases.

ObjectiveTo evaluate the use of carotid shunting for the protection of cerebral function during extra-cranial carotid surgery. MethodsTwenty-three patients with carotid artery related disease underwent surgery under carotid shunting, with age ranging from 11 to 76 years (mean of 55). Carotid endarterectomy was performed for carotid atherosclerotic stenosis in 12 cases, excision for carotid body tumor (CBT) in 4 cases, resection of carotid pseudoaneurysm in 4 cases, partial excision of internal carotid aneurysm in 2 cases, and segmental resection of carotid artery and end to end anastomosis in one case. ResultsThere was no mortality nor complications related to cerebral ischemia. Horner signs developed in one case of CBT. ConclusionThe protecting effect of carotid shunting is excellent for surgical procedures involving carotid artery.

Objective To evaluate the cause and management of intraoperative stent-graft migration during endovascular repaire of aortic dissection (AD). Method During the period between May 2001 and Dec 2007 intraoperative stent-graft migration occurred in 17 cases ( 14 males and 3 females) including 15 acute AD cases and 2 chronic AD cases. Backward migration was noticed in 11 cases including the 2 cases found during balloon extention, in 1 case the migration found during the removal of the releasing sheath which scratched the stent-graft, in 2 cases the migration occurred when the grafts were half released. Forward migration occurred in 6 cases resulting in left subclavian artery (LSA) occlusion in 3 cases and left common carotid artery (LCCA) occlusion in the other 3 cases. For the 3 cases of LCCA occlusion, the backward migrated stent-graft was pushed forward by the cuff releasing system and consequently occluded the LCCA in 1 case, and the cuff jumped forward during release and occluded the LCCA in 1 case. Result Backward migration of stent-grafts can be treated by pushing forward the graft with the sheath or additional placement of a cuff. Intraoperative complication may be less life threatening and no perioperative death occurred in this group. Occlusion of LSA in 3 cases by forward migration of stent-grafts were left untreated and 1 case died of leter cerebellar infarction. For the LCCA occlusion in 3 cases, 2 were treated by drawing back the graft with a balloon, and in the remaining 1 case the migrated graft was pushed back with the catheter in the LSA captured by a snare. Conclusion Stent-graft migration during endovascular repair may be related with poor experience of the operator, specific anatomical condition of the patient and the design drawback of the stent-graft. Forward migration of stent-graft is less common but may be more harmful for the patient. Beside back drawing with a balloon, the captured catheter with a snare may be helpful in the management of forward migration of the released stent graft.

Objective To understand the situation of nosocomial infections, the distribution of important pathogens of affected patients and the uses of antibacterial drugs.Methods The cross-sectional survey was ap-plied.Before the survey, the investigators were trained by the professionals of the department of hospital infection management.Medical records were reviewed one by one, checked with bedside physical examination.Results In this survey, 283 inpatients were investigated, with an actual check rate of 100%.Two inpatients were affected with nosocomial infection with the prevalence rate of 0.71%.There were two cases of infections (0.71%).Conclusion Investigation of the prevalence rate of nosocomial infection was an important means to monitor the hospital infection, which can monitor specifically, minimize the incidence of nosocomial infection and ensure medical safety by obtaining the information of the departments with high-risk nosocomial infection, the main infectious sites and pathogens.

Objective To study the mutagenicity of water from Yangling-Xingping section of Weihe River and wastewater from paper mills along the river. Methods No1 and No2 paper mill as the pollution source were located along the Yangling-Xingping section of Weihe River,their sampling points were named paper mill 1 and paper mill 2.The outlets for sewage at the bank of Weihe River in Yangling and Xingping were selected the sampling points of pollution sections, namely Yangwu and Xingwu respectively. The clear sections (Yangshang and Xingshang) were situated at a distance of 1 km from polluted sections at the upper reaches of Weihe River were selected and at the sames at the lower reaches were selected as the self-purification sections, namely Yangxia and Xingxia. The mutagenicity of water samples collected from above sampling points was tested by Ames test,mouse sperm malformation test, Vicia faba root tips cell micronucleus test. Results The results of Ames test showed that the water samples of Xingwu, Xingxia and two paper mills presented mutigenicity.The water samples of Xingwu, Xingxia and two paper mills showed significantly higher levels of sperm malformation rates compared with that of negative control group(P

Pa disease is often caused by the invasion of wind,cold,moist and heat.Its symptoms usually are pain,numbness,tumescence,muscle and vessel contracture,unfavourable ection and stretch,arthrentasis,function disuse and so on.Its clinical characteristics are chronicity,recurrent attacks and aggravating little by little.Its mutilation rate is high,and it hurts the patients physically and mentally.The clinical treating method should be based on di erentiation of syndrome and di erentiation of disease.Selecting Chinese materia medica reasonably will conduce to satisfactory curative e ect.

Objective: To provide foundation for clinical application through studying the drug action and mechanism of action of Lingdantongfengkang Capsule on anti-gout effects. Methods: Lingdantongfengkang Capsule was taken orally. The experimental methods were as follow: mouse ear swell induced by dimethylbenzene, mouse pain induced by injecting acidum aceticum in abdominal cavity, mouse hyperuricemia model induced by yeast. Results: Lingdantongfengkang Capsule could lessen mouse ear swell induced by dimethylbenzene, decreae mouse stretching frequencies induced by injecting acidum aceticum in abdominal cavity and antagonize animal serum uric acid,liveness of xanthinoxidase and urea nitrogen induced by yeast to mice.Conclusion: Lingdantongfengkang Capsule possesses the anti-gout effects.

Electrical stimulation is well used in medical therapeutics,but the mechanism still needs to be studied further. This paper applies an electrical stimulator to generate low frequency pulse,which is used to stimulate at the root of the thumb,right on the median nerve. EEGs were recorded before and after the stimulation. Comparing the EEGs changes between the former and latter using power spectral analysis,the effect of low frequency electrical stimulation on human nerve excitability is discussed.

BACKGROUND:The main factors that influence revision of acetabular bone defects include evaluation of acetabular bone defects,reconstruction of acetabulum and appropriate acetabular cups used in revision.OBJECTIVE:The review from the three aspects will help to choose an appropriate cup in revision and to formulate the best revision protocols.METHODS:A computer-based online search of PubMed was performed for English articles published from January 1900 to June 2009 with the key words of acetabulum,revision,bone defect,in English and Chinese.Clinical studies published in core periodicals of the latest twenty years were reviewed.Articles regarding primary joint replacement,femoral prosthesis revision and animal experiments were excluded.RESULTS AND CONCLUSION:A total of 61 articles were analyzed,31 were excluded,and 30 mainly published in 5 years,were included.Reconstruction of acetabular bone structure,restoration of original rotation center of hip joint are key factors for repair.Moreover,appropriate prosthesis further benefits the repair effect.Bone transplantation for bone defect and cementedless prosthesis have become favorable methods for revision of acetabular bone defects.