1.2019 Novel coronavirus, renin-angiotension system imbalance and coronavirus disease 2019
Yipeng FANG ; Zhe GUO ; Yan CHAI ; Huijuan ZHANG ; Zhong WANG
Chinese Critical Care Medicine 2020;32(5):613-617
2019 Novel coronavirus (2019-nCoV) destroys angiotensin converting enzyme 2 (ACE2) and breaks the balance of renin-angiotension system (RAS) by interacting with ACE2. The imbalance of RAS takes part in the development of organ injury of different systems through pro-inflammation, oxidative stress, cell proliferation and so on. 2019-nCoV not only attacks the lung, but also influences many other systems. It is speculated that RAS imbalance plays an important role in the development of multi-organ dysfunction caused by 2019-nCoV, and the usage of angiotensin converting enzyme inhibitor/angiotensin Ⅱ receptor blocker (ACEI/ARB) may become a new treatment of 2019-nCoV-related organ injury. Further studies are need to confirm the relationship between coronavirus infection, multi-organ injury and RAS imbalance.
2. Effect of partial rectal resection with transanal stapler in the treatment of rectum protrusion
Yipeng CHAI ; Xiaojun YUE ; Fenghua BAO ; Xin HE ; Bo CHEN
Chinese Journal of Primary Medicine and Pharmacy 2020;27(2):193-196
Objective:
To investigate the clinical effect of transanal stapler partial rectal resection for rectocele.
Methods:
From January 2012 to January 2018, 90 patients with rectocele treated in Changzhi Traditional Chinese Medicine Hospital were divided into control group (45 cases) and observation group (45 cases) according to the operation method.The control group was treated with closed transrectal repair, while the observation group was treated with partial rectal resection with anal stapler.The operative effect, incidence of postoperative complications, recurrence rate, degree of pain after operation, length of hospital stay and cost of treatment were compared between the two groups.
Results:
The total effective rate of the two groups was 100.0%.The incidence of complications in the observation group was 2.2%(1/45), which was lower than that in the control group [17.8%(8/45)] (χ2=4.444,