Objective To study the pathologic feature and rational diagnosis and treatment of Mirizzi Syndrome. Method The clinical data of 43 cases treated by surgery were retrospectively analysed. Results All the 43 cases underwent operation, including partial cholecystecomy in 8 cases, cholecystectomy in 16cases , cholecystectomy plus common bile duct exploration with T tube drainage in 9 cases, choledochojejunostomy in 10 cases. Of the 43 cases, 36 cases were followed up for 1～5 years. Of them, 29 cases were in excellent, 6 cases in good and 1 case in poor. Conclusions The pathologic type of Mirizzi Syndrome is variant. It is difficult to make a definite diagnoses before operation. So vary imaginal technique should be adopted. Different operative procedures should be used according to patients' pathologic type.

Objective To explore the implementation effects of cli nical nursing path for severe preeclampsia pregnant women after cesarean section.Methods A total of 50 cases with severe preeclampsia after cesarean section who did not undergo clinical nursing pathway were chosen as control group,while another 50 cases with the same disease who received clinical nursing pathway were treated as study group,and we compared the length of hospital stay,medical cost,index of blood pressure (SBP,DBP,MAP),and complications of two groups.Results ICU stay time (64.51 ±24.1 3)h,length of hospital stay (6.56 ±3.02)d of the study group were significantly shorter than (85.96 ±28.55)h,(9.69 ±4.58)d in the control group, and medical costs were significantly lower than that of control group (P <0.05);SBP,DBP,MAP improvement were better than those of control group (P <0.05).In addition,the overall complication incidence in the study group was lower than that of the control group (1 0.64% vs 30.30%,P <0.05 ).Conclusions It is remarkable to implement clinical nursing pathway on severe preeclampsia for women after cesarean section which is valuable to be applied in clinical work.

Dilated cardiomyopathy(DCM)has a concealed onset with left or even whole heart enlargement as the main imaging manifestation.It is a common primary disease of heart failure and arrhythmia.With the continuous deepening of research in recent years,the intrinsic molecular mechanism of regulatory cell death(RCD)has gradually become clear.Researchers have found that the RCD mode plays a very important role in the occurrence and development of DCM.At present,the RCD modes involved in DCM mainly include apoptosis,necrotic apoptosis,pyroptosis,iron death,autophagy,and cuproptosis,and a certain correlation exists among them,which interact and regulate each other.This article provides an overview of the current research status on the mechanisms of the six RCD modes involved in DCM to provide a reference for future basic research and clinical applications.