OBJECTIVE: To identify the incidence and the risk factors for emergence agitation (EA) in adults undergoing general anesthesia for nasal surgery. METHOD: We examined 674 patients aged ≥ 18 years who underwent general anesthesia for nasal surgery between February 2013 and February 2015. The patients were divided into control group (518 cases) and EA group (156 cases) by Sedation-agitation scale (SAS) method. Demographic and clinical variables were assessed and the data were analyzed by multiple logistic regression analysis. RESULT: The overall incidence of emergence agitation was 23. 15%. Significant difference was observed between EA and the control group in many aspects, such as sex, age, ASA classify, smoking history, history of cerebrovascular disease, preoperative anxiety, the use of midazolam, anesthesia means, postoperative pain, postoperative analgesia, presence of a tracheal tube, and presence of a urinary catheter. The results of multiple logistic regression analysis indicated that the occurring of EA was significantly correlated with younger age, male, preoperative anxiety, inhalation anesthesia, postoperative pain, presence of a tracheal tube, and presence of a urinary catheter, while seniors, with the use of midazolam, total intravenous anesthesia, analgesia and natural awakening were protective factors. CONCLUSION EA following general anesthesia is a common complication in patients with adult nasal surgery. To reduce the occurrence and consequences of agitation episodes, elimination of the associated risk factors is necessary, especially in patients with risk factors.
Adult ; Age Factors ; Analgesia ; Anesthesia Recovery Period ; Anesthesia, General ; adverse effects ; Anesthesia, Inhalation ; Anxiety ; Female ; Humans ; Incidence ; Male ; Midazolam ; therapeutic use ; Nasal Surgical Procedures ; Pain, Postoperative ; Psychomotor Agitation ; physiopathology ; Risk Factors

Objective　To evaluate the diagnosis and tre atment of testicular torsion.　Methods　18 cases of testic ular torsion were reviewed and reported.　Results　The tes ticles of 5 cases with short time or incomplete torsion were salvaged by operati ve detorsion.The testicles of 13 cases with testicular necrosis were removed (re moval rate 70%).　Conclusions　Testicular torsion has to b e diagnosed correctly on time and the detorsion has to be performed early.For di agnosis of testicular torsion color-Doppler ultrasonography image is a reliable method.Preventive orchiopexy has to be performed in order to avoid recurrence o r relapse.

The saying that the herbal Heshouwu were present in "male" and "female" forms was studied as for its trivical name, pharmacognosy and drug action.Results of the study showed that the So-called "female" Heshouwu is actually Cynanchum bungei Decne and the "male" form is Polygonum multiflorum. Coincidently, the historical origin of such saying was briefly discussed.

Objective:To investigate the effects of sodium butyrate,the most important short chain fatty acids,on growth suppression and apoptosis of SHG-44 glioma cell line.Methods:Human glioma SHG-44 cells were treated with 2 mmol/L and 4 mmol/L sodium butyrate.The inhibition of cell growth was assessed by MTT spectropotometric analysis and immunohistochemisty methods.The apoptosis was observed by reverted microscope and transmission electron microscope.And mitochondrial transmembrane potential was detected by rhodamine 123 dyeing,which confirmed that SHG-44 cells suffered a mitochondrial path apoptosis.Results:Sodium butyrate treatment resulted in significant inhibition of cell growth,with proliferating cell nuclear antigen expression weakened.Furthermore,4 mmol/L sodium butyrate could induce the SHG-44 cells apoptosis.It was proved that cellular membrane shrunk,vacuoles existed in plasm,and apoptosis bodies occurred by morphologic observation.In addition,the △?m was decreased in apoptosis cells after 4 mmol/L sodium butyrate treatment.Conclusion:These results indicate,in malignant glioma SHG-44 cells,sodium butyrate could not only suppress cell growth,but also induce apoptosis by a mitochondrial path.

23 freshly removed breast tumors without any therapy were studied. Argyrophlilic nuclcolar organizer region proteins (AgNORs) were observed by frozen sections and imprints and the distribution and shape of some AgNORs were analyzed by means of electron microscope. It was found that AgNORs in benign lesions showed regular dotted granules and mean individual counts were significantly fewer (3.33?1.19) than that (9.21?1.24) ( P

The renal histopathological findings of the 71 cases with complete clinical histories were observed, 40 cases developed clinically hepatorenal syndrome, including 11 cases with functional renal failure and 29 cases with acute tubular necrosis.Moreover the former was liable to convert into the latter in coures of time.It was suggested that hepatorenal syndrome should be defined as a complication of advanced liver diseases such as extensive liver cirrhosis, hepatoma, fulminant heptitis,etc.,characterised by acute renal failure with oliguria and azotemia, which pathologically may be shown as functional renal failure or acute tubular necrosis.This paper discussed the pathogenesis of functional renal failure and acute tubular necrosis, the relationship between renal failure and histologic changes of kidneys, as well as the prognosis of hepatorenal syndrome.

By histochemical methods of AKPase, ACPase, 5'-Nase, NSE and SDH, 10 cases of human hepatocellular carcinoma (HCC) and its surrounding liver tissue were investigated. Generally, these enzyme activities in HCCs obviously decreased or completely disappeared, neverthless in one case, the AKPase of HCC showed notable activity, and in another case, the ACPase activity also marked.The surrounding liver tissue either in cirrhosis or in hepatic fibrosis appeared normal hepatic enzymatic activity. The differences of enzymes between HCCs and their surrounding liver tissues were distinct.

Objective To explore the feasibility of classical intrafascial supracervical hysterectomy (CISH). Methods Clinical data of 65 cases of classical intrafascial supracervical hysterectomy were reviewed. Results The classical intrafascial supracervical hysterectomy was accomplished under laparoscope in all the 65 cases. The operation time was 110 7?29 9 min, and the intraoperative blood loss was 45 3?22 1 ml. No conversion to open surgery was required. No severe complication occurred. Conclusions Classical intrafascial supracervical hysterectomy demonstrates excellent safety, minimal invasion, less blood loss, and quick recovery to normal activities. Laparoscopy; Classical intrafascial supracervical hysterectomy

0.997 3) and their average recovery rates were all above 91.3% (RSD