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The Guiding Sense of Umbilical Artery Blood pH in the Evaluation of Neonatal Asphyxia Diagnosis and Prognosis

Journal of Medical Research.2009;38(8):44-46.

Objective To explore the effect of umbilical artery blood pH on the diagnosis of neonatal asphyxia and the evaluation of its prognosis. Methods Blood samples were obtained from 108 normal newborns and 51 asphyxial newborns,who were randomly chosen among newborns delivered in our hospital from november 2007 to may 2008. Umbilical artery blood gas was measured and compared with apgur rating. Results With the degression of umbilical blood pH, the incidence rate of neonatal asphyxia increased and the normal apgar rating decreased(P < 0.01), which suggesting that there was tight relevant between umbilical blood pH and neonatal asphyxia. Conclusion Compared with apgur rating, umbilical artery blood pH could reflect the asphyxia degree of newborns more objectively andsensitively and it might play a guiding role in the prognosis of neonatal asphyxia.

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Traumatic Multiple Organ Dysfunction Syndrome Secretion the Patients of Allergization of for Insulin Resistance and Function Insulin

Weidong JIANG

Journal of Medical Research.2006;0(05):-.

Objective To investigate the HOMA-IR and HOMA-? index in the diagnosis and judge the patients with vesting traumatic hemorrhagic MODS in the clinical and prognostic value,as well as the role of insulin resistance and decreased insulin secretion in energy metabolism disorder of patients with MODS.Early prevention and treatment of clinical provided for MODS.Methods 60 patients with traumatic MODS and 30 healthy adults participated in the study,were measured and compared their fasting blood glucose,insulin,lactate and pyruvicacad,glucagon and cortisol levels,calculated HOMA-IR,HOMA-?,and the lung,liver,kidney,pancreatic ? cells,and other major organ function in MODS patients parameters and indicators of the level of cells,HOMA-IR index were relevant and regression analysis.Results MODS group HOMA-IR index,fasting plasma glucagon and cortisol were significantly higher than the normal control group(P

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Comparing Diagnostic Value of CT for Osteoarthritis of Lumbar Vertebrae With X-ray Plain Film

Daxin YANG

Journal of Medical Research.2006;0(05):-.

Objective To probe into diagnostic value of CT and X-ray plain film for osteoarthritis of lumbar vertebrae.Methods We analyzed signs on CT images and X-ray plain film images of 108 osteoarthritis of lumbar vertebrae.Results X-ray plain film was superior to CT in showing signs of hyperostosis,degeneration of intervertebral small joints and intervertebral space narrowing.CT was superior to X-ray plain film in showing Schmorl's nodes.Intervertebral space narrowing was interrelated with disc protrusion.Conclusion Osteoarthritis of lumbar vertebrae can be diagnosed by CT scanning and X-ray plain film.Some signs of degeneration can be shown by CT,but X-ray plain film can't.It is necessary to make CT scanning when we want to know pathological changes of disc and nerve.

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MRI Diagnosis of Ovarian Cystoid-material Lesion.

Yu QIU ; Qing MA

Journal of Medical Research.2006;0(02):-.

Objective To discuss MRI scan in the diagnosis and clinic-pathology of ovarian cystoid-material lesion.Methods We retrospectively analyzed 41 patients with clinic pathologically-proved in 2005~2007,and analyzed US,MR scan and Gd-DTPA in the diagnosis of ovarian cystoid-material lesion.Results The clinical date of the 87 patients were completed.After operation,41 of them were confirmed by pathology to be cystiform or parenchymal process,with age 16~76,average 56,of which,21 cases,were tumour-like lesions occupying 51.2%,18 cases were timorous lesions,occupying 30.2%,13 cases weer ovarian cystadenoma,occupying 30.2%,and 2case ueve other disense,occupying 4.65%.Conclusion The benign often present as ovarian cystoid-material lesion.MRI scan can show the inner structure of ovary lesion.

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Analysis of Part-time Practice of Medical Practitioners in China

Zhimin HU ; Lili ZHANG ; Ling TIAN

Journal of Medical Research.2006;0(06):-.

Part-time practice of medical practitioners(PPMP)is one of the important issues involved in reformation of health care system in China.On the basis of literatures review,some aspects such as concept,reason,advantage and disadvantage of PPMP are systemically analyzed in order to provide some suggestions for regular management of PPMP in the reformation of health care system.

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Investigation on Whole Blood Lead Levels in 2956 Children of 1/12～13 Years old in Wenzhou

Meiqin ZHENG ; Changrong ZHAO ; Jianming CAO

Journal of Medical Research.2006;0(01):-.

Objective To Inves tigate the blood lead levels of children of 1/12～13 years old in Wenzhou and early diagnose lead poisoning in them.Methods The whole blood lead levels of 2956 children aged 1/12～13 years were determined by atom absorbspectral analysis.Results The mean of all blood lead levels was(63.11?30.17)?g/L (2037 boys were 65.55?31.23?g/L,919 girls were 57.72?26.78?g/L),318 children(10.77%) were with a blood lead ≥100?g/L(259 boys,59 girls).The prevalence of lead poisoning in boys(12.7%)as higher than those in girls 6.4%(?~2=18.99,P

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Clinical Analysis of the Etiological Factors and Prognosis of 347 Pregnant Women with Liver Dysfunction

Xiunong JIANG ; Wenhong ZHOU ; Xier TANG

Journal of Medical Research.2006;0(01):-.

Objective To investigate the etiological factors of hepatic dysfunction during late gestational period,and explore its effect on the mothers and babies.Methods The causes and prognosis of 347 cases with hepatic dysfunction during gestational period were retrospectively analyzed.Result Of the 347 cases of pregnancy,viral hepatitis was present in 216 cases(62.2%),and intrahepatic cholestasis of pregnancy(ICP) present in 80 cases(23.1%);Postpartum hemorrhage rate increased significantly in viral hepatitis,and the rates of premature birth,fetal distress in uterus and cesarean increased obviously in ICP.Conclusion Viral hepatitis and ICP were the main causes of hepatic dysfunction,different complicated diseases may increase the danger of the mother and baby during pregnancy and childbirth.

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Early Diagnosis and Treatment of Acute Fatty Liver of Pregnancy

Lihui JIANG ; Hejiang LI ; Xiaofeng LIN

Journal of Medical Research.2006;0(01):-.

Objective To investigate the early diagnosis and importance of cesarean section in time.Methods Three cases of AFLP treated in our hospital during the past three years were retrospectively studied with emphasis on symptoms,laboratory findings,maternal complications and the action of well-timed cesarean section.Clinical diagnose was proved by postpartum liver biopsy or autopsy.Results The gestational age at onset of the three multiparae was 35～36 weeks.In the early stage,all cases had malaise,nausea,vomit,loss of appetite and epigastric distress followed by jaundice.Laboratory findings included raised transaminases (≤300IU/L)and total serum bilirubin levels.Neither B ultrasonic nor CT examine found fatty liver.Two of them were received cesarean section after obvious complication,and one died with her baby,the other pulled through MSOF,whose twins died of seriously asphyxia.While the third received cesarean section at early stage and was cured with a healthy baby.Conclusion Increasing awarenessespecially in early piagnosis of AFLP cases and termination pregnancy in time,the prognosis of AFLP is obviously improved.

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Surgical Treatment of 25 Cases with Gastric Stump Carcinoma

Xuming ZHU ; Feng LI

Journal of Medical Research.2006;0(01):-.

Objective To analyze surgical diagnosis and treatment effect of 25 cases with gastric stump carcinoma.Methods The clinical manifestations and therapies of 25 cases with gastric stump carcinoma in our hospital from 1992 to 2003 were analyzed retrospectively.We sum up the surgical methods and postoperative survival rate.Results The postoperative survival rates of 1,3 and 5 years in 25 cases with gastric stump carcinoma were 60.2%,34.2% and 18.6% respectively,and were 81.4%,48.2% and 36.7% respectively in cases treated with radical resection.Conclusion No specific symptoms were identified,endoscopy examination periodically is the key point to detect gastric stump carcinoma.Radical resection is the most effective surgical style for surgical treatment of gastric stump carcinoma.

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Pathological Analysis of liver Biopsies in 115 Patients with Chronic Asymptomatic Carrier

Qiaofei JIN ; Huimin LIU ; Bingru LI

Journal of Medical Research.2006;0(01):-.

Objective To analyze the pathological features of Liver in chronic asymptomatic carrier (AsC) and to diagnose and treat AsC correctly.Methods 115 patients with AsC were examined with serological markers of B-hepatitis,liver function serum,HBV-DNA level,liver biopsy and immunohistochemistry.Results Of 115 patients with AsC,there were 8.7% patients with invisibly pathological lesions of hepatic tissue (G_0S_0),29.6% patients with chronic hepatitis,1.7% patients with cirrhosis.Through immunohistochemistry HBsAg and HBcAg test,there were 66.96% patients with HBsAg(+) and HBcAg(+),33.04% patients with single HBsAg(+).Conclusions Liver biopsy and immunohistochemistry can help to correct diagnose.It has important directional significance to treat AsC and establish treatment project of AsC.

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