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15 January 2010, Volume 38 Issue 1 Previous Issue    Next Issue
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论著
甲型H1N1流感专题


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The preliminary study on the Gastric Electrical Activity in the Patients with Gastrointestinal Stromal Tumor 2010, 38 (1):  0-0 .  Abstract ( 1238 )   PDF (1003KB) ( 1870 )   Objects: to explore whether GIST influences the gastric myoelectrical activity. Methods: the EGG parameters of 27 cases of gastric GIST patients (GIST group) and 30 healthy volunteers (control group) were detected by the multi-channel electrogastrogram and were analyzed. Results: Compare with the fasting, the control group postprandial mean frequence (MF), mean amplitude (MA), and normal slow wave percentage (N%) increased, P<0.05. However, those postprandial parameters changes were not found in GIST group, P>0.05. Compared with Control group, the fasting MF and fasting MA increased, the fasting N% of lead 1,3,4 and postprandial N% decreased, both fasting and postprandial T% increased in GIST group, P<0.05 or P<0.01; the tachygastria incidence of GIST group was significantly higher than the controls (66.7% vs 3.3%, P <0.05). Conclusions: The existence of GIST may affect both fasting and postprandial gastric myoelectrical activity. The abnormal gastric electrical rhythm mainly displayed as tachygastria. Related Articles | Metrics

甲型H1N1流感专题

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Clinical and Pathological Features of Severe Influenza A H1N1 Influenza Virus Pneumonia（Report of 24 Cases） 2010, 38 (1):  0-0 .  Abstract ( 1410 )   PDF (956KB) ( 2572 )   Clinical and Pathological Features of Severe Influenza A H1N1 Influenza Virus Pneumonia（Report of 24 Cases） Liguanhua Zhangli Liyuechuan Jiawei Zhangdongrui Gaoshulian Zhaoyong Abstract Object：To research the main clinical features of critically ill patients with influenza A H1N1 influenza virus pneumonia, try to find the relationship between airway secretions and cardiopulmonary pathology change with continuous hypoxemia. Methods: It was a retrospective analysis of the critically ill patients with influenza A H1N1 influenza virus pneumonia admitted in RICU. Result: Average age of 24 patients was 48.25±19.73 years old. 15 of them were pregnant women, obesity and who suffered chronic underlying diseases. The main symptoms of them were progressive shortness of breath, cough and myalgia. 91.67% patients had found multiple lung consolidation shadow by X-ray. After admission, airway secretions were collected, and the protein concentration of which was 34.1g/L-37.7g/L in 5 cases. Their LDH concentration was 792U/L- 1890U/L. White blood cell count was 722/ml-1470/ml, included 21-44% neutrophils, 11.1-56% mononuclear cells, 2.7-11% eosinophils, 1.8-5.4% basophils. Pathological changes of these patients were hyaline membrane formation, alveolar cavity collapse, myocardial cell degeneration and focal myocardial necrosis. Intubation and mechanical ventilation in 6 cases, 5 of them dead and the mortality rate was 20.83%. Conclusion: Those patients who suffered underlying diseases, maternal and who hadn’t been subject to effective and timely application of antiviral drugs after onset. LDH and protein in airway secretions increased, count of inflammatory cells increased was the performance of lung pathological damage. Effect of Mechanical ventilation was not satisfied in part of patients who had diffuse lung consolidation in X-ray, and the related complications leaded to exacerbation or death in part of them. Related Articles | Metrics