Bronchobiliary fistula in a patient with liver cancer

Bronchobiliary fistula(BBF) is a pathologic channel between the biliary tract and bronchial tree. In general, congenital BBF is relatively rare in adult patients. There are a few case reports suggesting that BBF is mainly secondary to hepatobiliary diseases, such as biliary obstruction, tumor, surgery, or liver abscess, and liver tumor is the predominant causative factor [1]. In addition, with the increasing number of liver and biliary surgeries and interventional therapies in recent years, more cases of BBF were reported as a postoperative complication [ 2, 3 ]. In this case, we presented a patient who underwent interventional treatment for liver tumor and was treated for his respiratory symptoms but diagnosed with BBF finally. Here, we summarized the clinical features and main diagnostic procedures of the case, aiming to provide evidence for early identification and diagnosis of BBF.

Extracorporeal Membrane Oxygenation Support in Resuscitations for Acute Myocardial Infarction with Cardiac Arrest

MORTALITY rate of acute myocardial infarction (AMI) patients could be as high as 80％,if present with or develop fatal arrhythmia and cardiac arrest.Some patients,despite the treatment with inotropes and intra-aortic balloon pump,are not hemodynamically stable enough to undergo emergent revascularization.The use of extracorporeal membrane oxygenation (ECMO) can help stabilize circulation and respiration,which could be a potential solution for patients under such critical circumstances.In this paper,we describe the application of ECMO for the resuscitations of 4 cardiac arrested AMI cases.

A review of nuclear magnetic resonance(NMR) technology applied in the characterization of polymer gels for petroleum reservoir conformance control

Polymer gel systems have been widely applied to control excessive water and improve oil recovery(IOR)in petroleum reservoirs.They are usually divided into two main types,in-situ cross-linked polymer gels,and pre-formed polymer gels.In recent years,nuclear magnetic resonance(NMR) technology has been gradually applied to the research of polymer gel systems due to its unique analysis advantages.This paper is intent to review these works systematically.For in-situ cross-linked polymer gel systems,NMR can be used to characterize the chemical structure changes of the polymer,the cross-linker,and the auxiliary agent in the formulation of the polymer gel systems.Moreover,the gelation time and the gel strength of the in-situ cross-linked polymer gel systems can also be measured by NMR.For pre-formed polymer gels,NMR can be employed to detect the chemical structure of the designed products.Last,the NMR method can evaluate the plugging,water control,and oil improvement performance of the polymer gels in porous media without using dopants.This review can help readers build a more systematic understanding of the application of NMR technology in polymer gel systems for IOR and help re searchers to more deeply study the performance of polymer gel systems.