AIM: To introduce the American Pittsburgh's method of rapid liver procurement under the condition of brain death and factors influencing the quality of donor liver.METHODS: To analyze 32 cases of allograft liver p...AIM: To introduce the American Pittsburgh's method of rapid liver procurement under the condition of brain death and factors influencing the quality of donor liver.METHODS: To analyze 32 cases of allograft liver procurement retrospectively and observe the clinical outcome of orthotopic liver transplantation.RESULTS: Average age of donors was 38.24±12.78 years,with a male:female ratio of 23:9. The causes of brain death included 21 cases of trauma (65.63%) and nine cases of cerebrovascular accident (28.13%). Fourteen grafts (43.75%) had hepatic arterial anomalies, seven cases only right hepatic arterial anomalies (21.88%), five cases only left hepatic arterial anomalies (15.63%) and two cases of both right and left hepatic arterial anomalies (6.25%) among them. Eight cases (57.14%) of hepatic arterial anomalies required arterial reconstruction prior to transplantation. Of the 32 grafts evaluated for early function, 27 (84.38%) functioned well, whereas three (9.38%) functioned poorly and two (6.25%) failed to function at all. Only one recipient died after transplantation and thirty-one recipients recovered. Four recipients needed retransplantation. The variables associated with less than optimal function of the graft consisted of donor age (35.6±12.9 years vs 54.1±4.3 years, P＜0.05), duration of donor's stay in the intensive care unit (ICU) (3.5±2.4 d vs 7.4±2.1 d, P＜0.005), abnormal graft appearance (19.0% vs 100%, P＜0.05), and such recipient problems as vascular thromboses during or immediately following transplantation (89.3% vs 50.0%, P＜0.005).CONCLUSION: During liver procurement, complete heparization, perfusion in situ with localized low temperature and standard technique procedures are the basis ensuring the quality of the graft. The hepatic arterial anomalies should be taken care of to avoid injury. The donor age,duration of donor's staying in ICU, abnormal graft appearance and recipient problem are important factors influencing the quality of the liver graft.展开更多
Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and ca...Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and cases were selected from the out- patient department of Postgraduate Institute of Medical Education and Research, India. The patients were in the age group of 30 to 50 years. All patients were operated via both anterior and posterior approaches. Results： During the immediate postoperative period, five （83.33%） patients had normal neurological status. One （16.67%） patient who had C5-C6 subluxation developed neu- rological deficit with sensory loss below C6 level and motor power of 2/5 in the lower limb and 3/5 in the upper limb below C6 level. Conclusion： There is no role of skull traction in ne- glected distractive flexion injuries to cervical spine delayed for more than 3 weeks. Posterior followed by anterior ap- proach saves much time. If both approaches are to be done in the same sitting, there is no need for instrumentation posteriorly. But if staged procedure is planed, posterior sta- bilization is recommended, as there is a risk of deterioration in neurological status.展开更多
The theory of meridian （it is interpreted as channels and collaterals, or meridian in English）, is an important theoretical kernel of traditional Chinese medicine （TCM）. TCM holds that meridian is a complicated sy...The theory of meridian （it is interpreted as channels and collaterals, or meridian in English）, is an important theoretical kernel of traditional Chinese medicine （TCM）. TCM holds that meridian is a complicated system with the fourteen meridians as the main part, which distributes over the whole human body. Each meridian belongs to a corresponding viscus interiorly, and winds around the limbs and joints exteriorly. It functions to transport the qi and blood, regulates the balance between Yin and Yang, responses to the changes in the natural world. It is the pathway for transporting qi and blood. Accordingly, it is considered to be the connective, regulative and responsive system of the body. In comparison to the Western medicine and modem biology, it elucidates the vital process and regulation of the function of human body in a totally different way and involves many brilliant theoretical expositions. Therefore, it has been deeply concerned by many researchers in China and abroad. Once the essence of meridian is elucidated, it must vigorously promote the development of TCM as well as the whole medical science and benefit the mankind.展开更多
Prof. HE Pu-ren has been dedicated to the inheritance, exploration and development of acupuncture in his 70-year medical career. His academic ideas are now summarized as follows.
Professor LI Ding, also named Yang-yuan, male, Han nationality, was born in Yongkang County, Zhejiang Province. He started to learn medicine from LIU Min-shu in Shanghai after the anti-Japanese war. In 1954, he began ...Professor LI Ding, also named Yang-yuan, male, Han nationality, was born in Yongkang County, Zhejiang Province. He started to learn medicine from LIU Min-shu in Shanghai after the anti-Japanese war. In 1954, he began to work in the clinic of Shanghai Health Bureau （known as the No 5 Clinic later）. In 1956, he started to teach basic theory and acupuncture in Shanghai College of Traditional Chinese Medicine （TCM）. After that, he worked as an acupunctudst in the No 5 Clinic and Longhua Hospital. His positions included head of the Acupuncture Teaching ＆ Research Room, head of the Acupuncture Literature Room, member of China Association of Acupuncture ＆ Moxibustion and vice director of Research Society of Acupuncture Literature. In 1982, he was appointed by the Ministry of Health as the chief editor of Science of Meridians. In 1991, he was appointed by the State Administration of Traditional Chinese Medicine to be a member of China International Acupuncture Examination Committee and chief editor of the acupuncture reference book Acupuncture Science. Since Oct. 1992, Prof. LI Ding has deserved the Special Allowance by the State Council. Currently, he is a member of the Expertise Commission of the University.展开更多
文摘AIM: To introduce the American Pittsburgh's method of rapid liver procurement under the condition of brain death and factors influencing the quality of donor liver.METHODS: To analyze 32 cases of allograft liver procurement retrospectively and observe the clinical outcome of orthotopic liver transplantation.RESULTS: Average age of donors was 38.24±12.78 years,with a male:female ratio of 23:9. The causes of brain death included 21 cases of trauma (65.63%) and nine cases of cerebrovascular accident (28.13%). Fourteen grafts (43.75%) had hepatic arterial anomalies, seven cases only right hepatic arterial anomalies (21.88%), five cases only left hepatic arterial anomalies (15.63%) and two cases of both right and left hepatic arterial anomalies (6.25%) among them. Eight cases (57.14%) of hepatic arterial anomalies required arterial reconstruction prior to transplantation. Of the 32 grafts evaluated for early function, 27 (84.38%) functioned well, whereas three (9.38%) functioned poorly and two (6.25%) failed to function at all. Only one recipient died after transplantation and thirty-one recipients recovered. Four recipients needed retransplantation. The variables associated with less than optimal function of the graft consisted of donor age (35.6±12.9 years vs 54.1±4.3 years, P＜0.05), duration of donor's stay in the intensive care unit (ICU) (3.5±2.4 d vs 7.4±2.1 d, P＜0.005), abnormal graft appearance (19.0% vs 100%, P＜0.05), and such recipient problems as vascular thromboses during or immediately following transplantation (89.3% vs 50.0%, P＜0.005).CONCLUSION: During liver procurement, complete heparization, perfusion in situ with localized low temperature and standard technique procedures are the basis ensuring the quality of the graft. The hepatic arterial anomalies should be taken care of to avoid injury. The donor age,duration of donor's staying in ICU, abnormal graft appearance and recipient problem are important factors influencing the quality of the liver graft.
文摘Objective： To report a case ser/es of six neglected cervical spine dislocations without neurological deficit, which were managed operatively. Methods： The study was conducted fromAugust 2010 to December 2011 and cases were selected from the out- patient department of Postgraduate Institute of Medical Education and Research, India. The patients were in the age group of 30 to 50 years. All patients were operated via both anterior and posterior approaches. Results： During the immediate postoperative period, five （83.33%） patients had normal neurological status. One （16.67%） patient who had C5-C6 subluxation developed neu- rological deficit with sensory loss below C6 level and motor power of 2/5 in the lower limb and 3/5 in the upper limb below C6 level. Conclusion： There is no role of skull traction in ne- glected distractive flexion injuries to cervical spine delayed for more than 3 weeks. Posterior followed by anterior ap- proach saves much time. If both approaches are to be done in the same sitting, there is no need for instrumentation posteriorly. But if staged procedure is planed, posterior sta- bilization is recommended, as there is a risk of deterioration in neurological status.
文摘The theory of meridian （it is interpreted as channels and collaterals, or meridian in English）, is an important theoretical kernel of traditional Chinese medicine （TCM）. TCM holds that meridian is a complicated system with the fourteen meridians as the main part, which distributes over the whole human body. Each meridian belongs to a corresponding viscus interiorly, and winds around the limbs and joints exteriorly. It functions to transport the qi and blood, regulates the balance between Yin and Yang, responses to the changes in the natural world. It is the pathway for transporting qi and blood. Accordingly, it is considered to be the connective, regulative and responsive system of the body. In comparison to the Western medicine and modem biology, it elucidates the vital process and regulation of the function of human body in a totally different way and involves many brilliant theoretical expositions. Therefore, it has been deeply concerned by many researchers in China and abroad. Once the essence of meridian is elucidated, it must vigorously promote the development of TCM as well as the whole medical science and benefit the mankind.
文摘Prof. HE Pu-ren has been dedicated to the inheritance, exploration and development of acupuncture in his 70-year medical career. His academic ideas are now summarized as follows.
文摘Professor LI Ding, also named Yang-yuan, male, Han nationality, was born in Yongkang County, Zhejiang Province. He started to learn medicine from LIU Min-shu in Shanghai after the anti-Japanese war. In 1954, he began to work in the clinic of Shanghai Health Bureau （known as the No 5 Clinic later）. In 1956, he started to teach basic theory and acupuncture in Shanghai College of Traditional Chinese Medicine （TCM）. After that, he worked as an acupunctudst in the No 5 Clinic and Longhua Hospital. His positions included head of the Acupuncture Teaching ＆ Research Room, head of the Acupuncture Literature Room, member of China Association of Acupuncture ＆ Moxibustion and vice director of Research Society of Acupuncture Literature. In 1982, he was appointed by the Ministry of Health as the chief editor of Science of Meridians. In 1991, he was appointed by the State Administration of Traditional Chinese Medicine to be a member of China International Acupuncture Examination Committee and chief editor of the acupuncture reference book Acupuncture Science. Since Oct. 1992, Prof. LI Ding has deserved the Special Allowance by the State Council. Currently, he is a member of the Expertise Commission of the University.
