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中医说汗
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作者 沈小赐 《家庭中医药》 1999年第10期20-20,共1页
汗,人皆有之。记得鲁迅先生曾就社会学角度评说过“香汗”与“臭汗”的不同。鄙人不才,斗胆从中医学角度与朋友们一说汗情。 现代医学认为,出汗是人体散热的方式之一,通常在环境温度升高或体内产热增加时,机体就以出汗的方式增加散热,... 汗,人皆有之。记得鲁迅先生曾就社会学角度评说过“香汗”与“臭汗”的不同。鄙人不才,斗胆从中医学角度与朋友们一说汗情。 现代医学认为,出汗是人体散热的方式之一,通常在环境温度升高或体内产热增加时,机体就以出汗的方式增加散热,以维持体温在正常范围。 展开更多
关键词 中医 社会学角度 人体散热 现代医学 热增加 心风湿病 辨证施治 汗法 外感热病 环境因素的影响
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Pathological study on right atrium myocardium in rheumatic heart disease patients with atrial fibrillation
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作者 段翔鹰 张宝仁 李莉 《Journal of Medical Colleges of PLA(China)》 CAS 2002年第4期285-289,共5页
Objective: To study the pathological basis of right atrial fibrillation in rheumatic heart disease (RHD) patients with atrial fibrillation (AF). Methods: Twenty-nine patients with mitral valve replacement of RHD were ... Objective: To study the pathological basis of right atrial fibrillation in rheumatic heart disease (RHD) patients with atrial fibrillation (AF). Methods: Twenty-nine patients with mitral valve replacement of RHD were divided into AF group (n=13) and sinus rhythm group (SN group) (n=16). There was no significant statistical difference in clinical factors between the 2 groups. During the operation of valve replace-ment, the samples of right atrial appendages were taken and the qualitative and quantitative study were made by light microscopy and electron microscopy. Results: (1) Light microscope: The interstitial fibrosis and the arrangement of myocardium was more disordered in AF group than that in SN group. However, no statistic difference was found in interstitial fibrosis and cellar hypertrophy degree between the 2 groups. (2) Electron microscope: Mitochondrial crosta broke and dissolved obviously in AF group. The mitochondrial volume in AF group was smaller than that in SN group. Volume density, average area and average perimeter in AF group were less than that in SN group ; specific surface in AF group was bigger than that in SN group. There was significant difference of above factors between the 2 groups; but there was no significant difference of surface density and numerical density on area in the 2 groups. Volume density of myofibril in AF group and SN group were less than that in SN group. (3)Split of Intercalated disc(ID) gap was found in AF group, and there was marrowing and floccular substance in ID gap. Conclusion : There were significant differences in the pathological changes of right atrial myocardium between AF and SN with RHD, these changes may be the im-portant pathological basis for RA fibrillation of AF patients with RHD. 展开更多
关键词 HEART rheumatic heart disease atrial fibrillation PATHOLOGY ULTRASTRUCTURE
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Comparison of plasma NSE, protein S-100b and EEG changes in traditional arrested-heart procedures and on-pump beating-heart procedures
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作者 王咏 肖颖彬 +2 位作者 陈林 王学锋 钟前进 《Journal of Medical Colleges of PLA(China)》 CAS 2003年第2期95-98,共4页
Objective: To assess the cerebral injury in on-pump beating-heart procedures under mild hypothermia in comparison with traditional on-pump arrested-heart procedures under moderate hypothermia. Methods: Forty patients,... Objective: To assess the cerebral injury in on-pump beating-heart procedures under mild hypothermia in comparison with traditional on-pump arrested-heart procedures under moderate hypothermia. Methods: Forty patients, 20 with congenital heart disease (CHD) and 20 of rheumatic heart disease (RHD) , were divided into 2 groups: Control group (group A, n =20) including 10 patients suffering from CHD as group Al and the left 10 from RHD as group A2; and experiment group (group B, n =20) which consisting of group B1 (10 with CHD) and group B2 (10 of RHD). The patients in group A underwent traditional arrested-heart procedures, and those in group B were operated on with beating-heart procedures. Arterial blood samples were collected at preoperation (time A) , 20 min after cardiopul-monary bypass (CPB) starting (time B) , 1 h after CPB (time C) and 24 h postoperation (time D) respectively. Plasma contents of neuron-specific enolase (NSE) and protein S-100b were measured with sensitive ELISA. All the patients received echoencephalography (EEG) before and 1 week after operation. Results: The plasma contents of protein S-lOOb were increased very significantly at time B, C and D in comparison with those at time A (P<0.01) , and that of patients in group Al was significantly higher than that in group B at time B (P < 0. 05 ). There was no significant difference at other time points. At time B, the plasma contents of NSE were significantly higher in group A than in group B, and in group Al and Bl than in group A2 and B2. What's more, at time B, the former fell back to their pre-operative levels, but the latter remained still higher levels than the preoperative ones ( P < 0.01). No significant difference was found in the abnormality rates of postoperative EEG between 2 groups. Conclusion: The perioperative plasma contents of NSE and protein S-100b are not significantly higher in group B than in group A. On-pump beating-heart procedures do not make more serious cerebral dysfunction than the traditional arrested-heart procedures. 展开更多
关键词 on-pump beating-heart surgery protein S-100b neuron specific enolase cardiopulmonary bypass cerebral injury
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Cx40 mRNA expression in crista terminalis and left atrium of patients with rheumatic heart disease associated chronic atrial fibrillation
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作者 Zhao Feng Li Li +2 位作者 Xu Zhiyun Huang Xing Zhou Yong 《Journal of Medical Colleges of PLA(China)》 CAS 2008年第1期26-30,共5页
Objectives: To explore possible mechanisms of connexin40 (Cx40) remodeling by detecting Cx40 mRNA expression of the crista terminalis and left atrium (LA) in patients with rheumatic heart disease (RHD) associat... Objectives: To explore possible mechanisms of connexin40 (Cx40) remodeling by detecting Cx40 mRNA expression of the crista terminalis and left atrium (LA) in patients with rheumatic heart disease (RHD) associated chronic atrial fibrillation (AF). Methods: Twenty patients were enrolled in this study, who underwent surgical operation for RHD-associated mitral disease, including l0 with sinus rhythms (rhythm group) and l0 with AF (AF group). Another 6 patients with non-RHD sinus rhythms were divided into the control group. A small amount of myocardial tissue was cut from the crista terminalis and the LA posterior wall during the valvular replacement operation. Cx40 mRNA expression was assayed by real-time fluorescent quantitation polymerase chain reaction (RT-PCR). Results: There was no significant difference in Cx40 mRNA expression in the crista terminalis and LA posterior wall between the 3 groups, and there was no significant difference in Cx40 mRNA expression between the crista terminalis and LA within each group. Conclusion: Based on the finding in previous studies that there existed evident remodeling of atrial Cx40 protein in patients with chronic RHD, the results of the present study suggest that the mechanism of Cx40 remodeling probably lies in the post transcriptional level. 展开更多
关键词 CARDIOLOGY Rheumatic heart disease Connexin40 Atrial fibrillation Real-time fluorescent quantitation polymerase chain reaction
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THE DETERMINATIVE ROLE OF INTRAOPERATIVEECHO IN TRICUSPID VALVULOPLASTY 被引量:2
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作者 王国干 刘永民 +4 位作者 孟宪强 樊朝美 刘汉英 朱晓东 蔡如升 《Chinese Medical Sciences Journal》 CAS CSCD 1997年第4期244-247,共4页
A transesophageal echocardiography (TEE) was used in monitoring the operation of tricuspid valvulo-plasty’ Nine Patients with rheumaTic heart disease were studiedThe results showed that intraoperative TEE was importa... A transesophageal echocardiography (TEE) was used in monitoring the operation of tricuspid valvulo-plasty’ Nine Patients with rheumaTic heart disease were studiedThe results showed that intraoperative TEE was important on the improvlng method of tricuspid an-nuloplasty, it help to determine surgical procedure, control annulus-reducing procedure and assess the re-sult lmmediately after operation. The results suggested that intraoperative TEE can be wideIy used invalvuloplasTy in future. 展开更多
关键词 transesophageal echocardiography intraoperative echocardiography
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Comparative study on cerebral injury after open heart surgery in patients with congenital and rheumatic heart disease 被引量:3
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作者 王咏 肖颖彬 +2 位作者 陈林 钟前进 王学锋 《Chinese Journal of Traumatology》 CAS 2005年第4期249-252,共4页
Objective: To comparatively study the different effects of open heart surgery on brain tissues of patients with congenital and rheumatic heart disease. Methods: Forty patients with congenital heart disease (CHD, CHD g... Objective: To comparatively study the different effects of open heart surgery on brain tissues of patients with congenital and rheumatic heart disease. Methods: Forty patients with congenital heart disease (CHD, CHD group, n=20) or rheumatic heart disease (RHD, RHD group, n=20) underwent on-pump (cardiopulmonary bypass, CPB) heart-beating open heart surgery. Blood samples before CPB, and 20 minutes, 1 hour, 24 hours and 7 days after CPB were collected, and the levels of neuron-specific enolase (NSE) and protein S-100b in the plasma were determined with enzyme-linked immunoadsorbent assay (ELISA), respectively. All the patients were examined with electroencephalogram (EEG) before and 1 week after operation. The changes of NSE, S-100b and EEG compared to verify the difference of postoperative cerebral injury between CHD cases and RHD cases. Results: The plasma level of S-100b increased significantly 20 minutes after CPB and was still higher than the preoperative level at 24 hours after operation in both groups (P< 0.01). The plasma level of NSE increased more significantly in the CHD group than in the RHD group 20 minutes after CPB and it returned to the normal level 24 hours after CPB in the CHD group but remained at a high level in the RHD group (P< 0.01). The levels of NSE and S-100b returned to the normal levels on the 7th day after CPB. Abnormal EEG was found in 75% of the patients in the CHD group and 60% in the RHD group. Conclusions: On-pump heart-beating open heart surgery can cause certain cerebral injury in the patients with CHD or RHD. The injury was more severe and recovered more quickly in the CHD group than in the RHD group. 展开更多
关键词 Brain injuries Rheumatic heart disease Cardiopulmonary bypass Open heart surgery
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