简介：ObjectiveThecoronaryanatomicfeatureanddevelopmentafterthrombolysisinacutemyocardialinfarction(AMI)werestudied.Mehtods100patientswithAMIreceivedurokinaseandstrepokinase.Coronaryangiography(CAG)wasperformedat90minutsandagainat3to4weeks.ResultsSuccessfulthrombolysisoccurredin60cases,butfailedin40.Theratioofreperfusionwas60%.CAGshowedtherewereresidualthrombiin84patients(84%)andcompletecoronaryocclusionin40(40%).Angiographyat3to4weeksafterthrombolysisshowedthestenosisworsenedin8patientsandimprovedin10.ConclusionAMIiscausedbysuddencoronarythromboticocclusionandcanbereperfusedbyusingthrombolyticagentormechanicalmethods.Throm-bolyticagentsusuallycannotresolvethrombicompletely.Sopercutaneoustransluminalcoronaryangiography(PTCA)isrecommendedasanimportantmethodtoimproveseriousresidualstenosis.

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简介：AsIseeit,China’sforeignstrategypursuesthreegoalsintheearly21stcentu-ry:goalsofsustainingeconomicdevelopment,ensuringstatesecurityandshoulderinglegitimateinternationalresponsibility.Thetaskfacingourforeignstrategyishowtoguaranteeasmoothrealizationofthesethreegoalsinresponsetotheshiftinginternationalenvironment.Forthis,whiledefiningourforeignstrate-gy,wemustmaketherightoptiononaseriesofmajorstrategicissuessuchasthoserelatedtonationaleconomicdevelopment,domesticpoliticalstability,mili-tarysecurity,nationalunification,policytowardsurroundingcountries,bigpower

简介：DearEditor,WereadthearticlebyLeeetal~([1])withgreatinterest.Wewouldliketocongratulatetheauthorsforventuringintothisareathatassesstheconsecutiverecurrencefollowingearlysuccessofintermittentexotropia[X(T)]surgeryandtodeterminetheclinicalfactorsthataffectthesurvival.However,wewouldliketomakethefollowingcomments.Inthepresentstudy,itwasdiscussedaboutthecorrelationofearlypostoperativeovercorrectionwithlong-termoutcomes.ItisknownthatmostauthorswouldagreetoanearlypostoperativeovercorrectioninadultpatientswithX(T),the

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简介：Objective:Toinvestigatetherolesofinterleukin-2(IL-2)andinterleukin-10(IL-10)inpathogenesisofearlysyphilis.Methods:TheserumlevelsofIL-2andIL-10in48patientswithearlysyphilisweredetectedbyABC-ELISA.Results:(1)ThelevelofIL-2inthepatientswithearlysyphiliswassignificantlyhigherthanthatinhealthycontrols,whilethatofIL-10waslower(P<0.001andP<0.001).(2)ThelevelsofIL-2andIL-10werealmostidenticalinpatientswithprimaryandsecondarysyphilis(P>0.05),aswellasbetweendif-ferentRPRtiters(P>0.05).(3)Aftertherapy,thelevelofIL-2decreasedmarkedly(P<0.05),whilethatofIL-10increase(p>0.05).(4)AsignificantcorrelationwasfoundbetweentheserumlevelsofIL-2andIL-10(r=0.5385P<0.05).Conclusions:Th1up-regulationoccursinpatientswithearlysyphilis,andplaysanactiveroleinfightingagainstTPinfection.

简介：目的：观察经皮穴位电刺激对粘连前期肩关节周围炎的治疗作用。方法：采用大样本、多中心、随机化等循证医学研究方法，对163例粘连前期肩关节周围炎患者分别进行经皮穴位电刺激治疗和电针治疗，观察经皮穴位电刺激对粘连前期肩周炎的治疗作用及与电针治疗的效应比较。结果与结论：经皮穴位电刺激对粘连前期肩周炎的总有效率达到96．59％，与电针比较无明显差异；该疗法不仅具有明显的止痛效应，对肩关节活动障碍也有明显的改善作用。经皮穴位电刺激为治疗肩周炎有效、简便的疗法。

简介：<正>TheTongkuangyuporphyrycopperdepositintheZhongtiaoMountains,China,istectonicallylocatedonthesouthernmarginoftheNorthChinaplatformandonthenorthernmarginoftheLateArcheanZhongtiaoshanintracontinentalriftbasin.Thedepositoccursinacopper-bearingformationoftuffaceousvariegatedsandshale-K-richbimodalvolcanicrocksoftheTongkuangyuFormationoftheLateArcheanJiangxianGroup,andtheorebodiesarelocalizedinatransitionportionbetweentuffaceousvariegatedsandshaleandbimodalvolcanicrocks.Thehostrocksconsistmainlyofmetagranodiorite-porphyry,meta-quartzmonzonite-

简介：IntheDiegodeAlmagroarchipelagoofsouthernChile,aquartzrichmicaschistandamylonitizedgranitecontainLateJurassiczirconsofca166and170Marespectively.TheserocksweremetamorphosedduringtheCretaceousinasubductionzoneenvironment,whichdevelopedblueschistassemblagesinmetabasaltsinterleavedwiththemicaschist.ThedatedrockswereprobablypartoftheacidlargeigneousprovincedevelopedinsouthwesternGondwanalandduringtheextensionalphasewhichprecededthedismemberingofthesupercontinent.Theyconstituteevidencethattectonicerosionofthemarginoccurred,asthesesiliceousigneousrocks,formedintheSouthAmericanupperplate,weretransportedinthesubductionzonetosome20kmdepthpriortotheirexhumation.TheserocksareintectoniccontactthroughtheSenoArcabuzshearzone,withlatePermianturbiditesoftheDuquedeYorkcomplex,whichdidnotundergoblueschistmetamorphism.

简介：Objective:　Toreportamethodandremotetherapeuticeffectofearlynervetranspositionintreatmentofobstetricalbrachialplexuspalsy.　　Methods:　FromMay1995toAugust1996,12patientswhohadnorecoveryofbiceps3monthsafterbirthweretreatedwithnervetransposition.Eighthadneuromaattheuppertrunkand4hadruptureoravulsionoftheuppertrunk.Mallettestwasusedtoevaluatetheresults.　　Results:　Thefollow-upof40-52monthsshowedthatexcellentandgoodrecoveryinfunctionswasfoundin75%ofthepatientsandtheexcellentrateofphrenicnerveandaccessorynervetranspositionwas83.3%and66.7%respectively.Acompleterecoveryinshoulderandelbowjointfunctionwasin3patientsandMalletⅣwasin6patients.　　Conclusions:　Satisfactoryoutcomecanbeobtainedbyusingearlynervetranspositionintreatingobstetricalbrachialplexus.Paralysis,obstetric;Peripheralnerves;Nervetransposition

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简介：WereportanewgenusandspeciesofPaleonisciformes--Cretolepisdongbeiensisgen.etsp.nov.,fromtheEarlyCretaceousLongjiangFormationinQiqiharCity,HeilongjiangProvince.ThenewmaterialscanbedistinguishedfromotherPaleonisciformesgenerabypossessingthefollowingcharacteristics：ascleroticringcomposedofmorethanfivesmallbones;threepiecesofsuborbitals;onedermohyomandibular;ajawhangingapparentlyinclinedanteriorly;longandtallhorizontalbranchofthepreopercular,ashortverticalbranch,withtheangleformedbythetwobranchesslightlyhigherthan90°;atriangulardorsalfininthemiddlepointbetweenthepelvicandanalfins.ThediscoveryofMesozoicPaleonisciformesinnortheasternChinaaddstothebiodiversityandgeographicdistributionofPaleonisciformes.

简介：AnewspeciesofHuaxiapterus:H.benxiensissp.nov.iserectedbasedonthenewspecimen.ThediagnosticcharactersofHuaxiapterusbenxiensisarewell-developedpremaxillarycrestandparietalspine,thecrestandspineparallelandextendingposterodorsally,andashallowgroovepresentonthedorsalsurfaceoftheanteriorportionofthemandibularsymphysis.ThedifferentskullmorphologiesofChinesetapejaridpterosaursindicatethattheyaremuchmorediversethanthepreviousthought.

简介：AIM:Tostudyhowlymphnodemetastasis(LNM)riskisstratifiedinundifferentiated-typeearlygastriccancer(undiff-EGC)dependentoncombinationsofriskfactors.METHODS:Fivehundredandsixty-sevencaseswithundiff-EGCundergoinggastrectomywithlymphadenectomywereexaminedretrospectively.Usingclinicopathologicalfactorsofpatientage,location,size,anendoscopicmacroscopictumorform,ulceration,depth,histology,lymphaticinvolvement(LI)andvenousinvolvement(VI),LNMriskwasexaminedandstratifiedbyconventionalstatisticalanalysisanddatamininganalysis.RESULTS:LNMwaspositivein44of567cases(7.8%).Univariateanalysisrevealed>2cm,protrusion,submucosal(sm),mixedtype,LIandVIassignificantprognosticfactorsand>2cmandLI-positivewereindependentfactorsbymultivariateanalysis.InpreoperativelyevaluablefactorsexcludingLVI,smand>2cmwereindependentfactors.Accordingtothedepthandsize,caseswerecategorizedintothelow-riskgroup[mand≤2cm,0%(LNMincidence)],themoderateriskgroup(mand>2cm,5.6%;andsmand≤2cm,6.0%),andthehigh-riskgroup(smand>2cm,19.3%).Ontheotherhand,LNMoccurredin1.4%inallLI-negativecases,greatlylowerthan28.2%inallLI-positivecases,andLNMincidencewaslowinLInegativecaseseveninthemoderate-andhigh-riskgroups.CONCLUSION:LNM-relatedfactorsinundiff-EGCweredepthandsizepreoperativelywhilethosewereLIandsizepostoperatively.Amongthesefactors,LIwasthemostsignificantlycorrelatedfactor.

简介：ＮｅｗＥｖｉｄｅｎｃｅｆｏｒＥａｓｔｗａｒｄＥｘｔｅｎｓｉｏｎｏｆＬａｔｅＨｅｒｃｙｎｉａｎ－ＥａｒｌｙＩｎｄｏｓｉｎｉａｎＱｉｎｌｉｎｇＳｅａＤｕＹｕａｎｓｈｅｎｇ；ＦｅｎｇＱｉｎｇｌａｉ；ＹｉｎＨｏｎｇｆｕ（ＦａｃｕｌｔｙｏｆＥａｒｔｈＳｃｉｅｎ...

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简介：煽动性的肠疾病(IBD)包括二个实体，Crohn的疾病和ulcerative。两个是有经常的复杂并发症和外科的过程的长期的条件，一个伟人影响病人生命的质量。thiopurine抗代谢物azathioprine和6-mercaptopurine广泛地在IBD病人被使用。当前的指示包括维护治疗，类固醇家属疾病，管闭合，infliximabimmunogenicity的预防和Crohn的疾病复发的预防。令人惊讶地，在最后十年的抑制免疫力的药的宽使用没减少外科的需要，可能因为这些治疗在疾病路线在太迟了的阶段被介绍。immunossupressants的更早的使用现在被一些作者倡导。合理包括：(1)修改现在的治疗学的途径的IBD自然科学的失败，(2)那个azathioprine罐头导致粘膜的愈合的示范，为Crohn的疾病和ulcerative的一个相关预示的因素，并且(3)早immunossupression有的示范很积极的影响在上小儿科，最近诊断的Crohn的疾病病人。我们现在正在等候新研究的结果，诊断了成年Crohn的疾病病人(阿兹台克人学习)，与infliximab(声音的学习)相比澄清azathioprine的贡献，并且在最近表明azathioprine的实用性。

简介：ＴＨＥＥＡＲＬＹＳＵＭＭＥＲＦＬＯＯＤＰＥＲＩＯＤＳＯＦＳＯＵＴＨＥＲＮＣＨＩＮＡＡＮＤＴＨＥＳＵＭＭＥＲＭＯＮＳＯＯＮＣＩＲＣＵＬＡＴＩＯＮＯＦＥＡＳＴＡＳＩＡ￥ＨｕａｎｇＳｈｉｓｏｎｇａｎｄＴａｎｇＭｉｎｇｍｉｎ黄士松，汤明敏（Ｄｅｐａｒｔｍｅｎ...

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