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A successful team treatment for left main shock syndrome

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Journal of Geriatric Cardiology 2013年第3期10卷 302-304页

作者： bin que Yu-Tong Cheng Hai Gao Xiao-Tong Hou Ran Dong Nan Li Shao-Ping Nie Beijing Anzhen Hospital of the Capital University of Medical Sciences Beijing 100029 China

Acute myocardial infarction complicated by cardiogenic shock and left main coronary artery disease is called left main shock syndrome. It is reported that the morbility and mortality of the syndrome is approximately 0.46%and 55%-80%, respectively. However, the best treat-ment strategy in these cases is unknown. In this article, we present a patient with LMSS who successively underwent emergency percutane-ous coronary intervention and coronary artery bypass grafting with hemodynamic support within 5 days. The patient is now on his three month uneventful out-patient follow-up.

关键词： Dissection Graft patency Left internal mammary artery grafts

Relationship between acute kidney injury before thoracic endovascular aneurysm repair and in-hospital outcomes in patients with type B acute aortic dissection

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Journal of Geriatric Cardiology 2015年第3期12卷 232-238页

作者： Hong-Mei REN Xiao WANG Chun-Yan HU bin que Hui AI Chun-Mei WANG Li-Zhong SUN Shao-Ping NIE Emergency & Critical Care Center Beijing Anzhen Hospital Capital Medical University and Beijing Institute of Heart Lung and Blood Vessel Diseases Beijing China State Key Laboratory of Pathogen and Biosecurity Beijing Institute of Microbiology and Epidemiology Beijing China Department of Cardiovascular Surgery Beo'ing Anzhen Hospital Capital Medical University and Beijing Institute of Heart Lung and Blood Vessel Diseases Beijing China

Objective Acute kidney injury （AKI） frequently occurs after catheter-based interventional procedures and increases mortality. However, the implications of AKI before thoracic endovascular aneurysm repair （TEVAR） of type B acute aortic dissection （AAD） remain unclear. This study evaluated the incidence, predictors, and in-hospital outcomes of AKI before TEVAR in patients with type B AAD. Methods Between 2009 and 2013, 76 patients were retrospectively evaluated who received TEVAR for type B AAD within 36 h from symptom onset. The patients were classified into no-AKI vs. AKI groups, and the severity of AKI was further staged according to kidney disease： im- proving global outcomes criteria before TEVAR. Results The incidence of preoperative AKI was 36.8%. In-hospital complications was significantly higher in patients with preoperative AKI compared with no-AKI （50.0% vs. 4.2%, respectively; P 〈 0.001）, including acute renal failure （21.4% vs. O, respectively; P 〈 0.001）, and they increased with severity of AKI （P 〈 0.001）. The maximum levels of body tem- perature and white blood cell count were significantly related to maximum serum creatinine level before TEVAR. Multivariate analysis showed that systolic blood pressure on admission （OR： 1.023; 95% CI： 1.003-1.044; P ： 0.0238） and bilateral renal artery involvement （OR： 19.076; 95% CI： 1.914 190.164; P = 0.0120） were strong predictors of preoperative AKI. Conclusions Preoperative AKI frequently occurred in patients with type B AAD, and correlated with higher in-hospital complications and enhanced inflammatory reaction. Systolic blood pressure on admission and bilateral renal artery involvement were major risk factors for AKI before TEVAR.

关键词： Acute aortic dissection Kidney injury Renal failure Thoracic endovascular aneurysm repair

Predictors and in-hospital outcomes of preoperative acute kidney injury in patients with type A acute aortic dissection

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Journal of Geriatric Cardiology 2016年第8期13卷 679-684页

作者： Xiao WANG Hong-Mei PEN Chun-Yan HU bin que Hui AI Chun-Mei WANG Li-Zhong SUN Shao-Ping NIE Emergency & Critical Care Center Beijing Anzhen Hospital Capital Medical University Beijing. China State Key Laboratory of Pathogen and Biosecurity Beijing Institute of Microbiology and Epidemiology Beijing China Department of Cardiovascular Surgery Beijing Anzhen Hospital Capital Medical University Beijing China

Background Acute kidney injury （AKI） is common after surgery for acute aortic dissection （AAD） and increases in-hospital and long-term mortality. However, few data exist on the clinical and prognostic relevance of early preoperative AKI in patients with type A AAD We aimed to determine the incidence and predictors of preoperative AKI and the impact of AKI on in-hospital outcomes in patients with type A AAD. Methods From May 2009 to June 2014, we retrospectively enrolled 178 patients admitted to our hospital within 48 h from symp- tom onset and receiving open surgery for type A AAD. The patients were divided into no AKI and AKI groups and staged with AKI severity according to the KDIGO criteria before surgery. Results AKI occurred in 41 patients （23.0%）. The incidence of in-hospital complications was significantly higher in patients with preoperative AKI compared to no AKI （41.5% vs. 9.5%, P 〈 0.001）, including renal infarction （7.3% vs. 0, P = 0.012）, and it increased with AKI severity （Ptrend〈 0.001）. Patients with AKI had higher in-hospital mortality compared with pa- tients without AKI, although no significant difference was found （14.6% vs. 5.1%, P = 0.079）. Multivariate analysis indicated that male gender, diastolic blood pressure on admission and bilateral renal artery involvement were independent predictors of preoperative AKI in patients with type A AAD. Conclusions Early AKI before surgery was common in patients with type A AAD, and was associated with increased in-hospital complications. Male gender, diastolic blood pressure on admission and bilateral renal artery involvement were major predictors for preoperative AKI.

关键词： Acute kidney injury Aortic dissection Outcomes

Ten years patency of left internal mammary artery trunk dissection graft after coronary artery bypass procedure

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Chinese Medical Journal 2010年第22期123卷 3354-3355页

作者： CHENG Yu-tong YU Jian-bo SUN Tao que bin WANG Su LI Zhi-zhong No. 15 Ward of Cardiology Beijing Anzhen Hospital Capital Medical University Beijing 100029 China

The left internal mammary artery （LIMA） had become the conduit of choice for myocardial revascularization, since it has been rates of LIMA grafts are proved that 10 ears patency more than 90%. The arterial graft trunk dissection is a rare event, affecting the procedure effects and related to reoperation.3 According to Kim and coworker＇s study,4 the arterial graft trunk delayed dissection manifested by early post-operative angiography only occurred in 6 of 1111 of the off-pump coronary artery bypass grafts. So up to now, the consequence of dissections without severe hemodynamic abnormality is beyond our knowledge.

关键词： mammary arteries dissection coronary artery bypass

Relieving throat and opening orifice acupuncture therapy for the post-stroke dysphagia

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World Journal of Acupuncture-Moxibustion 2019年第1期29卷 37-41页

作者： Wen-bao WU Dao-feng FAN Chong ZHENG bin-fu que Qing-qing LIAN Rui QIU Yan-gui CHEN Li-ying PAN Yun ZHANG Department of Acupuncture and Moxibustion Longyan First HospitalLongyan 364000FujianChina Department of Neurology Longyan First HospitalLongyan 364000FujianChina Department of Rehabilitation Xiamen Fifth HospitalXiamen 361101FujianChina

Objectives: To observe the effectiveness of acupuncture therapy for relieving throat and opening orifice on dysphagia due to different brain infarct ***: According to the random number table, 128 patients with post-stroke dysphagia were divided into group A(63 cases, intervention with deglutition training and acupuncture) and group B(65 cases,intervention with simple deglutition training). The conventional treatment and deglutition rehabilitation training in neurology department were used in the two groups. In group B, according to patient's condition, the rehabilitation trainings, such as respiration and neck movement range were used *** group A, on the base of deglutition training, acupuncture therapy for relieving throat and opening orifice was supplemented. The acupoints included Sìshéncōng(四神聪EX HN 1),Bāihuì(百会GV 20), Tàiyang(太阳EX-HN5) bilateral, Fēngchi(风池GB 20) bilateral and Shésānzhēn(舌三针).Electrostimulator was attached on EX-HN 1, bilateral GB 20 and Shesanzhen(舌三针). Needles were retained for 30 min in each treatment. The treatment was given once a day, 5 treatments a week and the treatment for 3 weeks as 1 course. After 6 weeks of treatment, the deglutition ability scale developed by Fujishima Ichiro was adopted to determine the therapeutic effects and observe the score increase for dysphagia related to brain infarct sites before and after ***: In assessment after 6-week treatment, the improvements of deglutition ability were different corresponding to different brain infarct sites in group A. Specially, the improvements in the patients with dysphagia related to cerebral hemisphere infarction in group A were better than group B(8.68 ±1.12 vs7.32 ±0.91, P0.05). Regarding the therapeutic effects in comparison of the two groups, the total effective rates in dysphagi

关键词： Acupuncture therapy Stroke Dysphagia

运用S7-300和组态王的关于有机硅的气力输送系统应用

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制造业自动化 2018年第1期40卷 86-89页

作者：阙斌上海麦克曼气力输送系统设备有限公司上海200030

介绍了兴发集团有机硅的气力输送工程应用,通过自控仪表信息反馈,加以自动程序设定,解决了堵料与损耗的矛盾,实现了客户环保、输送量、稳定运行的要求。

关键词：气力输送系统有机硅 S7—300 组态王

科技企业孵化器对高新技术创业企业的评估研究

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科技管理研究 2006年第6期26卷 162-164页

作者：张平朱鹂阙彬西南交通大学经济管理学院成都610031 四川大学公共管理学院成都610064 华润置地成都有限公司

科技孵化器与创业企业之间的信息不对称,导致孵化器的逆向选择,严重阻碍我国高技术产业的发展。本文针对创业企业的特点,从创业企业的财务、学习和成长、创业家、内部业务等四个层面设计评估的指标体系,为孵化器设计了一套对孵化企业的... 详细信息

科技孵化器与创业企业之间的信息不对称,导致孵化器的逆向选择,严重阻碍我国高技术产业的发展。本文针对创业企业的特点,从创业企业的财务、学习和成长、创业家、内部业务等四个层面设计评估的指标体系,为孵化器设计了一套对孵化企业的评估方法。

关键词：指标体系层次分析法模糊综合评价科技企业孵化器高新技术创业企业信息不对称

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疾控中心信息系统的网络风险与安全防护

网络空间安全 2016年第8期7卷 92-94页

作者：阙彬无锡市疾病预防控制中心江苏无锡214023

疾病控制与预防中心是我国医疗服务基础设施建设中的主要内容,它能够实现疾病的有效防控,保障人们的身体健康。近年来,计算机网络技术逐渐被应用到疾控中心信息系统建设中,使其面临诸多安全问题。论文对疾病控制与预防中心信息系统中存... 详细信息

疾病控制与预防中心是我国医疗服务基础设施建设中的主要内容,它能够实现疾病的有效防控,保障人们的身体健康。近年来,计算机网络技术逐渐被应用到疾控中心信息系统建设中,使其面临诸多安全问题。论文对疾病控制与预防中心信息系统中存在的网络风险进行分析,并提出具体的安全防护措施,为人们提供良好的疾病预防及医疗救治服务。

关键词：疾控中心信息系统网络风险安全防护

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临床医学课堂教学实践与思考

中国病案 2012年第2期13卷 37-38页

作者：王苏阙斌首都医科大学附属北京安贞医院心内科北京市100029

临床专业课的课堂教学注重医学基础知识的传授,教师应根据教学目标、学生特点和教学的不同阶段,选择教学方法,合理组织灵活运用。授课初期通过计算机多媒体技术的应用,教师可将课堂讲授和演示完美结合,加深学生对知识的理解;学生有一定... 详细信息

临床专业课的课堂教学注重医学基础知识的传授,教师应根据教学目标、学生特点和教学的不同阶段,选择教学方法,合理组织灵活运用。授课初期通过计算机多媒体技术的应用,教师可将课堂讲授和演示完美结合,加深学生对知识的理解;学生有一定基础后可增加病例分析,激发其学习兴趣并实现师生的良性互动;随着学生知识的丰富,教师可根据教学重点提出问题引导学生自学,培养其分析和解决问题的能力,以期达到课堂教学理想效果。

关键词：临床医学课堂教学教学法