提高妊娠合并心脏病的诊疗水平降低孕产妇病死率

妊娠合并心脏病涉及到妇产科及交叉学科,渗透着多学科知识.因此,妇产科医师除必须精通或熟悉本专业外,还应了解内、外、儿等学科的知识.

象山县2006——2007年外来流动人群死亡率分析

近年来流动人群的死亡率居高不下,且有上升趋势,给社会和家庭带来了沉重的经济、精神和心理负担.为给外来人群制订预防控制措施提供相关依据,现对象山县外来流动人群死亡情况进行统计分析.

Objective:In order to experience and contrast incidence rate of intection peritonitis. Exit-site infection,lunnitis, patients recover one＇s works,still living survival and withdraw rate from CAPD in particular on home PD of Subtropical Zone of China. Method:134 cases patients PD with CRF were from January 1,1981 to February 1998. We used three kinds of device and dialysate to complete CAPD. 134 patients into three groups according to PD device and form. Group Ⅰ: Non o-set 74 cases. Pat to use bottled dialysate/bag dialysate infusion abdominal cavity made by general emulsion tube/or once emulsion tube for CAPD. Group Ⅱ: 60 cases. Made by the o-set(Baxter H. Itd. USA).Group Ⅲ:45 cases. Made by o-set for on home PD. Result: The occur rate of infection peritonitis in Ⅰ,Ⅱ,Ⅲ Group were one/11.17,94.87 and 121.80 patient months. The infection rate of exit-site in Ⅰ,Ⅱ,Ⅲ Group were 18.91%,6.66%,6.66%. The lunnitis incidence rate in Ⅰ,Ⅱ,Ⅲ Group were 8.1%,3.33%, and 4.44%, respectively. The patients recover one＇s works in group Ⅰ almost come to nought, group Ⅱ 30% and 45.6% in group Ⅲ. Survival still living: Group Ⅰ 12.83. Group Ⅱ≥23.25. Group Ⅲ≥27 months and among them ≥36 months 7 cases (15.55%).About withdraw:Group Ⅰ average 2%/year. Group Ⅱ and Group Ⅲ 1.4%/year. The death rate of average year in Ⅰ and Ⅱ Group patients were 2.66% lower than of HD death rate 10%. Conclusion: o-set it＇s indeed a device of develop of PD and home PD, because the o-set able to most limit lower occur rate of intection peritonitis especially fit into home PD subtropical zone area.

AIM:To investigate effect of recombinant human thrombopoietin on exsanguine thrombocytopenia mice. METHODS:Normal peripheral platelet counts were performed on sample obtained from the tail vein of purebred Babl/c mice including experimental and control groups before experimentation. rhTPO was injected into the mice by intraperitoneal injection once a day for 7 days. On the seventh and the fourteenth day, the mice were phlebotomized from the supra-obitalis vein in order to make exsanguine thrombocytopenia animal model. At the same time, we observed the biological activity of recombinant human thrombopoietin in vivo and the mice's death rate. RESULTS: On the seventh day and the fourteenth day, platelet counts of mice treated by rhTPO were higher than those by PBS (P＜0.05). Moreover the platelet counts of mice in experimental group of rhTPO showed increasing tendency following experimental days. In addition, death happened in two groups after those mice were phlebotomized from the supra-obitalis vein, but the death rate in negative control group was evidently higher than that in experimental group (P＜0.05). CONCLUSION:rhTPO had obvious biological activity in increasing platelet production, which resulted in the drop in thrombocytopenia mice's death rate.

In 1958 the speaker believed that background radiation might cause a fatal cancer. In 1970 he believed there was no risk from background or from the small doses received from diagnostic uses of X-rays. Since 1990 he has come to believe that for good health most people need more radiation than they receive from nature. The talk will emphasize the results of two large British radiologists who entered the field between 1955 and 1979, when compared to all other male English physicians of the same age. Had a 29% lower cancer death rate, a 36% lower death rate from non-cancer and a 32% lower death rate from all causes. The chances of such a health improvement being accidental is less than one in one thousand. The lower death rate from all causes results in more than a three year increase in longevity-the same increase in longevity that would result ff all cancer were curable. The US Government sponsored nuclear shipyard worker study shows that the 28,000 nuclear shipyard workers with the greatest radiation doses, when compared to 32,500 shipyard workers who had no on-the-job radiation, had significantly less cancer and a 24% lower death rate from all causes. That is, the nuclear workers had nearly a three-year increase in longevity.The chance of that health improvement being accidental is less than one in ten million billion. The talk will describe a double blind study to test the hypothesis that a moderate dose of ionizing radiation stimulates the immune system of senior citizens in the I.S. Gulf States where cancer mortality is 25% greater than in the mountains, which have about 300% more background radiation than the Gulf States. Radiation deficiency may be a health problem in many areas of the world.