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Wysłany: Śro 15:23, 09 Mar 2011 |
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Effect of simvastatin on left ventricular hypertrophy and diastolic function
nII-inducedcal'diaeinjurybya3 a hydroxy-3 a m ~ hylglutarylcoerlzyl ~ areductaseinhibitor. Circulation, 2OO1, 104 (5): 576 ~ 581.13PatelR, NaguehSF, TsyboulevaN,[link widoczny dla zalogowanych], et81. Simvastatininducesregressionofcalydial2hypertrophyandfibrosisandimprovescardiacfunctioninatransgenicrabbitmodelofhumanhypertrophiccardiomyopathy. Circula-tion, 2001,104 (3): 317 ~ 324.14 more than strong. Tall, the Yanyue Hui, et al. Left ventricular hypertrophy and fibrosis in patients with serum markers of observation. Chinese Journal of Cardiology, 1998,26 (3): 209 ~ 211. Purchase one of endoscopic biliary and pancreatic biliary and pancreatic stent in the treatment of benign and malignant obstruction Huang Ping,[link widoczny dla zalogowanych], Zhang Xiao Zhang Xiaofeng Guo Yinghui Lin Lu trauma of biliary and pancreatic stents, fewer complications, improve the symptoms faster, shorter hospital stay, operative mortality is low, is widely used in lamps pancreatic obstruction. In January of 2OO2 from January 2005 to 146 cases of benign and malignant pancreatic biliary obstruction were placed in plastic or metal stent, results were satisfactory, the report is as follows. 1 Data and methods 1.1 General information on a total of 146 cases of this group of patients, male 79 cases, 67 cases female, aged 53-96 years, mean 72 years. All patients underwent B-, MRCP, or CT examination revealed 85 cases of benign bile duct obstruction, including 35 cases of benign papillary stenosis, common bile duct stones in 24 patients, intraoperative bile duct injury in 10 cases of bile duct stricture, secondary biliary bile fistula stenosis in 9 cases, 7 cases of benign pancreatic duct stricture; malignant bile duct obstruction in 61 cases, including 8 cases of duodenal papillary carcinoma, cholangiocarcinoma in 41 cases, 12 cases of pancreatic cancer. Patients with benign bile duct obstruction in varying degrees of abdominal pain, chills, fever, jaundice 52 cases; malignant bile duct obstruction years old and frail patients, with heart and lung and other organ dysfunction or associated with the transfer to the surrounding organs or lose the chance of operation do not want surgery, patients have varying degrees of jaundice,[link widoczny dla zalogowanych], clay would l1 cases of skin itching in 23 cases, 26 cases of upper abdominal pain discomfort, fever in 19 cases. Serum total bilirubin increased in different degrees. 1.2 Materials and Methods (1) materials used OlympusTJF240 e-duodenoscopy endoscopy, surgery cut the nipple, Germany AW_3OO/ICC2OOEA type high-frequency electric generators, Zebra guide wire, duct dilation catheters, polyethylene plastic stent can be expanding Author: 310006 Hangzhou First People's Hospital of metal biliary stent use WaUstent and Stercker-Stent. (2) method of preoperative preparation with conventional ERCP. Advance the specific circumstances of bile duct cholangiography clearly understand the nature of bile duct obstruction, location,[link widoczny dla zalogowanych], extent, bile duct dilatation. Intubation difficult or large stones can be pre-cut line of the nipple. The guide wire from the catheter inserted, under the surveillance of the x line, the guide wire across the front of the Ministry of obstruction section of the narrow, inserted to the expansion of the bile duct or pancreatic duct. Chi to maintain the position of guide worked loose, slowly withdraw catheter, and then expand along the guide wire catheter insertion and retention 35 minutes,[link widoczny dla zalogowanych], measure and select the appropriate length of stent, guide wire along the top of the selected frame to be given away 2cm distal obstruction release. After the release of the guide wire stent out and support catheter. Obstruction in patients with benign multiple use plastic stent drainage in patients with malignant obstruction is chosen according to the specific circumstances of plastic or metal stent. Plastic stent placement in patients with common bile duct stones were older and more due to solid stone, stone hard to estimate huge success of stenting first time. Week after stent placement testing liver function of bilirubin and transaminase understand the situation, if the jaundice recurrence and (or) unexplained fever, abdominal pain, obstruction or stent should be considered poor drainage should be performed again ER-CP, benign replacement The new nasal biliary drainage stent, or malignant person may be set to a stent or PIED. 2 Results 2.1 The success rate of 85 patients in this group of patients, 82 patients with benign obstruction were successfully placed plastic stent, 3 patients failed due to the common bile duct stone is full of success; 6l patients with malignant obstruction with success in 53 cases, in which plastic l0 cases stents, metal stents 43 cases; 2 cases of cholangiocarcinoma, 4 cases of hilar cholangiocarcinoma and 2 patients with pancreatic cancer because of extensive transfer
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