RO-heparin Inhibits L-Selectin-mediated Neutrophils Adhesion to Vascular Endothelium Under Flow Conditions

Introduction Migrationandrecruitmentofleukocytesfromblood toinflammatorylesionsitesaresequentiallyregulated byadhesionmoleculesandtheirreceptors[1].These lectinfamilyplaysamajorroleininitiatingattachement ofneutrophilstotheactivatedendothelium.P selectin,…     

自体静脉移植血管的拉伸实验研究

本文考察了自体移植静脉的纵向应力应变关系。将狗股静脉移植于股动脉，在术后不同时间切取移植静脉进行纵向单轴拉伸实验。结果表明，移植静脉的应力－应变曲线比正常静脉靠近应力坐标轴并在术后逐渐向左移动。这显示了移植血管管壁组织在术后的逐渐硬化。     

颈内静脉原位导丝法换置中心静脉长期血液透析导管的临床应用

目的探讨经颈内静脉原位导丝法换置中心静脉长期血液透析导管在维持性血液透析（MHD）患者中的应用价值。方法选取近3年在颈内静脉留置的中心静脉长期血液透析导管因功能障碍后，并经颈内静脉原位导丝法换置长期导管，术后及每次透析后均改用尿激酶封管患者16例（原位换置组）；选取同期首次经颈内静脉留置中心静脉长期血液透析导管,普通肝素封管患者20例作为对照组；分析两组患者围术期泵控血流量及随访期的反应及开存期率、次开存期率。结果围术期泵控血流量原位换置组高于对照组，有统计学差异（P＜0.05）；两组比较感染例次/1000导管日0.9%与1.0%，无统计学差异（P＞0.05）。原位换置组围术期未发生中重度并发症，12个月开存期率81.2%、次开存期率93.8%；对照组开存期率为65%、次开存期率85%；两组比较无统计学差异（P＞0.05）。结论颈内静脉原位导丝法换置中心静脉长期血液透析导管，在MHD患者中的使用是安全的、可行的。     

超声内镜联合CT门静脉成像技术对肝硬化GOV程度及疗效的评价

本研究探讨了超声内镜联合CT门静脉成像技术对肝硬化食管胃静脉曲张(GOV)程度及治疗效果的评价价值。选取72例肝硬化GOV患者为研究对象,根据食管静脉曲张套扎术(EVL)治疗效果分为良好组与不良组。结果发现,不良组总横断面表面积、胃左静脉、门静脉、脾静脉、肠系膜上静脉直径及门静脉长度均大于良好组,曲张静脉壁厚度小于良好组(P<0.05);总横断面表面积、胃左静脉、门静脉、脾静脉、肠系膜上静脉直径及门静脉长度与肝功能Child-Pugh分级、静脉曲张程度呈正相关,曲张静脉壁厚度与肝功能Child-Pugh分级、静脉曲张程度呈负相关(P<0.05);总横断面表面积、曲张静脉壁厚度/胃左静脉、门静脉、脾静脉、肠系膜上静脉直径及门静脉长度均为肝硬化GOV患者治疗效果的影响因素(P<0.05);超声内镜、CT门静脉成像参数联合预测肝硬化GOV患者治疗效果的AUC为0.857。可见,超声内镜、CT门静脉成像参数与肝硬化GOV程度、肝功能分级及EVL治疗效果密切相关,可为临床预测EVL治疗效果提供一定参考。     

早期视网膜分支静脉阻塞患者倍频固体激光治疗对临床疗效及CMT值变化的影响

本文探讨了早期视网膜分支静脉阻塞患者倍频固体激光治疗对临床疗效及黄斑中心视网膜厚度(CMT)值变化的影响。将因视网膜分支静脉阻塞行激光治疗的30例患者纳入激光组,同期行常规治疗的30例患者纳入对照组,对比两组临床疗效、视力、CMT值变化、眼底荧光血管造影(FFA)检查渗透率及并发症。结果显示,治疗后激光组患者临床治疗总有效率、各个时间点视力变化、CMT值及FFA检查渗透发生率均优于对照组(P<0.05),两组患者均随访6个月,并发症比较差异无统计学意义(P>0.05)。说明早期视网膜分支静脉阻塞患者使用倍频固体激光治疗临床效果显著,可有效提高其视力水平,降低CMT值。     

A novel imaging tool for hepatic portal system using phase contrast technique with hydrogen peroxide‐generated O2 gas

The objective of this study was to investigate the potential of hydrogen peroxide‐generated oxygen gas‐based phase contrast imaging (PCI) for visualizing mouse hepatic portal veins. The O₂ gas was made from the reaction between H₂O₂ and catalase. The gas production was imaged by PCI in real time. The H₂O₂ was injected into the enteric cavity of the lower sigmoid colon to produce O₂ in the submucosal venous plexus. The generated O₂ gas could be finally drained into hepatic portal veins. Absorption contrast imaging (ACI) and PCI of O₂‐filled portal veins were performed and compared. PCI offers high resolution and real‐time visualization of the O₂ gas production. Compared with O₂‐based ACI, O₂‐based PCI significantly enhanced the revealing of the portal vein in vivo. It is concluded that O₂‐based PCI is a novel and promising imaging modality for future studies of portal venous disorders in mice models.     

变截面门式刚架结构分析的微分求积单元法

本文采用一种精确、简便的数值计算方法——微分求积单元法(DQEM)对变截面门式刚架结构进行了力学分析。首先建立了一般荷载作用下变截面构件的平衡微分方程，并采用微分求积法进行离散，进而得出了较为精确的分析变截面构件的单元力学模型。该模型的刚度方程不仅反映了单元的刚度性质，而且反映了单元的实际荷载作用，可较为精确地分析变截面门式刚架结构在分布载荷作用下的受力性能。通过与有限元法计算结果的比较，表明了微分求积单元法在变截面刚架的力学分析中的正确性和优越性。微分求积单元法可用于任意形状的刚架结构的静力分析。     

Lee极值原理与结构的大挠度塑性动力响应

本文介绍了利用Lee 极值原理确定结构的大挠度塑性动力响应的数值方法,给出了在均布冲击载荷作用下的理想刚塑性门形框架的大挠度进化模态解,指出如果模态形式取得合适,可使进化模态解接近于真实解.这样得到的门形框架的大挠度模态解与文献[8]中的实验结果和文献[9]中的大挠度完全解都符合得很好.     

基于WEB的企业应用系统集成

在阐述企业应用系统集成的重要性基础上。提出了实现企业应用系统集成的模型和方法，以及如何运用企业门户的概念和思想构建集企业内部应用、客户和供应商管理及电子商务应用为一体的企业应用系统集成。并通过一个实例说明了这些方法的应用。     

A comparative study of magnetic resonance venography techniques for the evaluation of the internal jugular veins in multiple sclerosis patients

Background and Purpose

The use of magnetic resonance imaging (MRI) to assess the vascular nature of diseases such as multiple sclerosis (MS) is a growing field of research. This work reports on the application of MR angiographic (MRA) and venographic (MRV) techniques in assessing the extracranial vasculature in MS patients.

Materials and Methods

A standardized MRI protocol containing 2D TOF-MRV and dynamic 3D contrast-enhanced (CE) MRAV was run for 170 MS patients and 40 healthy controls (HC). The cross-sectional area (CSA) of the internal jugular veins (IJVs) was measured at three neck levels in all subjects for both MRV techniques to determine the presence of venous stenoses. All data were analyzed retrospectively.

Results

For the values where both methods showed signal, the 3D method showed larger CSA measurement values compared to 2D methods in both IJVs, in both MS and HC subjects which was confirmed with student paired t-tests. Of the 170 MS patients, 93 (55%) in CE-MRAV and 103 (61%) in TOF-MRV showed stenosis in at least one IJV. The corresponding numbers for the 40 HC subjects were 2 (5%) and 4 (10%), respectively. Carotid ectasias with IJV stenosis were seen in 26 cases (15%) with 3D CE-MRAV and were not observable with 2D TOF-MRV. Carotid ectasias were not seen in the HC group. In the 2D TOF-MRV data, banding of the IJVs related to slow flow was seen in 58 (34%) MS cases and in no HC cases. MS patients showed lower average CSAs than the HC subjects.

Conclusion

The 3D CE MRAV depicted the vascular anatomy more completely than the 2D TOF-MRV. However, the 3D CE MRAV does not provide any information about the flow characteristics which are indirectly available in the 2D TOF-MRV in those cases where there is slow flow.