简介：

简介：BackgroundIntra-aorticballoonpump(IABP)hasbeenwidelyusedatpresent.Wecanuseitatdifferentstagesofperioperativeperiodinoff-pumpcoronaryarterybypassgrafting(CABG).However,whentouseditwasseldomconfirmed.MethodsFromJanuary2008toJune2012,the89coronaryheartdisease(CHD)patientsacceptedimplantationofIABPatdifferentstagesofoff-pumpCABG,preoperativeandpostoperativeventricularsystolicfunction,leftventricularremodelingsituationandthechangesofmyocardialenzymeswereevaluated.ResultsAllthepatientshadleftheartinsufficiencyandmultivesseldisease.TheirpostoperativeleftventricularsystolicfunctionandventricularremodelingweresignificantlyimprovedwhilemyocardialenzymesdecreasedwithpreoperativeinterventionalimplantationofIABP.Theperioperativemortalitywas7.86%(7/89).NopatientshadcomplicationofIABP.ConclusionEarlierIABPimplantationatpreoperationisusefultoimproveheartfunction,improvethetolerabilityofsurgery,reducetheincidenceofpostoperativelowcardiacoutputsyndrome(LCOS)anddecreasethemortality.

简介：ObjectivesWereportacaseinwhichapatientwhosufferedfromanginasecondarytomediastinalirradiationandhavebeentreatedbyoff-pumpcoronaryarterybypass(OPCAB)inourhospitalsince3yearsago.A34-year-oldmanpresentedwithanginafor8yearsafterreceivingradiationtherapyforHodgkin'slymphoma.WeretrospectivelyreviewedallthecasesofOPCABinourhospitalandfollowed-updataforupto3yearspost-operatively.Mediastinalirradiationisprobablythecauseofsignificantostialstenosisofleftmaincoronaryandrightcoronaryartery.OPCABgraftingwasperformedonthispatient3yearsago.Hisanginadisappearedafteroperation,andherecoveredwellduringfollow-up.ConclusionsPatientswithmalignancieswhohavereceivedmediastinalirradiationshouldbecarefullyfollowedupandroutinelyscreenedfortheprematuredevelopmentofcoronaryarterydisease.OPCABmaybeanappropriatetreatmentforcoronaryarterydiseasecausedbymediastinalirradiation.

简介：ObjectivesTotestthefeasibilityoftheuseofhighthoracicepiduralanesthesiaasasoleanestheticinpatientsundergoingoffpumpcoronaryarterybypasssurgery,avoidinggeneralanesthesia.MethodsBetweenOctober2002toApril2003,twentyfivecasesunderwentbeatingheartcoronaryarteryrevascularizationwithoutendotrachealgeneralanesthesia,usinghighthoracicepiduralanesthesiaandanalgesia.Allthepatientsunderwentepiduralcatheterizationontheeveningbeforethesurgery.ResuitsThepatientsinallreceived71grafts(singlen=11,doublen=5,triplen=6,quadruplen=3).Sixpatientsunderwentrepeatcoronaryarterybypass.Exceptonewasconvertedtogeneralanesthesiaandcardiopulmonarybypass,theotherpatientsunderwentoff-pumpcoronaryarterybypassgraftsurgery,2patientsunderwentgraftingvialeftthoracotomy(MIDCAB)andtherestthroughmidsternotomy.Therewasnomortality.Meanlengthofstayintheintensivecareunitwas16.2(4.2hoursandhospitalwas3.0(1.2days.ConclusionsOurexperienceconfirmsthefeasibilityofperformingmuhiplecoronaryarterybypassesinconsciouspatientswithoutendotrachealgeneralanesthesia.

简介：

简介：ObjectivesToinvestigatethepossibleroleofamino-terminalpro-brainnatriureticpeptide(NT-proBNP)intheoccurrenceofatrialfibrillation(AF)aftercoronaryarterybypassgrafting(CABG).MethodsThisstudygroupincluded70consecutivepatientsscheduledforelectiveoff-pumpCABG.Thepatientswithejectionfraction(EF)lessthan0.30,historyofAF,useofclassIorIIIantiarrhythmicdrug,implantedpacemaker,postoperativemyocardialinfarctionorchestreopeningforpericardialtamponadewereexcluded.PreoperativeandpostoperativeserumNT-proBNPlevelsweremeasuredbyradioimmunoassaytechnique.ResultsPostoperativeAFoccurredin15patients(21.4%);thesepatientshadsignificantlyhighermedianNT-proBNPlevelswhencomparedwiththosewithoutAFaftertheoperation(P<0.01).Usingmultivariatelogisticregressionanalyses,anincreaseinNT-proBNPlevelafterCABGwasfoundtobeindependentlyassociatedwithAF(OR=3.78,95%IC=1.81～4.89,P<0.01).Increasedage,diabetesmellitus,preoperativeuseofβ-blocker,proximalrightcoronaryarteryinvolvement,andlongeroperationtimewerealsoassociatedwithAF.ConclusionsTheseresultsindicatedthatAFwasassociatedwithhigherNT-proBNPconcentrationsafteroffpumpCABG;theincreaseinNT-proBNPafterCABGmayplayanimportantroleintheoccurrenceofAFaftertheoperation.ThefurtherstudiesareneededtodefinethereasonthatleadtohigherNT-proBNPconcentrationsamongthepatientswhopresentAFafteroffpumpCABG.

简介：<正>声音SOUND"现在我终于拿到了五个总冠军,比奥尼尔多了一个,其实我心里一直都记着这件事情。"科比在进入总决赛之前说他对于冠军并没有什么想法,就只是想要获得总冠军而已。但当他终于再次获得总冠军之后,他还是讲出了心中压抑已久的想法,奥尼尔一直都是他心中试图超越的对象。

简介：

简介：

简介：<正>声音"我不怎么喜欢麦迪,无论是在球场上还是球场下。"——小斯在北京时间3月28日太阳战胜尼克斯的比赛后谈起了尼克斯队员麦迪,他表示自己并不是太喜欢麦迪这个人。两人的纠葛来自于2001年,他认为麦迪当时没有给他一个良好的关于职业生涯的建议。

简介：UV-visandluminescencespectroscopictitrationexperimentsshowthatanovelRu(Ⅱ）complexexhibitsoff-on-offpHluminescentswitchingwithamaximumon-offrationofabout100.

简介：

简介：

简介：

简介：MrKingisatallandstrongman.HeteachesP.E.inamiddleschool.Hewearsalongheard(胡子)andtakesgoodcareofit.

简介：1991’sDomesticRareEarthEx-hibition,sponsoredbytheLeadingGroupofRareEarthundertheStateCouncilwasheldfromMay21-30intheCulturalPalaceoftheNationalities,Beijing.Itwasthesuccessionofthe1986’s

简介：

简介：A'witkey'isapersonwhosellsknowledgeandexperiencetoothersviatheInternet.Whataretheopportunitiesandchallengesofthisnewandrapidlyexpandingareaofe-commerce?ITwasoneo'clockinthemorning,andHuangWeiguowashunchedoverhiskeyboard,busilyapplyingthefinishingtouchestotheproducthewasabouttosendtohisclientviaawitkeywebsite.Hehadspenttwosimilarlytediouslatenightsstaringathisscreen,makingsurethatthepackagehereturnedwouldbeahigh-qualityjob.'It'saverydemandingjob,butthehourscanbeflexible.What'smore,youcanfindtheworkyouspecializeindirectlyonthesewitkeywebsites.'

简介：SNDisasphericalnon-magneticdetectoroperatingsince1996atVEPP-2Melectron-positroncolliderinNovosibirsk,SNDisperforminganupgradeofitssubsystems,electronics,andsoftwareforthenextrunatVEPP-2000,PresentFortran-basedofflineprogramswillbereplacedwiththeobject-orientedframework,whichsupportssimulation,reconstructionandanalysisactivities,Newframeworkexploitstheexperienceobtainedintheworkwiththecurrentofflineandsupportsorextendsitsessentialfeatures.Themainframeworkconceptisamodule,whichisabasicprocessingunitconsumingsomedataandproducingnewdata.Everymodulecanbeparameterizedduringruntime.Formalizeddescriptionofthemodulesisusedbytheframeworksequencerfortheselectionandorderingofminimalsubsetofmodulesforanygiventask.Datapersistencyservicesaremadesufficientlyabstracttoallowimplementationfordifferentpersistencytechnologies.Prsentlythereisanimplementationforthesequentialfileswithpackeddata.Theframeworkprovidesaninterfaceforscriptinglanguages.Togetherwithacustomexpressionparserthisgivesasupportforextensiblerun-timehistogramming.ThefunctionalprototypeoftheframeworkwasimplementedinPythonlanguageandprovedtheconceptsoftheproject.CurrentlythisprototypeisbeingreimplementedinC++.

简介：在垂直的泵的吸入附近的流动结构试验性地并且数字地被调查以便在设计垂直的泵，没有失去高效，他们的安装区域在被要求最小的吸入的最佳形状获得一个指南。我们作为泵的形状的一个代表性的特征在吸入的扩大比率上集中我们的注意并且在泵性能上调查扩大比率的效果。如果我们为泵的安装需要的区域应该是最小的考虑，最佳扩大比率在1.1锝?.2变化，这被结束如果我们为泵的安装需要的区域应该是最小的考虑。关键词垂直的泵-吸入的形状-在吸入CLC数字TK7附近的流动结构