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Systemic inflammatory response syndrome myocardial Experimental Study of G Protein

ctionduringsepsis [J]. CritCareMed, 2000,28 (8): 3lll a 3ll2. [10] Liang Li,[link widoczny dla zalogowanych], Gao Song. SIRS of different doses of dexamethasone on rats with myocardial enzyme CK. MB of [J]. The Journal of Clinical, 2006,[link widoczny dla zalogowanych],10 (1) :5-6. [11] AkhterSA, LutterellLM, RlckmanHA, eta1. Targetingthereceptor-. Gqinterfacetoinhibitinviropressureoverloadmyocardialhypertrophy [J]. Science, 1998,280 (5363) :574-577. [12] SilvermanHJ, PenarandaR, OrensJB. Impairedbeta-adrener ~ creceptorstimulationofcyclicadenosinemonophosphateinhumansepticshock: associationwithmyocardiachyporesponsivenesstocatecholaminesfJ1. CritCareMed, 1993. 21 (1): 3l-39. [13] BernardinG, StrosbergAD, BernardA, eta1.3-adrenergicreceptor · · dependentand · · independentstimulationofadenylatecyclaseisimpairedduringseveresepsisinhumansfJ1. IntensiveCareMed, 1998,24 (12): l315-1322. (Received: 2006.12.18 Revised: 2007.02.05) Example 1, female. 58 years old, 2 months because of intermittent blood in the stool, hemorrhoids hospitalized 1 month after surgery. 2 months to patients in local hospitals diagnosed as Line 1 month after surgery is still blood in the stool. And the emergence of tenesmus, rectal examination in our hospital found that the posterior wall of the rectum from the anus at 8am with a cauliflower-like masses. Tumor infiltration of the rectum have been 2 / 3 of the circumference. And adhesions and vaginal wall. Biopsy report of adenocarcinoma of the rectum. Example 2, female, 50 years old, due to mucous stools with tenesmus ranked 20d to consultation. Digital rectal examination found that anal f-I7cm from the posterior wall of the rectum at about 2-3cm in diameter bulge mass, hard texture, range of difference, no tenderness. Indian Author: 464000,[link widoczny dla zalogowanych], Xinyang City, Henan Province,[link widoczny dla zalogowanych], the First People's Hospital, 2 cases of cancer misdiagnosis Wang Li as: cancer. Ready line tumor biopsy. Automatically to the hospital, but patients in a municipal hospital line tumor biopsy pathology report of chronic inflammation of the rectum. Giving the anti-inflammatory, hemostatic, enema therapy, 2 months after the symptoms have increased, and increased the amount of bleeding, with abdominal pain, again, digital rectal examination in our hospital. Rectal mass was found to increase more than the original. Mass fixed. The multi-point biopsy site. The pathology report rectal mucinous adenocarcinoma. B-shows: more than space-occupying lesions of liver, suggesting liver turn. Discuss the digital rectal examination is critical examination of rectal cancer early detection methods, but often overlooked. Generally found that 7-8am from the anus of the rectum within the tumor, given our 60% to 75% of colorectal cancer patients. And 75% of cancer patients the tumor is located under the lower edge of the tumor from the rectum or anus within 7-8cm. So most of the rectal examination by digital rectal examination findings. Female patients still need to do vaginal palpation. Checking for violations of the vaginal wall. DRE checked whether the blood should be observed finger. Digital rectal examination is a simple surgical procedure can not be omitted select cancer the most basic, the most important screening method. Cancer patients based on history, symptoms, signs and digital rectal examination can not be diagnosed, the pathological need to confirm the diagnosis. If a rectal tumor biopsy did not find cancer cells. Can not rule out the possibility of cancer, biopsy should be repeated multiple sites. To fully understand the differences in the distribution area of tumor cells, the right to master the skills rectal tumor biopsy. Example 2 is a result of a biopsy-negative and misdiagnosed as chronic colitis, delayed diagnosis of 2 months, resulting in lost opportunities for surgical cure. (Received :2007 -02-14 Revised :2007-03-30)
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