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脂肪栓塞综合征一例报告

脂肪栓塞综合征大多发生于机体外伤。近年来由外科转入呼吸内科监护病房（RICU）的脂肪栓塞患者逐渐增多。我们收治了一例脂肪栓塞病人，现结合文献复习进行讨论，以提高呼吸内科医生对此病的认识。

Clinical Study of Internal Radiotherapy with Hepatic Intraarterial Iodine131 Labeled Material for Hepatocellular Carcinoma

ObjectiveTo discuss the clinical value of internal radiation therapy with hepatic intraarterial iodine131 labeled material for the treatment of hepatocellular carcinoma (HCC). MethodsThis summarized paper was made on literature review. ResultsIodine131lipiodol and several reported iodine131labeled antibodies to HCC associated antigens were concentrated in the foci of HCC with a high tumortonormaltissue absorbed dose ratios. No severe side effects occurred. It was used in various kinds of HCC patients, and mostly showed a significant tumor response. Survival rate of HCC patients was raised in several clinical trials.Conclusion Internal radiotherapy with hepatic intraarterial iodine131 labeled material may be considered as an effective method to treat HCC.

Surgical Treatment for Pulmonary Embolism Originated from Deep Venous Thrombosis

Research advances in embolic stroke of undetermined source

In 2014, the new concept of embolic stroke of undetermined source (ESUS) was first proposed by cryptogenic stroke/ESUS International Working Group. In the past 5 years, related clinical researches of ESUS have been deepened, and the results of many large clinical studies have been published. However, the guiding significance of this new concept to clinical practice is still controversial. By reviewing the background, diagnostic criteria, assessment, common emboli sources, anticoagulant therapy research advances and related limitations of ESUS, and analyzing the possible causes of negative anticoagulant therapy results, we explored the clinical value of this new classification.

成功抢救急性巨大肺栓塞一例的诊治体会

Descending aortic intramural hematoma with pulmonary embolism: A case report

Aortic intramural hematoma and pulmonary embolism are two rapidly progressive and life-threatening diseases. A 65-year-old male patient with descending aortic intramural hematoma and pulmonary embolism underwent pulmonary embolectomy and descending aortic stent-graft placement, with good postoperative results.

Study on the correlation between INR and the activity of coagulation factor II and X in patients with pulmonary thromboembolism with moderate and low intensity anticoagulation by oral warfarin

ObjectiveTo study the correlation between international normalized ratio (INR) and coagulation factor Ⅱ and Ⅹ in patients with pulmonary thromboembolism treated with warfarin at moderate and low intensity anticoagulation.MethodsFifty-one patients with pulmonary thromboembolism treated with warfarin orally were divided into low-intensity anticoagulation group (INR from 1.6 to 2.0) and standard-intensity anticoagulation group (INR form 2.0 to 3.0) according to their monitoring INR indices. The levels of coagulation factor Ⅱ and Ⅹ were measured, and the correlation between INR level and coagulation factor activity was compared.ResultsThe INR of the low intensity anticoagulation group was 1.69±0.2 and the standard intensity anticoagulation group was 2.55±0.46. The corresponding activity of coagulation factor Ⅱ was (48.3±28.0)% and (24.0±8.0)% respectively. The activity of coagulation factor Ⅹ was (32.8±24.0)% and (16.7±6.0)%. There was a negative correlation between the activity of INR and coagulation factor Ⅱ and Ⅹ, with correlation coefficients of –0.903 and –0.459, respectively. Coagulation factor Ⅱ activity < 40%, coagulation factor Ⅹ activity inhibitory level < 25% is defined as anticoagulation effect. When coagulation factor Ⅱ activity level reaches anticoagulation effect, the corresponding minimum INR value was 1.56 and as to coagulation factor Ⅹ, the corresponding minimum INR value was 1.66.ConclusionsINR is negatively correlated with the activity of coagulation factor Ⅱ and coagulation factor Ⅹ. With the increase of INR, the activity of coagulation factor Ⅱ and coagulation factor Ⅹ decrease. Low intensity anticoagulation could not effectively inhibit the activity of coagulation factor.

错位环扎法治疗下肢深静脉栓塞后小腿溃疡21例

子宫动静脉血管瘤的临床诊疗进展

【摘要】 子宫动静脉血管瘤（arteriovenous mabformation，AVM）是一种少见的子宫血管病变，由异常的血管形成，分为先天性和获得性，后者多与妊娠及子宫损伤有关，临床上常表现为顽固的阴道流血，部分患者阴道大量流血。诊断比较困难，超声是最基本的检查方法，但血管造影是其诊断金标准。子宫AVM的治疗主要包括保守治疗、外科治疗和介入治疗。并综述介入治疗对妊娠的影响。

下肢骨折术后肺动脉栓塞治疗的临床观察

【摘要】目的回顾性总结下肢骨折并发肺动脉栓塞（PE）的诊治和转归情况,为临床预防、及早发现并及时治疗骨折并发PE提供参考。方法收集笔者所在科室近年收治的20例资料完整的骨折并发PE患者病历,回顾性分析其诊治方法及转归,总结防治策略。结果在20例患者中,2例住院期间因PE死亡,其余18例治愈出院随访至今效果满意。结论提高对PE的认识,是早期发现PE的前提,应对PE的最好措施是积极预防,特别是预防下肢静脉血栓形成。提高医生观察、判断病情的能力,争取治疗及抢救时机可减少PE的病死率。