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The early percutaneous coronary intervention in elderly patients with acute coronary syndrome
      
It was shown that early PCI might be an effective and safe method to treat elderly patients with ACS.
      
Correlations between the impairments of higher cortical functions (assessed by clinical scores and neuropsychological tests) and multichannel EEG spectra were analyzed in elderly patients with mild dementia and children with cognitive problems.
      
Thus, the 5-HTT gene polymorphisms do not affect the risk of depression but is possibly associated with specific clinical signs of the disease, at least in elderly patients.
      
The risk factors for RCIN are primarily pre-existing (even mild) renal dysfunction, diabetes mellitus, absolute or relative hypovolemia, nephrotoxic drugs, etc., particularly in elderly patients.
      
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Surgical treatment of esophageal and cardiac carcinoma of 172 cases with age over 65 years were carried out during 1981-1988. The overall resection rate was 85.4%. The operative mortality was 4.7%. The 5-year survival rate was 38.7%. As indicated by the analysis thaj thet resection rate and 5-year survival rate of aged patients was higher than the younger cases. The authors believe that the advanced age patients with esophageal and cardiac carcinoma can tolerate the operation well, if the associated conditions...

Surgical treatment of esophageal and cardiac carcinoma of 172 cases with age over 65 years were carried out during 1981-1988. The overall resection rate was 85.4%. The operative mortality was 4.7%. The 5-year survival rate was 38.7%. As indicated by the analysis thaj thet resection rate and 5-year survival rate of aged patients was higher than the younger cases. The authors believe that the advanced age patients with esophageal and cardiac carcinoma can tolerate the operation well, if the associated conditions had been treated properly and sufficient preoperative preparations and postoperative management had been accomplished well. Surgical treatment should not be given up easily for the advanced age patient.

自1981年1月至1988年12月,对172例65岁以上的食管癌和贲门癌进行了外科治疗。切除率为85.4%,手术死亡率为4.7%,五年生存率为38.7%,分析表明,高龄患者的切除率及五年生存率均高于青年患者。作者认为,只要认真处理并发症,做好术前准备及术后处理,高龄食管癌和贲门癌患者是可以承受手术的。对高龄患者的外科治疗不要轻易放弃。

Satisfactory results were obtained in 302 patients with esophageal cancer from Dec. 1987 to Dec. 1989, using esophagogastrostomy through the esophageal bed. Post-operative complications occurred in 5.6% . The overall operative mortality was 0.7% .The value of the operation and the key points of this method were emphatically di-scussed, Its merits are: resecting the lesions radically, decreasing the incidence of post-operative complications. The anthors suggested that this technique is particularly suitable for...

Satisfactory results were obtained in 302 patients with esophageal cancer from Dec. 1987 to Dec. 1989, using esophagogastrostomy through the esophageal bed. Post-operative complications occurred in 5.6% . The overall operative mortality was 0.7% .The value of the operation and the key points of this method were emphatically di-scussed, Its merits are: resecting the lesions radically, decreasing the incidence of post-operative complications. The anthors suggested that this technique is particularly suitable for the aged patients, and patients with deficient pulmonary functions and with carcinoma of the cervical or the superior mediastinal segment of the esophagus. The Key point of this method is to keep the transplaced stomach lying in the esophageal bed.

我院1987年12月至1989年12月对302例食管癌患者手术切除后采用了胃经食管床重建食管术的治疗,取得满意效果。全组术后并发症的发生率为5.6%,手术死亡率为0.7%。 本文对该术式的应用价值、手术注意要点作了重点讨论。认为此术式可以扩大手术适应症,提高肿瘤切除的根治度以及预防减少术后并发症的发生。对高龄患者,肺功能低下者以及胸上段、颈段食管癌患者尤其值得推荐应用。本术式成功的关键是左胸径路手术并保持替代的胃真正位于食管床内。

The relation of patient 5-year survival rate to the clinical pothologlcal features, cell morphometry and steroid hormone receptors (SR) expression of 33 cases breast carcinoma simplex was studied. The results showed that (1) there were some cy-tological parameters implying poor prognosis , i. e. Large nuclear including mean nuclear diameter, perimeter and area, obvious nuclear pleomorphism, little nuclear shape factor, and more mitotic figures, (2) there was a high survival rate in patients over the

分析33例乳腺单纯癌细胞形态定量、临床病理特征及性激素受体(SR)表达与术后5年生存率的关系。结果显示:(1)癌细胞核大(包括平均核直径、周长、面积)、异型性明显、形状因子小、核分裂象多见者预后差;(2)组织学Ⅰ-Ⅱ级、SR表达水平高、无淋巴结转移者及高龄患者预后较好;(3)少数单纯癌虽然细胞核小,但若细胞分化较差、缺乏SR表达且伴有淋巴转移者仍预后不良。表明综合考虑单纯癌细胞和组织病理学特征、SR状态及临床特点,才能更好地估计预后。

 
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