高血压

Objective: To evaluate the feature of ambulatory blood pressure monitoring in elderly hypertensives and rehabilitation therapy .

目的：探讨老年高血压患者的动态血压监测特点及康复干预对轻、中度老年高血压和血浆内皮素的影响。

Sum up as follows now. This group uses 1 clinical data ancon vein is pressed determine heart function of the patient 44, male 24, female 20; age 46 years old of ~79 year old, average 56 years old of; classification by function of new York heart, heart failure Ⅲ spends 6,Ⅱ spends 23,Ⅰ spends 15; right heart failure 31, complete heart failure heart disease of sex of source of 13; lung 14, hypertensive heart disease 8, coronary heart disease 5 (among them acute cardiac muscle straightens dead 2), outspread sex cardiac muscle is ill 7, rheumatism sex heart disease 4, hypertensive heart disease is amalgamative coronary heart disease 3, be short of disease of cardiac muscle of courage and uprightness 2, congenital heart disease 1. 2 detect 2.1 equipment treat the method dish 1, l measure press glass to be in charge of 1 (long 30cm, internal diameter 4mm), also can use measure a head to press a canal to replace, 10mL injector 1, 12500U heparin fluid 1. 2.2 operations patient is taken smooth lie, make be exhibited outside the upper arm show ° of 45 °~60 with trunk, and difficulty breathes like the patient in same horizontal; with right atrium, desirable lie partly, arm height is equivalent to the 2nd costal region.

现总结如下。1临床资料本组采用肘静脉压测定病人的心功能44例，男24例，女20例；年龄46岁~79岁，平均56岁；按纽约心功能分级，心力衰竭Ⅲ度6例，Ⅱ度23例，Ⅰ度15例；右心力衰竭31例，全心力衰竭13例；肺源性心脏病14例，高血压心脏病8例，冠心病5例(其中急性心肌梗死2例)，扩张性心肌病7例，风湿性心脏病4例，高血压心脏病合并冠心病3例，缺血性心肌病2例，先天性心脏病1例。2检测方法2.1设备治疗盘1个，L型测压玻璃管1个(长30cm，内径4mm)，也可以用测脑压管代替，10mL注射器1具，12500U肝素液1支。2.2操作病人取平卧位，使上臂外展和躯干呈45°~60°，且和右心房在同一水平面；如病人呼吸困难，可取半卧位，手臂高度相当于第2肋间。

Objective To determine whether the angiotensin Ⅱ type Ⅰ receptor gene might be implicated in human essential hypertension.

目的确定血管紧张素Ⅱ的Ⅰ型受体与原发性高血压的关系，探索原发性高血压的发病机理。

Abstract］ objective to study the changes of right ventricle and flow of pulmonary artery of hypertension.methods color doppler ultrasound cardiogram were used in 77 cases of hypertension and 56 cases of healthy subject as control group.

摘要］ 目的探讨高血压病时右心室及肺动脉血流的改变。方法选择单纯性高血压患者78例和对照组56例进行多普勒超声心动图检测。

Because corticosteroid can modify the immunological process which is considered the major mechanism involved in AHS, it is used to treat AHS clinically. However, corticosteroid therapy may have deleterious effect (e.g., delayed healing of cutaneous lesions, infections, prolonged hospital stay). Therefore, the use of corticosteroids for AHS remains controversial. We reported a 54-year-old man who had underlying diabetes mellitus with chronic renal insufficiency, hypertension and hyperlipidemia. Allopurinol 100mg twice a day was initiated one month prior to admission. After taking the drug for 24 days, he developed a generalized mild itchy eruption on the trunk and upper extremities followed by chillness, fever, ocular discomfort and painful oral ulcer over one-week period and was admitted to the hospital. A skin biopsy revealed changes consistent with Stevens-Johnson syndrome.

本文报告一位54岁的男性患者，有高血压、高血脂、糖尿病及慢性肾脏功能不全的病史，最近发现有高尿酸血症(11.1mg/dL)而开始服用Allopurinol，在服用24日后，因为逐渐发生皮肤红疹搔痒、口腔溃疡、发烧、畏寒以及眼睛不适，一周之后到医院就医，经诊断为服用Allopurinol所造成之史帝文森－强生症候群(Stevens-Johnson syndrome)，因而在皮肤科住院接受治疗，由於病人有高血压、高血脂及糖尿病，所以入院后仅以支持疗法，并未给予全身性类固醇，然而病人之病况恶化，并有肾功能恶化，因而於住院两日后，转进肾脏科病房，在使用全身性类固醇治疗之后，病况持续改善，并在2周后出院。

Objective To prevent arteriosclerosis and treat hypertension,we studied the relationship between carotid complaisance and hypertension in patients aged 80 and above.

目的 研究≥80岁老年人高血压与颈动脉顺应性的关系，为治疗高血压和预防动脉硬化提供依据。

After orthostatic maneuver, the coefficient of component variance for Low-frequency component increased in healthy control subjects and patients with hypertension, decreased in hypertensive patients with SAS.

对于各频谱段变异系数在调整血压因素后协方差结果显示，与正常对照组相比，休息时SAS合并高血压组总频谱变异系数明显下降(p＜0.05)，高频段变异系数各组间无差别，与正常对照组和单纯高血压组相比，低频段变异系数明显增加(p＜0.01，p＜0.01)。

Further analysis illustrated that similarities and differences lie in the RE of CHD and CAS. Blood stasis and cbronic broncbitis are similar RF of both diseases; similar but different Rf covered liver deficiency, hypertension, diabetes, year of hyperlpemia, high blood sugar, tigh blood stasis, high cbolesterol. Among them, bigher positive rate of liver deficiency, hypertension and diabetes, longer year of hyperlipemia, higbef blood sugar, more serious blood stasis remain in CHD while higher cholesterot existing in CAS in this study. Moreover, qi deficiency, heart deficiency, Phlegm, senility index, putse pressure, LOP, TG, HDL/TC, Low putmonary 、function are different RF of both diseases.

进一步分析CHD和CAS易患因素异同的结果表明：CHD和CAS，相同易患因素有血瘀、慢支；同中有异的易患因素有肝虚、高血压、糖尿病、高脂血症年限、高血糖、高胆固醇、血液粘滞性增高；其中CHD的肝虚、高血压和糖尿病发生率较高，高脂血症年限较长、血糖较高、血液粘滞性严重，CAS的总胆固醇在本次分析中较CHD高；不同易患因素有气虚、心虚、痰浊、衰老指数、脉压、LPO、TG、HDL/TC、肺功能低下。

Part 1: Correlation of aortic distensibility with concentric remodeling of left ventricle in patients with primary hypertensionObjectives: To explore the changes of aortic distensibility and its influencing factors and its relation with the concentric remodeling of left ventricle in patients with primary hypertension.

第一部分：高血压病患者主动脉扩张性改变与左室向心性重构关系探讨目的：通过观察高血压病患者主动脉扩张性的改变及其相关因素，探讨其主动脉扩张性改变与左室肥厚和向心性重构之间的关系。

There may be synergistic action between D and T alleles in pedigreed primary hypertension.

结论家族性原发性高血压与ACE基因I/D多态性及CYP11B2基因T（-344）C多态性之间具有相关性。D及T等位基因频率增高是原发性高血压患者家族中ACE基因I/D多态性及CYP11B2基因T（-344）C多态性的分布特点。D及T等位基因可能在家族性原发性高血压遗传中起协同作用。

I am sure after a few weeks of adaptation and familiarization I will have no difficulty in functioning on a daily basis in an English speaking society or in participating fully in graduate studies.

在大学的三年的学习生活不仅给予我自身的充实，更重要的是磨练和培养了我较强的自觉能力和严谨，踏实的作风以及不怕困难的精神，对未来充满了信心！

As the first volcanoes erupted, one of the gases that bellowed out was steam.

在第一批火山喷发时，喷出的气体之一就是水蒸汽。