Diabetes mellitus 48 cases of gynecological perioperative management


]. Practical Obstetrics and Gynecology,abercrombie fitch madrid, 1993,9 (5) t242-244. [6] Chen Yuhai, Fucui Rong, Chen Xuyang. Emergency surgery of diabetic patients with perioperative treatment [J]. Chinese Medicine, 2003,19 (9): 843. [7] Yang Jianqiu, Gai Ming-Ying Gestational diabetes and infection [J]. Practical Obstetrics and Gynecology, 2001,17 (5) :262-264. [8] Hua-Ping Zhang. Zeng Yi-ming. Diabetes complicated by infection and its risk factors [J]. China Journal of Clinical 2002.18 (9) {809-810. Date Received :2005-08-15; Revised; 2005-09-12 Editor: Li Zhi angina pectoris, ECG normal coronary artery lesions in patients with coronary heart disease characteristics Suiyun Xia, Zhou Jinghua, Zou Xiaoyu Jiang Daming, Wang Wei [MeSH] angina / diagnosis; heart electrocardiography; coronary vascular / pathology [CLC] R541.420.4 [Document code] 1.1 object A1 objects and methods to collect hospital 2000 ~ 2005 selective coronary angiography and clinical symptoms diagnosed as angina pectoris, but the ECG to the lack of performance of myocardial ischemia in patients with 7O cases,canada goose jakke, 48 ​​males and 22 females, aged 54 to 80 years, no previous coronary heart disease myocardial infarction. Clinical 57 cases of typical angina, atypical angina in 13 cases; 45 cases of unstable angina, stable angina pectoris (n = 25); 38 cases with hyperlipidemia, hypertension 36 cases,canada goose jakke, 29 cases of diabetes, smoking in 42 cases. 1.2 Methods All patients have to undergo a detailed consultation Kun medical history, physical examination, blood biochemical examination, resting electrocardiogram, angina pectoris ECG and selective coronary angiography examination. ECG criteria of myocardial ischemia: (1) -segment horizontal or down sloping depression ≥ O. 05mv and (or) T wave flat, inverted; (2) selective coronary angiography: with Judkln method, conventional left coronary projection 4 individuals, the right coronary vote according to two individuals,ugg boots sale, individual cases and according to the special position to achieve clearly show the purpose of coronary artery disease. To a main branch of the coronary artery (left main,moncler outlet, left anterior descending artery, circumflex artery, right coronary artery and its branches) and luminal stenosis ≥ 5O for the diagnosis of coronary heart disease standard. 1.3 Statistical group count data using chi-square test and measurement data to do a t-test, P <O. 0.05 was considered significant. 2 l1 patients with single vessel disease in this group (15.7%); 2 22 cases of vascular lesions, three vascular lesions in 37 cases, a total of 59 cases (84.3), the difference was very significant P of unit First Hospital of Dandong City, Liaoning Province, 118 000 [Article ID] 1009-6647 (2005) 15-2903-02 <0.01. Single-vessel disease in seven cases the distal or branch vessel disease (63.6), (Ye, drop support branch vessels in 1 case, the circumflex artery and the distal vessels of three cases, right coronary descending artery distal vascular three cases); cases near the middle of the vascular lesions (36.4%) (left anterior descending artery two cases, one cases of circumflex artery, right coronary artery 1 cases), the difference was significant sex P <0.05. four cases near the middle of single-vessel disease in three cases (75) shows that the rich collateral circulation of two vascular lesions involving the left anterior descending artery and right coronary, left anterior descending artery and circumflex artery, the circumflex artery and right coronary artery who were 1O (45.5), seven cases (31 0.8), 5 cases (22.7). In 2 to 3 vascular lesions in 59 cases, 51 cases (86.4) vascular stenosis correspond with each other (ie, left anterior descending artery distal obtuse marginal branch or the circumflex artery distal; or after the left anterior descending artery and right coronary artery in the distal descending artery; the middle of the right coronary, acute marginal branch of the circumflex artery or obtuse marginal branch; right coronary artery proximal left anterior descending artery, circumflex artery proximal), 8 cases (13.6) vascular stenosis correspond with each other, the difference there was a significant P <0. O1, 3 to discuss ECG has been the clinical detection of myocardial ischemia is the most convenient, the most common means, and ECG manifestations of myocardial ischemia is the clinical diagnosis of coronary artery disease, the main basis of angina, clinicians chest pain, ECG myocardial ischemic changes as a standard of whether the diagnosis of angina pectoris, with selective coronary angiography extensively in recent years, the limitations of the ECG diagnosis of myocardial ischemia gradually clinicians know. Moris et al. [1] of 915 cases of resting ECG ischemic manifestations of coronary angiography, resulting in low, high-risk factors (age, smoking, diabetes, left ventricular hypertrophy, lipoprotein and cholesterol levels) crown pulse obvious lesions were 16,44%, 69 domestic king of efficiency gains L2 reported 268 cases of coronary