The relationship between coronary heart disease and insulin resistance and lipid metabolism


tCare, 2001,ralph lauren outlet,24 (1) :89-94. [5] HaffnerSM, AgostinoRD, SaadMF. eta1. Carotidarteryather0scler0sisintype a iabeticandnondiabeticsubjectswithandwiyhoutsympt omaticcoronaryarterydisease (theInsulinResistanceAtherosclerosisStudy) [J]. Amardio1.2000.85 (12) :1395-1400. 63 Lee, Miss Emily. x syndrome circulating endothelial markers and clinical significance [J]. Misdiagnosis,ugg botas, 2005.5 (5) :892-893. [73GorayaTY. LeibsonCL,ugg españa, PalamboPJ, eta1. Coronaryarterioscle-rosisindiabetesmellitus [J]. JC. 2002.5 (4) :946-953. [83PrakashC. Deedwania. Clinicalsignificanceofcardiovasculardys-metabolicsyndrome [J]. CurrControlTrialsCardiovascMed. 2002,3 ​​(1) :2-11. Received date :2005-07-23; Revised :2005-08-23 Editor: the Guo Huaiyong laparotomy gastric lavage to rescue the severe organophosphorus pesticide poisoning and clinical analysis of Wang Zhifeng, Liu Ruiqing 【Key words】 gastric lavage /: Y-method; kill insecticide, organic phosphorus / poisoning; first aid [CLC] R595.51.05 [code] [Article ID] 1009-6647 (2005) 14-2 658-02199O 2003, our hospital with severe organic pesticide poisoning purposes laparotomy gastric lavage saline repeatedly washed until the wash liquid is tasteless, and then injected into a cathartic, and drill down to close 3O cases, rescue experience as follows. Abdominal cavity, place the drainage tube. Antidote to the application of comprehensive treatment of gastric lavage at the same time are used. An object and methods 1.1 object in this group, 2 males and 28 females,moncler outlet, aged 16 to 50 years old. 15 cases of oral dichlorvos, omethoate seven cases, 16,058 cases; swallow up up 1O0ml least 30ml; medication rash time shortest 40min, up to 1.. 30 cases were in a coma, Caesarean section, to cut the time shortest is 5rain, up to 20rain. 30 cases were in treatment before or in the rescue process, coma, in which light coma in 12 cases,abercrombie and fitch sale, 18 cases of deep coma. Respiratory failure in 22 cases, blood pressure is too low by 8 cases. Patients are moist rale, sweating, bilateral pupil is extremely narrow, muscle trembling, occupational acute organophosphorus pesticide poisoning diagnosis and principles blood cholinesterase activity <3O [2]. 1.2 were in the emergency room under local anesthesia (deep coma who may or may not) for upper abdominal midline incision, the length of the incision to the stomach revealed a good and appropriate, the general 7 ~ m, were cut before the layers to the stomach wall. Cut the stomach 3 ~ m, placed in the tube, life-saving treatment of physiological unit: emergency department of the First Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan 4710032 results in this group by more than varying degrees of cholinesterase activity rebound in 8 case of cholinesterase activity 6O 15 cases 5O, 5 cases of 4O. Patients awake time, three cases in about 1 2 6 cases, 19 cases of 3 ~ . 2 cases died due to a merger of multiple organ failure rescue. 3 Discussion of dichlorvos, omethoate, 1605 for a high degree of organic phosphorus pesticide, oral absorption through the digestive tract quickly, on cholinesterase inhibition, excess acetylcholine in the body accumulation of serious poisoning. Gastric lavage is the key to the rescue should be timely, regular, continuous and thorough. Fail, because they can not intubation or intubation, gastric lavage in critical condition, should be decisive and quickly take laparotomy gastric lavage to achieve the elimination of the drug sources, lay the foundation for the comprehensive treatment and reduce mortality. Poisoning, first entered the emergency room in order to avoid delay in rescue due to move, so laparotomy gastric lavage should be carried out in the emergency room, the relevant departments work closely together to form a rescue team, racing against time, as soon as possible line laparotomy gastric lavage technique,