Evaluating the change of outside respiration indexes caused of outside epidural and under arachnoideal anesthesia using marcain-fentanyl during surgery of lumbar herniated disk

A study on 125 patients, who were operated on lumbar spinal disk herniation, included 67 men and 58 women, from 18-70 years old. These patients were divided into 2 groups: group 1 was given epidural anesthesia: 34 men and 32 women used bupivacaine 1mg/kg –1, fentanyl 1µg/kg-1, adrenaline 1/2000.000 with a volume of desensitizer was 1.5 – 1.6ml/spinal cord unit. Fentanyl was mixed into drug injected in extra dura mater. Group 2 was given subarachnoid anesthesia: 33 men and 26 women used bupivacaine 0.15mg/kg –1, fentanyl 1µg/kg-1. Respiration indexes had been measured before and after anesthesia 30 minutes. Results: 30 minutes after anesthesia, group 2 had a decrease of the respiration indexes such as VC, VC%, FEV1, and Tiffeneau, compared that before anesthesia (p 0.05. Subarachnoid anesthesia had Tiffeneau and VC% were lower than epidural anesthesia (p<0.05). The respiration indexes of subarachnoid anesthesia group decreased but still in the allowance limitation.

To evaluate the clearance of cytokines by the technique of continuos filtration of blood in patients suffering from severe intoxicated infected burn

71 patients with severe burns, who had had various organ dysfunction were divided randomly into 2 groups: one underwent continuous veno-venous hemofiltration (CVVH), and the other was control group. Results showed a significant decrease of plasma level of cytokine, including IL2, IL6, IL8 and TNF after CVVH (p<0.01). In addition, mortality rate of CVVH group accounted for 38.71%, considerably lower than those of the control group

Note on the image of photo contrast root sheath in comparing with the diagnosis after operation of hernia of lumbar vertebral disk

200 patients aged 18-67 including 109 males, 91 females were diagnosed definitely as lumbar disk prolapsas by saccoradiculography and treated surgically in the Hospital N0103 from Nov 1999 to Nov 2003. Saccoradiculography give accurate results, without complication and consistent with post operative diagnosis. The tecnique can be used at provincial level, in lacking of MRI