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ObjectiveTo observe the clinical application of amiodarone combined with benazepril to paroxysmal atrial fibrillation. Methods80 patients were randomly divided into observation group and control group of 40 caess ,the control group only used amiodarone treatment and observation group used amiodarone combined with benazepril,compared 24h, 1、3、6、12months after treatment, sinus rhythm conditions and adverse reactions. ResultsThe observation group in sinus rhythm cardioversion rate was 20.0％ (8/40), control group was 15.0％ (6/40) ,it had no significant difference between the two groups at 24h( x2 =0. 346 ,P =0. 556) ;observation group in sinus rhythm cardioversion rate was 57.5％ ( 23/40 ) ,67.5％ ( 27/40 ) ,62.5％ ( 25/40 ) ,57.5％ ( 23/40 ), the control group was 32. 5％ (13/40) ,40.0％ (16/40) ,27.5％ (11/40) ,30.0％ ( 12/40 ) at 1,3,6,12 months, it had statistically difference betweem the two groups ( x2 =5.051,6.084,9.899,6.146, P =0. 025 ,0. 014 ,0. 002 ,0. 013 ). 1 case of observation group with gastrointestinal discomfort, 3 cases of control group with nausea and vomiting occurred in,4 cases with bradycardia,2 cases with QT interval prolongation,the incidence of adverse reactions in observed group was lower than the control group( x2 =5. 600,P =0.018). ConclusionThe clinical effect of amiodarone combined with benazepril treatment of paroxysmal atrial fibrillation was better than amiodarone alone,it could effectively reduce the adverse reaction, so it was worthy of attention.
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OBJECTIVE To understand and use reasonably the strategy of prevention and management of overwhelming postsplenectomy infection(OPSI). METHODS According to intervention to patients with postsplenectomy by means of education,vaccination,antibotic prophylaxis after April 1998,clinical and follow-up data were reviewed and analyzed from 337 cases patients with traumatic splenectomy from Jan 1992 to Jan 2004,and correlative factors of four OPSI cases were further analyzed. RESULTS Incidence of OPSI descended obviously after intervention(P
ABSTRACT
Astragalus mongholicus with red or green stalks and A.mcmbramaceus with or witho ut down on it leaves were differentiated by comparing their pollen, vein on their leaf surf ace, scanning their stigma and ovary with election microscope and analyzing their isoenzy mes aud lipases