Influence of postoperative complications on prognosis of gastric cancer-The manifestation of gastric surgeon's skill, responsibility and empathy / 中华胃肠外科杂志

Radical gastrectomy combined with perioperative comprehensive treatment is the main curable strategy for gastric cancer patients, and postoperative complications are the issue that gastric surgeons have to face. Complications not only affect the short-term postoperative recovery, but also facilitate tumor recurrence or metastasis, thus resulting in poor prognosis. Therefore, unifying the diagnostic criteria for postoperative complications, bringing the surgeons' attention to complications, and understanding the potential mechanism of complications undermining long-term survival, will be helpful to the future improvement of the clinical diagnosis and treatment as well as prognosis for gastric cancer patients in China. Meanwhile, surgeons should constantly hone their operative skills, improve their sense of responsibility and empathy, and administer individualized perioperative management based on patients' general conditions, so as to minimize the occurrence of postoperative complications and their influence on prognosis.

randomized trail of ligustrazini hydrochlorioi in the treatment of viral encephalitis

Chuanxiong is a herb used in traditional Chinese medicine for the Treatment of viral encephalitis. In animal studies it has shown to inhibit the synthesis and activity of Thromboxane [TXA2] and abate the imbalance between Thromboxane [TXA2] and Prostacyclin [PGI2]. As a result, cerebral edema, ischemia and hypoxia could be improved. The aim of this study is to evaluate its effect in the treatment of viral encephalitis in children

Methodology: ninety-nine patients with viral encephalitis were randomly divided into two groups. Ligustrazini Hydrochlorioi [LH] consisting of 51 cases [males 30, females 21; age 5 years and nine month +/- 8 years and 2month] was given LH 4mg/kg per day in 100- 300mls of 10% glucose and infused intravenously over a three to four hour period, for 7 days as a course of treatment. A control groups of 48 cases [males 31, females 17; age 5 years and three month +/- 4 years and three month] received the conventional treatment of Vitamin C[2.0-3.0g], Coenzyme A[100u] and Adenosine Triphosphate [ATP] [40mg] in 100-300 mls of 10% glucose infused intravenously daily for 7 days

Results: the total response rate in the LH group and the control group were 94.12% and 68.75% respectively [u=3.271 p<0.05]. The average time to improvement was 4.29 +/- 1.41 days and 7.31 +/- 2.66 days respectively. No adverse effect was observed in both groups

Conclusion: we conclude that LH is an effective, safe and well tolerated treatment for children encephalitis