Modified dacrocystorhinostomy with lacrimal duct intubation for chronic dacryocystitis and its complications / 国际眼科杂志(Guoji Yanke Zazhi)

AlM: To discuss the efficacy of modified dacrocystorhinostomy with intubation in the treatment of chronic dacryocystitis combined with lacrimal duct narrow or obstruction. METHODS: Retrospective analysis of 56 patients who underwent modified dacrocystorhinostomy with intubation in our hospital from July 2010 to September 2011. RESULTS: All patients underwent the extubation of lacrimal and catheters irrigation, the patency rate was 95% at 2a after operation. CONCLUSlON: Modified dacryocystorhinostomy combined with intubation is a effective method for chronic dacwocystitis combined with lacrimal duct obstruction, which has simple operative procedure, high success rate.

Identification of 2 strains of suspected Yersinia pestis isolated from Marmot,,himalayana in Dege County,Sichuan Province / 中国地方病学杂志

Objective Throush identify biochemical characteristics and virulence factors of 2 strains suspected Yersinia pestis(Y.pestis)isolated from the dead Marmota himalayana(M.himalayana)to confirm the nature epidemic focus in Dege County,Sichuan Province.Methods Y.pestis was analyzed by specific staining and shape,culturing characteristics,splitting-test by bacteriophage,test of biochemical characteristics and glycolysis ability,virulence factors,virulence,nutritional requirement,plasmid,genetic test and genetic type. Results The tested strains were Gram staining bacilus.The main biochemical characteristics were Arabinose(+)、 Rhamnose(-),Maltose(+),Melibiose(-),Glycerol(+),Denitrification(+).The virulence factors with FI+.VW+, Pgm+,Pst I+;and with the common 6.0×106,45.0×106,65.0×106 plasmids,also with the virulence-relative plasmid gene.Both their absolutely lethal dose(LD100)in mice were 50 bacteria.The nutritional requirement appeared which were depended on Phenylalanine and Methionine.With the Genomovar 5 genotype characteristics of M.himalayana plague foci of Qinghai-Tibet plateau.The difference between tested strains and Yersinia pseudotubercuosis on the 3 different culture medium was obvious.The tested strains had a Y.pestis' specific 3a fragment,Pst I and FI-Ag,at 22 ℃,the strains could be split by bacteriophage completely.Conclusions According to the diagnostic criteria of plague in China,the 2 suspected strains isolated from Dege County,Sichuan Province ale confirmed as Y.pestis.both with powerful virulenceand with the characteristics of the Y.pestis of M.himahtyana in Qinghai-Tibet plateau plague natural focus.