Bullet migration from the knee to the heart after a gunshot injury: a case report / 中华医学杂志(英文版)

Migration of a bullet to a distant part of the body after a gunshot is rarely observed in the clinical setting, and migration to the heart is even rarer. There are usually no clear symptoms or signs from migration of a bullet. The bullet can be easily missed and sometimes identified in a review examination. A case of bullet migration to the heart 2 months after a gunshot to the left knee was reported.

Comparison of anesthetic effects of ropivacaine and levobupivacaine in cesarean section / 上海第二医科大学学报

0.05).Conclusion Epidural anesthesia with 0.75% ropivacaine and 0.5% levobupivacaine for cesarean section may produce equivalent clinical effects.Pharmacokinetic parameters of them are similar,with a good prospect for clinical application.

Effects of ulinastatin on voulme of blood infusion and fibrolysis in neohepatic phase in liver transplantation / 上海第二医科大学学报

Objective To investigate the roles of ulinastatin in improving coagulation function and inhibiting fibrolysis in neohepatic phase in liver transplantation. Methods Forty patients who were to undergo liver transplantation were randomly divided into ulinastatin group(experiment group,n=20) and placebo group(control group,n=20).Platelet,prothrombin time(PT),activated partial thromboplastin time(APTT) and fibrinogen(Fg) were measured at induction,anhepatic phase(10 min after clamping),neohepatic phase(5 and 60 min after unclamping) and the end of operation.Coagulation index(CI) of thromboelastogram(TEG) was monitored,and the volumes of blood loss,red blood cells infusion,fresh frozen plasma infusion and cryoprecipitate infusion were recorded. Results Five min after unclamping,the number of patients with CI