金融支持与吉林省房地产市场的发展

近年来吉林省房地产市场得到了长足的发展,但是吉林省的房地产市场仍然处于一个较为初级的发展阶段,房屋价格远远低于全国平均水平,而且面临着较为严重的供给约束和有效需求不足问题。虽然以银行贷款为主的金融支持推动了吉林省房地产市场的发展,但是吉林省房地产市场的金融支持力度仍低于全国平均水平。因此,应当在现有金融支持规模的基础上,适当加大支持力度,以便更好地促进吉林省房地产市场的发展。     

城乡统筹、合理配置再生水资源用于农业的对策建议

该文通过分析中国农田污灌现状及其危害,揭示“城市再生水利用率”具体指标实现上仍存在的结构性矛盾,论述在没有充足常规水源的情况下,开发利用再生水农灌是农田生态修复的可行措施,提出把再生水回用农灌作为各级政府统筹城乡发展的重要内容及其可行性建议,以实现水资源的优化配置和循环利用,保证社会主义新农村又好又快地建设。     

原发性高血压早期肾损害中医证候学观察

目的:观察原发性高血压早期肾损害的中医证候学特点和规律。方法:对120例原发性高血压早期肾损害患者进行中医证候学分析,并以60例无肾损害的原发性高血压患者作为对照,统计分析不同中医证候积分。结果:原发性高血压早期肾损害患者以肝、肾证候及阴虚、气虚、血瘀证候积分最高,明显高于无肾损害的原发性高血压患者(P<0.01)。结论:原发性高血压早期肾损害的主要病机为肝肾阴虚兼气虚血瘀。     

养肝益水颗粒对原发性高血压早期肾损害患者肾叶间动脉血流的影响

目的:观察养肝益水颗粒对原发性高血压早期肾损害患者肾叶间动脉及肾主动脉峰值流速(Vmax)、阻力指数(RI)的影响。方法:70例辨证为肝肾阴虚或兼血瘀型原发性高血压早期肾损害患者,随机分为治疗组和对照组各35例,治疗组给予养肝益水颗粒加西药常规治疗,对照组仅予西药常规治疗,观察治疗前后肾叶间动脉及肾主动脉Vmax、RI等指标的变化。结果:治疗后治疗组肾叶间动脉血流Vmax上升程度、RI下降程度与对照组相比,差异有显著性(P<0.05,P<0.01);治疗后肾主动脉Vmax均较治疗前有所升高,RI有所下降,但差异无显著性(P>0.05)。结论:养肝益水颗粒对原发性高血压早期肾损害患者肾叶间动脉血流有积极影响。     

Renal Tubular Epithelial Vacuoles—A Marker for Both Hyperlipidemia and Ketoacidosis at Autopsy

Review of 15 cases of nephrotic syndrome found that eight had significant hyperlipidemia with serum cholesterol levels ranging between 10.59 and 18.60 mmol/L (mean 12.88) and serum triglyceride levels between 2.30 and 9.92 mmol/L (mean 4.58); all of these cases displayed basal lipid vacuolization. Seven of the 15 study cases had normal–mild hyperlipidemia with serum cholesterol levels ranging between 4.71 and 7.54 mmol/L (mean 6.02) and serum triglyceride levels between 0.65 and 4.1 mmol/L (mean 1.57). Six of the seven cases had basal lipid vacuoles (86%). Of these, five cases were hyperlipidemic and one case had borderline hyperlipidemia with a serum cholesterol level of 4.71 mmol/L. Although hyperlipidemia was associated with renal tubular epithelial vacuolization, the vacuoles appeared morphologically different to those found in ketoacidosis. This study has shown that while hyperlipidemia in isolation may result in basal lipid vacuolization within renal tubular epithelial cells, the phenotype differs from that observed in ketoacidosis.     

肾康注射液对肾小球系膜细胞自分泌ET-1、NO水平的影响

目的：探讨肾康注射液（ＳＫＩ）阻抑肾小球硬化（ＧＳ）,防治慢性肾功能衰竭（ＣＲＦ）的部分作用机理,为ＳＫＩ临床应用提供依据。方法：采用放射免疫检测技术,观察ＳＫＩ对体外培养人肾小球系膜细胞（ＧＭＣ０自分泌内皮素－１（ＥＴ－１）,一氧化氮（ＮＯ）水平的影响。结果：ＳＫＩ及其含药血清明显抑制自分泌ＥＴ－１,促进其自分泌ＮＯ,有量效依赖性;与肝素合用,协同抑制ＧＭＣ自分泌ＥＴ－１水平。     

Endobronchial/Tracheal Metastasis and Sudden Death

Endobronchial and endotracheal metastases are rare lesions that may cause acute occlusion of major airways. A case is reported of a 62‐year‐old man with history of renal cell carcinoma and hemoptysis who died after having suddenly become short of breath with cyanosis. At autopsy, recurrent renal cell carcinoma was identified with metastases to the lungs, pulmonary hilar lymph nodes, and brain. In addition, a solitary papillomatous metastasis arising from the mucosa of the carina was obstructing both the main bronchi and distal trachea. Death was due to acute airway obstruction by a metastatic deposit at the bifurcation of the trachea in a case of disseminated renal cell carcinoma. This case demonstrates an extremely rare cause of sudden death that may complicate disseminated malignancy.     

Unexpected Death in Elephantiasis Due to an Abnormal Life-Style

Abstract:  A 22-year-old man was found dead after he had continued to sit on a reclining chair for 2 years. He had consumed an unbalanced diet, kept wearing the same pair of socks and never washed himself for the term. His skin of bilateral crura developed into elephantiasis with severely festered ulcers on its surface. At autopsy, subcutaneous edema was significant in his lower limbs, and chronic circulatory disturbance of lymphoducts and veins was observed histologically. There were no crucial findings to account for chronic edema in the lower limbs. It has been reported that maintaining a seated posture obstructs both lymphoducts and veins because of bending the groin, decreases their return flow by inducing muscular atrophy, and causes subcutaneous edema in the lower limbs. Oligotrophia and dirt on his limbs might have exacerbated the chronic edema in elephantiasis. We concluded that a long-term abnormal life-style had caused fatal elephantiasis.     

蓉黄益肾解毒颗粒治疗非透析慢性肾衰竭肾虚湿热证临床观察

目的 观察蓉黄益肾解毒颗粒对非透析慢性肾衰竭（chronic renal failure, CRF）肾虚湿热证患者的临床疗效。方法 选择64例非透析CRF肾虚湿热证患者,随机分为对照组和治疗组各32例。治疗组与对照组均给予中药保留灌肠及西医基础治疗,治疗组加用蓉黄益肾解毒颗粒,每日3次,每次1袋,疗程均为8周。观察两组临床疗效及治疗前后血清肌酐（serum creatinine, SCr）、血尿素氮（blood urea nitrogen, BUN）、胱抑素C（cystatin C, CysC）、同型半胱氨酸（homocysteine, Hcy）水平变化情况。结果 治疗组临床疗效和中医证候疗效均优于对照组（P＜0.05）。治疗前治疗组和对照组SCr、BUN、CysC、Hcy水平比较,差异无统计学意义（P＞0.05）;治疗组治疗后SCr、BUN、CysC、Hcy水平均较治疗前显著降低（P＜0.05）,对照组治疗后上述指标无明显变化（P＞0.05）;治疗组治疗前后SCr、BUN、CysC、Hcy差值显著大于对照组（P＜0.05）。结论 蓉黄益肾解毒颗粒能明显改善非透析CRF肾虚湿热证患者的临床症状,保护其肾功能。