简介:月亮吊在外面,明晃晃的,密匝匝的槐树叶影飘浮在纱窗上,槐花的香气在室内游移不定。这样的夜晚,因为停了电,Rosey摸索着打开抽屉,捏出半截蜡烛,拿出打火机,点了蜡之后又点上她的烟,一时间烟气和槐花味儿处在一起,好像房间里燃着一炷印度香。阿枝虽然不抽烟,也忍不住深吸了一口这样的气味。她看见Rosey夹烟的左手小指上戴着一粒很大的蓝宝石戒指,大约借助了黑暗,灼灼地有些闪眼。阿枝的眼光一路痴呆下去。
简介:目的:观察体外循环心瓣膜置换术对血浆IL-6、IL-8、IL-10释放及细胞因子平衡的影响。方法:选择20例风湿性心脏病择期心瓣膜置换术患者,分别在麻醉前、腔静脉插管时、主动脉阻断30min、主动脉开放后10min、1h、2h、4h、14h时采集桡动脉血,测定Hct、IL-6、IL-8、IL-10。结果:PCB心瓣膜置换期间的IL-6、IL-8、IL-10变化基本一致;与麻醉前比较,主动脉阻断30min时虽升高,但无统计学意义(P>0.05);主动脉开放10min时显著升高(P<0.01),高峰期位于主动脉开放1-2h时,然后逐渐回降,主动脉开放24h时已接近基础值(P>0.05)。主动脉开放2h、4h时的IL-6值与主动脉阻断时间有关;主动脉开放2h时的IL-6值与CPB时间相关;主动脉开放10min时的IL-10值与主动脉阻断时间和CPB时间相关。IL-6、IL-8、IL-10三者存在相关性。结论:术后无并发症的CPB心瓣膜置换术可促发抗炎症细胞因子反应和促炎症细胞因子反应;独发细胞因子反应的因素虽然较多,但其中以缺血再灌损伤为最重要的独发因素。
简介: I therefore encourage you to take both English and your mother tongue language very seriously. They are both good for your future. Those who are able to should also try and pick up at least a casual knowledge of another Singapore language,will give all of you a good future. It will allow you to reach out to a world of knowledge and technology,they start at Primary Three. And there is huge demand for English language training among those who have already left school - either because they did not have a chance to learn the language earlier or because they are trying to achieve a higher command of the language.