常规超声及超声新技术在周围型肺癌中的应用进展

近年来,随着超声技术的不断发展,常规超声及超声新技术在周围型肺癌中的作用,逐渐得到认可。本文就常规超声,以及超声造影、弹性成像、介入性超声及超声支气管镜等超声新技术,在周围型肺癌中的应用进展进行综述。     

中华医学会第七次全国超声医学学术会议征文通知

中华医学会第七次全国超声医学学术会议拟于 2 0 0 3年 9月 18～ 2 0日在湖南长沙召开。本次会议属全国一类会议 ,会议将交流超声医学临床及实验研究成果 ,讨论超声医学当前热点问题与发展前景 ,同时将聘请国内外一流超声专家到会作超声新技术、新进展专题讲座 ,并举办大型超声仪器及设备展览。欢迎各位超声医学工作者踊跃投稿 ,积极与会 ,现将征文有关事宜通知如下 :一、征文内容超声基础理论研究、颅脑超声、心血管超声、胸腔及纵隔超声、腹腔脏器超声、妇产科超声、浅表器官超声、骨骼肌肉及外周血管超声、介入性超声、术中超声和腔内超…     

携手共进同创未来

新年伊始,万象更新.在这辞旧迎新的美好时刻,回顾本世纪超声医学发展的历程,使我们对2012年超声医学的发展充满希望和憧憬.进入21世纪以来,超声医学进入了飞速发展的时代.超声医学从二维超声扩展到三维超声和四维超声;从单纯的诊断技术扩展到治疗技术;从传统的形态学成像扩展到微血管成像、功能成像,甚至是分子成像.超声造影、腔内超声、三维超声、超声弹性成像、超声引导介入诊断与治疗、超声光散射断层成像等技术发展迅速,为超声医学的发展描绘出令人鼓舞的前景.     

全军第十一届超声医学专业学术会议会议通知

全军第十一届超声医学专业学术会议拟定于2009年9月24-26日在兰州市召开。征文内容包括：超声基础理论研究、颅脑和小器官超声、胸腔及纵隔超声、心脏和血管超声、腹部脏器和泌尿系超声、妇产科超声、运动系统超声、彩色多普勒超声及能量图、声学造影及新进展、超声新仪器新技术、超声组织定征、超声医学工程技术、超声治疗、三维和四维超声、介入性超声等。征文要求：未公开发表的论文摘要,限800～1000字,请写明目的、资料与方法、结果及结论,     

阴道超声联合腹部超声诊断宫外孕的效果

目的探讨阴道超声联合腹部超声对宫外孕的诊断效果。方法选取我院收治的宫外孕患者46例,分别采取阴道超声、腹部超声以及阴道联合腹部超声检查。观察检查效果,对比3种诊断方法的诊断准确率、漏诊率以及各项指标检测情况。结果经阴道超声联合经腹部超声的诊断准确率高于单一的经阴道超声以及经腹部超声检查,漏诊率低于单一的经阴道超声以及经腹部超声检查(P 0.05)。经阴道超声联合经腹部超声的各项指标检出率高于单一的经阴道超声以及经腹部超声检查(P 0.05)。结论对宫外孕患者采取阴道超声联合腹部超声诊断,能够有效提高检查准确率,降低漏诊的发生,可在宫外孕的诊断中推广应用。     

《腹盆部疾病彩色多普勒超声诊断图谱》

由林礼务、薛恩生编写的《腹盆部疾病彩色多普勒超声诊断图谱》已在科学出版社出版,该书分16章,介绍了腹部脏器与妇产科常见病的临床病理与超声表现要点,内容涵盖二维超声、彩色多普勒超声、三维超声、超声造影以及腔内超声、介入超声等,并附以典型的超声图像1700多幅,图文并茂,内容翔实;有助于加深对各种疾病超声诊断的理解与学习,对各级超声医师、影像专业师生与相关临床医师有所裨益。     

全军第十一届超声医学专业学术会议会议通知

全军第十一届超声医学专业学术会议拟定于2009年9月24—26日在兰州市召开。征文内容包括：超声基础理论研究、颅脑和小器官超声、胸腔及纵隔超声、心脏和血管超声、腹部脏器和泌尿系超声、妇产科超声、运动系统超声、彩色多普勒超声及能量图、声学造影及新进展、超声新仪器新技术、超声组织定征、超声医学工程技术、超声治疗、三维和四维超声、介入性超声等。征文要求：未公开发表的论文摘要,     

中华医学会第六次全国超声医学学术会议征文

中华医学会第六次全国超声医学学术会议拟于 2 0 0 1年 5月在江苏南京召开。本次会议属全国一类会议 ,除学术交流外 ,将聘请多位国内外一流超声专家到会做超声新技术、新进展专题讲座 ,并举办大型超声仪器及设备展览。现将征文有关事宜通知如下 :一、征文内容 :超声基础理论研究、颅脑超声、心血管超声、胸腔及纵膈超声、腹腔脏器超声、妇产科超声、浅表器官超声、骨骼肌肉及外周血管超声、介入性超声、术中超声和腔内超声、多普勒超声、三维超声、声学造影及其他超声新技术。二、征文要求 :1 .请寄论文全文 ( 30 0 0字以内 )及摘要 ( 80 0…     

中美超声学者培训通知

北京超声医学学会为了促进超声国际学术交流和医学超声事业的发展,在国内外超声专家的努力和筹划下,与美国杰斐逊超声研究所合作,建立了中美超声学者培训项目。本项目组在北京超声医学学会的领导下,以项目委员会形式进行运行和管理。目前,中美超声学者     

医用超声诊疗过程消毒的卫生学意义北大核心

超声医学是声学、医学和电子工程技术相结合的一门新兴学科,含超声诊断学、超声治疗学和生物医学超声工程等。超声医学研究范围包括超声对人体的作用和反作用规律,并加以利用以达到诊断、保健和治疗等,其应用范围包括超声诊断、超声治疗、超声生物效应和超声处理等。所以超声医学具有医、理、工三结合的特点,涉及的内容广泛,在预防、诊断、治疗、康复、监护和普查人体疾病中有较高的实用价值。     

The acoustic characteristics of the skull

Many investigators have stated that the difficulties of imaging with acoustical energy through the skull result from the marked attenuation of the energy by the skull. In the literature measurements of total attenuation have been confused with those for absorption.Measurements made by us show that absorption by compact bone varies between 2–3 dB cm^?1 MHz^?1 and, in the low megaHertz region appears to be directly proportional to frequency.It has also between shown that the convoluted inner surface of the ivory bone of the inner table of the skull may degrade the collimation and directionality of the beam by refraction.Cancellous bone, such as is present in the dipole of the skull, greatly attenuates the energy. It is postulated that this largely results from scattering. It is also postulated that the energy propagates through cancellous bone as two components, one in the soft tissues and the other partly in the bony spicules. Observations suggest that attenuation due to scattering much more markedly affects the latter of these components and scatters more greatly the higher frequencies in a pulse of broad bandwidth.The energy in each component has varying propagation paths so that the later cycles in the pulse of each component are subject to increasing interference as a result of the variations in propagation times. The two components moreover may have different propagation times so that interference may occur between the pulses of each component as well.All of these phenomena degrade the collimation, coherence, directionality, beam width, pulse length, frequency and other properties of the ultrasonic energy upon which imaging through the skull depends.The interference effects described above are least for the first cycle in the pulse which usually is not the cycle of highest amplitude. Since, in the free field, most of the energy is concentrated around the beam axis, most of the energy in the field which is deflected from its normal propagation path is deflected away from the beam axis. Thus the directionality of the beam is least degraded in the beam axis. The effects of the skull in degrading the properties of the ultrasonic pulse would therefore be lessened if the amplitude of the first cycle of the pulse and the directionality of its energy could be used for imaging.     

儿童遗传性心律失常的诊治进展

回顾在遗传性心律失常领域最新发表的相关研究,主要关注与儿童心源性猝死关系密切的离子通道病,包括长QT综合征（LQTS）、短QT综合征（SQTS）、Brugada综合征（BrS）和儿茶酚胺敏感性多形性室性心动过速（CPVT）,总结它们在发病机制及诊治方面的进展。     

Organ Preservation: Current Concepts and New Strategies for the Next Decade

SUMMARY: Organ transplantation has developed over the past 50 years to reach the sophisticated and integrated clinical service of today through several advances in science. One of the most important of these has been the ability to apply organ preservation protocols to deliver donor organs of high quality, via a network of organ exchange to match the most suitable recipient patient to the best available organ, capable of rapid resumption of life-sustaining function in the recipient patient. This has only been possible by amassing a good understanding of the potential effects of hypoxic injury on donated organs, and how to prevent these by applying organ preservation. This review sets out the history of organ preservation, how applications of hypothermia have become central to the process, and what the current status is for the range of solid organs commonly transplanted. The science of organ preservation is constantly being updated with new knowledge and ideas, and the review also discusses what innovations are coming close to clinical reality to meet the growing demands for high quality organs in transplantation over the next few years.     

2017年呼吸疾病主要进展

2017年,国内外学者在呼吸系统疾病的临床和基础领域均进行了深入研究,不仅对相关指南进行了更新,并且针对一些临床热点、难点问题达成专家共识,现就2017年呼吸疾病相关进展作一简单介绍。     

家族性噬血细胞性淋巴组织细胞增生症1例并文献复习

目的加强对家族性噬血细胞性淋巴组织细胞增生症（familially hemophagocytic lymphohistiocytosis,FHL）的认识。方法报道确诊为FHL的新病例1例,结合国内外报道的FHL的病例,对该病的临床特点进行汇总分析。结果FHL2常与PRF1基因突变相关,约20%~40%的患者存在穿孔素基因突变。结论对于有阳性家族史,基因诊断明确,应尽早行化疗或者造血干细胞移植。若无家族史,未发现与继发性HLH相关的原发病因,可考虑行基因筛查以明确是否存在FHL的可能。     

动态心电图临床操作标准化方法

动态心电图,又称Holter或Holter检查,是一种评价各种心脏病患者心电图异常的简便、高效、准确、安全的无创检查,广泛用于心律失常的相关症状评价,心肌缺血的诊断,心脏病患者的预后和日常生活能力评估,药物疗效评价,起搏器等埋藏式心脏电治疗装置监测等领域。目前动态心电图已广泛用于于临床各级医疗机构,为了更好地发挥其作用,有必要对该项技术进行规范化培训。本文参考相关指南、共识及专家建议,结合作者经验,撰写动态心电图临床操作标准化方法供临床使用时参考。     

Burkitt's lymphoma of maxillary gingiva: A case report

Burkitt's lymphoma(BL) is an aggressive form of nonHodgkin's B-cell lymphoma with three variants namely endemic, sporadic, and immunodeficiency-associated types. It is endemic in Africa and sporadic in other parts of the world. While the endemic form is widely reported to occur in early childhood and commonly involves the jaw bones, the sporadic form typically presents as an abdominal mass. This presentation reports a rare case of sporadic form of BL clinically manifesting as a generalized gingival enlargement in an immunocompetent adult male which demonstrated an aggressive behavior. The patient reported with a prominent anterior gingival swelling of 6 mo duration which slowly enlarged in size and associated with multiple lymph node involvement. Microscopic examination of the lesion using H, E and immunohistochemical diagnosis confirmed the diagnosis as BL. The patient succumbed to the disease before any therapy could be instituted. Since a wide array of causes can be attributed to gingival enlargements, it is necessary to consider malignancies as one of the important differential diagnosis so as to facilitate the need for appropriate diagnosis and prompt treatment.     

甲状旁腺功能减退性心肌病的系统综述

目的 甲状旁腺功能减退（甲旁减）性心肌病是一种罕见的心脏疾病,为扩张型心肌病中少数可逆转的一种,常被误诊为不明原因或难治性心力衰竭。本文旨在探寻甲旁减性心肌病的规律性特征。方法 检索Pubmed、SinoMed、万方数据库中符合标准的甲旁减性心肌病病例,采用统计分组法对纳入研究的文献进行分析,依据系统综述和meta分析优先报告条目（PRISMA声明）进行报告。结果 在我们筛查出的41例患者中,女性居多（68.29%）,平均年龄为45.5岁,各年龄段均有发病。甲旁减性心肌病最常见的病因为特发性甲旁减（78.05%）,颈部手术导致的甲旁减性心肌病次之（17.07%）。患者均以心力衰竭就诊,伴不同程度的低钙血症。51%的患者有神经肌肉兴奋性增加的病史,90%的患者左心室射血分数降低。该病误诊漏诊率较高,仅36%的患者于入院后即明确诊断为甲旁减性心肌病。低血钙的纠正是治疗的关键,90%的患者心脏功能在血钙浓度正常化后恢复至正常。结论 对所有不明原因或难治性心力衰竭患者都应警惕甲旁减性心肌病的可能。     

单核细胞/高密度脂蛋白胆固醇比值不能预测PCI术后对比剂肾病的发生

目的 探讨术前单核细胞与高密度脂蛋白比值(monocyte to high density lipoprotein cholesterol ratio, MHR)与经皮冠状动脉介入（percutaneous coronary intervention , PCI）治疗后发生造影剂肾病（contrast induced nephropathy, CIN）的相关性，为CIN的发生寻找其他可能的危险因素，为及早筛选CIN高危人群提供新的方向。方法 回顾性分析5P试验入选的我院心内一科行经皮冠状动脉介入治疗术的冠心病患者1 087例，根据在PCI术后是否发生造影剂肾病分为CIN组和非CIN组，研究CIN的相关危险因素，分析MHR与造影剂肾病的相关性，应用Logistic回归分析查看MHR是否为CIN发病的高危因素。结果 CIN组共57例，非CIN组1 030例。两组在高脂血症、BMI、左心室射血分数（LVEF）、术前尿酸及术前C 反应蛋白水平等方面比较差异有统计学意义（P＜0.05）。 Logistic回归分析显示LVEF及糖尿病与造影剂肾病的发生相关。结论 同以往研究结果不同，MHR并不能作为CIN的危险因素，但LVEF对于CIN可能具有更高的预测价值。