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1.
Objective To review the presentation, diagnosis and recent developments in the pharmacological and invasive treatmentof ST elevation myocardial infarction (STEMI) with a special focus on health-care organization in order to increaseaccessibility of primary percutaneous coronary intervention (PCI).  相似文献   

2.
Due to its own internal laws of development,Chinese medicine(CM)seems more inclined to empirical medicine in a relatively long historical period.It is considered to be lacking objective and unified clinical practice guidelines(CPGs),and the difficulties in diagnosis and therapeutic effect evaluation comes with it,have restricted its further inheritance,development and international communication.Over the years,our research group has been committed to improving the standardization theory and methodology of CM,also perfecting relative techniques for further application,which are all based on the stratified evidence scoring method.We have already applied this method to 45 issued guidelines,including 5 national guidelines,3 industrial guidelines,and 37 formulation/revision social organization guidelines.The stratified evidence scoring method has been recognized and used widely.It helps scholars and applicators to study,formulate,publish and popularize the acupuncture therapy clinical practice guidelines better,thus further promotes the development of acupuncture therapy.  相似文献   

3.
杨辉 《中国全科医学》2008,11(9):796-797
1病例简介患儿,男,7岁,突发高热,精神萎靡,嗜睡。发病12h后厌食,呕吐3次后就诊。患儿自诉头痛,在胸部和背部发现细小皮疹。体检结果提示,患儿明显地表现为麻木状态,面色潮红,病态显著。躯干上发现一些细小的斑点状皮疹。四肢末端温度较低,而且毛细血管回流低于正常。生命体征为  相似文献   

4.
《中国乡村医生》2008,24(12):18
传染性软疣 由传染性软疣病毒引起,一般可通过直接接触传染,也可自体接种,儿童常见.皮损为有圆形或半圆形丘疹,呈肉色或粉红色,有蜡样光泽,中心呈脐凹状,含有干酪样物,数目较多,多发于前胸后背,可挤压出.治疗可用小镊子夹住疣体,将之挤出或挑出干酪样物,外涂2%碘酒.  相似文献   

5.
《中国乡村医生》2008,24(11):59
由上海强生制药有限公司与<中国社区医师>杂志社联合开展的"强生泰诺杯--社区爱心天使大奖赛"已启动,请根据相关文章将第3期、7期、11期、15期的参赛答题卡连续4次正确填写并按要求回寄给我们,您可获国家一类学分4分并有资格参加"强生泰诺怀-社区爱心天使大奖赛".  相似文献   

6.
《安徽医学》2015,(12):1529-1529
本刊已建立数字化期刊,本刊及本刊合作机构通过光盘、网络、手机等载体传播本刊论文,论文著作权使用费及相关稿酬,本刊均用作为作者文章发表、出版、推广交流(含信息网络)以及赠送样刊之用途,即不再另行向作者支付。  相似文献   

7.
针灸大椎穴对慢性应激失调大鼠行为学及下丘脑AVP的影响   总被引:2,自引:0,他引:2  
目的观察针灸大椎穴对慢性应激失调大鼠行为学及下丘脑室旁核精氨酸加压素(AVP)阳性神经元数量的影响.方法按随机数字表随机将SD雄性大鼠分为正常组、模型组、艾灸组、针刺组.应用分养和长期不可预见性的中等强度刺激造成慢性应激失调模型,观察各组大鼠精神状态、体重、蔗糖偏嗜度、旷场实验等行为学的不同;用免疫组织化学和图像分析法比较各组动物下丘脑室旁核精氨酸加压素阳性神经元的数量.结果慢性应激可致大鼠活动明显减少、食欲不振、精神萎靡,并且体重增加数、蔗糖偏嗜度、旷场实验中活动次数显著减少;下丘脑室旁核AVP阳性神经元的数量明显高于正常组.艾灸或针刺大椎穴均可明显改善上述情形、下调AVP阳性神经元的数量(P<0.05~P<0.01).艾灸与针刺比较无明显差异.结论艾灸与针刺大椎均可明显改善抑郁大鼠的行为异常,其作用可能是通过对应激中枢下丘脑AVP的调节实现的,二者无明显差异.  相似文献   

8.
目的 比较创伤刺激和使用肾上腺素、地塞米松或两药合用对小鼠应激能力的影响.方法 分别采用剪尾法及游泳法结合血糖水平测定观察小鼠应激状态的变化;进一步在给予地塞米松、不同浓度肾上腺素及两药合用条件下,测定血糖水平和游泳力竭时间,观察药物对小鼠应激能力的影响.结果 剪尾组血糖水平与生理盐水对照组间比较,差异无统计学意义(P>0.05);给予一定剂量肾上腺素的小鼠,其血糖水平明显高于创伤刺激组和对照组小鼠,差异有统计学意义(P<0.05);在各种药物使用的比较中,较高浓度肾上腺素组游泳力竭时间明显短于地塞米松组和对照组,差异有统计学意义(P<0.05);较高浓度肾上腺素组、两药合用组游泳后血糖水平均明显高于地塞米松组和对照组,差异有统计学意义(P<0.05);低浓度肾上腺素组游泳后血糖水平也明显高于对照组,差异有统计学意义(P<0.05).结论 与对照组相比,剪尾创伤并不足以引起显著的以血糖升高为特点的应激反应;给予肾上腺素及肾上腺素与地塞米松合用虽均显著升高血糖水平但会降低小鼠的运动应激能力.  相似文献   

9.
目的 探讨劳务女工孕期血铅水平与其血压的关系,为改善围生期工作,促进孕妇健康提供参考.方法 对2008年3月至2009年11月在深圳市宝安区妇幼保健院产前门诊建卡的劳务女工孕妇进行问卷调查、血压及血微量元素浓度测定.随机选取其中897例资料完整并在深圳居住满2年者作为研究对象,采用简相关和回归方法评价血铅与血压的关系.结果 孕妇血铅均值为(45±23)μg/L;家族史、体质量指数(BMI)、血铅浓度对血压升高有预测作用;在血铅56 μg/L分界点时,两组舒张压比较差异有统计学意义(P<0.05);高铅组(血铅浓度≥100 μg/L)收缩压、舒张压均显著高于低铅组(P<0.05).结论 低铅暴露是致孕妇血压升高的危险因素之一,铅对血压的影响以舒张压更为敏感. Abstract: Objective To observe the degree of blood lead in pregant women and the influence of different levels of blood lead on blood pressure under environmental lead exposure, in order to previde basic evidences for taking the further measures. Methods A quesionnaire survey was administed, blood pressure and the serum of microelements were tested for the pregnant women who took the prenatal examinationin the Maternal and Child Care Service Centre of Baoan between March 2008 and November 2009, gathered 897 pregnant women whose materials were complete and stayed in Shenzhen more than one year as the study objects. Compare the differences between groups distributed by quartileand carried out the pair matching study. Correlation, stepwise regression analysis and T test were usedto statistic. Results The average of blood lead was (45±23)μg/L;The Bivriate correlations showed the association between blood lead and blood pressure was positive. Stepwise regression analysis indicated family history, BMI,blood lead were predictors of increasing blood pressure. After excluding the confounding factors, on the 56 μg/L the diastolic pressure(DBP) with statistical significance (P<0.05);Blood pressure of case group was higher than that of control group with significant difference (P<0.05). Blood calcium of case group was lower than that of control group without statistical significance (P>0.05). Conclusions The results indicate the degree of blood lead of pregnant women in Shenzhen is low. Environmental lead exposure is one of the dangerous factors of increasing blood pressure .DBP is more sensitive to lead.  相似文献   

10.
目前,我国人口已日趋老龄化,老年人的健康保健问题亦引起了社会的广泛关注.以我院的老年病房的病人为例,他们年龄大多在70~80岁之间,高血压、冠心病、脑血栓、糖尿病患者居多,很多病人都兼有两种或两种以上的疾病,因此用药种类的剂量及用法需要严格按医嘱给药,病人在住院期间用药(口服药)不成问题.  相似文献   

11.
We describe a 70-year-old female patient with diffuse large B-cell lymphoma of the cerebellum; she received resection of a left atrial myxoma five months ago. To the best of our knowledge, to date no association of atrial myxoma with the malignant cerebellar diffuse large B-cell lymphoma has been reported in the literature, except for high level of interleukin-6 (IL-6) in the serum under both conditions. IL-6 as a pro-inflammatory cytokine has been shown to be associated with tumor progression, including inhibition of cancer cell apoptosis and stimulation of angiogenesis. IL-6 concentrations may provide possible aetiological links between atrial myxoma and cerebellar diffuse large B-cell lymphoma in our case.  相似文献   

12.
本文对一年半期间收治14例心脏粘液瘤的临床分析,13例手术切除。其中11例左房粘液瘤,1例右室粘液瘤,1例肺动脉内粘液瘤。术后死亡4例,成功的病人没有复发,远期心功能良好。对粘液瘤诊断、手术方法和远期复发进行了讨论。  相似文献   

13.
回顾性分析2001年5月至2008年12月我院共收治的15例心房黏液瘤患者的临床及病理资料。15例患者均有不同程度的活动后胸闷、心悸、气短等酷似二尖瓣病变的肺瘀血症状,其中3例瘤体脱落发生体循环及肺循环的栓塞,1例出现突然昏厥。X线及超声心动图检查均能及时发现黏液瘤。确诊依靠组织病理学检查。本组随访6个月~6年,1例复发。该病一旦确诊,应立即手术治疗,瘤蒂切除要彻底,防止肿瘤复发。  相似文献   

14.
A 47-year-old woman, who had undergone cardiac myxoma removal surgery six years ago, was readmitted due to a 2-week history of chest distress, and dyspnea with the change of body position. Both the examinations and the surgery confirmed a cardiac tumor relapse. Histology demonstrated that the mass resected in surgery had a pathologic change from myxoma to a low-grade malignant myofibroblastic sarcoma. The patient received heart transplantation 2 years later due to tumor recurrence and finally died of cerebral hemorrhage  相似文献   

15.
回顾性分析 5 6例心脏黏液瘤患者手术治疗的资料 ,结果发现 :黏液瘤发生于左心房 4 8例 ,右心房 6例 ,右心室 1例 ,多发性 1例。均行手术切除 ,1例于手术 15个月后复发 ,再次手术切除。除 1例术前合并严重左心功能不全的患者术后死于低心排综合征外 ,余效果良好。提示手术切除是治疗心脏黏液瘤行之有效的方法。  相似文献   

16.
Soft tissue myxomas of the oral and para-oral tissue are extremely rare. Only two cases of myxoma of gingiva have been reported in the literature. The histogenesis of these lesions remains obscure. We report a case of gingival myxoma in a 37-year-old man. A firm ovoid soft tissue mass measuring 1.5 x 1.2 x 1 cm in size was noted at the mesio-lingual gingiva of a partially impacted right mandibular third molar. Radiographic examination revealed an impacted mandibular third molar with normal radiographic bony consistency of the mandible. Excisional biopsy was performed with no evidence of recurrence after 8 months. Histological examination showed stromal mass composed of myxoid-like fluid in fibrovascular stroma and scanty inflammatory cell infiltration, suggesting myxomas of the oral soft tissues and jaws. Immunohistochemical stains with S-100 protein, desmin and smooth muscle specific actin yielded negative results, and those with alcian blue, periodic-acid-Schiff, mucicarmine, vimentin and reticulin were positive. Tumor cells of mesenchymal origin without neurogenic or muscular derivations and myxoid matrix composed of acid mucopolysaccharides in this lesion further confirmed the diagnosis of myxoma. Periodontal ligament origin cannot be completely excluded due to tumor location and its association with an impacted molar. However, further study is necessary to clarify the origin and histogenesis of these lesions.  相似文献   

17.
The authors report an unusual case of left atrial myxoma in a 30-year-old woman, discovered after a recurrent stroke. This tumor was misdiagnosed earlier because of an exclusive neurologic symptomatology, a normal cardiac exam without any sign of mitral obstruction (unusual high implantation of the myxoma within the roof of the left atrium), and the lack of doing an echocardiography which should be systematically done after an ischemic stroke, even if its etiology seems to be evident. Surgical resection of the tumor led to prevent further myxomatous emboli, but unfortunately, the patient keeps severe neurological sequelae.  相似文献   

18.
Background  Recurrence or metastasis of myxomas is not rare and can lead to malignancy. We aimed to analyze the risk factors for postoperative cardiac myxoma recurrence and to summarize its clinical characteristics, treatments and classification.
Methods  The clinical data of 5 patients with recurrent cardiac myxoma were retrospectively analyzed and our clinical experience was summarized. Moreover, the relevant literatures were reviewed.
Results  All the five cases of primary myxomas were derived from atypical positions. One patient had early distant metastasis, one had family history, and two suffered malignant recurrence. The recurrence interval was (2.30±2.16) years and the recurrent tumors were all found in different chambers from those of the corresponding primary tumors. Re-operation was performed after recurrence. One patient died of heart failure after malignant recurrence, and the other 4 cases had satisfactory therapeutic outcomes after re-operations. Our experience advocated a clinical classification of “typical” and “atypical” cardiac myxoma, the typical myxomas referred to the tumors locating at the left atria, with single pedicle, rooted at or around the fossa ovalis, involving no genetic causes, and the atypical myxomas included the familial tumors, tumors stemming from multiple chambers, rooted in abnormal positions of the left atrium, with evident genetic mutation, or with malignant tendency.

Conclusions  Postoperative follow-up is of vital importance for patients with myxomas characterized by multi-chamber distribution, early distant metastasis, atypical origin, and family history. Once recurs, re-operation is necessary and should be performed immediately.

  相似文献   

19.
本文报告了我院14年收治的32例心腔粘液瘤(IM),其中左心房粘液瘤28例,右房粘液瘤4例,手术治疗30例。文中总结了左、右房粘液瘤在症状和体征上的差别,与同期收治的274例二尖辨病变相比,IM的发病年龄多在>40岁(56.2%),后者仅为15%。作者认为我国近年IM发病逐渐增多的原因是超声心动图的日益普及。文中还对手术切口选择和肿瘤复发等问题作了详细的讨论。  相似文献   

20.
目的探讨肌内粘液瘤的临床病理特点及影像诊断,着重分析MRI诊断价值。方法回顾性分析我院收治1例肌内粘液瘤患者的临床病理及影像学资料。结果患者男,43岁,临床表现为左髋部外侧一8cm×6cm包块,缓慢增大,症状轻微。MRI表现为左髋部臀中肌内占位,大小为8.0cm×7.5cm×4.5cm,边界清楚,T1WI呈均匀低信号、T2WI显著高信号,Gd-DTPA增强后不均匀强化,出现“周围脂肪带”征和周围肌肉内水肿。外科手术切除后无复发、无转移,病理诊断为肌内粘液瘤。结论肌内粘液瘤的临床特点不明显,诊断困难,但MRI具有明显特征和诊断价值。  相似文献   

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