腹痛,腹胀,恶心,抽风,昏迷

病历摘要:患者,男,60岁,因上腹痛、腹胀、恶心、精神萎靡3天于1996年5月26日入院.患者3天前无明显诱因出现上腹阵发性绞痛伴腹胀恶心及食欲下降,精神萎靡.在当地医院给抗感染止痛治疗未缓解,故来我院诊治.既往健康,嗜好饮酒,每日喝老白干约500ml.查体:T36.5℃,P98次/分,R22次/分,BP21/14kPa.神志清、贫血貌.皮肤无出血点,无皮疹,无蜘蛛痣及肝掌.巩膜轻度黄染.浅表淋巴结不肿大.颈软,甲状腺无肿大.双肺呼吸音清,未闻及干湿罗音及胸膜摩擦音.心界无扩大,心率98次/分,     

高血压,浮肿,贫血,恶心,呕吐

病历摘要吕××,女51岁,工人。高血压22年,浮肿14年,贫血、恶心、呕吐5个月,于1988年3月2日入院。 22年前开始发现高血压,血压在22.7～24/12～13.2kPa,经常口服降血压药物,具体药名不详,14年前突然不明原因全身浮肿,乏力,即以“急性肾小球肾炎”住本厂职工医院治疗,经治疗后浮肿消退,但尿常规检查蛋白一直在(++)～(+++),血压21.3～24/14.7kPa,浮肿时有时无,休息后消退,曾多次住院治疗,缓解后能上班及做家务劳动,     

发热,胸痛,腹痛,贫血

1病例简介患者,女,18岁,主因腰背痛、贫血伴发热10 d,门诊以“肾盂肾炎”于2000-12-28收住院。患者于10 d前因受凉出现“感冒”症状,腰背部疼痛,发热,体温38·0~40·0℃,门诊给予先锋V、甲硝唑、清开灵治疗1周,无效,门诊查血常规,WBC 16·8×109/L,N 0·86,L 0·14,Hb 95 g/L,血沉48 mm/h,尿酮(+),改用头孢曲松钠2·0 g静滴3 d,体温36·0~40·5℃,仍有胸痛、腹痛、肌肉关节痛,初步诊断“发热待查”收住血液科。患者既往体健,无疫源物(区)接触史。入院查体:T 38·0℃、P 86次/m in、R 21次/m in、Bp 127/60 mm Hg(1 mm Hg=0·133 kPa)…     

面色苍白,黄疸,发热,昏迷

<正> 病历摘要患男,3岁,于1989年6月24日入院。8d前患儿家长发现面黄、精神差、食欲减退,未引起注意。3d前因食入油炸蚕豆(约50g)后,于次日开始发热,体温38.5℃,伴     

浮肿,发热,胸痛,咯血

病历摘要患者，男，25岁，因尿少、浮肿1个月，发热、咳嗽、胞癌、咯血4天，于1997年10月7日入院。患者于1个月前出现尿少、面部及双下肢浮肿．尿量每日700～800ml，无血尿，当地医院诊为“急性肾炎”，用青霉素、强的松等治疗。4天前咳嗽，咳少量粘痰，咯血，每日50～60ml，胸痛，咳嗽及深吸气时较著，胸闷憋气，发热（体温38℃左右），无盗汗，X线胸片报告为“左肺炎”，用先锋霉素后无好转，胸痛加重，仍发热，近2日每日尿量约200～300ml，给速尿静推后尿量仍不增多，转来本院。查体：体温38．1℃，脉搏88次／分，呼吸26次／分，血压14…     

四肢麻木,口干,腹胀,排尿困难

主治医师 请住院医师汇报病历.住院医师 患者,男,58岁.因四肢麻木、乏力半月,腹胀10天于1998年5月28日来院.半月前受凉后出现发热、流涕,当地医院经抗炎治疗一周后热退,但却感四肢肿痛及远端肢体麻木、乏力,走路困难,经治疗4天(具体用药不详),关节肿痛消退,但麻木感逐渐加重,由远端向近端发展,同时伴腹胀、恶心、呕吐,口、唇、脸、四肢皮肤干燥,声音嘶哑,口齿不清,无明显腹痛,无排便排气, 但排尿困难,既往体健.查体:T37℃,P70次/分,R20次/分,BP14/10kPa,神清,瞳孔散大5.5mm,直接及间接对光反射消失,双眼无复视,眼球活动自如,悬雍垂居中,咽反射消失,臂中段以下感觉减退,握力略差,下肢膝以下浅感觉减退,肌力4级,腱反射消失,无锥体束征.心肺(一),腹软,肝脾未及,肠鸣音消失.实验室检查:WBC12.7×10~9/L,中性     

Liver,biliary tract,pancreas,spleen

208589 Liver resection:single center experiences of 2008 consecutive resections in 20 years/Huang Zhiqiang(黄志强,Inst Hepatobil Surg,Chin PLA General Hosp,Beijing 100853)…Chin J Surg.-2008,46(17).-1314～1321Objective To analyze operative and perioperative factors associated with hepatectomy.Methods 2008 consecutive patients undergoing hepatectomy from January 1986 to December 2005 at Chinese People's Liberation Army G     

Liver, biliary tract, pancreas, spleen

Diagnosis and treatment of heterotopic pancreas in gastrointestinal tract： a report of 18 cases, Effects of peroxisome proliferators-activatied receptor gamma on the biological characteristics of hepatic stellate celis, An in vitro study for the effect of newly constructed replication -selective adenovirus CNHK600-p53 on hepatocellular carcinoma cell lines PLC/PRFS, Induced human bone marrow mesenchymal stem cells differentiation into hepatocyte-like cells by hepatocyte growth factor plus fibroblast growth factor-4 in vitro,The role of multi-drug resistance related proteins in hepatocellular carcinoma multidrug resistance cell line HePG2/ADM     

Pleura, pleural cavity, mediastinum, diaphragm

Thoracic primitive neuroectodermal tumor, Long-term effects of thymectomy on the T cellular immunity of myasthenia gravis patients .     

Liver, biliary tract, pancreas, spleen

207577 Pathologic and molecular biologic characteris- tics of hilar cholangiocarcinomas/Li Chenggang(李成 刚,Inst Hepatobil Surg, Gener Hosp PLA, Beijing 100853)…∥Chin J Exp Surg.-2007 ,24(6) .-690 ~ 691 Objective Toinvestigate the pathologic and molec- ular biologic characteristics of hilar cholangiocarcinomas. Methods Sixty-eight patients with hilar cholangio- carcinomas were reviewed,and the pathologic types and incidence of perineural invasionandlymph node metastasis were summariz…     

Liver,biliary tract,pancreas,spleen

208023 Treatment of refractory hepatolithiasis by chemical bile duct embolization:a report of the first case/Wu Xingwu(吴兴武,Dept Surg,Peop Hosp Shuangliu County,Shuangliu 610200)…∥Chin J Hepatobil.-2007,13(8).-508～510Objective To investigate the application of chemical bile duct embolization for prevention of postoperative recurrence of hepatolithiasis.Methods In a 52 year-old female patient,the preoperative cholangiography showed that there was multiple biliary calculi complicated with biliary stenosis in the inferior segment of the left lobe the liver.     

Pleura,pleural cavity,mediastinum,diaphragm

208094 The surgical treatment of pectus excavatum in children by modified sternal elevation/Pan Zhengxia(潘征夏,Dept Thorac Cardiovascul Surg,Chongqing Univ Med Sci,Chongqing 400014)…∥Chin J Thorac Cardiovasc Surg.-2007,23(4).-242～244Objective To review the experience of modified sternal elevation in management of pectus excavatum deformities.Methods A retrospective study was carried out on 268 children with pectus excavatum deformities from January 2002 to December 2005.     

头晕,颜面红紫,关节痛,脾肿大

病例摘要 男,67岁,干部.头晕、乏力、面部红紫,间断出现眼花、多汗、健忘1年.无鼻衄、齿龈出血及消瘦.入院前10个月在健康体检时经B超检查发现脾肿大.因自觉症状不明显,未引起注意.1998年11月上述症状加重,于1998年12月14日入院.既往因关节痛诊断风湿性关节炎10年,经常服用双氯灭痛、索密痛等镇痛、抗风湿类药物.无高血压史.体格检查:血压20/12kPa,体温36.1℃,颜面、颈部、双手掌明显充血.全身浅表淋巴结未触及,双肺呼吸音清晰.心界不大,心率80次/分,律整,未闻及杂音.肝未触及,脾右侧卧位肋下可触及3cm,无压痛.四肢关节活动自如,无红肿、畸形及压痛,无杵状指(趾).入院诊断:脾肿大待查、慢     

长期高热,气短,眩晕,便溏

患者王某女 34岁工人 1983年3月末初诊。该患发热已三年余,经多方医治,未能确诊,疗效不显。询其病情,三年来,经常发热,一般上午多在37～38℃之间,下午38～39℃,夜晚常在40℃以上。自觉全身疲乏无力,四肢怠堕,气短懒言,食欲不佳,大便溏薄,有时眩晕,常汗出,易感冒,渴不     

Pleura,pleural cavity,mediastinum,diaphragm

206611The relationship between respiratory-circulato-ry changes and pul monary complications in elderly pa-tients after thoracotomy/Fang Wentao(方文涛,DeptThorac Surg,Shanghai Chest Hosp,Shanghai 200030)…∥Chin J Thorac Cardiovasc Surg.-2006 ,22(4) .-245~248ObjectiveTo study the respiratory and circulatorychangesinelderly patients,andtheir relationship with pul-monary complications after thoracotomy.Methods58 el-derly patients either aged over 75 years,with major organdysfunction or und…