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21.
22.
Bruce Becker MD Robert Woolard MD Ted D. Nirenberg PhD P. Allison Minugh PhD Richard Longabaugh EdD Patrick R. Clifford PhD 《Academic emergency medicine》1995,2(9):784-790
Objectives: To determine the incidence of alcohol use in subcritically injured patients presenting to the ED, by using a saliva alcohol test (SAT) at ED triage during the ED initial assessment; to compare the incidence of alcohol use revealed by the SAT with documentation of alcohol use by ED nurses and emergency physicians (EPs) blinded to the SAT results; and to describe the demographics of the SAT-positive, subcritically injured population.
Methods: A blinded, prospective, observational evaluation of ED patients presenting with subcritical injuries was performed. The patients were tested for alcohol use with an SAT, and a subsequent record review was conducted for extraction of demographic data and evidence of documentation of alcohol use by ED nurses and EPs blinded to the SAT results.
Results: During the study. 791 subcritically injured patients had SATs performed. Twenty-one percent of these patients were found to be alcohol-positive by SAT. Either the ED nurse or the EP documented a clinical impression of alcohol use for 52% of the SAT-positive patients. There were higher SAT-positive rates among men (24%), victims of assault (47%), and patients arriving at night (41%).
Conclusions: While the SAT identified 21% of the subcritically injured patient population as alcohol-positive, ED nurse and EP documentation did not identify half of these alcohol-positive patients. Many of these patients may be at risk for additional injuries related to their drinking behavior. 相似文献
Methods: A blinded, prospective, observational evaluation of ED patients presenting with subcritical injuries was performed. The patients were tested for alcohol use with an SAT, and a subsequent record review was conducted for extraction of demographic data and evidence of documentation of alcohol use by ED nurses and EPs blinded to the SAT results.
Results: During the study. 791 subcritically injured patients had SATs performed. Twenty-one percent of these patients were found to be alcohol-positive by SAT. Either the ED nurse or the EP documented a clinical impression of alcohol use for 52% of the SAT-positive patients. There were higher SAT-positive rates among men (24%), victims of assault (47%), and patients arriving at night (41%).
Conclusions: While the SAT identified 21% of the subcritically injured patient population as alcohol-positive, ED nurse and EP documentation did not identify half of these alcohol-positive patients. Many of these patients may be at risk for additional injuries related to their drinking behavior. 相似文献
23.
用动物肠道溶瘤病毒(Ecco-18)实验治疗荷瘤小鼠(P_(615))时,对其非瘤器官进行了光镜和电镜观察。结果发现,荷瘤小鼠各脏器均未查到病毒颗粒或病毒性物质。各脏器的超微结构与对照组相比未见病理改变。 相似文献
24.
Atsuhiro Yoshida Asami Takeda Katsushi Koyama Yasuhiro Ohtsuka Kunio Morozumi Tadashi Oikawa 《Clinical and experimental nephrology》1997,1(4):292-296
Kimura's disease is a rare disorder that involves regional lymph nodes and the major salivary glands, which become infiltrated
by eosinophils and lymphocytes. Renal lesions associated with Kimura's disease are rare. We describe the case of a 60-year-old
Japanese woman who first noted a nodular mass in a salivary gland. As the nodule grew, nephrotic syndrome and heart failure
developed. A biopsy of the nodule revealed Kimura's disease, and surgical excision was performed. After the operation, the
heart failure and nephrotic syndrome, which were diagnosed as minimal change disease on renal biopsy, improved rapidly without
steroid therapy. Four months later, the nephrotic syndrome recurred without recurrence of Kimura's disease. The patient showed
marked improvement during prednisolone therapy (40 mg/d) and was in complete remission 4 weeks after the initiation of steroid
therapy. This case shows that surgical excision and prednisolone therapy are useful for nephrotic syndrome associated with
Kimura's disease. 相似文献
25.
26.
目的确定蝇类季节消长的高峰日和高峰时段,为制定蝇类防制措施提供科学依据。方法用圆形分布法统计分析绍兴市区2003-2004年蝇类密度监测数据。结果绍兴市区2003-2004年蝇类平均密度高峰日为8月4日,高峰时段为6月8日至9月30日。其中2003年蝇类密度高峰日为8月11日,高峰时段为6月17日至10月5日;2004年蝇类密度高峰日为7月29日,高峰时段为6月1日至9月26日。结论绍兴市区2年中蝇类消长有明显的季节性规律。 相似文献
27.
张荫昌 《中国医科大学学报》1989,18(5):337-341
本文通过对228例各种类型胃粘膜上皮异型增生的病理切片的复查,发现并详细地描述了不同类型异型增生腺管和上皮细胞癌变的初发点(Start point)。其形态有的是从再生腺管的腺颈部或底部以“发芽”形式,向质内浸润并分枝生长;有的是从再生腺管基底膜向侧方的间质浸润。从再生的胃上皮型异型腺管所出现的癌变多为低分化型腺癌;从肠上皮型异型腺管所发生的癌变则为高分化型腺癌。强调了胃粘膜再生性异型增生有些具有癌前性质。 相似文献
28.
29.
彩色多普勒超声诊断糖尿病下肢动脉病变的临床价值 总被引:3,自引:0,他引:3
目的 :研究彩色多普勒超声在糖尿病下肢动脉病变诊断中的应用。方法 :对临床上诊断为非胰岛素依赖型糖尿病 (NIDDM)患者发生下肢动脉病变的 6 2例进行彩色多普勒超声检查 ,并以 2 0例无糖尿病正常人作对照。结果 :6 2例NIDDM患者中阳性结果 4 0例 ,发病率 6 4 .5 2 %。正常对照组 2 0例 ,阳性结果 4例 ,发病率2 0 % ,下肢动脉病变程度与NIDDM组有显著性差异P <0 .0 1。结论 :彩色多普勒超声诊断糖尿病下肢动脉病变具有重要临床意义 ,且下肢动脉病变与NIDDM有密切相关性。 相似文献
30.
皮肤交界性平滑肌瘤的复发与恶性转化 总被引:3,自引:0,他引:3
目的探讨皮肤交界性平滑肌瘤的复发与恶性转化。方法复习2例皮肤交界性平滑肌瘤及其复发恶性转化的临床病理特征、免疫组化表型及相关文献。结果2例病变位于下肢和额部,肉瘤组织平滑肌标记阳性。结论少数病理诊断为皮肤平滑肌瘤的病例,虽然浅表且组织形态良性,但其生物学恶性潜能尚不能确定,部分病例复发后可转变为典型的平滑肌肉瘤。 相似文献