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病人男性,43岁。因频繁恶心、呕吐20d,于2005年7月20日入院,住消化科,3d后转入我科。近20d上腹部不适,饭后饱胀,时有恶心,呕吐多量胃内容物,食欲下降,停止排大便8d,乏力,近期体重下降10kg。体检:消瘦,睑结膜苍白。双侧甲状腺无明显肿大,无压痛,右叶上极可及2cm×1cm结节,质硬。     

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甲状旁腺危象在临床上十分少见，我们于2000年收治1例原发性甲状旁腺功能亢进(原发性甲旁亢)的病人，在准备手术过程中，病人发生危象，经内科治疗症状得到有效控制后，手术成功。现报道如下，并结合文献对本病的诊断和治疗进行探讨。     

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目的 探讨左髂动脉—左颈动脉旁路术治疗头臂型大动脉炎这一新方法的治疗效果。方法 2001年6月至2002年7月，对8例头臂型大动脉炎病人，通过左髂动脉—左颈动脉聚四氟乙烯(PTFE)人造血管旁路术治疗颈动脉闭塞所致的脑缺血症状。结果 8例病人在平均8．7个月(3—16个月)的随访期内，7例人造血管保持通畅，脑缺血症状明显好转。结论 对于头臂型大动脉炎病人，髂动脉—颈动脉解剖外动脉旁路术是一种简单、安全、可靠的手术方式，为该病提供了一种新的治疗手段。     

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??Prevention and treatment of complications of hyperthermia therapy for advanced pancreatic cancer YIN Kai, BAO Shan-hua,PAN Yi-ming,et al. Department of General Surgery, Drum Tower Hospital,Nanjing Medical University, Nanjing 210008,China Corresponding author: XIE Min, E-mail: M-Xie0828@medmail.com.cn Abstract Objective To discuss the prevention and treatment of postoperative complications of hyperthermia therapy for pancreatic cancer.Methods The medical records of 22 patients with advanced unresectable pancreatic cancer underwent hyperthermia therapy in our Hospital from October,1988 to June,2008 were analyzed retrospectively.Meanwhile,relevant literatures were reviewed.Results All the patients underwent radiofrequency ablation or microwave coagulation,no one died during the perioperative period,but one have pancreatic leak.Conclusion Under the leading of ultrasound in operation, hyperthermia therapy is a safe and effective method for patients who were suffered from unresectable pancreatic cancer??but need more clinical data.