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41.
GP SCHWAB AL BLUM E BODNER B DALLEMAGNE K GLASER H KOOP F PACE W RÖSCH JR SIEWERT G WETSCHER 《Journal of gastroenterology and hepatology》1997,12(12):785-789
Gastroesophageal reflux disease (GERD) is the most common disease of the upper gastrointestinal tract. With the introduction of proton pump inhibitors medical treatment of GERD has been significantly improved. However, the development of laparoscopic antireflux surgery resulted in an increasing interest of surgeons in this disease. An interactive meeting was organized in order to develop an agreement between gastoenterologists and surgeons regarding therapeutic decisions and this is the main topic of this paper. 相似文献
42.
尼莫地平控释片释放度试验研究 总被引:2,自引:0,他引:2
本文研究了尼莫地平控释片的释放度试验方法——转篮法,释放介质为含有22%异丙醇的0.1mol·L-1盐酸液;磷酸盐缓冲液(pH5.8)和pH7.2的溶液。含量测定方法:紫外分光光度法,在三种介质中尼莫地平分别在1~30μg·ml-1,10~50μg·ml-1和10~50μg·ml-1的范围内,浓度与吸收度有较好的线性关系。回归方程分别为A=0.615C+0.023(r=0.9999);A=0.0614C+0.012(r=0.9995);A=0.0612C+0.0088(r=0.9999)。平均回收率分别为99.63%,99.98%及100.77%,RSD(%)分别为1.34%,1.59%及1.41%。本方法的体外释放百分率与体内吸收分数有较好的相关性(r=0.991)。 相似文献
43.
孔海莉 《浙江中医药大学学报》2006,30(4):372-372,374
[目的]探讨脂肪肝有效治疗方法。[方法]采用HD-91-2型肝病治疗仪、中药穴位透入、推按运经治疗脂肪肝24例。[结果]总有效率为91.67%。[结论]HD-91-2型肝病治疗仪作为一非药物治疗脂肪肝又一途径,是值得临床推广。 相似文献
44.
宫腔镜电切术在宫颈疾病中的应用 总被引:3,自引:1,他引:2
目的探讨应用官腔镜电切术治疗宫颈病变的临床效果。方法2002年1月~2003年6月,应用宫腔电切镜切除359例各类宫颈病变。结果359例均在门诊一次完成手术,手术时间5~15min,术中出血2-10ml。术后病理诊断慢性官颈炎332例,宫颈上皮内瘤样病变(cervical intraepithelial neoplasia,CIN)Ⅰ~Ⅱ级26例,CINⅢ级1例。335例随访2~12个月,平均9个月。术后2个月308例慢性富颈炎一次性治愈率98.7%(304/308);237例随访1年宫颈糜烂、宫颈息肉及宫颈肥大未复发;27例CIN术后随访6~12个月未显示CIN病变。结论宫腔镜电切术治疗宫颈病变,疗效肯定,并发症少,值得推广。 相似文献
45.
Dynamic observation on thyroid function in severe head injury. 总被引:1,自引:0,他引:1
The dynamic changes of thyroid hormone levels in patients with severe head injury were observed. The results showed that the serum thyroid hormone levels changed rapidly within several hours after the injury and the mean levels of serum total T3 and T4 (TT3, TT4) decreased while high reverse triiodothyronine (rT3) increased significantly. Serum TT3, TT4 and rT3 levels returned to normal gradually in 2 to 3 weeks after the injury in the surviving group, whereas serum total T4 gradually declined and rT3 steadily increased in the fatal group. The mean levels of serum TSH remained unchanged in both groups. Therefore, the use of the levels of serum thyroid hormones as adjuvant indices can be helpful in making pertinent judgements of the severity and prognosis of severe head injuries.
相似文献
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48.
Toddlers who ingest the drug of abuse 3,4-methylenedioxymethamphetamine (MDMA; 'Ecstasy') are at particularly high risk of serious neurological and cardiovascular side effects. We report of a 20-month-old male toddler who accidentally ingested Ecstasy. He presented with fever and seizures, tachycardia, hypertension, and hyperthermia. Urine amphetamine level was 2111 ng/mL. Treatment included rapid cooling, hydration, and support measures. Vital signs were regularly monitored. His condition became stable on day 2 and urine amphetamine level returned to normal on day 3 of hospitalization. His behavior, activity, and appetite had returned to their usual levels upon follow-up at our outpatient clinic. The incidence of drug abuse with MDMA has increased dramatically over the last decade in developed countries. It can be expected that accidental Ecstasy poisoning in children will increase as well. This case illustrates the need to consider the possibility of accidental Ecstasy ingestion in the differential diagnosis of a child suffering from convulsions with fever. 相似文献
49.
Nina Rieckmann William Gerin Ian M Kronish Matthew M Burg William F Chaplin Grace Kong Fran?ois Lespérance Karina W Davidson 《Journal of the American College of Cardiology》2006,48(11):2218-2222
OBJECTIVES: We tested whether improvements in depressive symptoms precede improved adherence to aspirin in patients with acute coronary syndromes (ACS). BACKGROUND: Depression is associated with medication nonadherence in patients with ACS, but it is unclear whether changes in depression impact on adherence. METHODS: Electronic medication monitoring was used to measure adherence to aspirin during a 3-month period in a consecutive cohort of 172 patients (25 to 85 years) recruited within 1 week of hospitalization for ACS. Depressive symptom severity was assessed using the Beck Depression Inventory (BDI) during hospitalization and at 1 and 3 months after hospitalization. Adherence was defined as the percentage of days aspirin was taken as prescribed. RESULTS: Depression severity in hospital was associated with nonadherence in a gradient fashion: 15% of non-depressed patients (BDI score 0 to 4), 29% of mildly depressed patients (BDI score 10 to 16), and 37% of patients with moderately-to-severely depressive symptoms (BDI score >16) took aspirin less than 80% of the time (p = 0.03). A cross-lagged path analytic model revealed that improvements in depressive symptoms in the first month after the ACS were associated with improvements in adherence rates in the subsequent 2 months (standardized direct effect -0.32, p = 0.016). CONCLUSIONS: Diagnosis and treatment of depressive symptoms may improve medication adherence in patients after ACS. 相似文献
50.
第一极体不能精确定位人卵母细胞纺锤体 总被引:4,自引:0,他引:4
目的 观测人卵母细胞纺锤体的确切位置,从而指导今后的生殖医学临床工作。方法 应用纺锤体成像系统观测体外成熟及体内成熟组人卵母细胞纺锤体,测量卵子中心、纺锤体与第一极体之间形成的角度。比较两组结果的差异。结果 体外成熟组纺锤体与第一极体形成角度和体内成熟组存在显著差异(P=0.006)。结论 人卵母细胞的位置并不能准确定位卵母细胞纺锤体的位置。体外成熟组纺锤体与第一极体形成的角度要明显小于体内成熟组。应用纺锤体成像系统可以安全、有效地观察人卵母细胞纺锤体。 相似文献