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121.
122.
123.
COPD患者营养状况与生活质量的关系 总被引:8,自引:0,他引:8
观察56例男性慢性阻塞性肺病(COPD)患者的体检营养指标,并分析其与生活质量的关系,实测体重占理想体重的百分比和生活质量测评表中的日常生活能力,社会活动情况,抑郁心理障碍等项评分有显著相关性(P〈0.05),上臂中点肌肉臂围与日常生活能力和社会活动情况的评分的相关也有统计学意义(P〈0.05)。提示改善COPD患者的营养状况对提高生活质量有重要意义。 相似文献
124.
目的:测定肺结核、肺肿瘤及非特异性炎症患者注射结核菌素前后痰巨噬细胞的不同数量变化,由此提供一种新的鉴别诊断方法。方法:皮内注射结核菌素、收集注射前、后痰液,测定痰巨噬细胞在不同时间的数量变化。结果:肺结核病人在结核菌素试验后痰巨噬细胞明显增加,肺部肿瘤及非特异性炎症则无显著性变化。结论:肺部患者测定结核菌素前后痰巨噬细胞变化,可作为菌阴肺结核与肺部肿瘤及非特异性炎症鉴别诊断依据之一。 相似文献
125.
Objective : To measure the functional diameter of alveolar septal microvessels under conditions in which the pulmonary arterial pressure and the lung inflation pressure are equal, at 25 cm H2O (zone I-II border), and to compare these results with those obtained when inflation pressure exceeded arterial pressure by 5 or 10 cm H2O (zone I). Methods : We perfused isolated rat lungs (PA 25, PPA 25, PLA 0 cm H2O) with fluorescent latex particles of specific diameters (0.49, 1.05, 2.0, 4.0, or 10 μm) and then prepared samples for histology. Using a confocal, laser-scanning fluorescence microscope, we measured latex particle densities within the septal plane of individual alveoli. We compared these particle densities with those in arterioles supplying the septa and calculated the density ratio. We fit curves produced by the Verniory equation to these ratios to estimate the septal microvessel functional diameter. Results : Particle densities in septa ranged from 0.06 ± 0.02 particles per μm2 ‘for 0.49-μm-diameter particles to 0.007 ± 0.004 particles per μm2 for 4.0-μm-diameter particles. The 10-μm particles did not enter septa. Calculations based on these data suggest a septal microvessel functional diameter of 6–8 μm. Conclusions : In a previous study, conducted at the same value of Pinflat, but with PPA set at 15 or 20 (5 or 10 cm H2O into zone I), we estimated the capillary diameter to be 1.7 μm. Thus, the septal capillary diameter seems to increase by three- to fourfold as PPA is raised to equal Pinflat. 相似文献
126.
Yoko Matsumura Hiromi Kurosawa Kiyozo Morita Koji Nomura Shogo Shimizu Akira Tatara 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2002,50(4):173-177
Optimal initial palliation and a subsequent staged approach is mandatory for high-risk Fontan candidates. We describe the case of mitral atresia with severe tricuspid regurgitation and pulmonary hypertension successfully managed by repeated palliation from the neonatal period and 2-stage Fontan surgery. A 1-month-old boy diagnosed with mitral atresia and double-outlet right ventricle underwent pulmonary artery banding at 1 month of age, followed by repeated pulmonary artery banding accompanied by tricuspid annuloplasty and atrial septal defect enlargement at 6 months. Because of the presence of pulmonary artery distortion, right ventricular dysfunction, and borderline pulmonary vascular resistance, a hemi-Fontan procedure was conducted with extended pulmonary artery plasty when the boy was 3 years and 8 months old. Cardiac catheterization done 3 months after showed improvement in risk factors, and the final Fontan operation (total cavopulmonary connection) was successfully done in conjunction with repeated tricuspid annuloplasty when the boy was 4 years and 5 months old. The patient remains in excellent clinical condition at the last follow-up 5 years after the final Fontan procedure with sinus rhythm and good ventricular function. 相似文献
127.
Combined large cell neuroendocrine carcinoma 总被引:1,自引:0,他引:1
Toshiya Bessho Keiya Yokochi Teruhisa Sakurai 《The Japanese Journal of Thoracic and Cardiovascular Surgery》2004,52(9):426-428
We report a case of combined large cell neuroendocrine carcinoma. A 78-year-old man with vertigo was referred to our hospital
where chest X-ray revealed a tumor shadow in the right lung. A transbronchial lung biopsy specimen verified a diagnosis of
non-small cell lung carcinoma (cT1N0M0). Right lower lobectomy with mediastinal lymph node dissection (#7,8,9) was performed.
A postoperative histological diagnosis was combined large cell neuroendocrine carcinoma of a component of squamous cell carcinoma
[pT4 (pm) N2M0]. The patient received concurrent chemoradiotherapy due to upper mediastinal lymph node metastasis 4 months
after surgery. The chemoradiotherapy well responded and the patient remains well 9 months after surgery. 相似文献
128.
Rawatmal B. Surana Syed K. Rafi Kevi L. Christopher Thomas J. Reid Raymond B. Weiss 《Clinical genetics》1995,47(6):321-323
An apparently balanced de novo reciprocal translocation t(5;21) (q13;q22) was demonstrated in a girl with acrobrachycephaly, ventriculomegaly, pulmonary stenosis and anal malformation. The possible relationships between her karyotype and malformations are discussed. 相似文献
129.
Hyett Jon; Moscoso Gonzalo; Nicolaides Kypros 《Human reproduction (Oxford, England)》1995,10(11):3045-3048
Pathological examination of the heart and great vessels wasperformed in 61 specimens obtained after surgical terminationof pregnancy for psychosocial indications at 918 weeksof gestation. The aorta and pulmonary trunk were identifiedand external diameters were measured at the level of, and distalto the aortic valve and pulmonary valve, the level of the aorticisthmus and thoracic aorta, and the proximal and distal ductusarteriosus. All eight vessel diameters increased linearly withgestational age and the ratio of the diameter of the aorticisthmus to that of the aortic valve or the distal ductus arteriosusalso increased with gestation. Early pregnancy is characterizedby rapid growth of the fetal head and this may well be the consequenceof a preferential distribution of left ventricular output infavour of the head due to relative narrowing of the aortic isthmusat this gestation. 相似文献
130.
Kaoru Nagahori Jun Itakura Hiroyasu Miura Hidemitsu Sugai Masayuki Yamamoto Yoshiro Matsumoto Takao Ainota Yoshihiro Akahane 《Journal of Hepato-Biliary-Pancreatic Surgery》1995,2(3):288-291
We report a metastatic pulmonary tumor resected by video-assisted thoracoscopic surgery. A 63-year-old female was found to
have four nodules of hepatocellular carcinoma (HCC) in January 1991; after non-surgical treatment, the tumors had become necrotic.
In June 1992, a new HCC nodule was found. After infusion chemotherapy, it became necrotic. In September 1993, a solitary lung
tumor, 2.4 cm in diameter, appeared at the periphery of the right lung. Because the tumor was considered to be a metastatic
HCC rather than a primary lung cancer, it was removed by thoracoscopic wedge resection. Although whether metastasectomy contributes
to prolongation of survival is still controversial, thoracoscopic pulmonary resection may be indicated for solitary peripheral
metastasis, if the primary HCC is well controlled by multidisciplinary treatment. 相似文献