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141.
文章通过柯琴“六经为百病立法”论述,从症候、辨证、论治等方面阐述该学说的合理性,指出了柯琴这一认识从本质上把握了《伤寒论》在临床的价值,为后世医家在临床实际中运用仲景方法辨证提供一个思路,对今天认识《伤寒论》是一部辨证论治的专著有一定启示。 相似文献
142.
143.
A prospective hospital based study was conducted in the Department of Pediatrics of the Kasturba Hospital, Mahatma Gandhi
Institute of Medical Sciences, Sevagram, Wardha to predict the mortality in children admitted with fever and unconsciousness
using the Modified Glasgow Coma Scale (MGCS) score. Forty eight children were admitted with fever and unconsciousness; cases
of febrile convulsions, epilepsy and cerebral palsy were excluded. MGCS scores were assessed on admission and repeated at
12 hours, 24 hours, 48 hours and 72 hours after admission in each case. Diagnosis in each case was confirmed by history, examinations
and investigations. All the cases were regularly followed up till death/discharge. The overall mortality was 29.1% (14/ 48)
out of which 85% (12/14) died within the first 24 hours. Mortality was highest in the toddler age group and in patients with
pyogenic meningitis. There was a significant association between death and MGCS scores on admission with a post test probability
for discharge being only 10% with a score of less than 5 and 99% with a score of more than 10 respectively. MGCS scores on
admission can be used to predict mortality in patients hospitalized with fever and unconsciousness. The scale is simple, easy,
can be applied at bed side and does not need any investigations. Its application in developing countries with limited investigative
and intensive care facilities can help the treating physician decide regarding referral and counseling the parents regarding
the probable clinical outcome. 相似文献
144.
郑学刚 《湖北民族学院学报(医学版 )》2001,18(4):33-35
为提高临床诊断疾病的准确性和对治疗效果的判定,作者认真研读《伤寒论》对疾病病证的传变和预测疾病生死愈危,并对其方法进行了深入地研究,对现实临床实践具有重要的指导意义。 相似文献
145.
146.
Gilles Plourde Pierre-Paul Barry Luc Tardif Yves Lepage Jean-François Hardy 《Journal canadien d'anesthésie》1989,36(5):498-502
In an attempt to reduce the dose of local anaesthetic agent during intravenous regional anaesthesia (IVRA) of the upper limb, we have used a forearm tourniquet in 12 adult volunteers. The volume of the forearm venous system was predetermined angiographically. We performed IVRA with three solutions of lidocaine (0.25, 0.375, 0.5 per cent) administered in a volume equal to the forearm venous system. Angiographic results indicate that: a forearm tourniquet provides adequate vascular isolation; the volume of the forearm venous system can be correlated with body weight; the progression of the fluid in the venous system follows a pattern that is similar for all patients with the small veins of the distal forearm and proximal hand being filled last. With this technique, lidocaine 0.5 per cent resulted in a dose of 1.5 mg.kg-1 and provided excellent analgesia. Lower concentrations were unsatisfactory. We conclude that the use of a forearm tourniquet allows reduction of the local anaesthetic dose to a non-toxic level and thus increases the safety of IVRA. 相似文献
147.
148.
T. Rikimaru Masao Ichiki Y. Ookubo Kumi Matumoto Yoshiko Mimori Yoshiko Sueyasu Masaharu Kinoshita Hideki Yano Tsuneaki Shiraishi Kotaro Oizumi 《Supportive care in cancer》1998,6(4):396-401
The prognostic significance of neutropenic fever in lung cancer patients receiving chemotherapy with or without radiotherapy
was investigated. Male patients and patients with squamous cell lung cancer had a higher incidence of febrile episodes than
female patients and patients with other cell types, but the differences were not significant. Patients with a poor performance
status had a significantly higher incidence of febrile episodes. An indwelling central venous catheter was an important risk
factor for febrile episodes, indicating that bacteremia was one of the major causes of fever. The median survival time of
the patients who developed febrile episodes during chemotherapy was significantly shorter than that of patients without fever
(6.1 vs 12.0 months), whether or not cases of early death within 3 months were excluded (8.9 vs 13.1 months). The prevention
of infectious complications during anticancer treatment by the use of rh G-CSF and the early initiation of antimicrobial chemotherapy,
although the results are inconclusive, may be worthwhile. 相似文献
149.
E. Castagnola Dimitri Paola Raffaella Giacchino Rossella Rossi Claudio Viscoli 《Supportive care in cancer》1998,6(6):524-528
Several antibiotic regimens have been proposed worldwide for empiric treatment of febrile neutropenia in children with cancer,
but none of them shows clear advantages in terms of clinical efficacy. Therefore, other parameters, including drug acquisition
costs, should be considered in the selection of treatment. Children receive a "fraction" of a standard daily dose, and this
fraction is generally calculated on the basis of body weight; therefore, the cost of each day of therapy is determined by
the packages available for each single drug. We calculated the acquisition costs of various drugs proposed for the empiric
treatment of febrile neutropenia in children with cancer, and then we estimated the daily cost of therapy referred to different
patient weights. In general, the combination regimen with ceftriaxone plus aminoglycoside turned out to be less expensive
than other regimens (including monotherapy with third-generation cephalosporins or carbapenems). 相似文献
150.