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151.
目的:通过贲门溃疡胃镜下表现的分析,探讨贲门良性溃疡与恶性溃疡的区别及并发症的差异.方法:纤维胃镜检查的同时采取相应部位的病理标本并行病理学检查,记数资料采用卡方检验比较差异性.结果:病例共104例,其中良性溃疡66例,恶性溃疡30例,癌前病变8例,恶性溃疡73%合并有慢性萎缩性胃炎,良性溃疡25%合并有十二指肠球部溃疡.结论:贲门良性溃疡(16/66)与十二指肠疾患密切相关,恶性溃疡(22/30)于慢性萎缩性胃炎密切相关,临床工作中遇有慢性萎缩性胃炎患者,应高度警惕,定期随访,及时发现恶变. 相似文献
152.
The case of a woman suffering from chronic paroxysmal hemicrania is presented. Most attacks were unilateral and recurred on the same side. On a few occasions, attacks were observed on the contralateral side. In addition, the patient reported some incomplete attacks on the usually symptomatic side with autonomic phenomena, but without pain. That "partial" attacks would exist has been suspected on theoretical ground. This is, however, the first time such attacks have been reported by a patient. Therefore, a double dissociation of the symptomatology seemed to exist: (1) a side shift of attacks, and (2) incomplete("partial") attacks. These unexpected findings occurred after two indomethacin treatment withdrawals. A possible central and "midline" origin of attacks or an indomethacin after-effect or both are discussed as a likely explanation for such a dissociation of symptoms and signs. 相似文献
153.
New insights into the regulation of ICAM-1 gene expression 总被引:2,自引:0,他引:2
154.
155.
C. NAPOLI A. LIGUORI P. SORICE A. DI BENEDETTO S. CIAFRE T. POSCA N. DI IESO F. P. D'ARMIENTO 《Journal of internal medicine》1996,240(6):389-394
Background. Arterial hypertension is a significant risk factor for the high rate of cardiovascular disease in chronic uraemic (CU) patients. Any role that hypertension may play in CU patient outcomes assumes added significance. The elevation of some hormonal factors in early clinical stage could represent a valuable marker of cardiac disease in CU. Aim. This study first investigated the role of several hormones on cardiac diastolic properties in CU patients. Moreover, the study investigated the association of hypertension with both diastolic function and release of vasoactive hormones in CU patients. Results. We have reported that the early impairment of diastolic function is correlated with the elevation of both circulating plasma atrial natriuretic factor and endothelin-1 (ET-1) in hypertensive CU patients. Since the effect of ET-1 on diastolic function is still poorly understood, we have investigated also this issue. In eight additional patients with reduced E/A ratio, but without uraemia, hypertension or chronic heart failure, we have showed a high inverse correlation between the values of E/A ratio and ET-1 plasma concentrations. Conclusions. These results strongly suggest that the elevation in ET-1 levels was correlated with diastolic dysfunction in man. This phenomenon may have important pathophysiological implications suggesting the possibility of an early therapeutic approach in these patients. 相似文献
156.
Watanabe Y.; Yuzawa Y.; Mizumoto D.; Tamai H.; Itoh Y.; Kumon S.; Yamazaki C. 《Nephrology, dialysis, transplantation》1993,8(8):725-734
We studied the long-term outcome of 268 patients suffering fromdiabetic end-stage renal disease (DM-ESRD) treated with long-termhaemodialysis between 1978 and 1991, with special emphasis onvisual acuity as well as the heterogeneity of DM-ESRD The 50%patient survival on haemodialysis was 60 months. Visual disturbanceswere found in 73.1% (392/536) of eyes at the start of haemodialysis.Chronological assess ment of visual acuity demonstrated thestabilization of visual acuity and 87.1% (364/418) of eyes werestable, 4.8% (20/418) were improved, and 8.1% (34/418) wereaggravated in the long term respectively. The change of visualacuity was frequently seen in the short term, and rapid shiftsof body fluid to correct overhydration induced abrupt changesof glycaemic control as well as retraction of macular oedema.Hence it might be one of the factors affecting rapid changeof visual acuity in the short term. Meanwhile, long-term deterioration of visual acuity resulted from either hyperten sionunresponsive to medical treatment or poor glycaemic control.Some DM-ESRD patients had only background retinopathy at thestart of haemodialysis and these were likely to have the nephroscleroticglomerular lesion. They were old, not nephrotic and had a milddegree of diabetes during the predialysis stage. Thus, DM-ESRDpatients seem to have some heterogeneity in their clinical characteristics,and old DM-ESRD patients with only background retinopathy havethe appearance of diabetic macroangiopathy rather than microangiopathy. 相似文献
157.
活血祛风法治疗慢性活动性乙型肝炎临床观察 总被引:5,自引:1,他引:4
用活血祛风法治疗反复发作的慢性活动性乙型肝炎70例,总有效为95.7%,对照组65例健脾清热利湿法治疗,总有效率为78。5%(P<0.05).治疗组抗LSP,LMA,抗核抗体,类风湿因子阴转率,HBeAg,抗HBcIgM,HBV-DNA阴转率,抗HBe阳转率均优于对照组(P<0.001)。 相似文献
158.
M. Brugiatelli B. Jaksic A. Planinc-Peraica R. Kusec S. Ostojic V. Callea P. Lacopino F. Morabito C. Stelitano D. Lutz 《European journal of haematology》1995,55(3):158-163
Abstract: In 1982 the IGCI CLL cooperative group decided to investigate the usefulness of treating, at diagnosis B-cell chronic lymphocytic leukemia (CLL) in early and stable phase of the disease. From January 1982 to December 1986, 148 patients were randomized either to receive immediate treatment with chlorambucil (CLB) or to defer therapy to the time of progression. The early and stable phase of the disease was defined by a total tumor mass (TTM) score < 9, the absence of anemia or thrombocytopenia and a doubling time > 12 months. The main end-point of the study was survival. At the last evaluation in April 1993, after a median follow-up of 75 months, no significant difference was found in overall survival between early vs. deferred treatment patients from every cause of death as well as from death due to CLL-related causes only. The same results were obtained when the patients in more favorable stages, such as Binet stage A and TTM < 4.5, were considered. Interestingly, the incidence of epithelial cancer was similar in the two groups. Early treatment was associated with a significantly better response and a lower progression rate. From this long-term experience, it can be concluded that immediate chemotherapy with CLB is not beneficial for CLL patients in early and stable phase of the disease in terms of survival. 相似文献
159.
160.
本文对77例肺癌,48例食管鳞癌和14例良性疾病病人进行了鳞癌相关抗原(SquamousCellCarinomaAntigen,SCC—Ag)测定,肺鳞癌(45例)阳性率为68.8%(>1.5ng/ml);腺癌(18例)阳性率16.6%;小细胞癌(8例)阳性率12.5%;大细胞癌(6例)阳性率16.7%。食管鳞癌阳性率31.3%。14例良性疾病均阴性。治疗前SCC—Ag浓度与肿瘤分期呈对应关系,肺鳞癌Ⅰ期阳性率为22.2%;Ⅱ期为64.2%;Ⅲ期82.3%;Ⅳ期则100%。食管鳞癌Ⅰ~Ⅱ期阳性率为13.4%;Ⅲ~Ⅳ期阳性率为48%。在行肿瘤根治切除的病人,其SCC—Ag在术后72小时内转阴,而行非根治手术的病人,其SCC—Ag仍为阳性。治疗后无转移和复发的鳞癌病人,其SCC—Ag持续阴性,该抗原在治疗后由阴性再次上升为阳性,临床均证实为复发。 相似文献