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31.
32.
目的 了解安徽省X射线诊断受检者体表剂量水平。方法 体表剂量监测按国家标准 ,采用热释光剂量计。结果 胸部摄片受检者的体表剂量最低 ,为 0 .39~ 0 .5 3mGy ,比胸部透视平均体表剂量减少 88.6 6 %。结论 减少或控制透视比例 ,降低受检者群体的体表剂量 ,以减少医疗照射对人体造成的危害。 相似文献
33.
回顾性分析了22例少见部位的脑膜瘤,22例CT表现不典型及8例CT误诊脑膜瘤的CT表现,以确定脑膜瘤不典型表现与CT误诊的关系。结果显示脑膜瘤的CT误诊多数缘于经验不足与疏忽,少数为极不典型表现所致。若检查全面、阅片仔细.术前CT定性率可由90%提高至96.25%。 相似文献
34.
东南大学医学影像学专业(本科五年制)教学计划的构思 总被引:3,自引:1,他引:2
修订东南大学医学影像学专业本科五年制教学计划:坚持遵循教育教学的基本规律,坚持知识、能力、素质协调发展和综合提高的原则和方法。打通公共基础,建立通识教育基础平台:拓宽学科基础课,增加基础学科选修课;凝炼专业主干课程,加强临床实践环节;前期趋同,宽口径专业培养,后期分流灵活专业方向,实现专才向通才、教学向教育和传授向学习的转变。培养和造就高层次医学影像学专业人才,以适应影像设备迅猛发展的需要,适应影像学科建设的需要,适应培养新世纪医学影像学专业人才的需要。 相似文献
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36.
通过福田4500型B超软故障检修与分析,介绍了该机故障检修分析过程及造成该故障的原因。 相似文献
37.
The chest x-ray has become a standard clinical test to aid in the evaluation of patients with chronic severe heart failure. To evaluate just how useful this tool is in the routine assessment of pulmonary venous hypertension secondary to heart failure, we compared the radiologist's interpretation of the chest x-ray with hemodynamic data obtained from right heart catheterization in a group of patients undergoing protocol evaluation of an experimental treatment for heart failure. Of 23 patients with pulmonary venous hypertension (pulmonary capillary wedge pressure greater than 20 mmHg) and a complete data base, only 11 had chest x-rays showing evidence of pulmonary venous congestion or interstitial or alveolar edema. The sensitivity of the chest x-ray in selecting patients with a pulmonary capillary wedge pressure over 20 mmHg in this setting was only 48%. In other studies, where the radiologist was aware that his or her reading was being compared to hemodynamic assessments, the sensitivity of the chest film has approached 85%. We feel our analysis more closely parallels routine clinical practice. Clinicians should be aware that the chest x-ray may not be a very sensitive tool for the assessment of pulmonary hemodynamics in patients with severe heart failure. 相似文献
38.
P. Botas E. Delgado G. Castaño C. Díaz de Greñu J. Prieto F. J. Díaz-Cadórniga 《Diabetic medicine》2003,20(11):904-908
AIMS: To estimate the prevalence of diabetes mellitus with three diagnostic criteria (WHO-1985 and 1999 and ADA-1997), evaluate their concordance and analyse the sensitivity and specificity of the different screening strategies for diabetes. METHODS: A cross-sectional population study with two-step sampling. One thousand and 34 people were selected randomly. A 75-g oral glucose tolerance test (OGTT) was performed and venous blood samples were obtained fasting and at 2 h. RESULTS: The prevalence of known Type 2 diabetes mellitus (DM-2) is 4%[95% confidence interval (CI) 2.8, 5.1]. By WHO-1985 criteria the prevalence of unknown DM-2 is 5.9% (4.5, 7.4); by ADA-1997 criteria 3.5% (2.5, 4.6) and by WHO-1999 criteria 7.3% (5.8, 8.8). Diagnostic overlap and statistical concordance (coefficient K) are WHO-1985/ADA-1997 29.3%, K=0.42; WHO-1985/WHO-1999 80%, K=0.88; ADA-1997/WHO-1999 48%, K=0.63. If only fasting glucose was used (following ADA-1997), 36.3% of those with diabetes (2-h glucose > or =11.1 mmol/l) would be diagnosed. If OGTT was performed (i) in those with a fasting glucose between 6.1 mmol/l and 6.9 mmol/l (9.8% of the population) we would diagnose 66.6%, and (ii) in all those between 5.7 mmol/l and 6.9 mmol/l (18.9% of the population) 81.8% would be diagnosed. CONCLUSIONS: The ADA criteria decrease the prevalence of DM in the adult population of Asturias by 2.4% and concordance with the classical criteria (WHO-1985) was only 29.3%. Using fasting glucose only (ADA-1997) diagnoses 36.3% of those with diabetes. The recent recommendations of the WHO-1999 increases this to 66.6%. To improve the diagnostic strategy for diabetes and detect up to 81.8% of patients, we propose the use of OGTT for all those with a fasting glucose between 5.7 mmol/l and 6.9 mmol/l. 相似文献
39.
应用ELISA测定了54例类风湿性关节炎患者、99例非类风湿性关节炎患者以及100例正常人的血清Ⅱ型胶原抗体,结果阳性率分别为90.7%、0、0.54例类风湿性关节炎患者中有7例血清类风湿因子为阴性而Ⅱ型胶原抗体为阳性,且病程均在半年之内。结果表明:Ⅱ型胶原抗体的检测对类风湿性关节炎具有特异性诊断和早期诊断的临床意义。 相似文献
40.
In the past few years there have been numerous publications which have stressed the value of the dexamethasone suppression test (DST) as a diagnostic marker of endogenous depression. Our own studies in 333 psychiatric inpatients and 121 healthy subjects did not reveal a differential diagnostic use for the DST. This result is in good agreement with other results in the literature. Our data demonstrate that intervening variables such as severity of illness, weight loss, sleep disturbances, situational stress, drug and alcohol withdrawal, and the pharmacokinetics of dexamethasone have an important influence on DST results, regardless of the diagnostic classification. 相似文献