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51.
王诚喜教授十分认同李东垣“脾胃内伤,百病由生”的观点,依据肺脾肾三脏生理病理关系,强调放射性肺炎重从脾胃论治,尤其注意顾护脾胃之气,注重治病求本,针对临床上放射性肺炎患者,一旦辨证有中焦脾胃虚弱,不能运化水湿,进而出现咳嗽者,则以培土生金法为此病之治则理法,遣方用药上也喜用柴芍六君汤、参苓白术散、加味理中汤等补中焦、益脾胃为主要功效的经方加减治疗,用药上多选用归脾肺两经的药物,起到肺脾同治、培土生金之功效。文中临床应用培土生金法治疗放射性肺炎效果颇佳,患者症状明显改善,总生存期得以延长,值得临床应用和推广。 相似文献
52.
人字果属(Dichocarpum W.T.WangP.K.Hsiao)植物为毛茛科唐松草亚科多年生草本植物,为东亚大陆特有,主要分布在中国,多具有传统药用价值。为更好地发掘其药用潜力,对该属植物亲缘关系、化学成分和药理活性进行归纳总结,并对其药用亲缘学进行探讨。研究发现,在化学和分子水平上,人字果属和扁果草属(Isopyrum L.)具有较近的亲缘关系;从该属仅分离得到16个化合物,利用液质联用色谱方法鉴定出了120多个化合物,主要包括苄基异喹啉生物碱类、黄酮类、三萜皂苷类、氰类、内酯等,其中三萜皂苷类化合物主要存在于纵肋人字果系,提示该系是一个特殊的类群,在演化程度上比人字果系更高;人字果属中发现的苄基异喹啉生物碱具有抑制乙酰胆碱酯酶的活性,这与耳状人字果治疗癫痫的传统应用相关。对人字果属植物的药用亲缘关系进行了初步探讨,有助于对该属植物药用资源进行保护和开发利用。 相似文献
53.
J.-F. Cai W. Wang W. Hao Z.-J. Sun L.-L. Su X. Li X. Zheng X.-D. Zhang 《Transplantation proceedings》2018,50(10):3411-3415
Background
Ureteral stents have been widely used in kidney transplantation to prevent postoperative ureter-related complications such as ureteral stricture, ureteral obstruction, and ureteral leakage; however, a longer indwelling ureteral stent time corresponds to a greater risk of complications such as urinary tract infections. Currently, transplantation centers have not yet reached an agreement on the time to remove ureteral stents. Several randomized controlled trials (RCTs) have evaluated the optimal removal time for ureteral stents.Objective
This meta-analysis was designed to evaluate and discuss the optimal removal time for ureteral stents after kidney transplantation.Method
We used key words to search PubMed, Embase, and Cochrane Library and retrieve published articles. A total of 568 kidney transplantation patients from 5 RCTs were included in this meta-analysis. We collected information regarding postoperative complications related to indwelling stents, such as ureteral stricture, ureteral obstruction, ureteral leakage, and urinary tract infection, and evaluated whether early removal of ureteral stents (≤7 days) was superior to late removal (≥14 days).Results
A significant difference was observed in the incidence of urinary tract infection between the early removal group and the late removal group (risk ratio [RR] = 0.43, 95% confidence interval [CI] [0.32, 0.59], P < .01). No significant between-group difference was observed in the incidence of major urological complications (MUCs) (RR = 1.87, 95% CI [0.45, 7.70], P > .05).Conclusion
Early removal of ureteral stents of transplanted kidneys after kidney transplantation (≤7 days) did not significantly increase the incidence of postoperative MUCs (ureteral stricture, ureteral obstruction, and ureteral leakage) relative to late removal (≥14 days). Early removal may significantly reduce the incidence of postoperative urinary tract infection relative to late removal. 相似文献54.
H.-K. Wang C.-Y. Chen N.-C. Lin C.-S. Liu C.-C. Loong Y.-H. Lin Y.-C. Lai H.-J. Chiou 《Transplantation proceedings》2018,50(4):1157-1159
Background
Intraoperative portal venous flow measurement provides surgeons with instant guidance for portal flow modulation during living-donor liver transplantation (LDLT). In this study, we compared the agreement of portal flow measurement obtained by 2 devices: transit time ultrasound (TTU) and conventional Doppler ultrasound (CDU).Methods
Fifty-four recipients of LDLT underwent intraoperative measurement of portal flow after completion of vascular anastomosis of the implanted partial liver graft. Both TTU and CDU were used concurrently. Agreement of TTU and CDU was assessed by intraclass correlation coefficient using a model of 2-way random effects, absolute agreement, and single measurement. A Bland-Altman plot was applied to assess the variability between the 2 devices.Results
The mean, median, and range of portal venous flow was 1456, 1418, and 117 to 2776 mL/min according to TTU; and 1564, 1566, and 119 to 3216 mL/min according to CDU. The intraclass correlation coefficient of portal venous flow between TTU and CDU was 0.68 (95% confidence interval, 0.51–0.80). The Bland-Altman plots revealed an average variation of 4.8% between TTU and CDU but with a rather wide 95% confidence interval of variation ranging from ?57.7% to 67.4%.Conclusions
Intraoperative TTU and CDU showed moderate agreement in portal flow measurement. However, a relatively wide range of variation exists between TTU and CDU, indicating that data obtained from the 2 devices may not be interchangeable. 相似文献55.
X. Chen G. Huang S. Yang J. Li Q. Fu X. Yuan W. Chen C. Wang 《Transplantation proceedings》2018,50(8):2436-2438
Four kidneys from 2 young donors suffering from rhabdomyolysis were rejected for transplantation at the time of procurement because of their severely bruised and black gross appearance. A frozen section revealed a focal tubular injury filled with granular pigmented casts which an immunohistochemistry confirmed to be myoglobin. The 4 kidneys were transplanted successfully and all recipients recovered normal renal function with no delay. These cases indicate that kidneys with patchy black gross appearance caused by myoglobin casts secondary to rhabdomyolysis is not a contraindication for transplantation. 相似文献
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58.
免疫性血小板减少性紫癜系血小板免疫性破坏,外周血中血小板减少的出血性疾病,以骨髓巨核细胞发育、成熟障碍,血小板生存时间缩短及抗血小板自身抗体的出现为特征,临床主要表现为广泛皮肤、黏膜或内脏出血。王长洪教授从事中医内科临床工作数十载,学验俱丰,以益气养阴、清热解毒法配合西药治疗免疫性血小板减少性紫癜,效果显著。现择其验案2则总结介绍如下。 相似文献
59.
王焘医事考 总被引：2，自引：2，他引：0
宋珍民 《Zhonghua yi shi za zhi (Beijing, China : 1980)》2009,39(2):108-111
王焘甫一成年,即开始学习医学,所从学者为有道的高医,并多次从其游学,完全掌握了其师的医学思想和医疗技术,具有高深的医学造诣。天宝五、六载（746、747）担任门下省给事中时判弘文馆事,以其医学背景和工作之便,从弘文馆秘藏图书中检得五六十种晋唐方书,后加以整理,于天宝十一载（752）撰成千古名著《外台秘要》。 相似文献
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