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慢性肺心病急性发作血清前白蛋白测定的临床意义 总被引:1,自引:0,他引:1
目的:了解前白蛋白(PA)作为肺心病对肝损害的意义。方法:56例患者入院前后和41例对照组,通过免疫比浊法测定PA,并检测其它肝功能值。结果:56例患者治疗前有45例PA下降(与对照组PA相比P<0.01),16例白蛋白降低,10例ALT、8例AST升高,3例总胆红素升高,治疗前PA异常的例数高于肝功能其它值异常的例数。其中有36例患者经过治疗后PA及肝功能其他值均在正常范围。结论:通过PA的检测,发现入院治疗前肺心病急性发作期对肝损害时,PA的变化较肝功能其他值的变化为明显。 相似文献
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前列地尔对急性胰腺炎患者血浆D-二聚体的影响 总被引:3,自引:0,他引:3
目的 研究急性胰腺炎(AP)患者使用前列地尔治疗前后D-二聚体的变化及前列地尔对AP患者的治疗.方法 将65例急性胰腺炎病人随机分为两组,治疗组32例,对照组33例.对照组给予常规治疗,治疗组在常规治疗基础上应用前列地尔10μg加入0.9%生理盐水100mL中静脉滴注,每日1次,连续7d,治疗前及7d后检测患者血浆D-二聚体水平.结果 前列地尔治疗后治疗组较对照组D-二聚体水平明显降低,且差异有显著性(P<0.01).结论 前列地尔可通过改善微循环状态对AP患者具有一定的治疗作用. 相似文献
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本实验用~(15)N-甘氨酸同位素示踪技术对8名正常人,33名肝炎后肝硬化病人(其中代偿期15名,失代偿期18名)的整体蛋白质代谢进行了研究。结果显示:肝硬化病人的整体蛋白质流量、合成速率与分解速率比正常人明显增加(p<0.01),而且二组病人的分解速率均快于合成速率(p<0.01),尤以失代偿期肝硬化为甚,说明肝硬化病人的蛋白质呈高代谢状态。 相似文献
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目的:探讨校正 CT 值在 CT 诊断肾癌中的应用价值。方法对我院近期83例肾癌患者的CT资料进行回顾性分析。所有患者均实施手术治疗,病理诊断透明细胞癌69例、乳头状细胞癌14例。分析内容包括测量CT扫描各期肿瘤最大截面直径、肿瘤的平均CT值(TNC、TCP和TPP代表肿瘤平扫期、皮质期和实质期的CT值)、主动脉CT值(ANC、ACP、APP代表主动脉平扫期、皮质期和实质期的CT值)和正常肾实质CT值(KNC、KCP、KPP代表肾实质平扫期、皮质期和实质期的CT值)。计算4个校正CT值(R 代表):R1=(TCP-TNC)/(ACP-ANC),R2=(TPP-TNC)/(APP-ANC),R3=(TCP-TNC)/(KCP-KNC),R4=(TPP-TNC)/(KPP-KNC)。对透明细胞癌组和乳头状细胞癌组的各种CT检查参数进行比较,应用受试者工作特征曲线(receiver operating characteristic,ROC)分析各种检查参数的诊断效能。结果两组的TNC无统计学差异(P=0.261),但透明细胞癌组的TCP、TPP和校正CT值均显著高于乳头状细胞癌组(均P<0.05)。ROC曲线下面积值(area under the ROC curve,AUC),R1的AUC最高,其次为TCP。结论校正CT值不仅消除了患者内在因素对肿瘤增强的影响,而且与TCP、TPP联合应用时有助于肾癌亚型的鉴别。 相似文献
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Objective To investigate the clinical characteristics of sever acute pancreatitis (SAP) with high triglyceride(TG). Methods 82 patients with onset of SAP within 72 hours were involved in this study. These patients were divided into high TG group (n=26) and normal TG group (n=56) according to serum TG lev-els tested (high TG group≥1.7 mmoL/L;normal TG group<1.7 mmol/L on admission). Results 31.71% (26/82) SAP patients were discovered with high TG APACHE-Ⅱ grade of high TG group was higher than that of normal TG group on admission[(14.62±7.58) vs (10.68±5.21),P<0.01]. Within the onset of 72 hours,the incidence of cardiac,pulmonary and kidney dysfunction in high TG group was higher than those of normal TG group (34.62%,34.62% and 19.23% vs 5.36%,3.57% and 1.79%,P<0.01),and the incidence of pancreatic pseudocysts was higher in high TG group than that of normal group(42.31% vs 7.14%,P<0.01). No emergency and early-stage surgical cases in high TG group but 13 cases(23.21%) in normal group. There were 2 cases of high TG group and 4 of normal group averting to operation. Conclusion SAP patients with high TG have high incidence of early-stage organ dysfunction and local complication,in this case nonsurgical intervention is the first choice. 相似文献
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沈洪亮 《中国实用内科杂志》1995,(2)
肝炎后肝硬化患者氮平衡试验22例分析湖北省丹江口水利枢纽管理局职工医院(441900)沈洪亮肝炎后肝硬化除各种并发症会直接影响到患者的生存和病程外,营养不良和蛋白质异常代谢在整个病程中的作用及对预后的影响也日益受到重视[1],本文采用氮平衡试验,观察... 相似文献
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我们应用综合疗法治疗面神经麻痹154例,取得满意疗效,现报告如下。资料与方法1.1.一般资料周围世面神经麻痹患者154例,其中男87例,女67例;年龄5~20岁8例,ZI~50岁129例,>50岁17例;左侧74例,右侧80例;病程l~60天,平均3.8天。根据静止时口眼歪斜情况和面肌运动时面肌肌力情况,分为轻度68例,患们鼻唇沟变浅,援额力弱,眼脸闭合轻度不全,口用轻度下垂,鼓气口角稍漏气;重度86例,蹩额时额纹消失或甚浅,眼睑闭合时明显不全或不能,患侧鼻唇沟明显变浅或消失,日用明显下垂,鼓气口角明显漏气。1.2.治疗方法对急性期患… 相似文献
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NUTRITIONAL THERAPY AND LIVER CIRRHOSIS 总被引:1,自引:0,他引:1
Among 18 patients diagnosed as posthepatitic cirrhosis of the liver at compen-sated stage, 12 were treated for 2 months with a vegetarian diet which provided a dailyintake of 2263 Kcal and 95g protein with 68g of it vegetable in origin, while the re-maining 6 patients were given a routine hospital diet and served as controls. After 2months of dietary treatment, there was a marked increase in the value of serum albuminand transferrin, an increase in 24 h urinary creatinine output and creatinine height indexwith a decrease in 24 h urinary output of urea nitrogen. The reverted A/G ratio was cor-rected and the negative nitrogen balance became positive. The protein synthetic rate turnedto become greater than the catabolic rate and the body protein flux decreased as mea-sured by the ~(15)N-glycine tracer kinetic study. The paper concludes that a high caloric vege-tarian diet can influence favorably the whole body protein turnover in cirrhotic patientsand should thus be used at least as an adjuvant therapy in the management of these patients. 相似文献