{"title":"HRCT Diagnosis of Pulmonary Inflammatory Pseudotumor less than 2cm in Diameter","authors":"赖寿伟, 杨华岳","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.011","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.011","url":null,"abstract":"目的 探讨肺内2cm以下炎性假瘤的高分辨率CT(HRCT)表现.方法24例经手术或穿刺活检病理证实的肺内直径2cm以下炎性假瘤的患者行HRCT检查,其中16例同时行增强扫描.结果24例中,出现浅分叶征8例,棘状突起6例,晕征8例,血管集束征5例,空泡征1例;增强扫描16例,其中6例有轻度强化,10例无明显强化.所有病灶边缘均较光整.结论HRCT在诊断肺内小于2cm炎性假瘤有很大价值,各种征象综合分析可提高诊断的正确性。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132968949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"罗格列酮治疗2型糖尿病合并肾病的临床疗效观察","authors":"唐业华, 郑薇","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.033","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.033","url":null,"abstract":"目的 观察罗格列酮治疗2型糖尿病合并肾病的临床疗效.方法72例2型糖尿病合并肾病患者随机分为对照组和治疗组,对照组给予胰岛素和二甲双胍治疗,治疗组在对照组基础上合用罗格列酮,共16周.观察两组治疗前后空腹血糖(FBG)、餐后2 h血糖(2hBG)、空腹胰岛素(FINS)、糖化血红蛋白(HbA1c)、甘油三脂(TG)、低密度脂蛋白(LDL-C)、高密度脂蛋白(HDL-C)、纤维蛋白原(Fib)定量及24h尿白蛋白排泄率(UAER)以及肾功能改变,计算胰岛素敏感指数(ISI),分析比较各指标.结果治疗组较对照组治疗后FBC、HbA1c、LDL-C、FINS、TG、Fib水平明显降低(p<0.05),并显著降低2hBG和UAER(p<0.01),同时提高HDL-C水平和ISI(p<0.05).结论罗格列酮治疗2型糖尿病合并肾病疗效显著。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121136597","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"肺血栓栓塞症临床影像学诊断与介入治疗","authors":"陈胜利","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.017","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.017","url":null,"abstract":"肺动脉血栓栓塞(PTE)是临床多发病常见病,病死率高,缺乏特征性临床表现与实验室结果,容易漏诊和误诊,及时正确的诊断和治疗可明显降低死亡率.影像学诊断特别是多层螺旋CT和MR肺动脉成像对PTE的诊断具有重要价值,介入治疗具有特别的作用和疗效。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"32 3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123225059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"三分类血液分析仪白细胞分类无警示标本与目测显微镜分类结果的比较","authors":"姚淑雯, 林淑仪","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.044","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.044","url":null,"abstract":"本文随机抽取CELL-DYN1700(以下简称CD-1700)三分类血液分析仪白细胞分类无警示标本206例,用显微镜进行白细胞分类.仪器和目测显微镜分类法的结果用相关系数进行相关性分析.两种方法的相关系数分别为:中性粒细胞r=0.954,中间细胞r=0.170,淋巴细胞r=0.954.中性粒细胞和淋巴细胞的相关性非常显著,中间细胞相关性较低.结果表明在各项参数均正常的情况下CD-1700白细胞分类无警示的结果可作为筛选手段,但其性能不够完善,尚不能完全取代显微镜检查,在异常情况下仍须进行人工分类。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125283034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Spinal Cord and Nerve Roots Conduction Implicated by Laminectomy and Various Methods for the Prevention of Epidural Adhesion: An Experimental Study in Rabbits","authors":"庞祖才, 李永军, 谭赞全, 许汉权, 谢伟坚, 李文任, 陈棉智, 陈镇秋","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.005","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.005","url":null,"abstract":"目的 探索预防硬膜外粘连的几种方法对脊髓、神经根传导功能的影响.方法40只新西兰白兔随机分为4组.切除L5椎板造成12mm×6mm硬脊膜裸露区,探查神经根.A组注入生理盐水1ml,B组充填高分子量透明质酸钠凝胶1ml,C组用自体L6棘突重建L5椎板,D组用透明质酸钠凝胶充填后再进行L5椎板重建.分别检查术前、术后即刻、术后1、3、6周腓肠肌诱发肌电图,记录M波、H波.结果术后H波潜伏期显著延长,B、D组1周恢复正常,C组3周恢复正常,A组6周恢复正常.M波手术前后潜伏期无明显差异.M波、H波波幅个体差异大,手术前后无明显差异.结论通过测定肌肉动作电位H波潜伏期可灵敏反映神经根、脊髓传导功能;透明质酸钠凝胶能促进脊髓、神经根传导功能的恢复。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"208 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114314781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"自身抗体检测在儿童系统性红斑狼疮诊断中的意义","authors":"李梅爱, 关克涛, 关启鸿, 仇瑞珍","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.041","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.041","url":null,"abstract":"目的 探讨抗核抗体(ANA)、抗双链DNA(ds-DNA)、抗ENA抗体检测在儿童系统性红斑狼疮(SLE)诊断中的价值.方法利用酶免疫斑点技术对56例SLE患儿的抗核抗体、抗ds-DNA、抗ENA抗体进行检测.结果56例SLE患儿ANA阳性率最高94.6%,抗ds-DNA阳性率为55.4%,抗Sm/RNP阳性率64.8%,抗SSA/SSB阳性率60.7%.结论SLE患者血清中存在多种自身抗体,自身抗体的联合检测对SLE的诊断和病情的监测有着重要的意义。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117005212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"慢性乙型肝炎病毒基因型与YMDD变异关系","authors":"林莲英, 张文, 邱峰","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.026","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.026","url":null,"abstract":"目的 探讨慢性乙型肝炎病毒(HBV)基因型与YMDD变异的关系.方法选用200例HBV DNA、HbeAg阳性,血清ALT异常的HBV肝炎患者,服拉米夫定(100mg/d)24个月.用PCR(FQ-PCR)检测HBV DNA,分析乙肝病毒野生型YMDD及突变耐药型YIDD/YVDD,HBV基因分型.结果200例慢性乙肝病人C基因型占39%,B基因型占26%,D基因型占22%,B+C混合基因型占10%,其他占3%,包括1例出现YIDD耐药株.服拉米夫定12个月后,YMDD变异率为6%;24个月后,YMDD变异率为15%.结论乙肝病人HBV基因型以C型为主,次为B型及D型;服拉米夫定后大多数病人的DNA水平明显降低,拉米夫定治疗可加速病毒YMDD变异发生,且与服药时间呈正相关;YMDD突变与乙肝病毒的基因型无关。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123395028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Antimicrobial Susceptibility Analysis of Staphylococci to Nine Antibiotics","authors":"袁锦屏","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.016","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.016","url":null,"abstract":"目的 收集广州地区四间教学医院住院及门诊感染患者中分离的葡萄球菌进行体外药敏试验,提供临床用药参考.方法采用琼脂稀释法和葡萄球菌的苯唑西林筛选试验.结果耐苯唑西林的金黄色葡萄球菌(MRSA)的检出率92.4%.耐苯唑西林的凝固酶阴性葡萄球菌(MRSCoN)的检出率96.9%.MRSA和MRSCoN对万古霉素100%的敏感,对利福平的敏感率分别为75.4%、84.4%.对替考拉宁的敏感率分别为71.1%、87.2%.对其余6种药物的敏感率在4.9%~26.2%、4.9%~18.8%之间.结论葡萄球菌中的MRSA和MRSCoN的检出率很高,对其敏感的仍然是糖肽类的抗生素。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123620440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"婴幼儿急性阑尾炎临床特点分析","authors":"钟微, 余家康, 李成昌, 夏慧敏, 李瑞琼, 马力","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.049","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.049","url":null,"abstract":"目的 了解婴幼儿急性阑尾炎临床特点.方法比较了30例要幼儿及同期379例大龄儿童急性阑尾炎病程经过.结果30例婴幼儿患儿平均起病时间为37h,20例行腹部B超检查(66.7%),结果证实为阑尾炎18例(90.0%);合并穿孔14例(45.2%),平均手术时间为57min,术后住院时间平均为8.2d,术后并发症为3例(10.0%),均治愈.结论婴幼儿急性阑尾炎进展快,穿孔率高,腹部B超可协助早期诊断.及时手术、早期使用抗菌素,是减少并发症、提高治愈率有效方法。","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"94 5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123714523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"保存标本的时间和温度对血细胞参数的影响","authors":"刘华森","doi":"10.3760/CMA.J.ISSN.1008-634X.2006.02.043","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1008-634X.2006.02.043","url":null,"abstract":"目的 探讨同一批标本在不同的时间、不同的保存温度在同一部全自动血细胞分析仪对测定结果的影响.方法采集20例本院健康体检者静脉血每位4ml分别注入2组EDTA-K2真空抗凝管中每管各2ml,其中一组在室温保存,另一组在4℃冰箱保存,用雅培CELL-DYN1700全自动血细胞分析仪,分别于采血后0、4、8、24h进行检测.结果室温标本随着时间的延长对结果有影响,保存在4℃的标本在24h内完成除MPV外基本保持恒定.结论血液标本采集后应尽量在4h内检测完毕,在4℃条件下保存,放置时间也不宜过长.","PeriodicalId":189947,"journal":{"name":"Journal of Modern Clinical Medical Bioengineering","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2006-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128727458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}