Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association最新文献_第7页

Application of nasopharyngoscopy and videofluoroscopy in the fabrication of a speech aid for soft palate defects. 鼻咽镜及影像透视在软腭缺损助听器制作中的应用。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

C H Hung, S Y Cheng

引用次数: 0

Short- and long-latency median nerve somatosensory evoked potentials in stroke patients. 脑卒中患者正中神经短潜伏期和长潜伏期体感诱发电位。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

T R Chiang, H C Chiu

{"title":"Short- and long-latency median nerve somatosensory evoked potentials in stroke patients.","authors":"T R Chiang, H C Chiu","doi":"","DOIUrl":"","url":null,"abstract":"Short- and long-latency somatosensory evoked potentials (SEPs) were elicited by stimulation of the median nerve in 104 stroke patients, 59 men and 45 women. Their ages ranged from 25 to 90 years, with a mean age of 68 years. All of the patients presented with acute unilateral motosensory or sensory deficits. Based on CT findings, the patients were divided into four groups: thalamic hemorrhage (52 cases), thalamic infarct (21 cases), putaminal hemorrhage or infarct (13 cases) and infarction in the corona radiata or subcortical white matter (18 cases). The criteria for abnormal SEP responses were as follows: (1) absence of N18, (2) prolongation of central conduction time, (3) delay in peak latency of N32, (4) delay in peak latency of N60, and (5) decrease in response amplitude. In patients with thalamic stroke, the abnormality rate of SEPs was 93% (68 out of 73 cases). When the lesions were located primarily in the posterolateral thalamus, all SEP components, particularly the N18 (short-latency) component, were affected. Lesions in other thalamic areas caused changes in the N32 (mid-latency) and the N60 (long-latency) components. In putaminal, corona radiata and subcortical lesions, the abnormality rate of SEPs was 84% (26 out of 31 cases). The N18 component was absent in 3 patients with putaminal hemorrhage. Infarct in the corona radiata and subcortex tended to affect the mid- and long-latency components with relative preservation of the short-latency components.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13735349","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}

引用次数: 0

Doppler echocardiographic findings in healthy Chinese adults. 中国健康成人的多普勒超声心动图表现。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

C W Chiang, F C Lin, B R Fang, C T Kuo, W C Cherng, Y S Lee

{"title":"Doppler echocardiographic findings in healthy Chinese adults.","authors":"C W Chiang, F C Lin, B R Fang, C T Kuo, W C Cherng, Y S Lee","doi":"","DOIUrl":"","url":null,"abstract":"To establish a norm for cardiac velocities in healthy Chinese adults, we examined 30 normal subjects (15 men and 15 women) with pulsed- and continuous-wave Doppler, and color flow mapping. The subjects ranged in age from 18 to 60 years (mean 37 years). We found that the early (E) and late (A) diastolic peak velocities for the mitral valve were 87 +/- 16 cm/sec and 61 +/- 15 cm/sec, respectively. The E/A ratio was 1.5 +/- 0.4. The E and A peak velocities for the tricuspid valve were 57 +/- 10 cm/sec and 40 +/- 7 cm/sec, respectively. The peak velocities for the left ventricular outflow tract, the ascending aorta, the proximal descending aorta and the main pulmonary artery were 77 +/- 19, 106 +/- 20, 96 +/- 24 and 74 +/- 17 cm/sec, respectively. None of the velocities exceeded 154 cm/sec. There were no significant differences between men and women. However, older subjects (greater than or equal to 40 years) had a higher mitral A velocity (69 +/- 13 cm/sec vs 57 +/- 17 cm/sec, p less than 0.05) and a lower E/A ratio (1.3 +/- 0.4 vs 1.6 +/- 0.3, p less than 0.05) than did subjects under 40 years of age. Mild tricuspid regurgitation was detected in 8 of the 30 subjects (27%), mitral regurgitation in 3 of the subjects (10%) and pulmonic regurgitation in one of the subjects (3%). There was no aortic regurgitation.(ABSTRACT TRUNCATED AT 250 WORDS)","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13735348","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}

引用次数: 0

Endoscopic sphincterotomy in the treatment of biliary tract diseases. 内镜下括约肌切开术治疗胆道疾病。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

L R Mo, M H Hwang, Y H Yeh, K T Lin, J C Yang, C S Lin, S K Yueh

{"title":"Endoscopic sphincterotomy in the treatment of biliary tract diseases.","authors":"L R Mo, M H Hwang, Y H Yeh, K T Lin, J C Yang, C S Lin, S K Yueh","doi":"","DOIUrl":"","url":null,"abstract":"Endoscopic sphincterotomy (EST) was performed in 53 patients with biliary disease. Indications for sphincterotomy were: 48 patients with choledocholithiasis, 3 patients with malignant biliary obstruction, and 2 patients with papillary stenosis. The procedure was successful in 52 patients (98.1%). In patients with choledocholithiasis, the stones were successfully removed or passed out spontaneously in 42 patients (87.5%). Endoscopic retrograde biliary drainage (ERBD) was successfully carried out in 2 cases of malignant biliary obstruction after EST. The clinical and biochemical evidence of cholestasis resolved in both patients with papillary stenosis. Complications consisted of hemorrhage (2 patients) and cholangitis (1 patient), resulting in one death. The overall complication and mortality rates were 5.7% and 1.9% respectively. Thirty-two patients received regular ultrasound examination follow-up with a mean of 13.4 months. Two patients had recurrent common bile duct stones and one had restenosis of papilla. The conditions were managed by endoscopic therapy. Endoscopic sphincterotomy is a relatively safe and effective means of relieving extrahepatic cholestasis; however, its comparison with surgical techniques needs long-term, randomized studies.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13735293","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}

引用次数: 0

Factors affecting pregnancy rates of in vitro fertilization and gamete intrafallopian transfer. 影响体外受精和配子输卵管内移植受孕率的因素。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

S Y Chang, Y K Soong, M Y Chang

{"title":"Factors affecting pregnancy rates of in vitro fertilization and gamete intrafallopian transfer.","authors":"S Y Chang, Y K Soong, M Y Chang","doi":"","DOIUrl":"","url":null,"abstract":"Factors affecting pregnancy rates in gamete intrafallopian transfer (GIFT) and in vitro fertilization (IVF) were evaluated. Higher pregnancy rates were found when more mature oocytes were recovered (6.2 +/- 2.5 vs 3.8 +/- 3.0) and more oocytes (4.6 +/- 1.0 vs 3.3 +/- 1.2) or zygotes (4.7 +/- 1.4 vs 3.0 +/- 1.7) were transferred. Ultrasound-guided follicular aspiration was successful for in vitro fertilization and had a pregnancy rate (14.3%) comparable to the laparoscopic approach (13.3%). Laparotomy for correction of pelvic pathology concomitant with oocyte retrieval should be used cautiously despite the high preliminary pregnancy rate (42.9%). Failed fertilization of the surplus oocytes left after gamete intrafallopian transfer did not mean a poor chance of pregnancy (27.6%). The combined treatment of gamete intrafallopian transfer and in vitro fertilization may have a higher chance of pregnancy (43.5% vs 21.4% in GIFT and 13.3% in IVF), and more multiple pregnancies (40.0% vs 22.2% in GIFT and 16.7% in IVF). Cycles with spontaneous LH (luteinizing hormone) surges, detected by daily morning urine samplings, need not be aborted and the timing of ovum recovery should be individually evaluated.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13828006","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}

引用次数: 0

Lung abscess caused by Eikenella corrodens: report of a case. 艾肯氏菌腐蚀致肺脓肿1例报告。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

C Y Hsu, L L Liu, K T Luh

引用次数: 0

Spontaneous pneumothorax following chemotherapy for malignant thymoma with pulmonary metastasis: report of a case. 恶性胸腺瘤合并肺转移化疗后自发性气胸1例。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

T C Liu, S F Lin, H W Liu, T P Chen

引用次数: 0

[Sarcoidosis with ocular involvement]. [眼部结节病]。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

Y M Chung, T S Yeh, S J Tsai

引用次数: 0

Serum squamous cell carcinoma antigen in gynecologic malignancies with special reference to cervical cancer. 血清鳞状细胞癌抗原在妇科恶性肿瘤，特别参考宫颈癌。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

C Y Hsieh, D Y Chang, S C Huang, M L Yen, G T Juang, P C Ouyang

{"title":"Serum squamous cell carcinoma antigen in gynecologic malignancies with special reference to cervical cancer.","authors":"C Y Hsieh, D Y Chang, S C Huang, M L Yen, G T Juang, P C Ouyang","doi":"","DOIUrl":"","url":null,"abstract":"Squamous cell carcinoma (SCC) antigen was measured by double-antibody radioimmunoassay in the sera of 113 patients with gynecologic malignancies and 30 controls. The mean serum SCC antigen level was 9.24 ng/ml in those with cervical squamous cell carcinoma, 2.15 ng/ml in those with other gynecologic malignancies, and 1.25 ng/ml in controls. With a cutoff value of 2.23 ng/ml (2 SD above the mean of the control group), the rate of SCC antigen elevation was 54% in cervical cancer (78), 14% in vulvar or vaginal cancer (7), 22% in ovarian cancer (18), and 10% in endometrial cancer (10). In cervical squamous cell carcinoma, the rates of elevated SCC antigen level increased with disease advancement in stages 0, I, II, III, and IV, by 13, 50, 53, 78, and 100%, respectively. In early-stage cervical squamous cell carcinoma, SCC antigen was not sensitive enough for screening. However, if elevated, serum SCC antigen levels decreased rapidly after successful surgical treatment. One case with a serum SCC antigen level above 65 multiples of the cutoff value had widespread cancer and postoperative recurrence. In the advanced case, the sensitivity was much higher. In the recurrent case, the positive rate was 73%. Serum SCC antigen level is useful in predicting the prognosis and monitoring the course of cervical squamous cell carcinoma, especially in the detection of a recurrence.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13735295","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}

引用次数: 0

Extrahepatic biliary obstruction caused by cancer of non-liver origin in children: report of 5 cases. 儿童非肝源性肿瘤致肝外胆道梗阻5例报告。

Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association Pub Date : 1989-08-01

B W Chen, M H Chang, D T Lin, K H Lin, W M Chuu, K S Lin

{"title":"Extrahepatic biliary obstruction caused by cancer of non-liver origin in children: report of 5 cases.","authors":"B W Chen, M H Chang, D T Lin, K H Lin, W M Chuu, K S Lin","doi":"","DOIUrl":"","url":null,"abstract":"Obstructive jaundice secondary to external compression of the extrahepatic bile duct caused by tumor of non-liver origin was found in 5 of 199 consecutive children with cancer between 1986 and 1988 at the Department of Pediatrics, National Taiwan University Hospital. Of the 5 patients, 2 had non-Hodgkin's lymphoma and the other 3 had acute promyelocytic leukemia, histiocytosis X and neuroblastoma, respectively. Extrahepatic biliary obstruction occurred as part of the initial presentation of malignancy in 3 cases, and later in the course of disease in the other 2 cases. In each instance, abdominal ultrasonography and computed tomography revealed dilatation of intrahepatic biliary trees due to mass compressing effects. A huge multilobulated tumor and multiple enlarged lymph nodes near the porta hepatis were found in all 3 patients who underwent an exploratory laparotomy. Wedge biopsy of the liver showed no cancer cell invasion. One case died before chemotherapy had commenced. The other 4 patients received chemotherapy and 3 of them received additional radiotherapy. Although jaundice and tumor regressed dramatically with this mode of treatments, subsequent recurrence of tumor without jaundice rapidly ensued in 3 patients. They all died, except 1 case, within 18 months from the occurrence of jaundice. This suggests that these patients were in an advanced stage of disease and should be diagnosed early and treated vigorously. Accordingly, cancer of non-liver origin, although rare, should be considered in the differential diagnosis of obstructive jaundice if survival is to be improved in these cancer children.","PeriodicalId":22189,"journal":{"name":"Taiwan yi xue hui za zhi. Journal of the Formosan Medical Association","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"1989-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"13735297","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}

引用次数: 0