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PICC置管在肿瘤化疗中的作用 PICC置管在肿瘤化疗中的作用
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.180
褚秀凤, 田美兰
{"title":"PICC置管在肿瘤化疗中的作用","authors":"褚秀凤, 田美兰","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.180","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.180","url":null,"abstract":"2008年3月至2009年4月我们对90例肿瘤患者在化疗时应用PICC置管,经临床观察效果满意,现报告如下. 1临床资料 1.1一般资料本组患者100例,均为肿瘤患者需进行化疗,我们对90例应用PICC置管,10例未使用PICC置管。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"45 1","pages":"242-242"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017586","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
Transradial coronary intervention of chronic total occlusion lesion 82 clinical research 经桡动脉冠状动脉介入治疗慢性全闭塞病变82例临床研究
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.20
J. Qin
{"title":"Transradial coronary intervention of chronic total occlusion lesion 82 clinical research","authors":"J. Qin","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.20","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.20","url":null,"abstract":"Objective To evaluate percutaneous coronary intervention(PCI) on coronary chronic total occlusion(CTO) lesions safety, clinical effectiveness, compared PCI and simple drug treatment of chronic coronary occlusion in patients with long - term prognosis. Methods From February 2008 to February 2010 Shangqiu City Department of Cardiology, First People' s Hospital, 82 cases of hospitalized patients, a total of 116 lesions after radial artery CTO intervention information. Test group: PCI group 50 cases of 67 lesions treated by interventional occlusion of blood vessels open. Drug treatment group :32 patients with 49 lesions due to surgery or surgery was not successful line of PCI given drug treatment alone. Analysis of the clinical symptoms of the two groups, the incidence of major complications; two groups of clinical follow - up 6 months follow - up cases were compared clinical end point event rate; review echocardiography and cardiac function and wall observed movement. Results 116 CTO lesions, 67 lesions after successful opening of the radial artery, 49 lesions could not open, the success rate of 57.8%. The two groups no significant difference in clinical characteristics. Forearm,3 cases of postoperative hematoma, no pulse disease 0, no other serious complications. Operation group with unstable angina, myocardial infarction and mortality were again lower than drug treatment group (P＜ 0. 05),echocardiography showed cardiac surgery group and wall motion was better than drug treatment group (P ＜0. 05). Conclusion The radial artery is safe and feasible intervention CTO lesions, a high success rate, no serious complications and chronic coronary occlusion may improve long - term prognosis of patients, improving quality of life and reduce mortality. \u0000 \u0000Key words: \u0000Transradial intervention; Sirolimus-eluting stent; Chronic occlusive disease; Drug therapy","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"41-42"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017862","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
Discussion guide health education intervention on coronary heart disease 探讨指导冠心病健康教育干预
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.60
Zeng-ye Zou, Xi-wen Zhong, Yuan-hui Zhong
{"title":"Discussion guide health education intervention on coronary heart disease","authors":"Zeng-ye Zou, Xi-wen Zhong, Yuan-hui Zhong","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.60","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.60","url":null,"abstract":"Objective To discuss the effect of the health education through the intervention model for patients with coronary heart disease intervention. Methods 88 patients with coronary heart disease patients before and after intervention were compared with various forms of coronary heart disease patients, in different ways, for different conditions, respectively, targeted health education, psychological counseling, use of group intervention for health interventions. Results After Health Education Quality of life before and after intervention and relapse rate situation analysis and comparison, by statistically Biaoming, there were significant differences(P＜ 0.05), obviously. Conclusion Through health education intervention can greatly reduce the incidence of coronary heart disease, relapse rate and mortality, The health education interventions in the prevention of coronary heart disease is the effect significantly in three far-reaching. \u0000 \u0000Key words: \u0000Health education; Coronary heart disease; Intervention; Evaluation","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"106-108"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017954","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
十二指肠憩室的螺旋CT影像表现及运用 十二指肠憩室的螺旋CT影像表现及运用
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.73
吴小勤, 王悦兵, 罗辉宇
{"title":"十二指肠憩室的螺旋CT影像表现及运用","authors":"吴小勤, 王悦兵, 罗辉宇","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.73","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.73","url":null,"abstract":"目的 分析十二指肠憩室的螺旋CT表现,探讨螺旋CT对十二指肠憩室的CT特点及其诊断价值.方法 回顾性分析经X线钡餐、十二指肠镜检查证实的19例十二指肠憩室的CT资料.结果 19例中检出憩室17个,其中＞1.5 cm以上13个,CT表现为胰腺头部右后方半圆形含气体腔影,可见液平面,突出十二指肠腔外,与胰腺头部边缘锐利.结论 CT对十二指肠憩室诊断有一定的价值。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"122-123"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70018018","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
Analysis on the clinicopathology characteristics of diffuse large B-cell lymphoma in asopharyngeal 咽部弥漫性大b细胞淋巴瘤临床病理特点分析
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.34
Chenghong Zheng
{"title":"Analysis on the clinicopathology characteristics of diffuse large B-cell lymphoma in asopharyngeal","authors":"Chenghong Zheng","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.34","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.34","url":null,"abstract":"Objective To investigate the clinicopathology characteristics of asopharyngeal diffuse large B-cell lymphoma(DLBCL) and improve diagnosis of the disease. Methods The clinical, immunophenotypic and histopathologic features of 12 cases asopharyngeal DLBCL were retrospectively studied. The expression of CD20, CD3, CD10, BCL6, MUM-1, Ki-67, CD30, AE1/3, CD30, ALK, CD5and CyclinD1 was detected. Results All patients were primary DLBCL. Among the 12 patients,8 were males and 4 were femals. The age ranged from 34 to 67 years, average age 48 years old. Among them,7 cases were germinal centre B-cell-like(GCB) , 5cases were non-germinal centre B-cell-like(non-GCB). Conclusion Asopharyngeal DLBCLs are easily misdiagnosed as carcinomas. The correct diagnosis of DLBCL may be reached by combination of clinic, histological and immunological features. \u0000 \u0000Key words: \u0000Lymphoma nasopharyngeal; Pathology; Diagnosis differential","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"65-66"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70018066","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
Comparative study to effect of valsartan and amlodipine on plasma Apelin-12 in patients with essential hypertension 缬沙坦与氨氯地平对原发性高血压患者血浆Apelin-12影响的比较研究
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.40
Shifang Wang, Juan-ling Wang, Tong-xiang Liu
{"title":"Comparative study to effect of valsartan and amlodipine on plasma Apelin-12 in patients with essential hypertension","authors":"Shifang Wang, Juan-ling Wang, Tong-xiang Liu","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.40","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.40","url":null,"abstract":"Objective To study the effect of valsartan and amlodipine on plasma Apelin-12 in patients with essential hypertension. Methods The 110 mild and moderate hypertension patients were divided randomly into 2 groups, 58 patients were treated in valsartan, 52 patients were treated in amlodipine. 50 healthy people physical examinded were control group. All the cases were detected Apelin-12. After 16 weeks' anti-hypertensine lowering with valsartan and amlodipine for EH group, the above item was detected again. Results The plasma Apelin-12 level after treatment of valsartan and amlodipine was significantly higher than that of treatment before. The plasma Apelin-12 level after treatment of valsartan was significantly higher than that of treatment of amlodipine. Conclusion Valsartan increase plasma Apelin-12 more than amlodipine. \u0000 \u0000Key words: \u0000Hypertension; Apelin-12; valsartan; Amlodipine","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"74-75"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70018207","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
显微镜支撑喉镜下CO2激光治疗早期声门型喉癌26例临床观察 显微镜支撑喉镜下CO2激光治疗早期声门型喉癌26例临床观察
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.114
蔡成福, 赵德安, 骆献阳, 刘存山, 崔树勋
{"title":"显微镜支撑喉镜下CO2激光治疗早期声门型喉癌26例临床观察","authors":"蔡成福, 赵德安, 骆献阳, 刘存山, 崔树勋","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.114","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.114","url":null,"abstract":"目的 观察显微镜支撑喉镜下CO2激光治疗早期声门型喉癌的临床疗效及安全性.方法 回顾分析26例早期声门型喉癌的治疗,其中Tis 6例,T1a 12例,T1b 7例,T2 1例.均采用显微镜支撑喉镜下CO2激光切除治疗,术后定期复查、随访3年.结果 23例1次手术治愈,3例局部复发,Tis 0/6,T1a 2/12,T1b 1/7,T2 0/1,各组间复发率比较差异无统计学意义(P＞0.05).3例复发者均第二次行显微镜支撑喉镜下CO2激光切除治疗,再次复发率0(0/3).随访结果,1年生存率100%(26/26).随访3年,24例存活良好,2例失访(按死亡计算),3年生存率92.3%.结论 显微镜支撑喉镜下CO2激光治疗早期声门型喉癌疗效可靠,能较好地保留喉部结构和功能,避免气管切开及颈部手术瘢痕.同时具有住院时问短、费用低、创伤小、恢复快等优点。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"169-170"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70016886","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
尿RBP、TRF、mALB检测对糖尿病肾病早期诊断的探讨 尿RBP、TRF、mALB检测对糖尿病肾病早期诊断的探讨
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.118
高玉强
{"title":"尿RBP、TRF、mALB检测对糖尿病肾病早期诊断的探讨","authors":"高玉强","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.118","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.118","url":null,"abstract":"目的 探讨尿标本中视黄醇结合蛋白、转铁蛋白、微量白蛋白检测在糖尿病肾病早期诊断中的作用.方法 用ELISA法检测尿中视黄醇结合蛋白、转铁蛋白、免疫比浊法检测尿微量白蛋白,酶偶联法测定尿肌酐.结果 正常对照组中尿RBP/Cr、TRF/Cr的含量分别为(2.12±0.95)mg/mmol,(1.81±0.52)mg/mmol.在糖尿病无肾病组中,其微量白蛋白的含量与正常对照组相近(P＞0.05),而RBP、TRF的含量与正常对照组相比具有显著差别(P＜0.05).在糖尿病的初期肾病组和临床肾病组,mALB、RBP/Cr、tRF/C的含量均明显高于正常对照组(P＜0.01).结论 联合检测尿RBP、TRF是诊断糖尿病肾病早期损伤灵敏、可靠的实验室指标。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"174-175"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70016905","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
不稳定型心绞痛患者的护理体会 不稳定型心绞痛患者的护理体会
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.169
王瑞
{"title":"不稳定型心绞痛患者的护理体会","authors":"王瑞","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.169","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.169","url":null,"abstract":"目的 探讨不稳定型心绞痛的临床护理措施.方法 回顾分析60例患者的临床资料.结果 经过医师给予硝酸甘油、硝苯地平等对症处理,治疗有效55例,无效5例.结论 护理工作是观察心绞痛发作的关键,指导患者从生活习惯和心理调节各方面预防心绞痛病的发作.优质的护理工作是不稳定型心绞痛患者康复的保证,也是减少发病,提高生活质量的关键。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"230-231"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017310","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
Treatment of infective raw surface by suction wound closure therapy 吸创口闭合法治疗感染性创面
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.162
Ling-li Xing, Xue-ling Qu, Hai-tao Wang
{"title":"Treatment of infective raw surface by suction wound closure therapy","authors":"Ling-li Xing, Xue-ling Qu, Hai-tao Wang","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.162","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.162","url":null,"abstract":"Objective To search the main points of clinical therapy and nursing for infective raw surface by suction wound closure therapy. Methods 1To treat infective raw surface by vacuum sealing drainage dressing. Observe the clinical therapy and nursing efficacy. Results From November 2008 to October 2010,thirty patients of infective raw surface were treated by this method. The good function and certain result were achieved. The clinical therapy and nursing results were satisfactory with no complications. Conclusion Treatment of infective raw surface by suction wound closure therapy is an ideal and effective method for the management of infective raw surface. Intimate nursing observation and drainage tube administration are the key points of nursing. \u0000 \u0000Key words: \u0000Suction wound closure therapy; Raw surface; Nursing","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"48 1","pages":"222-223"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017628","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
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