中国临床实用医学最新文献

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A Study of low-dose Aspirin on endometrial and subendometrial blood flows in ovulation induction 低剂量阿司匹林对促排卵子宫内膜及子宫内膜下血流的影响
中国临床实用医学 Pub Date : 2014-01-25 DOI: 10.3760/CMA.J.ISSN.1673-8799.2014.01.021
Hui-jun Mou, Chunhua Liu
{"title":"A Study of low-dose Aspirin on endometrial and subendometrial blood flows in ovulation induction","authors":"Hui-jun Mou, Chunhua Liu","doi":"10.3760/CMA.J.ISSN.1673-8799.2014.01.021","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN.1673-8799.2014.01.021","url":null,"abstract":"Objective To investigate Low-dose Aspirin Effects on Endometrial and subendometrial blood flows in ovulation induction.Metbods A prospective study on the women(254cycles)who received ovulation induction in our hospital were randomly allocated into two groups:A group (Aspirin group,136 cycles)with Low dose aspirin (50 mg/d) and clomiphene citrate(100 mg/d on cycle days 5 to 9)in ovulation induction; B group (CC group,118 cycles) only with clomiphene citrate(100 mg/d on cycle days 5 to 9).Transvaginal color Doppler ultrasound examination was performed to determine the blood flow distribution patterns,pulsatility index (PI),resistance index(RI),systolic/diastolic ratio(S/D) of endometrial and subendometrial blood flows on the day of HCG injection.Results Grades of visible blood flow of the endometrial detected by Transvaginal color Doppler ultrasound was significantly different between the two groups(P<0.01).Aspirin group had lower PI,RT,and S/D of endometrial and subendometrial blood flows than those in the B group (P<0.01).Conclusion Low dose aspirin therapy in ovulation induction combined with CC can promotes endometrial and subendometrial blood flows. \u0000 \u0000Key words: \u0000Aspirin;  Ovulation induction;  Endometrial and subendometrial blood flows","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"5 1","pages":"47-48"},"PeriodicalIF":0.0,"publicationDate":"2014-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69973399","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
Pemberton截骨治疗大龄儿童发育性髋关节脱位疗效分析 Pemberton截骨治疗大龄儿童发育性髋关节脱位疗效分析
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.130
侯洪涛, 仝允辉, 海洋
{"title":"Pemberton截骨治疗大龄儿童发育性髋关节脱位疗效分析","authors":"侯洪涛, 仝允辉, 海洋","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.130","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.130","url":null,"abstract":"发育性髋关节脱位之大龄儿童一般指6岁以上儿童,其髋臼、股骨头颈的形态异常明显,髋关节临近软组挛缩严重.自2005年采用切开复位Pemberton截骨联合股骨转子下旋转短缩截骨的手术方式治疗,疗效良好,报告如下。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"187-188"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017047","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
眼及鼻腔恶性黑色素瘤临床病理分析 眼及鼻腔恶性黑色素瘤临床病理分析
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.146
谭焕仙, 张满忠
{"title":"眼及鼻腔恶性黑色素瘤临床病理分析","authors":"谭焕仙, 张满忠","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.146","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.146","url":null,"abstract":"恶性黑色素瘤malignant melanoma,MM,简称恶黑,是一种具有攻击性、治疗难度很大的恶性黑色素细胞肿瘤,已成为一种威胁人们健康的恶性疾病[1].大约95%的恶性黑色素瘤发生在皮肤组织,发生在眼球及鼻腔者比较少见,而原发于鼻腔者仅占全部恶性黑色素瘤的1%.其早期诊断及治疗困难,容易误诊,预后较差.现将我科1992~2009年收治的5例眼及鼻腔恶性黑色素瘤报告如下。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"203-204"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017386","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
危重甲型H1N1流感的甲基泼尼松龙治疗体会 危重甲型H1N1流感的甲基泼尼松龙治疗体会
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.147
刘洋, 康军阳, 王玉梅
{"title":"危重甲型H1N1流感的甲基泼尼松龙治疗体会","authors":"刘洋, 康军阳, 王玉梅","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.147","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.147","url":null,"abstract":"目的 探索甲型H1N1流感危重型患者的激素治疗.方法 回顾性对我院收治的5例甲型H1N1流感危重患者使用激素后进行疗效观察.结果 4例治愈,1例遗留有后遗症.结论 甲型H1N1流感危重患者可试用的甲基泼尼松龙治疗,其疗效尚需进一步观察,同时注意大剂量糖皮质激素的副作用。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"204-205"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017393","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
心理引导在门诊输液过程中的作用 心理引导在门诊输液过程中的作用
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.183
刘国萍
{"title":"心理引导在门诊输液过程中的作用","authors":"刘国萍","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.183","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.183","url":null,"abstract":"随着现代护理学科的发展,护理工作不再是单纯简单的技术操作,更应注重\"以人为本\"的护理过程.由于社会的发展,人们消费观念的改变,患者对门诊护理质量的要求也越来越高,因此门诊输液室护士如何在输液过程中,通过良好的语言、表情和行为去影响患者的感受认识、调动其主观能动性,对患者的健康和提高穿刺率起着重要的作用。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"244-244"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017657","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
Minimally invasive percutaneous nephrolithotomy for the treatment of complicated renal calculi 微创经皮肾镜取石术治疗复杂性肾结石
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.36
Yongkang Zhang, Qi Long, Q. Lu
{"title":"Minimally invasive percutaneous nephrolithotomy for the treatment of complicated renal calculi","authors":"Yongkang Zhang, Qi Long, Q. Lu","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.36","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.36","url":null,"abstract":"Objective To explore the safety, feasibility and superiority of minimally invasive percutaneous nephrolithotomy(MPCNL) in treating complicated renal calculi. Methods 106 patients suffering from complicated renal calculi were treated with 121 MPCNL. Results 89 cases underwent MPCNL with single tract ,29 cases with two tracts and 3 cases with three tracts in 106 patients. Renal calculi were cleared completely in 90 patients with one-staged MPCNL, 11 patients with two-staged MPCNL but 5 patients had residual renal calculi and treated with extracorporal shock wave lithotripsy(ESWL) afterwards. 92. 6% calculi free-rate was achieved. Average operation time was 91 minutes,bleeding ranged from 100 to 900 ml and 5 patients accepted 200~400 ml blood. There were no severe complications in all patients. Conclusion MPCNL is a minmally invasive, safe and effective operation for comlicated renal calculi. \u0000 \u0000Key words: \u0000Percutaneous nephrolithotomy; Renal calculi; Minimally invasive operation","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"68-69"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70018131","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: 2
The clinical curative effect of the treatment to severe allergic purpura children through procaine 普鲁卡因治疗小儿重度过敏性紫癜的临床疗效观察
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.39
Yi-min Yang
{"title":"The clinical curative effect of the treatment to severe allergic purpura children through procaine","authors":"Yi-min Yang","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.39","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.39","url":null,"abstract":"Objective To observe the clinical curative effect of the treatment to severe allergic purpura children through procaine deveangeorge. Methods From May 2007 to February 2010, 32 patients hospitalized children with severe allergic purpura were randomly divided into two groups:A group (observation group)16 cases were offered conventional treatment(adrenal cortical hormone, antihistamines, improve blood capillary brittleness medicine, antibiotics or disease-resistant poison, etc comprehensive treatment) + procaine treatment.Group B(control group) 16 cases were offered conventional treatment. The clinical effect of two groups were observed. Results Two graps in illness recovery time, the length of time, recurrence rate and effective time,there were significant differences in general, used for treatment of abdominal pain, had blood in one' s stool for intractable main symptom, conventional therapies patients is preferred. Conclusion There is better clinical curative effect of the treatment to severe allergic purpura children through procaine devean george with conventional treatment especially to those with intractable abdominal pain, and having blood in one' s stool as the main symptoms of conventional treatment in patients. \u0000 \u0000Key words: \u0000Procaine; Deveangeorge; Serious; Allergic purpura; Children","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"72-73"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70018192","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
后腹腔镜与开放术式对于肾囊肿去顶术临床分析 后腹腔镜与开放术式对于肾囊肿去顶术临床分析
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.109
何思挺, 黄玉梅, 周振邦
{"title":"后腹腔镜与开放术式对于肾囊肿去顶术临床分析","authors":"何思挺, 黄玉梅, 周振邦","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.109","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.109","url":null,"abstract":"目的 探讨后腹腔镜对于肾囊肿去顶术临床,并与常规开放术式比较其优缺点.方法 选取我院2006年1月至2007年6月泌尿外科收治的肾囊肿患者80例,均分为腔镜组和开放组,腔镜组:全身麻醉后,腋中线髂嵴上方1.5~2.0 cm切皮置入气囊扩张腹膜后间隙,之后置入气腹针,建立CO2气腹,选取肋缘下腋前线和腋后线切口建立操作通道,距肾实质边缘5 mm处切除囊壁放置引流管;开放组常规进行,统计两组患者手术时间、术中出血量、术后下床时间以及住院时间,术后随访3年,比较两组患者复发率.结果 手术时间开放组明显长于后腹腔镜组,术中出血量,开放组明显多于后腹腔镜组,术后下床时间,后腹腔镜组早于开放组,住院时间后腹腔镜组短于开放组.两组复发率差异无统计学意义.结论 后腹腔镜肾囊肿去顶术,手术创伤小,术中出血少、患者术后下床早、住院时间短,且术后复发率低,对于有条件开展的医院,值得临床推广。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"28 1 1","pages":"163-164"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70016838","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
血钾与急性心肌梗死近期预后关系分析 血钾与急性心肌梗死近期预后关系分析
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.123
张士文
{"title":"血钾与急性心肌梗死近期预后关系分析","authors":"张士文","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.123","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.123","url":null,"abstract":"目的 分析不同血钾测定值与急性心肌梗死近期预后之间的关系.方法 回顾性分析我院近4年来ST指高型急性心肌梗死150例,按入院时血钾测定值分为<3.5 mmol/L组,3.6~4.0 mmol/L组及>4.1 mmol/L组3个组,观察各组分别与急性心肌梗死住院期间发生心力衰竭(Killip分级Ⅱ级以上)、恶性心律失常、死亡率之间的关系.结果 血钾<3.5 mmol/L组,3.6~4.0 mmol/L组与血钾>4.1 mmol/L组比较,心力衰竭(KillipⅡ级以上)、恶性心律失常及死亡发生率均明显增高,差异有统计学意义.而血钾<3.5 mmol/L组与3.6~4.0 mmol/L组之间差异性不明显.结论 急性心肌梗死入院时血钾≤4.0 mmol/L发生率达62%.其中血钾<3.5 mmol/L发生率30%,血钾3.6~4.0 mmol/L发生率32%.入院时血钾≤4.0 mmol/L,住院期间心力衰竭(Killip Ⅱ级以上)、恶性心律失常、死亡率均明显高于血钾>4.0 mmol/L组.低血钾与急性心肌梗死并发症之间的关系已有报道,尤其发生恶性心律失常室速、室颤报道较多.本研究将入院时血钾测定值分为3个组,观察每组与急性心肌梗死住院期间发生心力衰竭(KillipⅡ级以上),恶性心律失常及死亡率之间的关系。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"180-181"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70016954","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
198例肺不张患者的支纤镜检查分析 198例肺不张患者的支纤镜检查分析
中国临床实用医学 Pub Date : 2010-12-25 DOI: 10.3760/CMA.J.ISSN1673-8799.2010.12.126
陈国荣
{"title":"198例肺不张患者的支纤镜检查分析","authors":"陈国荣","doi":"10.3760/CMA.J.ISSN1673-8799.2010.12.126","DOIUrl":"https://doi.org/10.3760/CMA.J.ISSN1673-8799.2010.12.126","url":null,"abstract":"目的 探讨纤维支气管镜检查在肺不张病因诊断中的价值.方法 选取我院2005年7月至2009年9月收支的198例肺不张患者的资料,所有患者均进行纤维支气管镜检查,观察纤维支气管镜诊断的准确率,并总结引起肺不张患者的病因.结果 198例肺不张患者有192例患者诊断准确,诊断准确率为96.97%.引起肺不张最常见的病因为肺癌,有128例,占64.65%,以鳞癌最为多见.其余依次为肺炎50例,占25.25%,结核16例,占8.08%,其他呼吸系统疾病4例,占2.02%.结论 纤维支气管镜是确定肺不张病因的最重要的检查手段之一,可以指导肺不张的临床用药,对于原因不明的肺不张应首选纤维支气管镜检查.临床诊断正确率较高,值得在临床推广。","PeriodicalId":64135,"journal":{"name":"中国临床实用医学","volume":"4 1","pages":"183-184"},"PeriodicalIF":0.0,"publicationDate":"2010-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70017009","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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