中华内科杂志最新文献

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[Effect of an artificial intelligence-assisted recognition system on colonoscopy quality]. [人工智能辅助识别系统对结肠镜检查质量的影响]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240216-00109
B Jin, L Huang, S Liu, B Lyu, Y Hu
{"title":"[Effect of an artificial intelligence-assisted recognition system on colonoscopy quality].","authors":"B Jin, L Huang, S Liu, B Lyu, Y Hu","doi":"10.3760/cma.j.cn112138-20240216-00109","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240216-00109","url":null,"abstract":"<p><p><b>Objective:</b> To explore the value of the artificial intelligence (AI)-assisted recognition system in the detection quality of colonoscopy. <b>Methods:</b> From January 2023, the data on 700 patients who underwent colonoscopy in the Digestive Endoscopy Center of the First Affiliated Hospital of Zhejiang Chinese Medical University were collected prospectively. Based on a computerized number method, patients were divided into the AI assistance group and control group. The detection rate of adenomas (ADR) and polyps, number and size of adenomas, Boston bowel preparation scale (BBPS), intubation time, withdrawal time, and cecal intubation rate were compared between groups. Normally distributed data were analyzed with the <i>t</i>-test for independent samples. Non-normally distributed data were analyzed with the Rank sum test. Categorical data were analyzed with the Chi-square test. <b>Results:</b> In total, 691 patients were included in the analysis. According to the intention to treat (ITT) analysis and per-protocol (PP) analysis, the withdrawal time of the AI group was higher than that of the control group (ITT:436 (305, 620) vs 368 (265, 510) s, <i>Z</i>=-4.24, <i>P</i><0.001;PP:439 (306, 618) vs 364 (262, 500) s,<i>t</i>=-4.50, <i>P</i><0.001); however, there were no significant differences in the ADR (ITT:123(35.5%) vs 111(32.2%), <i>χ</i><sup>2</sup>=0.88, <i>P</i>=0.349;PP:108(34.2%) vs 99(31.1%), <i>χ</i><sup>2</sup>=0.67, <i>P</i>=0.414), the number of adenomas (ITT:0(0, 1) vs 0(0, 1),<i>Z</i>=-1.08, <i>P</i>=0.282;PP:0(0, 1) vs 0(0, 1),<i>Z</i>=-0.87, <i>P</i>=0.387), the polyp detection rate (ITT:85(24.6%) vs 85(24.6%),<i>χ</i><sup>2</sup>=0.001, <i>P</i>=0.983;PP:79(25.0%) vs 77(24.2%),<i>χ</i><sup>2</sup>=0.05, <i>P</i>=0.818), BBPS (ITT:6.5±0.9 vs 6.5±0.7,<i>t</i>=-0.59, <i>P</i>=0.555;PP:6.7±0.6 vs 6.6±0.6,<i>t</i>=-1.83, P=0.068), and cecal intubation rate (ITT:346(100.0%) vs 343(99.4%), <i>χ</i><sup>2</sup>=0.50, <i>P</i>=0.478) between these two groups. After excluding inadequate bowel preparation and failed cecal intubation cases, the AI-assisted system was found to significantly improve the detection rate of small adenomas (≤5 mm) (PP:27.8%(88/316)vs 21.1%(67/318), <i>χ</i><sup>2</sup>=3.94, <i>P</i>=0.047). <b>Conclusions:</b> The application of an AI-assisted system in colonoscopy can increase the withdrawal time and improve the detection rate of small adenomas.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559488","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
[Expert consensus on the perioperative management of co-ablation system therapy of lung tumors]. [肺部肿瘤联合消融系统疗法围手术期管理专家共识]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240620-00394
{"title":"[Expert consensus on the perioperative management of co-ablation system therapy of lung tumors].","authors":"","doi":"10.3760/cma.j.cn112138-20240620-00394","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240620-00394","url":null,"abstract":"<p><p>In order to improve the quality of clinical therapy and nursing care for patients with lung tumors undergoing Co-Ablation System and standardize perioperative management, the Committee of Ablation Therapy in oncology, Chinese Anti-Cancer Association, and the Expert committee on Ablation Therapy and the Committee of Interventional Perioperative, Interventional Physician Branch of Chinese Medical Doctor Association organized medical and nursing experts in China. Based on the clinical practice of Co-Ablation System therapy in China and relevant domestic literature, a perioperative management expert consensus was developed. The expert consensus included the key points of perioperative nursing care, prevention and intervention of complications, and discharge guidance for Co-Ablation System therapy of lung tumors, to provide reference for the standardization and development of clinical management for lung tumors.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559489","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
[2024 Chinese guidelines for the diagnosis and treatment of rheumatoid arthritis]. [2024 年中国类风湿关节炎诊治指南]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240531-00360
{"title":"[2024 Chinese guidelines for the diagnosis and treatment of rheumatoid arthritis].","authors":"","doi":"10.3760/cma.j.cn112138-20240531-00360","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240531-00360","url":null,"abstract":"<p><p>Rheumatoid arthritis(RA) is an autoimmune disease characterized by erosive arthritis, which is an important cause of disability in Chinese population. It is of great significance to formulate and update RA diagnosis and treatment guidelines that meet the standards of international guidelines and clinical practice in China. The update of the Chinese guidelines for the diagnosis and treatment of RA was initiated by National Clinical Research Center for Dermatologic and Immunologic Diseases, jointly with the Chinese Association of Rheumatology and Immunology Physicians, the Rheumatology and Immunology Professional Committee of Chinese Rehabilitation Medical Association, the Rheumatology and Immunology Professional Committee of Chinese Research Hospital Association, and the Rheumatology and Immunology Branch of Beijing Association of Holistic Integrative Medicine. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach and the Reporting Items for Practice Guidelines in Healthcare (RIGHT) checklist were followed to update the guidelines. The guidelines provide evidence-based recommendations on 10 clinical issues which were concerned by Chinese rheumatologists. The aim is to improve the level of diagnosis and standard treatment of RA in China, and to improve the quality of life and prognosis of patients.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559483","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
[Correlation of Impulse oscillometry system indices with conventional pulmonary function tests in patients with obstructive pulmonary ventilation dysfunction]. [阻塞性肺通气功能障碍患者的脉冲振荡测量系统指数与常规肺功能测试的相关性]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240410-00231
B Wei, K Zhang, Z Y Wang, B H Fu, X M Huang, Y T Chen, J P Zhao, J M Wang, M Xie, W Ni
{"title":"[Correlation of Impulse oscillometry system indices with conventional pulmonary function tests in patients with obstructive pulmonary ventilation dysfunction].","authors":"B Wei, K Zhang, Z Y Wang, B H Fu, X M Huang, Y T Chen, J P Zhao, J M Wang, M Xie, W Ni","doi":"10.3760/cma.j.cn112138-20240410-00231","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240410-00231","url":null,"abstract":"&lt;p&gt;&lt;p&gt;&lt;b&gt;Objective:&lt;/b&gt; To investigate the correlation between impulse oscillometry system examination indicators and conventional pulmonary ventilation function. &lt;b&gt;Methods:&lt;/b&gt; The pulmonary ventilation function data of 10 883 patients from January 1, 2020 to December 31, 2022 at Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology were included. The one-second rate [ratio of forced expiratory volume in the first second (FEV&lt;sub&gt;1&lt;/sub&gt;) to forced vital capacity (FVC)] measured as a percentage of the predicted value was ≥92% for the control group (&lt;i&gt;n=&lt;/i&gt;3 478) and &lt;92% for the pulmonary obstruction group (&lt;i&gt;n=&lt;/i&gt;7 405). The obstruction group was subdivided into five groups according to the degree of pulmonary dysfunction: mild group (&lt;i&gt;n=&lt;/i&gt;3 938),moderate group (&lt;i&gt;n=&lt;/i&gt;1 142),oderate-severe group (&lt;i&gt;n=&lt;/i&gt;917),severe group (&lt;i&gt;n=&lt;/i&gt;737),and extremely severe group (&lt;i&gt;n=&lt;/i&gt;671). Conventional pulmonary ventilatory function FVC, FEV&lt;sub&gt;1&lt;/sub&gt;, one-second rate, and forced expired flow at 50% of FVC (MEF50%), forced expired flow at 75% FVC (MEF25%), maximal mid-expiratory flow (MMEF), peak expiratory flow (PEF), and pulsed oscillation pulmonary function test were detected in both groups of patients. Impedance at 5 Hz (Z5) means total respiratory resistance, resistance at 5 Hz (R5) means total airway resistance, reactance at 5 Hz (X5) indicates the elastic recoil of the peripheral airways, and resistance at 20 Hz (R20) represents resistance of the central airways. R5-R20 reflects resistance in the small airways. Additionally, peripheral resistance (Rp), respiratory resonance frequency (Frex), and area under the reactance curve (Ax) were also measured. Correlation between the indicators of the two groups and the sensitivity and specificity of the impulse oscillometry system parameters for the diagnosis of obstructive pulmonary ventilation dysfunction were analyzed. &lt;b&gt;Results:&lt;/b&gt; Pulmonary function force expiratory volume in the first second as a percentage of predicted value (FEV&lt;sub&gt;1&lt;/sub&gt;%Pre) [80.10 (54.95,97.10)%],one-second rate [62.43(48.67, 67.02)%],MEF50% [1.33 (0.62,1.97)L/s],MEF25% [0.28 (0.17,0.41)L/s], MMEF [0.85 (0.43,1.29)L/s],and PEF [5.64 (3.73,7.50)]L/s in the obstruction group were significantly lower than those in the control group (&lt;i&gt;P&lt;&lt;/i&gt;0.05). The differences within the subgroups of the obstruction group were also significant (&lt;i&gt;P&lt;&lt;/i&gt;0.05). Pulsed oscillation Z5 [0.42 (0.33,0.55)kPa·L&lt;sup&gt;-1&lt;/sup&gt;·s&lt;sup&gt;-1&lt;/sup&gt;],Rp [0.25 (0.20,0.45)kPa·L&lt;sup&gt;-1&lt;/sup&gt;·s&lt;sup&gt;-1&lt;/sup&gt;], R5 [0.39 (0.31,0.49)kPa·L&lt;sup&gt;-1&lt;/sup&gt;·s&lt;sup&gt;-1&lt;/sup&gt;], R20 [0.28 (0.24,0.34)kPa·L&lt;sup&gt;-1&lt;/sup&gt;·s&lt;sup&gt;-1&lt;/sup&gt;], R5-R20 [0.09 (0.05,0.17)kPa·L&lt;sup&gt;-1&lt;/sup&gt;·s&lt;sup&gt;-1&lt;/sup&gt;],Frex [16.32 (13.07,20.84)Hz], and Ax [0.67 (0.28,1.64)] indices in the obstruction group were significantly higher than those in the control group. X5 [-0.14 (-0.23, -0.10)kPa·L&lt;sup&gt;-1&lt;/sup&gt;·s&lt;sup&gt;-1&lt;/sup&gt;] was significantly lower than that i","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559487","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
[Reflections on critical care ultrasound training: clinical analysis, protocol, view, approach and practice-workflow (CPVAP) modular training and base training model]. [对重症监护超声培训的思考:临床分析、方案、观点、方法和实践-工作流程(CPVAP)模块化培训和基础培训模式]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240613-00382
X Y Zeng, W He, Y Qin, X T Wang, Y G Chao, Y Kang, M G Yin
{"title":"[Reflections on critical care ultrasound training: clinical analysis, protocol, view, approach and practice-workflow (CPVAP) modular training and base training model].","authors":"X Y Zeng, W He, Y Qin, X T Wang, Y G Chao, Y Kang, M G Yin","doi":"10.3760/cma.j.cn112138-20240613-00382","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240613-00382","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559492","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
[New cognition of critical illness on acute respiratory distress syndrome]. [关于急性呼吸窘迫综合征的危重病新认知]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240806-00495
G J Wang, R Zhu, X T Wang
{"title":"[New cognition of critical illness on acute respiratory distress syndrome].","authors":"G J Wang, R Zhu, X T Wang","doi":"10.3760/cma.j.cn112138-20240806-00495","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240806-00495","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559491","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
[To standardized the diagnosis and treatment for improve clinical outcome in patients with rheumatoid arthritis in China]. [规范诊断和治疗,提高中国类风湿关节炎患者的临床疗效]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240531-00361
N Jiang, X P Tian, X F Zeng
{"title":"[To standardized the diagnosis and treatment for improve clinical outcome in patients with rheumatoid arthritis in China].","authors":"N Jiang, X P Tian, X F Zeng","doi":"10.3760/cma.j.cn112138-20240531-00361","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240531-00361","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559597","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
[Standardized diagnosis and treatment of immune checkpoint inhibitor-induced thyroid dysfunction]. [免疫检查点抑制剂诱发甲状腺功能障碍的标准化诊断和治疗]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240906-00556
B Li, W J Gu, Y M Mu
{"title":"[Standardized diagnosis and treatment of immune checkpoint inhibitor-induced thyroid dysfunction].","authors":"B Li, W J Gu, Y M Mu","doi":"10.3760/cma.j.cn112138-20240906-00556","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240906-00556","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559596","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
[A single-center prospective study of vitamin D levels and its supplementary effect in the first trimester]. [关于妊娠头三个月维生素 D 水平及其补充效果的单中心前瞻性研究]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240221-00117
J J Wang, O Wang, R Li, Y Y Chen, Y P Liu, X P Xing
{"title":"[A single-center prospective study of vitamin D levels and its supplementary effect in the first trimester].","authors":"J J Wang, O Wang, R Li, Y Y Chen, Y P Liu, X P Xing","doi":"10.3760/cma.j.cn112138-20240221-00117","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240221-00117","url":null,"abstract":"<p><p><b>Objective:</b> To investigate vitamin D levels and the effect of exogenous vitamin D supplementation in the first trimester among pregnant women in our center. <b>Methods:</b> This was a prospective cohort study. A total of 98 women in the first trimester who were followed-up regularly in Peking Union Medical College Hospital from December 1<sup>st</sup> 2020 to December 1<sup>st</sup> 2021 were enrolled. Subjects who had medical conditions that affect vitamin D absorption or metabolism were excluded. Questionnaires were administered, and 25-hydroxyvitamin D [25(OH)D] levels were detected using liquid chromatography tandem mass spectrometry (LC/MS/MS) method. According to the basic 25(OH)D level, different dosages of exogenous vitamin D were supplemented. After 4 weeks, 25(OH)D levels were detected again to evaluate the effect of supplementation. T test, analysis of variance, <i>χ</i><sup>2</sup> test, and multiple linear regression analysis were used for analysis. <b>Results:</b> The mean age of enrolled subjects was (33.5±4.0) years. The baseline 25(OH)D level was (41.2±20.0) nmol/L. Briefly, 70.4% (69/98) subjects were deficient in vitamin D, and 42.9% (42/98) patients were using vitamin D supplementation at the time of 25(OH)D testing. Single-factor analysis showed that vitamin D supplementation (<i>t</i>=-4.21, <i>P</i><0.001), season (<i>t</i>=2.59, <i>P</i>=0.011), and nut-eating frequency (<i>t</i>=2.67, <i>P</i>=0.009) were related to 25(OH)D levels. Multiple linear regression analysis showed that only vitamin D supplementation had a relationship with 25(OH)D level (<i>B</i>=13.84, <i>P=</i>0.006). According to the baseline 25(OH)D level, 400-5 000 U/d vitamin D3 was supplemented regularly for (4.1±2.5) weeks, and 25(OH)D levels significantly increased after supplementation [(64.1±18.1) vs (37.3±16.6) nmol/L, <i>t</i>=-9.36, <i>P</i><0.001]. The ascending range was negatively associated with basic 25(OH)D level (<i>B</i>=-0.66, <i>P</i><0.001) and positively associated with supplementary dosage (<i>B</i>=0.51, <i>P</i><0.001). 25(OH)D levels increased by 0.51 nmol/L on average per 1 μg (40 U) of vitamin D supplementation daily. <b>Conclusions:</b> The proportion of vitamin D deficiency was high in the first trimester among pregnant women in our center. Exogenous vitamin D supplementation could significantly increase 25(OH)D levels, and the effect was negatively associated with basic 25(OH)D level but positively associated with supplementary dosage.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559484","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
[Advances in targeting the interleukin-6 signalling pathway in cancer therapy]. [针对白细胞介素-6 信号通路的癌症治疗进展]。
中华内科杂志 Pub Date : 2024-11-01 DOI: 10.3760/cma.j.cn112138-20240227-00129
Y Du, X Y Liu, G Q Sun, X Z Li, L Zhang
{"title":"[Advances in targeting the interleukin-6 signalling pathway in cancer therapy].","authors":"Y Du, X Y Liu, G Q Sun, X Z Li, L Zhang","doi":"10.3760/cma.j.cn112138-20240227-00129","DOIUrl":"10.3760/cma.j.cn112138-20240227-00129","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559486","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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