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中华内科杂志最新文献

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[Albumin, the role beyond fluid resuscitation]. [白蛋白，液体复苏之外的作用]。
中华内科杂志 Pub Date : 2024-05-01 DOI: 10.3760/cma.j.cn112138-20231024-00241
Y N Liu, X C Ma
{"title":"[Albumin, the role beyond fluid resuscitation].","authors":"Y N Liu, X C Ma","doi":"10.3760/cma.j.cn112138-20231024-00241","DOIUrl":"10.3760/cma.j.cn112138-20231024-00241","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878038","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 and prospects on standardized rounds for critical illness]. [危重病标准化查房的思考与展望]。
中华内科杂志 Pub Date : 2024-05-01 DOI: 10.3760/cma.j.cn112138-20240125-00075
R Zhou, M G Yin, L Yang, X T Wang, Y G Chao, W He
{"title":"[Reflections and prospects on standardized rounds for critical illness].","authors":"R Zhou, M G Yin, L Yang, X T Wang, Y G Chao, W He","doi":"10.3760/cma.j.cn112138-20240125-00075","DOIUrl":"https://doi.org/10.3760/cma.j.cn112138-20240125-00075","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877993","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
[The present and future of allogeneic hematopoietic stem cell transplantation for mantle cell lymphoma]. [套细胞淋巴瘤异基因造血干细胞移植的现状与未来]。
中华内科杂志 Pub Date : 2024-05-01 DOI: 10.3760/cma.j.cn112138-20231201-00355
Y Liu, X J Huang, X D Mo
{"title":"[The present and future of allogeneic hematopoietic stem cell transplantation for mantle cell lymphoma].","authors":"Y Liu, X J Huang, X D Mo","doi":"10.3760/cma.j.cn112138-20231201-00355","DOIUrl":"10.3760/cma.j.cn112138-20231201-00355","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877998","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
[The 506th case: fever of unknown origin, negative PET-CT and hemoperitoneum]. [第 506 个病例：不明原因的发热、PET-CT 阴性和腹腔积血]。
中华内科杂志 Pub Date : 2024-05-01 DOI: 10.3760/cma.j.cn112138-20231030-00262
F P Guo, Y Cong, C W Jia, Y Ge, T S Li, Z Y Liu
{"title":"[The 506th case: fever of unknown origin, negative PET-CT and hemoperitoneum].","authors":"F P Guo, Y Cong, C W Jia, Y Ge, T S Li, Z Y Liu","doi":"10.3760/cma.j.cn112138-20231030-00262","DOIUrl":"10.3760/cma.j.cn112138-20231030-00262","url":null,"abstract":"<p><p>A 48-year-old male was admitted to Peking Union Medical College Hospital presented with intermittent fever for two years. The maximum body temperature was 39 ℃, and could spontaneously relieve. The efficacy of antibacterial treatment was poor. He had no other symptoms and positive signs. He had a significant weight loss, and the serum lactate dehydrogenase increased significantly. It was highly alert to be lymphoma, but bone marrow smear and pathology, and PET-CT had not shown obvious abnormalities. Considering high inflammatory indicators, increased ferritin and large spleen, the patient had high inflammatory status, and was treated with methylprednisolone. Then the patient's body temperature was normal, but the platelet decreased to 33×10<sup>9</sup>/L. During hospitalization, he had suddenly hemoperitoneum and hemorrhagic shock. He was found spontaneous spleen rupture without obvious triggers, and underwent emergency splenectomy. The pathological diagnosis of spleen was diffuse large B-cell lymphoma.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877996","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
[The 505th case: refractory ascites and monoclonal immunoglobulin]. [第 505 个病例：难治性腹水与单克隆免疫球蛋白]。
中华内科杂志 Pub Date : 2024-05-01 DOI: 10.3760/cma.j.cn112138-20231208-00373
F J Zhang, W Y Zheng, X Wang, X Y Jiang, J L Zhuang
{"title":"[The 505th case: refractory ascites and monoclonal immunoglobulin].","authors":"F J Zhang, W Y Zheng, X Wang, X Y Jiang, J L Zhuang","doi":"10.3760/cma.j.cn112138-20231208-00373","DOIUrl":"10.3760/cma.j.cn112138-20231208-00373","url":null,"abstract":"<p><p>A 52-year-old woman was admitted with a primary complaint of abdominal distension and increased abdominal circumference for more than half a year. There was no evidence of infection or solid tumor on abdominocentesis or laparoscopic surgery. Concurrently, smoldering multiple myeloma was diagnosed. Due to refractory ascites and portal hypertension, a transjugular intrahepatic portosystemic shunt was performed, but the efficacy was not satisfactory. As the anemia progressed, she was finally diagnosed with active multiple myeloma after monoclonal plasma cells were detected in the ascites by flow cytometry. Treated with a triplet regimen that included bortezomib, cyclophosphamide, and dexamethasone (BCD), she achieved a very good partial response and ascites regressed.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877995","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
[The clinical management of misjudged adrenal venous sampling results related to aldosterone/cortisol co-secretion in a patient with primary aldosteronism]. [原发性醛固酮增多症患者肾上腺静脉采样结果与醛固酮/皮质醇共同分泌有关的误判的临床处理]。
中华内科杂志 Pub Date : 2024-05-01 DOI: 10.3760/cma.j.cn112138-20231019-00228
H Y Dong, F F Wu, Y Y Liao, Y Sun, Z P Feng, Q F Li
{"title":"[The clinical management of misjudged adrenal venous sampling results related to aldosterone/cortisol co-secretion in a patient with primary aldosteronism].","authors":"H Y Dong, F F Wu, Y Y Liao, Y Sun, Z P Feng, Q F Li","doi":"10.3760/cma.j.cn112138-20231019-00228","DOIUrl":"10.3760/cma.j.cn112138-20231019-00228","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140877997","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
[Clinical characteristics and prognosis of primary aldosteronism associated with subclinical Cushing syndrome]. [与亚临床库欣综合征相关的原发性醛固酮增多症的临床特征和预后]。
中华内科杂志 Pub Date : 2024-04-01 DOI: 10.3760/cma.j.cn112138-20230830-00100
Y Y Liao, Y Song, J B Hu, S M Yang, Y Zheng, Q F Li
{"title":"[Clinical characteristics and prognosis of primary aldosteronism associated with subclinical Cushing syndrome].","authors":"Y Y Liao, Y Song, J B Hu, S M Yang, Y Zheng, Q F Li","doi":"10.3760/cma.j.cn112138-20230830-00100","DOIUrl":"10.3760/cma.j.cn112138-20230830-00100","url":null,"abstract":"<p><p><b>Objective:</b> To analyze the clinical characteristics and prognosis of patients with primary aldosteronism (PA) associated with subclinical Cushing syndrome (SCS). <b>Methods:</b> This retrospective cohort study was conducted at the First Affiliated Hospital of Chongqing Medical University in China. Patients with PA were included between January 2014 and December 2022. According to the results of 1-mg overnight dexamethasone suppression test, the patients were divided into the PA group and PA associated with SCS (PA/SCS) group. The demographic information, hormone levels, and follow-up results were analyzed. Independent sample <i>t</i>-test, chi-square test and Mann-Whitney <i>U</i> test were used for data comparison. <b>Results:</b> A total of 489 PA patients were enrolled in this study, of which 109 had PA/SCS (22.3%). Patients with SCS were on average older (54.4±10.7 vs<i>.</i> 47.4±11.0, <i>P</i><0.001); had a larger proportion of women (69.7%, 76/109 vs<i>.</i> 57.4%, 218/380; <i>P</i>=0.020); and a longer duration of hypertension [96 (36, 180) vs<i>.</i> 60 (12, 120) months, <i>P</i>=0.001] than patients without SCS. There were 215 and 51 patients in the PA group and PA/SCS group, who completed adrenalectomy and follow-up, respectively. The remission rate of autonomous cortisol secretion in the PA/SCS group was 85.3% (29/34). There was no significant difference in the remission rate of autonomous aldosterone secretion among patients between the PA/SCS and PA group (94.1%, 48/51 vs. 94.4%, 203/215; <i>P</i>=1.000), while the clinical remission rate in the PA/SCS group was lower than that in the PA group (39.2%, 20/51 vs. 61.9%, 133/215; <i>P</i>=0.003). <b>Conclusions:</b> SCS is common in PA patients (22.3%), and the clinical remission rate is low. Screening using the 1-mg overnight dexamethasone suppression test is recommended for all patients with PA.</p>","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337776","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
[The main progresses and hot spots of hematological diseases in the past decade]. [过去十年血液病的主要进展和热点】。］
中华内科杂志 Pub Date : 2024-04-01 DOI: 10.3760/cma.j.cn112138-20231222-00397
F F Tang, X J Huang
{"title":"[The main progresses and hot spots of hematological diseases in the past decade].","authors":"F F Tang, X J Huang","doi":"10.3760/cma.j.cn112138-20231222-00397","DOIUrl":"10.3760/cma.j.cn112138-20231222-00397","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337786","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 case of fibrillary glomerulonephritis with relatively slow progression]. [一个进展相对缓慢的纤维性肾小球肾炎病例]。
中华内科杂志 Pub Date : 2024-04-01 DOI: 10.3760/cma.j.cn112138-20231103-00294
Q Y Xu, Y B Wen, H Y Cui, W Ye, W L Ye, X W Yan, Y T Hu, G Chen, Y Qin, L M Chen, X M Li
{"title":"[A case of fibrillary glomerulonephritis with relatively slow progression].","authors":"Q Y Xu, Y B Wen, H Y Cui, W Ye, W L Ye, X W Yan, Y T Hu, G Chen, Y Qin, L M Chen, X M Li","doi":"10.3760/cma.j.cn112138-20231103-00294","DOIUrl":"10.3760/cma.j.cn112138-20231103-00294","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337835","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
[The indication of renal biopsy and novel understanding of pathological manifestations in multiple myeloma-related renal]. [肾活检的指征及对多发性骨髓瘤相关肾脏病理表现的新认识]。
中华内科杂志 Pub Date : 2024-04-01 DOI: 10.3760/cma.j.cn112138-20240129-00080
S X Wang, X Z Zheng, L Yang
{"title":"[The indication of renal biopsy and novel understanding of pathological manifestations in multiple myeloma-related renal].","authors":"S X Wang, X Z Zheng, L Yang","doi":"10.3760/cma.j.cn112138-20240129-00080","DOIUrl":"10.3760/cma.j.cn112138-20240129-00080","url":null,"abstract":"","PeriodicalId":68309,"journal":{"name":"中华内科杂志","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337785","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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