Changgeng yi xue za zhi最新文献_第6页

Ankylosing spondylitis with severe chondrocalcinosis: case report. 强直性脊柱炎伴严重软骨钙质沉着1例。

Changgeng yi xue za zhi Pub Date : 1999-09-01

H H Ho, W E Yang, S F Luo

引用次数: 0

Sequential sonographic changes of the gallbladder in hemobilia: case report of a patient with intrahepatic duct stones. 胆道胆囊的序贯超声改变:1例肝内胆管结石。

Changgeng yi xue za zhi Pub Date : 1999-09-01

C M Kuo, C H Kuo, C S Changchien

引用次数: 0

Primary stenting of the left main coronary artery in acute myocardial infarction complicated by cardiogenic shock: case report. 急性心肌梗死并发心源性休克的冠状动脉左主干支架置入术1例。

Changgeng yi xue za zhi Pub Date : 1999-09-01

H K Yip, C J Wu, K Y Hsieh, K H Yeh, M Fu

引用次数: 0

Local supplementation of ketoprofen reduces the incidence of low back pain after lumbar epidural anesthesia. 局部补充酮洛芬可减少腰硬膜外麻醉后腰痛的发生率。

Changgeng yi xue za zhi Pub Date : 1999-09-01

J R Hsieh, Y L Hui, C C Yu, W M Lau, Y T Ng, Y L Wang

{"title":"Local supplementation of ketoprofen reduces the incidence of low back pain after lumbar epidural anesthesia.","authors":"J R Hsieh, Y L Hui, C C Yu, W M Lau, Y T Ng, Y L Wang","doi":"","DOIUrl":"","url":null,"abstract":"Background: Backache is a common postoperative complaint after lumbar epidural anesthesia. Our study was aimed to compare the effect of the local addition of ketoprofen on the incidence of postepidural backache after nonobstetric surgery.Methods: One thousand patients scheduled for hemorrhoidectomy were randomly given 4 ml of 1% lidocaine with ketoprofen 1:400 (ketoprofen group) or without ketoprofen (control group) for local skin infiltration prior to epidural needle placement. Each of them received a single epidural injection of 25 ml 2% lidocaine with epinephrine 1:200000, and was interviewed 24, 48, and 72 hours postoperatively using a standard visual analog scale (VAS) for evaluation of postepidural backache.Results: The incidence of postepidural backache in the ketoprofen-group patients for the 3 days was 9.8%, 4.6%, and 1.8%, all rates which were significantly less than those observed in the control-group patients (22.8%, 17.4%, and 9.2%, p < 0.001). There was also a significant association between postepidural backache and multiple attempts at epidural needle insertion.Conclusion: In summary, the local addition of ketoprofen reduced the incidence and severity of postepidural backache.","PeriodicalId":77066,"journal":{"name":"Changgeng yi xue za zhi","volume":"22 3","pages":"439-44"},"PeriodicalIF":0.0,"publicationDate":"1999-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21442683","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

Primary hepatic epithelioid hemangioendothelioma: case report. 原发性肝上皮样血管内皮瘤1例。

Changgeng yi xue za zhi Pub Date : 1999-09-01

C H Shen, M H Tsai, T C Chen, N J Liu, I S Sheen

引用次数: 0

Application of the holmium yttrium-aluminum-garnet laser for complicated impacted ureteral stones: a preliminary report. 钬钇铝石榴石激光治疗复杂阻生输尿管结石的初步报道。

Changgeng yi xue za zhi Pub Date : 1999-06-01

C S Chen, Y Chen, S H Chu

{"title":"Application of the holmium yttrium-aluminum-garnet laser for complicated impacted ureteral stones: a preliminary report.","authors":"C S Chen, Y Chen, S H Chu","doi":"","DOIUrl":"","url":null,"abstract":"Background: Minimally invasive surgery is a current trend in all kinds of surgical fields. Endoscopic stone manipulation with electrohydraulic lithotripsy (EHL) is the preferred method for treating lower ureteral stones or calculi which cannot be resolved with extracorporeal shock wave lithotripsy (SWL). We evaluated the efficiency and safety of holmium yttrium-aluminum-garnet (YAG) laser for treatment of large impacted ureteral stones.Methods: In a clinical trial period including April and May 1998, 13 patients with ureteral stones underwent holmium YAG lasertripsy. Six patients had large impacted ureteral stones (1.3 to 3.8 cm). We conducted lasertripsy with a 6.5-Fr. rigid tapered ureteroscope and a 550-nm SlimLine laser fiber under the guidance of a 3-Fr. ureteral catheter. The irrigation pump was set at 300 mmHg to increase the surgeon's visual clearance and to help keep the operative field ston-free.Results: The postoperative stone-free rate was 100%. There were no intraoperative complications, even in the treatment for a 3.8-cm steinstrasse in the upper ureter. All preoperative hydronephrosis improved. In general, the operative time, not including anesthesia, was less than 30 minutes. There was no intraoperative or postoperative flank pain or fever when the procedure was combined with pressure irrigation for visual clearance and keeping the area stone-free.Conclusion: Holmium YAG lasertripsy is an excellent treatment modality, especially for a large impacted ureteral stone or steinstrasse. The treatment is efficient and safe. Furthermore, there is no learning curve necessary for an experienced endo-urologist. It helps the urologist to carry out a minimally invasive lithotripsy instead of an open surgery for large impacted ureteral stones.","PeriodicalId":77066,"journal":{"name":"Changgeng yi xue za zhi","volume":"22 2","pages":"259-64"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21355939","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

Hepatic calcification by sequelae of chronic schistosomiasis japonica: report of four cases. 慢性日本血吸虫病后遗症肝钙化4例报告。

Changgeng yi xue za zhi Pub Date : 1999-06-01

K T Pan, C F Hung, J H Tseng, K W Lui, Y L Wan

引用次数: 0

The effects of two different cisplatin-based chemotherapy regimens on advanced non-small cell lung cancer. 两种不同的以顺铂为基础的化疗方案对晚期非小细胞肺癌的影响。

Changgeng yi xue za zhi Pub Date : 1999-06-01

C H Chen, C T Yang, W J Chang, C C Liaw, T C Tsao

{"title":"The effects of two different cisplatin-based chemotherapy regimens on advanced non-small cell lung cancer.","authors":"C H Chen, C T Yang, W J Chang, C C Liaw, T C Tsao","doi":"","DOIUrl":"","url":null,"abstract":"Background: Many different cisplatin-based regimens have been used on advanced non-small cell lung cancer (NSCLC) in previous studies but there have been few such references in Taiwan. In this study, we evaluated the efficacy and toxicity of two different regimens including 5-Fluorouracil, Leucovorin, Etoposide and cisPlatin (FLEP) and cisPlatin, Etoposide and Mitomycin (PEM) in the treatment of patients with advanced NSCLC.Methods: We retrospectively analyzed the records of 44 patients with NSCLC who met the selection criteria from February 1995 through April 1998. All of them were confirmed, using histologic tests, that they were in advanced stages, i.e. stage IIIB or IV. Twenty-two patients received FLEP and 22 patients received PEM.Results: Three patients with FLEP therapy and 3 patients with PEM therapy had partial response. No patient had complete response. The response rate was 13.6% in both groups, respectively. The median survival was 160 +/- 30 (median + SD) days for patients with FLEP therapy and 263 +/- 104 days for patients with PEM therapy. The factors that were associated with longer survival in all patients included response (Stable Disease vs Disease Progression p = 0.004, Partial Response vs Disease Progression p = 0.047) and regimen of chemotherapy (PEM vs FLEP p = 0.008). The major clinically significant toxicity was myelosupression.Conclusion: The responses to regimens, FLEP and PEM, were low in our study groups that might be due to the low dose of cisplatin and etoposide in our regimens. The patients with response to chemotherapy and PEM therapy had longer median survival than those who underwent FLEP therapy.","PeriodicalId":77066,"journal":{"name":"Changgeng yi xue za zhi","volume":"22 2","pages":"220-6"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21355933","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

Immunopathogenesis of viral hepatitis B and C. 病毒性乙型和丙型肝炎的免疫发病机制。

Changgeng yi xue za zhi Pub Date : 1999-06-01

S L Tsai

{"title":"Immunopathogenesis of viral hepatitis B and C.","authors":"S L Tsai","doi":"","DOIUrl":"","url":null,"abstract":"Considerable evidence suggests that immune mechanisms are involved in the pathogenesis of both hepatitis B virus (HBV) and hepatitis C virus (HCV) infections. Both class I-restricted CD8+ T cell and class II-restricted CD4+ T cell responses to viral antigens are important mechanisms that may be responsible for the hepatocyte damage in hepatitis B and C. CD4+ T cell proliferative responses to hepatitis B core antigen (HBcAg) in terms of stimulation index are correlated with hepatitis activity. These responses can be demonstrated in both adult and pediatric patients, and are more vigorous in patients with acute self-limited hepatitis B than in patients with chronic hepatitis B. Patients with hepatitis C also have a significant CD4+ T cell response to HCV antigens. These responses are also more vigorous in acute hepatitis C patients who recover than in patients who evolve to chronic hepatitis. In terms of major histocompatibility complexes (MHC) class I-restricted, CD8+ cytotoxic T lymphocyte (CTL) response, antigenic peptides derived from HBcAg, hepatitis B surface antigen (HBsAg), and polymerase have been demonstrated to be the targets for CTL recognition in hepatitis B patients. Multiple CTL epitopes within HBsAg, HBcAg and polymerase can be detected by sensitizing target cells with synthetic peptides. Likewise, multispecific, HCV-specific CTL responses can coexist with an extensive quasispecies of viral variants. The mechanisms of viral persistence in both hepatitis B and C remain to be clarified.","PeriodicalId":77066,"journal":{"name":"Changgeng yi xue za zhi","volume":"22 2","pages":"159-70"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21356039","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

Comparison of the sensitivity and specificity of an automatic ligase chain reaction assay system with a one-step polymerase chain reaction assay in the diagnosis of Mycobacterium tuberculosis complex. 自动连接酶链反应系统与一步聚合酶链反应系统诊断结核分枝杆菌复合体的敏感性和特异性比较。

Changgeng yi xue za zhi Pub Date : 1999-06-01

I J Lin, M J Che, A Yeh, J J Hwang, C Y Wei, W L Tsao, C P Lee

{"title":"Comparison of the sensitivity and specificity of an automatic ligase chain reaction assay system with a one-step polymerase chain reaction assay in the diagnosis of Mycobacterium tuberculosis complex.","authors":"I J Lin, M J Che, A Yeh, J J Hwang, C Y Wei, W L Tsao, C P Lee","doi":"","DOIUrl":"","url":null,"abstract":"Background: Polymerase chain reaction (PCR) and ligase chain reaction (LCR) are two nucleic acid amplification-based molecular methods. The former has been used widely in the identification of Mycobacterium tuberculosis (M. tuberculosis). In contrast, the LCR assay which was recently introduced is not well known in our medical communities in Taiwan. To determine which method is more reliable and suitable for the identification of M. tuberculosis in our clinics, we compared the sensitivity and specificity of these two methods.Methods: An automatic LCR assay system and a manual one-step PCR assay were studied in a side by side comparison of their performance in detection of M. tuberculosis. The automatic LCR system uses the single copy antigen protein b (Pab) gene and the manual one-step PCR assay uses the multi-copy IS6110 insertion element as the target DNA; both target DNA sequences are found specifically in M. tuberculosis complex.Results: Both assays detected two of the M. tuberculosis complex strains, M. tuberculosis and M. bovis, but not other mycobacterial strains. In addition, both methods, which were based on different amplification principles, showed compatible sensitivity; as low as 10 and 100 copies of M. tuberculosis genomes were detected by the LCR and PCR assays, respectively. When the template DNA was less than 1000 copies, however, the automatic LCR assay system showed a lower reproducibility than that of the one-step PCR assay.Conclusion: Our results suggest that in addition to the PCR assay, the LCR assay is a useful method for the molecular identification of M. tuberculosis complex strains.","PeriodicalId":77066,"journal":{"name":"Changgeng yi xue za zhi","volume":"22 2","pages":"204-11"},"PeriodicalIF":0.0,"publicationDate":"1999-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21356044","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