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Case Reports in Perinatal Medicine最新文献

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Massive fetomaternal hemorrhage: a case series and review of literature 大量胎儿出血:一个病例系列和文献回顾
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0079
Carolina Smet, L. Queiró, Edmundo Santos, A. Reis, C. Costa
{"title":"Massive fetomaternal hemorrhage: a case series and review of literature","authors":"Carolina Smet, L. Queiró, Edmundo Santos, A. Reis, C. Costa","doi":"10.1515/crpm-2021-0079","DOIUrl":"https://doi.org/10.1515/crpm-2021-0079","url":null,"abstract":"Abstract Objectives Massive fetomaternal hemorrhage (FMH) is a rare and difficult to diagnose event that can have catastrophic outcomes. Although many etiologies have been associated with FMH, the majority of cases are idiopathic and affect uncomplicated pregnancies. The prevailing symptom is decreased fetal movements but some cases are asymptomatic. Changes in the fetal Doppler ultrasound, a sinusoidal cardiotocographic pattern, neonatal anemia, unexplained hydrops or stillbirth can raise suspicion that such an event has occurred. Case presentation This article presents a case series of severe FMH diagnosed in our center between 2011 and 2020 as well as a review of the current available literature. Conclusions We highlight the importance of the clinician’s awareness on detecting this rare but potentially life-threatening event.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84583971","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
Coarctation of the aorta and persistent left superior vena cava: HDlive Flow features at 14 weeks of gestation 主动脉缩窄和持续性左上腔静脉:妊娠14周HDlive血流特征
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0066
Toshiyuki Hata, Aya Koyanagi, Riko Takayoshi, T. Miyake, Yuichiro Nakai, K. Tani, Kei Hayata, H. Masuyama
{"title":"Coarctation of the aorta and persistent left superior vena cava: HDlive Flow features at 14 weeks of gestation","authors":"Toshiyuki Hata, Aya Koyanagi, Riko Takayoshi, T. Miyake, Yuichiro Nakai, K. Tani, Kei Hayata, H. Masuyama","doi":"10.1515/crpm-2021-0066","DOIUrl":"https://doi.org/10.1515/crpm-2021-0066","url":null,"abstract":"Abstract Objectives A significant discrepancy between a large ductus arteriosus and a smaller aorta at their connection is key to diagnose coarctation of the aorta (CoA) at 14–16 weeks of gestation. CoA was associated with persistent left superior vena cava (PLSVC) in 21.3% of fetuses. HDlive Flow findings for CoA or PLSVC were obtained only in the third trimester of pregnancy. To the best of our knowledge, there has been no report on the prenatal findings of CoA and PLSVC using HDlive Flow with spatiotemporal image correlation (STIC) before 20 weeks of gestation. Case presentation We present the trans-abdominal HDlive Flow features of CoA and PLSVC at 14 weeks of gestation. With a three-vessel trachea view on multiplanar view using color Doppler with STIC, PLSVC on the left side of the pulmonary artery was noted, and a narrowing aortic isthmus was suspected. A narrowing isthmus was also suspected with an aortic arch view. HDlive Flow clearly showed the spatial relationships among the right superior vena cava, aorta with narrowing isthmus, pulmonary artery, and PLSVC. A preductal ‘shelf’ was also suspected. No other fetal anomaly was noted. Neonatal echocardiography after delivery confirmed CoA and PLSVC. Conclusions To the best of our knowledge, this is the first report on HDlive Flow features of fetal CoA and PLSVC using STIC early in the second trimester of pregnancy.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80709344","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
Preterm twins with antenatal presentation of Pearson syndrome 早产双胞胎与产前表现皮尔森综合征
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0083
Leonor Castro, A. C. Ferreira, Á. Cohen, Israel Macedo, T. Tomé
{"title":"Preterm twins with antenatal presentation of Pearson syndrome","authors":"Leonor Castro, A. C. Ferreira, Á. Cohen, Israel Macedo, T. Tomé","doi":"10.1515/crpm-2021-0083","DOIUrl":"https://doi.org/10.1515/crpm-2021-0083","url":null,"abstract":"Abstract Objectives Pearson syndrome is a mitochondrial cytopathy with multisystemic involvement that typically presents in infancy and has poor prognosis. We aim to present a case that is distinct due to the timing of presentation and associated anomalies. Case presentation We report the case of preterm monochorionic twins with transfusion dependent fetal anemia that had post-natal multisystem dysfunction which led to the diagnosis of Pearson syndrome. Conclusions This case highlights the possibility of antenatal presentation of Pearson syndrome, which should be considered in cases of severe fetal anemia without an apparent cause.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73869661","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
Pelvic abscess associated with Actinomyces species ‒ a rare post-cesarean complication 盆腔脓肿与放线菌有关-一种罕见的剖宫产后并发症
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0048
Yuping Wang, S. Ferrero, Shasha Li, Shisan Liu, Wah Yang
{"title":"Pelvic abscess associated with Actinomyces species ‒ a rare post-cesarean complication","authors":"Yuping Wang, S. Ferrero, Shasha Li, Shisan Liu, Wah Yang","doi":"10.1515/crpm-2021-0048","DOIUrl":"https://doi.org/10.1515/crpm-2021-0048","url":null,"abstract":"Abstract Objectives Pelvic actinomycotic abscess is uncommon and its presentation as a post-cesarean complication may be confused with hemorrhagic mass. It is still a disease that poses a significant diagnostic challenge. Management and prognosis are not well known for this type of infection. Case presentation A 36-year-old woman was admitted to the hospital six days after the cesarean section with abdominal pain and dysuria. The second operation was diagnosed as pelvic abscess, debridement and drainage about 250 mL abscess. Bacterial culture of abscess confirmed as Actinomyces odontolyticus infection. Intravenous penicillin was given immediately, amoxicillin was taken orally for three months after discharge, and no recurrence was found after follow-up for ten months. Conclusions Pelvic A. odontolyticus abscess may be confirmed through correct bacterial culture and cured by a short-term course of Amoxicillin. With prompt recognition and treatment, favorable outcomes of pelvic Actinomycotic abscess in the perinatal period could be achieved.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78883723","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
Prenatal diagnosis of ectrodactyly-ectodermal dysplasia clefting syndrome ‒ a case report with literature review 外指-外胚层发育不良劈裂综合征的产前诊断1例并文献复习
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0076
E. Savukynė, E. Machtejevienė, Kotryna Bajeruniene, V. Ašmonienė
{"title":"Prenatal diagnosis of ectrodactyly-ectodermal dysplasia clefting syndrome ‒ a case report with literature review","authors":"E. Savukynė, E. Machtejevienė, Kotryna Bajeruniene, V. Ašmonienė","doi":"10.1515/crpm-2021-0076","DOIUrl":"https://doi.org/10.1515/crpm-2021-0076","url":null,"abstract":"Abstract Objectives The ectrodactyly-ectodermal dysplasia clefting (EEC) syndrome is a rare genetic anomaly described as ectrodactyly (hands and feet), ectodermal dysplasia, and facial cleft with an incidence of around 1 in 90,000 in the population. This syndrome belongs to the TP63 gene’s mutation family. Ectrodactyly is described as the absence of the central toes or fingers or parts of these appendages. Ectodermal dysplasia usually includes changes in the skin, teeth, hair, nails, endocrine glands, nasolacrimal ducts, genitourinary system, conductive hearing loss. Case presentation This is a unique case of a 40-year-old second gravida, suspected of having a sporadic form of EEC syndrome. Routine transabdominal ultrasound at 14 weeks of gestation revealed malformation of the limbs. The two-dimensional and three-dimensional ultrasound at 16 weeks showed a fetus with ectrodactyly of right hand and foot and cleft palate presence. Diagnostic amniocentesis was performed at 17 weeks of gestation. A molecular genetics test using the Sanger sequencing method from amniotic fluid was performed by scanning TP63 gene sequences and revealed a heterozygous pathogenic variant in TP63. The patient decided on feticide. Conclusions The heredity of the syndrome is autosomal dominant with high variable expression. More than 300 clinical cases of this syndrome are described in the literature, including both sexes, but the actual etiology is unknown.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81708179","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 rare but troublesome complication of cesarean section: the uterocutaneous fistula. Report of two cases and review of literature 剖宫产术中一种罕见但棘手的并发症:子宫皮瘘。二例报告及文献复习
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2022-01-01 DOI: 10.1515/crpm-2021-0057
R. Cicinelli, E. Cicinelli, F. Crupano, M. Vinciguerra, Bruno Lamanna, A. Vimercati
{"title":"A rare but troublesome complication of cesarean section: the uterocutaneous fistula. Report of two cases and review of literature","authors":"R. Cicinelli, E. Cicinelli, F. Crupano, M. Vinciguerra, Bruno Lamanna, A. Vimercati","doi":"10.1515/crpm-2021-0057","DOIUrl":"https://doi.org/10.1515/crpm-2021-0057","url":null,"abstract":"Abstract Objectives The occurrence of a uterocutaneous fistula (UCF) as an uncommon and severe complication of caesarean section (CS). The aim of this study was to describe two cases of UCFs after CS and to discuss about symptoms, diagnosis and treatment. Case presentation Both women few days after CS had surgical site infection, fever and elevation of lab inflammation markers. bacterial culture of the wound drainage was positive for Escherichia Coli and Enterococcus Faecalis. Conclusions Fistula between uterine and skin is a rare condition but should be considered with signs of inflammation after cesarean section; 2D/3D ultrasound evaluation appears to be useful for diagnosis of UCFs when combined with CT fistulography and MRI in order to obtain early diagnosis and, consequently, a conservative surgery.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84994906","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
Postpartum ovarian vein thrombosis 产后卵巢静脉血栓
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0002
Kelly Ribeiro, S. Mahboobani, K. van Ree, K. Clifford, T. Teoh
{"title":"Postpartum ovarian vein thrombosis","authors":"Kelly Ribeiro, S. Mahboobani, K. van Ree, K. Clifford, T. Teoh","doi":"10.1515/crpm-2021-0002","DOIUrl":"https://doi.org/10.1515/crpm-2021-0002","url":null,"abstract":"Abstract Objectives Postpartum ovarian vein thrombosis (POVT) is a rare pathology that can lead to severe complications such as sepsis, extension of the thrombus leading to organ failure, and pulmonary embolism. It therefore requires early recognition and prompt treatment. Case presentation A patient with right POVT presented four days after delivery with acute right-sided abdominal pain and fever. Appendicitis was initially considered, before an abdominal-pelvic computed tomography raised the suspicion of POVT, subsequently confirmed through transabdominal ultrasound. Antibiotics and anticoagulation were initiated, with rapid clinical improvement and complete resolution of the thrombus three months later. Conclusions Diagnosing POVT is challenging as it clinically mimics other more frequent conditions. It is rare but life-threatening and should be considered in all females presenting with abdominal pain and fever in the postpartum period.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74987596","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
Stress degree demonstrated in mothers with phenylketonuria or hyperphenylalaninemia infant when requested for total or partial breastfeeding replacement 有苯丙酮尿症或高苯丙氨酸血症婴儿的母亲在要求全部或部分母乳喂养时表现出的压力程度
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2019-0079
K. Schulpis, K. Iakovou
{"title":"Stress degree demonstrated in mothers with phenylketonuria or hyperphenylalaninemia infant when requested for total or partial breastfeeding replacement","authors":"K. Schulpis, K. Iakovou","doi":"10.1515/crpm-2019-0079","DOIUrl":"https://doi.org/10.1515/crpm-2019-0079","url":null,"abstract":"Abstract Obejctives Phenylketonuria (PKU) and hyperphenylalaninemia (HPHE) are metabolic disorders of phenylalanine (phe) metabolism due to the liver enzyme phe hydroxylase deficiency resulting in mental retardation. The only treatment of these disorders is the total or the partial breastfeeding replacement with special formula, respectively. Case presentation We aimed to evaluate the maternal stress degree in the two groups of mothers and compare the stress degree between mothers who were obliged to replace breastfeeding completely with those who replaced it partially. Mothers (n=50) were divided into two groups: n=25 with PKU and n=25 with HPHE infants. Mothers with PKU newborns were obliged to replace breastfeeding completely and feed their newborns with a common formula plus phe free medical food, whereas mothers with HPHE infants partially replaced breastfeeding with phe free medical food. Stress degrees were calculated using special questionnaire checklist by Bourne E. Psychological support was provided for both groups of mothers with stress. Conclusions Most mothers with PKU infants experienced high or severe stress, whereas mothers with HPHE newborns suffered from low and moderate symptoms and signs of stress. After psychological support most mothers with PKU newborns were ameliorated from stress symptoms; mothers with HPHE neonates experienced almost no stress symptoms. Mothers with PKU infants obliged to complete breastfeeding replacement experienced high and/or severe stress degrees as compared to mothers with HPHE newborns with partial breastfeeding replacement. Psychological support resulted in amelioration of both tested groups.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90389052","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
Further insights into unusual acrania-exencephaly-anencephaly sequence caused by amniotic band – first trimester fetoscopic correlation with two- and three-dimensional ultrasound 进一步了解羊膜带-孕早期胎儿镜与二维和三维超声的相关性引起的不寻常的头-脑-无脑畸形序列
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2021-0023
J. Weichert, W. Sepulveda, M. Gembicki
{"title":"Further insights into unusual acrania-exencephaly-anencephaly sequence caused by amniotic band – first trimester fetoscopic correlation with two- and three-dimensional ultrasound","authors":"J. Weichert, W. Sepulveda, M. Gembicki","doi":"10.1515/crpm-2021-0023","DOIUrl":"https://doi.org/10.1515/crpm-2021-0023","url":null,"abstract":"Abstract Objectives Antenatal detection of acrania-exencephaly-anencephaly (AEA) sequence beyond 10 completed weeks of gestation is usually straight-forward. An earlier detection and classification of the causative conditions prior to disaggregation of exposed dysplastic brain tissue remains challenging. Case presentation We present two- and three-dimensional ultrasound correlated with fetoscopic findings of an unusual type of neural tube defect at 11 gestational weeks caused by an amniotic constriction ring resulting in cystic degeneration of the developing skull. Conclusions By giving further illustrative insights into early defective brain development, this report confirms recent findings of an unusual subtype of acrania-exencephaly-anencephaly sequence suggesting early disruption of the developing brain, following an amniotic entrapment of the skull.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78029090","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: 1
Case report: The first COVID-19 case among pregnant women at 21-week in Vietnam 病例报告:越南21周孕妇中出现首例COVID-19病例
IF 0.1
Case Reports in Perinatal Medicine Pub Date : 2021-01-01 DOI: 10.1515/crpm-2020-0067
G. Tran, A. Nguyen, Ha Xuan Nam, Tareq Mohammed Ali Al-Ahdal, Ranjit Tiwari, Hảo Nguyễn Thị, Jaffer Shah, N. Huy, T. N. Pham
{"title":"Case report: The first COVID-19 case among pregnant women at 21-week in Vietnam","authors":"G. Tran, A. Nguyen, Ha Xuan Nam, Tareq Mohammed Ali Al-Ahdal, Ranjit Tiwari, Hảo Nguyễn Thị, Jaffer Shah, N. Huy, T. N. Pham","doi":"10.1515/crpm-2020-0067","DOIUrl":"https://doi.org/10.1515/crpm-2020-0067","url":null,"abstract":"Abstract Objectives This is the report of the first pregnant woman having COVID-19 in Vietnam. The patient was at 21 weeks of gestation and a high level of serum D-dimer and fibrinogen was observed from admission day to day 5. Case presentation The patient had lived in Russia before returning to Vietnam where she was diagnosed with COVID-19. Clinical characteristics of this patient were described and there was no major derangement of laboratory parameters. She was asymptomatic when being diagnosed and then developed mild symptoms of COVID-19 after three days of admission. The patient was treated with lopinavir/ritonavir, ampicillin/sulbactam, and Lovenox and continued being hospitalized until April 25th, 2020. Conclusions We presented the clinical picture of the first COVID-19 pregnant case in Vietnam. This case report highlighted the increased risk of developing coagulopathy even in mild and asymptomatic patients.","PeriodicalId":9617,"journal":{"name":"Case Reports in Perinatal Medicine","volume":null,"pages":null},"PeriodicalIF":0.1,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83945519","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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