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1例子宫内膜异位症伴大量血性腹水的病例报道与文献回顾(法国)

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世界核心医学期刊文摘（妇产科学分册） 2005年第11期1卷 47-48页

作者： Ekoukou D. Guilherme R. Desligneres s. Rotten D. 刘亦恒 service de Gynécologie-Obstétrique Centre Hos-pitalier Delafontaine 2 rue Pierre-Delafontaine 93205 Saint-Denis Cedex 1 France

Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity. It generally involves the peritoneum, ovaries and rectovaginal septum. Its characteristic symptoms include dysmenorrhea, pelvic pain, deep dyspareunia and infertility. It may also involve the gastrointestinal tract, urinary tract or extra abdominal sites, giving rise to a wide variety of clinical symptoms such as bloody stools, renal haemorrhage, hemoptysis and pleural effusion during menstruation. Recurrent hemorrhagic ascites secondary to endometriosis is an unusual occurrence, 41 cases have been reported since 1954. Here we report an additional case, in order to draw attention to this condition. A 28 years-old black nulligravida woman was seen for the first time in april 2000 with a chief complaint of infertility. Her past medical history was unremarkable. she had regular menses but associated with severe dysmenorrhea. she also recalled abdominal and pelvic pain for several years. she underwent an ovulation induction with gonadotrophin, which resulted in a progressive increase of pelvic pain. A first laparoscopy was performed, revealing voluminous ascites (10 I). Two years later the ascites recurred spontaneously. Ultrasound examination revealed suspect "para uterine masses". A second exploratory laparoscopy showed a voluminous bloody ascites (7I), and extensive adhesions. On histologic examination all specimens (peritoneal biopsies) were compatible with endometriosis and ruled out malignancy. Treatment with GnRH analog was performed and full remission was obtained after 6 months. One year later, the, ascites recurred again spontaneously, leading to a third laparoscopy in an other medical institution. Histologic examination showed endometrial stromal tissue and fibrous proliferation. Later she became pregnant after in vitro fertilization. In the first trimester of pregnancy, the pelvic ultrasound showed only a small effusion in the pouch of Douglas. still, the ascites did n

关键词：子宫内膜异位症血性腹水文献回顾直肠阴道隔腹腔镜检查盆腔痛孕激素治疗组织学检查性交痛月经规律

眼睑增殖性脓性皮炎-脓性口腔炎:病例报道与文献回顾

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世界核心医学期刊文摘(眼科学分册) 2006年第2期 54-55页

作者： Leibovitch I Ooi C Huilgol s.C. D.selva 王静波 Oculoplastic and Orbital Division Department ofOphthalmology and Visual Sciences Royal Adelaide Hos-pital North Terrace Adelaide SA 5000 Australia Dr.

Objectives: To present the first reported case of eyelid involvement in pyodermatitis-pyostomatitis vegetans (PDPsV) leading to the diagnosis of ulcerative colitis, and to reviewthe literature. Design: Interventional case report. Methods: A 29- year-old man presented with a 4- week history of severe bilateral upper and lower eyelid margin ulceration and pustules unresponsive to topical and systemic broad-spectrum antibiotic treatment. Further questioning revealed the existence of skin and oral lesions. Main Outcome Measures: Clinical course, histological findings, and response to treatment. Results: The histological and immunofluorescence studies were suggestive of PDPsV. Colonoscopy showed significant chronic active ulcerative colitis. Treatment with systemic steroids and sulfasalazine resulted in complete resolution of eyelid, oral, and skin lesions. However, stopping the steroids resulted in recurrence of eyelid and oral lesions and required recommencement of treatment. Conclusion: It is important to be familiar with this pustular skin condition, as correct diagnosis may lead to the diagnosis of inflammatory bowel disease. Although periocular involvement is probably rare, the combined typical skin and oral lesions and the characteristic histological and immunofluorescence tests should suggest the correct diagnosis.

关键词：眼睑脓性皮炎病例报道增殖性文献回顾

原发性脑出血患者短期存活和入院时血糖水平的关系:基于人群的研究

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世界核心医学期刊文摘（神经病学分册） 2005年第7期1卷 20-21页

作者： Fogelholm R. Murros K. Rissanen A. Avikainen s. 袁海峰 Pappilantie 10 B 8 02400 Kirkkonummi Finland Dr.

Background: The role of admission blood glucose level on the prognosis of pati ents with intracerebral haemorrhage has not been elucidated. Objective: To exami ne this association on the basis of an epidemiologically representative patient ***: 249 500 people living in the catchment area of the Central hos pital of Central Finland. The diagnosis of ICH was established if verified by cr anial computed tomography(CT) or autopsy. Results: Of the 416 patients who fulfi lled the diagnostic criteria, 30 died before admission and 386 were admitted to the Central hospital. All 329 patients (290 nondiabetics and 39 diabetics) with both admission blood glucose and cranial CT data were included in the study. The mean blood glucose level was 10.6 mmol/l for nondiabetics who died on the day o f onset, 8.6 mmol/l for those dying during days 1 to 28, and 6.8 mmol/l for the 28 day survivors. The corresponding figures for diabetics were 13.9 mmol/l, 12.5 mmol/l,and 9.3 mmol/l. In both nondiabetics and diabetics, patients who died ha d significantly higher mean glucose than the 28 day survivors (p sus p=0.029). However, blood glucose of the surviving diabetics was as high as that of the deceased nondiabetics (9.3 mmol/l versus 9.1 mmol/l). In nondiabetics,ad mission blood glucose was associated with parameters signifying severe stroke; d isturbed consciousness, large haematoma volume and shift of cerebral midline str uctures, and high admission mean arterial pressure. In logistic regression analy sis, high admission blood glucose in nondiabetics was a significant predictor of death during the first 28 days of onset(odds ratio 1.22, 95%CI 1.07 to 1.40). Conclusions: High admission blood glucose predicts increased 28 day case fatalit y rate in both nondiabetic and diabetic patients with ICH. Because high admissio n blood glucose was associated with markers of severe stroke, we are inclined to support the stress theory; high admission blood glucose is the result

关键词：原发性脑出血平均血糖水平存活患者 intracerebral admission 中心医院 cranial 平均动脉压意识障碍 admitted

GLAUCOMA sCREENING IN A HIsPANIC POPULATION

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国际眼科杂志 2003年第1期3卷 11-11页

作者： F.Gomez Goyeneche s.Belalcazar hos-pital Mjlitar Central ColombiaHos-pital Mjlitar Central Colombia

Purpose: To determine the prevalence of narrow angles, evaluate height as a risk factor, and the value of Biometry as a screening tool. To detect new glaucoma cases in a Hispanic population. Methods: 903 participants ... 详细信息

关键词：拉美人群青光眼筛检生物统计测量法

A MULTI -NATIONAL RETROsPECTIVE sTUDY OF REsOURCE UTILIZATION As-sOCIATED WITH GLAUCOMA DIsEAsE PROGREssION IN EUROPE

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国际眼科杂志 2003年第1期3卷 32-32页

作者： C.E.Traverso s.Gandolfi s.P.Kelly The Glaucoma Outcomes study Gr J.G.Walt P.Buchholz J.J.Doyle K.M.Amaya s.V.Kotak san Martino Ospedale Ospedale Maggiore ItalyBolton Hos-pitals NHS Trust UKAustria France Germany Italy and UKAllergan CA USAAllergan GermanyThe Analytica Group NY USAThe Analytica Group NY USAThe Analytica Group NY USA

Objectives: To conduct a multi-national retrospective chart review with the purposes of assessing resource utilization, progression, and costs associated with treating glaucoma in Europe. Methods: Patient chart data was reviewed to assign patients to all stages of glaucoma progression. The Bascom Palmer Glaucoma staging system (Gss) was selected, as most adaptable because

关键词：欧洲青光眼资源利用研究进展多国别回顾性队列分析

蛔虫变应原致喘豚鼠后外周血血液流变性的动态变化

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中国血液流变学杂志 1999年第4期9卷 195-199页

作者：卢瑜刘志刚林雪怡方勇宋屿娜李菁解放军福州医学高等专科学校病理教研室福州350003 江西医学院变态反应学研究室南昌330006 江西医学院第一附属医院血液流变学室南昌330006

目的：观察蛔虫变应原致喘豚鼠动物模型的血液流变学变化的动态变化、丰富变应原激发动物哮喘的内容。方法：把实验豚鼠随机分为阴性对照组、佐剂对照组和阳性激发组。用蛔虫变应原激发致喘豚鼠后，观察各实验组在激发哮喘后１小时、２... 详细信息

目的：观察蛔虫变应原致喘豚鼠动物模型的血液流变学变化的动态变化、丰富变应原激发动物哮喘的内容。方法：把实验豚鼠随机分为阴性对照组、佐剂对照组和阳性激发组。用蛔虫变应原激发致喘豚鼠后，观察各实验组在激发哮喘后１小时、２４小时和７２小时的血液流变学变化。结果：由蛔虫变应原引起的过敏性哮喘豚鼠动物模型，其血液流变性出现异常，阳性激发组的血浆粘度分别为６，６２±０．２８，５１.４± ０．１１，４．８６± ０．２３，远高于阴性对照组（平均为４．５７± ０．２０）和佐剂对照组（平均为４．６３±０．１７），有显著性意义（Ｐ＜０．０１）；红细胞聚集指数和全血高切还原粘度也均较阴性对照组、佐剂对照组显著性升高（Ｐ＜０.０１）；而红细胞压积则无明显变化。结论：用蛔虫变应原致喘豚鼠后，血液出现高粘滞状态，进一步加剧气道局部的缺血、缺氧及炎性反应，导致气体交换障碍、肺功能降低。

关键词：蛔虫变应原哮喘发病机理血液流变学

非典型安定药物和缺血性卒中风险的关系:基于人群的回顾性队列研究

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世界核心医学期刊文摘（神经病学分册） 2005年第7期1卷 2-2页

作者： Gill s.s. Rochon P.A. Herrmann N. 黄卫东 Chapel Wing St. Mary's of the Lake Hospital 340 Union Street Kingston Ont. K7L 5A2 Canada

Objective: To compare the incidence of admissions to hos- pital for stroke among older adults with dementia receiving atypical or typica l antipsychotics. Design:Population based retrospective cohort study. setting:On tario, Canada. Patients: 32 710 older adults (≥65years) with dementia (17 845 d ispensed an atypical antipsychotic and 14 865 dispensed a typical antipsychotic) .Main outcome measures: Admission to hospital with the most responsible diagnosi s (single most important condition responsible for the patient’s admission) of i schaemic stroke. Observation of patients until they were either admitted to hosp ital with ischaemic stroke, stopped taking antipsychotics, died, or the study en ded. Results: After adjustment for potential confounders, participants receiving atypical antipsychotics showed no significant increase in risk of ischaemic str oke compared with those receiving typical antipsychotics (adjusted hazard ratio 1.01, 95%confidence interval 0.81 to 1.26). This finding was consistent in a se ries of subgroup analyses, including ones of individual atypical antipsychotic d rugs (risperidone, olanzapine,and quetiapine) and selected subpopulations of the main cohorts. Conclusion: Older adults with dementia who take atypical antipsyc hotics have a similar risk of ischaemic stroke to those taking typical antipsych otics.

关键词：缺血性卒中回顾性队列研究药物治疗 atypical retrospective 住院率 receiving 喹硫平奥氮平 admitted

Percoll梯度离心前后精子功能参数的分析

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四川大学学报（自然科学版） 2002年第S1期39卷 181-183页

作者：刘孝云魏莎莉杨戎冯亚红周勤重庆医科大学生殖生理教研室重庆400016 重庆市第三人民医院妇产科重庆400012

作者通过Percoll梯度离心技术观察处理前后精子相关功能的指标 ,以评价该技术在精子体外处理中的效果 .方法　采用精子前向运动试验 (PMs)、精子尾部低渗肿胀试验 (hos)和DNA荧光染色有效精子计数试验 (EsC) ,观察精子处理前后PMs ,hos... 详细信息

作者通过Percoll梯度离心技术观察处理前后精子相关功能的指标 ,以评价该技术在精子体外处理中的效果 .方法　采用精子前向运动试验 (PMs)、精子尾部低渗肿胀试验 (hos)和DNA荧光染色有效精子计数试验 (EsC) ,观察精子处理前后PMs ,hos和EsC的变化 .结果　 32例不育病人精液标本经Percoll梯度离心法处理后 ,精子的PMs ,hos及EsC等指标均明显高于处理前(P <0 .0 1) .该结果表明 ,体外精液标本经Percoll梯度离心法处理后 ,各项精子功能指标均较处理前有明显提高 .

关键词： Percoll梯度离心法精子前向运动率低渗肿胀率有效精子计数

牛心包构建实施心外侧管道Fontan手术:与心外管道Fontan手术的比较研究

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世界核心医学期刊文摘（心脏病学分册） 2006年第9期2卷 21-21页

作者： Lemler M.s. Ramaciotti C. stromberg D. 罗亮 Division of Cardiology Children'sMedical Center1935 Motor StreetDallasTX 75235United States.Dr

Background: The Fontan procedure performed with an extracardiac conduit(ECC) has gained wide acceptance as an alternative to the intracardiac lateral tunnel because it avoids placement of extensive atrial suture lines and use of prosthetic material in the systemic circulation. The extracardiac lateral tunnel(ELT) is a modification of the Fontan procedure which uses pericardium and the external surface of the atrium to create a conduit from the inferior vena cava to the pulmonary artery. This surgery theoretically avoids disruption of intra-atrial conduction by eschewing endocardial suturing while maintaining conduit growth potential and the ability to easily create a fenestration to the systemic circulation. Methods: We retrospectively analyzed the short-term outcome of 96 consecutive patients who underwent an extracardiac Fontan procedure. An ELT using bovine pericardium was performed in 59 patients, whereas 37 patients received a traditional ECC. Results: The 2 groups were similar with respect to age(P=.96), body surface area(P=.54), number of preoperative Fontan risk factors(P=.43), and ventricular morphology(P=.72). There were no significant differences in the following outcome variables between the ELT and the traditional ECC: length of hospitalization(P=.73), duration of chest tube drainage(P=.48), abnormal rhythm at time of discharge(P=.27), and mortality(P=.63). Conclusions: The ELT Fontan can be performed with a low risk of mortality and complications. The results are equivalent to the traditional ECC procedure. The theoretical advantages of the procedure suggest that it should be considered a useful modification of Fontan surgery.

关键词： Fontan手术心外管道牛心包外侧短期预后回顾性分析胸腔引流管心房内