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终止复苏:院前临终决策的新方法

世界核心医学期刊文摘（心脏病学分册） 2007年第10期3卷 4-页

作者： Feder s. Matheny R.L. Loveless Jr.R.s. Rea T.D. 罗亮 King County Medic One 7064 South 220th StreetKentWA 98032United States

背景:急诊医疗(eMs)工作人员常常不被允许按照家属意愿终止临终时刻复苏,尤其是在缺少书面不予复苏(DNR)志愿书的时候。目的:观察实施新指南医疗机构的eMs人员是否比未实施新指南医疗机构的eMs人员更可能终止院外心脏停搏患者的复苏抢... 详细信息

背景:急诊医疗(eMs)工作人员常常不被允许按照家属意愿终止临终时刻复苏,尤其是在缺少书面不予复苏(DNR)志愿书的时候。目的:观察实施新指南医疗机构的eMs人员是否比未实施新指南医疗机构的eMs人员更可能终止院外心脏停搏患者的复苏抢救。设计:

关键词：复苏抢救患者 eM 心脏停搏

应用左炔诺孕酮宫内释放系统治疗女性凝血功能障碍引起的月经过多

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世界核心医学期刊文摘（妇产科学分册） 2006年第3期2卷 5-5页

作者： schaedel Z.e. Dolan G. Powell M.C. 李奎 Department of Obstetrics and Gynaecology University College Hospital Spinney Cottage Halstead Sevenoaks Kent TN14 7EX United Kingdom

Objective: The study was undertaken to evaluate the levonorgestrel-releasing intrauterine system (LNG-IUs)in managing menorrhagia associated with hemostatic disorders. study design: Retrospective notes review. Results: Nineteen of 28 (68%) patients experienced improvement with the LNG-IUs. There was nonacceptance by 9 of 28 (32%) who refused the LNG-IUs or had it definitively removed. Conclusion: The LNG-IUs should be considered when managing menorrhagia because surgery carries additional risks in this subset of patients.

关键词：左炔诺孕酮月经过多凝血功能障碍释放系统研究设计

Aqueous extract of Newbouldia laevis Abrogates Cadmium-Induced Ovarian Dysfunction in Adult Wistar Rats Running Title:Newbouldia laevis Ameliorates Ovarian Disruption

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Journal of Pharmacy and Pharmacology 2019年第3期7卷 110-118页

作者： Adeoye O.Oyewopo Kehinde s.Olaniyi Adesola A.Oniyide Olusola A.sanya Oluwatobi A.Amusa Omosola F.Faniyan Olugbenga O.eweoya Department of Anatomy University of IlorinIlorin240001Nigeria Department of Physiology Afe Babalola UniversityAdo-Ekiti360101Nigeria Department of Anatomy University of AbujaAbuja900241Nigeria

Background:The extract of Newbouldia laevis has been demonstrated to show antioxidant,antimicrobial,sedative,anticonvulsant,analgesic,anti-inflammatory,antinociceptive,hepatoprotective,anticancer,antiulcer,antihypertensive and antidiarrhea ***,its reproprotective effect is not well *** present study was designed to investigate the ameliorative effect of Newbouldia laevis in cadmium-induced ovarian ***:Adult female Wistar rats were randomly allotted into groups;Vehicle(received distilled water),cadmium-treated(received 5 mg/kg b.w.),***-treated(received 200 mg/kg b.w.)and cadmium+***-treated *** sulphate was administered for 3 days(i.p.)followed by oral administration of *** for 28 *** body weight change was monitored using animal weighing balance(Olympia sCL66110 model,kent scientific Corporation,Torrington,CT06790,UsA),biochemical assay and histology of ovaries were performed as previously ***:The results showed weight loss,severe disruption of ovarian follicles and significant reduction of gonadotropic hormones(FsH and LH)in cadmium-treated group compared with vehicle-treated *** alterations were not associated with inflammatory ***,concomitant administration of aqueous extract of *** and cadmium sulphate significantly ameliorated ovarian ***:The study demonstrates that administration of aqueous extract of *** during treatment with cadmium sulphate preserves ovarian function,suggesting that possibly daily intake of aqueous extract of *** prevents the onset of ovarian disorders.

关键词： Cadmium hypertrophy Newbouldia laevis ovarian dysfunction reproprotective

高加索人与中国人单眼新生血管性老年性黄斑变性患者的对侧眼

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世界核心医学期刊文摘(眼科学分册) 2006年第12期 56-56页

作者： sivaprasad s. Membrey W.L. sivagnanavel V. 杨秀梅

Purpose: To investigate the correlation between morphological features of choroidal neovascularisation (CNV) secondary to age-related macular degeneration (AMD) in the first eye and the severity of age-related maculopathy (ARM) in the fellow eyes in two racial groups: Caucasians and Chinese. Participants: A total of 135, fluorescein angiograms of patients with unilateral neovascular AMD and ARM in the fellow eyes were included in the study: 38 Caucasians from King's College Hospital, UK; 45 Caucasians from West kent eye Centre, UK; 52 Chinese from Hong Kong eye Hospital, Hong Kong. Main outcome measures: CNV subtype in the affected eye and ARM severity in the second eyes. Results: Although the proportion of CNV subtypes in the three groups were similar, the Chinese cohort showed significantly less ARMseverity compared to the Caucasian cohorts (P sion: Although drusen and retinal pigmentary changes may be prognostic indicators of CNV, this study suggest that other factors contribute significantly to the pathogenesis of CNV in AMD.

关键词：对侧眼新生血管性黄斑变性单眼老年性患者中国人

远端输尿管完全性阻塞的不寻常原因:巨大纤维上皮性息肉

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世界核心医学期刊文摘（儿科学分册） 2005年第4期1卷 60-60页

作者： O■uzkurt P. z s. O■uzkurt L. 王经伟 Department of Pediatric surgery Bas'kent U niv. Adana Med. Ctr Adana Turkey

输尿管纤维上皮性息肉是中胚层来源的少见的良性肿瘤,是儿童肾盂积水极少见的原因。它通常引起部分输尿管阻塞,不会产生肾功能损害。优先考虑的治疗方法是在保存肾单位的情况下行内窥镜或者外科息肉切除术。笔者描述1例青少年患者,其输... 详细信息

输尿管纤维上皮性息肉是中胚层来源的少见的良性肿瘤,是儿童肾盂积水极少见的原因。它通常引起部分输尿管阻塞,不会产生肾功能损害。优先考虑的治疗方法是在保存肾单位的情况下行内窥镜或者外科息肉切除术。笔者描述1例青少年患者,其输尿管远端巨大纤维上皮性息肉导致输尿管完全性阻塞,引起左肾盂积水和左肾功能损害。输尿管良性肿瘤导致肾单位的损害,这是极为罕见的报道。

关键词：上皮性远端输尿管肾单位完全性肾盂积水 ureter 肾功能损害中胚层左肾盂 neoplasm

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儿童腹膜透析后常发生硬化性包裹性腹膜炎

世界核心医学期刊文摘（儿科学分册） 2005年第11期1卷 60-60页

作者： Tan F.L.-s. Loh D. Prabhakaran K. 王经纬 Department of Pediatric surgery National University Hospital Singapore Main Building Lower Kent Ridge Road Singapore Singapore

sclerosing encapsulating peritonitis, or “abdominal cocoon,”is a rare but serious complication of continuous ambulatory peritoneal dialysis. It is characterized by the diffuse appearance of marked sclerotic thickening of the peritoneal membrane resulting in intestinal obstruction. A 14-year-old adolescent boy with a history of end-stage renal failure on continuous ambulatory peritoneal dialysis presented with symptoms of acute intestinal obstruction. A computed tomography scan of the abdomen revealed distended small bowel loops clustered and displaced to the right upper quadrant. The overlying peritoneum was markedly thickened and calcified. Laparotomy confirmed the diagnosis of sclerosing encapsulating peritonitis and the patient was treated with excision of the fibrocollagenous membrane. Postoperatively, he had prolonged ileus requiring parenteral nutritional support and peritoneal dialysis was restarted on postoperative day 10. A high degree of cognizance is needed to facilitate diagnosis and treatment of this uncommon and potentially life-threatening condition.

关键词：包裹性腹膜炎腹膜透析硬化性迟发性肠梗阻腹膜硬化上象限胃肠外营养支持急性肠梗阻胶原膜肾功能衰竭

二尖瓣修补时行经食管超声心动图利用压力减半时间计算的结果低估了二尖瓣膜面积

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世界核心医学期刊文摘（心脏病学分册） 2006年第8期2卷 42-42页

作者： Poh K. - K. Hong e. C. -T. Yang H. 韩瑞娟(译) 任付先(校) Cardiac Department Main Building National University Hospital 5 Lower Kent Ridge Road 119074 Singapore Singapore 不详

Background: Mitral valve repair(MVRr) has become themainstay of surgical treatment for mitral valvular regurgitation. evaluation of MVRr by intraoperative transesophageal echocardiography(IOe) has been routinely employed to guide the operation. While the main objective of IOe is to assess for residual mitral regurgitation, it is also important to exclude significant mitral stenosis. Utilisation of pressure half-time(PHT) to estimate mitral valve area(MVA) has been shown to be reliable in normal clinical situations. However, in MVRr, the accuracy of MVA calculation by PHT needs to be ascertained. Methods and results: Data from IOe and post-MVRr transthoracic echocardiography(TTe) from the year 1998 to 2002 were analysed and when required, offline PHT measurements were made. The mean time interval between the two echocardiographic examinations was 10.6(1 to 56) weeks. In our 36 cases, the IOe MVA was found to be 2.1± 0.5 cm2, with the corresponding TTe MVA to be 2.7± 1.0 cm2. MVA by PHT with IOe underestimated TTe findings by 0.6± 0.9 cm2(95% CI:-0.85 to-0.24, P=0.001). In 6 patients, the IOe MVA was moderately reduced. subsequent TTe in these patients showed that the MVA was adequate and was significantly underestimated by IOe in 5 of these patients. In all these cases, IOe underestimated MVA by a margin, which may result in a need to revise the repair. Conclusion: We find that IOe immediately after MVRr tends to underestimate MVA by PHT calculation. The underestimation by IOe may have clinical importance in cases when MVA by IOe is moderately reduced. Therefore, pressure half-time measurement should not be used to assess mitral valve areas during mitral valve repair.

关键词：经食管超声心动图压力减半时间二尖瓣修补二尖瓣膜面积经胸超声心动图超声心动图检查二尖瓣反流二尖瓣狭窄 PHT